• The Journal of the Convergence on Culture Technology
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• v.10 no.3
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• pp.667-673
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• 2024

This study aims to diagnose the issues arising from the relationship between the out-of-pocket maximum in health insurance and private indemnity health insurance and propose policy tasks for institutional improvement. Through literature research, the study analyzed the damage to consumers caused by the non-payment of refunds exceeding the out-of-pocket maximum and the changing role of indemnity insurance due to the strengthening of health insurance coverage. The results confirmed that unilateral interpretation of insurance clauses and incomplete sales practices infringe upon consumer rights, and that insurance premiums do not decrease despite the reduction in coverage of indemnity insurance. Therefore, the study emphasized the urgency of institutional improvements such as rationalization of product structure, transparency of risk rate calculation, and reinforcement of consumer information provision, as well as the need for social consensus on the rational division of roles between health insurance and private insurance. This study is significant in that it provides policy implications for the developmental reorganization of the healthcare system.

• Journal of Communications and Networks
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• v.17 no.1
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• pp.47-57
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• 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.

• Archives of Reconstructive Microsurgery
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• v.10 no.2
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• pp.86-92
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• 2001

Failure of replantation is inevitable in finger replantation surgery, around 10% of failure rate are reported in many authors. Management of the failed finger replantation is one of big dilemma to microsurgeons. We report 5 cases of thumb reconstruction after failure of replantation. The reconstructive surgery composed with early debridement of soft tissue that are under gangrenous processing, extract the phalangeal bone without any soft tissues. Osteosynthesis of the extracted phalangeal bone with host phalangeal bone. The exposed bony portion covered with vascularized flaps such as revered radial forearm pedicled flap, free radial forearm flap and neurovascular island finger flap. This procedure underwent within a week after vascular insufficiency developed. All of the flaps are survived, bone union achieved within 3 months. The function and external appearance of the reconstructed thumb were encouraging; Pinch Power was average 1.2 Pounds. Early removal of necrotizing soft tissue followed by covering none vascular phalangeal bone which extracted from the dead phalanx with vascularized flap is one of the useful alterative solutions in failed replantation surgery in hand.

• Archives of Plastic Surgery
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• v.45 no.5
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• pp.479-483
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• 2018

Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient's quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring $9{\times}6cm$ and $7{\times}5cm$, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a $24{\times}8cm$ anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST.

• Herbal Formula Science
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• v.18 no.1
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• pp.43-56
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• 2010

Objective : There is a growing need to expand or adjust insurance coverage of herbal prescriptions in National Health Insurance. The purpose of this study was to provide basic data for expansions or adjustments of 56 herbal prescriptions in the National Health Insurance. Method : We surveyed lists of 56 insurance-covered herbal prescriptions, non-covered company-produced herbal medicines and self-prepared herbal medicines in 531 traditional korean medical clinics by mail from 6/1/2008 to 12/9/2008. Result : Among the 56 Prescriptions, Ojeok-san was stocked in 66.7% of clinics (1st), Samso-eum ranked 2nd, Socheongnyong-tang ranked 3rd, Gumiganghwal-tang was 4th, Hyangsapyeongwi-san ranked 5th. Among the non-covered company-produced herbal medicines, Danggwisu-san ranked 1st, Gwakyangjeonggi-san ranked 2nd, Oryeong-san was 3rd, Bangpungtongseong-san was 4th, Maengmundong-tang ranked 5th. Among the self-prepared herbal medicines, Gongjin-dan ranked 1st, Soche-hwan was 2nd, Gyejibongnyeong-hwan was 3rd, Yeongsin-hwan was 4th, Palmi-hwan ranked 5th. Conclusions : It is reasonable to select frequently used company-produced or self-prepared herbal prescriptions in this stock rate survey for improvement of National Health Insurance coverage.

• JSTS:Journal of Semiconductor Technology and Science
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• v.17 no.1
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• pp.56-64
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• 2017

In this paper, an advanced ZigBee (AZB) system for internet-of-things (IoT) applications is proposed which can support various data rates from 31.25 Kbps to 2 Mbps, and the implementation results of the AZB baseband processor are presented. Repetition coding for 32-chip direct-sequence spread spectrum (DSSS) symbol is applied for low rates under 250 Kbps to extend the coverage. Convolution coding, puncturing, and interleaving for non-DSSS symbol are performed for high rates from 500 Kbps to 2 Mbps for multi-media services. Simulation results show that the coverage increases at the rate of 51.8-77.3% for various environments compared with IEEE 802.15.4 ZigBee. AZB baseband processor was implemented in 180 nm CMOS process and total gate counts are 260K with the size of $5.8mm^2$.

• 한국정보통신설비학회:학술대회논문집
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• 2009.08a
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• pp.275-280
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• 2009

Femtocells are viewed as a promising option for mobile operators to improve coverage and provide high-data-rate services in a cost-effective manner Femtocells can be used to serve indoor users, resulting in a powerful solution for ubiquitous indoor and outdoor coverage. TThe frequency accuracy and phase alignment is necessary for ensuring the quality of service (QoS) forapplications such as voice, real-time video, wireless hand-off, and data over a converged access medium at the femtocell. But, the GPS has some problem to be used at the femtocell, because it is difficult to set-up, depends on the satellite condition, and very expensive. The IEEE 1588 specification provides a low-cost means for clock synchronisation over a broadband Internet connection. The Time of Packet (ToP) specified in IEEE 1588 is able to synchronize distributed clocks with an accuracy of less than one microsecond in packet networks. However, the timing synchronization over packet switched networks is a difficult task because packet networks introduce large and highly variable packet delays. This paper proposes an enhanced filter algorithm to reduce ths packet delay variation effects and maintain ToP slave clock synchronization performance. The results are presented to demonstrate in the intra-networks and show the improved performance case when the efficient ToP filter algorithm is applied.

• Health Policy and Management
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• v.19 no.4
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• pp.53-65
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• 2009

Purpose: This study was conducted to identify the prenatal heath care utilization and expenditure among pregnant women. Method: This was a 5-month follow-up study using a stratified sampling and the data were drawn from the "nationwide claim database of Korean National Health Insurance Corporation". Result: This study found that pregnant women were first diagnosed with pregnancy when they were 7.1 weeks pregnant, received 12.7 times of prenatal examinations and 10.6 times of ultrasonogram. It was revealed that 67.5% of the subjects continued to receive prenatal care at the same medical institutions from the diagnosis of pregnancy to the delivery. The study also showed that the total expenditure of prenatal care per pregnant woman was 700,000 Korean Won (KRW) on average and the insurance coverage rate stood at only 20%. Pregnant women living in metropolitan area spent more on prenatal healthcare expenditure than those who living in medium-sized city or rural area. Conclusion: The results of this study implies that the government needs to provide pregnant women with continuous support by increasing health insurance coverage for prenatal care. Especially, it is considered to provide more support to the pregnant women residing in medically underserved areas.

• Korean Journal of Environmental Biology
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• v.21 no.2
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• pp.120-125
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• 2003

For this study grasp coverage condition and forest stratification to various green space, observed air temperature and relative humidity. With this data, coverage condition and air temperature, relative humidity distribution, analyzed relationship of forest rate and air temperature or relative humidity, tree numbers and green volume and humidity by revolution analysis. In this result, higher none is formed artificiality and barren area, lower zone did fores and water area. Relative humidity have corresponding type of air temperature distribution. lower Tone was higher humidity. Different of Idlest type or water area, surround of forest showed relatively higher humidity. Increasing tree numbers or green volume effect higher humidity and this efficiency order of an arbor, subarbor, shrub.

• Steel and Composite Structures
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• v.23 no.1
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• pp.87-94
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• 2017

Steel structures often require strengthening due to the increasing life loads, or repair caused by corrosion or fatigue cracking. Carbon Fiber Reinforced Polymers (CFRP) is one of the materials used to strengthen steel structures. Most studies on strengthening steel structures have been carried out on steel beams and steel columns under centric compression load. No independent article, to the author's knowledge, has studied the effect of CFRP strengthening on steel columns under eccentric compression load, and it seems that there is a lack of understanding on behavior of CFRP strengthening on steel columns under eccentric compression load. However, this study explored the use of adhesively bonded CFRP flexible sheets on retrofitting square hollow section (SHS) steel columns under the eccentric compression load, using numerical investigations. Finite Element Method (FEM) was employed for modeling. To determine ultimate load of SHS steel columns, eight specimens with two types of section (Type A and B), strengthened using CFRP sheets, were analyzed under different coverage lengths, the number of layers, and the location of CFRP composites. Two specimens were analyzed without strengthening (control) to determine the increasing rate of the ultimate load in strengthened steel columns. ANSYS was used to analyze the SHS steel columns. The results showed that the CFRP composite had no similar effect on the slender and stocky SHS steel columns. The results also showed that the coverage length, the number of layers, and the location of CFRP composites were effective in increasing the ultimate load of the SHS steel columns.