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Survey on Value Elements Provided by Artificial Intelligence and Their Eligibility for Insurance Coverage With an Emphasis on Patient-Centered Outcomes

  • Hoyol Jhang;So Jin Park;Ah-Ram Sul;Hye Young Jang;Seong Ho Park
    • Korean Journal of Radiology
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    • v.25 no.5
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    • pp.414-425
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    • 2024
  • Objective: This study aims to explore the opinions on the insurance coverage of artificial intelligence (AI), as categorized based on the distinct value elements offered by AI, with a specific focus on patient-centered outcomes (PCOs). PCOs are distinguished from traditional clinical outcomes and focus on patient-reported experiences and values such as quality of life, functionality, well-being, physical or emotional status, and convenience. Materials and Methods: We classified the value elements provided by AI into four dimensions: clinical outcomes, economic aspects, organizational aspects, and non-clinical PCOs. The survey comprised three sections: 1) experiences with PCOs in evaluating AI, 2) opinions on the coverage of AI by the National Health Insurance of the Republic of Korea when AI demonstrated benefits across the four value elements, and 3) respondent characteristics. The opinions regarding AI insurance coverage were assessed dichotomously and semi-quantitatively: non-approval (0) vs. approval (on a 1-10 weight scale, with 10 indicating the strongest approval). The survey was conducted from July 4 to 26, 2023, using a web-based method. Responses to PCOs and other value elements were compared. Results: Among 200 respondents, 44 (22%) were patients/patient representatives, 64 (32%) were industry/developers, 60 (30%) were medical practitioners/doctors, and 32 (16%) were government health personnel. The level of experience with PCOs regarding AI was low, with only 7% (14/200) having direct experience and 10% (20/200) having any experience (either direct or indirect). The approval rate for insurance coverage for PCOs was 74% (148/200), significantly lower than the corresponding rates for other value elements (82.5%-93.5%; P ≤ 0.034). The approval strength was significantly lower for PCOs, with a mean weight ± standard deviation of 5.1 ± 3.5, compared to other value elements (P ≤ 0.036). Conclusion: There is currently limited demand for insurance coverage for AI that demonstrates benefits in terms of non-clinical PCOs.

A Study on the Initial Stability Evaluation of 4.99-Tons-Class Standard Fishing Vessels (4.99톤급 표준어선형 어선의 초기 복원성 평가에 관한 연구)

  • Hwewoo Kim;Sanghyun Kim;Sunwoo Lee;Hyeongseok Yoon;Hyogeun Lee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.30 no.2
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    • pp.176-183
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    • 2024
  • Assessing the stability of small fishing vessels is important to prevent capsize accidents in coastal waters that primarily occur on small fishing vessels. However, the regulations regarding stability assessment for small vessels under 24 m are inadequate according to the domestic Fisheries Act. Based on safety standards issued by the Ministry of Oceans and Fisheries in 2022 to enhance safety and welfare, vessels adhering to the enhanced safety standards for standard ship types are required to establish stability regardless of their length. This study aims to utilize these aforementioned standards to assess the stability of vessels under 24 m, investigating the suitability of applying these criteria to these vessels and examining the impact on various small vessels with different superstructures. Initially, a 4.99-ton fishing vessel designed according to the standard ship type was selected as the subject vessel. Compliance with the standards was evaluated based on the initial stability of the vessel using the transverse metacentric height (GM) and transverse restoring moment arm at the limit angle (GZα). Additionally, six types of small vessels with identical hull forms and specifications to the subject vessel were further examined using prevalent superstructure designs in small fishing vessels. The stability of the subject small vessel was also assessed. A study of a 4.99-ton standard fishing vessel confirmed that the safety standards for standard fishing vessels with enhanced safety welfare were applicable to small fishing vessels under 4.99-ton class and that the stability of small fishing vessels with superstructure modifications was not significantly changed.

Effect of pre-post injection timing of diesel fuel for naval vessel on the combustion and emission characteristics in an optically-accessible single cylinder diesel engine (단기통 디젤엔진에서 함정용 디젤유의 전·후 분사시기가 연소 및 배출가스 특성에 미치는 영향)

  • Lee, Hyungmin
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.7
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    • pp.868-876
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    • 2014
  • The objective of this study is focused on the analyzing combustion, carbon monoxide and hydrocarbon emission characteristics of marine diesel oil, utilized for naval propulsion engine, with varying pre-post injection timing of an optically accessible single cylinder engine. And also the combustion process is analyzed by means of a high speed camera visualization. On the result of retarding pre-injection timing toward main injection timing, the mean effective pressure and maximum pressure of combustion chamber are increased; however, the heat release rate is decreased. Furthermore, the emission rates of carbon monoxide and hydrocarbon are reduced in this case. In hence, when a post-injection timing is advanced, the mean effective pressure and maximum pressure are increased, because the combustion has been performed under the high temperature and high pressurized environment during main injection time, and the emission rates of carbon monoxide and hydrocarbon are increased. From the experimental results, it considered that retarding of pre-injection timing affects to shorten the ignition delay of main injection clearly, and to raise the flame intensity comparing to the advanced state. The ignition delay during post-injection is not appeared at any post-injection time, but the flame intensity has been weakened gradually according to the retarding of post-injection timing.

Mid- to Long-term Food Policy Direction

  • Bo-ram Kim
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.6-6
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    • 2022
  • Prolonged Russia-Ukraine war, and unstable situation of supply and demand of global crops including the COVID-19 pandemic have raised awareness regarding food crisis, and in addition to this situation, export restriction measures imposed by some countries have accelerated the rise in the prices. Since the Republic of Korea depends annual crop consumption (21.32 million tons) mostly on the imports (food self-sufficiency rate in 2020 was 45.8%, crop self-sufficiency rate was 20.2%), our main task is to stably secure food. Now we need to put focus on building capacity to secure stable food supply, and actively manage and respond to risks. To overcome this condition, the Korean government set robust food sovereignty as its policy task, and has been focusing on the policy capacity by providing financial and policy support in parallel. We need to implement mid- to long-term measures to strengthen food security as well as to ensure domestic price stability. While increasing the domestic capacity to supply food in the mid- to long-term perspective, we are implementing projects to bring in crops which are inevitable to be imported by private companies. Specifically, we are making efforts to expand infrastructure for the public reserve and domestic production of wheat and beans which have low self-sufficiency rate, and to secure food sovereignty by providing support to secure global crop supply chain to private companies. The Ministry of Agriculture, Food and Rural Affairs plans to set a target for food self-sufficiency rate and prepare a policy to strengthen mid- to long-term food security by establishing a task force to strengthen mid- to long-term food security in the Ministry. Especially, although wheat is the second staple food, domestic wheat production and the foundation for the industry is poor. Compared to the wheat imports, domestic production of wheat is 30 thousand tons (self-sufficiency rate of 1%), leading to a vulnerable status against internal and external shocks. Through the establishment of the Wheat Industry Promotion Act (Feb. 2020) and the First Master Plan for Wheat Industry Promotion (Nov. 2020), the Korean government has developed a policy basis, and has been providing financial support in overall across the production, distribution and consumption process. In addition, the government established a production complex for Korean wheat and beans in order to supply affordable government-supplied commodities, provide education and consulting services, and create a high-quality stable production system, including facilities and equipment. We are also continuing to increase the public reserve for wheat and beans with the purpose of stable supply and demand as well as food security. The Korean government will establish and implement mid- to long-term measures to strengthen the foundation for domestic production across production, distribution and consumption process, and to stably secure global supply chain including through diversified import channels.

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Entrepreneurship Policy Changes from the Perspective of Policy Paradigm (정책 패러다임 관점에서 살펴본 창업정책 변화)

  • KIM, Mansu;KANG, Jae Won
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.3
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    • pp.43-58
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    • 2021
  • This study analyzes the entrepreneurship policies of the previous Korean administrations from the perspective of the Policy Paradigm by Hall(1993). A total of 195 newspaper articles and 202 government documents were examined to identify policy paradigm shifts through an analysis of policy objectives, policy instruments, and changing quality of policy instruments by each administration. The first paradigm was built during the 5th and 6th Republic, where 'Support for Small and Medium Enterprise Establishment Act' was enacted in 1986 to promote and support start-ups in the manufacturing sector. Next is the so-called 'people's government' period where 'Act on Special Measures for the Promotion of Venture Businesses' was enacted to tackle the challenges posed during the 1997 Asian financial crisis. A new policy goal was set to promote and nurture venture companies seeking subsequent means to achieve it. The third paradigm shift took place during President Moon's administration in order to effectively respond to the issues stemming from the fourth industrial revolution and the COVID-19 pandemic. Through the overall revision of the 'Support for Small and Medium Enterprise Establishment Act', the scope of startups were expanded, new industries and technology startups were supported and promoted, and venture investment-related laws were streamlined. In addition, the Small and Medium Business Administration was promoted as the Ministry of SMEs and Startups, enabling them to take initiative in implementing startup policies. Particularly, this study focuses on examining the low survival rate of startup companies and the revitalization of private investment as rising policy issues for recent startups, and suggests the improvement direction due to startup policy paradigm shift.

Air passenger demand forecasting for the Incheon airport using time series models (시계열 모형을 이용한 인천공항 이용객 수요 예측)

  • Lee, Jihoon;Han, Hyerim;Yoon, Sanghoo
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.87-95
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    • 2020
  • The Incheon airport is a gateway to and from the Republic of Korea and has a great influence on the image of the country. Therefore, it is necessary to predict the number of airport passengers in the long term in order to maintain the quality of service at the airport. In this study, we compared the predictive performance of various time series models to predict the air passenger demand at Incheon Airport. From 2002 to 2019, passenger data include trend and seasonality. We considered the naive method, decomposition method, exponential smoothing method, SARIMA, PROPHET. In order to compare the capacity and number of passengers at Incheon Airport in the future, the short-term, mid-term, and long-term was forecasted by time series models. For the short-term forecast, the exponential smoothing model, which weighted the recent data, was excellent, and the number of annual users in 2020 will be about 73.5 million. For the medium-term forecast, the SARIMA model considering stationarity was excellent, and the annual number of air passengers in 2022 will be around 79.8 million. The PROPHET model was excellent for long-term prediction and the annual number of passengers is expected to be about 99.0 million in 2024.

Prognosis of tongue squamous cell carcinoma associated with individual surgical margin and pathological features

  • Cho, Seongji;Sodnom-Ish, Buyanbileg;Eo, Mi Young;Lee, Ju Young;Kwon, Ik Jae;Myoung, Hoon;Yoon, Hye Jung;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.5
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    • pp.249-258
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    • 2022
  • The specific muscular structure of the tongue greatly affects margin shrinkage and tumor invasion, making the optimal surgical margin controversial. This study investigated surgical margin correlated prognosis of TSCC (tongue squamous cell carcinoma) according to margin location and its value, and the histopathologic factors which are suggestive of tumor invasion. And we would like to propose defining of the surgical margin for TSCC via prognosis according to location and margin values. We reviewed 45 patients diagnosed with TSCC who visited Seoul National University Dental Hospital (SNUDH) (Seoul, Republic of Korea) from 2010 to 2019, who were managed by a single surgical team. Patient clinical and pathological data of patients were retrospectively reviewed, and in 36 out of 45 patients, the pathologic parameters including the worst pattern of invasion (WPOI) and tumor budding were investigated via diagnostic histopathology slide reading. When standardized with as 0.25 cm anterior margins, as 0.35 cm deep margin, there was no significant difference in disease specific survival (DSS) or loco-regional recurrence-free survival (LRFS). Additionally, there was a non-significant difference in DSS and LRFS at the nearest margin of 0.35 cm (PDSS=0.276, PLRFS=0.162). Aggressive WPOI and high tumor budding showed lower survival and recurrence-free survival, and there were significant differences in close margin and involved margin frequencies. In TSCC, the value and location of the surgical margin did not have a significant relationship with prognosis, but WPOI and tumor budding suggesting the pattern of muscle invasion affected survival and recurrence-free survival. WPOI and tumor budding should be considered when setting an optimal surgical margin.

Legal Issues in the Act on the Promotion of Education for the Gifted and Talented Law (영재교육진흥법에 대한 교육법적 쟁점)

  • Park, Chang-Un;Choe, Ho-Seong;Seo, Hae-Ae
    • Journal of Gifted/Talented Education
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    • v.19 no.2
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    • pp.211-240
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    • 2009
  • This paper attempts to explore issues related with the Sifted and talented education in legal aspects. To accomplish this goal, the legal system connected with the gifted and talented education is examined. It includes the Constitution of the Republic of Korea, framework act on education, elementary and secondary education act, etc,. Second, the institutional process of the Act on the Promotion of Education for the gifted and Talented Law and legal characteristics is reviewed. It is found that the Act on the Promotion of Education for the gifted and Talented Law and its regulations is designated to achieve goals of education in general. Educational institutions for children with gifted and talented seem to attain more investment than general education institutions. Third, main issues in the Act on the Promotion of Education for the gifted and Talented Law is discussed. They are the legal system, legal name and aim, rights and obligation for gifted and talented, selection of gifted and talented, organization and operation of curriculum, and teacher education. In conclusion, it needs deeper study on each issue and needs to be presented the specific alternatives. So, it should be improved the law in such a way to meet the fundamental human rights for the gifted and talented.

Organizational Innovation in the Korean Government via an ICT-based IKM Framework: A focus on the MOFA (정보통신기술 기반 지식정보관리 프레임워크를 통한 한국 정부 조직 혁신에 관한 탐구: 외교부를 중심으로)

  • Jin-kyung Lee
    • Journal of the Korean Society for information Management
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    • v.40 no.2
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    • pp.211-241
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    • 2023
  • With rapidly changing technological implementation of operating systems of businesses, the Ministry of foreign affairs (MOFA) of the Republic of Korea (ROK) has been undergoing digital transformation to its overall operations with the intent to innovate information and knowledge management (IKM) strategies since the mid-2000s. However, assessment as to the effectiveness of implemented IKM has been inadequately analyzed. This study aims to assess the concepts and limitations of the MOFA's current IKM strategies and the methods it employs to deliver its IKM framework, in light of strengthening the organizational ambidexterity and absorptive capacity, and also fostering organizational innovation through a qualitative study that involves interviews and analysis of reports from MOFA. The MOFA's IKM possesses dynamic capabilities to adapt to changing digital technologies. However, the institution's IKM is constrained by limitations associated with the utilization of the IKM system such as a structure that handles confidential documents and a lack of a collaborative system for IKM, and external limitations such as changes in the domestic political situation governing MOFA's priorities and the hierarchy of government organizations. Consequently, developing the organizational ambidexterity and absorptive capacity was not possible. To develop an IKM framework for organizational innovation, the MOFA must devise a way to minimize the impact of external changes by overcoming internal limitations. To that end, a detailed study on the development of a practically usable IKM system should include establishing a dialogue between job groups and enhancing employee competency in preparation for a changing environment.

Economic Valuation of Multi-functionality on an Eco-pastoral system in Alpine grassland (산지생태축산의 다원적 기능에 대한 가치 평가)

  • Kim, Se-Hyuk;Kim, Tae-Kyun
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.38 no.4
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    • pp.298-309
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    • 2018
  • This study examined the multi-functionality of an eco-pastoral system in alpine grassland and measured its economic value. The multi-functionality can be divided into three categories: direct-use value, indirect-use value, and heritage value. Direct-use value includes both extractive (forage and livestock production) and non-extractive (recreation and tourism) functions. Indirect-use value includes the functions of water conservation, soil erosion control, atmospheric control, landscape, livestock-manure management, and forest firebreaks. The heritage value includes the function of species diversity. The results showed that the annual value for 1 hectare of the eco-pastoral system in alpine grassland's direct use was estimated to be 21,090,874 Korean won; the indirect-use value was 15,562,203 won when the landscape in grassland system, and 16,018,224 won when the landscape comprised in silvopastoral system. The value of the species diversity in heritage terms ranged from 767,273 to 1,578,845 won, depending on whether it included any endangered species. The total value of multi-functionality of the eco-pastoral system in alpine grassland was estimated to be a minimum of 37,420,350 won/ha and a maximum of 38,687,942 won/ha. The results of this study can provide useful insights for the eco-pastoral system in alpine grassland policies in Republic of Korea.