• Title/Summary/Keyword: DEMIS

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Integration of Distributed Medical Information System using Staging Area (Staging 영역을 활용한 분산 의료정보시스템 통합)

  • Jeon, Young-Hee;Park, Gun-Woo;Lee, Sang-Hoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2008.06c
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    • pp.184-188
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    • 2008
  • 최근 국내 디지털 병원들이 점차 기업화 되면서 각 지역별 분산 및 독립 운영되는 의료통계 정보 활용의 중요성이 증대되고 있다. 또한 각종 연구목적 및 의료 서비스 경쟁력 향상 등을 위해 신속 정확한 의사결정지원 시스템인 데이터 웨어하우스(DW; Data Warehouse) 구축의 필요성이 대두되고 있다. 본 논문에서는 단일 병원 내의 데이터 웨어하우스가 아닌, 전국적으로 분산 운영되고 있는 병원의 다양한 의료정보를 통합하고자 한다. 따라서 Staging 영역을 활용한 분산된 의료정보시스템 통합 방안을 제시한다.

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Bacterial diseases of flounder, Paralichthys olivaceus (넙치의 세균성(細菌性) 질병(疾病))

  • Kanai, Kinya
    • Journal of fish pathology
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    • v.6 no.2
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    • pp.197-204
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    • 1993
  • Flounder culture has been developed mainly in the western parts of japan, and, to date, following six bacterial diseases have been reported. Bacterial white enteritis occurs in 16 to 30-day-old flounder larvae and often causes mass mortality in seed production. Bacterium named Vibrio sp. INFL invades and multiplies in the mucosae of posterier part of intestine, and causes desquamative enteritis. Gliding bacterial disease occurs mostly in juvenile stage and in spring to summer. Diseased signs are partial discoloration and erosion of skin and fins. Histologically, epidermis are removed, and the causative bacterium, Flexibacter maritimus, multiplies on the surface of demis and invades into the muscular tissue. Vibriosis caused by Vibrio anguillarum and related organisum is one of the well-known diseases among marine fish. Outbreaks of the disease in flounder culture are relatively few, but mass mortalities in fingerlings due to the disease were reported. An outbreak of nocardiosis in the autumn of 1984 has been reported, but since then the disease scarcely occurred. The disease is characterized by formation of abscesses under the skin and white nodes in the gill, heart, spleen and kidney. Streptococcicosis occurs frequently in recent years. Beta-hemolytic streptococcus is the causative bacterium, which possesses the same biochemical and serological characteristics as $\beta$-streptococci isolated from some marine and freshwater fish, and is seemed to related to Streptococcus iniae. Edwardsiellosis is the disease that causes most damage in flounder culture in Japan. Characteristic symptoms are swelling of abdomen and intestinal protrusion from the anus due to accumulation of ascites. Edwardsiella tarda, a well-known pathogen of freshwater fish, is the causative bacterium of the disease.

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Sustainable concrete mix design for a target strength and service life

  • Tapali, Julia G.;Demis, Sotiris;Papadakis, Vagelis G.
    • Computers and Concrete
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    • v.12 no.6
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    • pp.755-774
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    • 2013
  • Considering the well known environmental issues of cement manufacturing (direct and indirect levels of $CO_2$ emissions), clinker replacement by supplementary cementing materials (SCM) can be a very promising first step in reducing considerably the associated emissions. However, such a reduction is possible up to a particular level of SCM utilization, influenced by the rate of its pozzolanic reaction. In this study a (4-step) structured methodology is proposed in order to be able to further adjust the concrete mix design of a particular SCM, in achieving additional reduction of the associated levels of $CO_2$ emissions and being at the same time accepted from a derived concrete strength and service life point of view. On this note, the aim of this study is twofold. To evaluate the environmental contribution of each concrete component and to provide the best possible mix design configuration, balanced between the principles of sustainability (low environmental cost) and durability (accepted concrete strength and service life ). It is shown that such a balance can be achieved, by utilising SCM by-products in the concrete mix, reducing in this way the fixed environmental emissions without compromising the long-term safety and durability of the structure.

Semantic Web-based Clinical Decision Support System for Armed Forces Hospitals (군 병원을 위한 시맨틱 웹 기반 진료 의사결정지원 시스템)

  • Yoo, Dong-Hee;Ra, Min-Young
    • The KIPS Transactions:PartB
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    • v.17B no.4
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    • pp.317-326
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    • 2010
  • To improve the diagnosis and prescription for military personnel, it is required to adopt Clinical Decision Support System (CDSS) in armed forces hospitals. The objective of this paper is to suggest a CDSS for armed forces hospitals using semantic web technologies. To this end, we designed military medical ontologies and military medical rules which consist of the various concepts and rules for supporting medical activities. We developed a semantic web-based CDSS to demonstrate the use of the ontologies and rules for treating military patients. We also showed the process of semantic search for the medical records which are created from the semantic web-based CDSS.

Predictive modeling of concrete compressive strength based on cement strength class

  • Papadakis, V.G.;Demis, S.
    • Computers and Concrete
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    • v.11 no.6
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    • pp.587-602
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    • 2013
  • In the current study, a method for concrete compressive strength prediction (based on cement strength class), incorporated in a software package developed by the authors for the estimation of concrete service life under harmful environments, is presented and validated. Prediction of concrete compressive strength, prior to real experimentation, can be a very useful tool for a first mix screening. Given the fact that lower limitations in strength have been set in standards, to attain a minimum of service life, a strength approach is a necessity. Furthermore, considering the number of theoretical attempts on strength predictions so far, it can be seen that although they lack widespread accepted validity, certain empirical expressions are still widely used. The method elaborated in this study, it offers a simple and accurate, compressive strength estimation, in very good agreement with experimental results. A modified version of the Feret's formula is used, since it contains only one adjustable parameter, predicted by knowing the cement strength class. The approach presented in this study can be applied on any cement type, including active additions (fly ash, silica fume) and age.

A software-assisted comparative assessment of the effect of cement type on concrete carbonation and chloride ingress

  • Demis, S.;Papadakis, V.G.
    • Computers and Concrete
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    • v.10 no.4
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    • pp.391-407
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    • 2012
  • Utilization of supplementary cementing materials (SCM) by the cement industry, as a highly promising solution of sustainable cement development aiming to reduce carbon dioxide emissions, necessitates a more thorough evaluation of these types of materials on concrete durability. In this study a comparative assessment of the effect of SCM on concrete durability, of every cement type as defined in the European Standard EN 197-1 is taking place, using a software tool, based on proven predictive models (according to performance-related methods for assessing durability) developed and wide-validated for the estimation of concrete service life when designing for durability under harsh environments. The effect of Type II additives (fly ash, silica fume) on CEM I type of cement, as well as the effect of every Portland-composite type of cement (and others) are evaluated in terms of their performance in carbonation and chloride exposure, for a service life of 50 years. The main aim is to portray a unified and comprehensive evaluation of the efficiency of SCM in order to create the basis for future consideration of more types of cement to enter the production line in industry.

Epidemiology and Incidence of Orthopedic Fractures in the Military of the Republic of Korea

  • An, Sung-Jin;Lee, Sang Hyun;Moon, Gi-Ho
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.50-56
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    • 2021
  • Purpose: Fractures are common in the military population, but limited studies have investigated the incidence of fractures among Korean military personnel. Hence, this study aimed to clarify this issue. Methods: Eligible subjects were patients who had sustained a fracture and were registered in the N-DEMIS (the medical records system of participating hospitals) from June 2017 to May 2019. Fractures were categorized according to the fracture site, patients' age, sex, and type of duty. Results: In total, 23,687 patients with 23,981 fractures were included. There were 216 patients with multiple fractures, of whom 156 had fractures at two sites, 42 had fractures at three sites, and 18 had fractures at four sites. Of the 23,687 patients, 23,340 were men and 347 were women. The incidence of fractures in men and women was 12.96 per 1,000 person-years and 0.19 per 1,000 person-years, respectively. In terms of the broad location of fractures, the percentage of fractures was the highest in the hand, followed by the foot and lower leg. When the location of fractures was analyzed more specifically, the percentage of fractures was the highest in the phalanx (thumb and fingers), followed by the ankle and metacarpal bones. Conclusions: Hand, foot, ankle, and wrist fractures were the most commonly encountered fractures in the Korean military population. To prevent the loss of combat power due to non-battle-related injuries, thorough preparation is necessary, including protective equipment and preliminary training for areas with a high frequency of fracture occurrence.