• Health Policy and Management
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• v.21 no.2
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• pp.159-178
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• 2011

Korea ranks high among the OECD member countries with a high out-of-pocket share. In 2006, the government implemented in full scale the policy of extending the health insurance benefit coverage. Included in the policy are lowering the out-of-pocket share of patients of serious case and expanding the medical bill ceiling system to mention just a few. This study proposes to confirm effectiveness of the benefit extension policy by identifying changes in 'out-of-pocket expenditure as a share of the ability to pay' and 'incidence rate of catastrophic health care expenditure' of each individual household as manifested before and after the benefit extension policy was implemented. The 1st and 3rd year data from the Korea Welfare Panel Study (KoWePS), conducted by the Korea Institute for Health and Social Affairs (KIHASA), were used for the analysis, where low-income households and ordinary households are sampled separately. While the absolute amount of 'out-of-pocket expenditure' occurred to the average household increased for the period 2005-2007, the 'out-of-pocket expenditure as a share of the ability to pay' decreased. At the same time, the share decreased in the case of low-income households and households with patients of chronic or serious case as contrasted with ordinary households. 'Incidence rates of catastrophic health care expenditure' of ordinary households for 2007 stood at 14.6%, 5.9% and 2.8% at the threshold of 10%, 20% and 30%, respectively. The rates decreased overall between 2005 and 2007, while those of low-income households with patients of serious case statistically significantly increased. An analysis of this study indicates that it is related with the medical bill ceiling system regardless of incomes introduced in 2007.

• Convergence Security Journal
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• v.16 no.4
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• pp.63-68
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• 2016

This study examined the current state of fitness IT which are commercially available, and proposed the prospect and promoting plans for fitness IT. Latest wearable smart market has been reorganized into smart watch market and fitness tracker market. Fitness trackers which are typical devices of fitness IT technology has developed various types of such as watch, band, clothes, glasses, and lens. Until now, the most popular type of fitness tracker are watch and band including clip, necklace, hair band etc.. Also Apple and Google referred to as the two major axes of mobile platform has provided a health-related platform such as "Healthkit" and "Google Fit" for preoccupying the fitness business. The view of the fitness IT has seen a continuous growth trend considering smaller and lighter of fitness-related wearable device. To continuous growth and promote of fitness IT, it is expected to require mash-up a variety of fitness applications and services, ensuring the convenience of user experience, design and resonable price.

• Computational Structural Engineering
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• v.4 no.4
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• pp.79-89
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• 1991

New design method of R/C slab system based on finite element method has been presented. The proposed method can substitute inaccurate existing method, which has limitation in its application, and provide accurate and efficient design results for any type of slab system. Isoparametric plate element used in the slab design has been efficiently formulated to save computational time. Reinforcement has been determined by strength design method and compared with code minimum values. Graphical output through comprehensive contour map for resulting moments and designed steel areas has considerably facilitated design process. Accurate shear results from isoparametric plate element enabled to check punching shear in a proper manner. In addition to strength design criteria, serviceability has also been checked by utilizing newly developed inelastic deflection multiplier method. An example for circular slab with opening showed that the proposed method could be applied to design of irregular slab without any difficulty.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.23 no.3
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• pp.331-340
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• 2010

The basic theory and application of new adaptive finite element algorithm have been proposed in this study including the adaptive hp-refinement strategy, and the effective method for constructing hp-approximation. The hp-adaptive finite element concept needs the integrals of Legendre shape function, nonuniform p-distribution, and suitable constraint of continuity in conjunction with irregular node connection. The continuity of hp-adaptive mesh is an important problem at the common boundary of element interface. To solve this problem, the constraint of continuity has been enforced at the common boundary using the connectivity mapping matrix. The effective method for constructing of the proposed algorithm has been developed by using hierarchical nature of the integrals of Legendre shape function. To verify the proposed algorithm, the problem of simple cantilever beam has been solved by the conventional h-refinement and p-refinement as well as the proposed hp-refinement. The result obtained by hp-refinement approach shows more rapid convergence rate than those by h-refinement and p-refinement schemes. It it noted that the proposed algorithm may be implemented efficiently in practice.

• The KIPS Transactions:PartD
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• v.15D no.6
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• pp.803-814
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• 2008

Product line architectures include variable parts to be selected according to product specific requirements. In order to derive architectures that are valid for a particular product from product line architectures, variabilities of product line architectures must be systematically managed. In this paper, we adopt an approach to variability management of product line architectures through an explicit mapping between a feature model and product line architecture models. If this mapping is incorrect or there exists inconsistency among product line architectural elements, variabilities of product line architectures cannot be managed correctly. Therefore, this paper formally defines product line architectural models in terms of conceptual, process, deployment, and module views, and mapping relationships between the feature model and the architectural models. Consistency rules for correct variability management of product line architectures are defined in terms of consistency in each of product line architecture model, consistency between different architectural view models, and consistency between a feature model and product line architectural models. These consistency rules provide a theoretical foundation for deriving valid product architecture from product line architectures.

• Korean Journal of Remote Sensing
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• v.39 no.6_3
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• pp.1707-1720
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• 2023

With the increase in satellite time series data, the utility of remote sensing data is growing. In the analysis of time series data, the relative positional accuracy between images has a significant impact on the results, making image registration essential for correction. In recent years, research on image registration has been increasing by applying deep learning, which outperforms existing image registration algorithms. To train deep learning-based registration models, a large number of image pairs are required. Additionally, creating a correlation map between the data of existing deep learning models and applying additional computations to extract registration points is inefficient. To overcome these drawbacks, this study developed a data augmentation technique for training image registration models and applied it to OffsetNet, a registration model that predicts the offset amount itself, to perform image registration for KOMSAT-2, -3, and -3A. The results of the model training showed that OffsetNet accurately predicted the offset amount for the test data, enabling effective registration of the master and slave images.

• Korean Journal of Animal Reproduction
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• v.16 no.1
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• pp.7-14
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• 1992

These experiments were designed to investigate the effects of glycosaminoglycans(GAGs), which maybe produced by cumulus cells, on in vitro maturation process of bovine follicular oocytes. The rates of in vitro maturation of bovine oocytes were examined after incubating with the various concentrations of a hyaluronic acid, chondroitin sulfate, or heparin for 26 hours. The results obatained in these experiments were summarized as follows : 1. When the cumulus or removed oocytes treated with hyaluronic acid(200, 400, 800 and 1, 600$\mu\textrm{g}$/ml), the maturation rates of cumulus-removed oocytes were 48.6, 59.4, 68.4 and 61.3% respectively. Especially, at a concentration of 800$\mu\textrm{g}$/ml, the maturation rates(68.8%) of cumulus-removed oocytes were slightly lower than that(78.3%) of cumulus-enclosed oocytes. However, the treatment of hyaluronic acid showed significantly higher maturation rates compared to that(48.4%) of control group of cumulus-removed oocytes(p<0.05). Therefore, these results suggest thate hyaluronic acid had a beneficial effect on maturation of bovine follicular oocytes. 2. The maturation rate of cumulus-free oocytes treated with chondroitin sulfate(200, 400, 800 and 1, 600$\mu\textrm{g}$/ml) was 52.3, 56.1, 55.9 and 52.2% respectively. These rates were not different from those(52.9%) of control group. However, these rates in cumulus-free oocytes were significantly lower than that(79.0%) in cumulus-enclosed oocytes(p<0.01). Therefore, these results suggest that chondroitin sulfate do not affect on the maturation of oocytes. 3. In cumulus-free oocytes cultured with different heparin concentration, the maturation rates were ranged from 48.5 to 52.1%, showing no differencies from that(50.7%) of control group. However, these rates were significantly lower than 80.0% in cumulus-enlosed oocytes(p<0.01). 4. The nuclear maturaton of oocytes was increased by treatment of each of three glycosaminoglycans(hyaluronic acid, chondroitin sulfate, and heparin). In addition, the treatment of mixed together showed the significant additive effect. Hyaluronic acid was more effective than chondroitin sulfate and heparin were.

• Korean Journal of Animal Reproduction
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• v.14 no.1
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• pp.1-8
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• 1990

These experiments were carried out to investigate the effects of cumulus cells for in vitro fertilization and development of bovine follicular oocytes matured in vitro. The bovine ovaries were obtained at a slaughter house and the follicular oocytes surrounded by cumulus cells were collected by puncturing follicles with 2~6 mm of diameter. Bovine oocytes were matured in vitro for 24~26 hours in a CO2 incubator with 5% CO2 in air at 39$^{\circ}C$. The medium used for maturation was TCM-199 supplemented with hormones, pyruvate, FCS and antibiotics. Epididymal spermatozoa were capacitated by in vitro culture for 2~3 hours in BO solution containing BSA(5mg/ml) and caffeine(2.5mM). Insemination was made by introducing about 10~15 matured oocytes into the suspension of capacitated spermatozoa. Six hour after insemination the eggs were transferred to TCM-199 supplemented with FCS(10%) and HEPES(25mM), cultured for 7~8 days with 10~15 eggs/well in 4-well multidishes(Nunc Co.) forming cumulus cell monolayer. The results obtained in these experiments were summarized as follows ; 1. The majority of the follicular oocytes with compacted cumulus cells existed in GV stage while those with dispersed or denuded cumulus cells existed GVBD and M II stage. 2. After 24~26 hours maturation, the maturation rates of the follicular oocytes cultured in TCM-199 containing hormones were slightly higher than those of oocytes cultured in medium without hormones, and the frequency of cumulus compacted or denuded oocytes reaching M II stage cultured in medium containing hormones was 75.7% or 51.7%, respectively(P<0.05). 3. After 20 hours in vitro insemination, percentages of ova fertilized were 61.4% or 51.4%, respectively, for cumulus oophorus intacted or removed, and increased frequency of ova with both male and female pronuclei was found when cumuli were present(P<0.05). 4. The rates of embryos developed to 2-, 4-, 8-, 16-cell and morula or blastocyst stage after cocultured with cumulus cells were 65.0%, 45.3%, 34.7%, 28.0% and 22.7%, respectively. The results for momla or blastocyst stage were significantly higher than those of the embryos cultured in the basic medium(P<0.05).

• Korean Journal of Animal Reproduction
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• v.14 no.2
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• pp.101-106
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• 1990

These mxperiments were carried out to investigate the effect of rabbit anti-bovine cumulus cell antibodies on in vitro fertilization and following development of bovine follicular oocytes matured in vitro. The bovine ovaries were obtained at a slaughter house and the follicular oocytes surrounded by cumulus cells were collected by puncturing follicles with 2~6mm of diameter. Bovine oocytes were matured in vitro for 24~26hrs in a CO2 incubator with 5% CO2 in air at 39$^{\circ}C$ and subsequently cultured in medium containing cumulus cell antibody for 1 hour. The medium used for maturation was TCM-199 supplemented with hormones, pyruvate, FCS and antibiotics. Epididymal spermatozoa were capacitated by in vitro culture for 2~3 hrs in BO solution 10~15 matured oocytes into the suspension of capacitated spermatozoa. Six hour after insemination the eggs were transferred to TCM-199 supplemented with FCS(10%) and then cultured for 7 days. The results obtained in these experiments were summarized as follows : 1. When the follicular oocytes matured in vitro were treated with antibody to intact cumulus cells, the fertilization rate of cumulus intact and removed oocytes was ranged to 45.0 to 53.7%. These value is slightly lower than that(64.3%) of follicular oocytes not treated with the antibody, and increased frequency of both male and female pronuclear formation was found in cumulus intact oocytes cultred in medium without the antibody(p<0.05). 2. The fertilization rate of cumulus intact and removed oocytes treated with antibody to solubilized cumulus cells was ranged 45.0 to 52.5%, significantly lowre than that(62.8%) of oocytes cultured in antibody free medium, and increased frequency of ova with male and female pronuclei was found when cumulus cells were present(p<0.05). 3. The rates of cumulus cell intact and removed oocytes developed to 8-, 16-cell and morula or blastocyst after treatment of intact and solubilized cumulus cell antibody were ranged 7.1 to 14.5, 2.9 to 5.9 and 1.5 to 2.9%, respectively, slightly lower than 18.6, 10.0 and 8.6% of cumulus intact oocytes cultured in medium without the antibody. The results of this stduy indicate that cumulus cells promote not only normal fertilization with proper pronuclear formation, but embryo development and that the beneficial effect of cumulus cell to the pronuclear formation and embryo development is blocked by the action of antibody to cumulus cell.

• Journal of Korean Orthopaedic Sports Medicine
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• v.2 no.2
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• pp.168-175
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• 2003

Fracture about proximal humerus may be classified as the articular segment or the anatomical neck, the greater tuberosity, the lesser tuberosity, and the shaft or surgical neck. Now, usually used, Neer's classification is based on the number of segments displaced, over 1cm of displaced or more than 45 degrees of angulation , rather than the number of fracture line . Absolute indication of a operative treatment a open fracture, the fracture with vascular injury or nerve injury , and unreductable fracture-dislocation . Inversely, the case that are severe osteoporosis, and eldly patient who can't be operated by strong internal fixation is better than arthroplasty used by primary prosthetic replacement and early rehabilitation program than open reduction and internal fixation. The operator make a decision for the patient who should be taken the open reduction and internal fixation, because it's different that anatomical morphology, bone density, condition of patient. The operator decide operation procedure. For example, percutaneous pinning, open reduction, plate & screws, wire tension bands combined with some intramedullary device are operation procedure that operator can decide . The poor health condition for other health problem, fracture with unstable vital sign and severe osteoporosis , are the relative contraindication. The stable fracture without dislocation is not the operative indication . The radiologic film of the prokimal humerus before the operation can not predict for fracture evaluation. It's necessary to good radiologic film for evaluation of fracture form. The trauma serise is better than the other radiologic film for evaluation. The accessary radiologic exam is able to help for evaluation of bone fragment and anatomy. The CT can be helpful in evaluating these injury, especially if the extract fracture type cannot be determined from plain roenterogram of the proximal humerus, bone of humerus head. If the dislocation is severe anatomically , we could consider to do three dimentional remodelling. The MRI doing for observing of bony morphology before the operation is not better than CT If we were suspicious of vascular injury, we could consider the angiography.