• Title/Summary/Keyword: coverage extension

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Measuring the resource-based relative value scale scores for physical therapies of traditional Korean medicine and estimating the insurer's expenditure in National Health Insurance (한방물리요법 상대가치 산출과 급여 확대 시 재정부담 추계)

  • Lim, Byung-Mook;Shin, Mi-Sook;Shin, Byung-Cheul;Song, Yoon-Kyung;Song, Mi-Yeon;Shin, Seung-Woo;Kim, Ho-Jun;Lee, Myeong-Jong
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.2
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    • pp.57-66
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    • 2010
  • Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies. Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer's expenditure for them in National Health Insurance. Methods : To measure the physician's work and the practice expense, the 'magnitude estimation method (MEM)' and the 'fully distributed cost - attributable cost method (FDC-ACM)' were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure. Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer's expenditure was calculated to be 95.5 billion won as of 2009. Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.

New Sequence Number(SN*) Algorithm for Cell Loss Recovery in ATM Networks (ATM 네트워크에서 셀손실 회복을 위한 새로운 순서번호($SN^{\ast}$) 알고리즘)

  • 임효택
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.24 no.7B
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    • pp.1322-1330
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    • 1999
  • The major source of errors in high-speed networks such as Broadband ISDN(B-ISDN) is buffer overflow during congested conditions. These congestion errors are the dominant sources of errors in high-speed networks and result in cell losses. Conventional communication protocols use error detection and retransmission to deal with lost packets and transmission errors. As an alternative, we have presented a method to recover consecutive cell losses using forward error correction(FEC) in ATM(Asynchronous Transfer Mode) networks to reduce the problem. The method finds the lost cells by observing new cell sequence number($SN^{\ast}$). We have used the LI field together with SN and ST fields to consider the $SN^{\ast}$ which provides more correcting coverage than SN in ATM standards. The $SN^{\ast}$ based on the additive way such as the addition of LI capacity to original SN capacity is numbered a repeatedly 0-to-80 cycle. Another extension can be based on the multiplicative way such that LI capacity is multiplied by SN capacity. The multiplicative $SN^{\ast}$ is numbered in a repeatedly 0-to-1025 cycle.

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Distributed Channel-Time Allocation for the Mesh Networking of the High-Rate WPAN (고속 WPAN의 Mesh 네트워킹을 위한 분산형 채널타임 할당)

  • Lee, Byung-Joo;Park, Moo-Sung;Rhee, Seung-Hyong;Choi, Woong-Chul;Chung, Kwang-Sue
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.3A
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    • pp.230-236
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    • 2007
  • This paper presents a resource management mechanism for the mesh networking in IEEE 802.15.3 High-rate WPAN. IEEE 802.15 TGS is standardizing the MAC and PHY for mese networking. This task group researches the mechanism that are extension of network coverage without increasing transmit power of receive sensitivity, and studies the enhanced reliability via route redundancy. In this paper we propose the distributed resource management scheme that is fairly using the channel resource in the piconet without centralized piconet coordinator. Each DEV reserves the channel time and broadcasts its information. This scheme has unfairness for later associated DEV because of preoccupation of earlier associated DEVs. This paper presents the method that fairly allocates the channel time in MAC layer. And we evaluate the performance enhancement using simple simulations.

ATMOSPHERIC CORRECTION TECHNIQUE FOR GEOSTATIONARY OCEAN COLOR IMAGER (GOCI) ON COMS

  • Shanmugam, Palanisamy;Ahn, Yu-Hwan
    • Proceedings of the KSRS Conference
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    • v.1
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    • pp.467-470
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    • 2006
  • Geostationary Ocean Color Imager (GOCI) onboard its Communication Ocean and Meteorological Satellite (COMS) is scheduled for launch in 2008. GOCI includes the eight visible-to-near-infrared (NIR) bands, 0.5km pixel resolution, and a coverage region of 2500 ${\times}$ 2500km centered at 36N and 130E. GOCI has had the scope of its objectives broadened to understand the role of the oceans and ocean productivity in the climate system, biogeochemical variables, geological and biological response to physical dynamics and to detect and monitor toxic algal blooms of notable extension through observations of ocean color. To achieve these mission objectives, it is necessary to develop an atmospheric correction technique which is capable of delivering geophysical products, particularly for highly turbid coastal regions that are often dominated by strongly absorbing aerosols from the adjacent continental/desert areas. In this paper, we present a more realistic and cost-effective atmospheric correction method which takes into account the contribution of NIR radiances and include specialized models for strongly absorbing aerosols. This method was tested extensively on SeaWiFS ocean color imagery acquired over the Northwest Pacific waters. While the standard SeaWiFS atmospheric correction algorithm showed a pronounced overcorrection in the violet/blue or a complete failure in the presence of strongly absorbing aerosols (Asian dust or Yellow dust) over these regions, the new method was able to retrieve the water-leaving radiance and chlorophyll concentrations that were consistent with the in-situ observations. Such comparison demonstrated the efficiency of the new method in terms of removing the effects of highly absorbing aerosols and improving the accuracy of water-leaving radiance and chlorophyll retrievals with SeaWiFS imagery.

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DEVELOPMENT OF GOCI/COMS DATA PROCESSING SYSTEM

  • Ahn, Yu-Hwan;Shanmugam, Palanisamy;Han, Hee-Jeong;Ryu, Joo-Hyung
    • Proceedings of the KSRS Conference
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    • v.1
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    • pp.90-93
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    • 2006
  • The first Geostationary Ocean Color Imager (GOCI) onboard its Communication Ocean and Meteorological Satellite (COMS) is scheduled for launch in 2008. GOCI includes the eight visible-to-near-infrared (NIR) bands, 0.5km pixel resolution, and a coverage region of 2500 ${\times}$ 2500km centered at 36N and 130E. GOCI has had the scope of its objectives broadened to understand the role of the oceans and ocean productivity in the climate system, biogeochemical variables, geological and biological response to physical dynamics and to detect and monitor toxic algal blooms of notable extension through observations of ocean color. The special feature with GOCI is that like MODIS, MERIS and GLI, it will include the band triplets 660-680-745 for the measurements of sun-induced chlorophyll-a fluorescence signal from the ocean. The GOCI will provide SeaWiFS quality observations with frequencies of image acquisition 8 times during daytime and 2 times during nighttime. With all the above features, GOCI is considered to be a remote sensing tool with great potential to contribute to better understanding of coastal oceanic ecosystem dynamics and processes by addressing environmental features in a multidisciplinary way. To achieve the objectives of the GOCI mission, we develop the GOCI Data Processing System (GDPS) which integrates all necessary basic and advanced techniques to process the GOCI data and deliver the desired biological and geophysical products to its user community. Several useful ocean parameters estimated by in-water and other optical algorithms included in the GDPS will be used for monitoring the ocean environment of Korea and neighbouring countries and input into the models for climate change prediction.

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An Approach to the Graph-based Representation and Analysis of Building Circulation using BIM - MRP Graph Structure as an Extension of UCN - (BIM과 그래프를 기반으로 한 건물 동선의 표현과 분석 접근방법 - UCN의 확장형인 MRP 그래프의 제안 -)

  • Kim, Jisoo;Lee, Jin-Kook
    • Korean Journal of Construction Engineering and Management
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    • v.16 no.5
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    • pp.3-11
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    • 2015
  • This paper aims to review and discuss a graph-based approach for the representation and analysis of building circulation using BIM models. To propose this approach, the authors survey diverse researches and developments which are related to building circulation issues such as circulation requirements in Korea Building Act, spatial network analysis, as well as BIM applications. As the basis of this paper, UCN (Universal Circulation Network) is the main reference of the research, and the major goal of this paper is to extend the coverage of UCN with additional features we examined in the survey. In this paper we restructured two major perspectives on top of UCN: 1) finding major factors of graph-based circulation analysis based on UCN and 2) restructuring the UCN approach and others for adjusting to Korean Building Act. As a result of the further studies in this paper, two major additions have demonstrated in the article: 1) the most remote point-based circulation representation, and 2) virtual space-based circulation analysis.

In Vivo Experimental Study on the Effects of Fluid in Increasing the Efficiency of Radiofrequency Ablation

  • Sun, Yi-Xin;Cheng, Wen;Han, Xue;Liu, Zhao;Wang, Qiu-Cheng;Shao, Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5799-5804
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    • 2014
  • Background: Radiofrequency ablation (RFA) is the most widely used and studied method internationally for the local treatment of liver tumors. However, the extension of coagulation necrosis in one RFA procedure is limited and incomplete coverage of the damaged area can lead to a high local recurrence rate. Objective: In this study, we compared the effects of different solutions in enhancing hepatic radiofrequency by establishing a rabbit VX2 liver cancer model. We also determined the optimal solution to maximise effects on the extent of RFA-induced coagulation necrosis. Methods: Thirty VX2 tumor rabbits were randomly assigned to five groups: group A, RFA alone; group B, RFA with anhydrous ethanol injection; group C, RFA with 5% hypertonic saline injection; group D, RFA with lidocaine injection; and group E, RFA with a mixed solution. Routine ultrasound examinations and contrast-enhanced ultrasound (CEUS) of the ablation areas were performed after RFA. Then, we measured the major axis and transverse diameter and compared the areas of coagulation necrosis induced by RFA. Results: The mean ablation area range increased in groups B, C and especially E, and the scopes were greater compared with group A. Preoperative application of anhydrous ethanol, hypertonic saline, lidocaine and the mixed solution (groups B, C, D and E, respectively) resulted in larger coagulation necrosis areas than in group A (p<0.05). Among the groups, the coagulation necrosis areas in group E was largest, and the difference was statistically significant compared with other groups (p<0.05). Pathological findings were consistent with imaging results. Conclusions: A mixture of dehydrated alcohol, hypertonic saline and lidocaine injected with RFA increases the extent of coagulation necrosis in the liver with a single application, and the mixed solution is more effective than any other injection alone.

Full-Thickness Skin Grafting with De-Epithelization of the Wound Margin for Finger Defects with Bone or Tendon Exposure

  • Lee, Jun Hee;Burm, Jin Sik;Kang, Sang Yoon;Yang, Won Yong
    • Archives of Plastic Surgery
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    • v.42 no.3
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    • pp.334-340
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    • 2015
  • Background Full-thickness skin grafts (FTSGs) are generally considered unreliable for coverage of full-thickness finger defects with bone or tendon exposure, and there are few clinical reports of its use in this context. However, animal studies have shown that an FTSG can survive over an avascular area ranging up to 12 mm in diameter. In our experience, the width of the exposed bones or tendons in full-thickness finger defects is <7 mm. Therefore, we covered the bone- or tendon-exposed defects of 16 fingers of 10 patients with FTSGs. Methods The surgical objectives were healthy granulation tissue formation in the wound bed, marginal de-epithelization of the normal skin surrounding the defect, preservation of the subdermal plexus of the central graft, and partial excision of the dermis along the graft margin. The donor site was the mastoid for small defects and the groin for large defects. Results Most of the grafts (15 of 16 fingers) survived without significant surgical complications and achieved satisfactory functional and aesthetic results. Minor complications included partial graft loss in one patient, a minimal extension deformity in two patients, a depression deformity in one patient, and mild hyperpigmentation in four patients. Conclusions We observed excellent graft survival with this method with no additional surgical injury of the normal finger, satisfactory functional and aesthetic outcomes, and no need for secondary debulking procedures. Potential disadvantages include an insufficient volume of soft tissue and graft hyperpigmentation. Therefore, FTSGs may be an option for treatment of full-thickness finger defects with bone or tendon exposure.

IEEE 802.16j MMR System for cost-efficient coverage extension (비용 효율적 커버리지 확장을 위한 IEEE 802.16j 모바일 멀티-홉 릴레이 시스템)

  • Lee, Ju-Ho;Lee, Goo-Yeon;Jeong, Choong-Kyo
    • Journal of Digital Contents Society
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    • v.14 no.2
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    • pp.191-197
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    • 2013
  • To complete the "anywhere" mobile service there should not be shaded areas. However, it is never economical to deploy BS's (Base Stations) in a low population density area due to the low resource utilization. We propose a design technique to install RS's(Relay Stations) which are cheaper than BS's and find the condition in which the proposed technique is acceptible. The proposed design technique aims to allocate the frequency and time resources to RS's to minimize the transmission rate degradation due to interferences between RS's as well as to maximize the parallelism in transmission. We showed by simulation that the proposed technique achieves cost benefits when the expected traffic is less than 20.32 percent of the total BS capacity. The proposed technique is compatible with the IEEE 802.16j, thus can be extended to multi-hop configuration.

Tungsten oxide interlayer for hole injection in inverted organic light-emitting devices

  • Kim, Yun-Hak;Park, Sun-Mi;Gwon, Sun-Nam;Kim, Jeong-Won
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.380-380
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    • 2010
  • Currently, organic light-emitting diodes (OLEDs) have been proven of their readiness for commercialization in terms of lifetime and efficiency. In accordance with emerging new technologies, enhancement of light efficiency and extension of application fields are required. Particularly inverted structures, in which electron injection occurs at bottom and hole injection on top, show crucial advantages due to their easy integration with Si-based driving circuits for active matrix OLED as well as large open area for brighter illumination. In order to get better performance and process reliability, usually a proper buffer layer for carrier injection is needed. In inverted top emission OLED, the buffer layer should protect underlying organic materials against destructive particles during the electrode deposition, in addition to increasing their efficiency by reducing carrier injection barrier. For hole injection layers, there are several requirements for the buffer layer, such as high transparency, high work function, and reasonable electrical conductivity. As a buffer material, a few kinds of transition metal oxides for inverted OLED applications have been successfully utilized aiming at efficient hole injection properties. Among them, we chose 2 nm of $WO_3$ between NPB [N,N'-bis(1-naphthyl)-N,N'-diphenyl-1,1'-biphenyl-4,4'-diamine] and Au (or Al) films. The interfacial energy-level alignment and chemical reaction as a function of film coverage have been measured by using in-situ ultraviolet and X-ray photoelectron spectroscopy. It turned out that the $WO_3$ interlayer substantially reduces the hole injection barrier irrespective of the kind of electrode metals. It also avoids direct chemical interaction between NPB and metal atoms. This observation clearly validates the use of $WO_3$ interlayer as hole injection for inverted OLED applications.

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