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Mortality of Stroke Patients Based on Charlson Comorbidity Index (뇌졸중 환자의 Charlson Comorbidity Index에 따른 사망률 분석)

  • Kim, Ka-Hee;Lim, Ji-Hye
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.22-32
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    • 2016
  • As the number of aged population rapidly goes up, the cases of stroke and the related medical expenses continuously increase. The purpose of this study is to investigate the mortality of stroke patients based on CCI(Charlson Comorbidity Index) by utilizing the Korea National Hospital Discharge Injury Survey, analyzing the factors associated with the mortality of stroke patients. We analyzed 21,494 cases which are classified as the death of strokes aged over 20 years by using the Korea National Hospital Discharge Injury Survey between the year 2005 and 2010. In order to find out the mortality based on CCI and status of comorbidity, we used the technical statistics. We performed a logistic regression analysis to examine the reasons for the mortality of the strokes. We found that the independent variables for the influence of the mortality of strokes include age, type of insurance, residence urban size, size of hospital beds, the location of hospital, admission route, physical therapy, brain surgery, type of stroke, and CCI. This indicates that the effective monitoring on the age, types of stroke, comorbidity is needed. In addition to this, more medical support toward medicaid patients are needed, too. We believe that these results will be used positively for the evaluation of the stroke patients, providing the basic materials for the further research on the establishment of the health-related policy.

A Study on the Propriety of the Medical Insurance Fee Schedule of Surgical Operations - In Regard to the Relative Price System and the Classification of the Price Unit of Insurance Fee Schedule - (수술수가의 적정성에 관한 연구 - 상대가격체계와 항목분류를 중심으로 -)

  • Oh Jin Joo
    • Journal of Korean Public Health Nursing
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    • v.2 no.2
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    • pp.21-44
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    • 1988
  • In Korea, fee-for service reimbursement has been adopted from the begining of medical insurance system in 1977, and the importance of the relative value unit is currently being investigated. The purpose of this study was to find out the level of propriety of the difference in the fees for different surgical services, and the appropriateness of the classification of the insurance fee schedule. For the purpose of this study, specific subjects and the procedural methodology is shown as follows: 1. The propriety of the Relative Price System(RPS). 1) Choice of sample operations. In this study, sample operations were selected and classified by specialists in general surgery, and the number of items they classified were 32. For the same group of operations the Insurance Fee Schedule(IFS) classified the operations into 24 separate items. In order to investigate the propriety of the RPS, one of the purpose of this study, was to examine the 24 items classified by the IFS. 2) Evaluation of the complexity of surgery. The data used in this study was collected The data used in this study was collected from 94 specialists in general surgery by mail survey from November I to 15, 1986. Several independent variables (age, location, number of bed, university hospital, whether the medical institution adopt residents or not) were also investigated for analysis of the characteristics of surgical complexity. 3) Complexity and time calculations. Time data was collected from the records of the Seoul National University' Hospital, and the cost per operation was calculated through cost finding methods. 4) Analysis of the propriety of the Relative Price System of the Insurance Fee Schedule. The Relative Price System of the sample operation was regressed on the cost, time, comlexity relative ,value system (RVS) separately. The coefficient of determination indicates the degree of variation in the RPS of the Insurance Fee Schedule explained by the cost, time, complexity RVS separately. 2. The appropriateness of the classification of the Insurance Fee Schedule. 1) Choice of sample operations. The items which differed between the classification of the specialist and the classification of medical, Insurance Fee Schedule were chosen. 2) Comparisons of cost, time and complexity between the items were done to evaluate which classification was more appropriate. The findings of the study can be summarized as follows: 1. The coefficient of determination of the regression of the RPS on-cost RVS was 0.58, on time RVS was 0.65, and on complexity RVS was 0.72. This means that the RPS of Insurance Fee Schedule is improper with respect to the cost, time, complexity separately. Thus this indicates that RPS must be re-shaped according to the standard element. In this study, the correlation coefficients of cost, time, complexity Relative Value System were very high, and this suggests that RPS could be reshaped I according to anyone standard element. Considering of measurement, time was thought to be the most I appropriate. 2. The classifications of specialist and of the Insurance Fee Schedule were compared with respect to cost, time, and complexity separately. For complexity, ANOVA was done and the others were compared to the different values of different classifications. The result was that the classification of specialist was more reasonable and that the classification of Insurance Fee Schedule grouped inappropriately several into one price unit.

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A Study on the UAV-based Vegetable Index Comparison for Detection of Pine Wilt Disease Trees (소나무재선충병 피해목 탐지를 위한 UAV기반의 식생지수 비교 연구)

  • Jung, Yoon-Young;Kim, Sang-Wook
    • Journal of Cadastre & Land InformatiX
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    • v.50 no.1
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    • pp.201-214
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    • 2020
  • This study aimed to early detect damaged trees by pine wilt disease using the vegetation indices of UAV images. The location data of 193 pine wilt disease trees were constructed through field surveys and vegetation index analyses of NDVI, GNDVI, NDRE and SAVI were performed using multi-spectral UAV images at the same time. K-Means algorithm was adopted to classify damaged trees and confusion matrix was used to compare and analyze the classification accuracy. The results of the study are summarized as follows. First, the overall accuracy of the classification was analyzed in order of NDVI (88.04%, Kappa coefficient 0.76) > GNDVI (86.01%, Kappa coefficient 0.72) > NDRE (77.35%, Kappa coefficient 0.55) > SAVI (76.84%, Kappa coefficient 0.54) and showed the highest accuracy of NDVI. Second, K-Means unsupervised classification method using NDVI or GNDVI is possible to some extent to find out the damaged trees. In particular, this technique is to help early detection of damaged trees due to its intensive operation, low user intervention and relatively simple analysis process. In the future, it is expected that the utilization of time series images or the application of deep learning techniques will increase the accuracy of classification.

A Prediction Search Algorithm by using Temporal and Spatial Motion Information from the Previous Frame (이전 프레임의 시공간 모션 정보에 의한 예측 탐색 알고리즘)

  • Kwak, Sung-Keun;Wee, Young-Cheul;Kimn, Ha-Jine
    • Journal of the Korea Computer Graphics Society
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    • v.9 no.3
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    • pp.23-29
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    • 2003
  • There is the temporal correlation of the video sequence between the motion vector of current block and the motion vector of the previous block. If we can obtain useful and enough information from the motion vector of the same coordinate block of the previous frame, the total number of search points used to find the motion vector of the current block may be reduced significantly. In this paper, we propose the block-matching motion estimation using an adaptive initial search point by the predicted motion information from the same block of the previous frame. And the first search point of the proposed algorithm is moved an initial point on the location of being possibility and the searching process after moving the first search point is processed according to the fast search pattern. Simulation results show that PSNR(Peak-to-Signal Noise Ratio) values are improved UP to the 1.05dB as depend on the image sequences and improved about 0.33~0.37dB on an average. Search times are reduced about 29~97% than the other fast search algorithms. Simulation results also show that the performance of the proposed scheme gives better subjective picture quality than the other fast search algorithms and is closer to that of the FS(Full Search) algorithm.

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Incidences of Lower Extremity Injuries in Korea (국내 하지손상의 발생현황에 대한 분석)

  • Kim, Chang Sun;Choi, Hyuk Joong;Kim, Jai Yong;Shin, Sang Do;Koh, Sang Baek;Lee, Kug Jong;Im, Tai Ho
    • Journal of Trauma and Injury
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    • v.21 no.1
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    • pp.36-45
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    • 2008
  • Purpose: We conducted this retrospective epidemiological study to assess the incidence and severity of lower extremity injuries in Korea Methods: For this study, we retrospectively reviewed nationwide lower-extremity injury data compiled from 2001 to 2003 based on the National Injury Database, what included National Health Insurance Corporation (NHIC), Car Insurance, and Industry Insurance data. Data were standardized in terms of demographic characteristics, region, and socioeconomic status by using NHIC data. To assess the degree of the injuries, we used the Modified Abbreviated Injury Scale (MoAIS), what has been changed from the International Classification of Disease-10 (ICD-10) code. By using the Excess Mortality Ratio-adjusted Injury Severity Score (EMR-ISS), we classified the degree of severity into four categories: mild, moderate, severe and critical. Results: From 2001 to 2003, lower extremity injuries increased slightly, with a yearly average of 2,437,335. Insurance data should that lower-extremity injuries were the most common, followed by upper-extremity injuries. Significant difference were seen in the numbers of lower extremity injuries based on gender and age. As for provinces, Seoul and Gyeongi provinces had the highest numbers of cases. Junlabukdo had the highest rate of 55,282 cases per 1 million people for standardized gender and population. The annual incidence of the insured patients with lower extrimity injuries was higher than the employer's medical insurance contributions to the medical insurance program. Daily cases occur most often in May and June, with the lowest occurrences being in January and February. Conclusion: The result of this study shows that lower extremity injuries comprised common cause of all injuries. In addition, differences associated with gender, location and socioeconomic status were observed. Further studies are needed to find reasons and then this knowledge will allow strategies to prevent the lower extremity injuries.

Measuring the Performance of Technology Transfer Activities of the Public Research Institutes in Korea (국내 공공 연구기관들의 기술이전 효율성 분석)

  • Ok, Joo-Young;Kim, Byung-Keun
    • Journal of Technology Innovation
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    • v.17 no.2
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    • pp.131-158
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    • 2009
  • We examine the effects of environmental or organizational factors on the performance of TLOs(technology transfer offices) in the PRIs(Public research institutes) using SFA(Stochastic Frontier Analysis), a technique for estimating the efficiency of DMUs(decision making units). In SFA, independent variables are assumed to determine the efficient production technique(production frontier) or affect the efficiency of DMUs. Previous researchs show that input variables such as number of personnel, R&D expenditure affect the production frontier while environmental or organizational variables affect the efficiency. We tried to estimate various types of models to find out whether environmental or organizational variables affect output variables differently from the previous research. Main empirical findings are as follows. First, R&D expenditure tends to increase all output variables considered. Second, environmental factors such as type of institutions and location of institutions affect the level of outputs. Third, organizational factors such as reward system for technology transfer also appear to affect the output variables. Fourth, environmental or organizational variables affect the production frontier directly rather than affect the efficiency of DMUs. Lastly, the efficiency of each DMU appear to be 1 or near to 1. Since almost all DMUs are equally efficient, it may not be effective to evaluate technology transfer activities of PRIs by efficiency criteria. We believe that this research should be complemented by additional data. More general types of production function need to be considered, and new techniques with concepts like output distance functions need to be developed to analyse multiple outputs simultaneously.

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Response of Black Porgy , Acanthopagrus Schlegelii to the Colored Lights (색광에 대한 감성돔의 반응)

  • 양용림
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.31 no.3
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    • pp.213-219
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    • 1995
  • The author carried out an experiment to find out the response of Black porgy, Acanthopagrus schlegelii [Bleeker] to the color lights. The experimental tank ($360L{\times}50W{\times}55H$cm) was set up in a dark room. Six longitudinal sections with 60cm intervals are marked in the tank to observe the location of the fish. Water depth in the tank was kept 50cm level. Light bulbs of 20 W at the both ends of the tank projected the light horizontally into the tank. Two different colored filters were selected from four colors of red, blue, yellow, and white, and they were placed in front of the light bulbs to make different colors of light. Light intensity was controlled by use of auxiliary filters intercepted between the bulb and the filter. The fishes were acclimatized in the dark for 50 minutes before they were employed in the experiment. Upon turning on the light, the number of fish in each section was counted 40 times in 30 second intervals, and the mean of the number of fish in each section was given as the gathering rate of the fish. The colors favourited by the fish was found in order of blue, yellow, white and red in the day-time and blue, red, yellow and white at night. The difference of the average distribution on two different colors of light was 7.18%(0.35-19.55%), and the difference in the daytime(8.20%) was larger than at night (6.15%). The gathering rate of fish on illumination period didn't show the regular trend of increase and decrease, and was fluctuated with instability. The difference of the gathering rate on two different colors of light wasn't distinct, and the difference in the daytime was larger than at night.

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A study on the relationship between Schmidt Hammer's 'R' and bedrock microforms (기반암 하상 미지형과 슈미트 해머 반발 값과의 관계에 대한 연구)

  • KIM, Jong Yeon
    • Journal of The Geomorphological Association of Korea
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    • v.19 no.3
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    • pp.51-69
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    • 2012
  • Physical strength of the rock is the most important factor of resistance to erosion and has been measured through various way. Bedrock microforms, like potholes and grooves, are the forms sculpted by the erosional processes of flow and the location and morphology are strongly affected by the differential erosion. It also assumed that the physical strength of the rock controls the erosion rate and mode of erosion. The schmidt hammer has been used to measure the rock strength in the field for the geomorphological research. To find the relationship between the rock strength and microforms, Schmidt hammer's R(rebound) were measured in the Baeksuktan, middle reach of Gilancheon, Cheongsong, Gyungsangbuk do. The overall values of rebound of the local sandstone showed over 65 in most cases, so it can be regarded as 'very strong'. It is found that the rebound values of the rock surface decreased towards current water level. It also, however, found that there was no systematic differences in rebound values among the topographically high and lows in the bedrock surface. There was no statistically significant difference in rebound values of the area with well developed microforms and others. The values of R from the exposed faces and inside of the microforms are similar. In the case of conglomerate, the part with the gravel showed higher values that the parts with sands. The rebound values are decreased near of(<1cm) the geological discontinuities(including joint and faults), so this line of weakness could be the point of initiation of active erosion to form microforms. However there is large variations in rebound values within this part. It also should be mentioned that topological relation between the strike of the geologic discontinuities and flow direction looks control the mode of erosional processes.

Tectonic Link between NE China and Korean Peninsula, Revealed by Interpreting CHAMP Satellite Magnetic and GRACE Satellite Gravity Data

  • Choi, Sungchan;Oh, Chang-Whan;Luehr, Herrmann
    • Journal of the Korean Geophysical Society
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    • v.9 no.3
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    • pp.209-217
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    • 2006
  • The major continental blocks in NE-Asia are the North China Block and the South China Blo, which have collided, starting from the Korean peninsula. The suture zone in NE China between two blocks is well defined from the QinIing-Dabie-Orogenic Belt to the Jiaodong (Sulu) Belt by the geological and geophysical interpretation. The discovery of high pressure metamorphic rocks in the Hongsung area of the Korean peninsula can be used to estimate the suture zone. This indicates that the suture zone in the Jiaodong Belt might be extended to Hongsung area. However, due to the lack of geological and geophysical data over the Yellow sea, the extension of the suture zone to the Korean peninsula across the Yellow Sea is obscure. To find out the tectonic relationship between NE China and the Korean peninsula it is necessary to complete U-ie homogeneous geophysical dataset of NE Asia, which can be provided by satellite observations. The CHAMP lithospheric magnetic field (MF3) and CHAMP-GRACE gravity field, combined with surface measured data, allow a much more accurate in-ference of tectonic structures than previously available. The CHAMP magnetic anomaly map reveals significant magnetic lows in the Yellow Sea near Nanjing and Hongsung, where are characterized by gravity highs on U-ie CHAMP-GRACE gravity anomaly map. To evaluate the depth and location of poten-tial field anomaly causative bodies, the Euler Deconvolution method is implemented. After comparing the two potential field solutions with the simplified geological map containing tectonic lines and the distribution of earthquakes epicenters, it is found that the derived structure boundaries of both are well coincident with the seismic activities as well as with the tectonic lineaments. The interpretation of the CHAMP satellite magnetic and GRACE satellite gravity datasets reveal two tectonic boundaries in U-ie Yellow Sea and the Korean peninsula, indicating U-ie norttiern and southern margins of the suture zone between the North China Block and the South China Block. The former is extended from the Jiaodong Belt in East China to the Imjingang Belt on the Korean peninsula, the later from Nanjing, East China, to Hongsung, the Korean peninsula. The tectonic movement in or near the suture zone might be responsible for the seismic activities in the western region of the Korean Peninsula and the development of the Yellow Sea sedimentary basin.

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Trend Analysis of Medical Care Utilization among People with Autistic Spectrum Disorder Using National Health Insurance Data (자폐성장애인의 의료이용 경향분석 및 시사점 : 국민건강보험자료를 이용한 융복합적 접근)

  • Yun, Jieun;Kim, Hyun Joo
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.411-418
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    • 2018
  • The purpose of this study was to estimate the current status and trends of healthcare utilization among people with ASD. Using National Health Insurance open database, from 2010 to 2017. We analyzed the treatment prevalence for people with ASD, the pattern of healthcare utilization, the difference in medical care utilization according to age, and the type and location of main medical institutions. The main results of the study are as follows: First, the medical utilization has been continuously increasing from 2010 to 2017. The total amount of medical utilization is increased by 50% in 2017 compared to 2010, and the treatment prevalence was estimated to be 79.1% in 2017 and medical uses for the next three years is also increasing. Second, the pattern of medical care utilization varied widely according to age, especially after 20 years of age. Third, the types of medical institutions that were mainly used were 45.6% in the medical clinic and 35.9% in Seoul. The results of this study can be used as a minimum reference point of evaluating the effectiveness of government policy on future autistic disorders. However, further studies are required to increase the prevalence of treatment for autistic patients and to find out the difference in medical use according to age.