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Analysis of Medical Costs for Trauma Patients (외상환자의 진료수가 분석)

  • Kim, Yeong-Cheol;Choi, Suk-Ho;Han, Kuk-Nam;Lee, Kyung-Hak;Lee, Soo-Eun;Suh, Kim-Jun;Yoon, Yeo-Kyou
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.95-97
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    • 2011
  • Purpose: We analyzed the medical costs for severely traumatized patients according to the severity and medical performance so that we could improve the financial balance of the trauma center. Methods: Retrospective analysis was performed on patients visiting SNUH Trauma Center from May 2011 to August 2011. Among a total of 55 severely traumatized patients, 31 patients whose medical bills were available and categorized were included in this study. The injury severity score (ISS) was calculated from the abbreviated injury score (AIS), which was updated in 2008,for each patient to assess the severity of injury. Major trauma was defined as an ISS above 15. Results:The 31 patients in this study included 20 males and 11 females. The average ISS was $33.23{\pm}16.65$ points. We categorize the patients into three groups according to ISS, 16-24: group 1, 25-40: group 2, and above 41: group 3. Total incomes, admission fees, surgery fees, and imaging test fees are shown in table 1. The costs seem to be higher costs in group 2, but this result has no statistical significance. Statistical significantly data are as follows: high radiologic test fees in group 1, short hospital stay in groups 1 and 2, and short ICU stay in group 1. The average hospital stay was 17 days, and the average emergency intensive care unit (EICU) stay was 7.5 days. Although the EICU stay was only 44% of the total hospital stay, the income from the EICU covers 79.4% of the total hospital income. Conclusion: From this study, we found several items that show relatively high medical income from severely traumatized patients visiting the SNUH Trauma Center. Most of the medical fees arise in the early phase of acute medicine usually in the ICU. Efforts to identify the items with high income and to minimize expenses will improve the financial structure of the Trauma Center,which is facing a budget crisis.

A Feasibility Study on the Infrastructure Project of PCB Industrial Technology (PCB 산업기술 기반구축 사업의 타당성 분석 연구)

  • Kim, Dae Ho
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.4
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    • pp.57-66
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    • 2013
  • Domestic PCB industry formed by orders of demand companies is extremely vulnerable in its innovation infrastructure including high value-added technology development and information exchange. The majority of PCB products produced in the country relies on the imports from abroad and it causes its vulnerability to external market changes. Due to the negative perceptions about the industry (e.g., 3D job), low treatment (especially SMEs) and expertise employment avoidance in PCB industry, the job market conditions of PCB industry is not so good. In these circumstances, the PCB industry is completely dependent on the demand market such as cellular phones, and tablet PC, and as a result the responsiveness of PCB industry to the changes in demand market is also vulnerable. In this PCB industry, Korean government is trying to build the research infrastructure for PCB industry that realizes the sharing of information among companiesthrough the operation of the PCB industry innovation forum (information innovation), builds SME suppot platform and supports quality improvement (technology innovation), and supports enterprise collaboration processes (material-process-equipment) utilizing PCM open laboratory. The PCB industry technology infratstructure project is going to be promoted by the government(1.3 billion won, each year) and the private investmen(434 million won each year) from 2013 to 2017(5 years project)(table 1). This study analyzes the feasibility of the project, by using the AHP analysis and the results shows that this project is considered feasible because the AHP overall score is evaluated as 0.841, the overall score is greater than or equal to 0.55.

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Comparative Study of Machine learning Techniques for Spammer Detection in Social Bookmarking Systems (소셜 복마킹 시스템의 스패머 탐지를 위한 기계학습 기술의 성능 비교)

  • Kim, Chan-Ju;Hwang, Kyu-Baek
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.5
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    • pp.345-349
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    • 2009
  • Social bookmarking systems are a typical web 2.0 service based on folksonomy, providing the platform for storing and sharing bookmarking information. Spammers in social bookmarking systems denote the users who abuse the system for their own interests in an improper way. They can make the entire resources in social bookmarking systems useless by posting lots of wrong information. Hence, it is important to detect spammers as early as possible and protect social bookmarking systems from their attack. In this paper, we applied a diverse set of machine learning approaches, i.e., decision tables, decision trees (ID3), $na{\ddot{i}}ve$ Bayes classifiers, TAN (tree-augment $na{\ddot{i}}ve$ Bayes) classifiers, and artificial neural networks to this task. In our experiments, $na{\ddot{i}}ve$ Bayes classifiers performed significantly better than other methods with respect to the AUC (area under the ROC curve) score as veil as the model building time. Plausible explanations for this result are as follows. First, $na{\ddot{i}}ve$> Bayes classifiers art known to usually perform better than decision trees in terms of the AUC score. Second, the spammer detection problem in our experiments is likely to be linearly separable.

A Study of Issues Related to Self-Directed Learning Screening(SDLS) in Science Specialized High School (과학고 자기주도학습전형 쟁점 연구)

  • Jung, Youn-Hong;Choe, Ho-Seong
    • Journal of The Korean Association For Science Education
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    • v.35 no.3
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    • pp.343-352
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    • 2015
  • This study is to discover the diverse issues related to Self-Directed Learning Screening (SDLS) and draw implications by analyzing its critical points. Using content analysis and interviews with admission officers, tentative issues were finalized and reviewed by researchers and educators. A Survey was developed based on the 96 issues after having evidence of content validity using the Delphi method. To conduct survey, e-mails were sent to admissions officers in twenty science specialized high schools. They were asked to response to questions about perceptions of critical issues and if there are any issues in their schools. Using mean scores of two factors based on its critical issues and frequencies, a two-dimensional classification table for each type was presented. Four critical issues for each type were discovered. The first type indicates minor issues that include 28 items that were less than the overall mean scores in terms of critical issues and its frequencies. The second type indicates tentative issues that include 29 items that were greater than the mean score in critical issues but less in its frequencies. The third type indicates general issues that include 17 items that were less than the mean score in critical issues but greater in its frequencies. The last type indicates critical issues that include 22 items that were greater than the mean scores in two factors. The discovered results of critical issues and its types in this study can be considered a core part of the screening process in schools, especially, critical issues should play an important role in the process of admission screening planning.

A Study on Chest X-ray Using Ancillary Device for Child Radiography (방사선촬영 보조기구를 이용한 어린이 흉부 엑스선 검사에 관한 연구)

  • Rhee, Do-byung;Lee, Somi;Choi, Hyunwoo;Kim, Jong-ki;Lee, Jongmin
    • Journal of Biomedical Engineering Research
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    • v.39 no.1
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    • pp.48-54
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    • 2018
  • In this study, We developed a Ancillary device for child radiography for X-ray of children under 5 years old and verified its effectiveness. Chest X-rays of children younger than 5 years of age were performed by Supine method at the position of Table detector, Short - Source to Image Receptor Distance(SID). Existing Supine and Short -SID imaging methods cause many problems, such as errors in image reading and excessive radiation exposure dose to patients, but the use of an Ancillary device for child radiography(ADCR) solves these problems. A total of 160 children were divided into the Upright group using ADCR and Supine group without ADCR. The chest X-ray image was visually evaluated by two radiologists with reference to the European Commission's List of Quality Criteria for Diagnostic Radiographic Images in Pediatrics. The total score of the qualitative evaluation was 5.15% higher in the chest upright method using ADCR than in the chest supine method without ADCR, and the chest upright method score was higher than that of the chest supine method in items 1 to 7. whether infants have deep inspiration or not, 4.87% higher for item 1, whether infants rotate or not and the degree of tilting, 0% higher for the item 2, the reproduction of image from just above apices of lungs to T12/L1, 0% for the item 3, reproduction of the vascular pattern in central 2/3 of the lungs, 6.92% higher for the item 4, reproduction of the trachea and the proximal bronchi, 12.9% higher for the item 5, visually sharp reproduction of the diaphragm and costo-phrenic angles, 10% higher for the item 6, reproduction of the spine and paraspinal structures and visualisation of the retrocardiac lung and the mediastinum, and 3.65% higher for the item 7. Items 2 and 3 showed no statistically significant differences(P > 0.05), and items 1, 4, 5, 6, and 7 showed statistically significant differences(P < 0.05). In conclusion, Upright method using ADCR in pediatric chest X-ray is considered as a good alternative to existing Supine method.

A Comparative Study on HSI and MaxEnt Habitat Prediction Models: About Prionailurus bengalensis (HSI와 MaxEnt를 통한 삵의 서식지 예측 모델 비교 연구)

  • Yoo, Da-Young;Lim, Tai-Yang;Kim, Whee-Moon;Song, Won-Kyong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.24 no.5
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    • pp.1-14
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    • 2021
  • Excessive development and urbanization have destroyed animal, plant, habitats and reduced biodiversity. In order to preserve species diversity, habitat prediction studies are have been conducted at home and overseas using various modeling techniques. This study was conducted to suggest optimal habitat modeling research by comparing HSI and MaxEnt, which are widely used among habitat modeling techniques. The study was targeted on the endangered species of Prionailurus bengalensis in nearby areas (5460.35km2) including Cheonan City, and the same data were used for analysis to compare those models. According to the HSI analysis, Prionailurus bengalensis's habitat probability was 74.65% for less than 0.5 and 25.34% for more than 0.5 and the top 30% were forest (99.07%). MaxEnt's analysis showed that 56.22% of those below 0.5 and 43.79% of those above 0.5 were found to have a high explanatory power of 78.3% of AUC. The Paired Wilcoxn test, which evaluated the significance of thoes models, confirmed that the mean difference between the two models was statistically significant (p<0.05). Analysis of the differences in the results of those models using the matrix table shows that score 24.43% HSI and MaxEnt was accordance,12.44% of the 0.0 to 0.2 section, 7.22% of the 0.2 to 0.4 section, 2.73% of the 0.4 to 0.6 section, 1.96% of the 0.6 to 0.8, and 0.08% of the 0.9 to 1.0. To verify where the score difference appears, the result values of those models were reset to values from 1 to 5 and overlaid. Overlapping analysis resulted in 30.26% of the Strongly agree values, 56.77% of the agree values, and 11.92% of the Disagree values. The places where the difference in scores occurs were analyzed in the order of forest (45.23%), agricultural land (34.57%), and urbanization area (7.65%). This confirmed that the analysis of the same target species within the same target site also has differences in forecasts depending on the modelling method. Therefore, a novel analysis method combining the advantages of each modeling in habitat prediction studies should be developed, and future study may be used to select Prionailurus bengalensis and species-protected areas and species protection areas in the future. Further research is judged to require higher accuracy studies through the use of various modeling techniques and on-site verification.

The Reliability and Validity of Patient-Generated Subjective Global Assessment (PG-SGA) in Stroke Patients (뇌졸중 환자에서 '환자 주도적 총체적 영양사정' 도구의 신뢰도 및 타당도 평가)

  • Yoo, Sung-Hee;Oh, Eui-Guem;Youn, Mi-Jung
    • Korean Journal of Adult Nursing
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    • v.21 no.6
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    • pp.559-569
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    • 2009
  • Purpose: This study was to examine the reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) as a nutritional measurement for stroke patients. Methods: This was a methodological study performed from May 6 to June 10, 2009 at a tertiary university hospital in Seoul. For reliability of PG-SGA, inter-rater reliability was used for statistics. For concurrent validity, BMI and biomarkers were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. In addition, sensitivity, specificity, and predictive value of PG-SGA compared with SGA were calculated using a contingency table. For predictive validity, hospital day, complications, and readmission within 1-month after discharge were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. Results: Correlation of PG-SGA score between two observers was 0.83, and kappa value for the agreement of severe malnutrition was 0.78(all $p_s$ < .001). The scored PG-SGA showed high sensitivity and specificity (100% and 96.7%, respectively). Severe undernourished patients (PG-SGA ${\geq}$ 9) had significantly low TLC, protein, albumin, and prealbumin (all $p_s$ < .01) compared with non-undernourished patients (PG-SGA 0 ~ 8). Also, in severe undernourished patients, complications and readmission (all $p_s$ = 0.01) were more often represented, and hospital days (p = .013) were significantly delayed. Conclusion: PG-SGA is a reliable and valid measurement to assess nutritional status for stroke patients.

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Mental Disabilities Mental Health Center Services Impact on Quality of Life (정신장애인의 정신건강증진센터 서비스 이용이 삶의 질에 미치는 영향)

  • Kim, Jeong-Suk;Lee, Sun-Young;Lee, Kyung-Ok;Kim, So-Young
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.23-35
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    • 2013
  • A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.

A Study on Quantitative Method of Certificate for Information Security Education Course in the Private Sector (민간부문 정보보호 교육과정의 정량적 인증방법에 관한 연구)

  • Kim, Joo-hee;Cho, Sung-woo;Yoo, Dong-young
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.26 no.2
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    • pp.551-558
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    • 2016
  • The recent convergence in ICT industry has created new businesses as well as other opportunities. However, it entails new convergence threat accompanied by security risks. Even though there are security professionals who are dealing with the situation, there is not enough human resource in risk management. Moreover, the amount of research that studies quality of education and training security personnel is not sufficient. This paper explores the curriculum of information security education in the private sector and reasons out fifteen standard curriculums in four professional fields categorized by job classification. In addition, it provides a weighted score table based on the evaluation indicator for the effective security education certificates in the private sector.

A Preliminary Comparison of Efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache Patients (만성 긴장성 두통환자의 매선요법과 침의 효과에 대한 예비적 비교 연구)

  • Bae, Dal-Bit;Lyu, Yun-Sun;Park, Jong-Min;Kang, Hyoung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.1
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    • pp.45-62
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    • 2013
  • Objectives : The purpose of this study was to compare the efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache (CTTH) patients. Methods : The study recruited Chronic Tension-type Headache patients. A total of twenty-six patients were divided into 2 groups. 13 subjects were placed into a needle-embedding therapy group and 13 subjects into an acupuncture therapy group by a randomization table. The needle-embedding therapy group was treated with needle-embedding at Fengchi (GB20), while the acupuncture therapy was acupunctured at Fengchi (GB20). Then, a comparative analysis was conducted by comparing the results with those measured by a Blood pressor, Heart rate variability (HRV), Henry Ford Headache Disablity Inventory (HDI) Internet Headache Impact Test (HIT), and Visual Analogue Scale (VAS). Results & Conclusions : As a result of evaluation by using the self-rating headache index (VAS, HDI, HIT), pain score declined in both groups. But they were not difference between the two groups.