• Title/Summary/Keyword: Research Equipment Policy

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Effect of Coverage Expansion Policy for an Ultrasonography in the Upper Abdomen on Its Utilization: A Difference-in-Difference Mixed-Effects Model Analysis (상복부초음파검사 급여확대에 따른 의료이용의 변화: 이중차이 혼합효과모형 추정방법을 이용하여)

  • Son, Yena;Lee, Yongjae;Nam, Chung-Mo;Kim, Gyu Ri;Chung, Woojin
    • Health Policy and Management
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    • v.30 no.3
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    • pp.326-334
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    • 2020
  • Background: Korea has gradually expanded the coverage of medical care services in its national health insurance system. On April 1, 2018, it implemented a policy that expanded the coverage for an ultrasonography in the upper abdomen. In this study, we aimed to investigate the effect of the policy on the utilization of the ultrasonography in the upper abdomen in tertiary care hospitals. Methods: Using the dataset of the Health Insurance Review and Assessment Service, we explored changes in the utilization of the ultrasonography in the upper abdomen in tertiary care hospitals from July 1, 2017 to November 30, 2018 through the difference-in-difference (DID) mixed-effects-model method. Facility factor, equipment factor and personnel factors, type of hospital, the total amount of medical care expenses, and geographic region were considered as control variables. Results: On average, the utilization of the ultrasonography in the upper abdomen increased by 228% after the coverage expansion policy. However, the results of DID mixed-effects-model method analysis showed that the utilization increased by 73%. As for the number of beds, the utilization was higher with a group of 844-930, 931-1,217, and 1,218 or greater compared with a group of 843 or fewer, while the utilization of the number of ultrasonic devices was lower with a group of 45-49 compared with a group of 44 or fewer. The utilization decreased with the number of interns and the number of nurse assistants. Besides, relative to Seoul, the utilization was lower in the other metro-cities and provinces. Conclusion: The coverage expansion policy in the national health insurance system increased service utilization among people. Future research needs to investigate the degree to which such coverage expansion policy reduces the unmet medical care needs among the deprived in Korea.

Linkage of Agricultural Research and Extension in Paraguay - Interview to Key Actors - (파라과이 농업연구와 지도의 연계 - 핵심 담당자 인터뷰 -)

  • Park, Duk-Byeong;Ma, Sang-Jin
    • Journal of Agricultural Extension & Community Development
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    • v.23 no.2
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    • pp.181-193
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    • 2016
  • The linkages between agricultural research and extension are important to enhance farmers' competence. The objectives of the study were to explore the linkage between research and extension for the family farm. Data including quantitative and qualitative were obtained from the key actors about the public management regarding linkage which were the method, the topic of the agricultural technology dissemination, and the agricultural research topics. Results show that the main structural problems of the agricultural technology dissemination were technical support services, credit services, and farm planning and infrastructure deficit. Furthermore, as for the topics or content of agricultural technology dissemination, organic agriculture, soil management and conservation, agricultural credit, organizational strengthening, marketing, participatory research, dissemination of technology, equipment, infrastructure and agricultural mechanization were preferred.

Robust Control of Multi-Echelon Production-Distribution Systems with Limited Decision Policy (II)- Numerical Simulation-

  • Jeong, Sang-Hwa;Oh, Yong-Hun;Kim, Sang-Suk
    • Journal of Mechanical Science and Technology
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    • v.14 no.4
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    • pp.380-392
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    • 2000
  • A typical production-distribution system consist of three main echelons representing the retailer, distributors, and a factory each with an on-site warehouse. The system is sufficiently general and realistic to represent many industrial situations. However, decision functions and parameters have been selected to apply particularly to the production and distribution of consumer durables. The flows included in the model are materials, orders, and those information flows needed to support the material and order-rate decisions. In this work, a realistic production-distribution system has been used as a basic model, which consists of three sectors: retailer, distributor, and factory. That system is a nonlinear 25th-order continuous system interconnected between the echelons. Using a modern control algorithm, a typical multi-echelon production-distribution system using a dynamic controller is numerically simulated in the nominal plant and in the perturbed plant when the piecewise constant manufacturing decision is limited by a factory manufacturing upper-limit due to capital equipment, manpower, and factory lotsize.

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Deposition Process Load Balancing Analysis through Improved Sequence Control using the Internet of Things (사물인터넷을 이용한 증착 공정의 개선된 순서제어의 부하 균등의 해석)

  • Jo, Sung-Euy;Kim, Jeong-Ho;Yang, Jung-Mo
    • Journal of Digital Convergence
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    • v.15 no.12
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    • pp.323-331
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    • 2017
  • In this paper, four types of deposition control processes such as temperature, pressure, input/output(I/O), and gas were replaced by the Internet of Things(IoT) to analyze the data load and sequence procedure before and after the application of it. Through this analysis, we designed the load balancing in the sensing area of the deposition process by creating the sequence diagram of the deposition process. In order to do this, we were modeling of the sensor I/O according to the arrival process and derived the result of measuring the load of CPU and memory. As a result, it was confirmed that the reliability on the deposition processes were improved through performing some functions of the equipment controllers by the IoT. As confirmed through this paper, by applying the IoT to the deposition process, it is expected that the stability of the equipment will be improved by minimizing the load on the equipment controller even when the equipment is expanded.

Sustainable Utilization and Management Scheme in Wangdol-cho Surrounding Sea Area (동해 왕돌초 어장의 지속적 이용 및 관리 방안)

  • Lee, Kwang-Nam;Myoung, Jung-Goo
    • Ocean and Polar Research
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    • v.25 no.3
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    • pp.331-345
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    • 2003
  • The fishing ground surrounding Wangdol-cho is not only overexploited by the littering of dilapidated fishing net and equipment, but also by fishermen's overfishing, surpassing optimum fisheries resources. In addition, increasing fishing efforts (number of fishing vessel and fishing net, etc) contribute to the deterioration of fishing ground, and it is urgently required that schemes to tackle the problems should be taken. To effectively address the problems as such, this paper aims to propose sustainable utilization and management scheme of fishing ground through classification of fishing ground surrounding Wangdol-cho as one area which is less than 50m deep, measuring $13.66km^2$ and the other, permission fishing area of Gill Net fishery, measuring $347.23km^2$. The analysis shows that, for the water area less than 50m deep, implementation from a short-term perspective includes autonomous management fishery by gill net and trap fishery. For the permission fishing area of Gill Net fishery, implementation includes limit on fishing period, real name system of fishing equipment and limit on fishing equipment. Implementation from a medium and long-term perspective includes limit on scuba diving, designation of underwater sightseeing zone, sea farming, facilities of surveillance, adoption of approval system for the permission fishing area of Gill Net fishery and introduction of report system for fishing.

Development of an Occupational Safety and Health (OSH) Guide for Safely Cleaning Contaminated Machinery, Equipment, and Parts Used in the Electronics Manufacturing Process (전자산업 공정에서 사용한 부품, 기계류 세정(cleaning) 작업 안전보건 가이드)

  • Seunghee Lee;Soyeon Kim;Kyung Ehi Zoh;Yeong Woo Hwang;Kyong-Hui Lee;Kwang Jae Chung;Dong-Uk Park
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.4
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    • pp.419-426
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    • 2023
  • Objectives: This study aims to develop an Occupational Safety and Health (OSH) guide for the safe cleaning of contaminated machinery, equipment, and parts used in the electronics manufacturing process. Methods: A literature review, field investigations, and discussions were conducted. An initial draft of an OSH guide was developed and reviewed by experts with significant experience in maintenance work in the electronics manufacturing process in order to refine the guide. Results: Workers involved in cleaning processes with chemicals, solvents, and abrasive blasting can face exposure to a wide range of chemicals, abrasives, and noise. Identifying potential risks associated with each cleaning technique was an essential first step toward enhancing safety measures. The OSH guide comprises approximately eleven to twelve sections spanning 20-25 pages. It includes engineering and administrative protocols systematically organized to address the necessary actions before, during, and after cleaning tasks, depending on the technique. It is recommended that airline respirator masks be used in conjunction with an air purification system to ensure adherence to air quality standard "D" for atmosphere level. The use of an oil-free air compressor is advised, preferably a stationary model that does not rely on fuel sources like diesel. Conclusions: This OSH guide is designed to protect workers involved in maintenance activity in the electronics industry and aligns with global standards, such as those from the International Organization for Standardization (ISO) and Semiconductor Equipment and Material International, ensuring a higher level of safety and compliance.

Health Insurance Benefit Criteria and Quality Assurance Policies of Diagnostic Ultrasound Services in Other Countries (주요국의 초음파검사 시행현황과 질 확보방안)

  • Chung, Seol Hee;Lee, Hye Jin;Kim, Han Sang;Oh, Ju-Yeon
    • Health Policy and Management
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    • v.24 no.2
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    • pp.109-119
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    • 2014
  • In accordance with the government's plan to expand the national health insurance (NHI) coverage for severe diseases such as cancer, heart disease, cerebrovascular disease, and rare and incurable disease, the diagnostic ultrasound services have been covered by NHI from October 1, 2013. The quality is very important factor in providing diagnostic services because they influence on the diagnosis, treatment, and outcome of diseases. In particular, equipments and health care providers plays an important role in providing qualitative services. The purpose of this paper is to examine the major feature of ultrasound services covered by health security system and to review quality assurance policies in other countries such as Australia, Japan, the USA, and Canada. In addition, we assessed the implication of those policies. We especially put emphasis on the types and qualifications of healthcare professionals and measures to manage equipments. All countries have reviewed on policies to promote the quality such as educational requirements of professionals or restrictions on the duration of equipment usage. Various measures should be implemented to assure the qualitative ultrasound service.

A Study on the Legal Nature of the Duty to Arrange Spill Clean-up Equipment and the Issue on the Justification of Its Privatization (방제선 등 배치의무의 법적 성질 및 민간개방의 정당성에 관한 연구)

  • Lee, Jung Won
    • Ocean policy research
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    • v.33 no.2
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    • pp.83-119
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    • 2018
  • Under the Korean Marine Environment Management Act (hereunder, the KMEMA), the duty to arrange spill clean-up equipments, including spill clean-up vessels, required by the article 67 of the KMEMA is in essence the provision of public goods since it is a precautionary or preventive measure for the efficient performance of oil spill cleaning up. Also the obligation to control marine pollution and the duty to arrange of anti-pollution measures imposed on polluters is the obligation imposed by the public law in accordance with "the Polluter-Pays Principle". Therefore, the execution of such obligations shall be accompanied by the minimum legal and institutional arrangements. On the other hand, judging whether to form the roles of the public and private sectors in providing public goods is basically a matter of policy decision. However, even if the private sector is allowed to participate in the provision of public goods, it is imperative that a minimum requirement be provided to secure the public interest. Although major countries allows polluters to conclude a preliminary contract with a civil anti-pollution management company, these civilian institutions are in principle constituted by the owners of oil storage facilities. Additionally it is worth noting that it operates as a non-profit organization. In particular, if the practitioner performs pollution control for commercial purposes, their profitability may depend on the size of the pollution, the period spent on pollution control, the size of the equipment and manpower mobilized in the pollution control, and so on. Considering the above problems, caution should be taken to allow marine environmental management companies to be un-limitedly entrusted with the responsibility of arranging measures such as pollution control. In order to allow the marine environmental management contractor to be entrusted for the assignment of duty to protect the marine environment, the marine environment management business should be expanded so that the marine pollutant management capacity satisfies the statutory control capacity. For this purpose, it is necessary to manage and supervise the maintenance and improvement of the control capability of the marine environment management business. It is also necessary to discuss the introduction of the grading system for the control ability of the civil control companies alike in major countries.

A Study on the Establishment of the Technology Road Map for Container Ports in Korea - Focusing on the Logistics and the Handling Equipment in Ports - (국내 컨테이너 항만기술 로드맵 수립 연구 - 항만물류 및 장비기술을 중심으로 -)

  • Choi, Sang-Hei;Ha, Tae-Young;Won, Seung-Hwan
    • Journal of Navigation and Port Research
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    • v.33 no.3
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    • pp.199-206
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    • 2009
  • Since Emma Maersk, which is a container vessel capable of holding a freight capacity of 11,000 TEU, was launched early last year, the appearance of the ULCS (Ultra Large Container Ship) will be expected in 5 years. That requires the high productivity, the high technology, the automation, and the high efficiency in port operations. GTO (Global Terminal Operator) and port equipment companies are striving for the prior occupation of the port market and the development of the port technology. Within the country, however, there has been few systematic, analytic, and detailed technology road map, and the effective execution of the development policy for the port technology and the activation of port industries has not been achieved. In this study, we deduces the development subject of the domestic port technology and analyzes the priority of them. In conclusion, we establishes the macro technology road map and the product-related road map for container ports in Korea.

Dermal Exposure Associated with Occupational End Use of Pesticides and the Role of Protective Measures

  • MacFarlane, Ewan;Carey, Renee;Keegel, Tessa;El-Zaemay, Sonia;Fritschi, Lin
    • Safety and Health at Work
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    • v.4 no.3
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    • pp.136-141
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    • 2013
  • Background: Occupational end users of pesticides may experience bodily absorption of the pesticide products they use, risking possible health effects. The purpose of this paper is to provide a guide for researchers, practitioners, and policy makers working in the field of agricultural health or other areas where occupational end use of pesticides and exposure issues are of interest. Methods: This paper characterizes the health effects of pesticide exposure, jobs associated with pesticide use, pesticide-related tasks, absorption of pesticides through the skin, and the use of personal protective equipment (PPE) for reducing exposure. Conclusions: Although international and national efforts to reduce pesticide exposure through regulatory means should continue, it is difficult in the agricultural sector to implement engineering or system controls. It is clear that use of PPE does reduce dermal pesticide exposure but compliance among the majority of occupationally exposed pesticide end users appears to be poor. More research is needed on higher-order controls to reduce pesticide exposure and to understand the reasons for poor compliance with PPE and identify effective training methods.