• Title/Summary/Keyword: Delivery System Level

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Design and Management of Health Care Financing and Delivery System -What can We Learn from the Canadian Experience\ulcorner- (국민건강보장을 위한 효율적인 보건의료체계 -캐나다 의료보장재원의 배분과 활용을 중심으로-)

  • 김병익
    • Health Policy and Management
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    • v.2 no.2
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    • pp.1-32
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    • 1992
  • The Canadian experience-universal government health insurance administeredby the ten provinces and two territories with some fiscal and policy variations-suggests the possibility of more effectve and efficient health care delivery system. The central purpose of the Canadian health in surance was to reduce and hopefully eliminate financial barriers to medical care. In this it succeeded. But it also produced varous kinds of unexpected side-effects on cost and quality. The Federal and Provincial Governments of Canada continue to exert theri efforts to ameliorate these problems. The lesson from Canada is that the health care revenue should be raised at the national level and managed at the regional level, and the regional healthcare financing organization has to take over the functions of the public health center. These alternatives is expected to make the Korean health care delivery system more efective and efficient, and to achieve health for all. This paper also discussed the policy agenda for implementing such alternatives in Korea.

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Develop of a Personalized Learning System based on Data Stream Technology (데이터 스트림 기술에 기반 한 개인화된 교육 시스템 개발)

  • Cho, Sung Ho
    • The Journal of Korean Association of Computer Education
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    • v.8 no.4
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    • pp.49-56
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    • 2005
  • Because e-learning system does not have any dynamic contents-delivery mechanism, all students in the same class get identical contents. In this paper, we introduce a personalized learning system, which is carefully designed and implemented based on data stream technology. The proposed system have a mechanism and interface changing lecture contents based on learner's level and ability. The system consists of a dynamic contents-delivery mechanism and learner level-test system. In this paper, we describe what are points to be considered when design and implementing a personalized learning system.

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Adenovirus vs AAV Vectors for Gene Delivery: Their Advantages and Disadvantages

  • Im Dong-Soo
    • Proceedings of the Microbiological Society of Korea Conference
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    • 2002.10a
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    • pp.109-115
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    • 2002
  • Gene therapy is to treat and cure diseases by an introduction of therapeutic genes in defective cells or tissues of human body. Gene delivery system, gene expression system, and therapeutic gene are three core elements for gene therapy. The efficient delivery of therapeutic genes and appropriate gene expression are the crucial issues for therapeutic outcome of gene delivery. Because it can be used in common for the treatment and cure of various diseases, gene delivery system is the most important core element for a successful gene therapy. Viruses are naturally evolved to transfer their genomes into host cells efficiently. This ability has made vectorologists exploit viruses as attractive vehicles for the delivery of therapeutic genes. Viral vectors based on adenovirus (Ad) and adeno-associated virus (AAV) have been often used for gene delivery in laboratory. Ad and AAV vectors derived from human DNA viruses differ greatly in their life cycle, expression level and duration of transgenes, immunogenicity, and vector preparation. Both vectors can be used as effective tools for gene therapy and more recently in functional genomics. Here, the characteristics of Ad and AAV vectors are discussed.

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Health Care System and the Health Status in Lao Cai, Vietnam (베트남 라오까이성의 보건의료체계와 건강수준)

  • Yoon, Tae-Hyung
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.95-106
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    • 2012
  • This study was described and analyzed health care system in Lao Cai, Vietnam. We analyze organization and delivery of health care system, health care resources, heath care facilities, heath care finances, and health index in Lao Cai, Vietnam. Lao Cai Province is a mountainous region located on the Chinese border in North-West Vietnam, with numerous ethnic minority groups. Health care organization and delivery system in Lao Cai Province is well formed Province-District-Commune level with Vietnam Government's Socialism. However, health care personnels are concentrated in the major city and is lacking in commune level. Lao Cai province has only two general hospital and is lacking number of beds. Lao Cai province's health care sector is insufficient financial support because the primary goal of the Vietnam government is economic development. Ethnic minority groups in Lao Cai have a dual burden of disease and health. To solve this problem, it is dispatched health care personnel to the commune level taking advantage of the well health care organization and delivery system in Lao Cai. It is also necessary to modernize hospital and improve number of bed. In conclusion, it will be improved the quality of life of residents and be able to achieve fairness among district through the enhancement of the health care system in Lao Cai province.

Design of Heuristic Algorithm of Automatic Vehicle Delivery Support System (자동배차 지원시스템의 발견적 알고리즘 설계)

  • 이명호;김내헌;신재율
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.23 no.58
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    • pp.59-69
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    • 2000
  • Development of digital information and internet technology causes the changes of technology environments and companies, and the variety of customer needs has been dynamically changed in terms of integrating information system with customer satisfaction. Moreover a new logistics concept is needed through the sharing information between suppliers and consumers, which maximizes the level of customers service and its flexibility by changing functional-oriented to process-oriented. In other words, Supply Chain Management (SCM) is now considered as a key aspect of business, which controls the flows of information, funds, and goods in the supply chain. Rationalization of transport-delivery system will be one of the most important issues on logistics management to the domestic companies. The companies need the effective delivery system. Especially in the case of delivery system from distribution centers to customers or vendors, it might take a long time to control the delivery system manually because it would be hard to apply the automatic vehicle routing algorithm effectively considering all the practical constraints. Thus this study develops a heuristic algorithm of automatic vehicle delivery support system in terms of grouping by short ranges of vehicle movement utilizing postal coordinates, which satisfies a variety of realistic constraints and reduces controlling time of manual operations. In addition, the performance of the algorithm developed in this study is evaluated through the case study.

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Usefulness of Drones in the Urban Delivery System: Solving the Vehicle and Drone Routing Problem with Time Window (배송 네트워크에서 드론의 유용성 검증: 차량과 드론을 혼용한 배송 네트워크의 경로계획)

  • Chung, Yerim;Park, Taejoon;Min, Yunhong
    • Journal of the Korean Operations Research and Management Science Society
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    • v.41 no.3
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    • pp.75-96
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    • 2016
  • This paper investigates the usefulness of drones in an urban delivery system. We define the vehicle and drone routing problem with time window (VDRPTW) and present a model that can describe a dual mode delivery system consisting of drones and vehicles in the metropolitan area. Drones are relatively free from traffic congestion but have limited flight range and capacity. Vehicles are not free from traffic congestion, and the complexity of urban road network reduces the efficiency of vehicles. Using drones and vehicles together can reduce inefficiency of the urban delivery system because of their complementary cooperation. In this paper, we assume that drones operate in a point-to-point manner between the depot and customers, and that customers in the need of fast delivery are willing to pay additional charges. For the experiment datasets, we use instances of Solomon (1987), which are well known in the Vehicle Routing Problem society. Moreover, to mirror the urban logistics demand trend, customers who want fast delivery are added to the Solomon's instances. We propose a hybrid evolutionary algorithm for solving VDRPTW. The experiment results provide different useful insights according to the geographical distributions of customers. In the instances where customers are randomly located and in instances where some customers are randomly located while others form some clusters, the dual mode delivery system displays lower total cost and higher customer satisfaction. In instances with clustered customers, the dual mode delivery system exhibits narrow competition for the total cost with the delivery system that uses only vehicles. In this case, using drones and vehicles together can reduce the level of dissatisfaction of customers who take their cargo over the time-window. From the view point of strategic flexibility, the dual mode delivery system appears to be more interesting. In meeting the objective of maximizing customer satisfaction, the use of drones and vehicles incurs less cost and requires fewer resources.

Accuracy of Current Delivery System in Current Source Data-Driver IC for AM-OLED

  • Hattori, Reiji
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.4 no.4
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    • pp.269-274
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    • 2004
  • Current delivery system, in which the analog current produced by a unique DAC circuit is stored into a current-memory circuit and delivered in a time-divided sequence, shows variation of output current as low as 4% in a current source data-driver IC for AM-OLED driven by a current-programmed method without any fuse repairing after fabrication. This driver IC has 54 outputs and can sink constant current as low as 3 ${\mu}A$ with 6-bit analog levels. Such a low current level without variation can hardly be obtained by an ordinary MOS transistor because the current level is in the sub-threshold region and changes exponentially with threshold voltage variation. Thus we adopted a current mirror circuit composed of bipolar transistors to supply well-controlled current within a nano-ampere range.

Characteristics of Domestic Distribution Environment for Parcel Delivery Service of Fruits (국내 과실의 택배 유통환경 특성)

  • Jung, Hyun Mo;Kim, Su Il
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.21 no.2
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    • pp.61-65
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    • 2015
  • Agricultural products packaged for transportation are put in the various dangerous environments owing to the damage factors like vibration, shock, compression, climate etc. under the distribution process. On fruits packaging for transportation, especially, the shock and vibration is considered as the most important damage factors. A major cause of shock damage to fruits is drops during manual handling. Especially, the damages of fruits during the parcel delivery service are very serious. The parcel delivery services of fruits are increasing and contribute to increasing of farm house earning. Also, the freight vehicle is mostly used to transport the fruits. Shock and impact generated by the freight vehicle may give serious damage to fruits. The optimum packaging design of parcel delivery service of fruits during transportation is required to reduce the fruits damages. In order to design the packaging system for parcel delivery service of fruits considering the transportation environment, the comprehension of characteristics for vibration and shock generated by manual handling and acting on transportation vehicles under various road conditions and loading methods is required. This research was performed to analyze the shock characteristics, acceleration level and power spectral density (PSD) during the parcel delivery service of fruits. The overall level of recommended PSD profile in a specific transportation of parcel delivery service for fruits was $0.63G_{rms}$.

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Effects of scaling and root planing with or without a local drug delivery system on the gingival crevicular fluid leptin level in chronic periodontitis patients: a clinico-biochemical study

  • Meharwade, Vinayak Venkoosa;Gayathri, Gunjiganur Vemanaradhya;Mehta, Dhoom Singh
    • Journal of Periodontal and Implant Science
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    • v.44 no.3
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    • pp.118-125
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    • 2014
  • Purpose: The present split mouth study evaluates the effect of nonsurgical periodontal treatment on the gingival crevicular fluid (GCF) leptin level in chronic periodontitis. Methods: Ninety sites from 30 nonobese chronic periodontitis patients were selected and divided as follows: group I, 30 healthy sites receiving no treatment; group II, 30 periodontitis sites receiving scaling and root planing (SRP); and group III, 30 periodontitis sites receiving SRP with tetracycline local drug delivery. At baseline, after GCF sampling and clinical parameter recording, the assigned treatment was performed for the study groups. During recall visits, GCF sampling followed by clinical parameter recording was done for groups II and III. Results: Reductions in the probing depth and the clinical attachment level (CAL) were highly significant at different time intervals (except between day 0 and 45) in both groups II and III. Upon comparison, group III showed significant gain in CAL between day 0 and 15 and between day 0 and 45. After treatment, the reduction in the GCF leptin level was more significant in group III than in group II at day 15 but re-elevated almost to the pretreatment levels at day 45. Conclusions: Nonsurgical periodontal therapies were not effective in maintaining stable reduction in the GCF leptin level during the study period.

Publish/Subscribe Protocol in Wireless Sensor Networks: Improved Reliability and Timeliness

  • Davis, Ernesto Garcia;Auge, Anna Calveras
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.4
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    • pp.1527-1552
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    • 2018
  • The rapidly-evolving demand of applications using wireless sensor networks in several areas such as building and industrial automation or smart cities, among other, makes it necessary to determine and provide QoS support mechanisms which can satisfy the requirements of applications. In this paper we propose a mechanism that establishes different QoS levels, based on Publish/Subscribe model for wireless networks to meet application requirements, to provide reliable delivery of packet and timeliness. The first level delivers packets in a best effort way. The second one intends to provide reliable packet delivery with a novel approach for Retransmission Timeout (RTO) calculation, which adjusts the RTO depending on the subscriber Packet Delivery Ratio (PDR). The third one provides the same reliable packet delivery as the second one, but in addition, it provides data aggregation trying to be efficient in terms of energy consumption and the use of network bandwidth. The last one provides timeliness in the packet delivery. We evaluate each QoS Level with several performance metrics such as PDR, Message Delivery Ratio, Duplicated and Retransmitted Packet Ratio and Packet Timeliness Ratio to demonstrate that our proposal provides significant improvements based on the increase of the PDR obtained.