• 제목/요약/키워드: Coverage criteria

검색결과 147건 처리시간 0.057초

계층화분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정 (Priority setting for expanding health insurance benefit package using Analytic Hierarchy Process)

  • 최숙자;고수경;김정희;이상이
    • 보건행정학회지
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    • 제16권1호
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    • pp.73-94
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    • 2006
  • This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors (group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.

웹 로봇의 성능 평가를 위한 방법론 (A Methodology for Performance Evaluation of Web Robots)

  • 김광현;이준호
    • 정보처리학회논문지D
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    • 제11D권3호
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    • pp.563-570
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    • 2004
  • 인터넷의 이용이 활발해짐에 따라 수많은 정보들이 점을 통하여 공개되고 있으며, 이용자는 점 검색 서비스를 이용하여 이러한 정보들에 과적으로 접근할 수 있다. 웹 검색 서비스의 구축을 위해서는 웹 로봇을 사용한 웹 문서 수집이 선행되어야 하며, 웹 문서들의 수가 급격히 증가하면서 양질의 웹 문서들을 효과적으로 수집할 수 있는 웹 로봇에 대한 필요성이 증가하고 있다. 본 연구에서는 웹 로봇들을 체계적으로 평가하기 위한 기준으로서 효율성, 지속성, 신선성, 포괄성, 정숙성, 유일성, 안전성을 제시하고, 이러한 평가 기준의 향상에 도움이 되는 기능들을 기술하였다. 또한, 본 연구에서는 네이버, 구글, 알타비스타 등에서 사용되고 있는 기존의 점 로봇들에 구현된 기능들을 조사하였다. 본 연구의 결과는 보다 효과적인 램 로봇의 개발에 기여할 것으로 기대된다.

의학 분야 Web DB의 품질평가 -PubMed와 Embase를 대상으로- (A Study on Quality Evaluation of Medical Web DBs : PubMed and Embase)

  • 김상준
    • 한국문헌정보학회지
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    • 제38권2호
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    • pp.161-187
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    • 2004
  • 본 연구는 의학 분야 Web DB의 품질평가를 위해 무료 PubMed와 상용 Embase DB를 선행연구 분석을 통해 품질평가 기준을 추출하여 객관적으로 측정하기 쉬운 평가항목을 중심으로 발견적ㆍ실무적 비교 평가를 실시한 것이다. 그 결과 PubMed는 최신성, 저널 형태의 논문 비중, 초록 보유 자료와 영어자료의 비중, 전자 저널 원문 링크 출판사 수, 자관 소장여부를 표시하는 LinkOut과 구입비용에서 우수하였다. 반면 Embase는 포괄성, 제약과 화학 분야, 수록정보의 다양한 형태에서 우수하였다. 따라서 상용 DB 도입의 타당성 검토와 이용자 교육 및 도서관 정보서비스는 이러한 두 DB의 품질평가 결과를 바탕으로 이루어져야 한다.

Survival rates against fracture of endodontically treated posterior teeth restored with full-coverage crowns or resin composite restorations: a systematic review

  • Suksaphar, Warattama;Banomyong, Danuchit;Jirathanyanatt, Titalee;Ngoenwiwatkul, Yaowaluk
    • Restorative Dentistry and Endodontics
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    • 제42권3호
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    • pp.157-167
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    • 2017
  • This systematic review aims to summarize the current clinical studies that investigated survival rates against fracture of endodontically treated posterior teeth restored with crowns or resin composite restorations. Literature search were performed using keywords. Publications from 1980 to 2016 were searched in PubMed, ScienceDirect, ISI Web of SCIENCE, MEDLINE, and SCOPUS. Included studies were selected based on inclusion and exclusion criteria. Three clinical studies were included: 1 randomized controlled trial and 1 prospective and 1 retrospective cohort studies. Pooled survival rates ranged from 94%-100% and 91.9%-100% for crowns and resin composite, respectively. The majority of teeth had no more than 3 surface loss of tooth structure. The studies included were heterogeneous, and were not appropriate for further meta-analysis. Current evidence suggested that the survival rates against the fracture of endodontically treated posterior teeth restored with crowns or resin composites were not significantly different in the teeth with minimum to moderate loss of tooth structure.

치매의 약물요법 (Pharmacotherapy for dementia)

  • 윤현철;정현강
    • 대한의사협회지
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    • 제61권12호
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    • pp.758-764
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    • 2018
  • Dementia is a clinical syndrome characterized by a cluster of symptoms and signs that manifest as difficulties in cognitive functions such as memory, psychological and psychiatric changes, and impairments in activities of daily living. As a result of worldwide trends of population aging, dementia has had a huge impact on public health in almost all countries. Disease modification therapies for dementia have not yet been developed. However, pharmacotherapy is essential in patients with dementia to combat delays in their cognitive and functional decline. In this article, we review the current pharmacotherapy for dementia. Three acetylcholinesterase inhibitors-donepezil, rivastigmine, galantamine-and memantine are the only medications that have been approved for the treatment of dementia. We present the indications, dose recommendations, side effects, and criteria for National Health Insurance coverage in Korea of these medications for dementia treatment. Although the Ministry of Food and Drug Safety in Korea has not approved any medications for managing the behavioral and psychological symptoms of dementia, some antipsychotics and antidepressants have been studied and used clinically for those purposes. Clinicians may consider vitamin E, Ginkgo biloba extract, choline alfoscerate, or omega-3 fatty acids as additional treatment options. Non-steroid anti-inflammatory drugs, estrogen hormone therapy, and statins are not generally recommended for dementia treatment. We believe that our findings will aid clinicians in the treatment of patients with cognitive decline.

Endocrown restorations for extensively damaged posterior teeth: clinical performance of three cases

  • Tzimas, Konstantinos;Tsiafitsa, Maria;Gerasimou, Paris;Tsitrou, Effrosyni
    • Restorative Dentistry and Endodontics
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    • 제43권4호
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    • pp.38.1-38.9
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    • 2018
  • The restoration of endodontically treated teeth (ETT) with more than one cusp missing and thin remaining walls is challenging for the general practitioner. The use of posts combined with full coverage restorations is a well-established approach, yet not following the minimal invasive principles of adhesive dentistry. Endocrowns are indirect monoblock restorations that use the pulp chamber of the ETT for retention. In this study the fabrication of 4 endocrowns and their clinical performance will be discussed. Two clinical cases include computer-aided design/computer-aided manufacturing manufactured molar endocrowns (one feldspathic ceramic and one hybrid composite-ceramic restoration) and the other two are dental laboratory manufactured resin composite premolar endocrown restorations. The modified United States Public Health Service criteria were used to assess the clinical behavior of the restorations at different follow up periods. Endocrown restorations present a satisfactory clinical alternative, either by the use of resin composite or glass ceramic and hybrid materials. Specific guidelines with minimal alterations should be followed for an endocrown restoration to be successful. Due to limited evidence regarding the long term evaluation of this restorative technique, a careful selection of cases should be applied.

Conjoint Analysis of User Needs in Mobile Payment Interface Design

  • Qi, Meng;Seo, Jonghwan;Byun, Jaehyung
    • 스마트미디어저널
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    • 제9권4호
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    • pp.73-80
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    • 2020
  • With the advent of the Internet era, consumer lifestyles have been changed tremendously, and mobile payment has carried out an increasingly extensive coverage of the people's life trajectory. Taking the design of the mobile payment interface as an example, we use a conjoint analysis method to survey college students in Guangxi, where questionnaires are collected from 270 people in different groups according to gender. The method separates the attributes that affect consumer choice of mobile payment interface design and the utility value of the attribute level to analyze consumer needs and preferences, and then obtains consumers' potential evaluation criteria for mobile payment interface design. The results of the study show that the attributes that influence consumers' choice of mobile payment interface design are, in order of preference: page layout, identification convenience, verification, module distribution, entertainment, and information encryption. Consumer groups of different genders show differences in their preferences in the mobile payment interface design and Consumer needs reflect consumer psychology. Several findings are obtained on the consumers' preferences on the mobile payment interface design, which may be used to improve future design processes.

Packaging Framework System Under International Trade Rules

  • Du, Xue-fei;Cho, Hyun-sook
    • 아태비즈니스연구
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    • 제13권3호
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    • pp.119-134
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    • 2022
  • Purpose - The purpose of this study was to expound the packaging framework system(PFS) under international trade rules. Design/methodology/approach - This study analyzed packaging framework system and packaging regulations and technical standards in international regulations and major countries and classified these in some standards Findings - First, the study provides packaging provisions associated with packaging regulations and technical standards (PRTS). Then, the basis of PFS in international trade rules was proposed; it is believed that the PFS was composed of packaging legal system in WTO institutional framework (WTO-PLS), international organization packaging standard system (IO-PSS) and major countries or regions packaging regulatory system (MCR-PRS). Secondly, this paper expounded relations and legal characteristics of the three packaging systems. Finally, This study investigated PRTS coverage under technical barriers to trade (TBT) and Sanitary and Phytosanitary measures (SPS). Research implications or Originality - The regulations associated with PRTS have played a key role in challenges to merchandise trade in international trade. This study has significance in classifying packaging related reticulations into several criteria unlike previous studies. Therefore it is hope that this study can provide a supplementary document for the existing research of PRTS.

Significant radiologic factors related to clinical outcomes after arthroscopic rotator cuff retear repair

  • Joo, Min-Su;Kim, Jeong-Woo
    • Clinics in Shoulder and Elbow
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    • 제25권3호
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    • pp.173-181
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    • 2022
  • Background: Healing of the tendon itself is not always related to successful clinical outcomes after rotator cuff repair. It was hypothesized that certain radiologic factors affecting clinical outcomes could exist in case of the retear after arthroscopic rotator cuff repair (ARCR) and the radiologic factors could help predict clinical process. The purpose of this study was to identify the radiologic factors associated with clinical outcomes of the retear after ARCR. Methods: Between January 2012 and December 2019, among patients with sufficient footprint coverage for ARCR, 96 patients with Sugaya classification 4 or higher retear on follow-up magnetic resonance imaging were included. The association between clinical outcomes such as American Shoulder and Elbow Surgeons (ASES) score, Constant score and range of motion and radiologic variables such as initial tear dimension, retear dimension, variance of tear dimension, critical shoulder angle, acromial index, and acromiohumeral distance was analyzed. Results: Preoperatively, the ASES and Constant scores were 59.81±17.02 and 64.30±15.27, respectively. And at the last follow-up, they improved to 81.56±16.29 and 78.62±14.16, respectively (p<0.01 and p<0.01). In multiple linear regression analysis, the variance of the mediolateral dimension of tear had statistically significant association with the ASES and Constant scores (p<0.01 and p=0.01). Conclusions: In patients with the retear after ARCR, the variance in the mediolateral dimension of tear had significantly negative association with the clinical outcomes. This could be considered to be reference as relative criteria and needed more sample and mechanical study.

A 3-year retrospective study of clinical durability of bulk-filled resin composite restorations

  • Muhittin Ugurlu;Fatmanur Sari
    • Restorative Dentistry and Endodontics
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    • 제47권1호
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    • pp.5.1-5.11
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    • 2022
  • Objectives: This study aimed to assess the clinical longevity of a bulk-fill resin composite in Class II restorations for 3-year. Materials and Methods: Patient record files acquired from the 40 patients who were treated due to needed 2 similar sizes Class II composite restorations were used for this retrospective study. In the experimental cavity, the flowable resin composite SDR was inserted in the dentinal part as a 4 mm intermediate layer. A 2 mm coverage layer with a nano-hybrid resin composite (CeramX) was placed on SDR. The control restoration was performed by an incremental technique of 2 mm using the nano-hybrid resin composite. The restorations were blindly assessed by 2 calibrated examiners using modified United States Public Health Service criteria at baseline and 1, 2, and 3 years. The data were analyzed using non-parametric tests (p = 0.05). Results: Eighty Class II restorations were evaluated. After 3-years, 4 restorations (5%) failed, 1 SDR + CeramX, and 3 CeramX restorations. The annual failure rate (AFR) of the restorations was 1.7%. The SDR + CeramX group revealed an AFR of 0.8%, and the CeramX group an AFR of 2.5% (p > 0.05). Regarding anatomical form and marginal adaptation, significant alterations were observed in the CeramX group after 3-years (p < 0.05). The changes in the color match were observed in each group over time (p < 0.05). Conclusions: The use of SDR demonstrated good clinical durability in deep Class II resin composite restorations.