• Archives of Reconstructive Microsurgery
• /
• 제22권2호
• /
• pp.90-93
• /
• 2013

Old post burn contractures on feet still remain challenging problem for reconstructive surgeon. A 43-year-old male visited Hallym University Sacred Heart Hospital with the complain of foot deformity and difficulties in shoe fitting. His right 4th and 5th toes were inverted at dorsal foot. We released the contracture of 4, 5th metatarsophalangeal joint and lengthened extensor tendon by Z-plasty, and covered the resultant defect with the anterolateral thigh flap. The flap was successful and the deformity was corrected. As there have been few reports on reconstruction of foot dorsum, especially on post burn extension contractures in the toes, we report a rare case of contracture release and coverage by free flap.

• 정보처리학회논문지D
• /
• 제12D권6호
• /
• pp.869-874
• /
• 2005

최근 제품 판매 활동에 있어서 보증수리기간 연장과 관련 부품의 품질을 중심으로 하는 서비스 경쟁이 치열해지고 있다. 이러한 서비스 경쟁에 관련된 변수들은 대부분 명확하지 않으며, 생산 현장의 전문 지식들이 요구되기 때문에, 제품 판매에 관련된 의사결정에 있어서 보다 정교한 도구들의 사용이 요청되고 있다. 이러한 문제들은 제품 서비스 분야에 국한된 것이 아니고, 금융 관련기관, 신용 평가 기관, 보험회사와 같은 조직 및 관련 연구자들에게도 관심의 대상이 되고 있다. 본 논문은 이러한 문제에 관련하여 하나의 퍼지 전문가 시스템을 임베디드 프로그램으로 개발하기 위한 접근 방식을 나타내고, 구체적으로 자동차 판매 서비스 경쟁에 있어서 중요한 부분으로 등장하고 있는 보증수리기간 연장을 중심으로 하는 의사결정 시스템을 제공하는데 있다. 퍼지 전문가 시스템의 구축 도구로는 문제와 해의 상술이 우리에게 익숙한 수학적 표현이 가능하고 사용자 중심의 통합적인 환경을 제공하고 있는 MATLAB을 사용하고, 이것을 기존 회사의 응용 프로그램에 임베디드하기 위한 API 함수들을 소개한다.

• 한국시뮬레이션학회논문지
• /
• 제1권1호
• /
• pp.31-36
• /
• 1992

To estimate the probability of long delay in a queuing system using discrete-event simulation is studied. We contrast the coverage, half-width, and stability of confidence intervals constructed using two methods: batch means and new resampling technique; binary bootstrap. The binary bootstrap is an extension of the conventional bootstrap that resamples runs rather than data values. Empirical comparisons using known results for the M/M/1 and D/M/10 queues show the binary bootstrap superior to batch means for this problem.

• 한국시뮬레이션학회:학술대회논문집
• /
• 한국시뮬레이션학회 1992년도 제2회 정기총회 및 추계학술 발표회 발표논문 초록
• /
• pp.13-13
• /
• 1992

To estimate the probability of long delay in a queuing system using discrete-event simulation studied. We contrast the coverage, half-width, and stability of confidence intervals constructed using two methods: batch means and new resampling technique; binary bootstrap. The binary bootstrap is an extension of the conventional bootstrap that resamples runs rather than data values. Empirical comparisons using known results for the M/M/1 and D/M/10 queues show the binary bootstrap superior to batch means for this problem.

• Archives of Reconstructive Microsurgery
• /
• 제24권2호
• /
• pp.56-61
• /
• 2015

Purpose: We report on the clinical result after coverage of a soft tissue defect on the medial foot and ankle with an adipofascial flap based on the perforator from the posterior tibia artery. Materials and Methods: Nine patients with soft tissue defects on the medial foot and ankle area from March 2009 to May 2014 underwent the procedure. Average age was 54 years old (range, 8~82 years). There were five male patients and four female patients. The causes of the defect were trauma (4), tumor (3), and infection (2). The pivot point of transposition of this flap is the lower perforator originating from the posterior tibia artery. The fatty tissue side of this flap could be used to resurface the defect. The donor site was closed primarily with the preserved skin, and a small caliber drain tube was used. The split-thickness skin graft was grafted to the flap and the wound. If the wound was still infected, this skin graft could be performed at a later date. Results: All flaps survived and normal soft tissue coverage was obtained for the medial foot and ankle of all patients after the skin graft. Normal footwear was possible for all cases because of thin coverage. There was an extension contracture on the medial ray of the foot, which was resolved by contracture release and skin graft. Conclusion: For the medial foot and ankle soft tissue defect, the medial crural adipofascial flap based on a perforator branch of the posterior tibia artery could be a good option to cover it.

• 한국시뮬레이션학회논문지
• /
• 제21권2호
• /
• pp.51-58
• /
• 2012

MMR(Mobile Multi-hop Relay) 기술을 적용한 IEEE 802.16j 표준에서는 전송률 향상을 위한 transparent 중계 모드와 커버리지 확장을 위한 non-transparent 중계 모드를 지원한다. 이 두 가지의 중계모드는 모두 RS의 추가 설치를 통하여 구현된다. 그러나 커버리지 확장을 위한 non-transparent 중계 모드는 커버리지 확장의 본래의 목적 외에도, RS의 주파수 중첩 사용을 통해 전송률도 향상시킬 수 있는데, 이러한 non-transparent 중계 모드 상에서의 전송률 향상 정도에 대한 연구는 지금까지 거의 이루어지지 않았다. 이에 본 논문에서는 IEEE 802.16j non-transparent 중계 모드 환경에서 커버리지 확장을 위한 전형적인 모델을 제시하였으며, 제시된 모델에서 설치된 RS의 개수, 위치, 그리고 증가된 커버리지 영역에 따른 전송률 향상 정도를 시뮬레이션을 통해 분석하였다. 동일 면적 대비 전송률 향상 정도의 비교를 위해서 전송 전력의 확대를 통해 커버리지 반경을 확대한 단일 MR-BS 시스템과 비교하였고, 제시된 모델에서의 전송률이 단일 MR-BS 시스템보다 최대 51.8% 이상 높게 나옴을 확인하였다. 이러한 결과는 커버지리 확대를 위한 non-transparent 중계 모드 적용시에 증가된 사용자의 트래픽 수용 용량을 설계하는데 유용하게 활용될 것이다.

• 농촌지도와개발
• /
• 제18권3호
• /
• pp.351-384
• /
• 2011

The purpose of this study is to look at the case of the German compensation system for farmers' accidents and to build a basic scheme in our country's compensation system for farmers' accidents. When you view examples of Germany, the social insurance scheme for farmers accidents in korea should be design as an independent institution from the existing industrial accident insurance, and it comes to relationships with other social insurance system, preferably with complementary personalities. A general rule of the compensation system applies to all farmers in principle but the coverage limits part-time farmers. Financial burden consists of the mix of insurance premium and state aid. The type and level of benefits is similar to the current industrial accident insurance, which give priority to places on economic security for keeping farmworks, such as cost for using temporary farmers, rather than income loss. In terms of financial system, pay-as-you-go system would be better because of immediate payment with the introduction of the compensation system. The compensation system might be managed and administrated by the existing nationwide organization. Of course, for operating of system review and further research on the technical details such as premium issues and funding problems of government support, the exact classification of the target coverage, premiums based on estimated income for the farmers' estimation, the exact statistical data on the accumulation of agricultural disaster is needed.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권7호
• /
• pp.2895-2898
• /
• 2015

Background: In the years 2014, coverage rates of cervical cancer screening in Nakornnayok province accounted to 76.5%. This was lower than the government's specified goal of 80%. Community health volunteers are members of a Thai healthcare alliance established to help promoting healthcare service communication and collaboration at the primary level. Such village health volunteers (VHVs) are established in most villages. Objective: To assess the knowledge and attitudes of cervical cancer screening among VHVs. Materials and Methods: The subjects were 128 VHVs from four Nakornnayok sub-districts; namely KlongYai, Chomphol, Buangsan and Suksara, Thailand. The study was conducted from December 2014 to January 2015. The questionnaire was designed to assess the knowledge and attitude of cervical cancer screening provided by the VHVs. In addition, cervical cancer screening coverage rates of each area were collected. The demographic data, scores of knowledge, attitudes, practices and the cervical cancer screening coverage rates were analyzed by one-way ANOVA. Results: The questionnaire reliability was assessed as 0.81. The total knowledge and attitude scores were 10 and 15 points. The mean knowledge scores of KlongYai, Chomphol, Buangsan and Suksara were 6.8, 7.0, 6.5 and 9.0 points, respectively. The VHVs had a high level of overall knowledge about cervical cancer screening. The mean attitude scores were 12.4, 13.2, 13.4 and 13.1 points. VHVs had a positive attitude to the promotion of cervical cancer screening at the overall level. The percentages of VHVs promoting cervical cancer information in respective districts were 72.2, 94.3, 94.9 and 50.0. However, the cervical cancer screening coverage rates were 62.4%, 34.7%, 80.3% and 47.3% respectively. Conclusions: The knowledge, attitudes and percentages of promoting information of cervical cancer screening among VHVs in the four sub-districts were high but did not correlate with the cervical screening coverage rates for each area. VHVs needed to understand socio-cultural beliefs of the women in the target population and design suitable strategies to encourage higher cervical screening coverage.

• 보건행정학회지
• /
• 제17권2호
• /
• pp.1-17
• /
• 2007

Limited coverage for health care services of National Health Insurance(NHI) in Korea has been ongoing policy issue but additional NHI financing through raising contribution or taxes in order to improve coverage faces substantial obstacles. Private health insurance(PHI) is often considered as an alternative financing source to improve coverage. Recent reform that attempted to stretch the role of PHI allowed life insurance companies to provide complementary PHI, indemnity plan which will pay for uncovered services by NHI and out-of-pocket spending for covered services. Although complementary PHI may relieve financial burden of patients, it may significantly raise NHI spending as well as total health expenditure since little out-of-pocket spending may increase utilization of health care. So far, there has not been enough discussion about concerns of potential adverse effect resulting from extended role of PHI. This study investigated potential increase of NHI spending followed by extension of complementary PHI through sensitivity analysis. The amount of NHI spending for services that would be covered by complementary PHI was calculated using 2005 NHI statistics and expected complementary PHI enrollment rate by age and sex. Expected utilization increases were obtained based on price elasticities$(-0.2{\sim}-0.5)$ from previous studies and expected coverage rate$(50{\sim}80%)$ of complementary PHI and then converted to monetary figures. Because coverage rate of complementary PHI has not been determined yet, we employed the sensitivity analysis using coverage rate of $50{\sim}80%$. Findings demonstrate that additional spending for health care services is expected to be $426{\sim}1,702$ billion won, corresponding amount payed by NHI $298{\sim}1,192$ billion won. In conclusion, since complementary PHI may raise NHI spending significantly, there should be an agreement whether this additional cost would be accountable and acceptable in our society. Potential inefficiency resulting from extended role of complementary PHI should be considered since public and private financing do not operate in isolation and there should be more discussion on proper role of PHI in Korea.

• Journal of Communications and Networks
• /
• 제17권1호
• /
• pp.47-57
• /
• 2015

With the ever growing demand of data applications, the joint macro-relay networks are emerging as a promising heterogeneous deployment to provide coverage extension and throughput enhancement. However, the current cellular networks are usually designed to be performance-oriented without enough considerations on the traffic variation, causing substantial energy waste. In this paper, we consider a joint macro-relay network with densely deployed relay stations (RSs), where the traffic load varies in both time and spatial domains. An energy-efficient scheme is proposed to dynamically adjust the RS working modes (active or sleeping) according to the traffic variations, which is called traffic-aware relay sleep control (TRSC). To evaluate the performance of TRSC,we establish an analytical model using stochastic geometry theory and derive explicit expressions of coverage probability, mean achievable rate and network energy efficiency (NEE). Simulation results demonstrate that the derived analytic results are reasonable and the proposed TRSC can significantly improve the NEE when the network traffic varies dynamically.