Purposes: The hospitals needs to generate a minimum profit, in order to perform its own role such as providing high-quality medical services. The demand for hospital management is increasing, as the social demands are diversified and the financial transparency is emphasized. The purpose of this study is to compare hospitals management based on Dupont Identity, by various hospital classification. Methodology: This study is based on '2016 Statistics for Hospital Management' provided by the Korea Health Industry Development Institute. The hospitals were classified according to the scope of care, the type of establishment, the location, and the number of beds. We analyzed the general and financial characteristics of over 337 hospitals using the method of Dupont Identity. Findings: Net profit margin (PM) has the biggest impact on return of equity (ROE). By the number of beds, general hospital with 160-299 beds have the highest return on equity (ROE). By location, hospitals in local municipalities have higher return on equity than hospitals in urban municipalities. According to the type of establishment, public hospitals have lower business performance, and although they invest more than private hospitals. Practical Implications: This study can inspire interest and provide understanding in hospital management and financial structure, by analyzing through an intuitive indicator named Dupont identity. It is possible to provide basic data for hospital management methods for each financial elements, in order to increase the profitability of hospitals.
Background: The purpose of this study was to assess the relevance of preoperative magnetic resonance imaging (MRI) evaluation by occupation ratio (OR) at maximum diameter of supraspinatus muscle. Methods: Patients from the Inje University Sanggye Paik Hospital who received rotator cuff repair and underwent pre- and postoperative MRI were selected as subjects of this study. On T1-weighted MRIs, OR of fat and muscle at Y-shaped view, OR at a location on supraspinatus muscle where its diameter was maximum on coronal view, and pre- and postoperative Goutallier Classification and changes in the tangent sign were measured. Statistical significance of postoperative OR was assessed regarding time from symptom onset to surgery, size of rotator cuff tear, preoperative OR, and the difference between ORs measured at maximum diameter of supraspinatus muscle and Y-shaped view. Results: Preoperative OR at Y-shaped view was $52.28{\pm}8.57$ (32.5-65.3). Preoperative OR difference between maximum diameter and Y-shaped view was $13.76{\pm}10.51$ (2.38-42.04), and Pearson correlation coefficient was 0.604 (p=0.001). Postoperative OR at Y-shaped view was $63.77{\pm}9.35$ (37.3-76.1). Pearson correlation coefficient of pre- and postoperative Goutallier Classification was -0.579 (p=0.002) and Pearson correlation coefficient of the postoperative difference between ORs measured at maximum diameter of supraspinatus muscle and Y-shaped view was -0.386 (p=0.047). Conclusions: Fatty degeneration of supraspinatus muscle in rotator cuff tear patients should be evaluated not only in the conventional Y-shaped view, but also at location of maximum diameter of supraspinatus muscle to establish patients' therapeutic plan.
In this paper, the effects of Tuned Mass dampers (TMDs) on the reduction of the vertical vibrations of a real horizontally curved steel box-girder bridge due to different traffic loads are numerically investigated. The performance of TMDs to reduce the bridge vibrations can be affected by the parameters such as dynamic characteristics of TMDs, the location of TMDs, the speed and weight of vehicles. In the first part of this study, the effects of mass ratio, damping percentage, frequency ratio, and location of TMDs on the performance of TMDs to decrease vertical vibrations of different sections of bridge deck are evaluated. In the second part, the performance of TMD is investigated for different speeds and weights of traffic loads. Results show that the mass ratio of TMDs is the more effective parameter in reducing imposed vertical vibration in comparison with the damping ratio. Furthermore, it is found that TMD is very sensitive to its tuned frequency, i.e., with a little deviation from a suitable frequency, the expected performance of TMD significantly decreased. TMDs have a positive and considerable performance at certain vehicle speeds and this performance declines when the weight of traffic loads is increased. Besides, the results reveal that the highest impact of TMD on the reduction of the vertical vibrations is when free vibrations occur for the bridge deck. In that case, maximum reductions of 24% and 59% are reported in the vertical acceleration of the bridge deck for the forced and free vibration amplitudes, respectively. The maximum reduction of 13% is also obtained for the maximum displacement of the bridge deck. The results are mainly related to the resonance condition.
Ji, Hae Yeon;Ha, Jeong Gon;Kim, Min Kyu;Hahm, Dae Gi
Journal of the Earthquake Engineering Society of Korea
/
v.26
no.5
/
pp.181-190
/
2022
In assessing the seismic safety of nuclear power plants, it is essential to analyze the structures using the observed ground motion. In particular, spatial variation in which the characteristics of the ground motion record differ may occur if the location is different within the site and even if the same earthquake is experienced. This study analyzed the spatial variation characteristics of the ground motion observed at the structure and site using the earthquake records measured at the Hamaoka nuclear power plant. Even if they were located on the same floor within the same unit, there was a difference in response depending on the location. In addition, amplification was observed in Unit 5 compared to other units, which was due to the rock layer having a slower shear wave velocity than the surrounding bedrock. Significant differences were also found in the records of the structure's foundation and the free-field surface. Based on these results, the necessity of considering spatial variation in the observed records was suggested.
Objective : The aim of this study was to evaluate the reliability and validity of the Pediatric Functional Assessment of Cancer Therapy Questionnaire Brain Tumor Survivor (version 2.0) Aged 13 years and older (Parent Form) (pedsFACT-BrS parent of adolescent). Methods : The pedsFACT-BrS parent of adolescent was translated and cross-culturally adapted into Korean, following standard Functional Assessment of Chronic Illness Therapy (FACIT) methodology. The psychometric properties of the pedsFACT-BrS parent of adolescent were evaluated in 170 brain tumor patient's mothers (mean age=43.38 years). Pretesting was performed in 30 mothers, and the results indicated good symptom coverage and overall comprehensibility. The participants also completed the Child Health Questionnaire Parent Form 50 (CHQ-PF-50), Neuroticism in Eysenck Personality Questionnaire, and Karnofsky score. Results : In validating the pedsFACT-BrS parent of adolescent, we found high internal consistency, with Cronbach's ${\alpha}$ coefficients ranging from 0.76 to 0.94. The assessment of test-retest reliability using intraclass correlation coefficient revealed satisfactory values with ICCs ranging from 0.84 to 0.93. The pedsFACT-BrS for parent of adolescent also demonstrated good convergent and divergent validities when correlated with the Child Health Questionnaire Parent Form 50 (CHQ-PF-50) and the Neuroticism in Eysenck Personality Questionnaire. The pedsFACT-BrS parent of adolescent showed good clinical validity, and effectively differentiated between clinically distinct patient groups according to the type of treatment, tumor location, shunt, and Karnofsky score of parent proxy report. Conclusion : We confirmed that this reliable and valid instrument can be used to properly evaluate the quality of life of Korean adolescent brain tumor patients by their parents' proxy report.
Journal of the Korea institute for structural maintenance and inspection
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v.22
no.6
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pp.114-122
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2018
This study presents the emergency assessment method about seismic safety of cable-supported bridges using seismic acceleration sensors installed on the primary structural elements of them. The structural models of bridges are updated iteratively to make their dynamic characteristics to be similar to those of real bridges based on the comparison of their natural frequencies with those of real bridges estimated from acceleration data measured at ordinary times by the seismic acceleration sensor. The displacement at the location of each seismic acceleration sensor is derived by seismic analysis using design earthquake, and the peak value of them is determined as the disaster management criteria in advance. The displacement time history is calculated by the double integration of the acceleration time history which is recorded at each seismic acceleration sensor and filtered by high cut(low pass) and low cut(high pass) filters. Finally, the seismic safety is evaluated by the comparison of the peak value in calculated displacement time history with the disaster management criteria determined in advance. The applicability of proposed methodology is verified by performing the seismic safety assessment of 12 cable-supported bridges using the acceleration data recorded during Gyeongju earthquake.
Recently, local governments have recognized river zones as leisure spaces and local festival venues, and hence, the pressure for developing these zones has increased significantly. However, given the unique functionalities of river zones and the time and costs associated with maintaining facilities and restoring damaged areas, a development plan must be selected carefully. To preserve river zones and to facilitate nature-friendly space utilization, this study focused on improving environmental impact assessment (EIA), which is an institutional implementation procedure for project plans. This study prepared a draft guide for EIA by providing an overview of the research background and survey outcomes, including the status of laws and regulations on river zones, development plans, and opinions on EIA. The results showed that because strategic EIA of basic river plans is important for district designation of river zones and the scope and direction of space utilization, it is necessary to establish a more meticulous business plan before reviewing and evaluating the mini EIA linked to the future implementation of a plan to derive a reasonable assessment. Additionally, this study provides a draft guide for EIA to evaluate the suitability of water-friendly facility construction plans considering the location characteristics and to reflect the factors that can reduce the environmental impacts during the mini EIA stage. In the future, we expect that the results of this study will serve as a foundation for establishing instructions and guides for the development of nature-friendly and water-friendly facilities in river zones during the establishment of plans.
Journal of the Korean Association of Geographic Information Studies
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v.13
no.2
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pp.21-28
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2010
The classical RTK System requires that GPS data is transmitted from a single reference receiver to one or more roving units. But its error increase due to distance between reference and rover. VRS(Virtual Reference Station) system, a network of reference stations can be used to isolate the components of these systematic errors and use the resultant corrections to create Virtual Reference Stations at any location within the network. Use of a VRS significantly reduces the effects of systematic errors and improved accuracy. In this study, Network-RTK survey using VRS serviced by NGII(National Geographic Information Institute) was performed and the results were compared with results of total station surveying and notified coordinates of cadastral control points for utilization assessment of VRS.
Journal of the Computational Structural Engineering Institute of Korea
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v.28
no.3
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pp.241-248
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2015
There are a lot of equipment related to safety and electric power production in nuclear power plants. The structure and equipment in NPPs were generally designed considering a high safety factor to remain in the elastic zone under earthquake load. However it is needed to revaluate the seismic capacity of the structure and equipment as the magnitude of earthquake was recently increased. In this study the floor response due to the nonlinear behaviors of structure was analyzed and the inelastic structural response factor was calculated by the nonlinear time history analysis. The inelastic structural response factor was calculated by the EPRI method and the nonlinear analysis method to realistically evaluate the seismic fragility for the equipment. According to the analysis result, it was represented that the inelastic structural response factor was affected by the natural frequency of equipment, the location of equipment and the dynamic property of structure.
This study tried to propose the guidelines for the ecological preservation zoning in Korea. So some related laws and regulations were inspected, which were Natural Environment Preservation Act, Nature Park Act, Cultural Asset Conservation Act, Forest Act and Urban Planning Act. In these acts, I could find several concepts related to the ecosystem that are described as the protection area. But there aren't detailed and practical characteristics in those concepts. So for making the practical concept of ecosystem preservation, I considered Multiple Use Module, Wildlife habitat model, and Environmental evaluation model. Thorough this step, the process and methodology was established for evaluating and analysing. The potentiality of the GIS system was inspected. So the TM5 scene of the site was acquired and processed by ER-Mapper, Idrisi, Arc/Info and Arcview. And several digitized data were input by scanning and vecterizing. The Erdas format was mostly exchangeable to any program. The site is the Byonsan Peninsula National Park. The forest stand information and topographic data were digitized, types of which are forest year, DBH, density, slope, aspect etc. And also the watershed boundary, roads and paths, natural and cultural resources were mapped and analysed. Modelling of preservation suitability found the dispersed patterns for the best suitable zone through all the site. And the development potential areas were checked on downwatershed. This patterns are thought to result from the forest location for the wildlife habitat and the low altitude and no-steep slopes for developing. And Early warning system concept was introduced by overlapping these two patterns on the both potential area. As the conclusions, I proposed that the preservation zone be assigned according to the watershed unit as the main ecosystem zone. This main area should be linked by the eco-corridor through the point type eco-system. Finally, I thought the comprehensive information system should be established for making the rational and efficient decision making in natural area.
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