• 지역사회간호학회지
• /
• 제32권1호
• /
• pp.64-72
• /
• 2021

Purpose: The purpose of this study is to analyze occupational accident compensation insurance coverage and occupational accidents incidence for special-type delivery workers. Methods: The data for occupational accident compensation insurance coverage and occupational accidents from 2012 to 2017 were analyzed through descriptive statistics. Results: Rates of occupational accident compensation insurance coverage of special-type delivery workers decreased gradually from 43.4% in 2012 to 28.5% in 2016, and 29.0% in 2017. Rates of occupational illnesses death per ten thousand workers increased gradually from 2.1‱ in 2013 to 3.1‱ in 2016, and 8.6‱ in 2017. All occupational illness deaths were due to cerebro-cardiovascular diseases. Road traffic accidents and slips accounted for the largest proportion of occupational accidents. Conclusion: Special-type delivery workers have a high risk of industrial accidents, so it is necessary to raise industrial accident insurance coverage and provide professional and systematic occupational safety and health services.

• International Journal of Computer Science & Network Security
• /
• 제23권1호
• /
• pp.17-24
• /
• 2023

The objective of this paper is to use Geographical Information Systems for identifying Digital Divide in Riyadh Neighborhoods, Saudi Arabia. Geo-database was created that includes Streets, Neighborhoods, ICT Access Data and Coverage Map for Riyadh. We used QGIS and overlay for analysis, intersection selected as tool for this paper. The results indicate that after analyzing the use of information communication technology in all regions of the Kingdom it turns that Riyadh, Ash Sharqiyyah and Makkah in average with percentage 50%, While Al Jawf, Al Madinah, and Najran are the least with percentage 42%. Then we focused on Riyadh to analyze the digital divide because it is the capital of Saudi Arabia and occupations the highest percent of communications towers in the KSA due to population density. Regarding coverage of the 4G, the neighborhoods at the center have recorded very high coverage score. While neighborhoods at the edges of the city have low values of coverage score. Same for 3G, it is more intense in the center and the coverage percentage is higher than 4G. For 2G we found it had the highest coverage compared to 3G or 4G

• 농업과학연구
• /
• 제49권4호
• /
• pp.809-819
• /
• 2022

This study was conducted to improve the stability of cut slopes of forest roads in granitic weathered soil areas. The study area is a national forest road (road length 28.48 km) in Pyeongchang-gun, Gangwon-do. After data collection, a statistical analysis was performed using IBM SPSS (Ver. 26.0). First, the correlation analysis showed that structure, slope position, soil erosion, slope, and aspect (N, S) were correlated with vegetation coverage (p < 0.05). Elapsed years, slope distance, and aspect (E, W) were found to have no correlation with vegetation coverage. (p > 0.05) Second, one-way ANOVA and Kruskal-Wallis test results showed that vegetation coverage was worse when the slope was located at the top or the middle of the slope than at the bottom of the slope. In addition, the site with sheathing and gabions showed good vegetation coverage when compared with the site without structures. In the case of soil erosion, areas with severe damage and moderate damage showed worse vegetation coverage. Therefore, it is necessary to strengthen the slope angle of the cut soil of the granitic weathered soil area from 1 : 0.5 - 1.2 to 1 : 0.8 - 1.5. In addition, structures such as sheathing and gabions should be installed on granitic weathered land.

• Korean Circulation Journal
• /
• 제52권4호
• /
• pp.265-279
• /
• 2022

Digital health is rapidly growing worldwide and its area is expanding from wellness to treatment due to digital therapeutics (DTx). This study compared DTx in the Korean context with other countries to better understand its political and practical implications. DTx is generally the same internationally, often categorized as software as a medical device. It provides evidence-based therapeutic interventions for medical disabilities and diseases. Abroad, DTx support entailed state subsidies and fundraising and national health insurance coverage. In the case of national health insurance coverage, most cases were applied to mental diseases. Moreover, in Japan, DTx related to hypertension will possibly be under discussion for national health insurance coverage in 2022. In overseas countries, coverage was decided only when the clinical effects were equivalent to those provided by existing technology, and in the UK, real usage data for DTx and associated evaluations were reflected by national health coverage determination. Prices were either determined through closed negotiations with health insurance operating agencies and manufacturers or established based on existing technology. Concerning the current situation, DTx dealing with various diseases including hypertension are expected to be developed near in the future, and the demand for use and compensation will likely increase. Therefore, it is urgent to define and prepare for DTx, relevant support systems, and health insurance coverage listings. Several support systems must be considered, including government subsidies, science/technology funds, and health insurance.

• 한국병원경영학회지
• /
• 제2권1호
• /
• pp.1-21
• /
• 1997

In order to analyze the shifts in the volume and profits of Computed Tomography(CT) and Magnetic Resonance Imaging(MRI) utilization for a year before and after the implementation of insurance coverage for CT, this study has been undertaken examining CT and MRI cost data from 'Y' University Hospital situated in Seoul, Korea. Following are the results of this study: 1. The medical insurance payment for CT, implemented on January 1, 1996, increased CT utilization from January 1996 to April 1996 due to low insurance premiums: however, from May 1996 the number of CT cases significantly decreased as a result of strengthened medical cost reviews and the new 'Detailed standards for approval of CT' announced near the end of April 1996 by the insurer. 2. Since the implementation of insurance coverage for CT, CT fee reduction rates for reimbursements by the insurer to the hospital were 50% and 40% for January and February, respectively, and 31% and 15% for March and April. A significant point in the lowering of the reduction rate was reached in May at 11%; furthermore, since June the reduction rate fell below the average reduction rate for reimbursements for all procedures. If the 'Detailed standards for approval of CT' had been announced before the implementation of insurance coverage for CT, CT utilization would not have been so high due to the need to meet those 'standards'. In addition, loss of hospital profits resulting from the reduction for reimbursements would not have occurred. 3. The shifts in MRI utilization showed that there was no particular change with the beginning of insurance coverage for CT, and the introduction of the 'Detailed standards for approval of CT' made MRI utilization increase because MRI is free of restrictions imposed by the insurer. 4. The relationship between CT utilization and MRI utilization showed that they were supplementary to each other before insurance coverage for CT, but that CT was substituted for MRI because of strengthened medical cost reviews after t~e beginning of insurance coverage for CT. 5. The shifts in volume by patient characteristics showed that the number of inappropriate case patients, according to the insurer's "Standards for approval", decreased more than the number of appropriate case patients after the introduction of insurance coverage for CT. Therefore, the health insurance fee schemes for CT have influenced patient care. 6. The shifts in profits from CT utilization showed a net profit decrease of 31.6%. In order to match the pre-coverage profit level, 5,471 more cases would need to be seen and productivity would need to be increased by 32.7%. This profit decrease resulted from a decrease of CT utilization and low reimbursements. With insurance coverage, net profits from CT were 24.4%, and a margin of safety ratio was 39.6%. Because of the net profits and margin of safety ratio, CT utilization fees for insured appropriate cases could not be considered inappropriate. 7. The shifts in profits from MRI utilization before and after the introduction of CT coverage showed that in order to match pre-CT coverage profit levels, 2,011 more cases would need to be seen and productivity would need to be increased by 9.2%. The reasons for needing to increase the number of cases and productivity result from cost burdens created by adding new MRI units. But with CT coverage already begun, MRI utilization increased. Combined with a minor increase in the MRI fee schedule, MRI utilization showed a net profit increase of 18.5%. Net profits of 62.8% and a 'margin of safety ratio' of 43.1% for MRI utilization showed that the hospital relied on this non-covered procedure for profits. 8. The shifts in profits from CT and MRI utilization showed the net profits from CT decreased by 2.33billion Won while the net profits from MRI increased by 815.7million Won. Overall, these two together showed a net profit decrease of 1.51billion Won. The shifts in utilization showed a functional substitutionary relationship, but the shifts in profits did not show a substitutionary relationship. From these results, We can conclude that if insurance is to be expanded to include previously uncovered procedures using expensive medical equipment, detailed standards should be prepared in advance. The decrease in profits from the shifts in coverage and changes in fees is a difficult burden that should be shared, not carried by the hospital alone. Also, a new or improved fee schedule system should include revised standards between items listed and the appropriateness of the fee schedule should constantly be ensured. This study focused on one university hospital in Seoul and is therefore limited in general applicability. But it is valuable for considering current issues and problems, such as the influence of CT coverage on hospital management. Future studies will hopefully expand the scope of the issues considered here.

• 대한원격탐사학회지
• /
• 제37권6_1호
• /
• pp.1757-1766
• /
• 2021

녹피율은 행정구역면적 대비 녹지가 피복된 면적의 비율로, 실질적인 도시녹화 지표로 활용되고 있다. 현재 녹피율은 토지피복지도를 기반하여 산출되는데, 토지피복지도의 낮은 공간해상도와 일정하지 않은 제작시기는 정확한 녹피율 산출과 정밀한 녹피분석을 어렵게 한다. 따라서 본 연구는 새로운 녹피율 산출방안으로 항공영상과 심층학습을 활용한 방안을 제안한다. 항공영상은 높은 해상도와 비교적 일정한 주기로 정밀한 분석을 가능하게 하며 심층 학습은 항공영상 내 녹지를 자동으로 탐지할 수 있다. 지자체는 매년 다양한 목적을 위해 유인항공영상을 취득하여 이를 활용해 신속하게 녹피율을 산출한다. 하지만 미리 취득된 유인항공영상은 취득 시기와 해상도, 센서와 같은 세부사항을 선택할 수 없어 정밀한 분석이 어려울 수 있다. 이러한 한계점은 다양한 센서의 탑재가 가능하고 낮은 고도의 비행으로 인해 고해상도 영상을 취득할 수 있는 무인항공기를 활용하여 보완될 수 있다. 이에 두 가지 항공영상으로부터 녹피율을 산출하였고 그 결과, 모든 녹지 유형으로 부터 높은 정확도로 녹피율을 산출할 수 있었다. 하지만 유인항공영상으로부터 산출된 녹피율은 복잡한 환경에서 한계가 있었다. 이를 보완하고자 활용한 무인항공영상은 복잡한 환경에서도 높은 정확도의 녹피율을 산출할 수 있었고 추가밴드 영상을 통해 더 정밀한 녹지 영역 탐지가 가능했다. 추후 기존 유인항공영상에 새로 취득한 무인항공영상을 보완적으로 사용해 녹피율을 효과적으로 산출할 수 있을 것이라 기대된다.

• Journal of Animal Science and Technology
• /
• 제62권4호
• /
• pp.504-520
• /
• 2020

Proliferation of shrubs at the expense of native forage in pastures has been associated with large changes in dry-matter intake and dietary components for grazing ruminants. These changes can also affect the animals' physiology and metabolism. However, little information is available concerning the effect of pastoral-shrub grazing on the rumen bacterial community. To explore rumen bacteria composition in grazing yaks and the response of rumen bacteria to increasing shrub coverage in alpine meadows, 48 yak steers were randomly assigned to four pastures with shrub coverage of 0%, 5.4%, 11.3%, and 20.1% (referred as control, low, middle, and high, respectively), and ruminal fluid was collected from four yaks from each pasture group after 85 days. Rumen fermentation products were measured and microbiota composition determined using Ion S5™ XL sequencing of the 16S rRNA gene. Principal coordinates analysis (PCoA) and similarity analysis indicated that the degree of shrub coverage correlated with altered rumen bacterial composition of yaks grazing in alpine shrub meadows. At the phyla level, the relative abundance of Firmicutes in rumen increased with increasing shrub coverage, whereas the proportions of Bacteroidetes, Cyanobacteria and Verrucomicrobia decreased. Yaks grazing in the high shrub-coverage pasture had decreased species of the genus Prevotellaceae UCG-001, Lachnospiraceae XPB1014 group, Lachnospiraceae AC2044 group, Lachnospiraceae FCS020 group and Fretibacterium, but increased species of Christensenellaceae R-7 group, Ruminococcaceae NK4A214 group, Ruminococcus 1, Ruminococcaceae UCG-002, Ruminococcaceae UCG-005 and Lachnospiraceae UCG-008. These variations can enhance the animals' utilization efficiencies of cellulose and hemicellulose from native forage. Meanwhile, yaks grazed in the high shrub-coverage pasture had increased concentrations of ammonia nitrogen (NH₃-N) and branched-chain volatile fatty acids (isobutyrate and isovalerate) in rumen compared with yaks grazing in the pasture without shrubs. These results indicate that yaks grazing in a high shrub-coverage pasture may have improved dietary energy utilization and enhanced resistance to cold stress during the winter. Our findings provide evidence for the influence of shrub coverage on the rumen bacterial community of yaks grazing in alpine meadows as well as insights into the sustainable production of grazing yaks on lands with increasing shrub coverage on the Qinghai-Tibet Plateau.

• 보존과학회지
• /
• 제27권2호
• /
• pp.145-154
• /
• 2011

본 연구는 2008년 6월에서 11월까지 국내 9기의 석조문화재를 대상으로 색에 따른 오염등급의 평가와 생물오염피복도를 조사하였다. 생물오염피복도는 홍천물걸리삼층석탑, 수타사삼층석탑 및 수타사홍우당부도에서 90% 정도로 나타났으며, 선태류의 생물오염피복도가 15~23%의 범위로 생물오염이 가장 심한 것으로 나타났다. 색에 따른 생물오염등급은 괘석리사사자삼층석탑, 수타사삼층석탑, 수타사홍우당부도가 등급 5로 오염등급이 가장 높았으며, 여주창리삼층석탑이 등급 2로 양호하게 나타났다. 상관분석 결과 생물오염등급과 지의류의 생물오염피복도는 높은 상관성(r=0.91)을 나타냈지만, 기중조류와 선태류의 생물피복도와는 상관성은 낮게 나타나 이에 대한 보완이 필요할 것으로 판단된다. 각 출현종과 생물오염피복도(선태류, 지의류, 기중조류)의 상관분석결과 선태류의 생물피복도와 Cosmarium decedens, Chlorella ellipsoidea, Anabaena fertilissima, Botryococcus braunii, Chroococcus turgidus, Navicula cryptocephala 및 Xenococcus acervatus가 상관계수 0.56~085의 범위로 높은 상관성을 나타냈다. 지의류의 생물피복도는 Trebouxia sp. 및 Chroococcus varius와 상관계수 0.50 및 0.43으로 나타났으며, 기중조류의 생물오염피복도는 Achnanthes laterostrata 및 Ulothrix zonata와 상관계수 0.76 및 0.57의 상관성을 나타냈다. 생물오염피복도와 상관성이 높은 기중조류는 출현 경향성이 대체로 뚜렷하게 나타나, 지표종으로 유용하게 사용될 수 있을 것이라 판단된다.

• 대한치과보철학회지
• /
• 제42권4호
• /
• pp.397-411
• /
• 2004

Purpose: The purpose of this study was to determine the effect of anchorage systems and palatal coverage of denture base on load transfer in maxillary implant-supported overdenture. Material and methods: Maxillary implant -supported overdentures in which 4 implants were placed in the anterior region of edentulous maxilla were fabricated, and stress distribution patterns in implant supporting bone in the case of unilateral vertical loading on maxillary right first molar were compared with each other depending on various types of anchorage system and palatal coverage extent of denture base using three-dimensional photoelastic stress analysis. Two photoelastic overdenture models were fabricated in each anchorage system to compare with the palatal coverage extent of denture base, as a result we got eight models : Hader bar using clips(type 1), cantilevered Hader bar using clips(type 2), Hader bar using clip and ERA attachments(type 3), cantilevered milled-bar using swivel-latchs and frictional pins(type 4). Result: 1. In all experimental models, the highest stress was concentrated on the most distal implant supporting bone on loaded side. 2. In every experimental models with or without palatal coverage of denture base, maximum fringe orders on the distal ipsilateral implant supporting bone in an ascending order is as follows; type 3, type 1, type 4, and type 2. 3. Each implants showed compressive stresses in all experimental models with palatal coverage of denture base, but in the case of those without palatal coverage of denture base, tensile stresses were observed in the distal contralateral implant supporting bone. 4. In all anchorage system without palatal coverage of denture base, higher stresses were concentrated on the most distal implant supporting bone on loaded side. 5. The type of anchorage system affected in load transfer more than palatal coverage extent of the denture base. Conclusion: To the results mentioned above, in the case of patients with unfavorable biomechanical conditions such as not sufficient number of supporting implants, short length of the implant, and poor bone quality, selecting a resilient type attachment or minimizing the distal cantilevered bar is considered to be an appropriate method to prevent overloading on implants by reducing cantilever effect and gaining more support from the distal residual ridge.

• Journal of Periodontal and Implant Science
• /
• 제32권3호
• /
• pp.555-584
• /
• 2002

Exposed root surfaces can cause esthetic problems, hypersensitivity, and root caries. Numerous efforts have been tried to cover the recessed root surfaces, and various techniques have been developed and introduced. Among these, subepithelial connective tissue graft which shows high coverage rate in various researches, has the advantage of good color match, less discomfort to the donor site, rich vascularity, and high predictability. Following results were obtained after investigating 6 and 18 months post operatively, 98 cases of subepithelial connective tissue graft from 48 patients who underwent subepithelial connective tissue graft procedure in the department of periodontology, college of dentistry, Yonsei university. 1. The total average root coverage of Miller class I, II & III were 76.2?24% at 6 months follow-up and 75?25.2% at 18 months follow-up with no statistically significant difference between the follow-up periods.(p<0.05) 2. The percentage of teeth showing complete coverage were 41.9% at 6 months follow-up and 39.2% at 18 months follow-up. 3. At 6 months follow-up, Miller classification I showed 84.9?20.7%, class II showed 82.5?17.7%, and class III showed 62.3?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p(0.05) 4. At 18 months follow-up, Miller classification I showed 92.2?13.5%, class II showed 84.3?17.4%, and class III showed 59.5?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p<0.05) In conclusion, subepithelial connective tissue graft for class I and II recession can be used as a clinically predictable treatment modality for root coverage.