• Title/Summary/Keyword: Artificia

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Numerical Analysis of Fully Developed Turbulent Recirculating Flow and Heat Transfer for The Periodic Variations of Cross Sectional Area (周期的으로 斷面이 變化하는 完全確立된 亂流再循環 流動과 亂流熱傳達의 數値分析)

  • 이병곤;최영돈
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.10 no.1
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    • pp.138-149
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    • 1986
  • A numerical method is developed for the solution of fully developed turbulent recirculating flow whose cross-sectional area varies periodically. This enalbes the flow field analysis to be confined to a single isolated module, without involvement with the entrance region problem. This method are applied to the analysis of the turbulent flow field and heat transfer in artificially roughened annulus with repeated square rib.

Prioritisation of Medical Procedure for Health Technology Assessment (전문의 대상 설문조사를 이용한 보건의료 기술평가 대상 시술의 우선 순위 선정 - 이비인후과와 흉부외과를 중심으로 -)

  • 안형식;김선민;신영수;김차엽;김선미;이순형
    • Health Policy and Management
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    • v.7 no.2
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    • pp.46-64
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    • 1997
  • Background & Objectives : Korea is face with the social need for health care technology assessment so that it is urgently needed to found principles and methodology in technology assessment in health care. As a groundwork for health care technology assessment, we tried to prioritize medical technology for assessment. Among medical technologies, procedure is somewhat difficult to assess, compared to drug or equipment. In this study, we aimed at the prioritisation of medical procedure to be assessed, in terms of efficay, safety, and adequacy. Method : For the standardized classification of medical procedure, ICD-9-CM(International Classification of Diseases 9th edition - Clinical Modification) was used. Among the list the procedures coming under otorhinolaringjology and thoracic surgery were selected by three family physicians. The list of procedure was mailed to the board certified surgeons of both disciplines, with the question asking about the necessity for assessment in terms of efficay, safety, and adequacy. Replied questionnaires were analyzed in each procedure. Results : Of 560 otorhinolaryngologist and 480 thoracic surgeon, 114 surgeons replied. Of otorhinolaryngological procedure, incision, excision, and destruction of inner ear : fenestration of inner ear : stapedectomy and its revision were the most urgent technology to assess in the aspect of safety. For adequacy, operations on Eustachian tube: fenestration of inner ear: incision, excision, and destruction of inner ear were highly ranked in necessity, and for efficary, operations on Eustachian tube; external maxillary antrotomy; fenestration of inner ear. Thoracic surgeons replied thoracic procedures, lung transplantation; heart transplantation; implantation of heart assist system [pump] are most important for evaluation in terms of safety; and heart transplantation; Lung transplantation; Implantation of heart assist system [pump] in terms of adequacy, and surgical collapse of lung [Artificia니 pnemothorax or pnuexoperitoeum]; lung transplantation; periarterial sympathectomy in terms of efficacy. As a whole, surgeons regard safety evaluation is more urgent than adequacy or efficary. In addition, otorhinolaryngological surgeons regard evaluation of their procedures more urgent than thoracic surgeons regard theirs. Conclusion : By the questionnaire to board certified physicians, we get some preliminary data for prioritisation of technologies to assess. Through the questionnaire like this, much information would be gathered for technology assessment, especially for medical procedure, if not enough. In the near future, well structured expert opinion gathering research, such as modified Delphi or nominal group technique, should be done succeedingly.

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