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Review of Allowable Condition of the Discretionary not Covered Service (임의비급여 허용요건에 관한 검토)

  • Park, Tae-Shin
    • The Korean Society of Law and Medicine
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    • v.13 no.2
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    • pp.11-38
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    • 2012
  • The Supreme Court stand in the position in specific lawsuit that it doesn't allow the discretionary not covered service, but recently in revocation suit of fine disposal that is imposed on medical fee of leukemia patient, it altered the existing adjudgement and admitted the discretionary not covered service exceptionally. It put forward the allowable condition roughly in that case. According as this alteration, it has become more important to embody the allowance conditions of exceptions. The Supreme Court presented three things, which are procedural condition, medical condition and subscriber's agreement. Concerning procedural condition, several present conciliation procedures are as follows: medical care benefit arret request, relative value conciliation etc, prior request on anti-cancer drug among chemicals which exceed acceptance criteria, request of non benefit object on common drugs. To be granted the existence of those system, there should be no obstacle to use that. Even if it were so, we should take circumstances into consideration; individual situation is unescapable concerning substance and urgency of the discretionary not covered service, process of the procedure, time required etc. Regarding medical condition, safety and effectiveness will be verified through evaluation procedures of new medical skill. About the necessity, the Supreme Court made clear through a sentence that it allow the discretionary not covered service, in case that needs to treat a patient out of the standard of medical benefit. Strict interpretation is right and it answer the purpose of the sentence that the supreme court permit the discretionary not covered service, exceptionally. We need to differentiate medical necessity and medical validity. Subscriber's agreement should holds true if it entails full explanation, and if it is preliminary, explicit and individual. On this account, it should be difficult to admit that someone agree effectively when he call for the affirmation that he is recipient of medical care. Reasonable expense needs to be a part of review whether the agreement is valid. Meanwhile If we adjust system of medical expense and eventually reorganize a fee for consultation payment system (Fee-for-service controlled by item to DRG (Diagnosis Related Groups)), controversial area of the discretionary not covered service will be decreased and that will guarantee the discretion of the doctor.

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Study on the Meaning of Four Subjects and Four Species as a Disease-Prediction Data and Diagnostic Value on Ante-Disease (질병예측자료로서 사과(四科) . 사류형상(四類形象)의 의의와 미병진단적 가치 연구)

  • Kim, Jong-Won;Jeon, Soo-Hyung;Lee, In-Seon;Kim, Kyu-Kon;Lee, Yong-Tae;Kim, Kyung-Chul;Eom, Hyun-Sup;Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.2
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    • pp.325-330
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    • 2009
  • In Korea, medical diagnostic equipments and biochemical examination can not be used in order for diagnosing sub-healthy state or ante-disease state in oriental medicine clinic. So morphic analogical method used in oriental medicine can be a good tool as a disease-predictable signs in order to enable preventive diagnosis and therapy. Therefore the four geometrical subjects; Essence, Pneuma, Spirit, Blood(四科;精氣紳血) and the four taxonomical species; Pisces, Quadruped, Aves, Carapaces(四類;魚走鳥甲) are chosen as morphic models in this paper. The differences of two classifying methods with four subjects and four species were as follows. The diagnostic category was meta-medical and synthetic against medical specific. The diagnostic object was body in contrast with face. They were able to be applicant in psychology and classification of characteristics against diagnostics and therapeutics directly in oriental medicine. The theoretical basis was basic diagrams of four unit-fluids of body and morphological analogy with four animal species respectively. And the therapeutic aims were systemic pathogenesis following five phase theory against congestion and deficiency of Essence, Pneuma, Spirit, Blood. The four subjects and four species are mixed each other practically in clinic. But it should be used limitedly because of the above reasons described and must divide the principal and secondary factors and follow the pathology of principal shape factor. In order to improve the diagnostic value of ante-disease state, the discriminable standards, measurement methods, limit of interrelating interpretation and the criteria of abnormal disproportion were needed to be defined more clearly in advance.

User Access Patterns Discovery based on Apriori Algorithm under Web Logs (웹 로그에서의 Apriori 알고리즘 기반 사용자 액세스 패턴 발견)

  • Ran, Cong-Lin;Joung, Suck-Tae
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.6
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    • pp.681-689
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    • 2019
  • Web usage pattern discovery is an advanced means by using web log data, and it's also a specific application of data mining technology in Web log data mining. In education Data Mining (DM) is the application of Data Mining techniques to educational data (such as Web logs of University, e-learning, adaptive hypermedia and intelligent tutoring systems, etc.), and so, its objective is to analyze these types of data in order to resolve educational research issues. In this paper, the Web log data of a university are used as the research object of data mining. With using the database OLAP technology the Web log data are preprocessed into the data format that can be used for data mining, and the processing results are stored into the MSSQL. At the same time the basic data statistics and analysis are completed based on the processed Web log records. In addition, we introduced the Apriori Algorithm of Web usage pattern mining and its implementation process, developed the Apriori Algorithm program in Python development environment, then gave the performance of the Apriori Algorithm and realized the mining of Web user access pattern. The results have important theoretical significance for the application of the patterns in the development of teaching systems. The next research is to explore the improvement of the Apriori Algorithm in the distributed computing environment.

Vector Approximation Bitmap Indexing Method for High Dimensional Multimedia Database (고차원 멀티미디어 데이터 검색을 위한 벡터 근사 비트맵 색인 방법)

  • Park Joo-Hyoun;Son Dea-On;Nang Jong-Ho;Joo Bok-Gyu
    • The KIPS Transactions:PartD
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    • v.13D no.4 s.107
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    • pp.455-462
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    • 2006
  • Recently, the filtering approach using vector approximation such as VA-file[1] or LPC-file[2] have been proposed to support similarity search in high dimensional data space. This approach filters out many irrelevant vectors by calculating the approximate distance from a query vector using the compact approximations of vectors in database. Accordingly, the total elapsed time for similarity search is reduced because the disk I/O time is eliminated by reading the compact approximations instead of original vectors. However, the search time of the VA-file or LPC-file is not much lessened compared to the brute-force search because it requires a lot of computations for calculating the approximate distance. This paper proposes a new bitmap index structure in order to minimize the calculating time. To improve the calculating speed, a specific value of an object is saved in a bit pattern that shows a spatial position of the feature vector on a data space, and the calculation for a distance between objects is performed by the XOR bit calculation that is much faster than the real vector calculation. According to the experiment, the method that this paper suggests has shortened the total searching time to the extent of about one fourth of the sequential searching time, and to the utmost two times of the existing methods by shortening the great deal of calculating time, although this method has a longer data reading time compared to the existing vector approximation based approach. Consequently, it can be confirmed that we can improve even more the searching performance by shortening the calculating time for filtering of the existing vector approximation methods when the database speed is fast enough.

Design and Implementation of Distributed QoS Management Architecture for Real-time Negotiation and Adaptation Control on CORBA Environments (CORBA 환경에서 실시간 협약 및 작응 제어를 위한 분사 QoS 관리 구조의 설계 및 구현)

  • Lee, Won-Jung;Shin, Chang-Sun;Jeong, Chang-Won;Joo, Su-Chong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.1C
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    • pp.21-35
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    • 2002
  • Nowadays, in accordance with increasing expectations of multimedia stream service on the internet, a lot of distributed applications are being required and developed. But the models of the existing systems have the problems that cannot support the extensibility and the reusability, when the QoS relating functions are being developed as an integrated modules which are suited on the centralized controlled specific-purpose application services. To cope with these problems, it is suggested in this paper to a distributed QoS management system on CORBA, an object-oriented middleware compliance. This systems we suggested can provides not only for efficient control of resources, various service QoS, and QoS control functions as the existing functions, but also QoS control real-time negotiation and dynamic adaptation in addition. This system consists of QoS Control Management Module(QoS CMM) in client side and QoS Management Module(QoS MM) in server side, respectively. These distributed modules are interfacing with each other via CORBA on different systems for distributed QoS management while serving distributed streaming applications. In phase of design of our system, we use UML(Unified Modeling Language) for designing each component in modules, their method calls and various detailed functions for controlling QoS of stream services. For implementation of our system, we used OrbixWeb 3.1c following CORBA specification on Solaris 2.5/2.7, Java language, Java Media Framework API 2.0 beta2, Mini-SQL 1.0.16 and the multimedia equipments, such as SunVideoPlus/Sun Video capture board and Sun Camera. Finally, we showed a numerical data controlled by real-time negotiation and adaptation procedures based on QoS map information to GUIs on client and server dynamically, while our distributed QoS management system is executing a given streaming service.

Green in Film Color: Life and Matter (영화의 초록, 생명과 물질)

  • Kim, Jong-Guk
    • Cartoon and Animation Studies
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    • s.49
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    • pp.399-423
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    • 2017
  • When thinking about the essence of color, green is the image that is settled on the plant itself, and it is also the color shining by the sun. Physics tries to explain green of plants in the correlation of sun and moon, and the history of art contemplates how it is expressed on the canvas. The film attempts to represent a realistic green using camera or computer specific to the medium. Many color theorists who explore the essence of color do not trust the mechanical and reductive scientific colorism that began in Newton and seek a completely different way of exploring in psychology and aesthetics. Like Goethe, who opposed Newton, they do not distinguish the human as subject and the color as object, but focus on the internal grounds of the relationship between subject and color. The representation of color in film is a combination of physics and art. Film color can be expanded to the spiritual dimension beyond the previous emotional and aesthetic, even beyond the physical and mental domains.

Design and Implementation of Process Management Model applying Agent Technology (헬스케어 홈 서비스를 위한 데이터베이스 및 응용 서비스 구현)

  • Lee, Chung-Sub;Jeong, Chang-Won;Joo, Su-Chong
    • Journal of Internet Computing and Services
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    • v.8 no.1
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    • pp.57-70
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    • 2007
  • This paper is to construct a healthcare database using information obtained from healthcare home environments, and use this one for healthcare home services, Especially, our researching focus in this paper is how to design healthcare database scheme and how to use this constructed database on the Framework for Supporting Healthcare Integrated Service(FSHIS) we developed previously. Healthcare information is designed to database schemes in accordance to the specific save types of the data collected from various typed-sensors. The healthcare database constructed by using this information for the purpose of healthcare home services is divided into the base information with real schemes and the context based information with view schemes. Firstly, the base information includes low data obtained from physical sensors relevant to locations, healths, environments, and the personnel healthy profiles. The other is the context based information that is produced and fused by using the based information. This context based information might be got via various view schemes according to healthcare application services. Finally, for verifying the practical use of healthcare database constructed in this paper, Via interconnecting this database to our FSHIS, we show an example of healthcare home monitoring service using information (basic and context based information), emergency call, home appliance control, and so on needed from living activity area for elderly living alone.

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Analysis of the Secondary Chemistry Materials at 5 Centers for the University Affiliated Science-Gifted Education and Investigation of the Gifted Students' Perception (대학부설 5개 과학영재교육원의 중등화학 교재 분석과 영재학생들의 인식 조사)

  • Lee, Sang Kwon;Mo, Ran
    • Journal of Science Education
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    • v.36 no.1
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    • pp.106-119
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    • 2012
  • In order to promote national competition on knowledge based-society in 21centuries, it is important for us to train talented people who have much creativity. Comparing curriculums and contents studied in SECG (Science Education Center for the Gifted) and other organizations is object of this thesis. Finding implications of proper GATE(gifted and talented education) by understanding the present conditions is also a part of this thesis. We select 5 Science Education Centers for the Gifted and devise framework for analysis in order to analyze chemical textbooks in GATE programs. The framework consists of 6 categories including the contents, the level of activities, the opening extent of experiments, and the ability to think creatively. In our study of textbooks, we have found that the contents of chapters are divided properly but lacked the field of frontier and convergence science. Their activity types will have to develop programs which consist of various activities such as lectures and experiments. Precedent studies and study activities to promote scientific thinking were rated highly in general ratio. The level of studies that we analyzed lacked creative activities very much. In the opening extent of experiments, activities in the level 2 and the level 3 were low-rate. And in our study of thinking creatively, activities of promotion for expanded and related-ability to think seemed to lack. In order to achieve specific education for the gifted children, developments of GATE program is required. In the in-depth analysis from the questionnaires of Likert's method's descriptions, narrations, and interviews, it is divided into two answers in depth: contents of program, management of program. These also divided into two answers by attitude: positive answer or negative answer. According to the responses of the contents of program, the result of analysis shows that most respondents have positive reactions to not only contents and the managing method of SECG programs, but also to individual enhancing-abilities overall.

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Cooperative Multi-Agent Reinforcement Learning-Based Behavior Control of Grid Sortation Systems in Smart Factory (스마트 팩토리에서 그리드 분류 시스템의 협력적 다중 에이전트 강화 학습 기반 행동 제어)

  • Choi, HoBin;Kim, JuBong;Hwang, GyuYoung;Kim, KwiHoon;Hong, YongGeun;Han, YounHee
    • KIPS Transactions on Computer and Communication Systems
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    • v.9 no.8
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    • pp.171-180
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    • 2020
  • Smart Factory consists of digital automation solutions throughout the production process, including design, development, manufacturing and distribution, and it is an intelligent factory that installs IoT in its internal facilities and machines to collect process data in real time and analyze them so that it can control itself. The smart factory's equipment works in a physical combination of numerous hardware, rather than a virtual character being driven by a single object, such as a game. In other words, for a specific common goal, multiple devices must perform individual actions simultaneously. By taking advantage of the smart factory, which can collect process data in real time, if reinforcement learning is used instead of general machine learning, behavior control can be performed without the required training data. However, in the real world, it is impossible to learn more than tens of millions of iterations due to physical wear and time. Thus, this paper uses simulators to develop grid sortation systems focusing on transport facilities, one of the complex environments in smart factory field, and design cooperative multi-agent-based reinforcement learning to demonstrate efficient behavior control.

Rich Media Framework based on MPEG-4 LASeR PMSI Technique (MPEG-4 LASeR PMSI 기술에 기반한 리치미디어 프레임워크 설계 및 구현)

  • Lee, In-Jae;Song, Seung-Won;Lee, Han-Kyu;Cha, Ji-Hun
    • Journal of Broadcast Engineering
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    • v.15 no.2
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    • pp.248-264
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    • 2010
  • In this paper, we presents an efficient rich media framework based on MPEG-4 LASeR PMSI. Rich media provides distinctive features such as dynamic updates and object-based interactivity over the conventional AV centric media service. It rapidly gains its popularity as the convergent multimedia services between broadcasting and telecommunication. MPEG-4 LASeR is an international standard which provides specifications for such rich media services. Recently MPEG added an extension to LASeR called PMSI. It provides an efficient technique to present SI on a scene by referencing specific portions of SI from PI. The presented rich media application is using PMSI of MPEG-4 LASeR standard to provide users a widget-like rich media application. This application utilizes MPEG-4 LASeR with PMSI technique as PI, and this PI references SI to present information that resides in SI on a scene. In this paper, we provide descriptions of technical ingredients used to build the presented application. The framework is presented followed by the implementation result. Possible impacts and applicable services are described in the conclusion.