• Title/Summary/Keyword: Keio University

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A Systematic Review of the Economic Evaluation of Telemedicine in Japan

  • Akiyama, Miki;Yoo, Byung-Kwang
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.4
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    • pp.183-196
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    • 2016
  • Objectives: There is no systematic review on economic evaluations of telemedicine in Japan, despite over 1000 trials implemented. Our systematic review aims to examine whether Japan's telemedicine is cost-saving or cost-effective, examine the methodological rigorousness of the economic evaluations, and discuss future studies needed to improve telemedicine's financial sustainability. Methods: We searched five databases, including two Japanese databases, to find peer-reviewed articles published between January 1, 2000 and December 31, 2014 in English and Japanese that performed economic evaluations of Japan's telemedicine programs. The methodological rigorousness of the economic analyses was assessed with a well-established checklist. We calculated the benefit-to-cost ratio (BCR) when a reviewed study reported related data but did not report the BCR. All cost values were adjusted to 2014 US dollars. Results: Among the 17 articles identified, six studies reported on settings connecting physicians for specialist consultations, and eleven studies on settings connecting healthcare providers and patients at home. There are three cost-benefit analyses and three cost-minimization analyses. The remaining studies measured the benefit of telemedicine only, using medical expenditure saved or users' willingness-to-pay. There was substantial diversity in the methodological rigorousness. Studies on teledermatology and teleradiology indicated a favorable level of economic efficiency. Studies on telehomecare gave mixed results. One cost-benefit analysis on telehomecare indicated a low economic efficiency, partly due to public subsidy rules, e.g., a too short budget period. Conclusions: Overall, telemedicine programs in Japan were indicated to have a favorable level of economic efficiency. However, the scarcity of the economic literature indicates the need for further rigorous economic evaluation studies.

A Study on the Construction of Integrated GIS in Local Government (지방자치단체의 통합형 GIS 구축에 관한 연구 - 일본의 사례를 중심으로 -)

  • Park, Sang-Woo;Lee, Young-Joo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.5 no.2
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    • pp.34-46
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    • 2002
  • The purpose of this paper is to investigate the components to be considered when we construct the integrated GIS. Capability has always to be related to application. In this perspective, the range of integrated GIS's capabilities is more extensive than this existing GIS. Using in the case of Japan's local government, when we want to build the integrated GIS, it is necessary to consider the following things. First, the overall manuals are required. Second, the common spatial database should be build to satisfy outsider user as well as inner user. And last, the chief of local government should gain the sympathy of the member of community.

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Gateway Discovery Algorithm Based on Multiple QoS Path Parameters Between Mobile Node and Gateway Node

  • Bouk, Safdar Hussain;Sasase, Iwao;Ahmed, Syed Hassan;Javaid, Nadeem
    • Journal of Communications and Networks
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    • v.14 no.4
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    • pp.434-442
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    • 2012
  • Several gateway selection schemes have been proposed that select gateway nodes based on a single Quality of Service (QoS) path parameter, for instance path availability period, link capacity or end-to-end delay, etc. or on multiple non-QoS parameters, for instance the combination of gateway node speed, residual energy, and number of hops, for Mobile Ad hoc NETworks (MANETs). Each scheme just focuses on the ment of improve only a single network performance, i.e., network throughput, packet delivery ratio, end-to-end delay, or packet drop ratio. However, none of these schemes improves the overall network performance because they focus on a single QoS path parameter or on set of non-QoS parameters. To improve the overall network performance, it is necessary to select a gateway with stable path, a path with themaximum residual load capacity and the minimum latency. In this paper, we propose a gateway selection scheme that considers multiple QoS path parameters such as path availability period, available capacity and latency, to select a potential gateway node. We improve the path availability computation accuracy, we introduce a feedback system to updated path dynamics to the traffic source node and we propose an efficient method to propagate QoS parameters in our scheme. Computer simulations show that our gateway selection scheme improves throughput and packet delivery ratio with less per node energy consumption. It also improves the end-to-end delay compared to single QoS path parameter gateway selection schemes. In addition, we simulate the proposed scheme by considering weighting factors to gateway selection parameters and results show that the weighting factors improve the throughput and end-to-end delay compared to the conventional schemes.

Characteristic of wastewater treatment using Boron-doped Diamond Electrode (붕소가 도핑된 다이아몬드전극을 이용한 폐수처리특성)

  • Lee, Eun-Ju;Einaga, Y.;Fujishima, A.;Park, Soo-Gil
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.07b
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    • pp.795-798
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    • 2003
  • Toxic organics are of great environmental concern primarily because they are toxic to mammals and birds, and are relatively soluble in water to contaminate surface water and groundwater. In this study, the decomposition of phenol, a widely used organic, in aqueous solutions by Boron doped diamond(BDD) electrode was examined. Thin, Boron-doped conducting diamond films are expected to be excellent electrodes for industrial electrolysis. Boron-doped diamond (BDD) were used as anode for generating ozone gas by electrolysis of acid solution. In this work. we have studied ozone generating system using BDD electrode. In order to determine the ozone generation properties of diamond electrode, experimental conditions, electrolyte concentration, temperature, flow rate and reaction time were varied diversely. As a result, we could confirm that ozone gas was generated successfully and the performance of diamond electrode was stable for electrolyte while $PbO_2$ electrode was disintegrated. Actually we are found that ozone amount increased by lowering the temperature of electrolyte. Decomposition of phenol concentration in the reaction solution by photolytic ozonation( $UV/O_3$) was analyzed by HPLC epuipped with a UV detector.

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Ozone Generation Effects and Microbial Sterilization using Boron-doped Diamond (붕소가 도핑된 다이아몬드 전극을 이용한 오존발생 효과 및 미생물 살균)

  • In, Jin-Kyung;Yoo, Ji-Young;Einaga, Y.;Fujishima, A.;Park, Soo-Gil
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.07b
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    • pp.818-821
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    • 2003
  • Ozonic use of sterilization and heat treatment of raw material to extend the conservation period of food recently is increased by hard vegetable or microorganism sterilization purpose of fruit. If ozone can create as is easy comparatively because do air or oxygen by raw material and schedule period passes, there is advantage that do not leave the second contaminant because being gotten restored by oxygen. Also, because the effect is big to decolorization beside sterilization effect about microorganism, deodorization, disjointing of venomousness hazardous substance, food save, indoor air purge, good hand processing, hydrospace agricultural chemicals processing etc. the use extent is wide. This research ran parallel a sterilization experiment of E.coli colitis germs by ozone that manufacture ozonizer that use doped diamond maund electrode (BDD) by boron and searched special quality electrochemistry enemy of the ozonizer and is created. E.coli. After cultivate E.coli colitis germs during 37C 1 day is LB ship, after do ozonation, was sterilized more than 90% by ozone as result that examine sterilizing power by substance microscope and could confirm excellency of diamond electrode.

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Optical Properties of Plastic Fiber Made from a Transparent Polymethylmethacrylate (투명한 PMMA 로 된 플라스틱 섬유의 광학적 성질)

  • Hee-Ju Chae;Yasuhiro Koike
    • Journal of the Korean Chemical Society
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    • v.33 no.4
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    • pp.431-435
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    • 1989
  • The refractive index, refractive-index distribution, birefringence, and the attenuation of the plastic fiber prepared from the transparent PMMA prerod were measured in accordance with continuous heat drawing temperature($T_d$). The refractive indices were decreased with $T_d$ elevation but the refractive-index distribution from the center of fiber to periphery was higher at lower $T_d$. The steep decrease of gradient index was only at the periphery of higher $T_d$. Birefringence was observed only below $220^{\circ}C$ and ranged $5{\times}10^{-4}$ to $6{\times}10^{-4}$. No birefringence was observed above $220^{\circ}C$. An elevation of $T_d$ brought about a monotonous decrease in the attenuation of the fiber.

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Conversion Rate of Gaseous Ammonia to Particulate Ammonium During Atmospheric Transport (대기 수송중 암모니아의 암모늄염으로의 전환속도)

  • Kim Hui-Kang;Y. Hashimoto;Yong-Kuen Lee
    • Journal of the Korean Chemical Society
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    • v.26 no.2
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    • pp.88-94
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    • 1982
  • The concentrations of gaseous ammonia and particulate ammonium emitted from a urea plan were measured, and the conversion rate of ammonia to ammonium was estimated. The conversion of ammonia to ammonium has two stages with transport time in the atmosphere. In the initial 15min the conversion rate was 3.2% min$^{-1}$, and thereafter 0.26% min$^{-1}$. The high conversion rate of ammonia to ammonium at the initial period of it's transport might be due to the dissolution of ammonia into water droplets formed by the decrease in temperature of the stack effluent. The concentration of ammonium is further increased by the decomposition of urea in alkaline droplet formed. Half-lives of ammonia gas at initial and latter slag were 16 min and 192 min respectively. No correlation of particulate ammonium concentration to temperature, relative humidity, and concentrations of sulfur dioxide, nitrogen oxides and airborne particulate matter were found in this field measurement.

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Disinfaction effect of bacteria with ozone generation by BDD electrode (붕소가 도핑된 다이아몬드 전극을 이용한 오존발생과 발생된 오존에 의한 미생물 살균 효과)

  • Yoo, Ji-Young;In, Jin-Kyoung;Einaga, Y.;Fujishima, A.;Park, Soo-Gil
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2003.11a
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    • pp.607-610
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    • 2003
  • Ozonic use of sterilization and heat treatment of raw material to extend the conservation period of food recently is increased by hard vegetable or microorganism sterilization purpose of fruit. If ozone can create as is easy comparatively because do air or oxygen by raw material and schedule period passes, there is advantage that do not leave the second contaminant because being gotten restored by oxygen. Also, because the effect is big to decolorization beside disinfection effect about microorganism, deodorization, disjointing of venomousness hazardous substance, food save, Indoor air purge, good hand processing, hydrospace agricultural chemicals processing etc. the use extent is wide. This research ran parallel a sterilization experiment of E.coli colitis germs by ozone that manufacture ozonizer that use doped diamond maund electrode (BDD) by boron and searched special quality electrochemistry enemy of the ozonizer and is created. After cultivate E.coli colitis germs during 37C 1 day is LB ship, after do ozonation, was sterilized more than 90% by ozone as result that examine disinfection effect by substance microscope and could confirm excellency of diamond electrode.

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Association between cold-heat symptoms and sleep disturbances according to the Sasang constitution: a cross-sectional community study

  • Hyun, Min Kyung;Yoshino, Tetsuhiro
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.1
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    • pp.59-74
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    • 2022
  • Objectives : Evidence supporting the cold-heat symptom and sasang constitution type, which are diagnostic items of traditional Korean medicine, is needed to manage sleep disturbances, which is a typical symptom of mibyeong (subhealth). This study examined the association between each cold-heat symptom and sleep disturbances according to each sasang constitution type. Methods : This research was a cross-sectional study of 5,793 subjects from the Korean Medicine Data Center (KDC) community cohort survey. The association between each cold-heat symptom and sleep disturbances was analyzed by logistic regression analysis adjusted for several demographic variables. Subgroup analysis was then performed for each type of sasang constitution. Results : The soeum and soyang types were 1.53 and 1.26 times more likely to have sleep disturbances than the taeum type. Sleep disturbances were associated with 'coldness of the abdomen', 'watery mouth' in the cold domain items, and 'body feverishness', 'flushed face and eye', 'thirst', and 'scanty dark urine' in the heat domain items. The soeum and soyang types were 1.55 and 1.39 times more likely to sleep less than five hours per night than the taeeum type. In addition, the associations of those showed a different pattern for each sasang constitution type. Conclusions : Sleep disturbances are associated with specific cold-heat symptoms, and the associated cold-heat symptoms differ according to the sasang constitution type. These results may help traditional medicine specialists select customized interventions for patients with sleep disturbances.

Fabrication of (PDDA/SiO2) Thin Film by an Applying Voltage Layer-By-Layer Self Assembly Method (전압인가 LBL법을 이용한 (PDDA/SiO2) 박막 제조)

  • Park, Jong-Guk;Kyung, Kyu-Hong;Lee, Mi-Jai;Hwang, Jonghee;Lim, Tae-Young;Kim, Jin-Ho
    • Korean Journal of Materials Research
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    • v.24 no.12
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    • pp.715-719
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    • 2014
  • (PDDA/$SiO_2$) thin films that consisted of positively charged poly (diallyldimethylammonium chloride) (PDDA) and negatively charged $SiO_2$ nanoparticles were fabricated on a glass substrate by an applying voltage layer-by-layer (LBL) self-assembly method. In this study, the microstructure and optical properties of the (PDDA/$SiO_2$) thin films coated on glass substrate were measured as a function of the applied voltage on the Pt electrodes. When 1.0 V was applied to a Pt electrode in a PDDA and $SiO_2$ solution, the thickness of the $(PDDA/SiO_2)_{10}$ thin film increased from 79 nm to 166 nm. The surface roughness also increased from 15.21 nm to 33.25 nm because the adsorption volume of the oppositely charged PDDA and $SiO_2$ solution increased. Especially, when the voltage was applied to the Pt electrode in the $SiO_2$ solution, the thickness increase of the (PDDA/$SiO_2$) thin film was larger than that obtained when using the PDDA solution. The refractive index of the fabricated (PDDA/$SiO_2$) thin film was ca. n = 1.31~1.32. The transmittance of the glass substrate coated by (PDDA/$SiO_2$)6 thin film with a thickness of 106 nm increased from ca. 91.37 to 95.74% in the visible range.