• Journal of Information Processing Systems
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• v.15 no.4
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• pp.717-723
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• 2019

Smart systems and services aim to facilitate growing urban populations and their prospects of virtual-real social behaviors, gig economies, factory automation, knowledge-based workforce, integrated societies, modern living, among many more. To satisfy these objectives, smart systems and services must comprises of a complex set of features such as security, ease of use and user friendliness, manageability, scalability, adaptivity, intelligent behavior, and personalization. Recently, artificial intelligence (AI) is realized as a data-driven technology to provide an efficient knowledge representation, semantic modeling, and can support a cognitive behavior aspect of the system. In this paper, an integration of AI with the smart systems and services is presented to mitigate the existing challenges. Several novel researches work in terms of frameworks, architectures, paradigms, and algorithms are discussed to provide possible solutions against the existing challenges in the AI-based smart systems and services. Such novel research works involve efficient shape image retrieval, speech signal processing, dynamic thermal rating, advanced persistent threat tactics, user authentication, and so on.

• Health Policy and Management
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• v.21 no.1
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• pp.115-131
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• 2011

Several common issues are encountered by countries - Germany, Japan, and the United States - that adopted long-term care (LTC) system. First, the demand for LTC and its associated costs have steeply risen following the implementation of the LTC policy. Second, ensuring the quality of services have been difficult. Third, the coordination of services among providers and between LTC and medical care has been inadequate. Learning from their experience, we suggest ways to improve the LTC system in Korea. The basic approach aims for efficiency over equity in the system. This would require promoting provider competition and consumer choice. We propose several policy options according to the major stakeholders. For consumers, cash benefits at fixed rates and personal savings accounts are feasible options to self-contain the demand and cost of services. On the insurer's side, creating an environment of multiple insurers will engender competition, leading to cost savings and quality care. For providers, delivery of quality services through competition, cost-containment through capitated reimbursements, and coordination of services through integrated delivery system can be achieved. From the assessors' perspective, establishing an information system to monitor the activities of insurers and providers would be important, empowering consumers with information to choose cost-effective service providers. In summary, the suggested approach would provide cost-effective LTC services by guaranteeing consumer choice and promoting major stakeholder accountability. Further studies are needed to test the feasibility of this model in ensuring quality LTC in Korea.

• Journal of Korean Public Health Nursing
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• v.20 no.1
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• pp.5-15
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• 2006

Purpose: The objectives of this study was to measure the outcomes of interventions on the health and social welfare of the elderly in a rural community in Korea. The project involved integrating services of one public health center with that of one social welfare agency, which were under different administrative structures. Method: A single group pretest-posttest design was used for this research. Seventy-five elderly residents living alone in a rural community participated in the study. All of them had coverage of free basic medical care and social welfare services by the government. Major activities for the intervention included: developing partnerships among community leaders/institutes; forming committees of community residents; educating care providers and volunteers; developing 8 integrated service programs and instruments; and organizing the networks. The 20-month intervention was care-managed by a public health nurse whom collaborated with social worker, and was assisted by volunteers. The t-test was utilized to analyze the outcome variables including the elder's health, social welfare and quality of life. A major limitation of this study was the lack of a control group. Results: The outcome of the intervention was shown by improved elder's health, social welfare needs, and quality of life. Integrating the services of public health centers with those of social welfare agencies is an effective way to improve the health of the elderly in the community. Conclusion: Developing community capacity with such integrated services will pay an important role in improving the health of the elderly who live alone.

• Health Policy and Management
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• v.4 no.1
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• pp.138-175
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• 1994

The objectives of this study are (i) to review current situations and problems of the occupational health care system with emphasis on reforming the organizations and services, (ii) to find out a disirable occupational health system model based on integration of the occupational health system and the general health system, and finally, (iii) to suggest policy implications in occupational health services in the light of objectives of the newly emerging national health insurance reform in Korea. The major policy implications of this study are as follows: 1. In the long-run, within the occupational health system, preventive occupational health services such as employees' physical check-up, working environment examination, etc should financially be integrated with industrial accident compensation insurance. Currently separately paying expenses for each different category of services by the owner of an enterprise should be disbursed once through the payment of contributions of industrial accident compensation insurance. And then, it is necessary to strengthen and expand the role and function of industrial accident compensation insurance to cover preventive occupational health services. 2. The occupational health system should be integrated with general health system for its effective management. For the short-term policy, it is necessary to eliminate fiscal and access barrier between industrial accident compensation insurance and national health insurance by means of ex post facto settlement of accounts. The duplication of employees' physical check- ups between under the health insurance program and under the industrial health services must be coordinated in a manner either through mutual authorization by the two parties concerned or through merge into the health insurance. 3. The intent of current employees' physical check-up system focused on detection of occupational diseases, should be converted to an idea of medical surveillance system or biological moritoring system. The introduction of medical surveillance or biological monitoring system is a necessary condition to build a positive, effective and inexpensive occupational health care system.

• Journal of Advanced Marine Engineering and Technology
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• v.34 no.1
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• pp.141-146
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• 2010

In this paper, we design and implement middleware service modules of MiTS system architecture which is proposed for integrated shipboard information management. The MiTS system is divided to three layers that are gateway, middleware server and application. The gateway collects and parses information and data, the middleware server integrates the data and stores to a database, and the application displays visual data to users. The service modules provide MiTS middleware services to gateways and applications. We implement the service modules based on international standard IEC61162-4 series and test those.

• Journal of Home Health Care Nursing
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• v.26 no.3
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• pp.253-264
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• 2019

The aim of this review is to present a German system of an outpatient care center under the German Health Insurance Act and home care (integration of medical care, basic care, bathing) under the Long-Term Care Insurance Act. This idea of a German integrated home care system should contribute to the development of a Korean home care model. Prior the introduction of long-term care insurance (1995), and with the of the health insurance law (1989), German outpatient care centers already provided medical and basic care services for patients with acute and chronic symptoms. Since 1995, patients with acute symptoms and rehabilitation periods under the Health Insurance Act have been eligible for home care. The Long-Term Care Insurance Act is intended for all citizens who are unable to carry out their daily activities for more than six months. In 2017, 13,657 (97%) of 14,050 outpatient care centers provided home care services after long-term care and health insurance. In other words, patients in Germany can use home care in both the acute and chronic phase at the same home care center, or 'integrated home-care center'.

• The Korean Journal of Emergency Medical Services
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• v.23 no.3
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• pp.111-121
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• 2019

Purpose: Difficult organs or locations or inadequate tube intubations can cause complications. There are some cases in which the tube location changes or the tube is removed due to processing inside the organ while installing the stylet or rapid stylet removal. Thus, this study aimed to evaluate and develop an integrated intubation tube with stylet (IITS) for easier intubation of organs in emergency cases and reduce complications caused by the stylet. Methods: This study used a "Laerdal Airway Management Trainer". For stylet intubation, procedure No. 14 of the national practical test protocol was followed, but the removal step was omitted. In this study, each emergency case was intubated with an IITS, in which the stylet was not inserted or removed separately even though it has the function of an organ intubation stylet. Results: The existing classic ET intubation method had a success rate of 100% and had an average intubation time of 21.75 seconds, The developed IITS method was also successful in all cases and had an average intubation time of 15.78 seconds. Conclusion: Application of an IITS is expected to reduce intubation time and decrease inappropriate depth and intubation failure due to stylet removal, therefore improving the efficiency of airway maintenance.

• ETRI Journal
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• v.46 no.1
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• pp.22-34
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• 2024

Exposure to varied noisy environments impairs the recognition performance of artificial intelligence-based speech recognition technologies. Degraded-performance services can be utilized as limited systems that assure good performance in certain environments, but impair the general quality of speech recognition services. This study introduces an audiovisual speech recognition (AVSR) model robust to various noise settings, mimicking human dialogue recognition elements. The model converts word embeddings and log-Mel spectrograms into feature vectors for audio recognition. A dense spatial-temporal convolutional neural network model extracts features from log-Mel spectrograms, transformed for visual-based recognition. This approach exhibits improved aural and visual recognition capabilities. We assess the signal-to-noise ratio in nine synthesized noise environments, with the proposed model exhibiting lower average error rates. The error rate for the AVSR model using a three-feature multi-fusion method is 1.711%, compared to the general 3.939% rate. This model is applicable in noise-affected environments owing to its enhanced stability and recognition rate.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.33 no.5B
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• pp.268-274
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• 2008

With the advances in wireless communication technologies, mobile users require to get seamless services anywhere and anytime. To relize these demands, network interworking and vertical handover are necessary between heterogeneous wireless access technologies with multi-interface mobile station. A lot of organizations are doing research on the network integration schemes based on loosely and tightly integrated architectures, and research on vertical handover schemes mainly based on Mobile IP in loosely integrated environments. But actually, the tightly integrated scheme can support more faster vertical handover because heterogeneous access networks are combined tightly. However, vertical handover schemes in tightly integrated environments are conceptually proposed without any detail signaling procedures. Therefore, this paper defines a tightly integrated architecture between UMTS and WLAN, and proposes a soft vertical handover signaling procedure. The proposed soft vertical handover scheme is evaluated by the OPNET simulator, and we confirm the proposed scheme can support seamless services.

• 한국사회정책
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• v.25 no.2
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• pp.403-428
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• 2018

There has been constant attempts for integration of public welfare delivery system which lead to integrated case management, then this become more significant issue regarding 'community care' recently in Korea. However, most of them was limited to fractional organization rearrangement or more use of private resources rather than realising user-centred approach. Therefore, in this research, we would like to do a couple of case studies in Britain which has rich experience of reforms for integrated approaches between health and social services and Troubled Family programme resembles the integrated case management in Korea by visiting a London Borough and a local council respectively. In conclusion, we found three conditions are required to establish successful integrated delivery system: elimination of institutional barriers relating to workforce, organization, and finance; shared objectives and partnership among the professional groups and agencies; and information sharing system with technical support regarding individual cases.