• Title/Summary/Keyword: reserve ratio

Search Result 105, Processing Time 0.024 seconds

Operation Financing Method for Management Activities and Effect on Management Performance in Regional Public Hospitals (지방의료원의 경영활동 운영자금 조달방법과 경영성과에 미치는 영향)

  • Jung, Yong-Mo;Ha, Au-Hyun
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.11
    • /
    • pp.324-331
    • /
    • 2020
  • This study used the financial information of 29 Regional public hospitals registered in the HASPA. Regional public hospitals analyzed the ratio of operating financing by management activities and how they affect net profit. The results of the study, Regional Public Hospitals ratio of fund financing for management activities was 83.50 percent for medical revenues, 9.53 percent for Incidental Revenue of Medical, 4.54 percent for Contribution Revenue, 4.42 percent for Other non-medical profits, 1.21 percent for depreciation Expense and 0.73 percent for Amount of reserve for unique purpose project. As a result of examining the effect of financing by management operation on net profit, the ratio of operating funds by medical revenue, by incidental revenue of medical, by contribution revenue and by other non-medical profits had a positive impact on net profit of Regional public hospitals. And It has been confirmed that the ratio of amount of reserve for unique purpose project has a negative impact on net profit. Therefore, it is necessary for Regional public hospitals to manage costs in consideration of revenues and internal reserves.

Shape optimization of blended-wing-body underwater glider by using gliding range as the optimization target

  • Sun, Chunya;Song, Baowei;Wang, Peng;Wang, Xinjing
    • International Journal of Naval Architecture and Ocean Engineering
    • /
    • v.9 no.6
    • /
    • pp.693-704
    • /
    • 2017
  • Blended-Wing-Body Underwater Glider (BWBUG), which has excellent hydrodynamic performance, is a new kind of underwater glider in recent years. In the shape optimization of BWBUG, the lift to drag ratio is often used as the optimization target. However this results in lose of internal space. In this paper, the energy reserve is defined as the direct proportional function of the internal space of BWBUG. A motion model, which relates gliding range to steady gliding motion parameters as well as energy consumption, is established by analyzing the steady-state gliding motion. The maximum gliding range is used as the optimization target instead of the lift to drag ratio to optimizing the shape of BWBUG. The result of optimization shows that the maximum gliding range of initial design is increased by 32.1% though an Efficient Global Optimization (EGO) process.

Quantitative Assessment of Cerebral Perfusion Reserves Using Normalized Difference Ratio Image of Brain SPECT (뇌혈류 SPECT에서 정규화감산영상을 이용한 뇌혈류비축능의 정량적 평가에 관한 연구)

  • Lee, J.S.;Kwark, C.;Park, K.S.;Jeong, J.M.;Lee, D.S.;Chung, J.K.;Lee, M.C.;Koh, C.S.
    • Proceedings of the KOSOMBE Conference
    • /
    • v.1996 no.05
    • /
    • pp.279-282
    • /
    • 1996
  • Sequential brain SPECT imaging has been used to assess the cerebral perfusion reserve(CPR) in cerebrovascular diseases(CVD). We have realized a parametric images of CPR using normalized difference ratio and deadtime correction. For the anatomical localization of CPR, the parametric images were registered to the contours of the cerebral regions using optimal threshold method. The parametric imags reflected the CPR more reliably and distinctively. We conclude that the qunatitative estimation of CPR using normalized difference ratio image could be useful for the diagnosis and assessment of postoperative prognosis in CVD.

  • PDF

Estimation of lapse rate of variable annuities by using Cox proportional hazard model (Cox 비례위험모형을 이용한 변액연금 해지율의 추정)

  • Kim, Yumi;Lee, Hangsuck
    • Journal of the Korean Data and Information Science Society
    • /
    • v.24 no.4
    • /
    • pp.723-736
    • /
    • 2013
  • The importance of lapse rate is highly increasing due to the introduction of Cash Flow Pricing system, non-refund-of-reserve insurance policy, and IFRS (International Financial Reporting System) to the Korean insurance market. Researches on lapse rate have mainly focused on simple data analysis and regression analysis, etc. However, lapse rate can be analyzed by survival analysis and can be well explained in terms of several covariates with Cox proportional hazard model. Guaranteed minimum benefits embedded in variable annuities require more elegant statistical analysis of lapse rate. Hence, this paper analyzes data of policyholders with variable annuities by using Cox proportional hazard model. The key variables of policy holder that influences the lapse rate are payment method, premium, lapse insured to term insured, reserve-GMXB ratio, and age.

Efficient Support for Adaptive Bandwidth Scheduling in Video Servers (비디오 서버에서의 효율적인 대역폭 스케줄링 지원)

  • Lee, Won-Jun
    • The KIPS Transactions:PartC
    • /
    • v.9C no.2
    • /
    • pp.297-306
    • /
    • 2002
  • Continuous multimedia applications require a guaranteed retricval and transfer rate of streaming data, which conventional file server mechanism generally does not provide. In this paper we describe a dynamic negotiated admission control and dick bandwidth scheduling framework for Continuous Media (CM : e.g., video) servers. The framework consists of two parts. One is a reserve-based admission control mechanism and the other part is a scheduler for continuous media streams with dynamic resource allocation to achieve higher utilization than non-dynamic scheduler by effectively sharing available resources among contending streams to improve overall QoS. Using our policy, we could increase the number of simultaneously running: clients that coo]d be supported and cot]d ensure a good response ratio and better resource utilization under heavy traffic requirements.

Usefulness of subtraction pelvic magnetic resonance imaging for detection of ovarian endometriosis

  • Lee, Hyun Jung
    • Journal of Yeungnam Medical Science
    • /
    • v.37 no.2
    • /
    • pp.90-97
    • /
    • 2020
  • Background: To minimize damage to the ovarian reserve, it is necessary to evaluate the follicular density in the ovarian tissue surrounding endometriosis on preoperative imaging. The purpose of the present study was to evaluate the usefulness of subtraction pelvic magnetic resonance imaging (MRI) to detect ovarian reserve. Methods: A subtracted T1-weighted image (subT1WI) was obtained by subtracting unenhanced T1WI from contrast-enhanced T1WI (ceT1WI) with similar parameters in 22 patients with ovarian endometriosis. The signal-to-noise ratio (SNR) in ovarian endometriosis, which was classified into the high signal intensity and iso-to-low signal intensity groups on the T2-weighted image, was compared to that in normal ovarian tissue. To evaluate the effect of contrast enhancement, a standardization map was obtained by dividing subT1WI by ceT1WI. Results: On visual assessment of 22 patients with ovarian endometriosis, 16 patients showed a high signal intensity, and 6 patients showed an iso-to-low signal intensity on T1WI. Although SNR in endometriosis with a high signal intensity was higher than that with an iso-to-low signal intensity, there was no difference in SNR after the subtraction (13.72±77.55 vs. 63.03±43.90, p=0.126). The area of the affected ovary was smaller than that of the normal ovary (121.10±22.48 vs. 380.51±75.87 ㎟, p=0.002), but the mean number of pixels in the viable remaining tissue of the affected ovary was similar to that of the normal ovary (0.53±0.09 vs. 0.47±0.09, p=0.682). Conclusion: The subtraction technique used with pelvic MRI could reveal the extent of endometrial invasion of the normal ovarian tissue and viable remnant ovarian tissue.

The Influence of Maximal Aerobic Capacity on the Two Years Cardiac Related Re-Hospitalization in Patients with Heart Failure with Reduced Ejection Fraction in Korean Society

  • Ryu, Ho Youl;Hong, Do Sun;Kim, Tack Hoon
    • The Journal of Korean Physical Therapy
    • /
    • v.31 no.5
    • /
    • pp.322-327
    • /
    • 2019
  • Purpose: This study examined the influence of the maximal aerobic capacity on the two-year cardiac-related re-hospitalization in patients with heart failure with a reduced ejection fraction (HFrEF) in Korean society. Methods: The maximal aerobic capacity of the study population (n=95, male 63%) was evaluated using a cardiopulmonary exercise (CPX) testing system. Each patient was followed up for two years to divide the HFrEF patients into two groups according to cardiac-related re-hospitalization: re-hospitalization (RH) group (n=29, 30%) and no re-hospitalization (NRH) group (n=66, 70%). Results: The relative peak $VO_2$ (mL/kg/min, p<0.001), exercise duration (p<0.001), respiratory exchange ratio ($VCO_2/VO_2$, p=0.001), systolic blood pressure (SBP) reserve (p=0.004), heart rate (HR) reserve (p=0.007), SBP max (p=0.02), and HR max (p=0.039) were significantly lower in the RH group than the NRH group during the CPX test. On the other hand, the ventilatory efficiency (VE/VCO2 slope, p=0.02) and age (p=0.022) were significantly higher in the RH group than in the NRH group. In binary logistic regression analysis, the relative peak $VO_2$ (p=0.001, Wald Chi-square 10.137) was the strongest predictive factor on cardiac-related re-hospitalization, which was followed by $VCO_2/VO_2$ (p=0.019, Wald Chi-square 5.54). On the other hand, age (p=0.063, Wald Chi-square 3.445) did not have a significant influence on cardiac related re-hospitalization. Conclusion: The maximal aerobic capacity, especially the relative peak $VO_2$, is the strongest factor on cardiac-related re-hospitalization within two years in patients with HFrEF in Korean society.

The likelihood of achieving pregnancy through timed coitus in young infertile women with decreased ovarian reserve

  • Koo, Hwa Seon;Song, In Ok;Cha, Sun Hwa;Park, Chan Woo;Kim, Hye Ok
    • Clinical and Experimental Reproductive Medicine
    • /
    • v.45 no.1
    • /
    • pp.31-37
    • /
    • 2018
  • Objective: To evaluate the pregnancy rate and time to pregnancy after timed coitus with or without superovulation in infertile young women younger than 35 years old with low serum $anti-M{\ddot{u}}llerian$ hormone (AMH) levels ( < 25th percentile). Methods: A total of 202 patients younger than 35 years old were recruited retrospectively between 2010 and 2012. Ninety-eight women had normal serum AMH levels (25-75th percentile), 75 women had low serum AMH levels (5th ${\leq}$ & < 25th percentile) and 29 women had very low serum AMH levels ( < 5th percentile), according to reference values for their age group. Results: The clinical pregnancy rate was positively associated with AMH levels, but this trend did not reach statistical significance (43.9% vs. 41.3% vs. 27.6% in the normal, low, and very low AMH groups, respectively). The time to pregnancy was longer in the very low AMH group than in the normal AMH group ($13.1{\pm}10.9months$ vs. $6.9{\pm}6.1months$, p= 0.030). The cumulative live birth rate over 18 months was lower in the very low AMH group than in the normal AMH group, with marginal significance (20.0% vs. 55.9%, p= 0.051). The duration of infertility was negatively correlated with achieving pregnancy (odds ratio, 0.953; 95% confidence interval, 0.914-0.994; p= 0.026). Conclusion: Conservative management, such as timed coitus with or without superovulation, should be considered in young patients who have low ovarian reserve without any infertility factors. However, for women with a long duration of infertility or very low serum AMH levels, active infertility treatment should be considered.

CT Fractional Flow Reserve for the Diagnosis of Myocardial Bridging-Related Ischemia: A Study Using Dynamic CT Myocardial Perfusion Imaging as a Reference Standard

  • Yarong Yu;Lihua Yu;Xu Dai;Jiayin Zhang
    • Korean Journal of Radiology
    • /
    • v.22 no.12
    • /
    • pp.1964-1973
    • /
    • 2021
  • Objective: To investigate the diagnostic performance of CT fractional flow reserve (CT-FFR) for myocardial bridging-related ischemia using dynamic CT myocardial perfusion imaging (CT-MPI) as a reference standard. Materials and Methods: Dynamic CT-MPI and coronary CT angiography (CCTA) data obtained from 498 symptomatic patients were retrospectively reviewed. Seventy-five patients (mean age ± standard deviation, 62.7 ± 13.2 years; 48 males) who showed myocardial bridging in the left anterior descending artery without concomitant obstructive stenosis on the imaging were included. The change in CT-FFR across myocardial bridging (ΔCT-FFR, defined as the difference in CT-FFR values between the proximal and distal ends of the myocardial bridging) in different cardiac phases, as well as other anatomical parameters, were measured to evaluate their performance for diagnosing myocardial bridging-related myocardial ischemia using dynamic CT-MPI as the reference standard (myocardial blood flow < 100 mL/100 mL/min or myocardial blood flow ratio ≤ 0.8). Results: ΔCT-FFRsystolic (ΔCT-FFR calculated in the best systolic phase) was higher in patients with vs. without myocardial bridging-related myocardial ischemia (median [interquartile range], 0.12 [0.08-0.17] vs. 0.04 [0.01-0.07], p < 0.001), while CT-FFRsystolic (CT-FFR distal to the myocardial bridging calculated in the best systolic phase) was lower (0.85 [0.81-0.89] vs. 0.91 [0.88-0.96], p = 0.043). In contrast, ΔCT-FFRdiastolic (ΔCT-FFR calculated in the best diastolic phase) and CT-FFRdiastolic (CT-FFR distal to the myocardial bridging calculated in the best diastolic phase) did not differ significantly. Receiver operating characteristic curve analysis showed that ΔCT-FFRsystolic had largest area under the curve (0.822; 95% confidence interval, 0.717-0.901) for identifying myocardial bridging-related ischemia. ΔCT-FFRsystolic had the highest sensitivity (91.7%) and negative predictive value (NPV) (97.8%). ΔCT-FFRdiastolic had the highest specificity (85.7%) for diagnosing myocardial bridging-related ischemia. The positive predictive values of all CT-related parameters were low. Conclusion: ΔCT-FFRsystolic reliably excluded myocardial bridging-related ischemia with high sensitivity and NPV. Myocardial bridging showing positive CT-FFR results requires further evaluation.

A study on the influencing factors of the view preferences - In the case of Nangokro by focusing on Mt. Gwanak as a view target - (조망경관 선호도 영향요인에 관한 연구 - 관악산을 조망대상으로 한 난곡로를 중심으로 -)

  • Ko, Hwa-Jung;Song, Byeong-Hwa;Yang, Byoung-E
    • KIEAE Journal
    • /
    • v.6 no.4
    • /
    • pp.3-10
    • /
    • 2006
  • To preserve scenic-view of Gwanak Mountain from the urban development, the viewshed component ratio and the scenic-view preference are investigated and analyzed by selecting view points at Nangokro. After 16 candidate view points are selected from the site, sight component ratio is measured through visual structure analysis and preference are measured by using the Likert scale. In addition, factor analysis, and regression analysis were conducted to examine the relationship between influencing factors and preference. As a result of the regression analysis of the 9 factors to influence the scenic-view preference, two factors such as degree of natural landscape and degree of arrangement around the site are chosen to influence the scenic-view preference. Through the preference factor analysis, two preference factors are selected as follows; 1) The factor of the landscape formation - Existence and nonexistence of the scenic-view conservation, degree of the landscape opening, and degree of natural landscape, degree of the landscape originality, and degree of the landscape sequence, degree of the landscape intimacy 2) The factor surrounding the landscape - Degree of arrangement around the site, degree of the landscape complexity, and atmosphere around the site.