• 제목/요약/키워드: Coverage extension

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우리나라 건강보험 보장성 개선 정책에 대한 평가 (An evaluation of benefit extension strategies of the Korea National Health Insurance)

  • 허순임;김창보
    • 보건행정학회지
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    • 제19권3호
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    • pp.142-165
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    • 2009
  • Although providing universal coverage for health care through the National Health Insurance(NHI) is a remarkable achievement, the issue of limited benefit coverage of the NHI has been at the core of national debate over how to improve its coverage. This study aims to evaluate benefit extension strategies and implemented policies with regard to the NHI since 1989 using 'policy window theory' proposed by John W. Kingdon. Understanding problem stream, policy stream, political stream, and coupling streams regarding the NHI, in particular benefit extension, would contribute to broaden policy debates and to develop more effective strategies for the future. Historically, political stream had opened policy window in the past two decades and policy streams can be characterized by three waves. Three streams have been coupled since 2003 and the government had a strong will to fulfill better performance of NHI coverage. Study findings indicate that identification of problem structure regarding NHI benefit was not connected with policy stream tightly. In addition, there has been limited discussion on policy goal and principles for extension coverage of the NHI. Policy strategies to improve coverage of the NHI should be linked to characteristics of problem and sought solutions under the principle which is expected to be sustainable through consensus in the society.

절단피개량과 절단변연형태 및 하중각도가 도재라미네이트 베니어 내의 응력분포에 미치는 영향에 관한 삼차원 유한요소법적 연구 (THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN PORCELAIN LAMINATE VENEERS WITH VARIOUS AMOUNTS OF INCISAL COVERAGE AND TYPES OF INCISAL FINISH LINE UNDER TWO LOADING CONDITIONS)

  • 류경희;이선형;양재호;정헌영
    • 대한치과보철학회지
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    • 제37권2호
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    • pp.143-166
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    • 1999
  • The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.

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치석제거 건강보험 급여화에 관한 일부 지역 치과의료소비자의 인식 및 태도 (Awareness and attitude toward health insurance coverage extension to scaling in dental service consumers)

  • 천혜원
    • 한국치위생학회지
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    • 제16권4호
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    • pp.539-548
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    • 2016
  • Objectives: The purpose of the study is to investigate the awareness and attitude toward health insurance coverage extension to scaling in dental service consumers. Methods: A self-reported questionnaire was completed by 349 adults in Jeonbuk from May 4 to 15, 2015. The questionnaire consisted of general characteristics of the subjects (7 items), Awareness of the dental health insurance system(8 items), Health insurance system coverage extension to scaling(8 items), Self-perception of oral health(7 items), Recognition toward yearly scaling benefit(10 items). Results: There were significant differences according to age in opinions on the appropriateness of the frequency of yearly scaling benefit, and the respondents who were in their 20s, who were unmarried and who brushed their teeth three times a day had significantly different opinions on the appropriateness of the fee of yearly scaling benefit. Their opinions on the expansion of scaling benefit was significantly affected by age. It implies that scaling should be added to the coverage list of the national health insurance in every age group since there is an increase in periodontal diseases with age. Concerning awareness of dental health insurance policy, the better-educated respondents took a better view of this system as they showed a more positive interest in its policies and shifts. Conclusions: It is desirable to provide more precise information as to eligible age, frequency and cost through public promotion of health coverage of scaling, and the effort to improve the health insurance coverage policy should be made in order to extend the scope of health coverage of scaling in the near future.

IEEE 802.16j MMR 네트워크에서 Non-transparent 모드의 커버리지 확대 (Coverage Extension of Non-transparent Mode in IEEE 802.16j Mobile Multi-hop Relay Networks)

  • 이주호;이구연;정충교
    • 산업기술연구
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    • 제32권A호
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    • pp.3-8
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    • 2012
  • In IEEE 802.16j standard document, two modes about usage of RS are proposed; one is transparent mode to enhance data throughput and the other is non-transparent mode to extend coverage. In this paper, we focus on non-transparent mode and find that the mode also affects data throughput. We analyze data throughput on various RS topology and their extended coverage area in non-transparent mode. From the analysis, we see that higher throughput can be obtained when MR-BS and RS are located distantly.

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다중홉 릴레이 시스템에서 간섭의 영향과 비용의 효과를 고려한 셀 커버리지 확장 방법에 관한 연구 (Interference Aware Cost Effective Coverage Extension in Multihop Relay Networks)

  • 김용철;임원택;조성환
    • 한국통신학회논문지
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    • 제37B권12호
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    • pp.1138-1147
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    • 2012
  • 케이블과 DSL의 대안으로서 라스트 마일(last mile)의 광역 접근을 무선으로 가능하게 해주며 고속 인터넷 서비스를 제공할 수 있는 표준 기술로 알려진 WiMAX에 셀 용량의 증대와 셀 커버리지를 확장하기 위하여 Mobile Multihop Relay 기술이 추가적으로 제안 되면서 많은 관심을 모으고 있다. 본 논문에서는 셀 커버리지를 확장하기 위하여 릴레이 노드(RS)를 운용하는 방법에 초점을 맞추고 사용자 노드(SS)들에 대한 형평성을 고려한 자원할당 알고리즘을 사용하여 다중홉 릴레이 네트워크의 성능을 분석하였으며, 특히 주파수 재사용 기법을 적용할 때에 릴레이 노드들 간의 간섭 현상이 셀 용량에 미치는 영향을 구체적으로 분석하여 비용 효과를 고려한 셀 커버리지 확장 방법을 제안한다.

OFDMA 방식을 사용하는 MMR시스템의 최적화된 커버리지 확장 (Optimization of Coverage Extension in OFDMA Based MMR System)

  • 김승연;김세진;류승완;이형우;조충호
    • 한국통신학회논문지
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    • 제33권7B호
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    • pp.567-574
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    • 2008
  • 본 논문에서는 OFDMA 방식을 사용하는 MMR (Mobile Multi-hop Relay) 시스템에서 RS (Relay Station)를 사용하여 커버리지 확장을 위한 최적화 방법을 제안하고 이에 대한 성능을 분석한다. 최적화 방법으로 최대 처리량을 만들기 위한 두 개의 주파수 할당 방법을 제안하고 각각의 할당 방법에 따른 BS의 처리량과 프레임 효율로 성능을 분석한다. 마지막으로 주파수 할당 방법에 따라 주어진 BS (Base Station)의 총 처리 용량(capacity)에서 RS의 최대 흡수를 분석한다. 결과를 통해 제안된 주파수 할당 방법이 커버리지 확장에 효율적이고, BS의 처리량도 증가시킬 수 있음을 알 수 있다. 또한 트래픽 밀도가 낮을 경우 MMR 시스템이 효율적임을 알 수 있다. 본 논문의 결과를 통해 향후 릴레이를 사용하여 휴대인터넷 서비스 지역과, 셀룰러 망을 넓히는데 있어 참고할만한 가이드라인이 될 수 있을 것이다.

가시광 통신의 커버리지 확장을 위한 릴레이 모듈 구현 (Implementation of a Relay Module for Coverage Extension in Visible Light Communication)

  • 이상권;이종성;오창헌
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2017년도 춘계학술대회
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    • pp.738-740
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    • 2017
  • 가시광 통신은 빛을 사용한 통신방식이며, RF 통신에 비해 단일 공간 내 보안성을 보장하는 장점이 있다. 하지만 빛의 가시선을 벗어난 영역의 경우 통신단절 현상이 발생한다. 이에 본 논문에서는 가시광 통신의 커버리지 확장과 통신단절 현상을 극복하기 위해 릴레이 모듈을 제안한다. 제안하는 릴레이 모듈은 target ID를 포함한 데이터 패킷을 인접한 가시광 모듈을 통해 순차적으로 전달함으로써 데이터를 송수신한다. 데이터 전송 실험을 통해 전송범위의 확장과 가시선을 벗어난 영역에서의 데이터 수신을 확인하였다.

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Analysis of the characteristics of mouthguards that affect isokinetic muscular ability and anaerobic power

  • Jung, Jae-Kwang;Chae, Woen-Sik;Lee, Kyu-Bok
    • The Journal of Advanced Prosthodontics
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    • 제5권4호
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    • pp.388-395
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    • 2013
  • PURPOSE. The purpose of this study was to estimate the effects of occlusal stability to identify action mechanisms of mouthguards, known to have a modulatory effect on limb muscle function. MATERIALS AND METHODS. This study included 20 male subjects to perform the isokinetic muscle tests and the Wingate anaerobic power test on both knee joints under five closed-mouth conditions: without or with 4 types of mouthguards with thickness of 2 mm based on premolar area: (1) full-coverage, (2) anterior partial-coverage, (3) right posterior partial-coverage, and (4) left posterior partial-coverage. The obtained results were subjected to One-way ANOVA with repeated measures, followed by post hoc test of the contrast method (${\alpha}$=.05). RESULTS. There was no significant difference between the closed position with and without a full-coverage mouthguard in all variables. However, significant differences were observed between with and without a partial-coverage mouthguard in muscular endurance during extension of the left knee, muscular power and endurance during flexion of the right knee. Additionally, significant differences were found between occlusal states with full- and partial-coverage mouthguards in muscular power and endurance during extension of the left knee. CONCLUSION. These findings indicate the elevation of vertical dimension by 2 mm or the inducement of occlusal stability had little effect on isokinetic muscle strength and anaerobic performance, while uneven distribution of occlusal force might have some positive effects.

의료 소비자의 사회경제학적 특성, 구강보건행태에 따른 치석제거보험급여화의 융합 연구-의료소비자를 중심으로 (The convergence study of scaling insurance coverage in socioeconomic, oral health behaviors -Medical consumer)

  • 전미진
    • 한국융합학회논문지
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    • 제9권2호
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    • pp.125-136
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    • 2018
  • 본 연구는 의료소비자를 대상으로 실시되고 있는 치과건강보험급여화의 인식도를 조사하여 미래 치석제거 국민들의 구강건강향상을 위해 치과건강보험급여가 확대되고자 하는데 목적이 있다. 연 1회 치석제거급여 연령에 대한 적절성 여부는 나이와 교육수준에서 유의한 차이가 있었고(p<0.05), 연 1회 치석제거 급여횟수에 대한 적절성 여부는 결혼여부, 지역(구), 자가구강건강인지에서 유의하였으며(p<0.05), 연 1회 치석제거 급여수가에 대한 적절성 여부에서는 하루잇솔질총횟수가 통계적으로 유의하였다(p<0.05). 결국 연령이 증가하면서 나타나는 치주질환의 증가로 국가 차원에서의 건강보험급여 항목이 추가되어야 하며, 본 연구결과에서와 같이 치석제거 건강보험급여화는 연령, 횟수, 수가부분에서 더욱 확대 되어야하며, 향후 치과건강보험 급여정책 향상을 위한 노력은 국민의 구강건강을 위해 계속되어야 한다.

MMR 시스템을 위한 적응적인 RS 커버리지 확장 기법의 성능 분석 (Performance Analysis of Adaptive RS Coverage Extension Scheme for the MMR systems)

  • 김승연;김세진;이형우;류승완;조충호
    • 한국통신학회논문지
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    • 제35권4B호
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    • pp.584-591
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    • 2010
  • 본 논문에서는 Mobile Multi-hop Relay (MMR) 시스템을 위한 적응적인 Relay Station (RS) 커버리지 확장기법을 제안한다. 넌-트랜스패런트 모드 (non-transparent mode) RS를 갖는 MMR 시스템은 Base Station (BS)의 남아있는 용량을 사용하여 BS의 커버리지를 확장시킬 수 있다. 그래서 Multi-hop Relay Base Station (MR-BS)에서 호가 빈번하게 발생할 경우, RS에서는 호 차단을 겪게 된다. 제안된 기법에서는 MR-BS 혹은 RS에서 호가 빈번하게 발생할 경우, 트래픽 부하가 적은 주변 MMR 시스템에 2nd tier RS로서 연결되어 MMR 시스템에서 추가적인 호를 수락할 수 있다. 분석을 통해 제안된 기법이 일반적인 MMR 시스템보다 호 차단 확률과 처리량에서 성능이 향상되었음을 보였다.