• Journal of Chest Surgery
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• v.54 no.1
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• pp.17-24
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• 2021

Background: Although extracorporeal membrane oxygenation (ECMO) is generally performed percutaneously, the technology is deployed under sedation and necessitates endotracheal intubation. However, in some patients, the use of venoarterial (VA) ECMO without intubation may be beneficial. Herein, we describe our experiences with VA ECMO performed without prior endotracheal intubation. Methods: A total of 783 patients treated with VA ECMO at a single center between January 2013 and July 2018 were reviewed retrospectively. We included patients who underwent successful VA ECMO implementation without prior endotracheal intubation, and excluded those who were younger than 18 years, had ongoing cardiopulmonary resuscitation status, and had poor quality of the vessels needed for percutaneous cannulation. The primary study outcome was in-hospital survival. Results: In total, 50 patients were included in this study, 94% of whom showed cardiogenic shock. The mean age of the study participants was 56.3±14.5 years. The median VA ECMO support time was 7 days (range, 2-13 days). Twenty-one patients (42%) did not receive ventilator care during the VA ECMO support period, while 29 patients (58%) progressed to intubation after VA ECMO implementation. The rates of survival at discharge and weaning success were 82% (n=41) and 92% (n=46), respectively, and 80% (n=40) of patients presented good Glasgow-Pittsburgh Cerebral Performance Categories scores at discharge. Conclusion: Even in patients with cardiogenic shock, percutaneous VA ECMO can be introduced safely without prior endotracheal intubation by an experienced care team. The application of nonintubated VA ECMO might be a feasible strategy in selected cases.

• International Journal of Computer Science & Network Security
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• v.21 no.7
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• pp.257-266
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• 2021

This article examines the features of improving the public management of the market of medical and social services using information technology to improve the efficiency of public activity in modern conditions. The interpretation of the essence of the categories "information technologies" and "information support" is analyzed. The importance of the organization of information support of public authorities in the insurance of the state apparatus of information management for the adoption and solution of state issues of the market of medical and social services has been studied. Issues and system of information support of public management of the market of medical and social services are considered. The stages of the ICT implementation process in the market of medical and social services are described. The tools of state regulation in the market of medical and social services and the introduction of targeted programs for the development of the social sphere and health care are highlighted. Recommendations for improvement are formulated public management of the market of medical services and social way introduction of ICT tools, which provide for the implementation of a set of measures aimed at intellectualizing the entire system public data management spheres. The necessity of development of innovative tools of public management of the market of medical and social services of Ukraine for the purpose of working out of strategies of increase of quality of medical and social services in the XXI century is substantiated. A number of benefits from the implementation of an effective process of application of information support of public management of the market of medical and social services to ensure the efficiency of public authorities of Ukraine. It is proposed to create a "Department of information support of self-government" and electronic health care system (e-Health) to improve the management decision-making process, which will provide an opportunity to accumulate, process, analyze, and as a result, get the expected effect in the form of balanced management decisions by public authorities of Ukraine.

• Proceedings of the Korean Society for Quality Management Conference
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• 1998.11a
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• pp.673-679
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• 1998

The paper aims to apply a model of continuous quality improvement (CQI) to Taiwan provincial Pin Ton hospital. Tools of quality control were used both total quality management (TQM) and quality control circle (QCC) in order to approach the objective of ${\ulcorner}$higher quality, higher efficiency, lower cost${\lrcorner}$. During two years, this hospital has organized thirteen QC circles that were classified three categories according to that objective: four circles work for higher quality; the other four circles work for higher efficiency; five circles for lower cost. After implementation, several results were found from two viewpoints. From viewpoint of tangibility, one of the most outcomes is to reduce labor cost from 56 persons to 28 persons of temporary employees. From viewpoint of intangibility, the result was evaluated using radar chart to compare the difference after improvement. This paper is going to report the process of CQI for the hospital management because it is a new issue in Taiwan since 1997

• Journal of the Korean Operations Research and Management Science Society
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• v.34 no.2
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• pp.15-34
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• 2009

Today the u-government services are becoming more personalized and intelligent. For the successful implementation of personalization, individual user's privacy concerns must be respected and taken care of. Based on the empirical survey results, this research summarizes the reluctance to the government's use of private information using six categories. We measure user's psychological distance toward e-government using the four levels, adopting the suggestions by the Proxemics. Since a positive correlation is Identified between people's psychological Intimacy toward e-government and their tolerance to the use of private Information, the amount and/or types of private information should be sequentially used in personalization systems. Initially allowing the least intolerable private information such as occupation information, the personalization system should additionally use the next tolerable Information such as health information or service request/interest information, as user's psychological distance toward government services becomes shorter.

• Journal of Korean Academy of Nursing Administration
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• v.16 no.2
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• pp.190-197
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• 2010

Purpose: The purpose of this study was to investigate factors which influence freshmen nursing students' problem solving abilities. Method: The data were collected from 119 students by means of self-reported questionnaires measuring problem solving abilities, critical thinking disposition, and self-directed learning, on March 7th and 11th, 2010. Result: For problem solving ability categories, the level of problem discovery was the highest followed by solution plan, problem definition, solution evaluation and solution implementation. The influencing factors on problem solving abilities of nursing students were critical thinking disposition, self-directed learning and gender. Conclusion: Using the results of this study as a foundation, nursing education curriculum should be comprised of critical thinking skills and self-directed skills for the improvement of nursing students' problem solving abilities. It is also recommended that further studies be conducted in order to investigate comprehensive curriculum designs that allow for maximum accumulation of these proficiencies.

• ETRI Journal
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• v.30 no.3
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• pp.432-440
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• 2008

In this paper, a user-friendly mobile photo album system and albuming functions to support it are introduced. Stand-alone implementation in a mobile device is considered. The main idea of user-friendly photo browsing for albuming functions is to enable users to organize and browse their photos along semantically meaningful axes of events, personal identities, and categories. Experimental results demonstrate that the proposed method would be sufficiently useful and efficient for browsing personal photos in mobile environment.

• Magazine of the Korean Society of Agricultural Engineers
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• v.22 no.1
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• pp.87-95
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• 1980

General purpose programs are essential elements for the computerization of structural analysis. This paper is associated with actual formulation of such programs by matrix analysis. The basic theory of matrix analysis for skeletal structures, its implementation and techniques for developing efficient programs are discussed in this paper. Any shape of skeletal structure can be included in a single program for space frames. But in order to economize computing time and computer memory space, it is desirable to develop and operate seperate programs specialized into four categories; truss, planar frame, grid and space frame. As for general purpose programs, simplicity of input format and flexibility of output format should be duly considered. Compaction and solution of system equations are the most important aspects in computer programming of matrix analysis, and worth further study for more efficient computerization.

• Journal of The Korean Society of Agricultural Engineers
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• v.54 no.1
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• pp.73-81
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• 2012

For planning and developing rural regions, it is very important to understand and utilize regional characteristics including social, demographic, and economic aspects. The purpose of this study is to find effective analysis techniques and provide a procedure design for mining regional characteristics in South Korea through reviewing and analyzing 41 related studies. The engaged research methods can be classified into five categories (PCA+CA, PCA, CA, GIS, and PCA+GIS) with the combination of three methodologies: principal component analysis (PCA), cluster analysis (CA), and geographical information system (GIS). The combination of PCA and CA occupied about 40 % of research methods used in related studies. The analysis tool of Korean Rural Information Supporting System (KRISS) is designed based on the outcomes of this study and applied to classify the regional capacity of agriculture using agricultural census data (2000) for evaluating its applicability.

• The Journal of Sustainable Design and Educational Environment Research
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• v.6 no.1
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• pp.25-48
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• 2007

Korean government implemented the Build-Transfer-Lease (BTL) mechanism since 2005 as one of the privatization methods to procure the social infrastructure with private investment. The mechanism was originally prepared 10 provide such public properties as education facilities, child-care facilities, old generation recuperation facilities, medical welfare facilities, military personnel's apartments, environment facilities, and lease apartments. Since 2005, a total of 13.5 trillion won-valued private fund has been directed to the public educational facilities, which occupies 58% of the total private investment in the facilities of the seven categories. However, many officials in the local public entities have anticipated that the local entities need to be restructured or downsized because of the privatization in stead of providing the educational facilities by governmental finance. The main objective of this study is to identify the appropriate technocrat organization structures to manage the privatization procedures.

• Proceedings of the KSR Conference
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• 2010.06a
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• pp.2262-2269
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• 2010

A recent Tilting train development operation for existing line high speed, already developed "Korean Tilting Train eXpress(bellow TTX)" and that doing demonstration of operation. And TTX are going to commercial service in 2012. They are preparing Environmental Declaration of Product(bellow EDP) for offering environmental impact of TTX to customer. EDP calculated environmental impact of target product's whole life cycle(raw material and manufacturing, distribution, use, end of life) more quantity for that improving environmental impact and then certification them, it is using for that estimate some part of existence of specific pollutants, GHGs, energy consumption and recycling ratio. In this study, 1) analyze the process of getting EDP, 2) satisfy common criteria and each criteria(plan) in the Product Category Rules(bellow PCRs) provided KEITI, 3) according to ISO 14044, implementation of LCA. 4) These results be shown Characterized Impact(bellow CI) about each life cycle stage and six impact categories(ARD, GWP, OD, AD, EU, POC).