• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.324-334
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• 2019

This study investigates the characteristics of patients hospitalized at a convalescent hospital, by considering patient groups based on their medical record information. It further analyzes and correlates the factors, thus providing basic data required to improve the patient classification system at convalescent hospitals. The data includes total information of 213 medical records of patients discharged from a convalescent hospital in the Jeonbuk region during a period of one year, from January to December 2016. The study examines and correlates the days of hospitalization and the number of diseases, revealing a positive correlation having a correlation coefficient, thereby indicating that infliction with a greater number of diseases results in longer hospitalization. Based on these findings, the study raises the need to revise and supplement items on the patient assessment report to help determine the patient groups and identify medical efforts to be actually provided to patients. In addition, a proper care service system for each patient group based on their respective problems that are intensively managed according to the patient groups will be an essential element in the efficient management of convalescent hospitals. Furthermore, an important task addressed will be in managing the health of the elderly population at the national level.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.501-509
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• 2020

Earthwork in the construction field is a core process of construction, and it is used in almost all processes and is connected to the safety of the structure directly. Therefore, it is essential to analyze and confirm the road tamping through a plate bearing test and a field density test. The current analog measurement methods for road tamping measurement is difficult to check in real-time, accurate location information, time information, and the history management of workers in the field. Therefore, IoT (Internet of Things)-based DCPT (Dynamic Cone Penetration Test) was developed for a smart construction environment with a solution to the problem. The Smart DCPT system operated in a smartphone environment is IoT-based. The Smart DCPT system can apply various applications and has advantages of flexibility, low cost, and high efficiency. The IoT-based DCPT records the digital road tamping information, location information, time information, and worker information per measurement count. In addition, the various information is transmitted in real-time to the management center through a smartphone. This system is expected to contribute to the management of the construction process.

• The KIPS Transactions:PartD
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• v.15D no.3
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• pp.321-326
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• 2008

The software defects that are not found in the course of a project frequently appear during the conduct of the maintenance procedure after the complete development of the software. As the frequency of surfacing of defects during the maintenance procedure increases, the cost likewise increases, and the quality and customer reliability decreases. The defect rate will go down only if cause analysis and process improvement are constantly performed. This study embodies the defect tracking system (DTS) by considering the Pareto principle: that most defects are repetitions of defects that have previously occurred. Based on the records of previously occurring defects found during the conduct of a maintenance procedure, DTS tracks the causes of the software defects and provides the developer, operator, and maintenance engineer with the basic data for the improvement of the software concerned so that the defect will no longer be manifested or repeated. The basic function of DTS is to analyze the defect type, provide the measurement index for it, and aggregate the program defect type. Doing these will pave the way for the full correction of all the defects of a software as it will enable the defect correction team to check the measured defect type. When DTS was applied in the software configuration management system of the W company, around 65% of all its software defects were corrected.

• Journal of Trauma and Injury
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• v.24 no.1
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• pp.37-44
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• 2011

Purpose: Recently, social interest in an organized trauma system for the treatment of patients has been increasing in government and academia and the establishment of trauma center is being considered across the country. However, establishing such a system has not been easy in Korea, because enormous experiences and resources are necessary. The objectives of this study were (1) to estimate a trauma patient's demands during the course of treatment and (2) to provide appropriate direction for trauma centers to be established in Korea. Methods: The records of 207 patients who were admitted to the Department of Trauma Surgery in Ajou University Medical Center due to trauma were retrospectively reviewed for a 1 year period from March 2010 to February 2011. Patients were reviewed for general characteristics, number of hospital days, numbers and kinds of surgeries, numbers and kinds of consultations, ISS (Injury Severity Score) and number of patients with ISS more than 15. Results: All 207 patients were enrolled. The average number of hospital days was 36.7 days. The ICU stay was 15.9 days, and the general ward stay was 20.8 days. Admitted patients occupied 9.02 beds in ICU and 11.80 beds in the general ward per day. The average number of surgeries per patient was 1.4, and surgery at the Department of Trauma Surgery was most common. Number of consultations per patient was 14.23, and consultations with orthopedic surgeons were most common. The average ISS was 18.6. The number of patients with ISS more than 15 was 141 (61.8%) and the average number of patients treated per trauma surgeon as a major trauma patient was 94.3. The number of mortalities was 20, and the mortality rate was 9.7%. Conclusion: To reduce mortality and to provide proper treatment of patients with major trauma, hospitals need some number of beds, especially in the ICU, to treat patients and to prepare them for emergent surgery. An appropriate number of trauma surgeons and various specialists for consultation are also needed.

• The Journal of Engineering Geology
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• v.25 no.1
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• pp.21-33
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• 2015

This study tests the potential of detecting small-magnitude earthquakes (~M3.0) and their precursors using a long-term groundwater-monitoring database. In groundwater records from April to June 2012, abnormal changes in water level, temperature, and electrical conductivity were identified in the bedrock monitoring wells of the Gimcheon-Jijwa, Gangjin-Seongjeon, and Gongju-Jeongan stations. These anomalies could be attributed to the M3.1 earthquake that occurred in the Youngdeok area on May 30th, although no linear relationship was found between the scale of changes and the distance between each monitoring station and the epicenter, which is attributed in part to the wide screen design of the monitoring wells. Groundwater monitoring networks designed specifically for monitoring earthquake impacts could provide better information on the safety of underground space and on the security of emergency water-resources in earthquake disaster areas.

• Journal of Trauma and Injury
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• v.23 no.1
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• pp.6-15
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• 2010

Purpose: Trauma is one of the leading causes of death, especially among young people. Life-threatening conditions are very common in multiple-traumatized patients due to concurrent multi-organ injuries. Treating such severely injured patients is time critical. However, in Korea, the transfer of severely injured patients is not uncommon due to the lack of a mature trauma care system. In developed countries, the preventable trauma death rate is very low, but the rate is still very high in Korea. This study's objective was to demonstrate the current serious state in which severely injured patients have to be transferred from a Regional Emergency Medical Center even though it actually serves as a trauma center. Methods: Ajou University Medical Center is a tertiary hospital that serves as a trauma center in Gyeonggido. The medical records at Ajou University Medical Center for a 1-year period from January 1, 2008, to December 31, 2008, were retrospectively reviewed. A severely injured patient was defined as a patient who showed more than 15 point on the ISS (injury severity score) scale. We investigated the clinical characteristics of such patients and the causes of transfer. Results: Out of 81,718 patients who visited the Regional Emergency Medical Center, 19,731 (24.1%) were injured patients. Among them, 108 severely-injured patients were transferred from one Regional Emergency Medical Center to other hospitals. The male-to-female ratio was about 3.5:1, and the mean ISS was 23.08. The most common mechanism of injury was traffic accidents (41.7%). A major cause of transfer was the shortage of intensive care units (44.4%); another was for emergent operation (27.8%). Most of the hospitals that received the severely-injured patients were secondary hospitals (86.1%). Conclusion: Although the Regional Emergency Medical Center played a role as a trauma center, actually, severely-injured patients had to be transferred to other hospitals for several reasons. Most reasons were related with the deficiencies in the trauma care system. If a mature trauma care system is well-organized, the numbers of transfer of severely injured patients will be reduced significantly.

• Journal of The Korean Society of Clinical Toxicology
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• v.10 no.1
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• pp.22-32
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• 2012

Purpose: The purpose of this study was to examine the occurrence of toxic exposure cases in Korean emergency centers using a toxic exposure surveillance system-based report form and to provide guidelines for the prevention and treatment of toxic exposures. Methods: We retrospectively reviewed the medical records of toxic exposure patients who had visited emergency centers from January 2009 to December 2009. Epidemiology data points for the toxic exposure cases included age, gender, type of exposure, number and kind of substances involved, reason and route of poison exposure, management of the patients in the emergency departments, and the clinical outcome. Results: A total of 3,501 patients from 12 emergency departments were enrolled in the study. 50.0% of the total exposure patients were male and 63.0% of the total cases were fatal. Acute intoxication occurred in 91.3% of the total patients and suicidal intent was the most common (43.3%) reason for exposure. The most common route of exposure was ingestion (75.9%). Of the total cases, pesticides were involved in 26.3%, sedatives/hypnotics/antipsychotics were involved in 22.0%, and bites and envenomations were involved in 15.7%. Conclusion: We provided a database of patients who were admitted to emergency departments after poisoning incidents. We recommend that toxicology professionals develop a classification scheme for toxicants which is adequate for Korean domestic circumstances and initiate a toxic surveillance system for all types of exposures. With support of a psychiatric surveillance system for suicidal patients and establishment of social mediation for pesticide poisoning, major reductions in poison exposures can be achieved.

• Journal of the Korean earth science society
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• v.29 no.1
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• pp.98-115
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• 2008

Gwansanggam(觀象監) was a royal office in the Joseon(朝鮮) dynasty, which was in charge of astronomy(天文), geographical feature(地理), calendar-making(曆數), fortune telling(占算), meteorological observation(測候), and so forth. The royal office consisted of three divisions according to the studies (學): Astronomy(天文學), Geography(地理學), and Astrology(命課學). Among them, the Astronomy division carried out the works corresponding partly with academic fields of Earth Science nowaday. In this paper, we investigate the organization and the examination system of Gwansanggam focusing on the Astronomy division. Because Gwansanggam was one of royal offices, the organization, functions, and the rules of the government service examination(科擧試驗) were stipulated in codes published during the period of the Joseon dynasty. From various codes, official books, and records of Sillok(實錄), we firstly find that the scale of Gwansanggam in the number of officials was larger than the known one because the number of petty officials (胥吏), slaves, and artisans (匠人) were neglected in previous studies. Next, we conduct research on the textbooks used in the government service examination of Gwansanggam, particularly of the Astronomy division. Despite of the shortness in contents, we estimate that this is the first systematic attempt to the study on the examination textbooks of Gwansanggam. Finally, we also make some introductions on the regulations applied to the government service examinations of the offices belonging to manual rites (禮典) including Gwansanggam.

• Journal of The Korean Society of Clinical Toxicology
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• v.4 no.1
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• pp.32-43
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• 2006

Purpose: Toxic Exposure Surveillance System (TESS) is widely used for poisoning data collection and making a counterplan. But, there were few reports about poisoning data collection using TESS in Korea. The aim was to collect poisoning data using TESS report form and investigate the recognition of emergency physician about the necessity of TESS as preliminary survey. Methods: Retrospectively, we gathered data from hospital records about the patient who admitted hospital emergency room due to poisoning. Date were gathered by paper and/or web client system report form in patients recruited by ICD-10 codes Results: From Jun 2004 to May 2005,3,203 patients were enrolled in 30 hospitals and their mean age was $44.9{\pm}20.3years$ old(male: female = 1,565: 1,638). The most frequent site of exposure was their own residence (73.2%, 2,345/3,203) and most of reported patients were older than 20 years(89.7%, 2,871/3,203). Frequent substances involved in poisoning were medication(41.9%) and pesticide(33.3%). Intentional poisoning was 60.7%(1,954). In fatality, overall frequency was 5.1%(162/3,203) and the most frequent route of exposure was ingestion(96.3%, 156/162) and the most frequent substance was pesticide(85.2%, 138/ 162). Antidotes were administered in 202 patients(2-PAM, atropine, antivenin, N-acetylcystein, vitamin K, flumazenil, ethanol, methylene blue, naloxone, calcium compound). 19 of 20 emergency physicians agreed with necessity of TESS. Conclusion: Data collection using TESS report form showed preliminary poisoning events in Korea. Frequent poisoning substance were medication and pesticide. The fatality was mainly related with pesticide ingestion. Many doctors in emergency room recognized the necessity of TESS.

• Health Policy and Management
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• v.13 no.1
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• pp.98-115
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• 2003

Concerns about growing health insurance expenditures became a national Issue in 2001 when the National Health Insurance went into a deficit. Increases in spending for ambulatory care shared the largest portion of the problem. Methods and systems to control the spending should be developed and a system to measure case mix of providers is one of core components of the control system. The objectives of this article is to examine the feasibility of applying Korean Diagnosis Related Groups (KDRGs) to classify health insurance claims for ambulatory care and to identify problem areas of the classification. A database of 11,586,270 claims for ambulatory care delivered during January 2002 was obtained for the study, and the final number of claims analyzed was 8,319,494 after KDRG numbers were assigned to the data and records with an error KDRG were excluded from the study. The unit of analysis was a claim and resource use was measured by the sum of charges incurred during a month at a department of a hospital of at a clinic. Within group variance was assessed by th coefficient of variation (CV), and the classification accuracy was evaluated by the variance reduction achieved by the KDRG classification. The analyses were performed on both all and non-outlier data, and on a subset of the database to examine the validity of study results. Data were assigned to 787 KDRGs among 1,244 KDRGs defined in the classification system. For non-outlier data, 77.4％ of KDRGs had a CV of charges from tertiary care hospitals less than 100％ and 95.43％ of KDRGs for data from clinics. The variance reduction achieved by the KDRG classification was 40.80％ for non-outlier claims from tertiary care hospitals, 51.98％ for general hospitals, 40.89% for hospitals, and 54.99% for clinics. Similar results were obtained from the analyses performed on a subset of the study database. The study results indicated that KDRGs developed for a classification of inpatient care could be used for ambulatory care, although there were areas where the classification should be refined. Its power to predict tile resource utilization showed a potential for its application to measure case mix of providers for monitoring and managing delivery of ambulatory care. The issue concerning the quality of diagnostic information contained in insurance claims remains to be improved, and significance of future studies for other classification systems based on visits or episodes is guaranteed.