• Title/Summary/Keyword: Quality of coverage

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Survey on Quality of Life, Mental Health and Subjective Health Status of Community Dwelling Cancer Patients (일 지역에 거주하는 암환자의 삶의 질, 정신건강 및 주관적 건강상태 조사)

  • Lee, Bo-Young;Jo, Heui-Sug;Kwon, Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.49-60
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    • 2010
  • Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

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

  • Kim, Sang-Jun
    • Journal of the Korean Society for Library and Information Science
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    • v.38 no.2
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    • pp.161-187
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    • 2004
  • This study concerns DB quality of the Web databases which has been produced in medical science. For the quality evaluation of Embase and PubMed, 10 evaluating criteria were developed on the basis of literature review. The evaluation result showed that PubMed has superiority to the currentness, accuracy, completness, consistency, ease of use, customer support, searchability, cost, and network & H/W on DB, but Embase has only superiority to the coverage. It is needed for purchasing, user training, and library service based on the above evaluation result.

Changes and Cognition of Dental Hygienist and Dentistry after National Health Insurance of Dental Scaling (치석제거 급여화 후 치과위생사와 치과의료기관의 변화 및 인식조사)

  • Yoo, Eun-Ha;Lee, Hyo-jung;Oh, Hye-Young
    • Journal of Korean Dental Hygiene Science
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    • v.2 no.1
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    • pp.31-39
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    • 2019
  • This study focused on the change of environment and cognition of dental hygienists about dental calculus removal after the national health insurance. We conducted online and offline surveys for 290 dental hygienists working in dental clinics in Seoul, Gyeonggi and Incheon areas. Differences in perceptions were assessed by independent t-test and ANOVA. 62.1% answered that the health insurance coverage of dental calculus removal was appropriate, and 49.6% said that the desired number of health insurance coverage about the dental calculus removal should be applied twice a year. 54.3% said that the age after 20 years-old was not appropriate in national health insurance coverage of dental calculus removal, and 49.3% said that the appropriate starting age of dental calculus removal should be applied from high school students. 26.3% said that the number of national health insurance applications should be increased yearly, 20.5% said that oral care education should be added. Most of the dental hygienists said that the number of scaling patients increased, but that the quality of the scaling did not deteriorate. According to general characteristics, in the recognition of the removal of calculus, the dental hygienists having a career for 7~8 years felt less change. The dental hygienist wanted to expand the scope of national health insurance about scaling removal so that more subjects could remove dental calculus removal. Dental hygienists wanted that national health insurance should be systematically supplemented in order to contribute to the promotion of oral health of the people.

Abdominal-based adipocutaneous advancement flap for reconstructing inguinal defects with contraindications to standard reconstructive approaches: a simple and safe salvage reconstructive option

  • Schaffer, Clara;Haselbach, Daniel;Schiraldi, Luigi;Sorelius, Karl;Kalbermatten, Daniel F.;Raffoul, Wassim;di Summa, Pietro G.
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.395-403
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    • 2021
  • Background Groin wounds occurring after vascular surgical site infection, oncologic resection, or occasionally orthopedic surgery and trauma may represent a surgical challenge. Reconstruction of these defects by the usual workhorse flaps may be contraindicated following previous surgery and in patients with lower limb lymphedema or extreme morbidity. Methods This study included 15 consecutive patients presenting with inguinal wounds after vascular or general surgery that required debridement and soft tissue coverage. All cases had absolute or relative contraindications to conventional reconstructive techniques, including a compromised deep femoral artery network, limb lymphedema, scarring of potential flap harvesting sites, or poor overall condition. Abdominal adipocutaneous excess enabled the performance of adipocutaneous advancement flaps in an abdominoplasty-like fashion. Immediate and long-term outcomes were analyzed. Results Soft tissue coverage was effective in all cases. Two patients required re-intervention due to flap-related complications (venous congestion and partial flap necrosis). All patients fully recovered over a mean±standard deviation follow-up of 2.4±1.5 years. Conclusions Abdominal flaps can be an effective and simple alternative technique for inguinal coverage with reproducible outcomes. In our experience, the main indications are a compromised deep femoral artery network and poor thigh tissue quality. Relative contraindications, such as previous open abdominal surgery, should be considered.

Integrative Modeling of Wireless RF Links for Train-to-Wayside Communication in Railway Tunnel

  • Pu, Shi;Hao, Jian-Hong
    • Journal of Korea Society of Industrial Information Systems
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    • v.17 no.2
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    • pp.19-27
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    • 2012
  • In railway tunnel environment, the reliability of a high-data-rate and real-time train-to-wayside communication should be maintained especially when high-speed train moves along the track. In China and Europe, the communication frequency around 900 MHz is widely used for railway applications. At this carrier frequency band, both of the solutions based on continuously laid leaky coaxial cable (LCX) and discretely installed base-station antennas (BSAs), are applied in tunnel radio coverage. Many available works have concentrated on the radio-wave propagation in tunnels by different kinds of prediction models. Most of them solve this problem as natural propagation in a relatively large hollow waveguide, by neglecting the transmitting/receiving (Tx/Rx) components. However, within such confined areas like railway tunnels especially loaded with train, the complex communication environment becomes an important factor that would affect the quality of the signal transmission. This paper will apply a full-wave numerical method to this case, for considering the BSA or LCX, train antennas and their interacted environments, such as the locomotive body, overhead line for power supply, locomotive pantograph, steel rails, ballastless track, tunnel walls, etc.. Involving finite-difference time-domain (FDTD) method and uni-axial anisotropic perfectly matched layer (UPML) technique, the entire wireless RF downlinks of BSA and LCX to tunnel space to train antenna are precisely modeled (so-called integrative modeling technique, IMT). When exciting the BSA and LCX separately, the field distributions of some cross-sections in a rectangular tunnel are presented. It can be found that the influence of the locomotive body and other tunnel environments is very significant. The field coverage on the locomotive roof plane where the train antennas mounted, seems more homogenous when the side-laying position of the BSA or LCX is much higher. Also, much smoother field coverage solution is achieved by choosing LCX for its characteristic of more homogenous electromagnetic wave radiation.

Carrier Sensing Techniques for Long Range Internet of Things (장거리 사물인터넷을 위한 케리어 센싱 기술)

  • Lee, Il-Gu
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.33-39
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    • 2018
  • In the Internet of Things (IoT) era, objects are connected to each other by wired and wireless networks, and information is exchanged whenever necessary. Channel and network environments change over time; thus, a carrier sensing function that identifies whether signals containing information are present in the channel is essential. The carrier sensing circuit of a wireless communication system determines the receiver sensitivity, and the receiver sensitivity is closely related to the service coverage and service quality of the system. As the receiver sensitivity decreases, the service coverage increases but it becomes sensitive to noise. However, as the receiver sensitivity increases, the service coverage decreases but it becomes insensitive to the noise. Therefore, carrier sensing design and optimization are very important from the viewpoint of the receiver sensitivity and noise sensitivity. This paper proposes an effective carrier sensing technique from the viewpoint of the receiver sensitivity for the long range IoT.

Performance Analysis of Mobile Internet System in Inter-cell Interference Environment (인접 셀 간섭 환경에서 모바일 인터넷 시스템의 성능 분석)

  • Roh, Jae-Sung;Kim, Young-Chul
    • Journal of Advanced Navigation Technology
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    • v.16 no.1
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    • pp.96-102
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    • 2012
  • The goal of mobile internet system is to provide a high-data-rate, low-latency and optimized packet radio access technology supporting flexible bandwidth deployments. Therefore, network architecture is designed with the goal to support packet-switched traffic with seamless mobility, quality of service and minimal latency. An important requirement for the mobile internet system is improved cell-edge BER performance and data throughput. This is to provide some level of service consistency in terms of geographical coverage as well as in terms of available data throughput within the communication coverage area. In a cellular system, however, the signal to interference plus noise power ratio gap between cell-center and cell-edge users can be of the order of 20 [dB]. The disparity can be even higher in a communication coverage limited cellular system. This leads to vastly lower data throughputs for the cell-edge users relative to cell-center users creating a large QoS gap. This paper proposes a analytical approach that tries to reduce inter-cell interference, and shows the SIR and BER performance according to the OFDM system parameters in mobile Internet environment.

An Analysis on the Deployment Methods for Smart Monitoring Systems (스마트 모니터링 시스템의 배치 방식 분석)

  • Heo, No-Jeong
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.6
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    • pp.55-62
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    • 2010
  • Monitoring systems are able to report certain events at region of interest(ROI) and to take an appropriate action. From industrial product line full of robots to fire detection, intrusion detection, smart grid application, environmental pollution alarm system, monitoring system has widely used in diverse industry sector. Recently, due to advance of wireless communication technology and availability of low cost sensors, intelligent and/or smart monitoring systems such as sensor networks has been developed. Several deployment methods are introduced to meet various monitoring needs and deployment performance criteria are also summarized to be used to identify weak point and be useful at designing monitoring systems. Both efficiency during deployment and usefulness after the deployment should be assessed. Efficiency factors during deployment are elapsed time, energy required, deployment cost, safety, sensor node failure rate, scalability. Usefulness factors after deployment are ROI coverage, connectivity, uniformity, target density similarity, energy consumption rate per unit time and so on.

Radio coverage prediction of RF-CBTC system under transmission power 10mW/MHz at K-AGT test line (경전철시험선에서 송신전력 10mW/MHz에 대한 열차제어용 무선시스템의 전파도달범위 예측)

  • Cho, Bong-Kwan;Jung, Jae-Il
    • Journal of the Korean Society for Railway
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    • v.10 no.5
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    • pp.589-595
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    • 2007
  • Korea Railroad Research Institute has developed the driverless rubber-tired K-AGT (Korean-Automated Guideway Transit) system from 1999 to 2005 and has done its performance and reliability tests on the test line at Gyeongsan-city. Radio Frequency Communication-Based Train Control system of K-AGT, which employed Advanced Automated Train Control scheme, detects train position using the radio propagation delay between wayside and vehicle radio equipment. In this paper, we investigate whether the transmission power of radio system can be reduced to the permitted level announced by the Ministry of Information and Communication for license-free ISM(Industrial Scientific Medical) frequency bands. We first determine radio propagation model, using the measured data at test line, and perform simulation for radio coverage prediction. From the simulation results, we identify that the radio system operated with reduced power can provide good link quality in total test line.

Simultaneous reconstruction of the forearm extensor compartment tendon, soft tissue, and skin

  • Oh, Jeongseok;Ahn, Hee Chang;Lee, Kwang Hyun
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.479-483
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    • 2018
  • Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient's quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring $9{\times}6cm$ and $7{\times}5cm$, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a $24{\times}8cm$ anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST.