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침치료에 대한 환자진료 평가 프로그램-독일 보험회사들의 침효과에 대한 검증-

  • Melchart, Dieter
    • Journal of Pharmacopuncture
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    • v.6 no.1
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    • pp.33-34
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    • 2003
  • 배경: 독일 의사와 보험회사 위원회 (The German Board of Physicians and Insurance Companies:Bundesausschuss der Arzte und Krankenkassen)가 앞으로 일부 적응증에 대한 침치료에 대해 공적 보험회사가 보험료를 지급해야 할 지에 대한 추가 결정을 하기 위해 침의 효과를 평가하기로 했다. 목적: 1) 침치료가 편두통의 예방, 긴장성 두통, 요통, 무릎과 고관절의 골관절염치료에 대조군 침치료보다 효과가 있는지 검증 2) 침치료가 편두통의 예방적 치료에 표준 약물 치료와 비슷하게 효과가 있는지 검증 3) 보건의료 서비스체계 안에서 주어진 조건에 대한 일상적 침치료의 질적인 부분을 서술하고, 안전성을 평가하며, 다른 침술학파간의 임상결과의 차이와 비용의 효용적 활용부분을 평가한다. 4) 위의 적응증에 해당하는 모든 임상실험연구를 찾아내어 기존의 고찰내용을 갱신한다. 방법: 1) 무작위 표본추출 임상 실험, 침치료, 거짓침 치료, 대기자 명단 대조군, 출발시점 4주, 28주 관찰 2) 무작위 표본추출 임상 실험, 침치료, 표준약물치료 대조군, 츨발시점 4주, 28주 관찰 3) 전향적 다중 의료기관 관찰 연구, 두 가지 다른 자료를 활용하여서, 치료 결과를 침 시술자에 의한 모든 환자 평가 자료와, 열 두 명의 환자 가운데 한 명의 환자로부터 직접 받은 평가 자료 (관찰 출발시점, 치료 출발 시점, 치료 시작 후 6 개월) 실험공간: 1) and 2) 높은 수준의 수련을 한 침 시술 의사가 시술하는 병원이나 일차 진료기관의 외래. 3) 보건 의료 서비스내 저급의 침 시술 의사 (140 시간 수강, 학점 이수 필수) 참가자: 1) $4{\times}320$ 편두통의 예방, 긴장성 두통, 요통, 무릎과 고관절의 골관절염 환자 2) 480 편두통 환자(긴장성 두통 환자 추가적) 3) 약 500,000 환자, 2년 반 동안: 대략 한 적응증 당 10,000 환자 치료법: 모든 침치료 자리는 체침만 허용함. 1) 진짜 침은 학파의 지침에 따른 심자, 거짓 침은 비특이적 자리의 표피만 찌르는 자침 (12-15회, 8주): 대기자 대조군은 12주 동안에 아무 치료도 받지 않는다. 2) Group 1(N=240): 최대 15회 치료, 12주 동안: Group II (N=240) 투약 Proponolol (80-240mg), Metoprolol (100-200mg) or Flunarizin (5-10mg) 하루, 16주 이상 3) 치료회수와 침자리의 선정은 참가자가 결정 주된 임상 결과 지표: 1) 군 간의 치료 전 및 치료 진행 도중 4주 마다의 두통을 느낀 날 수의 차이 (평균 혹은 이상의 편두통이나 긴장성 두통) 2) 요통환자 군간의 기능을 측정하는 FFbH-R (Funktionsfragebogen Hannover) 비교 3) 관절염 환자의 군간 WOMAC 지표 비교 4) 군 간의 24주 동안 두통을 느낀 날 수의 차이(평균 혹은 이상의 편두통이나 긴장성 두통) 5) 적응증, 부작용, 성공율에 대한 거시적 평가, 사용한 침수, 환자의 만족도, SES(?). ADS(?) 통증 장애 지표(PDI), 삶의 질 지표(SF36). 예비 결과 위의 결과가 큰 관찰 연구에 초점을 맞추면서 소개될 것임.

A Study on Difference between Private Security and Private Investigation (민간경비업과 민간조사업의 차이점 연구)

  • Son, Dong-Woon;Jo, Sung-Gu;Kim, Dong-Je
    • Korean Security Journal
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    • no.39
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    • pp.295-317
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    • 2014
  • In advanced country, private investigation system is made up of private security and in domestic, there is growing need constantly to introduce private investigation but it is not passed until now in assembly so a messenger office which is run illegally is growing because of demand by subdividing business areas. That is a proof that both the police and private security don't meet demand of public peace to the public. that's why the police has own businesses like a investigation, traffic, intelligence, crime prevention and private security's business areas are limited like a facilities security, escort security, protection of a person, machine security, special security as the Private Security Act. This study attempts to know structural difference between private security system and private investigation system in case private investigation system becomes one of the private security. on some question, respondents reply like that private security and private investigation is very different(71.2%), different(22.4%), average(6.3%), similar(0.0%), very similar(0.0%). the result seems like respondents recognize private security and private investigation as different businesses. In the result of non-quantity analysis, the differences seem like a business character, expense, business scope, public power, scale of organization, object of threat, legislation. In domestic, effort to legislate private investigation system has undergone difficulty since congressman Ha Soon Bong's motion in 1999 and today, congressman Yoon Jae Ok's All Amendments Private Security Act and congressman Song Young Geun's Private Inveswtigation Act are pending in assembly. This study's result is intended for examining difference in exploration between private security and private investigation and then there is going to propose to the policy in case private investigation system is passed in assembly by amending Private Security Act like congressman Yoon Jea Ok's All Amendment Private Security Act.

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Design of an Efficient Concurrency Control Algorithms for Real-time Database Systems (실시간 데이터베이스 시스템을 위한 효율적인 병행실행제어 알고리즘 설계)

  • Lee Seok-Jae;Park Sae-Mi;Kang Tae-ho;Yoo Jae-Soo
    • Journal of Internet Computing and Services
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    • v.5 no.1
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    • pp.67-84
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    • 2004
  • Real-time database systems (RTDBS) are database systems whose transactions are associated with timing constraints such as deadlines. Therefore transaction needs to be completed by a certain deadline. Besides meeting timing constraints, a RTDBS needs to observe data consistency constraints as well. That is to say, unlike a conventional database system, whose main objective is to provide fast average response time, RTDBS may be evaluated based on how often transactions miss their deadline, the average lateness or tardiness of late transactions, the cost incurred in transactions missing their deadlines. Therefore, in RTDBS, transactions should be scheduled according to their criticalness and tightness of their deadlines, even If this means sacrificing fairness and system throughput, And It always must guarantee preceding process of the transaction with the higher priority. In this paper, we propose an efficient real-time scheduling algorithm (Multi-level EFDF) that alleviates problems of the existing real-time scheduling algorithms, a real-time concurrency control algorithm(2PL-FT) for firm and soft real-time transactions. And we compare the proposed 2PL F[ with AVCC in terms of the restarting ratio and the deadline missing ratio of transactions. We show through experiments that our algorithms achieve good performance over the other existing methods proposed earlier.

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Performance Evaluation of Domestic Prototype Dose Area Product Meter SFT-1 (국산 프로토타입 면적선량계 SFT-1의 성능평가)

  • Lee, Ho-Sun;Han, Seong-Gyu;Roh, Young-Hoon;Lim, Hyun-Jong;Kim, Jung-Min;Kim, Jong-Uk;Chae, Hyun-Sik;Yoon, Yong-Su
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.435-441
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    • 2016
  • The importance of radiation dose display of medical X-ray equipment was emphasized, while third edition of IEC(International Electrotechnical Commission) 60601 started to apply. The existing medical X-ray equipment selected a method for attaching the DAP(Dose Area Product) meter when the dose display. However, because the DAP meter was dependent on all of the income, And it did not yet produced in Korea. So, we received the support of Seoul R&BD Program(Grants No. C1152055) to produce DAP meter prototype of the Domestically technology. In this study, the performance of this prototype was evaluated by comparing the German company's product Evaluation item was an electronic capture performance, radiation dose dependence, radiation quality dependence, energy transmittance, repeatability, light transmittance of 6 entries. And IEC 60580 was based on this evaluation. Evaluation results were electronic capture performance intrinsic error 9.5%, radiation dose dependence limits of variation 1%, repeatability coefficient of variation 2%, energy transmittance 91% each assessment was passed. However radiation quality dependence limits of variation 29%, light transmittance 55% was less than acceptance criteria.

Geospatial Data Modeling for 3D Digital Mapping (3차원 수치지도 생성을 위한 지형공간 데이터 모델링)

  • Lee, Dong-Cheon;Bae, Kyoung-Ho;Ryu, Keun-Hong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.27 no.3
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    • pp.393-400
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    • 2009
  • Recently demand for the 3D modeling technology to reconstruct real world is getting increasing. However, existing geospatial data are mainly based on the 2D space. In addition, most of the geospatial data provide geometric information only. In consequence, there are limits in various applications to utilize information from those data and to reconstruct the real world in 3D space. Therefore, it is required to develop efficient 3D mapping methodology and data for- mat to establish geospatial database. Especially digital elevation model(DEM) is one of the essential geospatial data, however, DEM provides only spatially distributed 3D coordinates of the natural and artificial surfaces. Moreover, most of DEMs are generated without considering terrain properties such as surface roughness, terrain type, spatial resolution, feature and so on. This paper suggests adaptive and flexible geospatial data format that has possibility to include various information such as terrain characteristics, multiple resolutions, interpolation methods, break line information, model keypoints, and other physical property. The study area was categorized into mountainous area, gently rolling area, and flat area by taking the terrain characteristics into account with respect to terrain roughness. Different resolutions and interpolation methods were applied to each area. Finally, a 3D digital map derived from aerial photographs was integrated with the geospatial data and visualized.

A Study on integrated to communication and broadcasting cable telecommunication Structure for Digital Conversion (통방통합 유선전송망의 디지털 전환을 위한 전송망근조에 관한 연구)

  • Sung yong-seok;Jin Yong-Ok
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2004.11a
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    • pp.31-35
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    • 2004
  • 정보통신 기술의 발달과 디지털 방송의 시작, 뉴미디어의 출현으로 인한 통신과 방송의 융합은 가속화되고 있다. 또한 2010년까지 광대역통신망 BcN과 홈네트워크 구축을 위한 정부정책이 실행 중에 있다. 100Mbps의 전송속도를 구현해야 하는 광대역 통신망(BcN)을 위해 기존 인터넷 백본 1)망은 잘 구축이 되어 있으나 가입자까지의 망 구조에 많은 문제점을 앉고 있다. 기존 전화국을 이용한 XDSL과 지역 SO를 활용한 Cable Modem의 경우 병목현상과 이론상 속도 또한 BcN과 통방통합이 요구하는 50-100Mhz의 전송속도를 만족하지 못한다. 새로운 망 구조를 구축하기 위해 많은 비용과 시간의 소요가 예상된다 가입자 망 구축에 따른 많은 방법과 이론이 제시되고 있다. 똔 논문에선 지역 SO를 활용하여 가입자까지 망을 통방통합과 BcN에 적합한 가입자 망을 새롭게 구성하는 것을 목표로 한다. 먼저 지역 50의 망을 활용하기 위해선 기존 KT와 파워콤의 COF(Glass Optical Fiber)망과 지역 케이블 SO의 HFC 망을 이용하기에는 동축케이블 망의 물리적 특성에 따른 한계로 통방통합과 BcN에 부적합하다. Tree And Branch 구조의 HFC망 대신 $SMF^{2)}$의 기존 SO의 자가망을 새롭게 설계하고 광분배망 기술인 $E-PON^{3)}$방식을 접목시켜 최대한 동축망을 사용하지 않고 굴곡 특성에 약한 $FOG^{4)}$의 특성을 극복하기 위해 $POF^{5)}$망을 이용하여 댁내 홈게이트웨이까지 연결하는 방식으로 지역 SO를 거점으로 활용하여 댁내까지 FHHT와 홈 네트워크까지의 가입자 망을 새롭게 구성하고자 한다. 저장의 효율성을 위해 이진 포멧인 IPMP화된 MP4 파일을 생성할 수 있다.으로써, 에러 이미지가 가지고 있는 엔트로피에 좀 근접하게 코딩을 할 수 있게 되었다. 이 방법은 실제로 Arithmetic Coder를 이용하는 다른 압축 방법에 그리고 적용할 수 있다. 실험 결과 압축효율은 JPEG-LS보다 약 $5\%$의 압축 성능 개선이 있었으며, CALIC과는 대등한 압축률을 보이며, 부호화/복호화 속도는 CALIC보다 우수한 것으로 나타났다.우 $23.87\%$($18.00\~30.91\%$), 갑폭 $23.99\%$($17.82\~30.48\%$), 체중 $91.51\%$($58.86\~129.14\%$)이였으며 성장율은 사육 온도구간별 차는 없었다.20 km 까지의 지점들(지점 2에서 지점 6)에서 매우 높은 값을 보이며 이는 조석작용으로 해수와 담수가 강제혼합되면서 표층퇴적물이 재부유하기 때문이라고 판단된다. 영양염류는 월별로 다소의 차이는 있으나, 대체적으로 지점 1과 2에서 가장 낮고, 상류로 갈수록 점차 증가하며 지점 7 상류역이 하류역에 비해 높은 농도이다. 월별로는 7월에 규산염, 용존무기태질소 및 암모니아의 농도가 가장 높은 반면에 용존산소포화도는 가장 낮다. 그러나 지점 14 상류역에서는 5월에 측정한 용존무기태질소, 암모니아, 인산염 및 COD 값이 7월보다 다소 높거나 비슷하다. 한편 영양염류와 COD값은 대체적으로 8월에 가장 낮으나 용존산소포화도는 가장 높다.출조건은 $100^{\circ}C$에서 1분간의 고온단시간 추출이 적합하였다. 증가를 나타내었는데

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A development of integrated water-quality measurement system (통합 수질계측 시스템 개발)

  • Yang, Keun-Ho
    • Journal of the Institute of Convergence Signal Processing
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    • v.8 no.3
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    • pp.211-216
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    • 2007
  • The quality of tap water on the whole water-supply system, from a large filtration plant to a private faucet, has to be guaranteed the standards of drinking water. At this point in time, however, the supply process of the tap water has not been monitored and managed scientifically. The piped water, especially the most small-scale reservoirs(underground or overhead type) are always exposed to various contaminations and impurities. Recently monitoring systems of water-quality were spread on some large filtration plants or distributing reservoirs. In particular, the water quality monitoring method using the internet is adopted into some local government whose inhabitants can check up the water quality anytime and anywhere. The construction of this system that has to apply a large scale needs, and has a limitation on the small water-supply system, such as apartments, public facilities and small-scale underground or overhead reservoirs. In this work, we suggest the integration system of individual water-quality sensor modules that have a low price. By using the developed integration system and monitoring program operated on the internet, the system managers of reservoirs can monitor and manage water-quality characteristic values of drinking water in online. Since the proposed system was modularized, the system can be applied easily into various reservoirs with a low cost and regardless of its scale, small or large.

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Design of a Real Estate Knowledge Information System Based on Semantic Search (시맨틱 검색 기반의 부동산 지식 정보시스템 설계)

  • Cho, Jae-Hyung;Kang, Moo-Hong
    • Journal of Korea Society of Industrial Information Systems
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    • v.16 no.2
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    • pp.111-124
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    • 2011
  • The apartment' share of the housing has steadily increased and property assets have been valued in importance as the one of asset value. Information retrieval system using internet is particularly active in the real estate market. However, user satisfaction on real estate information system is not very high, and there is a lack of research on real estate retrieval to increasing efficiency until now. This study presents a new knowledge information system developed to consider region-related factor and individual-related factor in the real estate market. In addition it enables a real estate knowledge system to search various preferential requirements for buyers such as school district, living convenience, easy maintenance as well as price. We made a survey of the search condition preference of experts on 30 real estate agents and then analyzed the result using AHP methodology. Furthermore, this research is to build apartment ontology using semantic web technologies to standardize various terminologies of apartment information and to show how it can be used to help buyers find apartments of the interest. After designing architecture of a real estate knowledge information system, this system is applied to the Busan real estate market to estimate the solutions of retrieval through Multi-Attribute Decision Making(MADM). Based on the results of the analysis, we endowed the buyer and expert's selected factors with weights in the system. Evaluation results indicate that this new system is to raise not only the value satisfaction of user, but also make it possible to effectively search and analyze the real estate through entropy analysis of MADM. This new system is to raise not only the value satisfaction of buyer's real estate, but also make it possible to effectively search and analyze the related real estate, consequently saving the searching cost of the buyers.

Satisfaction Level and Performance Evaluation for CM Service in Korea (국내 건설사업관리 업무만족도 및 성과평가)

  • Kim, Won-Tae;Chang, Chul-Ki
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.4
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    • pp.108-117
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    • 2013
  • The domestic CM business market has continued to grow, but its size is relatively small yet in comparison with the total size of the domestic construction industry. Evaluation of CM projects was conducted through questionnaire surveys. Both clients and CM firms showed positive satisfaction levels. Nevertheless, the clients' satisfaction levels were relatively low in safety management, cost management, and document and information management. Superior areas of CM tasks were time management and recovery scheduling, quality control and technical instruction, and design value engineering. On the other hand, inferior areas of CM tasks were claim analysis and dispute resolution, cost estimation, and life cycle costing. Both entities have agreed with the positive effects of CM involvement in terms of cost saving, time reduction, quality improvement, and safety incidents prevention to at least 0~5% extent.

Valplast$^{(R)}$ flexible removable partial denture for a patient with medically compromised conditions : a clinical report (전신적 질환자 및 예후가 불량한 환자에서 Valplast$^{(R)}$ 탄성 국소의치의 적용)

  • Choi, Bohm;Kim, Seong-Hun;Lee, Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.295-300
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    • 2009
  • Statement of problem: As the number of elders is growing with the advancement of medicine, partially or fully edentulous patients have increased. Medically compromised conditions are common in the older population so that it should be taken into account in prosthetic treatment planning as well as their economic conditions. In the older patients, removable prosthesis has been preferred to implant prosthesis. However, cast metal based removable partial dentures also has several limitations. Purpose: In this report, we present several cases of Valplast$^{(R)}$ flexible denture which were fabricated in patients who had medically compromised conditions or whose remaining teeth showed a relatively poor prognosis. Results & Conclusion: This article describes an alternative treatment for a partially edentulous patient with mouth opening limitation, after cancer surgery, compromised general condition and questionable remaining teeth. In these patients, Valplast$^{(R)}$ flexible denture was used because of its unique characteristics and the results were all satisfactory. Patients had 1-2 check-up and there were no postoperative pain or fracture of denture up to now.