• Journal of the Korea Society of Computer and Information
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• v.22 no.11
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• pp.17-23
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• 2017

In this paper, we implemented a respiration measurement system consisting of piezoelectric sensor, respiration signal processing device, and a viewer on a notebook. We tried an experiment for measuring respiration and detecting sleep apnea syndrome when a subject lay on a bed. We applied the respiration measurement algorithm to sensor data obtained from four subjects. In order to get a good graph shape, data manipulation methods such as moving averages and maximum values were applied. The window size for moving average was chosen as N=70, and the threshold value for each subject was customized. In this case, the proposed system showed 96.0% accuracy. When the maximum value among 90 data was applied instead of moving average, our system achieved 95.1% accuracy. In an experiment for detecting sleep apnea syndrome, the system showed that sleep apnea occurred correctly and calculated the average interval of sleep apnea. While infants or the elderly as well as patients with sleep apnea syndrome are lying down on a bed, our results are also expected to be able to cope with some accidental emergency situation by observing their respiration and detecting sleep apnea.

• Clinical and Experimental Pediatrics
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• v.53 no.11
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• pp.942-950
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• 2010

Purpose: The purpose of this study was to determine the mechanisms and exact causes of injuries to children by analyzing the medical records of children who visited emergency medical centers. Methods: We reviewed the medical records of 7,114 pediatric patients (aged below 15 years) who visited the emergency care center (ECC) of a Yeungnam university hospital in Daegu between January 2007 and December 2009. Results: Among the pediatric patients who visited the ECC, 1,526 (27.2%) were admitted for injuries (boys, 979 [64.2%] and girls, 547 [35.8%]); the boy-to-girl ratio in this study population was 1.8:1. The proportion of boys was higher than that of girls over all age ranges, except for children aged less than 1 year. The highest incidence of injury due to slipping (20.5%) was noted in the 1-year-old group, and nearly half the total number of cases (49.3%) involved children who were under 4 years of age. Of the sites of injury, 999 involved the head and face (73.7%) and 134 involved the hand and wrist (9.9%). Seventy-one injuries (5.7%) occurred on the bed, 70 (5.6%) at the door, and 67 (5.3%) on the stairs. Of the approximately 250 types of injuries classified by cause, 17 accounted for 50.4% of all the injuries. Conclusion: The cause of injury could be attributed to approximately 20 causes in more than half the cases of pediatric injuries. A classification of the types of injuries and the development of appropriate preventive strategies can help avoid such injuries.

• Journal of the Korea Organic Resources Recycling Association
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• v.20 no.3
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• pp.27-33
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• 2012

According to the statistics of the Ministry of Environment, the emission of sewage sludge is increased by 7~9% yearly. In the future, it will be increased continuously because of extension of sewage disposal plants, high class treatment for removing nitrogen and phosphorus. Until now, we have depended on reclamation for lots of quantity and some part has been treated by ocean emission. But, direct reclamation of organic waste will be prohibited and even ocean emission will be prohibited now, so the treatment of sludge is put on emergency alert. Bio-gas can be produced by applying anaerobic digestion method for the recycling or refuse derived fuel can be conducted by applying carbonization method. However, the process is difficult, causes bad smell and makes it the second waste, so it cannot be practical method in fact. This study applied a fluidized bed combustor for sewage sludge treatment technologies that can actually take advantage of key technologies in order to verify its purpose is to demonstrate selected. If applying the fluidized bed combustor, it can be easily utilized as the replaced resource of energy(fuel) in the countries whose energy resources are insufficient, like our country. Especially, if applying only original strengths of the fluidized bed combustor sufficiently, the sewage sludge can be treated simply, eco-friendly, sanitarily and economically. Particularly, it is verified as the energy technology suitable for government's green growth policy.

• Korea Journal of Hospital Management
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• v.4 no.1
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• pp.41-65
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• 1999

This study was attempted to identify the factors affecting profitability of general hospital in Kyung-In Region. Operating profit to gross revenues and net profit to gross revenues were used as a proxy indicator for profitability of hospitals. The unit of analysis was hospital, and the data were collected 5 years data from 20 hospitals. The major findings are as follows; (1) The average operating profit rate was 1.03% and the net profit rate was -5.00% in twenty hospitals in the Kyung-In Region for the last five years. In terms of maximum surplus, the operating profit rate was 14% and net profit rate was 3.40%. In terms of maximum loss revenue, the operating profit rate was -16.56% and the net profit rate was -22.83%. (2) Since the year 1993, which was the starting year of this study, the operating profits and the net profits consistently decreased. (3) Analyzing the difference in profits among various hospital groups, the tertiary hospital group and the 501-1000 beds group exhibited the highest in operating profit rate. Also, among the higher grade number of beds in hospital group, per 100 beds group, the 41-50 beds group exhibited the highest in operating profit rate. There is a statistically significant difference in those groups(p<0.05, p<0.01). (4) In the health care delivery system, the profit gain in the secondary hospital was 51.5% and in the tertiary hospital was 72.4%. Based on the number of beds in each hospital group, the highest profit gain was 75.0% in the over 1001 beds group, and 71.4% in the 501-1000 beds group. Also, among the higher grade number of beds in hospital group, per 100 beds group, the 41-50 beds group exhibited 88.6% surplus. (5) According to the surplus difference based on the analysis of health care utilization, a group with over 31 patients in bed turnover rate, a group with over 96% in bed occupancy rate and group with over 9% in emergency cases to outpatient visits exhibited the highest profit gains. In addition, a group with over 301 patients in daily outpatient visits per 100 beds and group with 11-12 days average length of stay exhibited the highest profit gains. These results are statistically significant(p<0.05, p<0.01). (6) According to a stepwise regression analysis, the variables measuring the bed turnover rate, number of licensed beds, and number of outpatient visits per specialist explain 34.1% of the variation in operating profits. In terms of net profits, the new outpatient visits, the bed turnover rates and the number of general bed variables explain 30.6%. These results are statistically significant(p<0.01).

• Journal of The Korea Institute of Healthcare Architecture
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• v.1 no.1
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• pp.69-78
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• 1995

This study is intended to understand the architectural characteristics and trends of general hospitals in Europe. The Observations, interviewes with the staff, and analyses of related materials were executed through the study-visits of sample hospitals. Some results of the study could be summarized as follows : (1) The architectural characteristics of sample hospitals could be described as the realization of horizontal design concept, application of urban design method, specialization of service departments, intergration of facility design, and planning for the emergency & disaster. (2) The architectural trends of sample hospitals could be suggested as the decentralization of functions, promotion of building standard, enhancement of interior space, consideration of environment, and autonomous management & operation of facilities. (3) The humanistic and environmental approaches from european hospitals would be preferably applicable rather than the popular concept of automation, ultra-modernization and mega-structure in Korea. First of all, the bed-center and proper facilities for disaster should be considered.

• Journal of Positioning, Navigation, and Timing
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• v.9 no.3
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• pp.157-167
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• 2020

Fingerprinting method is useful when estimating the location of a requestor based on LTE signals in an urban area. To do this, it is necessary to acquire location-based signals everywhere in the service area for fingerprint DB generation in advance. However, there may be signal uncollected area within a wide service area, which may cause a problem that the positioning accuracy of the requestor is low. In order to solve this problem, in this paper, signal propagation modeling is performed based on the obtained measurements, and based on this model, the signal information in the non-acquisition region is estimated. To this end, techniques for modeling signal propagation according to a method using measurements are proposed. The performance of the proposed techniques is verified based on the measurements obtained on a test bed selected as Seocho-gu, Seoul. As a result, it can be seen that signal propagation modeling performed based on multidivision segmented measurements has the most performance improvement.

• Journal of Chest Surgery
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• v.23 no.4
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• pp.811-815
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• 1990

Successful emergency pulmonary embolectomy with the cardiopulmonary bypass was performed in a 41 \ulcorneryear old male who suffered massive pulmonary embolism after longterm bed rest due to the injury of left knee. Temporary cardiopulmonary bypass provided 120 minutes of circulatory support while complete removal of bilateral pulmonary emboli accomplished using Forgarty catheter and Gall stone forceps. Also, manual compression of the lungs was necessary to remove distal branching emboli. The patient had smooth and uneventful hospital course without complications and discharged from hospital taking coumadine on the 13th day after the operation.

• Journal of Trauma and Injury
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• v.25 no.4
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• pp.275-277
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• 2012

An eipdural hematoma in an infant is a very rare entity. We report a case of an acute traumatic intracranial epidural hematoma that developed with a lucid interval in a 4-month-old infant after a fall down from a bed. The infant was admitted at the emergency room. The child had initially cried and may have had a decreased level of consciouseness due to brain injury, but then returned to normal level of consciousness for several hours prior to admission. However, the infant had vomited twice after taking milk and then was lethargic. The brain CT revealed a lentiform-shaped huge hematoma on the right parietal area with a midline shift of 8 mm. An osteoplastic craniotomy was performed, and the intracranial epidural hematoma was totally removed. Postoperatively, the infant recovered well and was dischaged.

• Journal of Chest Surgery
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• v.55 no.2
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• pp.118-125
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• 2022

Background: A time course analysis was undertaken to evaluate how perioperative process-of-care and outcome measures evolved after implementation of an enhanced recovery after thoracic surgery (ERATS) program. Methods: Outcome and process-of-care measures were compared between patients undergoing major elective thoracic surgery during a 9-month pre-ERATS implementation period to those at 1-3, 4-6, and 7-9 months post-ERATS implementation. Outcome measures included length of stay, the 30-day readmission rate, 30-day emergency department visits, and minor and major adverse events. Process measures included first time to activity, out-of-bed, ambulation, fluid diet, diet as tolerated, as well as removal of the first and last chest tube, epidural, patient-controlled analgesia, and Foley and intravenous catheters. Results: In total, 704 patients (352 pre-ERATS, 352 post-ERATS) were included. Mobilization-related process measures, including time to first activity (16.5 vs. 6.8 hours, p<0.001), out-of-bed (17.6 vs. 8.9 hours, p<0.001), and ambulation (32.4 vs. 25.4 hours, p=0.04) saw statistically significant improvements by 1-3 months post-ERATS implementation compared to pre-ERATS. Time to Foley removal improved by 4-6 months post-ERATS (19.5 vs. 18.2 hours, p=0.003). Outcome measures, including the 30-day readmission rate and emergency department visits, steadily decreased post-ERATS. By 7-9 months post-ERATS, both minor (18.2% vs. 7.9%, p=0.009) and major (13.6% vs. 4.4%, p=0.007) adverse events demonstrated statistically significant improvements. Length of stay trended towards improvement from 6.2 days pre-ERATS to 4.8 days by 7-9 months post-ERATS (p=0.06). Conclusion: The adoption of ERATS led to improvements in multiple process-of-care measures, which may collectively and gradually achieve optimization of clinical outcomes.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.7 no.3
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• pp.82-94
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• 2008

Airport GIS is a comprehensive information system to improve security and efficiency of airport. At the initial stage to make it real, the current status of domestic and international regulations along with relevant standardization bas been reviewed. Gimpo Airport becomes a test-bed to get some ideas about how to bring the airport GIS into workflow by building service model and basic design based on current status and demand analysis of the airport. The 6 service models primarily brought into the project are as follows: (1) Local vehicles safety management in airside, (2) Intelligent traffic control between flights and vehicles at main cross points, (3) Dynamic safety management against FOD in airside and breakage on pavement, (4) Special support vehicle management such as deicing remotely controlled, (5) Response and support for fire vehicles and ambulances of signatory institutions in emergency. The upcoming research topic aims at drawing a specific design and building integrated system in the future.