• Title/Summary/Keyword: Coverage Extension

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An evaluation of benefit extension strategies of the Korea National Health Insurance (우리나라 건강보험 보장성 개선 정책에 대한 평가)

  • Huh, Soon-Im;Kim, Chang-Bo
    • Health Policy and Management
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    • v.19 no.3
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    • pp.142-165
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    • 2009
  • Although providing universal coverage for health care through the National Health Insurance(NHI) is a remarkable achievement, the issue of limited benefit coverage of the NHI has been at the core of national debate over how to improve its coverage. This study aims to evaluate benefit extension strategies and implemented policies with regard to the NHI since 1989 using 'policy window theory' proposed by John W. Kingdon. Understanding problem stream, policy stream, political stream, and coupling streams regarding the NHI, in particular benefit extension, would contribute to broaden policy debates and to develop more effective strategies for the future. Historically, political stream had opened policy window in the past two decades and policy streams can be characterized by three waves. Three streams have been coupled since 2003 and the government had a strong will to fulfill better performance of NHI coverage. Study findings indicate that identification of problem structure regarding NHI benefit was not connected with policy stream tightly. In addition, there has been limited discussion on policy goal and principles for extension coverage of the NHI. Policy strategies to improve coverage of the NHI should be linked to characteristics of problem and sought solutions under the principle which is expected to be sustainable through consensus in the society.

THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN PORCELAIN LAMINATE VENEERS WITH VARIOUS AMOUNTS OF INCISAL COVERAGE AND TYPES OF INCISAL FINISH LINE UNDER TWO LOADING CONDITIONS (절단피개량과 절단변연형태 및 하중각도가 도재라미네이트 베니어 내의 응력분포에 미치는 영향에 관한 삼차원 유한요소법적 연구)

  • Ryoo, Kyung-Hee;Lee, Sun-Hyung;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.2
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    • pp.143-166
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    • 1999
  • The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.

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Awareness and attitude toward health insurance coverage extension to scaling in dental service consumers (치석제거 건강보험 급여화에 관한 일부 지역 치과의료소비자의 인식 및 태도)

  • Cheon, Hye Won
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.4
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    • pp.539-548
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    • 2016
  • Objectives: The purpose of the study is to investigate the awareness and attitude toward health insurance coverage extension to scaling in dental service consumers. Methods: A self-reported questionnaire was completed by 349 adults in Jeonbuk from May 4 to 15, 2015. The questionnaire consisted of general characteristics of the subjects (7 items), Awareness of the dental health insurance system(8 items), Health insurance system coverage extension to scaling(8 items), Self-perception of oral health(7 items), Recognition toward yearly scaling benefit(10 items). Results: There were significant differences according to age in opinions on the appropriateness of the frequency of yearly scaling benefit, and the respondents who were in their 20s, who were unmarried and who brushed their teeth three times a day had significantly different opinions on the appropriateness of the fee of yearly scaling benefit. Their opinions on the expansion of scaling benefit was significantly affected by age. It implies that scaling should be added to the coverage list of the national health insurance in every age group since there is an increase in periodontal diseases with age. Concerning awareness of dental health insurance policy, the better-educated respondents took a better view of this system as they showed a more positive interest in its policies and shifts. Conclusions: It is desirable to provide more precise information as to eligible age, frequency and cost through public promotion of health coverage of scaling, and the effort to improve the health insurance coverage policy should be made in order to extend the scope of health coverage of scaling in the near future.

Coverage Extension of Non-transparent Mode in IEEE 802.16j Mobile Multi-hop Relay Networks (IEEE 802.16j MMR 네트워크에서 Non-transparent 모드의 커버리지 확대)

  • Lee, Ju-Ho;Lee, Goo-Yeon;Jeong, Choong-Kyo
    • Journal of Industrial Technology
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    • v.32 no.A
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    • pp.3-8
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    • 2012
  • In IEEE 802.16j standard document, two modes about usage of RS are proposed; one is transparent mode to enhance data throughput and the other is non-transparent mode to extend coverage. In this paper, we focus on non-transparent mode and find that the mode also affects data throughput. We analyze data throughput on various RS topology and their extended coverage area in non-transparent mode. From the analysis, we see that higher throughput can be obtained when MR-BS and RS are located distantly.

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Interference Aware Cost Effective Coverage Extension in Multihop Relay Networks (다중홉 릴레이 시스템에서 간섭의 영향과 비용의 효과를 고려한 셀 커버리지 확장 방법에 관한 연구)

  • Kim, Yongchul;Lim, Won-Taek;Cho, Sung-Hwan
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37B no.12
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    • pp.1138-1147
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    • 2012
  • IEEE standard 802.16, often referred to as WiMAX, is considered a "last mile" broadband wireless access alternative to conventional DSL and Cable Internet. One extension that is recently receiving great attention is the IEEE 802.16j Mobile Multihop Relay (MMR) amendment. The focus of this amendment is the development of simple and lower cost relay stations (RSs) that can enhance network coverage and capacity. We use our proposed simple scheduling scheme for serving the SSs in a fair manner and evaluate the performance of WiMAX networks with relays, especially we analyze the impact of interference between RSs on cell throughput Through simulations and numerical analysis, we make several fundamental observations about interference aware cost effective coverage extension in such networks.

Optimization of Coverage Extension in OFDMA Based MMR System (OFDMA 방식을 사용하는 MMR시스템의 최적화된 커버리지 확장)

  • Kim, Seung-Yeon;Kim, Se-Jin;Ryu, Seung-Wan;Lee, Hyong-Woo;Cho, Choong-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.7B
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    • pp.567-574
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    • 2008
  • In this paper, we propose an optimal coverage extension scheme in the OFDMA based mobile multi-hop relay system. First, we propose an optimal frequency and time assignment scheme for maximizing system throughput and analyze the frame efficiency of schemes. Then, under the given BS capacity, we find the maximum number of relay hops that can be used to estimate the maximum coverage area of a BS in a multi-hop relay system. Analytical results show that the proposed scheme is efficient in coverage extension and throughput maximization in OFDMA based multi-hop relay system. Our work may be a rough guideline to control the parameters for multi-hop relay system optimization.

Implementation of a Relay Module for Coverage Extension in Visible Light Communication (가시광 통신의 커버리지 확장을 위한 릴레이 모듈 구현)

  • Lee, Sang-Gwon;Lee, Jong-Sung;Oh, Chang-Heon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.738-740
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    • 2017
  • Visible light communication is a communication method using light, and it has advantage of ensuring security in a single space as compared with RF communication. However, in the area outside the visible line of the light, communication disconnection occurs. Therefore, this paper proposes a relay module to overcome the coverage extension and communication disconnection phenomenon of visible light communication. The proposed relay module transmits and receives data of visible light communication by sequentially transmitting data packets including target ID through adjacent visible light module. Through experimentation of data transmission, we confirmed the extension of the transmission range and the data reception in the area outside the line of sight.

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Analysis of the characteristics of mouthguards that affect isokinetic muscular ability and anaerobic power

  • Jung, Jae-Kwang;Chae, Woen-Sik;Lee, Kyu-Bok
    • The Journal of Advanced Prosthodontics
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    • v.5 no.4
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    • pp.388-395
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    • 2013
  • PURPOSE. The purpose of this study was to estimate the effects of occlusal stability to identify action mechanisms of mouthguards, known to have a modulatory effect on limb muscle function. MATERIALS AND METHODS. This study included 20 male subjects to perform the isokinetic muscle tests and the Wingate anaerobic power test on both knee joints under five closed-mouth conditions: without or with 4 types of mouthguards with thickness of 2 mm based on premolar area: (1) full-coverage, (2) anterior partial-coverage, (3) right posterior partial-coverage, and (4) left posterior partial-coverage. The obtained results were subjected to One-way ANOVA with repeated measures, followed by post hoc test of the contrast method (${\alpha}$=.05). RESULTS. There was no significant difference between the closed position with and without a full-coverage mouthguard in all variables. However, significant differences were observed between with and without a partial-coverage mouthguard in muscular endurance during extension of the left knee, muscular power and endurance during flexion of the right knee. Additionally, significant differences were found between occlusal states with full- and partial-coverage mouthguards in muscular power and endurance during extension of the left knee. CONCLUSION. These findings indicate the elevation of vertical dimension by 2 mm or the inducement of occlusal stability had little effect on isokinetic muscle strength and anaerobic performance, while uneven distribution of occlusal force might have some positive effects.

The convergence study of scaling insurance coverage in socioeconomic, oral health behaviors -Medical consumer (의료 소비자의 사회경제학적 특성, 구강보건행태에 따른 치석제거보험급여화의 융합 연구-의료소비자를 중심으로)

  • Jun, Mee-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.125-136
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    • 2018
  • The purpose of the study is to investigate dental health insurance coverage the awareness and dental health insurance coverage extension to scaling in service consumers. There were significant differences according to education level, age on the appropriateness of the age of yearly scaling benefit, and to married, regions, self-oral health of the frequency of yearly scaling benefit, who their teeth brushed frequence a day on the appropriateness of the fee of yearly scaling benefit. It implies that should be added to the coverage list national health insurance every age group after increasing periodontal disease. It is to be more extension as to age, frequency and fee health insurance coverage of scaling, the effort to improve dental health insurance coverage policy must be continue for oral health in the future.

Performance Analysis of Adaptive RS Coverage Extension Scheme for the MMR systems (MMR 시스템을 위한 적응적인 RS 커버리지 확장 기법의 성능 분석)

  • Kim, Seung-Yeon;Kim, Se-Jin;Lee, Hyong-Woo;Ryu, Seung-Wan;Cho, Choong-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.4B
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    • pp.584-591
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    • 2010
  • In this paper, we propose an adaptive Relay Station (RS) coverage extension scheme for the Mobile Multi-hop Relay (MMR) systems. The MMR system with a non-transparent mode RS can be used to extend BS coverage using the remaining capacity of the Base Station(BS). Thus, the call blocking may occur in RSs when calls arrive very often in Multi-hop Relay Base Station (MR-BS). In the proposed scheme, RSs can be connected to the neighbor MMR system as the 2ndtier RSs if the neighbor MMR system services low traffic load when calls are frequently arrived in MR-BS or RSs. By doing so, the MMR system can accept a new call without call blocking. Through numerical results, we demonstrate that the proposed scheme outperforms the conventional MMR system in terms of the throughput and call blocking probability of MMR systems.