• 제목/요약/키워드: CAM in U.S.A.

검색결과 26건 처리시간 0.023초

미국에서의 침술과 카이로프랙틱 건강보험 급여 현황 (A Study on Current Status of Acupuncture and Chiropractic Health Insurance in the United States)

  • 김주철;이은경;김동수
    • 대한예방한의학회지
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    • 제23권1호
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    • pp.1-13
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    • 2019
  • Backgrounds : The market of Complementary Alternative Medicine(CAM) in the United State(U.S.) accounts for a large proportion of the global CAM market and has a high growth rate. The recent introduction of Obama Care has brought the change in the health insurance system for CAM, and we need to analyze it for its implication to Korean system. Objectives : The purpose of this study is to investigate the current status of acupuncture and chiropractic health insurance in the U.S., and to draw implications for expanding the health insurance coverage for Korean traditional medicine through the comparison between the U.S. and Korean health insurance systems. Methods : We examined the data through the literature search and from the websites of both U.S. government departments and related organizations for the health insurance policy. Based on the collected data, we analyzed its CAM health insurance system in Korea. Results : The acupuncture covered by public health insurance in the U.S. has a limit in the number of treatments and a range of applied diseases compared with Korea. In addition, the practice of acupuncture is not subdivided. However, the chiropractic in the U.S. which also has a limited number of coverage and only three categories of practices are similar to that of Korea. Conclusions : Although the use of CAM by public health insurance is not active in the U.S., but the organizations such as Veterans Health Administration in Vermont is already discussing the use of acupuncture to solve the problem of opioid overuse. Thus Korea also needs to discuss to promote the expansion of the insurance system for CAM.

근거중심의 보완의학 (Evidence Based Complementary Medicine)

  • 이성재
    • Clinical and Experimental Pediatrics
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    • 제48권9호
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    • pp.915-919
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    • 2005
  • The increasing use of complementary and alternative medicine(CAM) in Korea as well as in U.S.A. and Europe seems to lead to a growing integration of CAM with conventional medicine. By using conventional mainstream medicine with CAM(integrative medicine) proved in efficacy and safety, integrative medicine seeks to treat the whole person, to assist the innate healing properties of each person and to promote health and wellness as well as the prevention of diseases. Also in pediatric diseases, especially for cancer patients, integrative medicine serves as an interdisciplinary, comprehensive, and children-centered care which results in more effective care by synergistically combining therapies. But the research to prove the efficacy and safety of CAM and the education for CAM in the medical school should proceed before applying them to patients.

동일 색도 광원의 휘도 변화에 따른 색 순응 모델 (Chromatic adaptation model for the variations of the luminance of the same chromaticity illuminants)

  • 김은수;장수옥;이성학;송규익
    • 대한전자공학회논문지SP
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    • 제42권4호
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    • pp.31-38
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    • 2005
  • 본 논문에서는 동일 광원에서 휘도 변화에 따른 색 순응 현상을 고려하여 원 피사체와 동일하게 보이는 대응색을 재현할 수 있는 색 순응 모델을 제안한다. 제안한 CAM$\Delta$Y는 저휘도 상태의 시험 색과 동일하게 보이는 고휘도의 상태의 대응색으로 변환하는 변환 행렬로 모델링하고, 제안 모델의 최적 계수 값들은 Breneman이 실험한 주위 휘도별 대응색 데이터들로부터 구한다. 제안한 색 순응 모델인 CAM$\Delta$Y에 의한 예측 대응색과 Breneman의 실험 데이터 간의 측색적 좌표 오차 $\Delta$u'v'를 비교해 본 결과, Breneman의 D55 광원의 세 가지 서로 다른 밝기에 대한 실험의 대응색과 제안한 모델에 의해 예측된 색과의 평균 측색적 좌표 에러 $\Delta$u'w'의 값이 0.004 정도로, 이는 제안 모델의 평균 측색적 좌표 오차가 인접한 (adjacent) 두 컬러 샘플간의 구별 색차 정도로 아주 작은 오차를 가짐으로 그 성능이 매우 좋음을 확인하였다. 또한 제안한 CAM$\Delta$Y를 이용하여 동일 광원의 밝기에 따른 동일한 백색으로 보이는 등백색 상관 색온도 곡선 (equal-whiteness CCT curve, EWC)을 제안한다. 제안한 둥백색 상관 색온도 곡선은 이제까지 TV 제조 업자들의 경험에 의해 결정된 디스플레이 장치의 기준 백색을 설정하는 정량적인 기준으로 사용될 수 있다

점진적 성형 기술을 이용한 자동차 차체 모형 제품의 제작 (Application of Incremental Sheet Metal Forming for Automotive Body-In-White Manufacturing)

  • 이승욱;누엔늑뚜안;김남규;양승한;김영석
    • 소성∙가공
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    • 제20권4호
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    • pp.279-283
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    • 2011
  • Recently incremental sheet metal forming (ISF) has used widely in making prototypes and small-volume products in automotive industry etc. We apply the ISF to make a 1/4 sized automobile body-in-white. First, ISF tests for rectangular shaped cup have been performed to clarify the formability denoting the relationship between the component wall angle and maximum cup height of safe forming. Next, a CAD model for the automobile was designed and segmented into several components in order to accommodate the working space of the CNC machine we adopted and the formability of the sheet metal. Then, a CAM software was employed to generate the tool path for manufacturing wooden dies and all the small parts. Finally, the different parts were joined into a single component by laser welding after the ISF process. By using the ISF we successfully produced the 1/4 sized automobile body-in-white.

What Is Integrative Medicine?

  • Jung, Seungpil
    • Journal of Yeungnam Medical Science
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    • 제30권2호
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    • pp.79-82
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    • 2013
  • The demand for complementary and alternative medicine (CAM) is increasing worldwide. High-technology medicine is not always effective and is often accompanied by neglected self-care and high cost. Also, conventional medicine has become dependent on expensive technological solutions to health problems. Integrated medicine is not simply a synonym for complementary medicine. It involves the understanding of the interaction of the mind, body, and spirit and how to interpret this relationship in the dynamics of health and disease. Integrative medicine shifts the orientation of the medical practice from a disease-based approach to a healing-based approach. In South Korea, CAM education was first provided 20 years ago, and integrative medicine is becoming part of the current mainstream medicine. Increasing numbers of fellowships in integrative medicine are being offered in many academic health centers in the U.S. Also, it has emerged as a potential solution to the American healthcare crisis and chronic diseases, which are bankrupting the economy. It provides care that is patient-centered, healing-oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine.

RGM 기반 롤러 트랙 기어 시스템 설계 (Roller Track Gear System Design based on Roller Gear Mechanism)

  • 권순만
    • 한국생산제조학회지
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    • 제23권2호
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    • pp.194-198
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    • 2014
  • In recent years, RGM(roller gear mechanism) systems, wherein one of the gears of a meshing gear pair is replaced with pins or rollers, have been reintroduced, which is a consequence of, and therefore a reflection of, the rapid advances made in manufacturing technology. Three RTG(roller track gear) systems for arbitrary path transportation (e.g., L-, O-, U-, and S-shaped tracks) were constructed using two out of three RGM systems, namely, the CRP(cam rack pinion), CRG(cam ring gear), and RPG(roller pinion gear) systems, and are introduced in this paper. We also present three ways to prevent the intersection and non-contact phenomena at the teeth in the vicinity of the conversion point between two joined RGM systems.

레진-나노세라믹 CAD/CAM블록의 색조와 두께가 이원중합 레진시멘트의 미세경도에 미치는 영향 (Influence of resin-nanoceramic CAD/CAM block shade and thickness on the microhardness of dual-cured resin cement)

  • 최가영;박정길;진명욱;권용훈;손성애
    • 대한치과재료학회지
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    • 제44권2호
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    • pp.151-161
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    • 2017
  • 본 연구에서는 다양한 두께와 색조를 가진 레진 -나노세라믹 CAD-CAM block(RNB)의 시편을 이용하여 광중합 시 시편을 투과하는 광자의 수와 시편을 통과하는 빛의 양에 영향을 미칠 수 있는 반투명도 지수를 측정하고, 시편 하방의 이원중합 레진시멘트의 미세경도 측정을 통해 그 중합적 특성을 파악하였다. Lava Ultimate (3M/ESPE, St. Paul, MN, USA) 세라믹 시편을 A1, A2, A3색조 (HT (high translucency)와 LT (low translucency))로 각각 1, 2, 3, 4 mm 두께로 제작하였다 (n = 3). Photodiode detector (M1420, EG&G PARC, Princeton, NJ, U.S.A.)를 통해 시편을 통과하는 광자의 수를 측정하였고 spectrophotometer (SpectroPro-500, Acton Research, Acton, MA, U.S.A.)를 이용하여 시편의 반투명도 지수를 측정하였다. Stainless steel mold (6 mm 직경, 1 mm 두께)를 제작하여 이원중합 레진시멘트(Rely X ARC, 3M/ESPE, St. Paul, MN, USA)를 제조사의 지시대로 조작하여 적용 후 Mylar strip를 얹은 뒤 주입된 레진시멘트가 완전히 덮일 수 있도록 각 실험군의 시편을 위치시키고 광조사기로 40초간 광중합 하였다. 이후 24시간 동안 $37^{\circ}C$에 보관 후 미세경도를 측정하였다. 광자의 수는 HT, LT군에서 모두 세라믹 시편의 두께가 증가함에 따라 유의하게 감소하였고, A1 군이 A2군과 A3군에 비해 유의하게 적은 감소를 보였다 (p<0.05). 반투명도 지수는 HT, LT 그룹에서 시편의 두께가 증가함에 따라 유의하게 감소하였고 A1군이 A2군과 A3군에 비해 높은 값을 나타냈다 (p<0.05). HT, LT그룹 각각 두께가 증가함에 따라, 색조가 증가함에 따라 미세경도는 감소하였으며, 1 mm군과 4 mm군, 그리고 A1군과 A3군에서는 통계적으로 유의하게 감소하였다 (p<0.05).

u-CCTV 화재 감시 시스템 개발을 위한 시스템 및 화재 판별 기술 연구 (A Study on u-CCTV Fire Prevention System Development of System and Fire Judgement)

  • 김영혁;임일권;이계귀;박소아;김명진;이재광
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2010년도 춘계학술대회
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    • pp.463-466
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    • 2010
  • 본 논문에서는 CCTV를 기반으로 한 화재 감시 시스템 개발을 위하여 기존 센서를 기반으로 하는 화재 탐지 시스템과 영상을 기반으로 하는 시스템들의 장단점을 분석하고 국가적으로 지원하고 있는 U-City, U-Home, U-Campus 등 확산되는 유비쿼터스 환경에 적합한 화재 감시 시스템 모델과 화재를 판별하기위한 기술을 제안한다. 본 연구를 위해 영상을 촬영할 카메라로는 Microsoft LifeCam VX-1000을 사용하였으며, 영상을 촬영하는 코덱으로는 H.264를 사용하였다. 카메라로부터 촬영된 영상 데이터를 가공하여 서버에 전달하는 클라이언트는 Linux OS를 사용하는 ARM9 S3C2440 보드로 제작하였다. 클라이언트와 서버의 영상 데이터 송/수신은 기본적으로 1:1 방식으로 되어있다. 그리하여 카메라의 데이터를 다중으로 수신하기 위한 멀티캐스트 1:N이 가능하게 명세하여, 화재 감시를 위한 다각적 영상 수신 시스템을 설계하였다. 영상 데이터는 RGB 형식을 YUV로 변환하여 전송하며, 화재를 감지하기위한 모션 추출을 위해 Y값을 이용한다. 화재 판별은 붉은 색상을 감지하고 Y값의 움직임을 계산해 화재시 지속적으로 타오르는 불꽃의 모션을 감지하여 판단하는 판별법을 적용한 시스템을 최종적으로 제안한다.

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기계요소의 CAD 소프트웨어 개발기법에 관한 연구 (The State-of-the-art in Computer-Aided Design Modules for Machine Elements)

  • 신중호
    • 한국기계연구소 소보
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    • 통권16호
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    • pp.53-61
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    • 1986
  • This paper introduces the program to develop graphics-oriented, interactive, computer-aided design modules for machine elements which are developing in both of CAD/CAM Lab., Numerical Control Department of KIMM in Korea and Mechanical Engineering Department of the Ohio State University in U.S.A. The CAD modules are developed to be efficiently performed within the arena of minicomputer-and personal computer-based computer-aided design. In addition, this paper deals with the state-of-the-art in computer-aided design.

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Can Serum ICAM 1 Distinguish Pancreatic Cancer from Chronic Pancreatitis?

  • Mohamed, Amal;Saad, Yasmin;Saleh, Doaa;Elawady, Rehab;Eletreby, Rasha;Kharalla, Ahmed S.;Badr, Eman
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권10호
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    • pp.4671-4675
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    • 2016
  • Background and aim: Pancreatic cancer is the fourth leading cause of cancer-related death worldwide, with an overall 5-year survival of <5% mainly due to presence of advanced disease at time of diagnosis. Therefore development of valid biomarkers to diagnose pancreatic cancer in early stages is an urgent need. This study concerned the sensitivity and specificity of serum ICAM 1 versus CA 19-9 in differentiation between pancreatic cancer and healthy subjects and acohort of patients with chronic pancreatitis with a focus on assessing validity in diagnosis of early stages of pancreatic cancer. Methods: A cohort of 50 patients with histologically diagnosed pancreatic tumors, 27 patients with chronic pancreatitis, and 35 healthy controls were enrolled. Serum samples for measurement of CA19-9 and I-CAM 1 were obtained from all groups and analyzed for significance regarding diagnosis and disease stage. Results: At a cut off value of (878.5 u/ml) I-CAM 1 had 82% and 82.26% sensitivity and specificity for differentiation between cancer and non-cancer cases, with higher sensitivity and specificity than CA19-9 at different cut offs (CA19-9 sensitivity and specificity ranged from 64-80% and 56.4 - 61.2% respectively). The AUC was 0.851 for I-CAM and 0.754 for CA19-9. Neither of the markers demonstrated significance for distinguishing between early and late cancer stages. Conclusion: ICAM 1 is a useful marker in differentiation between malignant and benign pancreatic conditions, and superior to CA19-9 in this regard. However, neither of the markers can be recommended for use in differentiation between early and late stage pancreatic cancers.