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Disc and underwriting - A proposal of life underwriter in terms of insurance benefits - (디스크질환과 언더라이팅 -보장급부를 중심으로 고찰한 생명보험 언더라이터의 제안-)

  • Byun, Hye-Jin
    • The Journal of the Korean life insurance medical association
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    • v.27 no.2
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    • pp.96-106
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    • 2008
  • Herniate disc disease is one of the biggest problem in claim of insurance as well as in medical. Herniate disc disease have recently increased, and it is ranked 8th in claim reasons recently. As an underwriter and physical therapist, I want to study interrelationship of insurance and disc disease. I think it is necessary to know about knowledge of medical, so this study is given some space to structure of spine, cause of herniated disc disease, role of disc, methods of classification of disable (McBride method and AMA method), and spine disability stage. disc surgery is divided laparoscope disc surgery and spine surgery. I analysis it some factors- gender, age, occupation, re-surgery, and state of after surgery - through searching medical papers. I suggest below conclusion to underwriter because it can be useful to make questionnaire, and underwriter can expect prognosis. conclusion The negative factors of disc surgery (compare to other cases) were as follows: 1. endoscope disc surgery: $20{\sim}40year$ old man, hospitalization period more than 5 days. 2. spine surgery: $45{\sim}70year$ old woman, hospitalization period more than 15 days. 3. re-surgery experience: exist 4. working condition: a person who draws a small income, non-regular worker, working period is less than 1 year. 5. method of surgery: pedicle screw fixation. spine fusion surgery, artificial disc surgery. 6. post surgery condition: appearance of muscle weakness, paralysis, reference pain, lordosis, kyphosis, and complication. smoker or take a drink.

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End-to-End Performance of Packet Aggregation Transmission on MANET under DDoS Attacks (DDoS 공격이 있는 MANET에서 패킷취합전송의 종단간 성능)

  • Kim, Young-Dong
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.6
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    • pp.689-694
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    • 2014
  • DDoS attacks on MANET makes disable any node which support network function, cause critical results as a stopping of entire network service or separation to some parts. Packet aggregation, which gather some pieces of short length into a certain length of data, improves transmission performances on MANETs. In this paper, some effects on transmission performance of packet aggregation transmission be caused by DDoS Attacks are measured and analyzed in point of end-to-end level. MANET simulator, based on NS-2, is used for measurement end-to-end performances. MOS, connection rate, delay and packet loss rate is used as performance parameters. VoIP traffic is used for object service measurement. Finally, it is suggested that number of packet aggregation is more then 4 for keeping the transmission quality over MANETs under DDoS attacks.

Development Directions for Enhanced Protection of National Mjor Facilities Countering Drone Threats (국가중요시설 방호력 강화를 위한 대드론체계 발전 방향)

  • Sang-Keun Cho;Ki-Won Kim;In-keun Son;Kang-Il Seo;Min-seop Jung;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.257-262
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    • 2023
  • Recently there are increasing number of claims that it is necessary to build a countermeasure in case of aggressive threats by small drones. During Russia-Ukraine war ignited by Russian invasion on February 2022, attacking drones have been being used widely to damage other country's national major facilities. On December 2022, 5 drones sent by North Korea made a flight around Seoul, South Korea about 7 hours, but it was not successful to search and track them. Furthermore, none of these were destroyed and shot down. Counter-drone system is essential system to search and identify unintended small drones and disable them. This paper is for proposing required functions for building a counter-drone system for national major facilities. We conducted focus group interviews with relevant government officials and analyzed their suggestions on how to augment protection capabilities to defend against small drone attacks.

Activation plan of social safety network of the aged living alone - Focused on the aged using wireless paging system in Gwangyang-si - (독거노인의 사회안전망에 대한 활성화 방안 - 광양시 무선페이징시스템 대상자 중심으로 -)

  • Lee, Jae-Min
    • The Korean Journal of Emergency Medical Services
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    • v.13 no.3
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    • pp.41-58
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    • 2009
  • Objective : The purpose of this study is to identify actual operations and issues of wireless paging system operation for the aged living alone as the end users of wireless paging system primarily in Gwangyang city, and thereby to explore possible advanced and integrated ways to promote social safety network for the aged. Methods : The survey tool used in this study was a structured questionnaire form consisting of question items. The researcher hereof conducted this survey by means of direct visit and interview during two seasons, i.e. from February to August, 2008 and from December 2008 to March 2009, respectively. Results : 1) For general demographic characteristics, it was found that 90.9% of all respondents were women and 61.2% of all respondents were at age 75 to 84. for health conditions, it was found that more than 90% of all respondents often took medicines due to their unhealthy body, and most of respondents suffered from musculoskeletal diseases 79.3% and circulatory diseases 61.6%. for walking capacity, it was found that 45.5% of all respondents used walking aids, and disable respondents (11.5% of all respondents) were represented primarily by those with physical disability (52.6% of disable respondents). for actual use of medical institutions, it was found 47.3% of all respondents relied on local clinics, since they preferred neighborhood hospitals or clinics they can trust for medical care. for social activities and supports, it was found that 43.6% respondents had 'needs for assistance at times' and 33.9% respondents have 'no need for assistance'. And it was found that the major difficulties in living alone at old age were represented primarily by health problems 37.8% and economic difficulties 33.5%. 2) For characteristics related to wireless paging system, it was found that 90.3% respondents used wireless paging system recommended by firemen, and 28.5% respondents used this system. and it was found that 59.6% respondents used this system once, and 85.2% respondents used it because of acute or chronic diseases. more than 90% respondents thought that they knew about wireless paging system and considered themselves safe, but 83.6% respondents didn't attach a remote control on their upper clothes, and even 49.1% respondents turned off the power of wireless paging system due to their concern about electricity bill and noise. 3) It was found that 83.6% respondents felt it necessary to use wireless paging system, and wireless paging users felt more satisfied with using the system than non-users, and 50.7% showed high satisfaction at certain psychological benefits like 'confidence in coping with critical situations' and 'a sense of relief'. In addition, it was found that some respondents who answered that 'they didn't turn off the paging system as they knew how it works' and those who answered that they knew 'how to use it' showed relatively high satisfaction. And some respondents who kept it well and felt it necessary also showed high satisfaction. 4) It was found that the level of satisfaction our respondents felt with using wireless paging system varied significantly availability($x^{2}$ = 12.759, p = .002), psychological advantages($x^{2}$ = 12.174, p = .002), knowledge about how to use system($x^{2}$ = 7.021, p = .016), power on/off($x^{2}$ = 13.221, p = .001), level of knowledge about system($x^{2}$ = 21.002, p = .000), maintenance($x^{2}$ = 9.871, p = .007) and level of necessity($x^{2}$ = 34.939, p = .000) on the statistical basis.

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Evaluation of the Effect of the Arrhythmia Correction for the Image Quality in the Multidetector-Row Computed Tomography (MDCT) Coronary Angiography (Multidetector-Row Computed Tomography (MDCT) Coronary Agniography에서 Arrhythmia Correction이 영상의 질에 미치는 영향에 관한 연구)

  • Kim, Hyun-Soo;Kim, Keung-Sik;Kim, Tae-Hoon;Yoo, Beong-Gyu
    • Journal of radiological science and technology
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    • v.27 no.2
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    • pp.7-12
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    • 2004
  • MDCT is a useful, non-invasive, diagnostic tool in the evaluation of coronary artery disease. However, the image quality is affected by an irregular heart rhythm of the patients. Especially, premature ventricular contraction induced stair-step artifacts in the reconstruction of 2-D or 3-D images of the heart including coronary arteries. In recent, we experienced some improving of the image quality after correcting the PVC. Accordingly, the purpose of our study was to evaluate the effectiveness of the arrhythmia correction method, which was commercially available software, in improving the quality of the reconstruction images of the heart. Image analysis was performed, in consensus, by two radiologists. The scores for image quality were ranked as follows; excellent is 4 (image quality is markedly improved and is helpful in the image evaluation), good is 3 (image quality is mildly improved, but is somewhat helpful in the image evaluation), fair is 2 (image quality is improved and is not helpful in the image evaluation), and poor is 1 (image quality is not improved). We used ANOVA method to evaluate the statistical significant differences in the image qualities among the correction methods of the arrhythmia with below 0.05 of p-value. The method of moving the R-R interval showed statistically significant differences in improving of the image quality in patients with arrhythmia. We concluded that the regulation of R-R interval in patients with arrhythmia was an effective method to improve the image quality in the reconstructions of the MDCT coronary angiograms.

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Intraosseous anesthesia in symptomatic irreversible pulpitis: Impact of bone thickness on perception and duration of pain

  • Nilius, Manfred;Mueller, Charlotte;Nilius, Minou Helene;Haim, Dominik;Leonhardt, Henry;Lauer, Guenter
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.6
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    • pp.367-375
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    • 2020
  • Background: Intraosseous anesthesia (IO) allows the anesthetic solution to be injected directly into the cancellous bone. The anesthetic solution immediately reaches the periapical region, and thus the axonal area of the nerve, where it can temporarily disable the sodium pump. The effect is felt almost without any time delay, and only a small amount of anesthetic solution is required. Methods: This study aims to investigate the efficacy of IO using the AnestoⓇ device after infiltration anesthesia (IA) and/or inferior alveolar nerve block anesthesia (IANB) failed to work in symptomatic irreversible pulpitis (hot tooth). The 33 patients included in the study were treated additionally with 1.7 ml articaine hydrochloride with 1:100,000 epinephrine hydrochloride (UltracainⓇ D-S, Sanofi-Aventis, Frankfurt, Germany) IO. Results: The electrical pulp test showed that 95.76% of the volunteers reacted positively to the combination of IANB or IA with the IO. In women, the additive IO was effective at 97.22%. In men, the IO led to pain elimination in 94.00% of cases. The duration of the IO was less than a quarter of an hour (13.03 min). The IO worked longer in women than in men (13.61 min vs. 12.33 min). Overall, more than every third tooth that needed trepanation was located in the posterior area of the mandible (36.4%). Treatment of hot teeth in this area was associated with an increased pulse rate and increased residual pain. There was a moderate correlation (Spearman-Rho [IRI] = 0.280) between the Visual Analog Scale (VAS) score and bone density, and a significant correlation (IRI = 0.612) between subjective residual pain and bone width. The IO resulted in a moderate, transient increase in the pulse rate by approximately 20 bpm. This is similar to the temporary increase in heart rate after conventional anesthesia techniques in non-preloaded patients and can be considered clinically irrelevant. Conclusion: IO with the AnestoⓇ device as an extension and deepening of local pain elimination is recommended for the treatment of hot teeth.

The Study on New Poverty and Change of Poverty Policy in Korea (한국의 신빈곤현상과 탈빈곤정책에 관한 연구: 근로빈곤층(the working poor)의 실태를 중심으로)

  • Kim, Young-Lan
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.41-70
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    • 2005
  • The object of the study is to examine the change of social-economic structure and poverty-shape to escape poverty. In Korea, the working poor have been increased by flexibility and division of labor market since the economic crisis in 1997, and are faced with hard conditions due to the vulnerable welfare system. Especially the workers who engage in irregular jobs were increased by restructure of labor market. Besides they are in unstable employment terms such as low payment, low-skill and exclusion from welfare-benefit. Many small independent businessmen are also in danger of poverty for enterprises trend to move abroad by globalization. Poverty policy in our country was focused on the absolute poor class that has relation with old age, unemployment, disable, disease etc, so they were the object of welfare policy. The poverties, however, are increasing rapidly after the economic crisis, and they work so hard but are still poor, that is, participation in labor market doesn't become an element to escape poverty. Thus the emergence of new poverties whose core consists of the working poor becomes to need new poverty policy. The study is to survey change of their economic conditions, their welfare conditions, their experiences and responses of social dangers after the economic crisis, then to explore the policy to escape poverty. As the result of the study, it shows that the working poor experienced many kinds of social dangers like unemployment, decrease of income etc. In their welfare conditions as their responses to the social dangers, the benefit of social insurance, enterprise welfare like legal retirement pay and paid leave and private welfare such as private pension and insurance are low. The working poor are faced with social dangers, moreover, they don't have skill or education for adapting themselves to information society. The study says that it needs variable policies for the working poor to escape poverty, and suggests payment & tax policies as stable income policy, occupational discipline and skill-education for promoting the quality of employment, moreover, social insurance as expansion of social welfare policy and housing & education policies whose objects are the working poor.

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Design Android-based image processing system using the Around-View (후방 카메라와 USB 장치 기반의 영상처리를 이용한 Around-View 시스템 개발)

  • Kim, Gyu-Hyun;Jang, Jong-Wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.10a
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    • pp.465-468
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    • 2014
  • The image processing device sold by the market, which increases the comfort of the driver Around-View of the camera. This system while driving or when parked, came about to prevent accidents caused by driver error or disable the visibility of the system. However, it did not spread widely to the driver due to the problem of the high installation cost and complex installation process from the system for easy operation. Due to problems such as first, expensive equipment and second, the development environment is difficult and third, inconvenient installation process, it is not out because of the prohibitively high cost burden and difficult development environment, programmers and operators. I think if this is solved even one problem of this system would be able to access the user are a little more affordable. In this paper The AVM(Around-View Monitoring) system is proposed, the two problems that minimize expensive equipment, the installation process is inconvenient problem of the three aforementioned systems. Solved the problem caused by a lot of the cost by using low-cost USB device, and a rear camera. Was developed to facilitate the installation is possible by considering the inconvenient installation. Reducing the price paid by consumers because of the system.

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A Study on the Evaluation the Safety of Evacuation in Indoor Sports Stadium through Evacuation Simulation (피난시뮬레이션을 통한 실내 스포츠경기장 내 장애인의 피난 안전성 평가 연구)

  • MinEon Ju;SeHong Min
    • Journal of the Society of Disaster Information
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    • v.20 no.1
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    • pp.69-81
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    • 2024
  • Purpose: Recently, there has been a movement to guarantee the right to watch sports for the disabled. However, the sports stadium is designed without considering the wheelchair users, so the right to move in the stadium is not secured. Restrictions on the movement of the disabled make the evacuation vulnerable in an emergency. This study aims to develop a plan to ensure the safety of movement and evacuation of wheelchair users by conducting simulations targeting indoor sports stadiums. Method: The simulation was performed by constructing a scenario with the shape of the stands as a variable. The effect of the installation of wheelchair seats on evacuation was confirmed. Result: The results according to whether wheelchair seats are installed, the evacuation route of wheelchair movement, and whether wheelchair seats are separately arranged were compared. The impact of wheelchair seat installation on evacuation and its characteristics were derived. As a result, upward and separation seat was the most vulnerable to evacuation. Conclusion: A plan to secure evacuation performance was derived for the top floors of upward and separation seat. It is judged that the content can be use as a way to secure the safety of movement and evacuation of the disabled in sports stadiums.

Relation between Serum S100β and Severity and Prognosis in Traumatic Brain Injury (외상성 뇌손상 환자에 있어서 S100β의 혈중 농도와 뇌손상의 정도 및 예후의 관계)

  • Kim, Oh Hyun;Lee, Kang Hyun;Yoon, Kap Jun;Park, Kyung Hye;Jang, Yong Su;Kim, Hyun;Hwang, Sung Oh
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.138-143
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    • 2007
  • Purpose: $S100{\beta}$, a marker of traumatic brain injury (TBI), has been increasingly focused upon during recent years. $S100{\beta}$, is easily measured not only in cerebrospinal fluid (CSF) but also in serum. After TBI, serum S 10019, has been found to be increased at an early stage. The purpose of this study was to evaluate the clinical correlations between serum $S100{\beta}$, and neurologic outcome, and severity in traumatic brain injury. Methods: From August 2006 to October 2006, we made a protocol and studied prospectively 42 patients who visited the emergency room with TBI. Venous blood samples for $S100{\beta}$, protein were taken within six hours after TBI and vital signs, as well as the Glasgow Coma Scale (GCS), were recorded. The final diagnosis and the severity were evaluated using the Abbreviated Injury Score (AIS), and the prognosis of the patients was evaluated using the Glasgow Outcome Score (GOS). Results: Thirty-eight patients showed a favorable prognosis (discharge, recovery, transfer), and four showed an unfavorable prognosis. Serum $S100{\beta}$, was higher in patients with an unfavorable prognosis than in patients with a favorable prognosis, and a significant difference existed between the two groups ($0.74{\pm}1.50\;{\mu}g/L$ vs $7.62{\pm}6.53\;{\mu}g/L$ P=0.002). A negative correlation existed between serum $S100{\beta}$, and the Revised Traumatic Score (R2=-0.34, P=0.03), and a positive correlation existed between serum $S100{\beta}$, and the Injury Severity Score (R2=0.33, P=0.03). Furthermore, the correlation between serum $S100{\beta}$, and the initial GCS and the GCS 24 hours after admission to the ER were negative (R2=-0.62, P<0.001; R2=-0.47, P=0.005). Regarding the GOS, the mean serum concentration of $S100{\beta}$, was $7.62\;{\ss}{\partial}/L$ (SD=${\pm}6.53$) in the expired patients, $1.15\;{\mu}g/L$ in the mildly disable patient, and $0.727\;{\mu}g/L$ (SD=${\pm}0.73$) in the recovered patients. These differences are statistically significant (p<0.001). Conclusion: In traumatic brain injury, a higher level of serum concentration of $S100{\beta}$, has a poor prognosis for neurologic outcome.