• Title/Summary/Keyword: Compensation structure

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Problems of Implant Procedure and Medical Disputes (임플란트 시술의 문제점과 의료분쟁)

  • Lee, Tae-Hui;Song, Young-Ji
    • The Korean Society of Law and Medicine
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    • v.17 no.1
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    • pp.281-297
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    • 2016
  • In order to make a treatment plan and outcome prediction, it is important to evaluate accurately and objectively osseous tissues of the implant area. The evaluation of osseous tissues is the most objective method for the decision of production time of upper structure of alveolar bone. However, the evaluation of osseous tissues contains contradiction because it is made by subjective opinions of dental surgeons. Many dentists also point out the problem of subjective evaluation of osseous tissues. Therefore, it is necessary to create accurate and objective standards. Previously, the evaluation of bone density depends on dentist's subjective sensation during drilling procedure of implant. However, the HU(Hounsfield unit) figure of CT(computed tomography) scan allows of objective and precise categorization of bone density now. Misch and Kircos divided the bone density levels from D1 to D5 with subjective separation of bone density. Their method also depended on not objective and quantification data but subjective separation by sensation. Thus, we need the evaluation of implant area through comparative analysis of more objective and quantification data. Implant treatment comprises the highest frequency of medical disputes of dental clinic. If we bring objective checkup and reasonable treatment method in the implant treatment, we can deduce more reasonable results, and the failure late of implant treatment also can decrease. The ultimate objective of this study is the minimization of dental disputes between dental patients and dentists by creating new legal standards on the basis of objective and quantification data.

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Review of 2010 Major Medical Decisions (2010년 주요 의료 판결 분석)

  • Lee, Jung-Sun;Seo, Young-Hyun;Yoo, Hyun-Jung
    • The Korean Society of Law and Medicine
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    • v.12 no.1
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    • pp.177-225
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    • 2011
  • Verdicts related to major medical litigation given by the Seoul Central District Court, the Seoul High Court and the Supreme Court in 2010 were analyzed. It's shown that in cases of the medical negligence regarding the occurrence of neonatal cerebral palsy, the plaintiff claims were dismissed using criteria proposed by associations of Obstetrics and Gynecology and Pediatrics in US, and thereof the burden of plaintiffs to prove the medical negligence has increased. In addition, in case of that the expected survival period of infants gets longer, payments for treatment and nursing after survival period determined by judges are made and it was judged to compensate it as a periodical indemnity. In case for the explanation obligation the most frequently mentioned in the medical litigation, in addition to cases of invoking the existing theory of explanation obligation, verdicts to mention the instructions of theory regarding instruction explanation obligation and the possibility of compensation for damages on property are given. Particularly, in cases for a liability of reparation by exaggerating the effects and not disclosing the risks related to treatment with stem cells, even if the treatment not approved by Food and Drug Administration is in violation of the Pharmaceutical Affairs Law, it's not illegal as violation in Pharmaceutical Affairs Law itself. But there is a certain verdict to present the possibility of an extension of the theory of explanation obligation by acknowledging the liability of reparation caused by illegal acts with no explanations of effects and risks of treatment with stem cell by doctors and pharmaceutical companies. In an incident in which a mental patient fell and died through the opened door of the roof at the hospital, a liability of reparation was acknowledged due to defects in structure installation management and this verdict drew an attention since the overall management responsibility about patients including structures was acknowledged to the hospital besides the obligations on medical practice. In case of the verdict without giving the opportunity to state the opinion with respect to the main legal issues, the responsibility of the court was emphasized since the court did not fulfill the explanation obligations. There were some cases in which payments for nursing and caring to a patient in vegetative state during the plastic surgery was admitted. However, in dental-related incidents, the proportion of cases in which plaintiff won was low since the difficulty of proving may be reflected. In the area of administrative litigation, unlike the existing position regarding arbitrary medical charge cover collected from patients in hospital, the verdict to admit the legitimacy of collection of medical treatment was given and attracted the attention of people. Verdict in which the expression related to medical advertisement was not exaggerated disposed the original verdict and pointed out the problem of excessive regulations on medical advertisement. The effort to analyze the trend of verdicts of court through reviewing the decisions and to organize should be continued, but the full decision should be disclosed as a base, and people and systems to enable the all time monitoring should be prepared.

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A Study on the Present State and Activation Plan for the Home Economics Education from a Life-long Education Point of View (가정과 교육에서의 평생교육 현황과 활성화 방안)

  • 전세경;장명희
    • Journal of Korean Home Economics Education Association
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    • v.15 no.4
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    • pp.159-174
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    • 2003
  • The purposes of this study were to determine the relationship between school education for life-long education and home economics education. to analyze the present state of the life-long education programs through the school in terms of the home economics education, and to understand the role and obtainable qualification of the home economics teachers as the life-long education leader. The results of this study was intended to provide as fundamental materials for direction and plans for life-long education programs in terms of home economics educations. This study was conducted through the analysis of the literature on life long education and the working reports for-16 model schools nationwide for life long education. The results are as follows : 1. The objectives and contents for programs should be developed systematically on the relationship with society. 2. The structure of programs should be developed by characters of organizations, school levels, and regions. 3. Programs should be classified by the purposes and constructed systematically. 4. The subject of programs should be all the members of a family, not only house wives or female adults. 5. The compensation system should be followed for the home economics teachers participating on the program of life long education. 6. Various opportunities for education should be provided to the home economics teachers who want to obtain the qualification as a family-life educator.

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Development of Separation and Trace Analysis Methods for Platinum Group Elements-Separation and Retention Behavior of Platinoid Metal Acetylacetonates in Reversed-Phase Liquid Chromatography (백금족 원소의 분리 및 미량분석법 개발에 관한 연구: 역상 액체 크로마토그래피에 의한 백금족 금속-아세틸아세톤 킬레이트들의 분리 및 머무름 거동)

  • Lee, Dai Woon;Kim, Kyung Soo;Park, Young Hun;Czea, Myoung Zoon;Chung, Koo Soon
    • Analytical Science and Technology
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    • v.6 no.1
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    • pp.107-119
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    • 1993
  • The purpose of this study is to investigated the elution behavior of platinoid metal acetylacetonates, which is the key to elucidate their retention mechanism and optimize their RPLC separation conditions. The retention data of four platinoid metal acetylacetonates have been measured on four different columns in methanol-water and acetonitrile-water systems. The retention of uncharged platinoid metal acetylacetonates is interpreted by solvophobic effect. The retention of platinoid metal acetylacetonates is also greatly influenced by the geometric structure of the complexes. The square planar chelates, $Pd(acac)_2$, $Pt(acac)_2$, are retained longer than the octahedral chelates, $Rh(acac)_3$, $Ir(acac)_3$. It is likely due to that square planar chelates show greater interaction with nonpolar stationary phase than octahedral chelates. The results of van't Hoff plots have shown that platinoid metal acetylacetonates is operated on the same retention mechanism in the temperature range of $25{\sim}45^{\circ}C$. The study of the retention mechanism by the enthalpy-entropy compensation phenomenon has indicated that the retention mechanism of octahedral chelates and square planar chelates do not vary with the composition change of methanol-water mobile phase, respectively. In acetonitrile-water mobile phase, however, the retention mechanism is observed to be more complicated. Optimum condition for the separation of four platinoid metal acetylacetonates is found to be 40% methanol, polymeric C18 column, and $45^{\circ}C$.

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The Analysis of Need with Homebound Disabled Persons in a Country Area (일부 농촌지역 재가 장애인의 요구도 분석)

  • Jung, Byeong-Ok;Lee, Cu-Rie;Kim, Keun-Jo;Park, Heung-Ki;Kim, Bonn-Won
    • Journal of Korean Physical Therapy Science
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    • v.13 no.4
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    • pp.43-62
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    • 2006
  • The survey was conducted with participation of the 289 handicapped persons residing at the rural area OOeup-gun in Kyungbook for the period of March 2 - May 31, 2006, to study the nature in general of the handicapped and the boundaries of their need. For the nature in general of the handicapped, the study was done by gender iscrimination, age, marital status, religion, educational level, occupation, monthly income, disability cause, disabled duration, disability type, disability level. For the boundaries of their need, the study was done by demand of financial support, educational demand, demand of voluntary workers, need of rehabilitation and medical treatment, job training, improvement of living conditions, or so. Using the Win.SPSS program, we made a frequency analysis and conclusions on the nature in general of the handicapped and the boundaries of their need on a 2-test. Conclusions are : 1. Nature in general of the handicapped The existence of the handicapped shows high at the age over 51 (71.6%), male-handicapped (65.1%), primary school graduates (62.9%), farming engaging (65.2%), monthly income less than one million Won (80.5%), cause by disease (53.8%), duration more than 10 years (61.6%), disability at level 3 (39.8%), extremity disability (66.4%). 2. Correlation of nature in general with demand of the handicapped a. In demanding the financial support, support for helper’s compensation shows high (p<0.05). In demanding the necessity of voluntary workers, the male-handicapped appears high during the absence of family assistance and the female-handicapped appears differently per week and also appears high during the absence of family assistance (p<0.05). b. In educational demand of the handicapped by their age, the age below 30 demands technical-job training and the age over 31 demands medical education for health care (p<0.01). c. In demanding the financial support by educational level, support for living cost shows high (p<0.05). d. In demanding improvement of living conditions by postnatal cause of disability, improvement of house structure shows high (p<0.05). e. In demanding assistance of voluntary workers by disabled duration, "No Need" shows high in the disabled duration more than 4 years (p<0.05). f. In demanding rehabilitation and medical treatment by disability type, home-visiting treatment, oriental medical treatment and physical therapy show high (p<0.001). g. In educational demand by disability level, medical education for health care shows high (p<0.01).

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Low Complexity Video Encoding Using Turbo Decoding Error Concealments for Sensor Network Application (센서네트워크상의 응용을 위한 터보 복호화 오류정정 기법을 이용한 경량화 비디오 부호화 방법)

  • Ko, Bong-Hyuck;Shim, Hyuk-Jae;Jeon, Byeung-Woo
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.45 no.1
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    • pp.11-21
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    • 2008
  • In conventional video coding, the complexity of encoder is much higher than that of decoder. However, as more needs arises for extremely simple encoder in environments having constrained energy such as sensor network, much investigation has been carried out for eliminating motion prediction/compensation claiming most complexity and energy in encoder. The Wyner-Ziv coding, one of the representative schemes for the problem, reconstructs video at decoder by correcting noise on side information using channel coding technique such as turbo code. Since the encoder generates only parity bits without performing any type of processes extracting correlation information between frames, it has an extremely simple structure. However, turbo decoding errors occur in noisy side information. When there are high-motion or occlusion between frames, more turbo decoding errors appear in reconstructed frame and look like Salt & Pepper noise. This severely deteriorates subjective video quality even though such noise rarely occurs. In this paper, we propose a computationally extremely light encoder based on symbol-level Wyner-Ziv coding technique and a new corresponding decoder which, based on a decision whether a pixel has error or not, applies median filter selectively in order to minimize loss of texture detail from filtering. The proposed method claims extremely low encoder complexity and shows improvements both in subjective quality and PSNR. Our experiments have verified average PSNR gain of up to 0.8dB.

The Effects of work and psychosocial stress on job satisfaction, organizational commitment, and leaving intention in general hospital female office workers (종합병원 사무직 여성의 직무 및 사회심리적 스트레스가 직무만족, 조직몰입, 이직의향에 미치는 영향)

  • Lee, Jeong-Hyun;Cho, Woo-Hyun;Chang, Sei-Jin;Kim, Young-Hoon
    • Korea Journal of Hospital Management
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    • v.17 no.1
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    • pp.1-22
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    • 2012
  • This study tires to examine affects that job and socio-psychological stresses of female office workers influence job satisfaction, organization commitment, and leaving intentions. A complete data are collected by conducting a survey with 240 female office workers from 9 medical institutions regarded as almost general hospital in Seoul. It is analyzed that the relation between socio-psychological stress and job satisfaction, organization commitment, and leaving intentions by using t-test; analysis of variance; correlation analysis; principal component analysis; linear structural equation modeling; etc. The results of this study are summarized as following. First, as it was comprehended by specific characteristics of subjects that the female office workers' level of job and socio-psychological stress, job satisfaction, organizational commitment, and leaving intention, there were statistically significant distinctions from their age, marital status, presence of children, position in the organization, type of employment, and monthly average income. Second, this study regarded relationship between the female office workers' level of job and socio-psychological stresses, job satisfaction, organizational commitment, and leaving intention. Job and socio-psychological stresses were negatively correlated with job satisfaction and organizational commitment, but the stresses were positive with leaving intention. Third, after evaluating effect that 8 features related to the job stress could influence job stress, the most effective valuables were in order to unfairness in organizational structure, workplace culture, inadequate compensation, and relationship conflict. Fourth, when looking at the overall effects of the job and sociopsychological stresses on job satisfaction, organizational commitment, and leaving intention, work autonomy was the most influencing factor of work stress levels. The level of the job stress seemed to be a prevalent impact on the leaving intention and it showed the most negative relationship that path coefficient from leaving intention to organizational commitment and also from organizational commitment to job satisfaction. Based on these findings, it can be defined that the job and socio-psychological stresses strongly influence job satisfaction, organizational commitment, and leaving intention.

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A CP Detection Based SSS Detection Method for Initial Cell Search in 3GPP LTE FDD/TDD Dual Mode Downlink Receiver (3GPP LTE FDD/TDD 듀얼 모드 하향링크 수신기에서 초기 셀 탐색을 위한 CP 검출 기반의 SSS 검출 기법)

  • Kim, Jung-In;Jang, Jun-Hee;Choi, Hyung-Jin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.1C
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    • pp.113-122
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    • 2010
  • In this paper, we propose a CP (Cyclic Prefix) detection based SSS (Secondary Synchronization Signal) detection method for initial cell search in 3GPP LTE (3rd Generation Partnership Project Long Term Evolution) FDD/TDD (Frequency Division Duplex/Time Division Duplex) dual mode downlink receiver. In general, a blind coherent SSS detection method which can detect SSS without CP detection is applied. However, coherent detection method caused performance degradation by channel compensation error at high speed environment because it uses estimated CFR (Channel Frequency Response) at PSS (Primary Synchronization Signal), and it can be more serious problem in TDD mode due to increased distance between PSS and SSS. Also blind detectionhas the drawback of high computational complexity. Therefore, we proposed a CP type pre-decision structure with non-coherent SSS detection which has stable operation in high speed channel environments for 3GPP LTE TDD mode as well as FDD mode, and can reduce computational complexity by applying CP detection before SSS detection. Simulation results show that the proposed method has stable operation for 3GPP LTE TDD/FDD dual mode downlink receiver in various channel environments.

Lightweight video coding using spatial correlation and symbol-level error-correction channel code (공간적 유사성과 심볼단위 오류정정 채널 코드를 이용한 경량화 비디오 부호화 방법)

  • Ko, Bong-Hyuck;Shim, Hiuk-Jae;Jeon, Byeung-Woo
    • Journal of Broadcast Engineering
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    • v.13 no.2
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    • pp.188-199
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    • 2008
  • In conventional video coding, encoder complexity is much higher than that of decoder. However, investigations for lightweight encoder to eliminate motion prediction/compensation claiming most complexity in encoder have recently become an important issue. The Wyner-Ziv coding is one of the representative schemes for the problem and, in this scheme, since encoder generates only parity bits of a current frame without performing any type of processes extracting correlation information between frames, it has an extremely simple structure compared to conventional coding techniques. However, in Wyner-Ziv coding, channel decoding errors occur when noisy side information is used in channel decoding process. These channel decoding errors appear more frequently, especially, when there is not enough correlation between frames to generate accurate side information and, as a result, those errors look like Salt & Pepper type noise in the reconstructed frame. Since this noise severely deteriorates subjective video quality even though such noise rarely occurs, previously we proposed a computationally extremely light encoding method based on selective median filter that corrects such noise using spatial correlation of a frame. However, in the previous method, there is a problem that loss of texture from filtering may exceed gain from error correction by the filter for video sequences having complex torture. Therefore, in this paper, we propose an improved lightweight encoding method that minimizes loss of texture detail from filtering by allowing information of texture and that of noise in side information to be utilized by the selective median filter. Our experiments have verified average PSNR gain of up to 0.84dB compared to the previous method.

Analysis of relationship between job stress and turnover intention of physical therapists (물리치료사의 직무스트레스와 이직의도의 관련성 분석)

  • Wang, Joong-San;Kim, Yang-Rae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6112-6119
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    • 2015
  • This study attempted to examine the job stress and turnover intentions of physical therapists and to investigate the relationship between these two factors. A total of 309 physical therapists currently working in Gyeonggi-do and Incheon in South Korea were selected as research subjects. The data were collected by a survey using self-administered questionnaires structured from June 10 to June 25, 2015. According to the study results, job stress was highest in job autonomy and lowest in relationship conflict, while the turnover intention score was $2.80{\pm}0.70$. The physical therapists showed higher job stress and turnover intention level with increasing age and working experience, showing a significant positive correlation(p<.05). The turnover intention showed a significant positive correlation with all of the job stress factors. Decreased work motivation showed a significant positive correlation with all of the job stress factors except for job instability(p<.05). In addition, among the factors for the job stress, Job autonomy, Structure and organization, Inappropriate compensation, and Workplace culture turned out to be those affecting their turnover intention. This study confirmed that an increase of job stress among physical therapists can be a risk factor of higher turnover intention, implying a necessity to try to reduce their job stress and turnover intention.