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      • KCI등재후보

        The Incremental Cost Matrix Procedure for Locating Repair Service Centers in Multinational Reverse Logistics

        Hsin Min Chen,Chih Kuang Hsieh,Ming Cheng Wu,Shin Wei Luo 대한산업공학회 2009 Industrial Engineeering & Management Systems Vol.8 No.3

        This study provides a heuristic algorithm to solve the locating problem of repair service centers (RSCs). To enhance the customer service level with more satisfaction and quicker responsiveness, the locating problem of RSCs has become one of the important issues in reverse supply chain management. This problem is formulated as a zero-one mixed integer programming in which an exiting distributor will be considered to be an un-capacitated repair service center for the objective of cost-minimizing. Since logistical costs are highly interrelated with the multinational location of distributors and RSCs, the fixed cost for setting a repair service center, variable cost, transportation cost, and exchange rates are considered in this study. Recognizing the selection of un-capacitated RSCs’ locations is a combinatorial optimization problem and is a zero-one mixed integer programming with NP-hard complexity, we provide a heuristic algorithm named as incremental cost matrix procedure (ICMP) to simplify the solving procedure. By using the concise and structural cost matrix, ICMP can efficiently screen the potential location with cost advantage and effectively decide which distributor should be a RSC. Results obtained from the numerical experiments conducted in small scale problem have shown the fact that ICMP is an effective and efficient heuristic algorithm for solving the RSCs locating problem. In the future, using the extended ICMP to solve problems with larger industrial scale or problems with congestion effects caused by the variation of customer demand and the restriction of the RSC capacity is worth a further investigation.

      • SCOPUSKCI등재

        The Incremental Cost Matrix Procedure for Locating Repair Service Centers in Multinational Reverse Logistics

        Chen, Hsin Min,Hsieh, Chih Kuang,Wu, Ming Cheng,Luo, Shin Wei Korean Institute of Industrial Engineers 2009 Industrial Engineeering & Management Systems Vol.8 No.3

        This study provides a heuristic algorithm to solve the locating problem of repair service centers (RSCs). To enhance the customer service level with more satisfaction and quicker responsiveness, the locating problem of RSCs has become one of the important issues in reverse supply chain management. This problem is formulated as a zero-one mixed integer programming in which an exiting distributor will be considered to be an un-capacitated repair service center for the objective of cost-minimizing. Since logistical costs are highly interrelated with the multinational location of distributors and RSCs, the fixed cost for setting a repair service center, variable cost, transportation cost, and exchange rates are considered in this study. Recognizing the selection of un-capacitated RSCs' locations is a combinatorial optimization problem and is a zero-one mixed integer programming with NP-hard complexity, we provide a heuristic algorithm named as incremental cost matrix procedure (ICMP) to simplify the solving procedure. By using the concise and structural cost matrix, ICMP can efficiently screen the potential location with cost advantage and effectively decide which distributor should be a RSC. Results obtained from the numerical experiments conducted in small scale problem have shown the fact that ICMP is an effective and efficient heuristic algorithm for solving the RSCs locating problem. In the future, using the extended ICMP to solve problems with larger industrial scale or problems with congestion effects caused by the variation of customer demand and the restriction of the RSC capacity is worth a further investigation.

      • KCI등재

        Health Care Utilization and Expenditures of Patients with Diabetes Comorbid with Depression Disorder: A National Population-Based Cohort Study

        Chun-Jen Huang,Hui-Min Hsieh,Herng-Chia Chiu,Peng-Wei Wang,Mei-Hsuan Lee,Chih-Yi Li,Ching-Hua Lin 대한신경정신의학회 2017 PSYCHIATRY INVESTIGATION Vol.14 No.6

        Objective: The study investigated to compare health care utilization and expenditures between diabetic patients with and without depression in Taiwan. Methods: Health care utilization and expenditure among diabetic patients with and without depression disorder during 2000 and 2004 were examined using Taiwan’s population-based National Health Insurance claims database. Health care utilization included outpatient visits and the use of inpatient services, and health expenditures were outpatient, inpatient, and total medical expenditures. Moreover, general estimation equation models were used for analyzing the factors associated with outpatient visits and expenditures. Multiple logistic regression analysis was applied for identifying the factors associated with hospitalization. Results: The average annual outpatient visits and annual total medical expenditures in the study period were 44.23–52.20; NT$87,496–133,077 and 30.75–32.92; NT$64,411–80,955 for diabetic patients with and without depression. After adjustment for covariates, our results revealed that gender and complication were associated with out-patient visits. Moreover, the time factor was associated with the total medical expenditure, and residential urbanization and complication factors were associated with hospitalization. Conclusion: Health care utilization and expenditures for diabetic patients with depression were significantly higher than those without depression. Sex, complications, time, and urbanization are the factors associated with health care utilization and expenditures.

      • KCI등재

        The Effects of Environmental Toxins on Allergic Inflammation

        San-Nan Yang,Chong-Chao Hsieh,Hsuan-Fu Kuo,Min-Sheng Lee,Ming-Yii Huang,Chang-Hung Kuo,Chih-Hsing Hung 대한천식알레르기학회 2014 Allergy, Asthma & Immunology Research Vol.6 No.6

        The prevalence of asthma and allergic disease has increased worldwide over the last few decades. Many common environmental factors are associated with this increase. Several theories have been proposed to account for this trend, especially those concerning the impact of environmental toxicants. The development of the immune system, particularly in the prenatal period, has far-reaching consequences for health during early childhood, and throughout adult life. One underlying mechanism for the increased levels of allergic responses, secondary to exposure, appears to be an imbalance in the T-helper function caused by exposure to the toxicants. Exposure to environmental endocrine-disrupting chemicals can result in dramatic changes in cytokine production, the activity of the immune system, the overall Th1 and Th2 balance, and in mediators of type 1 hypersensitivity mediators, such as IgE. Passive exposure to tobacco smoke is a common risk factor for wheezing and asthma in children. People living in urban areas and close to roads with a high volume of traffic, and high levels of diesel exhaust fumes, have the highest exposure to environmental compounds, and these people are strongly linked with type 1 hypersensitivity disorders and enhanced Th2 responses. These data are consistent with epidemiological research that has consistently detected increased incidences of allergies and asthma in people living in these locations. During recent decades more than 100,000 new chemicals have been used in common consumer products and are released into the everyday environment. Therefore, in this review, we discuss the environmental effects on allergies of indoor and outside exposure.

      • KCI등재

        Applications of Hilbert-Huang transform to structural damage detection

        Dung-Jiang Chiou,Wen-Ko Hsu,Cheng-Wu Chen,Chih-Min Hsieh,Jhy-Pyng Tang,Wei-Ling Chiang 국제구조공학회 2011 Structural Engineering and Mechanics, An Int'l Jou Vol.39 No.1

        This study investigates the feasibility of detecting structural damage using the HHT method. A damage detection index, the ratio of bandwidth (RB) is proposed. This index is highly correlated or approximately equal to the change of equivalent damping ratio for an intact structure incurring damage from strong ground motions. Based on an analysis of shaking table test data from benchmark models subjected to adjusted Kobe and El Centro earthquakes, the damage detection index is evaluated using the Hilbert-Huang Transform (HHT) and the Fast Fourier Transform (FFT) methods, respectively. Results indicate that, when the response of the structure is in the elastic region, the RB value only slightly changes in both the HHT and the FFT spectra. Additionally, RB values estimated from the HHT spectra vs. the PGA values change incrementally when the structure response is nonlinear i.e., member yielding occurs, but not in the RB curve from the FFT spectra. Moreover, the RB value of the top floor changes more than those from the other floors. Furthermore, structural damage is detected only when using the acceleration response data from the top floor. Therefore, the ratio of bandwidth RB estimated from the smoothed HHT spectra is an effective and sensitive damage index for detecting structural damage. Results of this study also demonstrate that the HHT is a powerful method in analyzing the nonlinear responses of steel structures to strong ground motions.

      • SCIESCOPUS

        Applications of Hilbert-Huang transform to structural damage detection

        Chiou, Dung-Jiang,Hsu, Wen-Ko,Chen, Cheng-Wu,Hsieh, Chih-Min,Tang, Jhy-Pyng,Chiang, Wei-Ling Techno-Press 2011 Structural Engineering and Mechanics, An Int'l Jou Vol.39 No.1

        This study investigates the feasibility of detecting structural damage using the HHT method. A damage detection index, the ratio of bandwidth (RB) is proposed. This index is highly correlated or approximately equal to the change of equivalent damping ratio for an intact structure incurring damage from strong ground motions. Based on an analysis of shaking table test data from benchmark models subjected to adjusted Kobe and El Centro earthquakes, the damage detection index is evaluated using the Hilbert-Huang Transform (HHT) and the Fast Fourier Transform (FFT) methods, respectively. Results indicate that, when the response of the structure is in the elastic region, the RB value only slightly changes in both the HHT and the FFT spectra. Additionally, RB values estimated from the HHT spectra vs. the PGA values change incrementally when the structure response is nonlinear i.e., member yielding occurs, but not in the RB curve from the FFT spectra. Moreover, the RB value of the top floor changes more than those from the other floors. Furthermore, structural damage is detected only when using the acceleration response data from the top floor. Therefore, the ratio of bandwidth RB estimated from the smoothed HHT spectra is an effective and sensitive damage index for detecting structural damage. Results of this study also demonstrate that the HHT is a powerful method in analyzing the nonlinear responses of steel structures to strong ground motions.

      • KCI등재후보

        The development of Taiwan Fracture Liaison Service network

        Lo-Yu Chang,Keh-Sung Tsai,Jen-Kuei Peng,Chung-Hwan Chen,Gau-Tyan Lin,Chin-Hsueh Lin,Shih-Te Tu,I-Chieh Mao,Yih-Lan Gau,Hsusan-Chih Liu,Chi-Chien Niu,Min-Hong Hsieh,Jui-Teng Chien,Wei-Chieh Hung,Rong-S 대한골다공증학회 2018 Osteoporosis and Sarcopenia Vol.4 No.2

        Osteoporosis and its associated fragility fractures are becoming a severe burden in the healthcare system globally. In the Asian-Pacific (AP) region, the rapidly increasing in aging population is the main reason accounting for the burden. Moreover, the paucity of quality care for osteoporosis continues to be an ongoing challenge. The Fracture Liaison Service (FLS) is a program promoted by International Osteoporosis Foundation (IOF) with a goal to improve quality of postfracture care and prevention of secondary fractures. In this review article, we would like to introduce the Taiwan FLS network. The first 2 programs were initiated in 2014 at the National Taiwan University Hospital and its affiliated Bei-Hu branch. Since then, the Taiwan FLS program has continued to grow exponentially. Through FLS workshops promoted by the Taiwanese Osteoporosis Association (TOA), program mentors have been able to share their valuable knowledge and clinical experience in order to promote establishments of additional programs. With 22 FLS sites including 11 successfully accredited on the best practice map, Taiwan remains as one of the highest FLS coverage countries in the AP region, and was also granted the IOF Best Secondary Fracture Prevention Promotion award in 2017. Despite challenges faced by the TOA, we strive to promote more FLS sites in Taiwan with a main goal of ameliorating further health burden in managing osteoporotic patients.

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