• Journal of Digital Convergence
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• 제17권12호
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• pp.345-352
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• 2019

This study aims to analyze the factors affecting the length of stay in elderly pediatric inpatients in traffic accidents. We used Korean National Hospital Discharge In-depth Injury data on the discharged from 2012 to 2016. Statistically significant factors affecting the length of stay are admission route, Charlson Comorbidity Index(CCI), injury parts, operation, results, hospital area, and beds for hospitals. The length of stay was shorter in the case of the admission route of the outpatient department than the emergency room, the results were not improved or death rather than improved, and the bed size was 500-999 beds or over 1000 beds rather than 100-299 beds. However, the length of stay was longer in the case of CCI score was 1-2 or over 3 rather than 0, injury parts were other parts rather than head/neck, when the operation was yes, and when the hospital area was a province, metropolitan rather than Seoul. This study intends to understand the medical characteristics of inpatient to prevent pedestrian traffic accidents in accordance with the population aging. Based on this finding, we wish to be used as the basic data for the establishment of policies to effectively manage traffic safety and medical resources in consideration of the characteristics of the elderly people.

• Journal of the Korea Society of Computer and Information
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• 제26권2호
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• pp.109-117
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• 2021

This study was attempted to identify the working environment of nurses by identifying the key keywords associated with the unfair working conditions of Korean nurses reported in various media outlets in the media. "Nurse NOT (nurse) or nurse" was searched on BIG KINDS, selected articles related to the unfair treatment of nurses, extracted the final 309 cases, and classified into six categories of hospital-level, regional, keyword, and integrated keywords in the article using Excel2007. Of the 309 articles, 79 (22.56 percent) were published from November 2015 to October 31, 2016, 92 (29.77 percent) from third medical institutions, and 121 (39.1 percent) from across the country. The integrated keywords were summarized into a total of 14, followed by sexual assault/sexual harassment (14.88%), shortage of nurses (11.65%), burning nurses (11.0%), unfair dismissal (10.67%) and physical assault (10.35%). The findings could be used as basic data for establishing a positive working environment for nurses and improving positive image awareness of nursing professionals.

• Journal of Radiation Protection and Research
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• 제45권4호
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• pp.171-177
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• 2020

Background: This study aims to determine the effective atomic number (Zeff) from dual-energy image sets obtained using a conventional computed tomography (CT) simulator. The estimated Zeff can be used for deriving the stopping power and material decomposition of CT images, thereby improving dose calculations in radiation therapy. Materials and Methods: An electron-density phantom was scanned using Philips Brilliance CT Big Bore at 80 and 140 kVp. The estimated Zeff values were compared with those obtained using the calibration phantom by applying the Rutherford, Schneider, and Joshi methods. The fitting parameters were optimized using the nonlinear least squares regression algorithm. The fitting curve and mass attenuation data were obtained from the National Institute of Standards and Technology. The fitting parameters obtained from stopping power and material decomposition of CT images, were validated by estimating the residual errors between the reference and calculated Zeff values. Next, the calculation accuracy of Zeff was evaluated by comparing the calculated values with the reference Zeff values of insert plugs. The exposure levels of patients under additional CT scanning at 80, 120, and 140 kVp were evaluated by measuring the weighted CT dose index (CTDIw). Results and Discussion: The residual errors of the fitting parameters were lower than 2%. The best and worst Zeff values were obtained using the Schneider and Joshi methods, respectively. The maximum differences between the reference and calculated values were 11.3% (for lung during inhalation), 4.7% (for adipose tissue), and 9.8% (for lung during inhalation) when applying the Rutherford, Schneider, and Joshi methods, respectively. Under dual-energy scanning (80 and 140 kVp), the patient exposure level was approximately twice that in general single-energy scanning (120 kVp). Conclusion: Zeff was calculated from two image sets scanned by conventional single-energy CT simulator. The results obtained using three different methods were compared. The Zeff calculation based on single-energy exhibited appropriate feasibility.

• Korean Journal of Radiology
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• 제23권12호
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• pp.1269-1280
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• 2022

Objective: This study aimed to evaluate the usefulness of quantitative indices obtained from deep learning analysis of gadoxetic acid-enhanced hepatobiliary phase (HBP) MRI and their longitudinal changes in predicting decompensation and death in patients with advanced chronic liver disease (ACLD). Materials and Methods: We included patients who underwent baseline and 1-year follow-up MRI from a prospective cohort that underwent gadoxetic acid-enhanced MRI for hepatocellular carcinoma surveillance between November 2011 and August 2012 at a tertiary medical center. Baseline liver condition was categorized as non-ACLD, compensated ACLD, and decompensated ACLD. The liver-to-spleen signal intensity ratio (LS-SIR) and liver-to-spleen volume ratio (LS-VR) were automatically measured on the HBP images using a deep learning algorithm, and their percentage changes at the 1-year follow-up (ΔLS-SIR and ΔLS-VR) were calculated. The associations of the MRI indices with hepatic decompensation and a composite endpoint of liver-related death or transplantation were evaluated using a competing risk analysis with multivariable Fine and Gray regression models, including baseline parameters alone and both baseline and follow-up parameters. Results: Our study included 280 patients (153 male; mean age ± standard deviation, 57 ± 7.95 years) with non-ACLD, compensated ACLD, and decompensated ACLD in 32, 186, and 62 patients, respectively. Patients were followed for 11-117 months (median, 104 months). In patients with compensated ACLD, baseline LS-SIR (sub-distribution hazard ratio [sHR], 0.81; p = 0.034) and LS-VR (sHR, 0.71; p = 0.01) were independently associated with hepatic decompensation. The ΔLS-VR (sHR, 0.54; p = 0.002) was predictive of hepatic decompensation after adjusting for baseline variables. ΔLS-VR was an independent predictor of liver-related death or transplantation in patients with compensated ACLD (sHR, 0.46; p = 0.026) and decompensated ACLD (sHR, 0.61; p = 0.023). Conclusion: MRI indices automatically derived from the deep learning analysis of gadoxetic acid-enhanced HBP MRI can be used as prognostic markers in patients with ACLD.

• Journal of the Korean Society for Precision Engineering
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• 제23권5호
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• pp.143-148
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• 2006

It is still very difficult to generate a geometry model and finite element model, which has complex and many free surface, even though 3D CAD solutions are applied. Furthermore, in the medical field, which is a big growth area of recent years, there is no drawing. For these reasons, making a geometry model, which is used in finite element analysis, is very difficult. To resolve these problems and satisfy the requests of the need to create a 3D digital file for an object where none had existed before, new technologies are appeared recently. Among the recent technologies, there is a growing interest in the availability of fast, affordable optical range laser scanning. The development of 3D laser scan technology to obtain 3D point cloud data, made it possible to generate 3D model of complex object. To generate CAD and finite element model using point cloud data from 3D scanning, surface reconstruction applications have widely used. In the early stage, these applications have many difficulties, such as data handling, model creation time and so on. Recently developed point-based surface generation applications partly resolve these difficulties. However there are still many problems. In case of large and complex object scanning, generation of CAD and finite element model has a significant amount of working time and effort. Hence, we concerned developing a good direct finite element model generation method using point cloud's location coordinate value to save working time and obtain accurate finite element model.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 한국정보통신학회 2022년도 춘계학술대회
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• pp.206-208
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• 2022

As the big data industry has recently developed significantly, interest in privacy violations caused by personal information leakage has increased. There have been attempts to automate this through named entity recognition in natural language processing. In this paper, named entity recognition data is constructed semi-automatically by identifying sentences with de-identification information from de-identification information in Korean Wikipedia. This can reduce the cost of learning about information that is not subject to de-identification compared to using general named entity recognition data. In addition, it has the advantage of minimizing additional systems based on rules and statistics to classify de-identification information in the output. The named entity recognition data proposed in this paper is classified into twelve categories. There are included de-identification information, such as medical records and family relationships. In the experiment using the generated dataset, KoELECTRA showed performance of 0.87796 and RoBERTa of 0.88.

• Journal of the Korea Institute of Information and Communication Engineering
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• 제22권4호
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• pp.634-640
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• 2018

In this paper, we propose an automatic extraction algorithm of region of interest(ROI) based on medical x-ray images. The proposed algorithm uses segmentation, feature extraction, and reference image matching to detect lesion sites in the input image. The extracted region is searched for matching lesion images in the reference DB, and the matched results are automatically extracted using the Kalman filter based fitness feedback. The proposed algorithm is extracts the contour of the left hand image for extract growth plate based on the left x-ray input image. It creates a candidate region using multi scale Hessian-matrix based sessionization. As a result, the proposed algorithm was able to split rapidly in 0.02 seconds during the ROI segmentation phase, also when extracting ROI based on segmented image 0.53, the reinforcement phase was able to perform very accurate image segmentation in 0.49 seconds.

• Journal of the Health Care and Life Science
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• 제9권1호
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• pp.103-115
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• 2021

The purpose of this study is to understand the annual trend of patients with cervical vertebrae disability and improve their health service utilization in the general description (200 TABLE) of patients with cervical vertebrae disability.The main results of this study are as follows. All patients with cervical vertebrae disability were women aged 50 to 59. Compared to 2010, the proportion of patients with disease increased year by year in all subjects in 2018, with men under 30-39 years of age and women under 19 years of age increasing the highest.

• Knowledge Management Research
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• 제22권2호
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• pp.145-165
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• 2021

As of late December 2019, the spread of COVID-19 pandemic began which put the entire world in panic. In order to overcome the crisis and minimize any subsequent damage, the government as well as its affiliated institutions must maximize effects of pre-existing policy support and introduce a holistic response plan that can reflect this changing situation- which is why it is crucial to analyze social topics and people's interests. This study investigates people's major thoughts, attitudes and topics surrounding COVID-19 pandemic through the use of social media and big data. In order to collect public opinion, this study segmented time period according to government countermeasures. All data were collected through NAVER blog from 31 December 2019 to 12 December 2020. This research applied TF-IDF keyword extraction and LDA topic modeling as text-mining techniques. As a result, eight major issues related to COVID-19 have been derived, and based on these keywords, this research presented policy strategies. The significance of this study is that it provides a baseline data for Korean government authorities in providing appropriate countermeasures that can satisfy needs of people in the midst of COVID-19 pandemic.

• Health Policy and Management
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• 제5권1호
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• pp.31-58
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• 1995

The Korean government achieved the universal coverage of health insurance in July 1989, and concomitantly introduced a new measure of regulated health care delivery system in using medical care. There are three reasons why the government took the new health care delivery system. Firstly, there was ample room for improving the allocative efficiency in the use of medical facilities. And the second one was to constrain the dramatic increase of medical demand under health insurance. Thirdly, and the most important reason was to alleviate the patient crowdedness in big general hospitals, particularly tertiary hospitals. There are essentially two different ways to control the use of health care : one is to cut the demand for health care, and the other to regulate behaviors of providers through the use of incentives/disincentives, demand-side approach or supply-side approach. The objective of this study is to examine whether or not medical care utilization behaviors under health insurance scheme have been changed among medical facilities such as clinic, hospital, general hospital and tertiary hospital in comparison with those before and after the introduction, particularly whether the patient crowdedness in tertiary hospitals has been alleviated or not. In order to conduct this study, the insurance claim data during the period of January 1989 and July 1992 were analyzed by focusing on diagnosis of both inpatients and outpatients, and especially the fifteen most frequent diseases in ambulatory care and the seven most frequent diseases in hospitalizatio. In addition, the same analyses were made on the changes in medical care utilization by specialty department. This was because the five departments, such as family medicine, ENT, eye, dermatology and rehabilitation, were exempted from applying the regulated health care delivery system in tertiary hospitals. The study revealed that a remarkable alleviation effect in the crowdness was noted for tertiary hospitals. This effect was most conspicuous for the most frequent mild diseases of both inpatient and outpatient care. For example, the fifteen most frequent OPD care at tertiary facilities have decreased as much as by 40%, of which 34% belonged to the cut in initial visits. Meanwhile, the proportion of those who used general hospitals and private practitioner's clinics have increased due to the shift of patients. The cases from the five special departments were also decreased, but not so much as other departments. A problem was noted that, as time passed by, the decreasing tendencies of crowdness at tertiary hospitals due to the regulated system became slightly smaller. Therefore, through complementary remedies are needed for the future implementation.