• Health Policy and Management
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• v.30 no.1
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• pp.72-81
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• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• Journal of the Korean Institute of Gas
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• v.11 no.4
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• pp.47-53
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• 2007

The safe operation of high pressure pipe line systems is of significant importance. Leaks due to faulty operation from the pipelines can lead to considerable product losses and to exposure of community to dangerous gases. There are several leak detection methods, which have been recently suggested on pipeline network. The negative pressure wave detection technology, which has advantages of short time detection availability, accurate leaking location estimate capability and cost effective, is concentrated in this study. Theoretical analysis of the flow characteristics for leaking through a hole on the pipe wall has been performed by using CFD++, commercial CFD package. The results of 3-dimensional analysis near leaking hole confirm the occurrence of negative pressure wave and verify the characteristics of propagation of the wave which travels with speed equal to the speed of sound in the pipeline contents. For the application of long pipe line system. The method of 1-dimensional analysis has been suggested and verified with results of CFD++.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.1
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• pp.47-61
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• 1998

The purpose of this study was to compare the microleakage pattern of glass ionomer with resin restoration in microleakage pattern of primary and permanent teeth. Microscopical observation of interface between tooth structure and restoration was also performed. 80 and 8 sound molar teeth were used for the microleakage test and SEM study respectively. Data were analyzed statistically using ANOVA test and/or t-Test. The results of the present study were as follows: 1. According to the result of microleakage pattern between primary and permanent tooth, primary tooth generally showed more micro leakage than permanent tooth in all groups (p<.05). 2. In the resin-filled groups, occlusal margin was shown to have more microleakage than gingival margin(p<.05). Whereas the glass ionomer-filled groups showed no statistically significant differences between them(p>.05). 3. No statistically significant differences in microleakage could be found between two different resin groups(p>.05), while Fuji II LC group showed less microleakage than Ketac-Fil group(p>.05). 4. The various type hybrid layer was evident under SEM in resin-filled groups both in primary and permanent teeth with generally thicker layer in primary group. Among glass-ionomer group, Fuji II LC group showed more intact adhesion to tooth surface than Ketac-Fil group

• Journal of the Korea Institute of Information and Communication Engineering
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• v.22 no.11
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• pp.1524-1530
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• 2018

In this paper, we designed a product that can prevent environmental pollution, waste of resources, and leakage of foreign currency by commercializing a green IT solution by merging a used smart phone with the IoT object communication technology for the first time in the world. For the experiment of the designed system, various performance and communication condition was experimented by installing it in the actual crop cultivation facility. As a result, when a problem occurs, the alarm sound and video notification are generated by the user's smart phone, and remote control of various installed devices and data analysis in real time are possible. In this study, it is thought that the terminal management board developed for the utilization of the used smart phone can be applied to various fields such as agriculture and environment.

• Journal of the Institute of Convergence Signal Processing
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• v.22 no.1
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• pp.1-6
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• 2021

Recently, unmanned facilities have been introduced and operated in a way that reduces the cost and development of IT technology. Although unmanned facilities have advantages in terms of efficiency and economy, they have disadvantages such as failure of unmanned facilities and malfunctions, causing damage to facilities caused by intruders, and information leakage. In addition, it is necessary to visit the person in charge at all times to inspect the unmanned facilities, resulting in management costs. In this paper, we designed a system that checks the status of unmanned surveillance facilities in real time to check and automatically recover problems such as malfunctions, and to notify managers of situations by text messages in real time. The system to be designed consists of an integrated network video server (NVR) that receives and determines information on the operation status of the main equipment such as video, sound, and lighting, and a real-time text message using an SMS server.

• Archives of Plastic Surgery
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• v.49 no.3
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• pp.378-396
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• 2022

Several reconstructive methods have been reported to restore the continuity of the aerodigestive tract following resection of pharyngeal and hypopharyngeal cancers. However, high complication rates have been reported after voice prosthesis insertion. In this setting, the ileocolon free flap (ICFF) offers a tubularized flap for reconstruction of the hypopharynx while providing a natural phonation tube. Herein, we systematically reviewed the current evidence on the use of the ICFF for reconstruction of the aerodigestive tract. A systematic literature search was conducted across PubMed MEDLINE, Web of Science, ScienceDirect, Scopus, and Ovid MEDLINE(R). Data on the technical considerations and surgical and functional outcomes were extracted. Twenty-one studies were included. The mean age and follow-up were 54.65 years and 24.72 months, respectively. An isoperistaltic or antiperistaltic standard ICFF, patch flap, or chimeric seromuscular-ICFF can be used depending on the patients' needs. The seromuscular chimeric flap is useful to augment the closure of the distal anastomotic site. The maximum phonation time, frequency, and sound pressure level (dB) were higher with ileal segments of 7 to 15 cm. The incidence of postoperative leakage ranged from 0 to 13.3%, and the majority was occurring at the coloesophageal junction. The revision rate of the microanastomosis ranged from 0 to 16.6%. The ICFF provides a reliable and versatile alternative for reconstruction of middle-size defects of the aerodigestive tract. Its three-dimensional configuration and functional anatomy encourage early speech and deglutition without a prosthetic valve and minimal donor-site morbidity.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2021.05a
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• pp.237-239
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• 2021

Failure and malfunction of the unmanned surveillance facility cost can lead to delays occurring until the person in charge arrives at the unmanned surveillance facility, and theft, damage, and information leakage damage caused by intruders. In addition, due to equipment failure and malfunction, additional costs are incurred due to constant inspection by the manager. In this paper, in order to compensate for the malfunction of unmanned facility costs, we propose a system that diagnoses the monitoring facility in real time, displays the contents of the problem, automatically restores the facility power, and informs the person in charge of the situation by text message. The proposed system is a surveillance facility consisting of main facilities such as video equipment (CCTV), sound equipment, floodlights, etc. And SMS server that can send text messages in real time. Through experiments, the effectiveness of the proposed system was verified.

• Economic and Environmental Geology
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• v.50 no.5
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• pp.363-373
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• 2017

In the present study, adaptability of cyber-physical system (CPS) for risk management of $CO_2$ storage site is examined and the subagging regression (SBR) method is proposed as a key component of the cyber-twin to estimate the risk due to potential $CO_2$ leakage. For these purposes, $CO_2$ concentration data monitored from a controlled $CO_2$ release field experiment is employed to validate the potentialities of the SBR method. From the validation study, it is found that the SBR method has robust estimation capability by showing minimal influence from anomalous measurements, and makes stable and sound predictions for the forthcoming $CO_2$ concentration trend. In addition, the method is found to be well suited as a tool of operational risk assessment based on real-time monitoring data due to the computational efficiency. The overall results suggest that the SBR method has potential to be an important component comprising the cyber twin of CPS for risk management of $CO_2$ storage site.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.2
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• pp.460-474
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• 1997

The purpose of this study was to evaluate and compare the effectiveness of various low-viscosity resin systems used as rebonding agents to prevent microleakage at the margins of class I composite resin restorations. Seventy sound human premolars were selected for experiment. Class I cavities were prepared and each cavity was conditioned with a 37% phosphoric acid for 15 sec, rinsed with water for 15 sec, and dried with compressed air. Bonding agent(Scotchbond Multipurpose, 3M Co.) was applied and a hybrid composite resin (Z-100, 3M Co.) was placed using an incremental technic. The excess cured composite resin was carefully removed with Sof-Lex discs(3M Co.) to expose the original margins of the cavity. The following seven groups were established : group 1 was not rebonded and used as control group ; group 2 was rebonded with a Scotchbond Multipurpose(3M Co.) and finished ; group 3 was rebonded with a Fortify(BISCO) and finished ; group 4 was rebonded with a Concise white sealant(3M Co.) and finished ; group 5 was rebonded with a Concise white sealant(3M Co.) and not finished ; group 6 was rebonded with a P&F sealant(BISCO) and finished; group 7 was rebonded with a P&F sealant(BISCO) and not finished. The specimens were then subjected to 500 thermocycles between 5 & 65 with a 10 see dwell time and immersed in 2% methylene blue dye solution for 24 hours and sectioned with low-speed diamond cutter into two part under water condition. The extent of microleakage at rebonded margins was evaluated microscopically and scored for dye penetration according to the following scale : 0=no dye penetration ; 1=dye penetration to half-way along axial wall between enamel surface and DEJ ; 2=dye penetration beyond halfway along axial wall between enamel surface and DEJ ; 3=dye penetration to the full depth of DEJ or beyond DEJ. Selected samples were prepared for SEM observation to determine the depth of penetration of the rebonding agent into the marginal interface. The obtained results were as follows: 1. In the group 2 and 3, which is rebonded with a Scotchbond Multipupose and Fortify, dye penetration score were decreased significantly than that of group 1 (P<0.05), but group 4 and 6 were not statistically different from group 1(P>0.05). 2. There were significant differences between group 4, 6 and group 5, 7 when compared by dye penetration score (P<0.05). 3. In the SEM observation, Scotchbond Multipurpose and Fortify were penetrated within $30-40{\mu}m$ depth of the outermost surface. However, both sealants were failed to penetrate into the debonded interface.

• Restorative Dentistry and Endodontics
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• v.31 no.4
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• pp.282-289
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• 2006

The purpose of this study was to compare the ability of three resin surface sealants to prevent microleakage in Class V composite resin restorations. Forty Class V cavities with the occlusal margin in enamel and gingival margin in dentin were prepared on the buccal surfaces of sound extracted molars, and restored with composite resin. Restorations were randomly assigned into one of four equal groups (n = 10): a control group, without resin sealing, and three experimental groups in which margins were sealed with Fortify Plus, Biscover and Permaseal, respectively. Specimens were thermocycled, immersed in a 2% methylene blue solution for 4 hours, sectioned longitudinally, and observed the leakage at the occlusal and gingival margins. The result was analyzed using Kruskal-Wallis test, Mann-Whitney test and Wilcoxon signed rank test. In conclusion, the ability to reduce microleakage at occlusal margins was similar in all of three sealants. However at gingival margin, it depended on the type of used resin surface sealant. At gingival margin. control and Fortify Plus group showed statistically higher microleakage than PermaSeal group. and Fortify Plus group also showed higher microleakage than BisCover group (p < 0.05).