• 제목/요약/키워드: coverage extension

검색결과 113건 처리시간 0.025초

한방물리요법 상대가치 산출과 급여 확대 시 재정부담 추계 (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)

  • 임병묵;신미숙;신병철;송윤경;송미연;신승우;김호준;이명종
    • 대한예방한의학회지
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    • 제14권2호
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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.

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

  • 임효택
    • 한국통신학회논문지
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    • 제24권7B호
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    • pp.1322-1330
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    • 1999
  • B-ISDN과 같은 초고속 네트워크에서 전송오류의 주요원인은 과잉밀집 상태에 있어서의 버퍼 오버플로우이며 이로 인해 셀 손실을 야기한다. 기존의 통신 프로토콜은 손실된 패킷이나 전송에러들을 다루기 위해 ARQ와 같이 오류회복을 위해 재전송 기법을 사용하고 있으나 이러한 ARQ 방법들은 재전송으로 인한 전송 지연시간이 매우 크기 때문에 초고속 네트워크에서는 적합하지 않다. 따라서 본 논문은 이러한 문제를 줄이기 위하여 B-ISDN에서 FEC를 이용한 셀손실 회복기법을 제안하였다. 제안된 기법은 새로운 순서번호(SN)인 SN*를 이용하여 연속적인 셀손실을 식별한다. SN*는 SN이외에 다른 두 개의 필드(ST, LI)를 조합하여 생성한 순서번호로 그 특성에 따라 가산적(additive) SN*와 승산적(multiplicative) SN*로 구분된다.이러한 연구결과로 FEC는 네트워크 노드상에 버퍼 오버플로우로 인한 셀손실이 발생한 경우에 유용하며 B-ISDN과 같은 초고속 통신망에서의 셀손실 회복에 효과적으로 사용할 수 있는 오류에 기법임을 보여주고 있다. 본 논문에서 제안된 효율적인 셀손실 회복기법은 향후 ATM 네트워크에서의 우선순위 제어, 과잉밀집 제어 등의 연\ulcorner에 효율적으로 사용될 수 있다.

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

  • 이병주;박무성;이승형;최웅철;정광수
    • 한국통신학회논문지
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    • 제32권3A호
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    • pp.230-236
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    • 2007
  • 본 논문에서는 IEEE 802.15.3 High-Rate WPAN(Wireless Personal Area Network)의 메쉬 네트워크 구성을 위한 분산형 채널 자원 관리 방법을 제안한다. IEEE 802.15 TG(task group)5는 WPAM의 메쉬 네트워크 구성을 위해 MAC과 PHY 계층의 표준화를 진행중이다. 기존 WPAN에서 전송 파워의 증가나 수신측의 감도 증가없이 전송 범위 확장 방법의 연구와 네트워크 내에서 라우팅 기능의 강화를 통해서 보다 신뢰성 있는 통신을 가능케하는 것이 이 TG의 목표이다. 본 논문은 PNC(piconet coordinator)가 없이 각 DEV(device)들이 자신의 채널 자원을 예약하는 환경에서 DEV들이 공평하게 채널 자원을 사용하는 방법을 제안한다. 채널자원을 분배하는 PNC가 없으면 각 DEV는 자신이 사용할 채널자원을 미리 예약하여 사용한다. Piconet에 먼저 접속한 DEV는 많은 양의 채널자원 예약이 가능하지만 나중에 접속한 DEV는 상대적으로 적은 양의 채널자원만 예약할 수 있다. 이처럼 기존 방법에서는 DEV들이 공평하게 채널자원을 사용하지 못하는 문제점이 발생한다. 본 논문에서는 MAC 계층에서 채널 자원 할당의 불공평함을 해결하는 분산형 채널타임 할당 방법을 제안하고, 시뮬레이션을 통해서 자원 할당 방법의 성능을 평가한다.

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

  • Shanmugam, Palanisamy;Ahn, Yu-Hwan
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume I
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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
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume I
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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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BIM과 그래프를 기반으로 한 건물 동선의 표현과 분석 접근방법 - UCN의 확장형인 MRP 그래프의 제안 - (An Approach to the Graph-based Representation and Analysis of Building Circulation using BIM - MRP Graph Structure as an Extension of UCN -)

  • 김지수;이진국
    • 한국건설관리학회논문집
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    • 제16권5호
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    • pp.3-11
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    • 2015
  • 본 연구는 BIM을 활용한 그래프 기반의 동선 표현과 분석 접근 방법 제안을 목적으로 한다. 접근 방법의 제안을 위해 건물 동선 관련 요구사항 파악과 공간 네트워크, BIM에 관한 선행연구를 분석하였다. 또한, 본 연구는 선행연구인 UCN(Universal Circulation Network)을 기반으로 연구를 진행하였으며, 본 연구를 통해 UCN에 추가적으로 고려해야 할 사항을 파악하고 이를 확장하였다. 본 연구에서는 UCN을 기반으로 두 가지 관점에서 동선의 표현과 분석 접근 방법을 제안하고자한다: 1) UCN의 그래프 기반 동선 분석의 주요 요소를 파악한다, 2) 국내 건축법 등의 요구사항을 적용하여 UCN을 재구성한다. 결과적으로, 본 연구에서는 출구에서 가장 먼 점 (MRP) 기반의 동선 표현과 가상공간에서의 동선 분석이 추가적으로 제안되었다.

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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    • 제15권14호
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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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    • 제42권3호
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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.

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

  • 이주호;이구연;정충교
    • 디지털콘텐츠학회 논문지
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    • 제14권2호
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    • pp.191-197
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    • 2013
  • 어디에서나 이동통신서비스를 이용할 수 있도록 하기 위해서는 음영지역을 해소해야 하지만 인구밀집도가 낮은 지역에 기지국(BS: Base Staton)을 설치하는 것은 그 자원 이용률이 낮아 경제적이지 못하다. 이 연구에서는 기지국보다 비용이 적은 중계국(RS: Relay Station)을 설치할 때의 설계 기법을 제시하고 이 방식이 타당성을 갖는 조건을 찾아낸다. 제시한 설계기법은 RS들 간의 신호 간섭으로 인한 전송률 저하를 최소화하면서 병렬 전송 효과를 높이도록 주파수 및 시간 자원을 할당한다. BS의 최대전송능력의 20.32%보다 작은 트래픽이 예상되는 경우에는 제시한 방식을 적용함으로써 비용이득을 얻을 수 있음을 모의실험을 통해 보였다. 제시한 방식은 IEEE 802.16j에 부합하도록 설계되었으므로 다중구간(multi-hop)으로 확장할 수도 있다.

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

  • 김윤학;박순미;권순남;김정원
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2009년도 제38회 동계학술대회 초록집
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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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