• Title/Summary/Keyword: indirect costs

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Prevalence, Pathophysiology, Screening and Management of Osteoporosis in Gastric Cancer Patients

  • Lim, Jung-Sub;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • v.11 no.1
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    • pp.7-15
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    • 2011
  • Osteoporosis in gastric cancer patients is often overlooked or even neglected despite its high prevalence in these patients. Considering that old age, malnutrition, chronic disease, chemotherapy, decreased body mass index and gastrectomy are independent risk factors for osteoporosis, it is reasonable that the prevalence of osteoporosis in gastric cancer patients would be high. Many surviving patients suffer from back pain and pathological fractures, which are related to osteoporosis. Fractures have obvious associated morbidities, negative impact on quality of life, and impose both direct and indirect costs. In the era of a >55.6% 5-year survival rate of gastric cancer and increased longevity in gastric cancer patients, it is very important to eliminate common sequelae such as osteoporosis. Fortunately, the diagnosis of osteoporosis is well established and many therapeutic agents have been shown to be effective and safe not only in postmenopausal females but also in elderly males. Recently, effective treatments of gastric cancer patients with osteoporosis using bisphosphonates, which are commonly used in postmenopausal woman, were reported.

A Study on Resonable Medical Insurance Fees for Orthopeadic Manual Therapy (정형물리치료의 적정 의료보험수가에 관한 연구)

  • Kim, Myung-Joon;Hwang, Seong-Soo;Kim, Ho-Bong;Kim, Soo-Hyung
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.6 no.2
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    • pp.5-13
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    • 2000
  • The purpose of this study is to suggest reasonable medical insurance fees for orthopaedic manual therapy. This medical insurance fees include of direct and indirect costs. The reasonable medical insurance fees of orthopaedic manual therapy are as follows. 1. Spinal manual therapy fee is 10.173 won. 2. Upper and lower extremity manual therapy fee is 10,173 won. 3. Hand and foot manual therapy fee is 6.782 won. 4. Hand and visceral manual therapy fee is 6.782 won.

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An Linear Bottleneck Assignment Problem (LBAP) Algorithm Using the Improving Method of Solution for Linear Minsum Assignment Problem (LSAP)

  • Lee, Sang-Un
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.1
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    • pp.131-138
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    • 2016
  • In this paper, we propose a simple linear bottleneck assignment problems (LBAP) algorithm to find the optimal solution. Generally, the LBAP has been solved by threshold or augmenting path algorithm. The primary characteristic of proposed algorithm is derived the optimal solution of LBAP from linear sum assignment problem (LSAP). Firstly, we obtains the solution for LSAP from the selected minimum cost of rows and moves the duplicated costs in row to unselected row with minimum increasing cost in direct and indirect paths. Then, we obtain the optimal solution of LBAP according to the maximum cost of LSAP can be move to less cost. For the 29 balanced and 7 unbalanced problem, this algorithm finds optimal solution as simple.

Strategies for Application and Introduction of Activity Based Costing for Korean Hospitals (병원 활동기준원가계산 모형의 적용방식과 도입전략)

  • Sun, Seung-Hoon
    • Korea Journal of Hospital Management
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    • v.4 no.1
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    • pp.96-128
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    • 1999
  • This research has a purpose to develop strategies for application and introduction of activitiy based costing for Korean hospitals. A 700 bed-sized general hospital in Taejon was chosen to conduct this study. The conventional costing and ABC methods were simultaneously applied to the Obstetrics & Gynecology department, using data surveyed from June 21 to 30, 1998. The difference of two costing methods' results were analyzed and ABC's superiority was recognized. It showed that the new ABC model was more rational, fair, and objective in allocating indirect costs. The strategies to introduce ABC model to hospitals were suggested as followings: 1)a committee to manage ABC should be organized; 2)education for the employees about costing and cost saving should be provided; 3)the computerized ABC program should be developed; and 4)more advanced and rigourous methods to identify activities and measure the resource consumption should be developed.

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Downward Method of Underground Structures (지하구조물 역타공법 PRD공정이 삭제된 대안공법 제시)

  • Lee, Wang-Hee;Lee, Il-Jae;Iim, Si-Nae;Maeng, Eun-Ju;Jeong, Uhk-Sung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2013.11a
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    • pp.4-7
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    • 2013
  • In recent downtown high land due to an increase in the utilization of land from the property line to maximize the proximity of the construction and use of underground structures has increased. The nature of urban underground retaining structure construction safety, environmental management, and civil contrast situations, construction periodt perspective, this method is widely used in the backhand. Recent Patents DP method and the method of the DBS method than in the SPS process is deleted according to the PRD process cost savings are generated. The workability and safety study of two kinds of method, such as air speed, and considering the reduction of indirect costs in terms of economic efficiency is considered to be a superior method.

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Time-Profit Trade-Off of Construction Projects Under Extreme Weather Conditions

  • Senouci, Ahmed;Mubarak, Saleh
    • Journal of Construction Engineering and Project Management
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    • v.4 no.4
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    • pp.33-40
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    • 2014
  • Maximizing the profitability and minimizing the duration of construction projects in extreme weather regions is a challenging objective that is essential for project success. An optimization model is presented herein for the time-profit trade-off analysis of construction projects under extreme weather conditions. The model generates optimal/near optimal schedules that maximize profit and minimize the duration of construction projects in extreme weather regions. The computations in the model are organized into: (1) a scheduling module that develops practical schedules for construction projects, (2) a profit module that computes project costs (direct, indirect, and total) and project profit, and (3) a multi-objective module that determines optimal/near optimal trade-offs between project duration and profit. One example is used to show the impact of extreme weather on construction time and profit. Another example is used to show the model's ability to generate optimal trade-offs between the time and profit of construction projects under extreme weather conditions.

Development and Application of the Spare-parts Cost Estimating Relationships (수리부속비 비용추정식 개발과 활용방안)

  • Ryu, Min-Kyu;Lee, Yong-Bok;Kang, Sung-Jin
    • Journal of the Korea Institute of Military Science and Technology
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    • v.13 no.4
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    • pp.601-611
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    • 2010
  • Currently, a life cycle cost estimates(LCCE) is the most important factor in weapon system acquisition process. However, operation and maintenance(O&M) cost related studies are insufficient from the previous literature survey. O&M cost consists of various cost factors such a man power, maintenance and direct & indirect support costs. We have known that spare-parts cost is a key factor in the O&M cost. In this paper, we developed the spare-parts cost estimating relationships(CERs) of fixed-wing aircraft and armored vehicle weapon systems which include 4 historical cost drivers ; system acquisition cost, deterioration rate, localization rate, mission characteristic. Furthermore, we proposed the application methodologies that O&M cost estimating, total life cycle cost estimating and determination of the economic life using the spare-parts CERs.

Damage Estimation and LCC Optimal Design of Seismic Isolated Bridges considering nonlinearities of Pier and Isolator (교각 및 지진격리장치의 비선형성을 고려한 지진격리교량의 손상평가 및 LCC 최적설계)

  • 고현무;함대기;신정환
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 2003.09a
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    • pp.344-351
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    • 2003
  • In order to consider the characteristics of nonlinear dynamic responses of seismic isolated bridges reasonably, piers and isolators are modeled as a 2-DOF bilinear system. Then nonlinear time-history earthquake response analysis is accomplished many artificial input ground motions which were generated to reflect the characteristics of earthquakes. Damage probabilities and failure probabilities of each structural elements of the brides are calculated by using Monte-Carlo simulation method. Based on LCC evaluation considering various cost items of direct/indirect damage costs, the optimal design method of seismic isolated bridges is proposed. By using a sensitivity analysis about the design variables and a cost effectiveness evaluation in the viewpoint of LCC, the validity and the adequacy of proposed optimal design method are verified.

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Feasibility Study and Measuring Some Effects of the Activity Based ManAgement (ABM) in the Iran Railway

  • Movahedi, Mohammad Mehdi;Zaribaf, Mehdi;Moradi, Mohammad Ali
    • International Journal of Railway
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    • v.3 no.1
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    • pp.28-33
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    • 2010
  • The research is to develop cost methodology to support railway managers for identifying principles, tools and methods of activity based management correctly and precisely, and can be useful and effective for managers for realizing their goals. The research result a ministry can be suitable guideline in terms of how to execute activity based management. Since in this research, main and secondary activities are studied completely in the Railway organization, it can be an explanatory research. The research population is headquarter managers and experts of railway organization and the sampling procedure is goal-oriented and judgmental. 74 people were selected by using a formula. All hypotheses were tested in 95% significance level. Meanwhile a proposed process of applying. activity based management was offered.

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Understanding insomnia as systemic disease

  • Yun, Seokho;Jo, Sohye
    • Journal of Yeungnam Medical Science
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    • v.38 no.4
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    • pp.267-274
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    • 2021
  • Sleep plays a critical role in homeostasis of the body and mind. Insomnia is a disease that causes disturbances in the initiation and maintenance of sleep. Insomnia is known to affect not only the sleep process itself but also an individual's cognitive function and emotional regulation during the daytime. It increases the risk of various neuropsychiatric diseases such as depression, anxiety disorder, and dementia. Although it might appear that insomnia only affects the nervous system, it is also a systemic disease that affects several aspects of the body, such as the cardiovascular, endocrine, and immune systems; therefore, it increases the risk of various diseases such as hypertension, diabetes mellitus, and infection. Insomnia has a wide range of effects on our bodies because sleep is a complex and active process. However, a high proportion of patients with insomnia do not seek treatment, which results in high direct and indirect costs. This is attributed to the disregard of many of the negative effects of insomnia. Therefore, we expect that understanding insomnia as a systemic disease will provide an opportunity to understand the condition better and help prevent secondary impairment due to insomnia.