• 한국컴퓨터정보학회논문지
• /
• 제21권10호
• /
• pp.135-142
• /
• 2016

In this paper, we propose a plan for the introduction of a knowledge-based system proposed by the traditional computing sciences, in order to operate the computer system computerized hospital workers effectively. Hospital computational features of the operating system for this purpose, were made about the working conditions, computational difficulties of the hospital administrator. It is necessary for a knowledge management system for results-effective IT system operational review findings apply to the hospital, where a hospital computer system having features and hospitals computational workers must be resolved on the technical and environmental constraints with It became aware of the need. This study further shows that an effective hospital computer system to derive additional operating a variety of issues to consider for the base and the introduction of a knowledge management system can gradually solve the problem.

• Journal of Preventive Medicine and Public Health
• /
• 제48권4호
• /
• pp.203-215
• /
• 2015

Objectives: This study was performed to investigate the relationship between the incidence of national notifiable infectious diseases (NNIDs) and meteorological factors, air pollution levels, and hospital resources in Korea. Methods: We collected and stored 660 000 pieces of publicly available data associated with infectious diseases from public data portals and the Diseases Web Statistics System of Korea. We analyzed correlations between the monthly incidence of these diseases and monthly average temperatures and monthly average relative humidity, as well as vaccination rates, number of hospitals, and number of hospital beds by district in Seoul. Results: Of the 34 NNIDs, malaria showed the most significant correlation with temperature (r=0.949, p<0.01) and concentration of nitrogen dioxide (r=-0.884, p<0.01). We also found a strong correlation between the incidence of NNIDs and the number of hospital beds in 25 districts in Seoul (r=0.606, p<0.01). In particular, Geumcheon-gu was found to have the lowest incidence rate of NNIDs and the highest number of hospital beds per patient. Conclusions: In this study, we conducted a correlational analysis of public data from Korean government portals that can be used as parameters to forecast the spread of outbreaks.

• 대한방사선기술학회지:방사선기술과학
• /
• 제43권6호
• /
• pp.443-451
• /
• 2020

This study is to evaluate absorbed dose from right lung for brachytherapy and to estimate the effects of tissue heterogeneities on dose distribution for Iridium-192 source using Monte Carlo simulation. The study employed Geant4 code as Monte Carlo simulation to calculate the dosimetry parameters. The dose distribution of Iridium-192 source in solid water equivalent phantom including aluminium plate or steel plate inserted was calculated and compared with the measured dose by the ion chamber at various distances. And the simulation was used to evaluate the dose of gamma radiation absorbed in the lung organ and other organs around it. The dose distribution embedded in right lung was calculated due to the presence of heart, thymus, spine, stomach as well as left lung. The geometry of the human body was made up of adult male MIRD type of the computational human phantom. The dosimetric characteristics obtained for aluminium plate inserted were in good agreement with experimental results within 4%. The simulation results of steel plate inserted agreed well with a maximum difference 2.75%. Target organ considered to receive a dose of 100%, the surrounding organs were left the left lung of 3.93%, heart of 10.04%, thymus of 11.19%, spine of 12.64% and stomach of 0.95%. When the statistical error is performed for the computational human phantom, the statistical error of value is under 1%.

• 한국전산유체공학회:학술대회논문집
• /
• 한국전산유체공학회 2006년도 PARALLEL CFD 2006
• /
• pp.72-73
• /
• 2006

• 한국전산유체공학회:학술대회논문집
• /
• 한국전산유체공학회 2008년도 12th Asian Congress of Fluid Mechanics
• /
• pp.76.6-77
• /
• 2008

• Smart Structures and Systems
• /
• 제22권5호
• /
• pp.575-586
• /
• 2018

Computational Building Information Modeling (BIM) is an intelligent 3D model-based process that provides architecture, engineering, and construction professionals the insight to plan, design, construct, and manage buildings and infrastructure more efficiently. This paper aims at using BIM in Hospitals configurations protection. Infrastructure projects are classified as huge structural projects taking advantage of many resources such as finance, materials, human labor, facilities and time. Immense expenses in infrastructure programs should be allocated to estimating the expected results of these arrangements in domestic economy. Hence, the significance of feasibility studies is inevitable in project construction, in this way the necessity in promoting the strategies and using global contemporary technologies in the process of construction maintenance cannot be neglected. This paper aims at using the building information modeling in covering Imam Khomeini Hospital's equipment. First, the relationship between hospital constructions maintenance and repairing, using the building information modeling, is demonstrated. Then, using library studies, the effective factors of constructions' repairing and maintenance were collected. Finally, the possibilities of adding these factors in Revit software, as one of the most applicable software within BIM is investigated and have been identified in some items, where either this software can enter or the software for supporting the repairing and maintenance phase lacks them. The results clearly indicated that the required graphical factors in construction information modeling can be identified and applied successfully.

• Journal of Korean Neurosurgical Society
• /
• 제61권6호
• /
• pp.689-699
• /
• 2018

Objective : The goal of this study was to compare several parameters, including wall shear stress (WSS) and flow pattern, between unruptured and ruptured anterior communicating artery (ACoA) aneurysms using patient-specific aneurysm geometry. Methods : In total, 18 unruptured and 24 ruptured aneurysms were analyzed using computational fluid dynamics (CFD) models. Minimal, average, and maximal wall shear stress were calculated based on CFD simulations. Aneurysm height, ostium diameter, aspect ratio, and area of aneurysm were measured. Aneurysms were classified according to flow complexity (simple or complex) and inflow jet (concentrated or diffused). Statistical analyses were performed to ascertain differences between the aneurysm groups. Results : Average wall shear stress of the ruptured group was greater than that of the unruptured group (9.42% for aneurysm and 10.38% for ostium). The average area of ruptured aneurysms was 31.22% larger than unruptured aneurysms. Simple flow was observed in 14 of 18 (78%) unruptured aneurysms, while all ruptured aneurysms had complex flow (p<0.001). Ruptured aneurysms were more likely to have a concentrated inflow jet (63%), while unruptured aneurysms predominantly had a diffused inflow jet (83%, p=0.004). Conclusion : Ruptured aneurysms tended to have a larger geometric size and greater WSS compared to unruptured aneurysms, but the difference was not statistically significant. Flow complexity and inflow jet were significantly different between unruptured and ruptured ACoA aneurysms.

• Journal of Korean Neurosurgical Society
• /
• 제62권2호
• /
• pp.183-192
• /
• 2019

Objective : The objective of this study was to analyze patient-specific blood flow in ruptured aneurysms using obtained non-Newtonian viscosity and to observe associated hemodynamic features and morphological effects. Methods : Five patients with acute subarachnoid hemorrhage caused by ruptured posterior communicating artery aneurysms were included in the study. Patients' blood samples were measured immediately after enrollment. Computational fluid dynamics (CFD) was conducted to evaluate viscosity distributions and wall shear stress (WSS) distributions using a patient-specific geometric model and shear-thinning viscosity properties. Results : Substantial viscosity change was found at the dome of the aneurysms studied when applying non-Newtonian blood viscosity measured at peak-systole and end-diastole. The maximal WSS of the non-Newtonian model on an aneurysm at peak-systole was approximately 16% lower compared to Newtonian fluid, and most of the hemodynamic features of Newtonian flow at the aneurysms were higher, except for minimal WSS value. However, the differences between the Newtonian and non-Newtonian flow were not statistically significant. Rupture point of an aneurysm showed low WSS regardless of Newtonian or non-Newtonian CFD analyses. Conclusion : By using measured non-Newtonian viscosity and geometry on patient-specific CFD analysis, morphologic differences in hemodynamic features, such as changes in whole blood viscosity and WSS, were observed. Therefore, measured non-Newtonian viscosity might be possibly useful to obtain patient-specific hemodynamic and morphologic result.

• Clinical Endoscopy
• /
• 제56권1호
• /
• pp.55-64
• /
• 2023

Background/Aims: Endoscopic submucosal dissection (ESD) has been established as a treatment modality for superficial esophageal squamous cell carcinoma (ESCC). Long-term follow-up data are lacking in Western countries. The aim of this study was to analyze long-term survival in a Western center. Methods: Patients undergoing ESD for ESCC were included. The analysis was performed retrospectively using a prospectively collected database. Results: R0 resection rate was 96.7% (59/61 lesions in 58 patients). Twenty-seven patients (46.6%) fulfilled the curative resection criteria (M1/M2) (group A), 11 patients (19.0%) had M3 lesions without lymphovascular invasion (LVI) (group B), and 20 patients (34.5%) had lesions with submucosal invasion or LVI (group C). Additional treatment was recommended after non-curative resection. It was not performed in 20/31 patients (64.5%), mainly because of comorbidities (75%). Twenty-nine out of 58 (50.0%) patients died during a mean follow-up of 3.7 years. Death was related to ESCC in 17.2% (5/29) of patients. The disease-specific survival rate after curative resection was 100%. Overall survival rates after 5 years were 61.5%, 63.6% and 28.1% for groups A, B, and C, respectively. The overall survival was significantly worse after non-curative resection (p=0.038). Conclusions: Non-curative resection is frequent after ESD for ESCC in Western patients. The long-term prognosis is limited and mainly determined by comorbidity. Early diagnosis and pre-interventional assessments need to be improved.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제13권1호
• /
• pp.45-52
• /
• 2007

The purpose of this study is to suggest the design by using digital media the general hospital. The important result and advantage of the study are as follows; At first, applicability and maintenance of form and function design are enhanced and the digital media could be used for development of better and economical design. Secondly, the 3D CAD system useful for communication media and instructional tool for hospital planners and designers. Thirdly, fast and economical evaluation are obtained through the study of experimental simulation. Finally as a new tool in architectural field, the system helps to enhance the relationship between digital media and human. New concept and tools of hospital design are being developed in terms of its function, environment, and psychology. The computational design system should be improved for user friendly in the future.