• Health Policy and Management
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• v.2 no.2
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• pp.221-237
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• 1992

The reasons for cost inflation in medical insurance expenditure are classified into demand pull inflation and cost push inflation. The former includes increase in the number of beneficiaries and utilization rate, while the latter includes increase in medical insurance fee and the charges per case. This study was conducted to analyze sources of increases of expenditure in medical insurance demonstration area by the period of 1982-1987 which was earlier than national health insurance and the period of national health insurance(1988-1990). The major findings were as follows: Medical expenditure in these areas increased by 9.4%(15.1%) annually between 1982 and 1990 on the basis of costant price(current price) and for this period, the yearly average increasing rate of expenses for outpatient care[10.5%(15.8%)] was higher than that of inpatient care [7.3%(12.6%)]. Medical expenditure increased by 6.3%(8.9%) annually between 1982 and 1987, the period of medical insurance demonstration, while it increased by 10.7%(18.9%) after implementing national health insurance(1988-1990). Medical expenditure increased by 35.9%(45.9%) between 1982 and 1987. Of this increase, 115.2%(92.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 61.0%(68.1%) was due to the increase in the charges per case, but the expenditure decreased by 76.2%(60.2%) due to the reduction in the number of beneficiaries. Beteen 1988 and 1990, the period of national health insurance, medical expenditure increased by 21.2%(41.4%). Of this increase, 87.5%(46.4%) was attributable to the increase in the frequencies of utilization per beneficiary and 52.4%(73.4%) was due to the increase in the charges per case, and of the increase in the charges per case, 69.6%(40.8%) was attributable to the increase in the days of visit per case. Medical expenses per person in these areas increased by 78.2%(89.0%) between 1982 and 1987. Of this increase, 76.6%(69.1%) was attributable to the increase in the frequencies of utilization per beneficiary and 23.4%(30.9%) was due to the increase in the charges per case. For this period, demand-pull factor was the major cause of the increase in medical expenses and the expenses per treatment day was the major attributable factor in cost-push inflation. Betwee 1988 and 1990, medical expenditure per person increased by 31.2%(53.1%). Of this increase, 60.8%(37.2%) was attributable to the demand-pull factor and 39.2%(62.8%) was due to the increase in the charges per case which was one of cost-push factors. In current price, the attributalbe rate of the charges per case which was one of cost-push factors was higher than that of utilization rate in the period of national health insurance as compared to the period of medical insurance demonstration. In consideration of above findings, demand-pull factor led the increase in medical expenditure between 1982 and 1987, the period of medical insurance medel trial, but after implementing national health insurance, the attributable rate of cost-push factor was increasing gradually. Thus we may conclude that for medical cost containment, it is requested to examine the new reimbursement method to control cost-push factor and service-intensity factor.

• Proceedings of the Korean Vacuum Society Conference
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• 2016.02a
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• pp.77-77
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• 2016

Thin films synthesized by plasma processes have been widely applied in a variety of industrial sectors. The structure control of thin film is one of prime factor in most of these applications. It is well known that the structure of this film is closely associated with plasma parameters and species of plasma which are electrons, ions, radical and neutrals in plasma processes. However the precise control of structure by plasma process is still limited due to inherent complexity, reproducibility and control problems in practical implementation of plasma processing. Therefore the study on the fundamental physical properties that govern the plasmas becomes more crucial for molecular scale control of film structure and corresponding properties for new generation nano scale film materials development and application. The thin films are formed through nucleation and growth stages during thin film depostion. Such stages involve adsorption, surface diffusion, chemical binding and other atomic processes at surfaces. This requires identification, determination and quantification of the surface activity of the species in the plasma. Specifically, the ions and neutrals have kinetic energies ranging from ~ thermal up to tens of eV, which are generated by electron impact of the polyatomic precursor, gas phase reaction, and interactions with the substrate and reactor walls. The present work highlights these aspects for the controlled and low-temperature plasma enhanced chemical vapour disposition (PECVD) of Si-based films like crystalline Si (c-Si), Si-quantum dot, and sputtered crystalline C by the design and control of radicals, plasmas and the deposition energy. Additionally, there is growing demand on the low-temperature deposition process with low hydrogen content by PECVD. The deposition temperature can be reduced significantly by utilizing alternative plasma concepts to lower the reaction activation energy. Evolution in this area continues and has recently produced solutions by increasing the plasma excitation frequency from radio frequency to ultra high frequency (UHF) and in the range of microwave. In this sense, the necessity of dedicated experimental studies, diagnostics and computer modelling of process plasmas to quantify the effect of the unique chemistry and structure of the growing film by radical and plasma control is realized. Different low-temperature PECVD processes using RF, UHF, and RF/UHF hybrid plasmas along with magnetron sputtering plasmas are investigated using numerous diagnostics and film analysis tools. The broad outlook of this work also outlines some of the 'Grand Scientific Challenges' to which significant contributions from plasma nanoscience-related research can be foreseen.

• Spatial Information Research
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• v.21 no.4
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• pp.15-24
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• 2013

Recently, as the spatial information and various multimedia are fused together, the demand for the high value-added spatial information contents and the necessity of technology for spatial information security are increasing. However, since the current security policy is being managed independently by each system, there is a problem with unreliable or costly to modify or revise the security policy. Such problems occur frequently in the process of coordination or integration of the spatial information management systems that are used in public institutions and private companies. Therefore, in this paper, the access control system that could provide an integrated security policy for many spatial platforms and systems with expandable grammar and semantics was designed and implemented based on GeoXACML proposed by OGC. As the GeoXACML-based access control system designed and implemented in this paper follows the international standard specifications, it provides high portability and interoperability. Finally, in this paper, the efficiency of the system was proved by applying it to a virtual scenario on the military area requiring the access control.

• Research in Plant Disease
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• v.27 no.4
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• pp.129-136
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• 2021

Rice is responsible for the stable crop of 3 billion people worldwide, about half of Asian depends on it, and rice is grown in more than 100 countries. Rice diseases can lead to devastating economic loss by decreasing yield production, disturbing a stable food supply and demand chain. The most commonly used method to control rice disease is chemical control. However, misuse of chemical control can cause environmental pollution, residual toxicity, and the emergence of chemical-resistant pathogens, the deterioration of soil quality, and the destruction of biodiversity. In order to control rice diseases, research on alternative biocontrol is actively pursued including microorganism-oriented biocontrol agents. Microbial agents control plant disease through competition with and antibiotic effects and parasitism against plant pathogens. Microorganisms isolated from the rice rhizosphere are studied comprehensively as biocontrol agents against rice pathogens. Bacillus sp., Pseudomonas sp., and Trichoderma sp. were reported to control rice diseases, such as blast, sheath blight, bacterial leaf blight, brown spot, and bakanae diseases. Here we reviewed the microorganisms that are studied as biocontrol agents against rice diseases.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.38
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• pp.49.1-49.9
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• 2016

Background: The aim of this report is to present a new reference for aesthetic mandible surgery using three-dimensional cone-beam computed tomography-based treatment planning for orthognathic surgery which can be implemented in surgical planning and perioperative procedure. Methods: To make an objective standard for evaluating aesthetic mandibular outline, we make an aesthetic scoring criteria with consideration of asymmetry, broad mandibular border line, and prominent mandibular angle. Two maxillofacial surgeons and two orthodontists rated their aesthetical evaluation from 1 to 5. Experimental group consisting of 47 female and 38 male patients who had rotational orthognathic two-jaw surgery from 2010 to 2011 were chosen according to aesthetic scoring done by two maxillofacial surgeons and two orthodontists. A high aesthetic score (${\geq}16$) means the facial contour is symmetric, with no broad and narrow aesthetic mandible frontal profiles. Control A group consisted of ten female and ten male patients who had no orthognathic surgery experience and low aesthetic score (${\geq}10$). Control B group consisted of ten female and ten male patients who had no orthognathic surgery experience and had anaesthetic mandibular frontal profile and a high aesthetic score (${\geq}16$). The three-dimensional image of the patient was taken from dental cone-beam CT (DCT) scanning (experimental group and control A group: 6 months DCT after surgery, control B group: 1st visit DCT). Each DCT was reformatted to reorient the 3D image using 3D analyzing program (OnDemand3D, cybermed Inc, CA, USA). After selection of 12 landmarks and the construction of reoriented horizontal, vertical, and coronal reference lines, 15 measurements were taken in 3D analysis of frontal mandibular morphology. Afterwards, horizontal and vertical linear measurements and angular measurements, linear ratio were obtained. Results: Mean $Go^{\prime}_{Rt}-Me^{\prime}-Go^{\prime}_{Lt}$ angular measurement was $100.74{\pm}2.14$ in female patients and $105.37{\pm}3.62$ in male patients. These showed significant difference with control A group in both genders. Ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}-Me^{\prime}$ length to some linear measurements (ratio of $Me^{\prime}-Cd^{\prime}_{Rt}Cd^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Me^{\prime}-Go^{\prime}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$, ratio of $Go^{\prime}_{Rt}-Go^{\prime}_{Lt}$ to $Me^{\prime}-Go^{\prime}_{Rt}Go^{\prime}_{Lt}$) showed significant difference with control A group in both genders. Conclusion: This study was intended to find some standard measurement of mandible frontal view in 3D analysis of aesthetic patient. So, these potential measurement value may be helpful for orthognathic treatment planning to have more aesthetic and perspective outcomes.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.2
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• pp.324-334
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• 2017

The simulators for a plant unit master control (UMC) developed by domestic or overseas researchers have been developed for operator-training purposes. UMC simulators normally constructed at the end of the plant construction, despite the UMC logics, should be simulated to pre-check many signal interfaces within the power generation systems. Because of the differences in construction schedule, it is difficult for logic designers or commissioning engineers to simulate the UMC logic during the design or commissioning stage. In this background, this paper proposes a simulation method that can be used easily by plant logic designers or operators in the MATLAB Simulink programming environment. The core of the UMC is realized with a unique simulation algorithm based on mathematical analysis and functional blocks combination. In addition, an integer-based configuration was proposed to realize the plant target value control for the equipment in the logic. With these simulation methods, functions, e.g., load distribution, high-low limitations, frequency compensation, etc. were simulated. The results showed that the plant UMC logic can be simulated in Simulink without a plant simulator. The various functions proposed in this paper can provide useful information about Simulink-based simulation design for plant logic designers or commissioning engineers during the power plant construction period.

• Journal of Korea Water Resources Association
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• v.48 no.8
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• pp.673-683
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• 2015

The existing flood protection in rivers has shown the limitation due to the urbanization around rivers and the abnormal climate. Thus, the demand for the constructions of side-weir detention basin are being increased as a part of integrated watershed flood protection plan. It is necessary to estimate the quantitative flood-control effect for including the side-weir detention basin in flood-control measures. For the determination, it is required to reduce the uncertainty of the design factors which can affect the flood-control effect of side-weir detention basin. Among the factors, however, the water level in river always contains uncertainty. Therefore, the design method considering the uncertainty is required. For the reasons, the design method considering uncertainty of the water level in river is suggested in this study with using the length of side-weir which is relatively easy-determinable by designers. Therefore, it is examined how the variation of the length of side-weir can affect the flood-control effect, using HEC-RAS, and then the method to determine the side-weir length considering the uncertainty of the water level in river through results from analyses. Since the uncertainty of the water level in river can be taken into account in the suggested design method, it is evaluated that the design method is more effective to suggest the flood-control effect of the side-weir type detention basin with higher safety side.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.29 no.2B
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• pp.250-262
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• 2004

In IPv6 environment, the Internet Telephony, VoD(Video on Demand) and high capacity file exchange service will be more increased than IPv4. Therefore, the strict guarantee of QoS based on End-to-End and differentiated quality control schemes are simultaneously required. This paper proposes the flow control schemes on IPv6 network that the traffic is identified by flow and the QoS of multi-service is improved by QoS information in IPv6 hop-by-hop option header. The object of flow control includes not only non-default QoS traffic, which uses the flow label, but also best-effort or encrypted traffic. Therefore, the guarantee of real-time service is strengthened and the flow, which abuses unnecessarily the network resources, is effectively controlled. Also, this paper proposes the mapping scheme between the flow and MPLS by reflecting the minimum change of the existed network resource and the status of backbone network of ISP(Internet Service Provider). In the simulation result, It is shown that the proposed scheme is effective in the side of QoS on real-time services and utilization of backbone resources.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.3
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• pp.569-575
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• 2020

Recently, research on renewable energy technologies has come into the spotlight due to rising concerns over the depletion of fossil fuels and greenhouse gas emissions. Demand for portable electronic and wearable devices is increasing, and electronic devices are becoming smaller. Energy harvesting is a technology for overcoming limitations such as battery size and usage time. In this paper, the V-I characteristic curve and internal resistance of thermal electric devices were analyzed, and MPPT control methods were compared. The Perturbation and Observation (P&O) control method is economically inefficient because two sensors are required to measure the voltage and current of a Thermoelectric Generator(TEG). Therefore, this paper proposes a new MPPT control method that tracks MPP using only one sensor for the regulation of the output voltage. The proposed MPPT control method uses the relationship between the output voltage of the load and the duty ratio. Control is done by periodically sampling the output voltage of the DC-DC converter to increase or decrease the duty ratio to find the optimal duty ratio and maintain the MPP. A DC-DC converter was designed using a cascaded boost-buck converter, which has a two-switch topology. The proposed MPPT control method was verified by simulations using PSIM, and the results show that a voltage, current, and power of V=4.2 V, I=2.5 A, and P=10.5 W were obtained at the MPP from the V-I characteristic curve of the TEG.

• Applied Chemistry for Engineering
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• v.16 no.4
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• pp.474-484
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• 2005

Biological treatment is a promising alternative to conventional air pollution control methods. Bioreactors for air pollution control have found most of their success in the treatment of dilute and high flow waste air streams containing volatile organic compounds and odor compounds. They offer several advantages over traditional technologies such as incineration or adsorption. These include lower treatment costs, absence of formation of secondary pollutants, no spent chemicals, low energy demand and low temperature treatment. The most widely used bioreactor for air pollution control is biofilter, but it has several limitations. In the past years major progress has been accomplished in the development of vapor phase bioreactor, in particular biotrickling filters. Biotrickling filters are more complex than biofilters, but are usually more effective, especially for the treatment of compounds which are difficult to degrade or compounds that generate acidic by-products. While the level of understanding of biotrickling filtration process for VOCs still remains limited, the evident success of biotreatment of VOC in air stimulated the pursue of acitve research. This paper presents fundamental and theoretical/practical aspect of air pollution control in biotrickling filter. Special emphasis is given to the operating parameters and the factors influencing performance for air pollution control in biotrickling filter.