• 의료법학
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• 제15권1호
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• pp.123-164
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• 2014

Under the new system of 'Separation of pharmaceutical prescription and dispensing' in Korea, which was implemented in 2000, physician could not dispense a medicine, and outpatient should have a physician's prescription filled at a drugstore. After pharmacist makes up outpatient's prescription, National Health Insurance Service(NHIS) pay for outpatient's medicine to pharmacist, except an outpatient's own medicine charge. And NHIS only pay for outpatient's prescription fee to physician and, physician doesn't derive profit from dispensing medicine in itself. Nevertheless, if physician writes out a prescription with violation of 'Criteria for the Medical Care Benefits', NHIS clawed back the payment of outpatient's prescription and medicine from the physician or the medical institution which the physician belongs to. In the past, NHIS's confiscation was in accordance with 'the National Health Care Insurance Act, Article 52, Clause 1'. But, since 2006 when the Supreme Court declared that there was no legal basis on the NHIS's confiscation of outpatient's medicine payment, NHIS had put in a claim for illegal prescriptions on the basis 'the Korean Civil law, Article 750(tort)'. So, Many medical institutions filed civil actions against NHIS. The key point of this actions was whether the issuing outpatient prescriptions with violations of Criteria for the Medical Care Benefits constitute of the law of tort. On this point, the first trial and the second trial took different position. Finally the Supreme Court acknowledged the constitution of the law of tort in 2013. In this paper, the author will review critically the decision of the Supreme Court, and consider the relativeness between the legal effect of Criteria for the Medical Care Benefits and the constitution of the issuing outpatient prescriptions with violations of Criteria for the Medical Care Benefits as the law of tort.

• 한국병원경영학회지
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• 제7권4호
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• pp.1-23
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• 2002

This study examined the influence of the separation of prescribing and dispensing roles(SPD) policy implemented in Korea in July 2000, especially on the change in the net profit of medical institutions. Using the data set from the Korea's National Health Insurance and the previous research, this study elicited the following main results. First, tertiary care institutions was estimated to lose about 631 billion won after the SPD policy. Second, general hospitals and hospitals gained about 557 billion and 564 billion won, respectively. Third, it is shown that clinics also gained 389-659 billion won. Finally, however, the change in net profit of medical institutions after the SPD policy largely depends on different estimation models. Moreover, it also varies from the assumptions on the price differential of a reimbursable drug which worked as cross-subsidy to insufficient physician's fee before the SPD policy. Despite such limitations as lack of data outside of the National Health Insurance's coverage, this study differs from others. This is the first research to explore the effect of the SPD policy on different types of medical institutions and to attempt to purely focus on the SPD policy. In this study, we can draw the policy implication that preparing for a policy change, the government should set up the policy evaluation system to collect the concerned data and develop the methodologies in advance to the policy implementation.

• 반도체디스플레이기술학회지
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• 제5권2호
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• pp.33-36
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• 2006

Many issues arose to use the Pb-free solder as adhesive materials in MEMS ICs and packaging. Then this study for easy and simple sealing method using adhesive materials was carried out to maintain hermetic characteristic in MEMS Package. In this study, Hermetic characteristic using negative PR (XP SU-8 3050 NO-2) as adhesive at the interface of Si test coupon/glass substrate and Si test coupon/LTCC substrate was examined. For experiment, the dispenser pressure was 4 MPa and the $200\;{\mu}m{\Phi}$ syringe nozzle was used. 3.0 mm/sec as speed of dispensing and 0.13 mm as the gap between Si test coupon and nozzle was selected to machine condition. 1 min at $65^{\circ}C$ and 15 min at $95^{\circ}C$ as Soft bake, $200\;mj/cm^2$ expose in 365 nm wavelength as UV expose, 1 min at $65^{\circ}C$ and 6 min at $95^{\circ}C$ as Post expose bake, 60 min at $150^{\circ}C$ as hard bake were selected to activation condition of negative PR. Hermetic sealing was achieved at the Si test coupon/ glass substrate and Si test coupon/LTCC substrate. The leak rate of Si test coupon/glass substrate was $5.9{\times}10^{-8}mbar-l/sec$, and there was no effect by adhesive method. The leak rate of Si test coupon/LTCC substrate was $4.9{\times}10^{-8}mbar-l/sec$, and there was no effect by dispensing cycle. Better leak rate value could be achieved to use modified substrate which prevent PR flow, to increase UV expose energy and to use system that controls gap automatically with vision.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1999년도 하계학술대회 논문집 G
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• pp.3162-3164
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• 1999

In this paper, a temperature compensating system(TCS) for LPG dispenser has been developed. A TCS includes a processor(80C196) with an AID converter. I/O port(82C55) and 6-digit vacuum fluorescent display. Based on encoding signals from the gas flow meter, different calibration values from each apparatus and temperature compensating values from the temperature sensor, the TCS controls the LPG dispensing quantity with switching on or off the solenoid valves. The temperature compensation is performed with analog-to-digital conversion of the temperature sensor. The resolution of temperature compensation is nearly $0.5^{\circ}C$ using 10-bit ADC. The field test of the TCS shows the exact temperature compensation.

• International Journal of Computer Science & Network Security
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• 제21권12spc호
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• pp.409-414
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• 2021

Geographic Information Systems (GIS) is considered to be one of the most important technologies provided by the Internet in our era. GIS enables institutions and individuals to plan and make decisions in many fields. GIS assists in accessing new and updated information on planning process. GIS also enables determining distances such as length, width, area on a map, and allows analyzing and processing a large amount of data for the search of geographical characteristics of locations. This paper explains the concept of dispensing prescription through the specific code of drug on an electronic system using GIS technology. The proposed methodology aims to inform patients of all the prescriptions dispensed and to help individuals inquiring about prescription at the nearest pharmacy through GIS technology. This proposed methodology is considered significant in some cases, as the patient does not know price, specifications and pharmacy location where the drug required is available, thus increasing the time and effort cost that is spent searching for the prescription.

• 한국정밀공학회지
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• 제29권1호
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• pp.33-40
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• 2012

The scaffold serves as 3D substrate for the cells adhesion and mechanical support for the newly grown tissue by maintaining the 3D structure for the regeneration of tissue and organ. In this paper, we proposed integrated scaffold fabrication system using multi-axis rapid prototyping (RP) technology. It can fabricate various types of scaffolds: arbitrary sculptured shape, primitive shape, and tube shape scaffolds by layered dispensing biocompatible/ biodegradable polymer strands in designated patterns. In order to fabricate the 3D scaffold, we need to generate the plotting path way for the scaffold fabrication system. We design a data processing program - scaffold plotting software, which can convert the 3D STL file, primitive and tube model images into the NC code for the system. Finally, we fabricated the customized 3D scaffolds with high accuracy using the plotting software and the fabrication system.

• 대한산업공학회지
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• 제42권6호
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• pp.370-376
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• 2016

Manufacturing data analysis and its applications are getting a huge popularity in various industries. In spite of the fast advancement in the big data analysis technology, however, the manufacturing quality data monitored from the automated inspection system sometimes is not reliable enough due to the complex patterns of product quality. In this study, thus, we aim to define the level of trusty of an automated quality inspection system and improve the reliability of the quality inspection data. By correlation analysis and feature selection, this paper presents a method of improving the inspection accuracy and efficiency in an SVM-based automatic product quality inspection system using thermal image data in an auto part manufacturing case. The proposed method is implemented in the sealer dispensing process of the automobile manufacturing and verified by the analysis of the optimal feature selection from the quality analysis results.

• 전기학회논문지
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• 제56권5호
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• pp.990-992
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• 2007

The purpose of this study is to develop a practical gait-event detection system which is necessary for the FES (functional electrical stimulation) control of locomotion in paralyzed patients. The system is comprised of a sensor board and an event recognition algorithm. We focused on the practicality improvement of the system through 1) using accelerometer to get the angle of shank and dispensing with the foot-switches having limitation in indoor or barefoot usage and 2) using a rule-base instead of threshold to determine the heel-off/heel-strike events corresponding the stimulation on/off timing. The sensor signals are transmitted through RF communication and gait-events was detected using the peaks in shank angle. The system could detect two critical gait-events in all five paralyzed patients. The standard deviation of the gait events time from the peaks were smaller when 1.5Hz cutoff frequency was used in the derivation of the shank angle from the acceleration signals.

• 한국정밀공학회지
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• 제28권8호
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• pp.1000-1007
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• 2011

For enlarging the applications of microstereolithography, the use of diverse materials is required. In this study, the material switching system (MSS) for projection microstereolithography apparatus is proposed. The MSS consists of three part; resin level control, resin dispensing control, and vat level control. Curing characteristic of materials used in fabrication has been identified. Through repeated fabrication of test models, the critical fabrication error is investigated and a possible solution to this error is suggested. The developed system can be applied to improve the strength of microstructure and extended to fabricate an array of microstructures with multiple materials.

• 약학회지
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• 제53권6호
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• pp.368-376
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• 2009

DUR (Drug Utilization Review) originally referred to the evaluation of drug usage details: however DUR refers to the system used to support the services of prescribing and dispensing through linking from Health Insurance Review and Assessment (HIRA) Service in Korea. HIRA is going to begin the DUR enforcement for extending to nationwide coverage after pilot test. Objectives: The aims for this study were to evaluate and clarify the current opinions of the pharmacists for the recognition and acceptance rates before nationwide coverage concerning DUR system. Methods: A 16-question-questionnaire was developed and pilot tested. For 40 days of survey by both on-line and fax paper, it was carried out on 80 pharmacists working at community pharmacy in Goyang-si, Gyeonggi-do. Results: Most of answers were broadly positive and interested in begining the DUR system and kept in mind that the goal of DUR is safety guarantee for people. On the other hand, most of answerers worry that delay of patient waiting time and inharmonious communication with doctors in DUR processing can be a major obstacle to begin the DUR system. Conclusion: To solve several problems, the most important things are to make good reciprocal relationships between doctors and pharmacists, investigate intervention tool to shorten patient waiting time, and activate educational program of inspecting items for the pharmacists.