• 한국병원경영학회지
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• 제8권1호
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• pp.1-23
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• 2003

General drug prices involve three stages: shipment stage, wholesaler stage and retail stage. Policies on drug price differ from country to country. Shipment stage prices are tightly regulated in countries like France and Netherlands. They are free in only a minority of advanced countries, even if these include some major players such as the US, Germany and, in a very limited sense, Japan. The situation in the UK is very complex with a semi-free system, where drug companies are free to set their own prices but cannot exceed a predetermined profit ceiling. Mark-up at both wholesaler and retail stages is formally admitted in most countries observed. Apart from the general drug prices, reimbursement price of insured drugs has been major policy concerns. Most countries reviewed in this study has exerted some control over reimbursement prices, but differ both in the way how and in the extent to which prices are admitted or fixed. Price fixing has been used in France and Japan. Some countries have transformed their system over time, particularly to move to reference pricing in the last decade. This mechanism has empowered the customer, and improved price competition on the market. Referring to the drug price policies in the advanced countries, this study makes some suggestions for the redirection of Korean price policy for reimbursement drug in health insurance as follows: to match appropriate policy tools to each policy goal; to maximize market mechanism through effective reimbursement price fixing which admits mark-ups in wholesaler and retail prices; to introduce reference pricing system in order to redirect patient's demand with a financial incentive to choose the best-priced drugs and to save the finance of health insurance; and to strengthen surveillance and monitoring mechanism in the drug market.

• 조명전기설비학회논문지
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• 제28권9호
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• pp.99-104
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• 2014

This paper presents a unified live-streaming method based on Hypertext Mark-up Language 5(HTML5) for an IP camera which is independent of browsers of clients and is implemented with open-source libraries. Currently, conventional security systems based on analog CCTV cameras are being modified to newer surveillance systems utilizing IP cameras. These cameras offer remote surveillance and monitoring regardless of the device being used at any time, from any location. However, this approach needs live-streaming protocols to be implemented in order to verify real-time video streams and surveillance is possible after installation of separate plug-ins or special software. Recently, live streaming is being conducted through HTML5 using two different standard protocols: HLS and DASH, that works with Apple and Android products respectively. This paper proposes a live-streaming approach that is linked on either of the two protocols which makes the system independent with the browser or OS. The client is possible to monitor real-time video streams without the need of any additional plug-ins. Moreover, by implementing open source libraries, development costs and time were economized. We verified usefulness of the proposed approach through mobile devices and extendability to other various applications of the system.

• Nuclear Engineering and Technology
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• 제45권3호
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• pp.277-294
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• 2013

In the early 1980s, attention focused on the possibility that pressurized thermal shock (PTS) events could challenge the integrity of a nuclear reactor pressure vessel (RPV) because operational experience suggested that overcooling events, while not common, did occur, and because the results of in-reactor materials surveillance programs showed that RPV steels and welds, particularly those having high copper content, experience a loss of toughness with time due to neutron irradiation embrittlement. These recognitions motivated analysis of PTS and the development of toughness limits for safe operation. It is now widely recognized that state of knowledge and data limitations from this time necessitated conservative treatment of several key parameters and models used in the probabilistic calculations that provided the technical of the PTS Rule, 10 CFR 50.61. To remove the unnecessary burden imposed by these conservatisms, and to improve the NRC's efficiency in processing exemption and license exemption requests, the NRC undertook the PTS re-evaluation project. This paper provides a synopsis of the results of that project, and the resulting Alternate PTS rule, 10 CFR 50.61a.

• 생물환경조절학회지
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• 제21권2호
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• pp.120-126
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• 2012

토마토 시설재배에서 고온기에 온습도를 조절할 목적으로 사용되는 이류체 포그시스템이 가루이 방제에 미치는 효과를 알아보고, 이를 활용한 효과적이고 친환경적인 가루이 예방 및 방제 방법을 모색하기 위해 총 2회에걸쳐실험을수행하였다. 1차실험에서는 포그처리의가루이 방제 효과를 구명하였고, 구역별가루이 분포를조사하였다. 2차실험에서는 이류체 포그시스템이가루이의 수직분포와 운동성에 미치는 영향 및 방제효과를 검증하는 실험을 수행하였다. 1, 2차 실험에서 이류체포그시스템이 가루이의 개체수와 운동성을 감소시키는 효과가 인정되었다. 시설 내에서 가루이는 출구에서 먼쪽의구역에높은 밀도로 분포하며, 이류체 포그시스템을 작동하였을 때 가루이의 수직분포가 달라지는 것이 조사되었다. 따라서 이류체 포그시스템을 가루이의 예방및방제에 사용하되, 밀도가 높은구역의기주식물 중상부에 황색점착트랩을 설치하여 가루이를 더욱효과적으로 방제할수있을 것으로사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권2호
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• pp.1083-1087
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• 2013

Background: Colorectal cancer has several modifiable behavioural risk factors but their relationship to the risk of colon and rectum cancer separately and between countries with high and low incidence is not clear. Methods: Data from participants in the Asia Pacific Cohort Studies Collaboration (APCSC) were used to estimate mortality from colon (International Classification of Diseases, revision 9 (ICD-9) 153, ICD-10 C18) and rectum (ICD-9 154, ICD-10 C19-20) cancers. Data on age, body mass index (BMI), serum cholesterol, height, smoking, physical activity, alcohol and diabetes mellitus were entered into Cox proportional hazards models. Results: 600,427 adults contributed 4,281,239 person-years follow-up. The mean ages (SD) for Asian and Australia/New Zealand cohorts were 44.0 (9.5) and 53.4 (14.5) years, respectively. 455 colon and 158 rectum cancer deaths were observed. Increasing age, BMI and attained adult height were associated with increased hazards of death from colorectal cancer, and physical activity was associated with a reduced hazard. After multiple adjustment, any physical activity was associated with a 28% lower hazard of colon cancer mortality (HR 0.72, 95%CI 0.53-0.96) and lower rectum cancer mortality (HR 0.75, 95%CI 0.45-1.27). A 2cm increase in height increased colon and all colorectal cancer mortality by 7% and 6% respectively. Conclusions: Physical inactivity and greater BMI are modifiable risk factors for colon cancer in both Western and Asian populations. Further efforts are needed to promote physical activity and reduce obesity while biological research is needed to understand the mechanisms by which they act to cause cancer mortality.