• Title/Summary/Keyword: trial service

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The Design of the Self-diagnosis Algorithm for the Efficient Control of Sudden Cancer Pain (효율적인 돌발성 암 통증 관리를 위한 자가 진단 알고리즘 설계)

  • Jung, Eun-Young;Eun, Sung-Jong;Jeong, Byoung-Hui;Lee, Yong-Joon;Park, Dong-Kyun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.458-467
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    • 2014
  • Pain is one of the most common and painful symptoms that cancer patients suffer from. Pain seriously affects 30-50% of the patients at the early cancer diagnosis stage or who receive active anticancer treatments, 60-70% of the patients with progressive cancer, and 80-90% of the patients at the late stage of cancer. However, there is no systematic and easy pain control program for the cancer patients. In this study, an algorithm is proposed to provide quick pain relief service upon the occurrence of sudden pain, for the purpose of controlling the sudden pain that cancer operation survivors experience. In developing the algorithm, questionnaires, evaluation forms and National Comprehensive Cancer Network (NCCN) guideline were considered, and a trial service was provided to a group of 20 cancer patients for a month to evaluate the designed algorithm. The results of the trial service were examined by expert medical workers to evaluate the proposed algorithm, and a 90% compatibility decision was derived, which verified the effectiveness of the proposed algorithm. In the case of incompatibility decision, the management of the pain diary did not have compatible results. Therefore, the further study will additionally address the customized pain diary algorithm.

The Legal Effect of Criteria for the Medical Care Benefits and The Illegality Determination on Violation of Criteria for the Medical Care Benefits on Outpatient Prescription - A Commentary on Supreme Court Judgment 2009 Da 78214 Delivered on March 23, 2013 - (요양급여기준의 법적 성격과 요양급여기준을 벗어난 원외처방행위의 위법성 -대법원 2013. 3. 28. 선고 2009다78214 판결을 중심으로-)

  • Hyun, Dooyoun
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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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.

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Determination of Crude Protein Requirements for Maintenance of Prepubertal Hanwoo Heifers (한우 암송아지의 성성숙 전 유지 단백질 요구량 결정)

  • Nam, In-Sik;Oh, Young-Kyoon;Jang, Sun-Sik;Kim, Do-Hyung;Seol, Yong-Joo;Kim, Kyoung-Hoon
    • Journal of Animal Science and Technology
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    • v.53 no.2
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    • pp.171-176
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    • 2011
  • Two trials at different body weights of Hanwoo heifers (average body weight of 143 and 257 kg, respectively) were conducted to determine crude protein requirements for maintenance (CPm). Six Hanwoo heifers in each trial were used in two 3 ${\times}$ 3 Latin square design with three diets containing three levels of CP, 14 days in each period. In trial 1, the diets were based on 2.8 kg fresh wt./day/heifer timothy hay (LCP) with supplements of either 250 g ground corn and 150 g corn gluten meal (MCP) or 500 g ground corn and 300 g corn gluten meal (HCP). In trial 2, the diets were based on 4.8 kg fresh wt./day/heifer timothy hay (LCP) with supplements of either 350 g ground corn and 250 g corn gluten meal (MCP) or 700 g ground corn and 500 g corn gluten meal (HCP). In trial 1, CP intakes were 236.6, 340.1, and 459.8 g/d for LCP, MCP, and HCP, respectively. Crude protein balances were 0.51, 1.87 and 3.20g/$BW^{0.75}$/d for LCP, MCP, and HCP, respectively. In trial 2, CP intakes were 415.2, 606.9 and 793.0g/d for LCP, MCP and HCP, respectively. Crude protein balances were 0.67, 1.03, 2.99 g/$BW^{0.75}$/d for LCP, MCP, and HCP, respectively. The maintenance requirements for CP from the regression equation between CP intake and CP balance were 4.58g/$BW^{0.75}$/d (trial 1) and 5.02 g/$BW^{0.75}$/d (trial 2) and lower than the value (5.56 g/$BW^{0.75}$/d) adopted by Korean Feeding Standards for Hanwoo (2007).

User Context-aware based Interactive Display Service for Smart Collaborative Environment (지능형 협업 환경을 위한 사용자 컨텍스트 기반 인터랙티브 디스플레이 서비스)

  • Ko, Su-Jin;Shin, Hun-Yong;Woo, Woon-Tack;Kim, Jong-Won
    • 한국HCI학회:학술대회논문집
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    • 2008.02a
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    • pp.286-291
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    • 2008
  • Intelligence of collaborative environments starts from a trial to provide optimal services to with users based on real-time information about participants and environments of the collaboration itself. Up to now, we can collect information such as temperature, light, time, each participant's gestures, faces, voices, and locations by adopting ubiquitous computing technologies. However, since social relationship is intrinsic to collaborative activities, the relationships and roles among participants should be fully considered to provide optimal services. To do so, we have to integrate collected data from various sensors and extracted data about relationships and roles among participants as unified one context. Thus, this paper designs collaborative services filtered, by using the integrated data as a context, and introduces an implemented example, context-aware based interactive display service, called as smart meeting system (SMeet system).

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Development of High-definition 3DTV Experimental System based on Dual Stream Method (듀얼스트림 방식에 기반한 고화질 3DTV 실험방송 시스템 개발)

  • Lee, Gwang-Soon;Jung, Kwang-Hee;Cheong, Won-Sik;Hur, Nam-Ho;Pyo, Kyung-Soo
    • Journal of Broadcast Engineering
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    • v.16 no.3
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    • pp.471-482
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    • 2011
  • This paper introduces an development of high-definition(HD) 3DTV experimental broadcasting system and its experimental service that has been launched via three broadcasting network including terrestrial, cable and satellite in the late of 2010. This 3DTV experimental broadcasting service employs an innovative 3DTV broadcasting mechanism, called as dual stream method in which left and right images are encoded by using each video encoder and multiplexed using MPEG-2 system technology for guaranteeing backward-compatibility with legacy DTV. This paper specifically describes the developed experimental broadcasting system, concentrating on 3DTV re-multiplexer and 3DTV receiver. Finally, implementation and terrestrial 3DTV experimental broadcasting service results will be introduced from the point of objective and subjective evaluation.

Commissioning Model for CM Services Considering Project and owner Properties (프로젝트 및 발주자 특성을 고려한 CM업무 위탁모델)

  • Kang, Hyun-Koo;Yu, Jung-Ho;Kim, Chang-Duk
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.632-636
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    • 2007
  • These days, Construction industries are getting bigger, more specialized and complicated. Accordingly, the items of management is increased, also owner's organization is reduced. For this reason, various a method of construction management is introduced in the domestic construction industry. But introduction of construction management have caused increase cost because role duplication of managers. This role duplication is caused by confusion of trial and error, irrationality of system. And every construction project have peculiar properties, also owner's organization of project have various properties. This various properties is not reflected in the construction management , and the regimental method of construction management applied. In order to solving these problems, this study suggested the commissioning model for CM service reflected the properties of project and owner. This study have to selection of the critical service, service item of construction management and definition of owner's role through analysis of the properties of project, owner's capacity and requirement.

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Evaluation of failed implants and reimplantation at sites of previous dental implant failure: survival rates and risk factors

  • Park, Yu-Seon;Lee, Bo-Ah;Choi, Seong-Ho;Kim, Young-Taek
    • Journal of Periodontal and Implant Science
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    • v.52 no.3
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    • pp.230-241
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    • 2022
  • Purpose: The purpose of this study was to evaluate failed implants and reimplantation survival and to identify the relative risk factors for implant re-failure. Methods: Ninety-one dental implants were extracted between 2006 and 2020 at the National Health Insurance Service Ilsan Hospital, including 56 implants in the maxilla and 35 implants in the mandible that were removed from 77 patients. Patient information (e.g., age, sex, and systemic diseases) and surgical information (e.g., the date of surgery and location of the implants and bone grafts) were recorded. If an implant prosthesis was used, prosthesis information was also recorded. Results: In total, 91 first-time failed dental implants in 77 patients were analyzed. Of them, 69 implants in 61 patients received reimplantation after failure. Sixteen patients (22 implants) refused reimplantation or received reimplantation at a different site. Eight of the 69 reimplants failed again. The 1-year survival rate of the 69 reimplants was 89.4%. Age at reimplantation and smoking significantly increased the risk of reimplantation failure. However, a history of taking anti-thrombotic agents showed a statistically significant negative association with reimplantation failure. Of the failed implants, 66% showed early failure and 34% showed late failure of the initial implantation. All 8 re-failed implants showed early failure. Only 3 of these 8 failed reimplants were re-tried and the second reimplants all survived. Conclusions: The total survival rate of implants, which included reimplants and second reimplants was 99.2%, although the survival rate of the initial implantations was 96.3%. Previous failure did not affect the success of the next trial. Reimplantation failure was more strongly affected by patient factors than by implant factors. Therefore, each patient's specific factors need to be meticulously controlled to achieve successful reimplantation.

Case Study of Service-Learning Linked to 'History of Science' Lecture for Pre-service Science Teachers (예비과학교사의 과학사 강좌 봉사-학습(Service-Learning) 운영 사례 연구)

  • Yoon, Ma-Byong
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.567-581
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    • 2019
  • Service-Learning (S-L) is an experiential learning-based teaching-learning method that connects students with curriculum and school-based community service and raises students' academic ability and social responsibility awareness through the value of 'reflection' and 'reciprocity'. This study analyzed the case of S-L course of 'History of Science and Inquire Activity' for pre-service science teachers (PSTs). The S-L lectures linked to the subjects of the History of Science were conducted in terms of three stages (Preparation-Implementation-Evaluation), and S-L classes were conducted in three schools five times. The educational effects of S-L lectures were analyzed by collecting questionnaires, class observation and self-reported reflection diary. The PSTs were able to understand the school realities and improve the teaching abilities and pedagogic content knowledge through educational service activities. The PSTs who participated in the S-L course had hard time due to excessive learning time, the difficulty of preparing the class, the fear of the class, and trial and error. Nonetheless, most of the students responded that they were very satisfied (4.68) with the S-L lecture, and that they could develop self-efficacy for their future teaching career thank to this learning experience.

Inclusion of Home-based Rehabilitation Services in the Long-Term Care Insurance - Review on the Home-based Physical Therapy in the OECD - (노인장기요양보험제도를 통한 방문재활 서비스 도입방안 -서비스 공급주체로서 OECD국가 가정방문물리치료의 고찰-)

  • Yoon, Tae-Hyung
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.161-175
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    • 2011
  • The purpose of this study was to expand the home-based rehabilitation services in the long term care insurance. This study was reviewed on the home-based physical therapy in the OECD. The way of this study was literature search and review. This was to reviewed Proquest, Sciencedirect, SpingerLink, Pubmed. Kew word is "home-based therapy". This was collected 71 articles and final analyzed article was 49. The results were as follows; The article number is seven in Canada, fifteen in USA, five in UK, six in Australia, three in Sweden, five in New Zealand, two in Netherlands, one in Turkey, South Korea, Japan, France, Spain, Italy respectively. Randomized controlled trial is fifty, case-control study is eleven, interview is three, literature review is two, and case report, cost-analysis, cost-effectiveness, pilot study, single blinded parallel design, demonstrative study, survey is one respectively. Physical therapist played an important role in home-based rehabilitation among OECD than nurse. Therefore, we must introduce home-based physical therapy in long term care insurance in South Korea.

Common and scientific names of amphibians, domestic animals, birds, invertebrates, mammals, reptiles, and aquaculture

  • Song, Jeong-Mee;Jang, Hyung-Kwan;Song, Hee-Jong
    • Korean Journal of Veterinary Service
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    • v.25 no.4
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    • pp.385-407
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    • 2002
  • The planning of any experiment or trial involving the use of animal (material) requires the most detailed and careful consideration of the wide variety of species and strains that are now available. Unfortunately, although many research workers carefully define their requirements with respect to chemicals or complicated laboratory equipment, often they appear to be unaware of the specifications that should be similarly applied to laboratory animals and end up simply asking for a white mouse! The aim of any user of laboratory animals should be to achieve maximum accuracy with the minimum number of animals, and it is, therefore, essential that careful consideration should be given to the choice of the animal(Bleby J, 1987). The first step when selecting an experimental animal is to specify the type needed, taking into account the following factors: 1. species, 2. breed or strain, and 3. quality, especially with respect to health and genetical status. The correct choice of species cannot be emphasized too strongly and failure to do so can sometimes have dire consequences, frequently very expensive in financial terms and sometimes extremely tragic in manifestations of human and animal suffering. In this paper, we reorganized a lot of collected articles described previously for common and scientific names of amphibians, domestic animals, birds, invertebrates, mammals, reptiles, and aquaculture as mentioned in the text.