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A Study on analysis of severity-adjustment length of stay in hospital for community-acquired pneumonia (지역사회획득 폐렴 환자의 중증도 보정 재원일수 분석)

  • Kim, Yoo-Mi;Choi, Yun-Kyoung;Kang, Sung-Hong;Kim, Won-Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1234-1243
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    • 2011
  • Our study was carried out to develop the severity-adjustment model for length of stay in hospital for community-acquired pneumonia so that we analysed the factors on the variation in length of stay(LOS). The subjects were 5,353 community-acquired pneumonia inpatients of the Korean National Hospital Discharge In-depth Injury Survey data from 2004 through 2006. The data were analyzed using t-test and ANOVA and the severity-adjustment model was developed using data mining technique. There are differences according to gender, age, type of insurance, type of admission, but there is no difference of whether patients died in hospital. After yielding the standardized value of the difference between crude and expected length of stay, we analysed the variation of length of stay for community-acquired pneumonia. There was variation of LOS in regional differences and insurance type, though there was no variation according whether patients receive their care in their residences. The variation of length of stay controlling the case mix or severity of illness can be explained the factors of provider. This supply factors in LOS variations should be more studied for individual practice style or patient management practices and healthcare resources or environment. We expect that the severity-adjustment model using administrative databases should be more adapted in other diseases in practical.

Spatio-temporal Variations of Marine Environments and Phytoplankton Community in the Gochang Coastal Waters (GCW) of Southern West Sea in Korea (서해 남부, 고창연안해역의 해양환경 및 식물플랑크톤 군집의 시·공간 변동특성)

  • Yoon, Yang Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.477-493
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    • 2020
  • This study conducted a seasonal survey to analyze the spatio-temporal variations of marine environments and phytoplankton community in Gochang Coastal Waters (GCW) from August 2016 to April 2017. In the results, the water temperature ranged from 2.1℃ to 34.5℃, showing a large seasonal variation, but the salinity changed from 31.14 psu to 32.64 psu. Therefore, the seasonal variations of water types in GCW were mainly determined by water temperature. The phytoplankton community consisted of 53 genera and 86 species, showing a relatively simple distribution. The phytoplankton cell density ranged from 2.2 to 689.2 cells mL-1, with an average of 577.2 cells mL-1, which was low in autumn and high in winter. The seasonal succession of phytoplankton dominant species was mainly diatoms during the whole year, Leptocylindrus danicus, Chaetoceros curvisetus, Skeletonema costatum-ls in summer, Paralia sulcata, Eucampia zodiacus in autumn, S. costatum-ls, Thalassiosira nordenskioeldii in winter, and S. costatum-ls, Asterionella glacialis in spring. In other words, the phytoplankton community showed high diversity in GCW throughout the year. According to the PCA, GCW were easily heated and cooled by radiant energy at lower depth, and the seasonal distributions of phytoplankton were determined by the supply of nutrients by re-fuelling of surface sediments due to the seawater mixing such as tidal mixing.

An Approach to Managing Requirements as a Core Asset in Software Product-Line (소프트웨어 프로덕트 라인에서 핵심 자산으로서 요구사항을 관리하는 방법)

  • 문미경;염근혁
    • Journal of KIISE:Software and Applications
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    • v.31 no.8
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    • pp.1010-1026
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    • 2004
  • The goal of product line engineering is to support the systematic development of a set of similar software systems by understanding and controlling their common and distinguishing characteristics. The product line engineering is a process that develops reusable core assets and develops a set of software-intensive systems from a common set of core assets in a prescribed way. Currently, many software development technologies are accomplished in context of product line. However, much of the product line engineering research have focused on the reuse of work products relating to the software's architecture, detail design, and code. The product lines fulfill the promise of tailor-made systems built specifically for the needs of particular customers or customer groups. In particular, commonality and variability play central roles in the all product line development processes. These must be treated already during the requirement analysis phase. Requirements in product line engineering are basis of software development just like as traditional system development engineering, and basis of deciding other core assets' property - commonalities and variabilities. However, it is difficult to elicit, analyze and manage correct requirements. Therefore, it is necessary to develop systematic methods which can develop and manage requirement as core asset, which can be stable in anticipative change and can be well adapted to unpredictable change. In this paper, we suggest a method of managing requirements as core asset in product line. Through this method, the reuse of domain requirements can be enhanced. As a result, the cost and time of software development can be reduced and the productivity can be increased.

Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System (국민건강보험 간호·간병통합서비스의 전면 도입을 위한 간호인력 및 재정비용 추계)

  • Kim, Jinhyun;Kim, Sung-jae;Lee, Eunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.119-128
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    • 2017
  • This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

Design of Power IC Driver for AMOLED (AMOLED 용 Power IC Driver 설계)

  • Ra, Yoo-Chan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.5
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    • pp.587-592
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    • 2018
  • Because the brightness of an AMOLED is determined by the flowing current, each pixel of AMOLED operates via A current driving method. Therefore, it is necessary to supply power to adjust the amount of current according to THE user's requirement for AMOLED driving. In this study, an IP driver block was designed and a simulation was conducted for an AMOLED display, which supplies power as selected by users. The IP driver design focused on regulating the output power due to the OLED characteristics for the diode electric current according to the voltage to be activated by pulse-skipping mode (PSM) under low loads, and 1.5 MHz pulse-width modulation (PWM) for medium/high loads. The IP driver was designed to eliminate the ringing effects appearing from the dis-continue mode (DCM) of the step-up converter. The ringing effects destroy the power switch within the IC, or increase the EMI to the surrounding elements. The IP driver design minimized this through a ringing killer circuit. Mobile applications were considered to enable true shut-down capability by designing the standby current to fall below $1{\mu}A$ to disable it. The driver proposed in this paper can be applied effectively to the same system as the AMOLED display dual power management circuit.

Out-of-Hospital Resuscitation of Cardiac Arrest by 119 Emergency Medical Service System (119구급대에 의해 소생한 병원 전 심장정지 환자 1례)

  • Yun, Hyeong-Wan;Lee, Jae-Min;Jung, Ji-Yeon
    • Fire Science and Engineering
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    • v.24 no.5
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    • pp.142-149
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    • 2010
  • The aim of this study was to report the out-of-hospital resuscitation of cardiac arrest along with literature consideration. CPR is technology of resuscitating patient by maintaining oxygen supply to organ, by preventing progression from clinical death to biological death, and by recovering heart beat and circulation, through circulatory support of mechanical ventilation. It is not what every patient with cardiac standstill is revived even if being implemented CPR. Patient's survival rate is decided by how quickly and correctly CPR was executed. A patient, who wasn't witnessed the cardiac arrest on the field, was performed 5-cycle CPR for 2 minutes on the field before being transferred to hospital, and was allowed to be used AED. A person, who was observed, is recommended to be used AED immediately, and then is said to be needed ACLS (advanced cardiac life support). In the Out-of-Hospital stage, it is rare in a case that 119 Emergency Medical Service System transfers by being ROSC and in a case of executing ACLS. Cardiac arrest was witnessed on the field, but CPR wasn't executed. First-aid staff executed CPR after arriving, and led to ROSC on the field with ACLS, there by having experienced 1 case of a patient's surviving to leave hospital by being ROSC on the field.

The analysis of two-lane highway traffic flows in case of the neighborhood electric vehicle involved (2차로도로에서 저속전기자동차 혼입에 따른 교통류 특성분석)

  • Jang, Keun-Woo;Jung, Sung-Hwa;Cho, Ju-Myung;Jung, Phil-Hyun
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.5
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    • pp.124-134
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    • 2011
  • To make popular the NEV(Neighborhood Electric Vehicles) uses, it must be considered the supply of infrastructure and the political decision for NEV. However, the guidelines of infrastructure for NEV are not prepared. The guidelines of infrastructure for NEV should be performed in many research and case. The purpose of this study is to reveal the influence of NEV on the two-lane highway traffic flows by TWOPAS simulation model. The main items to check the influence are Average Travel speed, Percent Time Spent Following and Total Delay. The scenario were setup by traffic volume. And the NEV percentages are changed from 1% ~ 30%. The scenario 1 which traffic volume are 650veh/h and the scenario 4 which traffic volume are 2,600veh/h are less influenced by NEV, compare to scenario 2, scenario 3. Because the scenario 1 is more free to make passing other cars and Scenario 4 is fully saturated with existing traffic volumes. The urban two-lane highway which has much traffic volume and the rural two-lane highway which has little traffic volume has affinity for NEV than the other two-lane highway.

Change of Fish Assemblage with Altered Flow Regime in Geum River (금강에서의 유량변동과 어류상 변화)

  • Seo, Jin-Won;Hong, Young-Pyo;Kim, Jeong-Kon;Park, Sang-Young;Kim, Gee-Hyoung;Ko, Ick-Hwan
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.612-616
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    • 2007
  • 오랫동안 홍수조절, 용수공급, 전력생산, 레저 활동을 위해 건설된 댐들은 하천이나 호소의 생태적 기능보다는 치수 및 이수기능이 중요시되면서 운영 관리되어 왔다. 하지만 최근 들어 선진국을 중심으로 환경 및 생태의 중요성이 인식되면서 하천생태계 보호를 위한 환경유량 산정이 언급되고 있는데 이는 하천이 동 식물의 서식처로서 적절한 수질뿐만 아니라 수심, 유속, 하상재료, 먹이원, 어류를 보호할 수 있는 휴식 및 은신처 등의 다양한 조건을 제공할 수 있어야 한다고 제시되고 있다. 이들 조건 중 유량(Flow)은 하천에서 생물집단을 구성하는데 있어 물리적 서식조건의 주요한 결정인자로 작용하는데, 댐 하류하천의 자연유량(natural flow)을 변화시키면 생태학적 측면에서 기대치 않던 영향을 야기할 수 있다. 따라서 댐 건설 전 후의 자연유량과 조절유량 사이에서 생태학적 어류조사연구를 통한 차이점을 찾는 것은 매우 중요하다고 볼 수 있다. 본 연구의 최종목적은 수계 내 댐 건설 전 후의 어류군집과 유량 등 수리조건과의 연관성을 분석하여 하천구간별로 어류생태에 적합한 유량을 산정하는 것이다. 조사대상 구간은 금강본류를 대상으로 하되 용담댐과 대청댐을 중심으로 하여 10개 구간을 선정하였고. 과거로부터 2000년도까지와 용담댐 건설후인 $2002{\sim}2004$년도에 조사된 어류생태자료를 활용하였다. 용담댐 상류로부터 대청댐 하류에 이르기까지 전 구간을 대상으로 조사된 자료를 분석한 결과 총 20과 82종이 출현하였고, 이중 종 45종(54.9%)이 잉어과에 해당하며 미꾸리과(6종), 동자개과(4종), 망둑어과(5종)를 제외한 대다수의 분류군(Family)들은 단일 또는 2종으로만 구성되었다. 이들 중 천연기념물 제 259호로 지정되어 법적으로 보호되고 있는 어름치(금강에서 서식한 어름치를 따로 천연기념물 238호로 지정함)를 비롯하여 다묵장어를 포함한 7종의 멸종위기종이 확인되었다. 또한 각시붕어 등 총 29종(39.4%)의 높은 한국고유종 출현과 6종의 외래도입종도 확인되었다. 금강의 중 상류에 해당하는 구역을 포함하는 대청댐 상 하류 구간에서 대청댐 건설 전(1980년 이전)을 포함하는 2000년 이전 조사 자료가 가장 다양한 어류상과 특이어종(멸종위기종 및 한국고유종)을 보였고, 최근자료$(2002{\sim}2004)$를 살펴볼 때 용담댐 상 하류에서보다 대청댐 상 하류에서 멸종위기종(7종$\rightarrow$1종) 및 한국고유종(28종$\rightarrow$16종)의 출현감소와 외래도입종의 출현증가(1종$\rightarrow$6종)와 같은 주요한 어류군집 변화를 보였다. 이는 댐 건설에 따라 주로 계류성 어종을 중심으로 정수역 구간에서 인근 지류로 이동하게 되고 일부는 제한된 서식공간과 하천교란으로 인해 개체군이 극감하거나 일부 소멸된 종이 발생하였을 것으로 사료된다. 실측 유량자료 분석에 의하면 홍수기 최대유량 변화는 크지 않으나, 갈수기 최소유량은 크게 증가한 것을 알 수 있었고, 대다수 어류의 산란기인 봄철(5월, 6월) 최소유량은 증가하였으나, 최대유량은 감소한 것으로 분석되었다. 이러한 변화는 어류생태계에 긍정적인 면과 부정적인 면이 있으며, 향후 이러한 영향을 분석하기 위해 선택어종(Target species)별 생태환경 서식조건을 확인할 수 있는 조사기법 및 자료구축이 절실히 필요한 실정이다.

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Palliative Surgery in Two Dogs with Non-Curative Palatal Tumors (두 마리 개에서 완치가 어려운 구개 종양의 완화 수술 적용 증례)

  • Yoon, Hun-Young;Lee, Jung-Ha;Shin, Dong-Wook;Park, Hee-Myung;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.425-429
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    • 2014
  • Two dogs were presented with a history of anorexia, respiratory distress, or epistaxis. On physical examination, the dogs showed difficulty breathing and open-mouth breathing and large masses were found on the hard palate and soft palate. Cardiac arrest happened in case 2 and the dog was stabilized with cardiopulmonary resuscitation and oxygen therapy. Computed tomography demonstrated that the mass occupied the oropharynx, intrapharyngeal ostium, and laryngopharynx including the hard palate and soft palate in case 1. Palliative surgery was decided to improve swallowing and breathing with owner's consent in two dogs. Buccal mucosal flaps were performed for reconstruction of defects using rotational and single-pedicle advancement flaps and bilateral 90 degree transposition flaps in cases 1 and 2, respectively. Histopathology results described the oral masses as amelanotic melanoma in two dogs. The owners reported that there was normal swallowing and breathing at 7 days postoperatively in two dogs. In case 1, recurrent tumor was identified caudal to the hard palate 4 weeks after surgery. The owner did not allow further treatment and the dog became lost to follow-up at 2 months postoperatively. In case 2, there was no clinical or radiographic evidence of a local recurrence or distant metastasis at 3 weeks after surgery. The owner informed that the dog died suddenly with no signs of anything particularly wrong at 7 weeks after surgery.

(A) Case Study on the Financial Solvency of Local Public Enterprises - Focused on Evaluation of Debt management of The GwangJu Metropolitan City Corporation - (지방공기업 재무건전성 사례분석 - 광주광역시도시공사 개발사업 채무관리 평가를 중심으로 -)

  • Jeon, Gwang-Sup
    • Journal of Cadastre & Land InformatiX
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    • v.45 no.1
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    • pp.75-97
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    • 2015
  • Recently public institutions' debt is growing therefore it became an important issue to the level that the government concerns about the possibility of financial burden to reduce the debt. Especially debt of public enterprises in metropolitan areas was in a serious state where debt in late 2013 was 43.2 trillion, which takes approx. 58.4% of 73.9 trillion of debt of all local public enterprises. Sound financial state of local public enterprises is important to public enterprises in metropolitan areas and it may affect seriously financial stability of local governments when public enterprises have financial problems. However, land supply business to form local industrial complexes or local demand for development of public rental housing business always exist; and vitalizing local economy and creating jobs through these businesses are very necessary to develop the areas. However, for local economic development, industirial land business and public rental housing business are needed. In this study, Gwangju Metropolitan City Corporation Ltd is used as a case study to evaluate the local public financial soundness via debt management assessment i.e.(using) the feasibility analysis in the urban development and housing development. As an improvement measure following the result of analysis, for the enhancement of financial soundness of urban innovation corporation, the government and local government shall evaluate and differentiate market demand, price competitiveness, and infrastructure of new town land development project to improve accuracy of project feasibility analysis. Another important insight is that there should be local government-centered management of liabilities of the local government and local public enterprises with the integrated liability management system to reduce the liability of the corporation and solve the issue of debts for local government. This study is significant in that it has analyzed cases from the theoretical aspect to secure financial soundness of national and local public enterprises.