• Health Policy and Management
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• v.33 no.3
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• pp.325-337
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• 2023

Background: While there are many studies estimating the effects of private health insurance on various types of health care utilization, few have examined how such effects change in conjunction with important policy reforms in national health insurance (NHI). This study examined how the effect of private health insurance (supplemental and fixed cash benefit) on high-cost outpatient imaging test utilization changed following the expansion of magnetic resonance imaging (MRI) coverage in 2018, which is a key example of the NHI benefit expansion policy in recent years. Methods: Data from the 2017 and 2019 Korea Health Panel Survey, which contained information about healthcare utilization before and after the expansion of MRI coverage in 2018, were used. The incremental effect of private health insurance on high-cost outpatient imaging test utilization for each period were quantified and compared, with special attention given to the type of private health insurance. Results: While people with supplemental private health insurance were more likely to use high-cost outpatient imaging tests than those without, both before and after the expansion of MRI coverage, the incremental effect increased from 1.6% points in 2017 to 2.5% points in 2019. Conclusion: Benefit expansion in NHI does not necessarily reduce disparities in the use of health care between private health insurance subscribers and non-subscribers. The results of our study also suggest that the path through which private health insurance affects healthcare utilization may not be limited to the price mechanism alone but can be more complex.

• Proceedings of the KSRS Conference
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• 2007.10a
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• pp.365-368
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• 2007

Millimeter-wave (MMW) imaging radiometer systems have an attractive advantage to obtain an image through low visibility weather conditions such as fog, clouds and light rain compared with visible and infrared imaging systems. Many countries have developed a various kinds of MMW imaging radiometers for the aim of low cost and high performance. In Korea, Millimeter-wave Imaging RAdiometer Equipment (MIRAE) has been developed since the end of 2006. Recently the development of some modules was finished for the test model. This paper describes the design and development of the MIRAE. In addition, the test results of its manufactured modules are presented.

• Korea Journal of Hospital Management
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• v.20 no.3
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• pp.36-44
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• 2015

The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

• The Journal of the Korean bone and joint tumor society
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• v.11 no.1
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• pp.32-39
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• 2005

Introduction: Currently, F-18 fluorodeoxyglucose positron emission tomography scans (FDG-PET) has been investigated in soft tissue tumor especially for tumor detection and noninvasive grading. However, the validity and the efficacy of FDG-PET are still unclear in clinical evaluation. The purpose of this study is to determine the efficacy of FDG-PET in compared to conventional diagnostic imaging studies currently used in the soft tissue tumor. Methods: Between March 2001 and March 2002, 29 patients (sixteen males, thirteen females, mean age, 47 years; a range from 4 to 73) diagnosed with soft tissue tumor were evaluated by both conventional diagnostic imaging and FDG-PET. Valid reference test of the local lesion was the histopathologic diagnosis, which was measured in all patients. The suspecting metastasis in the imaging studies was validated by pathology or follow up imaging for at least 6 months. Each imaging diagnosis was made independently. The accuracy of each diagnostic method was evaluated. The incremental cost accuracy ratio was determined in each diagnostic method. Results: For detection of local lesion, sensitivity, specificity, and accuracy for MRI and FDGPET scans were 91%, 57%, 83% and 95%, 43%, 83% respectively. For detection of distant lesion, sensitivity, specificity, accuracy for conventional diagnostic methods and FDG-PET scans were 77%, 89%, 87% and 92%, 94%, 93% respectively. The incremental cost accuracy ratio (ICAR) of FDG-PET for detection of distant lesion was 145,000won/%. According to ICAR for each tumor grade, PET strategy is most cost-effective at high grade tumors. Conclusions: For detection of local lesion such as recurrence or remnant tumor, FDG-PET scan was not more accurate than MRI. However, It was more accurate for detection of metastatic lesion than conventional methods. For detection of high grade tumor, PET was most costeffective than for detection of lower grade tumor.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.33 no.6
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• pp.605-614
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• 2015

Drone imaging, which is more cost-effective and controllable compared to airborne LiDAR, requires a low-cost camera and is used for capturing color images. From the overlapped color images, we produced two high-resolution digital surface models over different test areas. After segmentation, we performed tree identification according to the method proposed by , and computed the tree height and the canopy crown size. Compared with the field measurements, the computed results for the tree height in test area 1 (coniferous trees) were found to be accurate, while the results in test area 2 (deciduous coniferous trees) were found to be underestimated. The RMSE of the tree height was 0.84 m, and the width of the canopy crown was 1.51 m in test area 1. Further, the RMSE of the tree height was 2.45 m, and the width of the canopy crown was 1.53 m in test area 2. The experiment results validated the use of drone images for the extraction of a tree structure.

• Journal of the Optical Society of Korea
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• v.20 no.1
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• pp.94-100
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• 2016

A novel optical design for high resolution, large field of view (FOV) and multispectral remote sensing is presented. An f/7.3 Korsch and two f/17.9 Cook three-mirror optical systems are integrated by sharing the primary and secondary mirrors, bias of the FOV, decentering of the apertures and reasonable structure arrangement. The aperture stop of the Korsch system is located on the primary mirror, while those of the Cook systems are on the exit pupils. High resolution image with spectral coverage from visible to near-infrared (NIR) can be acquired through the Korsch system with a focal length of 14 m, while wide-field imaging is accomplished by the two Cook systems whose focal lengths are both 13.24 m. The full FOV is 4°×0.13°, a coverage width of 34.9 km at the altitude of 500 km can then be acquired by push-broom imaging. To facilitate controlling the stray light, the intermediate images and the real exit pupils are spatially available. After optimization, a near diffraction-limited performance and a compact optical package are achieved. The sharing of the on-axis primary and secondary mirrors reduces the cost of fabrication, test, and manufacture effectively. Besides, the two tertiary mirrors of the Cook systems possess the same parameters, further cutting down the cost.

• Proceedings of the IEEK Conference
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• 2000.06a
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• pp.69-72
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• 2000

This paper shows the more improved design of MRI receiver compared to conventional one based on Elscint Spectrometer. At first, the low-cost ADC is 16 bits, 3MHz sampling A/D converter Comparing to conventional one with signal bits of 14 bits, this device with those of 16 bits helps getting Improved the image resolution improved. If frequency is designed centering around 7.6 MHz to be satisfied in 10 MHz of maximum input bandwidth of ADC. For 1st demodulation, fixed IF is used for the purpose of the implementing multi nuclei system. Control parts & partial digital parts are integrated on one chip(FPGA). In DDC(Digital Down Converter), we got required bandwidth of LPF by controlling its decimation rate. With above considerations, we designed optimal receiver for high resolution imaging to be implemented through PC interface & experimental test of receiver of MRI after receiver's fabrication.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.25 no.5
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• pp.619-627
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• 2021

Recent advance in low cost and light-weight drones has extended their application areas in both military and private sectors. Accordingly surveillance program against unfriendly drones has become an important issue. Drone detection and classification technique has long been emphasized in order to prevent attacks or accidents by commercial drones in urban areas. Most commercial drones have small sizes and low reflection and hence typical sensors that use acoustic, infrared, or radar signals exhibit limited performances. Recently, artificial intelligence algorithm has been actively exploited to enhance radar image identification performance. In this paper, we adopt machined learning algorithm for high resolution radar imaging in drone detection and classification applications. For this purpose, simulation is carried out against commercial drone models and compared with experimental data obtained through high resolution radar field test.

• Journal of the Korea Society for Simulation
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• v.28 no.3
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• pp.41-48
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• 2019

In modern-war campaign, precision-guided missiles are dominantly used to minimize the collateral damage. Imaging infrared seekers are widely applied for the precise guidance. Due to the high cost of the infrared detector, the cost for the one-shot weapon's test is a burden for the development. To reduce the test cost, a simulation method including imagery tracking is required, which is so-called integrated-flight simulation(IFS). The synthetic image generation(SIG)-based simulation method is typically used, which however cannot represent various environmental and target conditions. In this paper, a new IFS method is proposed using on-sight measured image to overcome the limitations of the SIG-based IFS(SIIFS). The target image acquired at the launching sight has been used only for checking the performance criteria of the image tracker and has not been tried for IFS since it has low resolution and little information. The study described in this paper, however, shows that the on-sight image-based IFS can predict the pre- and mid-course flight performance quite similarly and is very useful for the flight test analysis.

• Journal of Platform Technology
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• v.9 no.3
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• pp.36-43
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• 2021

Stroke disease is one of the leading causes of death worldwide, and in particular, it is the most important causative disease that causes disability in the elderly. Since stroke disease often causes death or serious disability, active primary prevention and early detection of prognostic symptoms are very important. In particular, it is necessary to detect and accurately predict stroke prognostic symptoms in daily life and prompt diagnosis and treatment by medical staff. In recent studies, image analysis such as computed tomography (CT) or magnetic resonance imaging (MRI) is mostly used as a methodology for predicting prognostic symptoms in stroke patients. However, this approach has limitations in terms of long test time and high cost. In this paper, we experimented with clinical data on how stroke disease affects foot pressure in elderly in walking. Experiments have shown that there is a significant difference in * p < .05 in 12 cells between the stroke elderly and the normal elderly during walking. As a result, it is significant that we found a significant difference in the gait patterns in daily life of the stroke elderly and the normal elderly.