• Journal of Arbitration Studies
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• v.26 no.4
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• pp.129-149
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• 2016

Medical dispute means the dispute between the hospital and the patient due to a medical accident. In general, medical accidents must be in accordance with the terms that are used in the medical dispute adjustment method stated in Article 2 (definition). In relation to this, there is a need to discuss an efficient operation scheme for Alternative Dispute Resolution (ADR) in medical disputes. In addition, it is necessary to look at issues of civil liability and criminal liability. In particular, in the consumer dispute arbitration committee, there is a case to make a "decision not to adjust" in aggressive intervention in the process of conflict resolution. The medical staff, on the basis of its "decision," can use this as a proven material for civil and criminal cases. This is rather upon the determination of the consumer council as a typical side effect to defend the user's perspective. This is the "decision" as was expressed from an order, "not adjusted." It is also determined to be easy and clearly timely. In the medical litigation, it is requesting the burden of proof of a patient's cause-and-effect relationship with the doctors committing negligence and medical malpractice. This seems to require the promotion of legislation in the direction to reduce future cases. It is determined that the burden of proof of medical accidents must be improved. The institution receiving the medical accident should prevent a closure report. Further, it is necessary to limit the transition to a franchise point. In this paper, we understand the problems of the current medical dispute resolution system, trying to establish a medical dispute resolution system desirable through an efficient alternative. In addition, it wants help in the protection and realization in medical consumers' and patients' rights. The relevant authorities will take advantage of these measures. After all, this could contribute to the system for a smooth resolution of a medical dispute.

• Journal of the Korea Society of Computer and Information
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• v.15 no.10
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• pp.99-104
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• 2010

In this paper, the internal antenna for mobile communication handset which is able to control both coupling coefficient and resonant frequency without any major modification of radiator and ground plane of PIFA(Planner Inverted F Antenna). The resonant frequency as well as amount of coupling between feeding point and shorting post can be adjusted by changing inductance. Because the inductor is connected on shorting post where the strength of electric field is weak, the performance reduction of the proposed antenna is very small enough to neglect. For the variation of the inductance value within 3.3nH, the resonant frequency of antenna can have operating range of 1650MHz ~ 1830MHz. And as be increased the inductance, the coupling coefficient of antenna is over coupled. This means that it can be electrically controlled the resonant frequency and input impedance of antenna by inductance and minimized the mismatch loss. Size reduction of 10% for PIFA is obtained without any major modifications of antenna elements. For the frequency range from 1650 to 1830MHz, reduction of the measured antenna gain is within 0.93dB as varying the value of inductance from 0 to 3.3nH.

• Journal of The Korean Digital Architecture Interior Association
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• v.11 no.3
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• pp.79-88
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• 2011

In the context of sustainability which is understood as equilibrium among three elements; human, space and time, the imbalance within the Seoul metropolitan area hinders its own area or the nation from development. Claims for the balanced development in the area are set up on the premise that there is a locational order of priority among the zones named 'overpopulation suppression', 'growth management' and 'conservation'. Based on the systematic consideration of competitiveness this study adopts the premise as a research hypothesis. Factor scales derived from the factor analysis, a kind of multivariate dependence analysis play an important role in this research process since they are measured by interval-ratio level and can be used for dependent variables in the statistical analysis. The hypothesis test carried out by means of the analysis of variance(ANOVA) concludes that the hypothesis assuming no difference in the competitiveness is rejected but the alternative hypothesis of the locational order mentioned above should be adjusted. Eigenvalues derived from the factor analysis could be used as weights for aggregate factor scales and the scales show that the priority is in the order of growth management - overpopulation suppression - conservation zones. This finding has also a significant implication that the countermeasures to cope with the lowering of the competitiveness resulted from the continuous and absolute restraints should be provided. And strategic approaches which are composed of key factors for each zone are deducted from in-depth review. (1) overpopulation suppression zone; health-welfare, educational base, public service factors, focusing on health-welfare one, (2) growth management zone; public service factor and (3) conservation zone; health-welfare, educational base factors, also focusing on health-welfare one.

• Journal of Acupuncture Research
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• v.19 no.6
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• pp.193-204
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• 2002

Interstital cystitis(IC) is a disease of the bladder that is characterized by inveterate irritation due to non-specific chronic inflammation. The symptoms of IC are chronic pain, frequency, urgency and sleep deprivation These symptom's are contained to the Lunbing(淋病) in oriental medicine. We observed 4 cases of patient with Interstitial cystitis, the results are as follows. Methods & Results : All patients were treated by the same method. Treatment was performed by means of Hapgokja(合谷刺, The needle arrived to the bladder wall) with electroacupuncture(electric stimulation was 5mA mixed pulse, low frequency 2Hz and high frequency 30Hz, intensity was adjusted to inside the scope where the patients perseveres.) The electrodes were placed CV2 to CV3, both K11, K12. Conclusions : 1. As the result, uses the Hapgokja(合谷刺), with the electroacupuncture, symptoms are remarkably improved and got the satisfactory effect in the treatment. 2. In Hunner's ulcer type, the first treatment was not satisfactory, and second time, after 15 times treatment, there were maintain urgency, 8 times nocturia, 70 percents bladder pain. 3. 3 patients of nonulcer type were treated for 44.8 times(average) and improved started after 5 times treatment. After 2 month's treatment, there were no frequency, no urgency, and remain 1 or 2 nocturia, 30 percents bladder pain.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.473-484
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• 2016

Purpose: The purpose of this study was to identify the relations among appropriateness of work, competency on student suicide and attitude toward suicide in health teachers. Methods: This study was a cross-sectional descriptive one. The subjects were 193 health teachers. Self-administered questionnaires were used to measure the variables of this study. Descriptive statistics, independent t-test, one way ANOVA, Pearson correlation, and stepwise multiple regression with SAS 9.3 software were used for the data analysis. Results: The attitude score toward suicide ranged from 1.47 to -1.03. The average score of appropriateness of work and competency related to student suicide were 2.34 and 2.81 respectively. Associated factors with competency related to student suicide among health teacher were appropriateness of work related to student suicide, two items of attitude toward suicide(suicide is an acceptable means to end an incurable illness and people who commit suicide are usually mentally ill), education level, education experience on suicide prevention and management, and the adjusted $R^2$ of the regression model was 34.3%. Conclusion: Health teachers were not tolerable to student suicide. However, they evaluated themselves as low in the appropriateness and competency to the work on student suicide, especially in screening and counselling of high risk groups. The results of this study suggest that it is necessary to develop education programs about counseling and intervention on student suicide for health teachers.

• International Journal of Control, Automation, and Systems
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• v.1 no.2
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• pp.194-202
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• 2003

In this paper, we introduce a category of Multi-FNN (Fuzzy-Neural Networks) models, analyze the underlying architectures and propose a comprehensive identification framework. The proposed Multi-FNNs dwell on a concept of fuzzy rule-based FNNs based on HCM clustering and evolutionary fuzzy granulation, and exploit linear inference being treated as a generic inference mechanism. By this nature, this FNN model is geared toward capturing relationships between information granules known as fuzzy sets. The form of the information granules themselves (in particular their distribution and a type of membership function) becomes an important design feature of the FNN model contributing to its structural as well as parametric optimization. The identification environment uses clustering techniques (Hard C - Means, HCM) and exploits genetic optimization as a vehicle of global optimization. The global optimization is augmented by more refined gradient-based learning mechanisms such as standard back-propagation. The HCM algorithm, whose role is to carry out preprocessing of the process data for system modeling, is utilized to determine the structure of Multi-FNNs. The detailed parameters of the Multi-FNN (such as apexes of membership functions, learning rates and momentum coefficients) are adjusted using genetic algorithms. An aggregate performance index with a weighting factor is proposed in order to achieve a sound balance between approximation and generalization (predictive) abilities of the model. To evaluate the performance of the proposed model, two numeric data sets are experimented with. One is the numerical data coming from a description of a certain nonlinear function and the other is NOx emission process data from a gas turbine power plant.

• Architectural research
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• v.16 no.4
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• pp.157-166
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• 2014

This research investigates the design process of free-form architecture to understand the design strategy and changing factors during the development phase and the cause for them. It is aimed to foresee the changing factors from the design process and to reduce design changes. It analyzes the design changes of free-form architecture based on projects with finalized documentation or under construction in South Korea. Many free-form shapes of the free-form architectures have to be adjusted to rigid-form in order to satisfy function and be economical to build. The research finds three patterns in design changes. First, from the factors for design changes: function, constructability, design, program add/subtract, efficiency, circulation; Function and Constructability are the higher factors compared with the rest. The two are the design changes suitable for actual usage and cost savings. Second, each project has different predominant factors for design changes as the degree of free-form is different. Contrary to initial expectation, the greater the degrees of free-form of the competition scheme, the higher the rate of Function among the factors for design changes. Constructability is higher when the degree of the free-form is less than others. It means that the lower the degree of the free-form, the more properly planned the space of the building is. Last, Constructability of free-form architecture is considered during the earlier design phase than definite-form, one by which the design changes by comparing 'Before fixed Space Program' (BSP) and 'After fixed Space Program' (ASP) design changes. The research would be helpful as a reference for setting up competition guidelines to reduce trial and error during the design process.

• Asian-Australasian Journal of Animal Sciences
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• v.19 no.6
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• pp.857-864
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• 2006

The aim of this study was to apply the Cornell net carbohydrate and protein system (CNCPS) in subtropical Taiwan. This was done by means of 3 trials, viz, in situ, lactation and metabolic trials, the latter using the urinary purine derivatives (UPD) to estimate the ruminal microbial yield. Dietary treatments were formulated according to different nutrient requirement systems including, (1) a control NRC78 group on NRC (1978), (2) a NRC88 group on NRC (1988), and (3) a CNCPS group on Cornell Net carbohydrate and protein system model. Results from the lactation trial showed that DM intake (DMI) was higher (p<0.05) in the NRC78 than the other treatment groups. The treatments did not significantly influence milk yield, but milk yield after covariance adjustment for DMI was higher in the CNCPS group (p<0.05). The FCM, milk fat content and yield were greater in both the NRC78 and the NRC88 group over the CNCPS group (p<0.05). The treatments did not significantly influence the DMI adjusted FCM. The solid-non-fat and milk protein contents were higher in the CNCPS group (p<0.05) with or without DMI covariance adjustment. Lactating efficiency was higher in the CNCPS group (p<0.05) compared to the other groups. The significantly lowest milk urea-N (MUN) with better protein utilization efficiency in the CNCPS group (p<0.05) suggested that less N would be excreted into the environment. Cows in the CNCPS group excreted significantly more and the NRC88 group significantly less urinary purine derivatives (UPD) implying that more ruminal microbial protein was synthesized in the CNCPS over the NRC88 group. The CNCPS could become the most useful tool in predicting the trends in milk yield, microbial yield and MUN.

• Nutrition Research and Practice
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• v.10 no.3
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• pp.288-293
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• 2016

BACKGROUND/OBJECTIVES: We compared changes in heart-femoral pulse wave velocity (hfPWV) in response to low sodium and high sodium diet between individuals with sodium sensitivity (SS) and resistance (SR) to evaluate the influence of sodium intake on arterial stiffness. SUBJECTS/METHODS: Thirty-one hypertensive and 70 normotensive individuals were given 7 days of low sodium dietary approach to stop hypertension (DASH) diet (LSD, 100 mmol NaCl/day) followed by 7 days of high sodium DASH diet (HSD, 300 mmol NaCl/day) during 2 weeks of hospitalization. The hfPWV was measured and compared after the LSD and HSD. RESULTS: The hfPWV was significantly elevated from LSD to HSD in individuals with SS (P = 0.001) independently of changes in mean arterial pressure (P = 0.037). Conversely, there was no significant elevation of hfPWV from LSD to HSD in individuals with SR. The percent change in hfPWV from the LSD to the HSD in individuals with SS was higher than that in individuals with SR. Subgroup analysis revealed that individuals with both SS and hypertension showed significant elevation of hfPWV from LSD to HSD upon adjusted analysis using changes of the means arterial pressure (P = 0.040). However, there was no significant elevation of hfPWV in individuals with SS and normotension. CONCLUSION: High sodium intake elevated hfPWV in hypertensive individuals with SS, suggesting that high sodium intake increases aortic stiffness, and may contribute to enhanced cardiovascular risk in hypertensive individuals with SS.

• Journal of Preventive Medicine and Public Health
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• v.42 no.3
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• pp.199-207
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• 2009

Objectives : Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. Methods : Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. Results : Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. Conclusions : Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.