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Analysis of Lumbar Herniated Intervertebral Disc Patients' Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service's Patients Sample Data (요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여)

  • Ko, Jun-Hyuk;Yu, Ji-Woong;Seo, Sang-Woo;Seo, Joon-Won;Kang, Jun-Hyuk;Kim, Tae-Oh;Cho, Whi-Sung;Seo, Yeon-Ho;Ahn, Jong-Hyun;Lee, Woo-Joo;Kim, Bo-Hyung;Choi, Man-Khu;Kim, Sung-Bum;Kim, Hyung-Suk;Kim, Koh-Woon;Cho, Jae-Heung;Song, Mi-Yeon;Chung, Won-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.105-116
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    • 2021
  • Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.

Under and Over Employment and Working Conditions (과소/과잉노동과 근로환경)

  • Rhee, Kyung Yong;Song, Se Wook;Kim, Young Sun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.4
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    • pp.536-546
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    • 2014
  • Objectives: The major objective of this paper is compare the exposure work hours and experieence of ill health symptoms among under and over employment and matched group. Workers with over employment have more exposed to hazards than that with under employment because that workers with over employment work more than those with ender employment. Methods: This study as heuristics one used the third Korean Working Conditions Survey done by Occupational Safety and Health Research Institute in 2011. The sample size is 50,023 economic active persons. Over and under employment were measured by matching method of preferred and actual work hours. The exposed work hours to hazards were measured according to 13 hazardous factors and the experience of ill health symptoms were scaled by the number of experienced 14 ill health symptoms. To compare the exposure and the symptoms experience were compared by mean difference test with F test. Results: The proportion of over employment in male employees is 32.1% and that in female employees is 29.3% and under employment rate is 11.2% in mae and 13.9% in female employees. There is significant difference of the rate of over and under emplyment among age groups, industrial sectors, occupational groups and the state of employment. The difference of the exposed work hours to hazards among under, over and matched group were statistically significant in all hazards by gender. The exposed work hours to hazards in over employment were more than those in under employment. The number of experienced symptoms in over employment is statistically significantly more than that in under employment. Conclusions: Workers with over employment may be vulnerable group in the criteria of hazard exposure and health status. The results have some implications and limitations because that this study is heuristic one. The mismatch of preferred and actual working hours may be unfavorable work condition that has impact on safety and health of workers. The impact mechanism may be investigated as future study, Because that this study used cross sectional survey data, some causal relationships cannot be evaluated.

Microbial Communities of Activated Sludge in an Anaerobic/Aerobic Sequencing Batch Reactor using Slot Hybridization (Slot Hybridization을 이용한 연속 회분식 반응기내 미생물 분포 조사)

  • Jeon, Che Ok;Shin, Kum-Joo;Lee, Dae Sung;Suh, Pann-Ghill;Park, Jong Moon
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.5
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    • pp.939-947
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    • 2000
  • Enhanced biological phosphorus removal (EBPR) was performed in an anaerobic/aerobic sequencing batch reactor (SBR). Influent was a synthetic wastewater based on acetate as a carbon source. The sludge age and hydraulic retention time were kept at 10 days and 16 hrs, respectively, Phosphate release during the anaerobic period and phosphate uptake in aerobic period were increased gradually with time. and after about 200 days, steady-state operation could be achieved with complete removal of influent phosphate. Number distribution of microbial community in the sludge performing EBPR was investigated during the steady state operation. 17 rRNA targeted oligonucleotide probes were designed and slot hybridization technique was used to determine the number distribution of each microorganism. In the acetate fed SBR, rRNA belonging to the beta subclass of proteobacteria was the most dominant in total rRNA and rRNA matching to CTE probe was the second, rRNAs of Acinetobacter, Aeromonas and Pseudomonas, which are usually thought as phosphorus accumulating organisms in EBPR processes, constituted less than 10% of total rRNA. From this community analysis, it was inferred that microorganisms belong to the beta subclass of proteobacteia (BET) and CTE such as Rhodocyclus group were important in biological phosphorus removal. Therefore, the role of Acinetobacter, Aeromonas and Pseudomonas in the EBPR might have been overestimated.

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The Effect of Repeated Firing on the Color Difference of a Metal-Ceramic System with Different Porcelain Powder (다른 특성을 가지는 도재가 반복소성에 따라 색조변화에 미치는 영향)

  • Hwang, Jae-Sun
    • Journal of Technologic Dentistry
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    • v.31 no.1
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    • pp.23-36
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    • 2009
  • The goal of esthetic restoration is to achieve morphologic, optical, and biologic acceptance. Creation of a natural looking ceramic restoration, which blends harmoniously with surrounding dentition, is not always achieved. A successful color match is an important aspect of any esthetic dental restoration. Since natural enamel has inherent translucency, it is important that ceramic restorations reproduce the translucency and color of the natural teeth. However, the final color match of porcelain crowns to adjacent natural dentition remains some problem. Difficulties related to color matching arise from the structural differences that exist between metal ceramic crowns and natural teeth, the limited range of available ceramic shades, inadequate shade guides, different types of metal alloys, repeated firing, the condensation technique, and varying compositions of ceramic materials. Many factors contribute to the esthetic success of dental restoration: optical properties such as color and its elements of hue, value, and chroma; translucency and opacity; light transmission and scattering; and metamerism and fluorescence. The purpose of this study was to determine the color changes of metal-ceramic system with different veneering porcelain powder after repeated firing. The objectives of this in vitro study were to measure the lightness($L^*$), chromaticity($a^*$), chromaticity($b^*$), chroma($C^*$), hue(h), reflectance(%), color difference(${\Delta}E$). The following conclusions were obtained: 1. An increase in the number of firings resulted in decrease in lightness($L^*$) but increase in chromacticity($a^*$) with all porcelain. After the second sintering resulted in decrease in chromacticity($b^*$) with opaque-dentin porcelain and dentin porcelain but in increase with enamel porcelain and translucency porcelain. And after the second sintering resulted in decrease in chroma($C^*$) with opaque-dentin porcelain and dentin porcelain, but on the whole side in decrease with enamel porcelain and translucency porcelain. 2. After the second firing, a increase in the number of firings resulted in decrease reflectance(%) in all wavelength. 3. There were noticeable color differences(${\Delta}E$) between first sintering and multiple firings(dentin porcelain: 5.29~8.15, opaque-dentin porcelain: 4.83~8.2, enamel porcelain: 8.93~13.15, translucency porcelain: 9.37~12.91), but the color difference(${\Delta}E$) after second sintering were down to 4.87 in all porcelain. 4. Given the NBS Criteria, a 'trace' was not found this study but a 'slight' was found 2-3, 3-5 in dentin porcelain, 2-3 in opaque-dentin porcelain, 3-5, 5-10 in enamel porcelain and translucency porcelain, a 'noticeable' was 2-5, 3-10, 5-10 in dentin porcelain and opaque-dentin porcelain, 2-3, 2-5, 3-10 in enamel porcelain 2-3, 3-10 in translucency porcelain, an 'appreciable' was 1-2, 1-3, 2-10 in dentin porcelain 1-2, 1-3, 2-10, 3-10 in opaque-dentin porcelain, 2-10 in enamel porcelain, 2-5, 2-10 in translucency porcelain, a 'much' was 1-5, 1-10 in dentin porcelain and opaque-dentin porcelain, 1-2, 1-3, 1-5 in enamel porcelain 1-2, 1-3, 1-5, 1-10 in translucency porcelain, a 'very much' was 1-10 in enamel porcelain.

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Balancing assembly line in an electronics company

  • 박경철;강석훈;박성수;김완희
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1993.10a
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    • pp.12-19
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    • 1993
  • In general, the line balancing problem is defined as of finding an assignment of the given jobs to the workstations under the precedence constraints given to the set of jobs. Usually, the objective is either minimizing the cycle time under the given number of workstations or minimizing the number of workstations under the given cycle time. In this paper, we present a new type of an assembly line balancing problem which occurs in an electronics company manufacturing home appliances. The main difference of the problem compared to the general line balancing problem lies in the structure of the precedence given to the set of jobs. In the problem, the set of jobs is partitioned into two disjoint subjects. One is called the set of fixed jobs and the other, the set of floating jobs. The fixed jobs should be processed in the linear order and some pair of the jobs should not be assigned to the same workstations. Whereas, to each floating job, a set of ranges is given. The range is given in terms of two fixed jobs and it means that the floating job can be processed after the first job is processed and before the second job is processed. There can be more than one range associated to a floating job. We present a procedure to find an approximate solution to the problem. The procedure consists of two major parts. One is to find the assignment of the floating jobs under the given (feasible) assignment of the fixed jobs. The problem can be viewed as a constrained bin packing problem. The other is to find the assignment of the whole jobs under the given linear precedence on the set of the floating jobs. First problem is NP-hard and we devise a heuristic procedure to the problem based on the transportation problem and matching problem. The second problem can be solved in polynomial time by the shortest path method. The algorithm works in iterative manner. One step is composed of two phases. In the first phase, we solve the constrained bin packing problem. In the second phase, the shortest path problem is solved using the phase 1 result. The result of the phase 2 is used as an input to the phase 1 problem at the next step. We test the proposed algorithm on the set of real data found in the washing machine assembly line.

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Development of Information Technology Infrastructures through Construction of Big Data Platform for Road Driving Environment Analysis (도로 주행환경 분석을 위한 빅데이터 플랫폼 구축 정보기술 인프라 개발)

  • Jung, In-taek;Chong, Kyu-soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.669-678
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    • 2018
  • This study developed information technology infrastructures for building a driving environment analysis platform using various big data, such as vehicle sensing data, public data, etc. First, a small platform server with a parallel structure for big data distribution processing was developed with H/W technology. Next, programs for big data collection/storage, processing/analysis, and information visualization were developed with S/W technology. The collection S/W was developed as a collection interface using Kafka, Flume, and Sqoop. The storage S/W was developed to be divided into a Hadoop distributed file system and Cassandra DB according to the utilization of data. Processing S/W was developed for spatial unit matching and time interval interpolation/aggregation of the collected data by applying the grid index method. An analysis S/W was developed as an analytical tool based on the Zeppelin notebook for the application and evaluation of a development algorithm. Finally, Information Visualization S/W was developed as a Web GIS engine program for providing various driving environment information and visualization. As a result of the performance evaluation, the number of executors, the optimal memory capacity, and number of cores for the development server were derived, and the computation performance was superior to that of the other cloud computing.

An Analytical Study on the Disease Pattern of a Rural Population in Korea (하기(夏期) 무의촌진료(無醫村診療)에서 나타난 우리 나라 일부(一部) 농촌주민(農村住民) 의 질병양상(疾病樣相))

  • Meng, Kwang-Ho;Lee, Se-Hoon
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.65-72
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    • 1977
  • This study was made with 1394 clinical records obtained by a mobile charity health team in a rural Korea for 10 days from July 23 to Aug. 1, 1977 to see the disease pattern of the rural population in Korea. The health team consisted of 7 physicians in different clinical departments of the St. Mary's Hospital tried to cover as many as patients in that area by giving full informations and instructions before starting health services. which supposed to minimize the omissions of patients visits in that area. The proportion of each disease as well as its order in terms of the number of patients was reviewed by matching with age and sex distribution of patients, and with the duration of illness (complaints). Major findings obtained in this analysis were as follows; 1. Among 1394 patients, 536 (38.5%) was male and 858(61.5%) was female. As to the age distribution of the patients. those who are in the age group of 10-19 showed the highest proportion of 15.6% and those who are in the age group of 5-9 and 40-49 was the next with the proportion of 15.4% and 15.2% respectively. 2. The most prevalent cause of general morbidity were diseases of digestive system, diseases of nervous system and sensory organs, diseases of respiratory system, and diseases of skin and subcutaneous tissue in order. And their proportions among all patients were 21.8%, 20.7%, 14.5%, and 12.4% in respectively. The order of the diseases ranked by the number of patiens was slightly different in female population from that of total population, i. e. diseases of nervous system and sensory organs was the first. diseases of digestive system was the second, and the diseases of circulatory system was the third. 3. 23.2% of all patients were found to have had symptoms relating to their illness for more or less 5 years, and 18.3%, for more or less 6 months. Looking at the duration of illness by diseases, 28.6% of digestive tract disease patients and had the relating symptoms for about 1 week while 24.3% had had the symptoms for about 5 years, and in diseases of nervous system and and sensory organs, many(33.7%) had had symptoms for relatively long period (more than one year). On the other hand, in diseases of respiratory system, those who had had the relating symptoms for about 1 month was 24.3 % among all patients in this category and those who had had the symptoms for less than 1 week was 32.2%. 4. The duration of illness (complaints) was longer in females than in males and shorter in younger age groups than in older age groups.

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Analysis of the Factors and the Differences in the Awareness about the Capability Groups of the Mediator Manager in General Hospital and the Level of Performance (종합병원 중간관리자의 역량군별 중요도 인식과 수행수준 차이 및 요인분석)

  • Kim, Hee-Sook;Jo, Woo-Hyun;Kim, Young-Hoon;Kim, Tae-Hyun
    • Korea Journal of Hospital Management
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    • v.16 no.3
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    • pp.92-114
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    • 2011
  • The study has its purpose on providing basic resource to enforce the capability of the middle managers by examining the level of performance and the level of awareness about the capabilities of the managers and by understanding the significance of the difference and the reasons for the differences. The source of the study was 195 survey questionnaires that were carried out to the managers of the 9 general hospitals and the method of the analysis was the frequency analysis, analysis of the credibility, matching to sample T-test, independent sample T-test, dispersion analysis, correlation analysis, and multiple linear regression analysis using accumulated variables. The followings are the main result of the study. First, the difference between the level of awareness about the capabilities and the level of performance of the mediator managers in general hospitals had high capability in change management. The following orders were: competence in achievement and behavior, competence in management, competence in recognition, competence in influence, competence in individual effectiveness, and competence in personal relationship service. Second, as the result of the relation analysis in order to understand the correlation between awareness and performance of the mediator managers, everything had significant positive correlation. In the study about the level of importance, the cognitive capability and the management capability had the highest correlation with the correlation number of 0.88. In the study about the level of performance, the cognitive capability, individual capability, and the management capability had the highest correlation with the correlation variable number of 0.79. Third, as the result of studying the reason for the difference between the level of the awareness capability and the level of the performance, lack of the support recognition compensation in the organization level, inappropriate work environment, limit in the regulation were found as the highest reason in the order. As the result of the study, it was concluded that the creation of the efficient capability estimation model and the securement of the system that estimate the capability of the managers should be carried out in order to enforce the capability of the mediator managers in general hospitals.

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A Study On Low-cost LPR(License Plate Recognition) System Based On Smart Cam System using Android (안드로이드 기반 스마트 캠 방식의 저가형 자동차 번호판 인식 시스템 구현에 관한 연구)

  • Lee, Hee-Yeol;Lee, Seung-Ho
    • Journal of IKEEE
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    • v.18 no.4
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    • pp.471-477
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    • 2014
  • In this paper, we propose a low-cost license plate recognition system based on smart cam system using Android. The proposed system consists of a portable device and server. Potable device Hardware consists of ARM Cortex-A9 (S5PV210) processor control unit, a power supply device, wired and wireless communication, input/output unit. We develope Linux kernel and dedicated device driver for WiFi module and camera. The license plate recognition algorithm is consisted of setting candidate plates areas with canny edge detector, extracting license plate number with Labeling, recognizing with template matching, etc. The number that is recognized by the device is transmitted to the remote server via the user mobile phone, and the server re-transfer the vehicle information in the database to the portable device. To verify the utility of the proposed system, user photographs the license plate of any vehicle in the natural environment. Confirming the recognition result, the recognition rate was 95%. The proposed system was suitable for low cost portable license plate recognition device, it enabled the stability of the system when used long time by using the Android operating system.

Effect of Fruit Thining for Hydroponics on the New Domestic Strawberry Cultivars 'Daewang', 'SSanta', 'Okmae', 'Seolhyang' and 'Maehyang' (딸기 '대왕', '싼타', '옥매', '설향' 및 '매향' 품종의 수경재배시 착과수 조절 효과)

  • Jeong, Ho-Jeong;Rho, Il-Rae;Kim, Byung-Su
    • Current Research on Agriculture and Life Sciences
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    • v.31 no.4
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    • pp.265-271
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    • 2013
  • The objective of this study was to find out the optimum number of fruiting per a flower cluster on 5 domestic strawberry cultivars (Fragaria${\times}$ananassa Duch.), 'Daewang', 'Ssanta', 'Okmae', 'Seolhyang' and 'Maehyang'. Therefore, three ways of fruit thinning, 4~5 fruiting, 7~9 fruiting and all fruiting per a flower cluster were compared. After fruit thinning, the first fruit weights were increased from the second flower cluster on 'Seolhyang' and 'Maehyang', but from the third one on 'Daewang' and 'Ssanta'. There was no difference in first fruit weight by the flower thinning ways on 'Okmae'. The mean fruit weights of all the cultivars were increased and sugar contents also were increased, but acidities were decreased. The peduncle lengths were shortened by fruit thinning, but there was no difference in number of leaf, petiole length and crown diameter. Marketable yields by 4~5 fruiting per a flower cluster than all the fruit setting were higher 4.3% and 6.6% respectively on 'Daewang' and 'Maehyang'. In contrast, the yields were higher 3.1%, 3.5% and 9.1% in 7~9 fruiting per a flower cluster than all fruiting on 'Ssanta', 'Okmae' and 'Seolhyang' respectively. As the result, we could improve the fruit quality and could increase marketable yield by fruit thinning with matching flowering characteristics of those strawberry cultivars.