• Title/Summary/Keyword: RVS

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A Study on the Propriety of the Medical Insurance Fee Schedule of Surgical Operations - In Regard to the Relative Price System and the Classification of the Price Unit of Insurance Fee Schedule - (수술수가의 적정성에 관한 연구 - 상대가격체계와 항목분류를 중심으로 -)

  • Oh Jin Joo
    • Journal of Korean Public Health Nursing
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    • v.2 no.2
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    • pp.21-44
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    • 1988
  • In Korea, fee-for service reimbursement has been adopted from the begining of medical insurance system in 1977, and the importance of the relative value unit is currently being investigated. The purpose of this study was to find out the level of propriety of the difference in the fees for different surgical services, and the appropriateness of the classification of the insurance fee schedule. For the purpose of this study, specific subjects and the procedural methodology is shown as follows: 1. The propriety of the Relative Price System(RPS). 1) Choice of sample operations. In this study, sample operations were selected and classified by specialists in general surgery, and the number of items they classified were 32. For the same group of operations the Insurance Fee Schedule(IFS) classified the operations into 24 separate items. In order to investigate the propriety of the RPS, one of the purpose of this study, was to examine the 24 items classified by the IFS. 2) Evaluation of the complexity of surgery. The data used in this study was collected The data used in this study was collected from 94 specialists in general surgery by mail survey from November I to 15, 1986. Several independent variables (age, location, number of bed, university hospital, whether the medical institution adopt residents or not) were also investigated for analysis of the characteristics of surgical complexity. 3) Complexity and time calculations. Time data was collected from the records of the Seoul National University' Hospital, and the cost per operation was calculated through cost finding methods. 4) Analysis of the propriety of the Relative Price System of the Insurance Fee Schedule. The Relative Price System of the sample operation was regressed on the cost, time, comlexity relative ,value system (RVS) separately. The coefficient of determination indicates the degree of variation in the RPS of the Insurance Fee Schedule explained by the cost, time, complexity RVS separately. 2. The appropriateness of the classification of the Insurance Fee Schedule. 1) Choice of sample operations. The items which differed between the classification of the specialist and the classification of medical, Insurance Fee Schedule were chosen. 2) Comparisons of cost, time and complexity between the items were done to evaluate which classification was more appropriate. The findings of the study can be summarized as follows: 1. The coefficient of determination of the regression of the RPS on-cost RVS was 0.58, on time RVS was 0.65, and on complexity RVS was 0.72. This means that the RPS of Insurance Fee Schedule is improper with respect to the cost, time, complexity separately. Thus this indicates that RPS must be re-shaped according to the standard element. In this study, the correlation coefficients of cost, time, complexity Relative Value System were very high, and this suggests that RPS could be reshaped I according to anyone standard element. Considering of measurement, time was thought to be the most I appropriate. 2. The classifications of specialist and of the Insurance Fee Schedule were compared with respect to cost, time, and complexity separately. For complexity, ANOVA was done and the others were compared to the different values of different classifications. The result was that the classification of specialist was more reasonable and that the classification of Insurance Fee Schedule grouped inappropriately several into one price unit.

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Meat Quality Comparison of Beef from Hanwoo Supplemented with Dietary Rhus verniciflua Stokes Meal, Silicate, and Chromium-Methionine during Refrigerated Storage (옻나무 분말, 규산염 및 크롬메티오닌을 급여한 한우육의 냉장저장 중 육질 비교)

  • Kang, Sun-Moon;Lee, Ik-Sun;Song, Young-Han;Lee, Sung-Ki
    • Food Science of Animal Resources
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    • v.28 no.2
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    • pp.138-145
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    • 2008
  • This study was carried out to compare the meat quality of beef from Hanwoo supplemented with dietary Rhus verniciflua Stokes (RVS) meal, silicate (Si), and chromium-methionine (Cr-Met) during refrigerated storage. The 26 mon-aged Hanwoo steers were fed basal diets containing 4% RVS, 4% RVS+400 ppm Cr-Met, 1.4% $SiO_2$, or 0.14% $SiO_2+400 ppm$ Cr-Met for 4 mon prior to slaughter. The M. longissimus from carcasses were then stored at $4{\pm}0.2^{\circ}C$ for 7 d. The crude fat content was higher in the Si and Si+Cr-Met groups (p<0.05). The water-holding capacity (WHC) and tenderness were highest in the Si+Cr-Met group (p<0.05). With regard to fatty acids, the polyunsaturated fatty acid (PUFA) content was lower in the Si and Si+Cr-Met groups (p<0.05), and the monounsaturated fatty acid (MUFA) content was lowest in the Si+Cr-Met group (p<0.05). The TBARS and MetMb contents were decreased in the Si, Si+Cr-Met, and RVS+Cr-Met groups. Regarding meat color during storage, the Si+Cr-Met group showed the highest L, a, b, C values and total color, and those of the Si and RVS+Cr-Met groups were higher than the RVS group (p<0.05). Consequently, beef from Si-fed Hanwoo had higher fat content, color and oxidation stability, and lower PUFA content than RVS-fed beef. And beef from Si+Cr-Met-fed Hanwoo had higher WHC, tenderness and color stability, and lower MUFA content than Si-fed beef.

Flavonoid Fraction Purified from Rhus verniciflua Stokes Actively Inhibits Cell Growth Via Induction of Apoptosis in Mouse Tumorigenic Hepatocytes

  • Lee, Jeong-Chae
    • Natural Product Sciences
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    • v.10 no.2
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    • pp.74-79
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    • 2004
  • Dietary flavonoids are currently receiving considerable attention in developing novel cancer-preventive approaches because of their potential capacities to actively induce apoptosis of cancer cells. In our previous report, a flavonoid fraction, which consisted mainly of protocatechuic acid, fustin, fisetin, sulfuretin, and butein and named RCMF (RVS chloroform-methanol fraction), was prepared from a crude acetone extract of Rhus verniciflua Stokes (RVS) that is traditionally used as food additive and herbal medicine. In this study, we evaluated the effects of the RCMF on cell proliferation and apoptosis using SV40-transformed tumorigenic hepatocytes, BNL SV A.8. Tritium uptake assay showing the proliferative capacity of the cells was strongly suppressed in the presence of RCMF. This anti-proliferative effect was further confirmed through trypan blue exclusion. RCMF-mediated suppression of cell growth was verified to be apoptotic, based on the increase in DNA fragmentation, low fluorescence intensity in nuclei after propidium iodide staining, and the appearance of DNA laddering. Collectively, this study demonstrated that RCMF can be approached as a potential agent that is capable of significantly inhibiting cell growth of hepatic cancer cells.

Explosive-Terror Risk Curve by RVS (RVS에 의한 폭발물테러 위험도 곡선)

  • Do, Ki-Young;Yoon, Sung-Won
    • Journal of Korean Association for Spatial Structures
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    • v.13 no.3
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    • pp.57-64
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    • 2013
  • Since the terrorist attacks 9.11 in 2001, the public places such as subway, department stores or office buildings have become a target of terror in major public facilities. In this paper, for the prevention of terrorist attack in domestic building, the assessments of terror risk were conducted and their relationship with building heights was discussed through FEMA 455-Rapid Visual Screening(RVS). Explosive terror risk tends to increase rapidly with building heights(H<230m), showing the correlation coefficient between total risk and building heights(H<230m) is 0.93. In addition, The average of consequences is 8.47 and that of' threat is 8.95. Vulnerability is found to be 6.62 in average.

Reducing the PAPR of OFDM Systems by Random Variable Transformation

  • Taher, Montadar Abas;Singh, Mandeep Jit;Ismail, Mahamod Bin;Samad, Salina Abdul;Islam, Mohammad Tariqul
    • ETRI Journal
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    • v.35 no.4
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    • pp.714-717
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    • 2013
  • Peak power reduction techniques in orthogonal frequency division multiplexing (OFDM) has been an important subject for many researchers for over 20 years. In this letter, we propose a side-information-free technique that is based on the concept of random variable (RV) transformation. The suggested method transforms RVs into other RVs, aiming to reshape the constellation that will consequently produce OFDM symbols with a reduced peak-to-average power ratio. The proposed method has no limitation on the mapping type or the mapping order and has no significant effect on the bit error rate performance compared to other methods presented in the literature. Additionally, the computational complexity does not increase.

Equivalent Circuit Modeling of Underwater Acoustic Piezoelectric Transducer (수중 음향 압전 트랜스듀서의 등가 회로 모델링)

  • Joh, Chee-Young;Seo, Hee-Seon;Lee, Jung-Min
    • The Journal of the Acoustical Society of Korea
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    • v.15 no.4
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    • pp.77-82
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    • 1996
  • In this paper an identification method is presented to obtain the equivalent electric model of a sandwitch type piezoelectric transducer. Unknown parameters related to the equivalent circuit are identified by solving a nonlinear optimization problem which can minimize an error between the experimental and analytical admittances in air. The proposed method is applied to an example transducer. The validity of equivalent circuit model is demonstrated by the comparison between the experimental measurements and analytical calculations of transmitting voltage response(TVR) and receiving voltage response(RVS).

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Effects of Rhus Verniciflua Strokes Extracts snd its Components on the Proliferation, Collagen Synthesis, and the Mrna Level of Hepatic Fibrosis Related Proteins in Rat Hepatic Stellate Cells

  • Jung, Seung-Hyun;Kim, Jeong-Ran;Na, Chun-Soo;Park, Bum-Rak;Yoon, Sun-Young;Park, Young-In;Dong, Mi-Sook
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2003.10b
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    • pp.167-167
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    • 2003
  • Hepatic stellate cells (HSC) and the derived myofibroblasts are known to playa central role in liver fibrosis. Rhus verniciflua Strokes (RVS) has traditionally been used in Korea herbal medicine for a stomachic tonic. In this study, we observed the effect of RVS acetone extract (Ra) on the proliferation, the collagen synthesis, and hepatic fibrosis related proteins mRNA levels in HSC-T6 cells which is a fully acivated rat hepatic stellate cell line.(omitted)

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Effect of Rhus verniciflua strokes acetone extracts and its components on the proliferation, collagen synthesis, and hepatic fibrosis related proteins mRNA levels in rat hepatic stellate cells

  • Hyun, Jung-Seung;Kim, Jeong-Ran;Na, Chun-Soo;Choi, Bum-Rak;Yoon, Sun-Young;Park, Young-In;Dong, Mi-Sook
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.238.1-238.1
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    • 2003
  • Hepatic stellate cells (HSC) and the derived myofibroblasts are known to play a central role in liver fibrogenesis. Rhus verniciflua Strokes (RVS) has traditionally been used in Korea herbal medicine for a stomachic tonic. In this study, we observed the effect of RVS acetone extract (Ra) and its five major components on the proliferation, the collagen synthesis, and hepatic fibrosis related proteins mRNA levels in HSC-T6 cells which is a fully activated rat hepatic stellate cell line. Ra inhibited the proliferation and decreased the content of collagen in the HSC-T6 cells. (omitted)

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Long Term Survival of a Patient with Advanced Non-Small Cell Lung Cancer Treated with Allergen Removed Rhus verniciflua Stokes Extract; a Case Report (알러젠 제거 옻나무 추출물 단독치료로 생존기간 연장 및 삶의 질 개선을 보인 진행성 비소세포폐암 환자 1례)

  • Song, An-Na;Ahn, Ji-Hye;Kim, Kyung-Suk;Jung, Hyun-Sik;Lee, Soo-Kyung;Choi, Won-Cheol
    • Journal of Korean Traditional Oncology
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    • v.17 no.1
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    • pp.39-43
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    • 2012
  • Objective : This study reports one case of a patient diagnosed with squamous cell carcinoma of the lung cancer with bone metastasis. Methods : A 56-year old male patient was diagnosed as squamous cell lung cancer in 1997 and received chemotherapy. The chemotherapy stopped after one cycle because of toxicity and the lung abscess. After four months from the diagnosis, rib metastasis was found and received the radiation therapy for two weeks. After the treatment, adverse effects such as nausea and anorexia appeared. The patient visited K. Korean Medicine Hospital and started the treatment with the allergen removed Rhus verniciflua stokes (aRVS) since December, 1997. Results and Conclusion : During treatment, the patient's quality of life had improved, and he had survived for 14 years after the administration of aRVS. This case suggests that aRVS can be an alternative treatment for the advanced NSCLC patients with bone metastasis.

A case of the elderly advanced Non-small Cell Lung Cancer Patient Treated with Allergen Removed Rhus Verniciflua Stokes extract (알러젠 제거 옻나무 추출물을 투여한 고령의 진행성 비소세포폐암 환자 1례)

  • Park, Hyeong-Jun;An, Ji-Hye;Lee, Jin-Soo;Jung, Yee-Hong;Lee, Sang-Hun;Cheon, Seong-Ha;Jung, Hyun-Sik;Kim, Kyung-Suk;Choi, Won-Cheol
    • Journal of Korean Traditional Oncology
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    • v.15 no.1
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    • pp.71-77
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    • 2010
  • This case report documents a case in which the administration of an herbal product, an extract of the lacquer tree, Rhus verniciflua Stokes was related with a prolonged survival in a elderly advanced non-small cell lung cancer(NSCLC) patient. A 79-year-old man who had been diagnosed with advanced NSCLC refused conventional therapy and treatment with the allergen-removed Rhus verniciflua Stokes(aRVS) had continued from September 2007 to July 2010. He had survived for 35 months after the administration of aRVS and maintained good performance status with European Cooperative Oncology Group performance status(ECOG PS) of 1. This case suggests that aRVS be alternative treatment for the elderly advanced NSCLC patients.

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