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For Non-for-Profit medical institutions, tax exemption benefits such as the United States should be basically provided. (비영리법인 의료기관의 과세 제도를 정비해야 할 시점: 미국 수준의 면세혜택 제공을 검토해야)

  • Lee, Jin Yong;Kim, Hyun Joo;Eun, Sang Jun
    • Korea Journal of Hospital Management
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    • v.23 no.4
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    • pp.81-86
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    • 2018
  • Purposes: The purpose of this study is to argue that the taxation system for non-for-profit medical institution in Korea should be revised and that the basic direction should be to expand tax exemption like the US. Methods: We analyzed the US context of taxation policy for non-for-profit medical institutions and compared the US and Korean situation. Findings: In the United States, for-profit or non-for-profit medical institutions eternities are the most important criteria for hospital classification. Basically, full tax-exemption has been applied for non-for-profit medical institutions. The reason why many hospitals maintain their status as non-for-profit are following. First, the American society places great importance on the social responsibility and role of non-for-profit hospitals. Second, maintaining the status of non-for profit medical institutions is financially beneficial while maintaining good social reputation. The most powerful financial incentives are tax deductions and tax deductions for donations. Practical Implications: How will the taxation system for medical institutions in Korea be reformed in the future? First, if Korean government do not allow for-profit medical institutions, Korean government should consider implementing a full tax exemption system suitable for non-profit medical institutions like the US. Second, there are many variation in taxation for non-for-profit medical institution according to their legal positions. Therefore, current taxation system should be revised. Third, the reorganization of such taxation system should be in a direction that can finally encourage community benefit activities of medical institutions of nonprofit hospitals.

Patient-specific Guides Using 3-dimensional Reconstruction Provide Accuracy and Reproducibility in Reverse Total Shoulder Arthroplasty

  • Yoon, Jong Pil;Kim, Dong Hyun;Jung, Jae Wook;Lee, Chang-Hwa;Min, Seunggi;Lee, Hyun Joo;Kim, Hee-June
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.16-23
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    • 2019
  • Background: We aimed to evaluate whether the use of our novel patient-specific guide (PSG) with 3-dimensional reconstruction in reverse total shoulder arthroplasty (RTSA) would allow accurate and reliable implantation of the glenoid and humeral components. Methods: 20 fresh-frozen cadaveric shoulders were used. The PSG group (n=10) and conventional group (n=10) was evaluated the accuracy and reproducibility of implant positioning between before and after surgery on the computed tomography image. Results: The superoinferior and anteroposterior offset in the glenoid component were $0.42{\pm}0.07$, $0.50{\pm}0.08$ in the conventional group and $0.45{\pm}0.03$, $0.46{\pm}0.02$ in the PSG group. The inclination and version angles were $-1.93^{\circ}{\pm}4.31^{\circ}$, $2.27^{\circ}{\pm}5.91^{\circ}$ and $0.46^{\circ}{\pm}0.02^{\circ}$, $3.38^{\circ}{\pm}2.79^{\circ}$. The standard deviation showed a smaller difference in the PSG group. The anteroposterior and lateromedial humeral canal center offset in the humeral component were $0.45{\pm}0.12$, $0.48{\pm}0.15$ in the conventional group and $0.46{\pm}0.59$ (p=0.794), $0.46{\pm}0.06$ (p=0.702) in the PSG group. The PSG showed significantly better humeral stem alignment. Conclusions: The use of PSGs with 3-dimensional reconstruction reduces variabilities in glenoid and humerus component positions and prevents extreme positioning errors in RTSA.

Reduction of Hydrodynamic Force Acting on the Vertical Wall of a Portable Water Storage Tank by Convex bottom Design (볼록한 바닥면 설계를 통한 소방용수 저장탱크의 수직 벽면에서의 동수력 저감 연구)

  • So, Soohyun;Park, Jinsoo;Sung, Hong Gun;Jang, Taek Soo
    • Fire Science and Engineering
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    • v.32 no.6
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    • pp.69-73
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    • 2018
  • This study examined the reduction effect of a hydrodynamic force acting on the vertical wall of a portable water storage tank with a convex bottom floor. For the numerical simulation, the linearized Peregrine's equation was used to analyze the lapping waves in the tank caused by water falling from a supplying nozzle. The hydrodynamic force could be calculated by measuring the maximum run-up wave height at the vertical wall. The initial conditions of the numerical experiments were set up by controlling the positions and heights of the water supplying nozzle. Finally, the hydrodynamic force acting on the vertical wall can be reduced by the convex bottom design of the portable water storage tank so it can be applied to improve the structural stability.

Mediating Effect of the Basic Occupational Ability in the Relationship between Career Barriers and the Job-seeking Efficacy of a Dental Technology Student (치기공과 학생의 진로장벽과 구직효능감 관계에서 직업기초능력의 매개효과)

  • Jung, Hyo-kyung;Choi, Ju-young
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.261-271
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    • 2018
  • Purpose: The purpose of this study is to clarify the mediating effect of the basic occupational ability in relation to the career barrier and job-seeking efficacy of dental technology students. It aims to provide the basic data for NCS-based education and career guidance. Methods: The subject of the questionnaire survey was dental technology students. The collected data were analyzed using the SPSS 21.0 program. For reliable verification, a significance level of ${\alpha}=.05$ was used and reliability analysis, frequency analysis, descriptive statistics analysis, correlation analysis and regression analysis were performed. Results: The results of the analysis showed that the basic occupational ability had a mediating effect in relation to career barriers and job-seeking efficacy. It was found that the basic occupational ability had a mediating effect in the relationship between job-seeking efficiently and other variables such as difficulty in an interpersonal relationship, lack of self-clarification, conflict with others in important positions, lack of job information, and lack of interest. Conclusion : The results of this study confirmed the importance of the basic occupational ability in improving job-seeking goals, job motivation, job search strength, job skills, and other related areas. If it appears difficult to overcome career barriers such as interpersonal difficulty, lack of self-clarification, conflict with other important people, lack of job information, and lack of interest, then the improvement of the basic occupational ability can be expected to enhance the job-seeking efficiency.

Armed person detection using Deep Learning (딥러닝 기반의 무기 소지자 탐지)

  • Kim, Geonuk;Lee, Minhun;Huh, Yoojin;Hwang, Gisu;Oh, Seoung-Jun
    • Journal of Broadcast Engineering
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    • v.23 no.6
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    • pp.780-789
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    • 2018
  • Nowadays, gun crimes occur very frequently not only in public places but in alleyways around the world. In particular, it is essential to detect a person armed by a pistol to prevent those crimes since small guns, such as pistols, are often used for those crimes. Because conventional works for armed person detection have treated an armed person as a single object in an input image, their accuracy is very low. The reason for the low accuracy comes from the fact that the gunman is treated as a single object although the pistol is a relatively much smaller object than the person. To solve this problem, we propose a novel algorithm called APDA(Armed Person Detection Algorithm). APDA detects the armed person using in a post-processing the positions of both wrists and the pistol achieved by the CNN-based human body feature detection model and the pistol detection model, respectively. We show that APDA can provide both 46.3% better recall and 14.04% better precision than SSD-MobileNet.

Current Status and Performance Evaluation Systems of Faculty in Korean Medical Schools (의과대학 교원 현황과 업적평가제도 특징 분석)

  • Yang, Eunbae B.;Lee, Tae Seon;Cho, Myung Ja
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.41-50
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    • 2019
  • The aim of this study is to analyze the current status and performance evaluation systems of faculty in Korean medical colleges and professional graduate medical schools (called medical schools). We developed a research tool based on previous studies and distributed it to 40 medical schools from July to October 2017. The response rate was 100%. We calculated the number of faculty members and analyzed the faculty evaluation systems and awareness according to national and private medical schools. As of 2017, the number of medical faculty in Korea was 11,111 (4,973 faculty were employed by their alma mater, which is 44.76% of the total), with non-medical doctor faculty accounting for 754 of the total. The medical schools reflect research achievements as most important for re-appointment and screening to promote faculty, and the area of education is secondary excepting clinical faculty of private medical schools. However, important issues in the faculty evaluation deal with the relevance of research achievement and the need for qualitative assessment. Some medical schools revised or have been revising the faculty evaluation system in areas such as minimum standards of education for promotion and separation of promotion and tenure review. Opening non-tenure track lines for faculty show positive effects such as increasing the number of positions for hire and easing the financial burdens of medical schools. Downfalls include inconsistencies between the responsibilities and actual practices of tenure not being available and the instability of faculty's status. In conclusion, medical schools need to prepare a faculty evaluation system that fits the position of faculty members and attempt to establish a reasonable compensation system.

A Fusion Study on the Selection of Cyberknife Technique according to the Location of the Pulmonary Tumors (폐종양의 위치에 따른 사이버나이프 기법의 선택에 관한 융합적 연구)

  • Kim, Gab-Jung;Kim, Jeong-Ho;Bae, Seok-Hwan;Kim, Nak-Sang;Seo, Sun-Yeol
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.101-108
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    • 2019
  • Depending on the location of the lung tumor, the choice of treatment technique should be considered when treating the Cyberknife. The 4DCT images of 18 lung cancer patients were analyzed, and location error values were extracted through application program. The evaluation result was lower than the average position error only in the upper and the inner. These results suggest that the Vertebral tracking technique is effective when it is close to the pulmonary attachment or near the vertebral body, and the Synchrony technique is effective at other positions. In the future, we would like to study cyber knife treatment technique according to the position of the tumor as well as the volume of the lung and the respiratory cycle.

Optimal Arrangement of Patrol Ships based on k-Means Clustering for Quick Response of Marine Accidents (해양사고 신속대응을 위한 k-평균 군집화 기반 경비함정 최적배치)

  • Yoo, Sang-Lok;Jung, Cho-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.7
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    • pp.775-782
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    • 2017
  • The position of existing patrol ships has been decided according to subjective judgments, not purely by any reasonable or scientific criteria, because of a lack of access to marine accident positions. In this study, the optimal location of patrol ships is quantitatively determined based on historical marine accident data. The study area used included the coastal sea of Pohang in South Korea. In this study, a k-means clustering algorithm was used to derive the location of patrol ships, and then a Voronoi diagram was used to divide the region around each patrol ship. As a result, the average navigation distance for patrol ships was improved by 4.4 nautical miles, and the average arrival time was improved by 13.2 minutes per marine accident. Moreover, if the locations of patrol ships need to be changed flexibly, it will be possible to optimally arrange limited resources using the technique developed in this study to ensure a fast rescue.

Effect of CLX Training Combined with PNF Pattern on Balance Ability

  • Jung, Ji-hoon;Kim, Min-ju;Woo, Hee-jung;Kim, Yi-seul;Kim, Myung-hee;Song, Seung-ryul;Kang, Se-mi;Choi, Yi-wha;Kim, Jung-hee
    • Journal of Korean Physical Therapy Science
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    • v.26 no.1
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    • pp.1-8
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    • 2019
  • Background: PNF patterns are the basis of human motion and can be expected to improve joint motion and coordination. Combined physical training with CLX training and PNF patterns can help to improve balance and perform functional mobility in the lower limb. The purpose of this study is to confirm the effect of CLX training combined with PNF pattern on balance ability. Design: Randomized Controlled Trial. Methods: Total 16 persons participate in this study and were randomly divided in two groups the experimental group and control group. In the experimental group, exercise program with PNF pattern and CLX was performed total 24 times for 8 weeks. In the exercise program, the PNF pattern composed of D1F and D2F was applied with CLX in five positions. Single limb hop test, Y-balance test and Balance Error scoring system were performed to evaluate the balance ability according to the interventions. Results: In the single limb hop, the experimental group revealed a significant difference than a control group (p<0.05).The result of balance error scoring system, experimental group revealed significant differences between before and after training and revealed significant differences than a control group (p<0.05). In the Y-balance test, the experimental group revealed significant differences than a control group in both side. Conclusion: The results of this study showed that the CLX exercise in combination with the PNF pattern had a positive effect on enhancing the balance ability of the normal adult and performing the functional mobility of the lower limb.

Design and implementation of information offering application for the handicapped and the volunteer (장애우 및 자원봉사자를 위한 정보 제공 애플리케이션의 설계 및 구현)

  • Kim, Dae-il;Yang, Hyun-tae;Park, Suhyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.542-544
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    • 2014
  • The handicapped are so desperate for other's help, but it is not enough. The number of social workers who offers help for the handicapped has annually increased, it is still not enough of these compared to the number of the handicapped. And then volunteers are needed information to service about welfare centers and the procedure. In this paper, we developed offering help and information of welfare android application for the handicapped of the vulnerable class of the society. This application was developed for the handicapped who are in need of help and the volunteers who want to help the handicapped. It basically displays position of welfare centers surrounding user on Google map. The handicapped who needs help of another indicates their current position with messages, the handicapped positions are displayed for volunteers. In addition, we developed bulletin board to be transaction and swapping for assisting device information.

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