• Title/Summary/Keyword: Coverage Rate

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Chest Wall Reconstruction with Thoracoabdominal Flap for Large Skin Defects after Mastectomy of Advanced Breast Cancer (진행성 유방암에 있어 유방절제술 후 발생한 광범위 피부결손 부위의 가슴배피판을 이용한 흉벽재건술)

  • Kim, Hak-Tae;Yang, Jung-Dug;Chung, Ho-Yun;Cho, Byung-Chae;Kim, Gui-Rak;Choi, Kang-Young;Lee, Jung-Hun;Park, Ho-Yong
    • Archives of Plastic Surgery
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    • v.37 no.6
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    • pp.736-741
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    • 2010
  • Purpose: Radical surgical extirpation in advanced breast cancer patients produces extensive loss of skin with large defects requiring plastic surgical procedures for the closure. Many reconstructive methods exist, the choice of which depends upon the characteristic of the wound, extent of resection and patient comorbidities. For adequate coverage of the large skin defects following resection of advanced breast cancer, current authors have performed a thoracoabdominal flap. Methods: From August 2008 to June 2009, 4 cases of thoraco-abdominal flap were performed for chest wall reconstruction after mastectomy of advanced breast cancer. Flap dissection was entirely performed in a subfascial plane and the flap involving the external oblique abdominal muscle. The flap was rotated clockwise in left chest wall defects and counterclockwise in right chest defects and the donor site was closed directly. Results: Their mean age, 55.7 years and the average follow-up interval was 9 months. Patients' oncologic status ranged from stage IIIc to stage IV, it was classified according to the TNM staging system. Flap dimensions ranged between $15{\times}15$ and $25{\times}25\;cm$. One flap sustained a partial loss at the distal margin and revision with pectoralis major musculocutaneous island flap. Conclusion: Large chest wall reconstructions are usually required after radical excision of advanced cancer stages patients with poor general conditions. Thoracoabdominal flap is a simple, quick single-stage procedure, and offer to patient fast recovery, low complication rate, enabling further concomitant adjuvant therapy.

Evaluation and Implications of the German Riester Pension Scheme (독일 리스터연금제도의 평가와 시사점)

  • Kim, Won Sub
    • 한국사회정책
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    • v.25 no.3
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    • pp.279-303
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    • 2018
  • Since the introduction of the Riester Pension Scheme, the controversy has continued in the policy studies and the political debates. This study evaluates the achievements and limitations of the German Riester pension scheme and tries to derive policy implications for South Korea. As a result of the analysis, the most worthwhile achievement of the Riester Pension is to strengthen the role of the private pension schemes. Unlike other private pension schemes, it included a large part of lower income households. It also opened a new perspective of utilizing private pension schemes to accomplish the goals of the family policy. Despite these attainments, it does not reach the promised coverage rate. It also was revealed that the higher income households have concluded more Riester Pension Contracts than the targeted lower-income households. Due to high administration fee and incomplete information problems, benefit levels are supposed to be much lower than expected. It concludes, above all, despite some achievements, the Riester Pension Scheme will not fill completely the gap of old age income security caused by the reduction of the public pension system. The German case provides fruitful lessons for Korea. The introduction of a subsidized personal pension scheme in South Korea can be realized only when some prerequisites would be satisfied such as the consolidation and maturing of public pension schemes and the strengthening of the transparency in the private pension market.

Analysis of Fuel Marginal Price for Biomass Power Plant - On the Basis of China Biomass Power Plant - (바이오매스 발전소 연료한계단가 분석 - 중국 바이오매스 발전소를 중심으로 -)

  • Kim, Cheol;Sa, Jae-Hwan;Kim, YunSoung;Jeon, Eui-Chan
    • Journal of Climate Change Research
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    • v.1 no.3
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    • pp.219-226
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    • 2010
  • This study is analyzed the financial feasibility of biomass power plant in China in terms of fuel marginal price of biomass power plant. The range of fuel price is 150~300 RMB and IRR(Internal Rate of Return), NPV(Net Present Value), DSCR(Debt Service Coverage Ratio) and operation time are analyzed by 10 RMB from 150 RMB. The sensitivity of IRR went down by 1.35 on average. The sensibility of NPV showed big difference by 20% on 260 RMB and 270 RMB. In addition, DSCR of loan is at 1.0 at raw cost of 242 RMB and at lower than 1.0 when the raw cost over 242 RMB. It means that the pay-off of principal and interest of the loan is expected to be difficult in that case. The operation time of power plant should be 88% against standard operation time to maintain over 1.0 of DSCR. Therefore, the factors affecting the cost of raw material to build the power plant and to operate it should be prioritized.

Feasibility Study on Integration of SSR Correction into Network RTK to Provide More Robust Service

  • Lim, Cheol-Soon;Park, Byungwoon;Kim, Dong-Uk;Kee, Chang-Don;Park, Kwan-Dong;Seo, Seungwoo;So, Hyoungmin;Park, Junpyo
    • Journal of Positioning, Navigation, and Timing
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    • v.7 no.4
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    • pp.295-305
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    • 2018
  • Network RTK is a highly practical technology that can provide high positioning accuracy at levels between cm~dm regardless of user location in the network by extending the available range of RTK using reference station network. In particular, unlike other carrier-based positioning techniques such as PPP, users are able to acquire high-accuracy positions within a short initialization time of a few or tens of seconds, which increases its value as a future navigation system. However, corrections must be continuously received to maintain a high level of positioning accuracy, and when a time delay of more than 30 seconds occurs, the accuracy may be reduced to the code-based positioning level of meters. In case of SSR, which is currently in the process of standardization for PPP service, the corrections by each error source are transmitted in different transmission intervals, and the rate of change of each correction is transmitted together to compensate the time delay. Using these features of SSR correction is expected to reduce the performance degradation even if users do not receive the network RTK corrections for more than 30 seconds. In this paper, the simulation data were generated from 5 domestic reference stations in Gunwi, Yeongdoek, Daegu, Gimcheon, and Yecheon, and the network RTK and SSR corrections were generated for the corresponding data and applied to the simulation data from Cheongsong reference station, assumed as the user. As a result of the experiment assuming 30 seconds of missing data, the positioning performance compensating for time delay by SSR was analyzed to be horizontal RMS (about 5 cm) and vertical RMS (about 8 cm), and the 95% error was 8.7 cm horizontal and 1cm vertical. This is a significant amount when compared to the horizontal and vertical RMS of 0.3 cm and 0.6 cm, respectively, for Network RTK without time delay for the same data, but is considerably smaller compared to the 0.5 ~ 1 m accuracy level of DGPS or SBAS. Therefore, maintaining Network RTK mode using SSR rather than switching to code-based DGPS or SBAS mode due to failure to receive the network RTK corrections for 30 seconds is considered to be favorable in terms of maintaining position accuracy and recovering performance by quickly resolving the integer ambiguity when the communication channel is recovered.

2018 Current Health Expenditures and National Health Accounts in Korea (2018년 경상의료비 및 국민보건계정)

  • Jeong, Hyoung-Sun;Shin, Jeong-Woo;Moon, Sung-Woong;Choi, Ji-Sook;Kim, Heenyun
    • Health Policy and Management
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    • v.29 no.2
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    • pp.206-219
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    • 2019
  • This paper aims to demonstrate current health expenditure (CHE) and National Health Accounts of the years 2018 constructed according to the SHA2011, which is a manual for System of Health Accounts (SHA) that was published jointly by the Organization for Economic Cooperation and Development (OECD), Eurostat, and World Health Organization in 2011. Comparison is made with international trends by collecting and analyzing health accounts of OECD member countries. Particularly, scale and trends of the total CHE financing as well as public-private mix are parsed in depth. In the case of private financing, estimation of total expenditures for (revenues by) provider groups (HP) is made from both survey on the benefit coverage rate of National Health Insurance (by National Health Insurance Service) and Economic Census and Service Industry Census (by National Statistical Office); and other pieces of information from Korean Health Panel Study, etc. are supplementarily used to allocate those totals into functional classifications. CHE was 144.4 trillion won in 2018, which accounts for 8.1% of Korea's gross domestic product (GDP). It was a big increase of 12.8 trillion won, or 9.7%, from the previous year. GDP share of Korean CHE has already been close to the average of OECD member countries. Government and compulsory schemes' share (or public share), 59.8% of the CHE in 2018, is much lower than the OECD average of 73.6%. 'Transfers from government domestic revenue' share of total revenue of health financing was 16.9% in Korea, lower than the other social insurance countries. When it comes to 'compulsory contributory health financing schemes,' 'transfers from government domestic revenue' share of 13.5% was again much lower compared to Japan (43.0%) and Belgium (30.1%) with social insurance scheme.

Effects of Azolla Incorporation During Paddy Cultivation on Weed Control, Nitrogen Supply and Rice Yield (물개구리밥(Azolla)이 논 잡초 발생, 질소공급 및 쌀 수량에 미치는 영향)

  • Shin, Jong-Hee;Han, Chae-Min;Kwon, Jung-Bae;Won, Jong-Gun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.66 no.4
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    • pp.271-278
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    • 2021
  • Azolla is a genus of small aquatic ferns native to Asia, Africa, and America. Azolla is potentially significant as a nitrogen source in agriculture, particularly in conjunction with rice (Oryza sativa L.) cultivation. In addition, Azolla may either control weeds or act as a weed depending on management; therefore, we aimed to determine the effect of Azolla incorporation on weed (e.g., Monochoria vaginalis, Rotala indica, Aeschynomene indica, and Cyperus amuricus) control and its other benefits during rice cultivation. The effects of Azolla on weed emergence were evaluated based on plot area coverage by the Azolla mat, which appears as a green sheet over water, and the rate of weed emergence in paddy field. Weed occurrence was investigated 40 days after Azolla inoculation. Soil samples from the experimental plots were collected following harvest in 2014-2015, and analyzed. Moreover, rice growth, yield, and grain quality were measured. Azolla suppressed weed growth by 72%. Azolla mat incorporation in rice fields suppressed weed growth by over 60%. In addition, Azolla promoted nitrogen fixation. Compared with nitrogen management using chemical fertilizers, Azolla incorporation showed the potential for various positive effects, including the improvement of soil fertility by increasing total nitrogen, and organic matter content. Rice grown with Azolla maintained its yield without additional herbicide treatment. Moreover, the palatability of cooked rice was better when grown with Azolla.

Visibility Analysis of Iridium Communication for SNIPE Nano-Satellite (SNIPE 초소형위성용 Iridium 통신 모듈의 가시성 분석)

  • Cho, Dong-Hyun;Kim, Hongrae;Kim, Hae-Dong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.2
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    • pp.127-135
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    • 2022
  • Compared to the continuous increase of domestic nano-satellite development cases, the initial communication success rate is relatively low. In a situation where communication cases of LEO satellites using commercial satellite communication networks are increasing recently. In this situation, the SNIPE project developed by the KASI(Korea Astronomy and Space Science Institute), KARI(Korea Aerospace Research Institute), and Yonsei University apply an Iridium module for communication test to the SNIPE nano-satellites. Therefore, in this paper, the visibility analysis of the iridium module on the SNIPE satellite was analyzed under considering the orbital and communication environment of the iridium satellite constellation and the attitude control mode. In the case of LEO satellites, the communication possibility was limited due to the relatively small iridium communication coverage for high altitude and the high doppler shift considered in the iridium communication network. For this reason, in this paper, it could be simulated that there was a more performance difference according to the difference in relative RAAN(Right Ascension of Ascending Node) angle with the Iridium constellation. Finally, by checking the visibility of communication module under the tumbling situation that occurred during the initial deployment of the nano-satellite, the possibility of using the iridium communication technology was analyzed.

Implementation of a Personalized Restaurant Recommendation System for The Mobility Handicapped (교통약자를 위한 맞춤형 식당 추천시스템 구현)

  • Lee, Jin-Ju;Park, So-Yeon;Kim, Seo-Yun;Lee, Jeong-Eun;Kim, Keun-Wook
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.187-196
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    • 2021
  • The mobility handicapped are representative socially vulnerable people who account for a high percentage of our society. Due to the recent development of technology, personalized welfare technologies for the socially vulnerable are being studied, but it is relatively insufficient compared to the general people. In this study, we intend to implement a personalized restaurant recommendation system for the mobility handicapped. To this end, a hybrid recommendation system was implemented by combining the data of special transportation boarding and alighting history (7,153 cases) and information of Daegu Food restaurants (955 cases). In order to evaluate the effectiveness of the implemented recommendation system, we conducted performance comparisons with existing recommendation systems by prediction error rate and recommendation coverage. As a result of the analysis, the performance was higher than that of the existing recommendation system, and the possibility of a personalized restaurant recommendation system for the mobility handicapped was confirmed. In addition, we also confirmed the correlation in which similar restaurants are recommended in some types of the mobility handicapped. As a result of this study, it is judged that it will contribute to the use of restaurants with high satisfaction for the mobility handicapped, and the limitations of the study are also presented.

A Bivalent Inactivated Vaccine Prevents Enterovirus 71 and Coxsackievirus A16 Infections in the Mongolian Gerbil

  • Eun-Je Yi;Young-In Kim;Seung-Yeon Kim;Sung Hyun Ahn;Hyoung Jin Lee;Bohyun Suh;Jaelim Yu;Jeehye Park;Yoon Jung Lee;Eunju Jung;Sun-Young Chang
    • Biomolecules & Therapeutics
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    • v.31 no.3
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    • pp.350-358
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    • 2023
  • Hand-foot-and-mouth disease (HFMD) is a viral infectious disease that occurs in children under 5 years of age. Its main causes are coxsackievirus (CV) and enterovirus (EV). Since there are no efficient therapeutics for HFMD, vaccines are effective in preventing the disease. To develop broad coverage against CV and EV, the development of a bivalent vaccine form is needed. The Mongolian gerbil is an efficient and suitable animal model of EV71 C4a and CVA16 infection used to investigate vaccine efficacy following direct immunization. In this study, Mongolian gerbils were immunized with a bivalent inactivated EV71 C4a and inactivated CVA16 vaccine to test their effectiveness against viral infection. Bivalent vaccine immunization resulted in increased Ag-specific IgG antibody production; specifically, EV71 C4a-specific IgG was increased with medium and high doses and CVA16-specific IgG was increased with all doses of immunization. When gene expression of T cell-biased cytokines was analysed, Th1, Th2, and Th17 responses were found to be highly activated in the high-dose immunization group. Moreover, bivalent vaccine immunization mitigated paralytic signs and increased the survival rate following lethal viral challenges. When the viral RNA content was determined from various organs, all three doses of bivalent vaccine immunization were found to significantly decrease viral amplification. Upon histologic examination, EV71 C4a and CVA16 induced tissue damage to the heart and muscle. However, bivalent vaccine immunization alleviated this in a dose-dependent manner. These results suggest that the bivalent inactivated EV71 C4a/CVA16 vaccine could be a safe and effective candidate HFMD vaccine.

An Optimal Standardized in vitro Bioassay to Evaluate Susceptibility of Green Peach Aphid, Myzus persicae (Sulzer)(Insecta: Hemoptera: Aphididae), to Aphicides (복숭아혹진딧물, Myzus persicae (Sulzer)(Insecta: Hemoptera: Aphididae), 살진딧물 최적 in vitro 살충력 검정 방법 확립)

  • Ka Hee Cho;Hyo Jung Kim;Young Cheol Kim
    • Korean journal of applied entomology
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    • v.62 no.3
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    • pp.139-147
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    • 2023
  • Leaf-spray in vitro bioassays appraise new aphicidal formulations for managing deleterious plant-feeding aphids. The formulation may utilize alternative and integrated strategies. However, leaf spraying even under controlled conditions may affect aphid reproduction and mortality. This study examines leaf spray applications for optimum and reproducible aphicidal results using tobacco leaves overlaid on cotton fabric or water agar surfaces. Infestation of the undersides of tobacco leaves with nymphs of green peach aphids was used in the assays. Spray distance and volume were optimized using water-sensitive paper to ascertain the best surface coverage. Overlays of the leaves on water agar caused less mortality and greater reproduction than the use of cotton fabric. The relative humidity of the insect-rearing chambers changed with the watering regime for the insect - rearing chambers with cotton fabric; 60% relative humidity was optimal. Relative humidity was not affected by the concentration of agar in the water agar chambers. Applications of the chemical aphicidal standard, Sulfoxaflor, under the optimized conditions exhibited similar times for lethality although the rate was faster with leaves on the cotton fabric than on water agar. These studies establish reproducible and sensitive techniques for assessing the lethality and effects on reproduction of potential aphicidal products.