• Journal of the Korea Society of Computer and Information
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• v.16 no.1
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• pp.175-182
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• 2011

This study proposes CAOPI(Computer Aided Organ Prediction Index) system based on APACHE II(Acute Physiology And Chronic Health Evaluation) for classifying disease severity and predicting the conditions of patients' major organs. The existing ICU disease severity evaluation is mostly about calculating risk scores using patients' data at certain points, which has limitations on making precise treatments. CAOPI system is designed to provide personalized treatments by classifying accurate severity degrees of emergency patients, predicting patients' mortality rate and scoring the conditions of certain organs.

• Journal of Korean Society of Transportation
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• v.20 no.7
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• pp.59-67
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• 2002

2001년 경찰청 $\ulcorner$2001년판 교통사고통계$\lrcorner$ 자료에 의하면 사고피해의 정도를 나타내는 치사율에 있어서 중앙선침범사고가 과속사고와 함께 가장 높은 수치를 보이고 있으며, 대형 교통사고의 39.5%가 중앙선 침범에 의해 발생한 것으로 나타났다. 실제로 2000년 한 해 동안 총 사고건수 290,481건 중 중앙선 침범에 의해 18,931건 (6.52%)의 교통사고가 발생하여 사망자 1,472명, 부상자 35,046명으로 전체 교통사고 사망자의 14.38%, 부상자의 8.21%를 점하고 있는 것으로 나타났다. 이와 같이 전체 교통사고에서 중앙선침범사고가 차지하는 비중 이 높아지고 있어 중앙선침범사고를 줄이기 위한 대책의 일환으로 중앙분리대, 표지병, 시선 유도봉 등과 같은 중앙선침범 예방시설물을 설치하고 있으나, 해당 시설물에 대한 설치기준이 없는 실정이다. 이렇듯 중앙분리대 설치기준의 부재로 인해 중앙선침범사고 발생과 이에 따르는 경제적인 교통사고 비용손실, 그리고 중앙분리대의 과다설치로 인한 국가 재원의 낭비는 간과할 수 없는 문제점을 내포하고 있다. 이러한 점에 착안하여 기존에 지방부 2차로 도로의 직선부에 대한 중앙선침범사고 예측모델이 개발되었고 본 연구에서는 그 연장선상에서 지방부 2차로 도로의 곡선부에 대한 중앙선침범사고 예측모델에 대한 중앙선침범사고 예측모델의 개발을 통해 중앙선침범사고에 대한 사회적 비용을 산정하고, 현재 설치하여 운영중인 중앙선침범 예방시설물의 설치비용간의 비용-편익분석을 통해 얻어진 기준으로 중앙선침범 예방시설물 설치의 가부에 대한 보다 현실적이고 비용-효율적인 중앙선침범 예방시설물 설치기준을 제시함으로써 교통사고 비용손실을 최소화하고, 중앙분리대의 효율적 설치방안의 도입을 통한 경제적 이익창출을 도모하고자 한다.

• Journal of Korean Society of Transportation
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• v.20 no.7
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• pp.87-94
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• 2002

2001년 경찰청 $\ulcorner$2001년판 교통사고통계$\lrcorner$ 자료에 의하면 사고피해의 정도를 나타내는 치사율에 있어서 중앙선침범사고가 과속사고와 함께 가장 높은 수치를 보이고 있으며, 대형 교통사고의 39.5%가 중앙선 침범에 의해 발생한 것으로 나타났다. 실제로 2000년 한 해 동안 총 사고건수 290,481건 중 중앙선 침범에 의해 18,931건 (6.52%)의 교통사고가 발생하여 사망자 1,472명, 부상자 35,046명으로 전체 교통사고 사망자의 14.38%, 부상자의 8.21%를 점하고 있는 것으로 나타났다. 이와 같이 전체 교통사고에서 중앙선침범사고가 차지하는 비중 이 높아지고 있어 중앙선침범사고를 줄이기 위한 대책의 일환으로 중앙분리대, 표지병, 시선 유도봉 등과 같은 중앙선침범 예방시설물을 설치하고 있으나, 해당 시설물에 대한 설치기준이 없는 실정이다. 이렇듯 중앙분리대 설치기준의 부재로 인해 중앙선침범사고 발생과 이에 따르는 경제적인 교통사고 비용손실, 그리고 중앙분리대의 과다설치로 인한 국가 재원의 낭비는 간과할 수 없는 문제점을 내포하고 있다. 이러한 점에 착안하여 기존에 지방부 2차로 도로의 직선부에 대한 중앙선침범사고 예측모델이 개발되었고 본 연구에서는 그 연장선상에서 지방부 2차로 도로의 곡선부에 대한 중앙선침범사고 예측모델에 대한 중앙선침범사고 예측모델의 개발을 통해 중앙선침범사고에 대한 사회적 비용을 산정하고, 현재 설치하여 운영중인 중앙선침범 예방시설물의 설치비용간의 비용-편익분석을 통해 얻어진 기준으로 중앙선침범 예방시설물 설치의 가부에 대한 보다 현실적이고 비용-효율적인 중앙선침범 예방시설물 설치기준을 제시함으로써 교통사고 비용손실을 최소화하고, 중앙분리대의 효율적 설치방안의 도입을 통한 경제적 이익창출을 도모하고자 한다.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.391-397
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• 2019

In 2016, the number of suicides per 100,000 population in Korea was 24.6, which is the highest record of OECD countries. The number of suicide deaths increased with age. Elderly people have a higher risk of completed suicide than any other age group. The purpose of this study was to analyze the panel data of the Korean Welfare Panel Study to identify the factors affecting the suicide of Korean older people. This study analyzed the data of the 11th Korean Welfare Panel Study, which was constructed in 2016. The mean age of the participants was 75.55 years and 37% were man and 63% were women. The annual prevalence of suicidal ideation was 3.4%. The effects of depression(Exp(B)=1.113) and subjective health status((Exp(B)=.767) on suicidal ideation was statistically significant by stepwise logistic regression analysis(Nagelkerke $R^2=.248$). Therefore, for the effective application of suicide prevention program for the older people, assessment of subjective health status and depression screening should be preceded.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2021.10a
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• pp.332-334
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• 2021

As fatal accidents due to industrial accidents and deaths due to civil accidents were pointed out as social problems, the Act on Punishment of Serious Accidents Occurred in the Workplace was enacted to ensure the safety of citizens and to prevent serious accidents in advance. Effort is required. In this paper, we propose a distance prediction model in relation to the case where an operator is hit by heavy equipment such as a forklift. For the data, actual forklift trucks and workers roaming environments were directly captured by CCTV, and it was conducted based on the Euclidean distance. It is thought that it will be possible to learn YOLO-v4 by directly building a data-set at the industrial site, and then implement a model that predicts the distance and determines whether it is a dangerous situation, which can be used as basic data for a comprehensive risk situation judgment model.

• Tuberculosis and Respiratory Diseases
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• v.65 no.2
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• pp.99-104
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• 2008

Background: Acute respiratory distress syndrome (ARDS) is ultimately an inflammatory state. The erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level are inflammatory markers. The aim of this study was to evaluate the value of the ESR, CRP and APACHE II score as prognostic factors for patient with ARDS. Methods: We retrospectively analyzed the medical records of 87 ARDS patients. The predictors (APACHE II score, ESR and CRP) and outcomes (mortality and length of the total hospital stay, the ICU stay and mechanical ventilator care) were obtained from the patients' records. The patients were grouped according to survival as the Survivor and Non survivor groups. We compared the APACHE II score, the ESR and the CRP level between the survivor group and the nonsurvivor group. We evaluated the correlation between the predictors and the outcomes. The initial ESR, CRP level and APACHE II score were checked at the time of ICU admission and the second ESR and CRP level were checked $3.3{\pm}1.2$ days after ICU admission. Results: Thirty-eight (43.7%) patients remained alive and 49 (56.3%) patients died. The APACHE II score was significantly lower for the survivor group than that for the non survivor group ($14.7{\pm}7.6$ vs $19.6{\pm}9.1$, respectively, p=0.006). The initial ESR and CRP level were not different between the survivor and non-survivor groups (ESR $64.0{\pm}37.8mm/hr$ vs $63.3{\pm}36.7mm/hr$, respectively, p=0.93, CRP $15.5{\pm}9.6mg/dl$ vs $16.3{\pm}8.5mg/dl$, respectively, p=0.68). The decrement of the CRP level for the survivor group was greater than that for the non survivor group ($-8.23{\pm}10.0mg/dl$ vs $-1.46{\pm}10.1mg/dl$, respectively, p=0.003). Correlation analysis revealed the initial ESR was positively correlated with the length of the total hospital stay and the ICU stay (correlation coefficient of the total hospital days: R=0.43, p=0.001, correlation coefficient of the ICU stay: R=0.39, p=0.014). Conclusion: The initial APACHE II score can predict the mortality of ARDS patients, and the degree of the early CRP change can be a predictor of mortality for ARDS patients. The initial ESR has positive correlation with the ARDS patients' duration of the total hospital stay and the ICU stay.

• Tuberculosis and Respiratory Diseases
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• v.49 no.2
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• pp.179-188
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• 2000

Background : The decision to institute mechanical ventilation for patients with COPD is very difficult. The accurate information regarding weaning success and long-term survival will improve communication with patients and family and enhance informed consent. The aims of this study are to describe outcomes and identify variables associated with survival for patients experiencing mechanical ventilation with an acute respiratory failure of COPD. Methods : The 53 cases of mechanical ventilation in the intensive care unit in the National Medical Center from 1989 to 1998 were included. Data were collected retrospectively from medical records. Weaning success rate and 3 month and 1 year survival rates were estimated. Factors associated with weaning success and survival were determined. Results : Weaning sucess was 55%. For success group with 29 cases, 3 months survival rate was 61% and 1 year survival rate 37%. APACHE II scores in weaning success group were significantly lower than those in the failure group. Factors such as age, sex, comorbid-illnes. previous steroid use, causes of respiratory failure, RVH or arrhythmia on EKG, serum albumin level, arterial blood pH, $PaO_2$, $PaCO_2$, $FEV_1$ duration of mechanical ventilation and steroid use during mechanical ventilation were not associated with weaning success. Only age and serum albumin level were associated with 3 month and 1 year survival. No COPD patients of age more than 75 years and serum albumin level less than 3g/dl had survived at 1 year after weaning success. Conclusion : While weaning success from mechanical ventilation can be predicted by APACHE II score in COPD patients, long-term outcomes of survivors may be influenced by nutritional status and age.

• Tuberculosis and Respiratory Diseases
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• v.60 no.5
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• pp.510-515
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• 2006

Background : Although 17% of Korean adults over the age of 45 years have chronic obstructive pulmonary disease (COPD), there is only limited data on the cause of death in COPD patients in Korea. Therefore, this retrospective study was performed to examine the cause of death in COPD patients at a referral hospital in Korea. Methods : The medical records of 28 deceased patients diagnosed as COPD in Asan Medical Center from January to December 2003 were reviewed patients had died in Asan Medical Center and 16 patients had died outside the hospital. The Korean National Statistical Office confirmed 88 deceased patients out of 1,078 patients diagnosed as COPD in Asan Medical Center in 2003. After excluding those with tuberculous destroyed lung, bronchiectasis, and lung cancer, 28 COPD patients were evaluated. Results : The causes of death were pulmonary disease including pneumonia in 16 patients (57%), cardiac disease in 5 patients (18%), sudden death in 3 patients (11%), and other causes in 4 patients (14%). The cause of death was pulmonary disease in 83% (10 out of 12 patients) and 38% (6 out of 16 patients) of patients who died in Asan Medical Center and outside the center, respectively (P=0.05). The cause of death was pulmonary disease in 43% of patients with $FEV_1$ more than 50 % of the predicted value and in 55% of patients with $FEV_1$ less than 50 % of the predicted value (P=0.89). Conclusion : Pulmonary disease is the leading cause of death in COPD patients in Korea.

• Tuberculosis and Respiratory Diseases
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• v.54 no.1
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• pp.5-14
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• 2003

Background : According to the study in ICOPER (International Cooperative Pulmonary Embolism Registry), the overall mortality rate of acute pulmonary thromboembolism (APTE) at 3 months is 17.4%. According to the study for current status of APTE in Japan, the hospital mortality rate is 14%. Although the incidence and mortality rate of APTE has been increasing, patient characteristics, management strategies, and outcome of APTE in the Korean population have not yet been assessed in large series. We therefore performed the national survey for the current status of APTE in the Korean population. Methods : 808 registry patients with APTE were analyzed with respect to clinical characteristics, risk factors, diagnostic procedures, treatment, and clinical outcome. Results : Main risk factors were immobilization, recent major surgery, and cancer. Common symptoms were dyspnea and chest pain. Common signs were tachypnea and tachycardia. The majority of registry patients underwent lung perfusion scanning. Spiral CT was used in 309 patients(42.9%), and angiography in 48 patients(7.9%). Heparin was the most widely used treatment. On multivariate logistic regression analysis, onset in hospital (odds ratio 1.88, p=0.0385), lung cancer (odds ratio 9.20, p=0.0050), tachypnea (odds ratio 3.50, p=0.0001), shock (odds ratio 6.74, p=0.0001), and cyanosis (odds ratio 3.45, p=0.0153) were identified as significant prognostic factors. The overall mortality rate was 16.9% and mortality associated with APTE was 9.0%. Conclusions : The present registry demonstrated the clinical characteristics, diagnostic strategies, management and outcome of patient with APTE in Korea. The mortality rate was 9.0%, and the predictors of mortality were onset in hospital, lung cancer, tachypnea, shock, and cyanosis. These results may be important for risk stratification as well as for the identification of potential candidates for more aggressive treatment.

• 대한예방의학회:학술대회논문집
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• 2001.10a
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• pp.197-198
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• 2001