• Health Policy and Management
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• v.11 no.1
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• pp.87-106
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• 2001

There has been a series of struggles around the governmental enforcing separation of prescribing and dispensing since the consensus for the policy at May 10, 1995, and the strike among the physicians nationwide at June 19, 2000. This thesis is to review the process of the affair as a whole and find out some achievements and lessons from it. Most visible achievement is that physicians have obtained governmental apology for the enforcing the unprepared policy, and promise to revise the Law on the Pharmaceutical Affairs, to enlarge governmental support for the medical insurance program, to construct a presidential committee for the reformation of medical affairs, and so on. Besides these achievements, physicians have learned much on the relations among them and with society in general. However this is only the first scene on the road to an extensive transformation in the medical area following more critical Issues on the medical reformation.

• Tuberculosis and Respiratory Diseases
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• v.83 no.2
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• pp.122-131
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• 2020

Hypersensitivity Pneumonitis (HP) one of the most common interstitial lung diseases (ILDs) is characterized by exposure to an inhaled inciting antigen that leads to a host immunologic reaction determining interstitial inflammation and architectural distortion. The underlying pathogenetic mechanisms are unclear. The absence of international shared diagnostic guidelines and the lack of a "gold-standard" test for HP combined with the presence of several clinical and radiologic overlapping features makes it particularly challenging to differentiate HP from other ILDs, also in expert contests. Radiology is playing a more crucial role in this process; recently the headcheese sign was recognized as a more specific for chronic-HP than the extensive mosaic attenuation. Several classification proposals and diagnostic models have been advanced by different groups, with no prospective validation. Therapeutic options for HP have been limited to antigen avoidance and immunosuppressant drugs over the last decades. Several questions about this condition remain unanswered and there is a need for more studies.

• Journal of The Korean Dental Society of Anesthesiology
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• v.6 no.1 s.10
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• pp.6-12
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• 2006

IV Deep sedation is useful for Waardenburg syndrome Child undergoing extensive dental treatment. We experienced a case of dental treatment under W deep sedation in a 3 years old boy with Waardenburg syndrome. He was treated on an outpateint basis. He was diagnosed hypothyroidism and received thyroid hormone. Premedication was done using ketamine and atropine IM. Induction using $N_2O$-enflurane mask ventilation was uneventful and intravenous cathetering was carried out. IV deep sedation was maintained with midazolam-$N_2O$ combination. After monitoring the patient for 2 hours and confirming his recovery, he was discharged from the day care unit. In summary, we report this successful IV Deep sedation management of Waardenburg syndrome child during dental treatment in as out patient.

• Proceedings of the Safety Management and Science Conference
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• 2000.11a
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• pp.1-5
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• 2000

With the advent of the internet era, web-based virtual training system is gaining its importance in recent years. Because of the fact that the training can take place in any place and at any time, the virtual system is now replacing many of the conventional off-line classes. Hardware environments such as communication bandwidth and computer performance gets fast enough to accommodate the virtual education. Based on the observations on current virtual training system, this paper proposes three critical design rules required when developing a new virtual training system: i) With conceptual mapping, the menu hierarchy can be organized in a clear-cut manner, ii) Extensive use of multimedia tools can help students keep their attention to the lecture materials, and iii) Provision of interaction mechanisms helps students to gain their identity and motivation.

• Korean Journal of Bronchoesophagology
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• v.19 no.1
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• pp.5-10
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• 2013

Bilateral vocal cord palsy (BVCP) present a challenging condition which result from various etiologies including iatrogenic recurrent laryngeal nerve injury, progressive neurological disorder, intubation, trauma, tumor and idiopathic cause. Careful history taking, laryngoscopic evaluation, laryngeal EMG, and imaging studies are helpful for providing a precise diagnosis and planning appropriate treatment. BVCP causes airway restriction and not vocal dysfunction. In patients with BVFP, treatment is directed at maximizing the airway, while attempting to limit the negative effects of treatment on vocal function. A variety of surgical procedures are available for mangement of BVCP. The most conservative, limited procedure should be selected initially, and then further surgery and more extensive surgery can be tailored to the patient's airway and voice needs. This review will address the etiology, diagnosis, and managements of BVCP.

• Journal of the Korean Operations Research and Management Science Society
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• v.28 no.2
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• pp.139-155
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• 2003

The aim of this study is to identify the data traffic capacity of 3G mobile communication networks, especially of cdma2000-1X networks. Three-layered ON/OFF traffic model is used to describe the dynamics of data traffics and the process of data transmission such as packet scheduling. We construct a simulator fully incorporating packet handling process of cdma2000-lX data network as well as three-layered ON/OFF traffic model describing the behavior of source data traffics. To get influence of traffic parameters on performance measures, the extensive simulations were performed for several data sets which are obtained from real trace data or previous studies. The experimental results show that the engineered throughput satisfying QoS criteria is approximately 25% of total capacity. Finally, some proposals to improve the system capacity are followed.

• Journal of the Korean Operations Research and Management Science Society
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• v.25 no.1
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• pp.51-65
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• 2000

Multiple U-typed producton lines are increasingly accepted in modern marufacturing system for the flexbility to adjust to changes in demand. This paper considers multiple U line balancing with the objective of minimizing cycle time considering the moving time of workforce given the number of workstation. Like the traditional line balancing problem this problem is NP-hard. In this paper, we show how genetic algorithm can be used to solve multiple U line balancing problem. For this, an encoding and a decoding method suitable to the problem are presented. Proper genetic operators are also employed. Extensive computational experiments are carried out to show the performance of the performance of the purposed algorithm. The computational results show that the algorithm is promising in solution quality.

• Journal of the Korean Operations Research and Management Science Society
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• v.31 no.1
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• pp.117-129
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• 2006

In this paper, we consider broadband satellite networks using MF-TDMA (Multi-Frequency Time Division Multiple Access) scheme. We analyze the number of expected lost packets in each terminal, and mathematically formulate optimal buffer and timeslot allocation model to minimize the weighted sum of the numbers of expected lost packets. We also suggest optimal buffer and timeslot allocation scheme based on Lagrangean relaxation technique to solve the proposed model in a fast time. Extensive experiments show that the proposed scheme provides encouraging results.

• Journal of the Korean Operations Research and Management Science Society
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• v.32 no.3
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• pp.1-15
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• 2007

In this paper, the return link of interactive GEO satellite network providing multimedia services is considered. First, we classify data by delay characteristics, and analyze the numbers of expected lost packets and expected delay packets for each data class of each terminal. Next we mathematically formulate optimal rate scheduling model to minimize the weighted sum of the numbers of expected lost packets and expected delay packets considering priority of each data class. We also suggest a dynamic rate scheduling scheme based on Lagrangean relaxation technique and subgradient technique to solve the proposed model in a fast time. Extensive experiments show that the proposed scheme provides encouraging results.

• Journal of the Korean Operations Research and Management Science Society
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• v.32 no.3
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• pp.33-46
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• 2007

This study deals with the adaptive multiuser OFDM (Orthogonal Frequency Division Multiplexing) system which adjusts the resource allocation according to the environmental changes in such as wireless and quality of service required by users. The resource allocation includes subcarrier assignment to users, modulation method and power used for subcarriers. We first develop a general optimization model which maximizes data throughput while satisfying data rates required by users and total power constraints. Based on the property that this problem has the 0 duality gap, we apply the subgradient dual optimization method which obtains the solution of the dual problem by iteration of simple calculations. Extensive experiments with realistic data have shown that the subgradient dual method is applicable to the real world system, and can be used as a dynamic resource allocation mechanism.