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Comparison of quality of 30:2 vs. 2:30 CPR in manikins (심폐소생술 방법 변화에 따른 quality 비교 - 30:2와 2:30 비교분석실험 -)

  • Uhm, Tai-Hwan;Yoou, Soon-Kyu;Choi, Hea-Kyung;Jung, Ji-Yeon
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.3
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    • pp.71-81
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    • 2010
  • Purpose: To minimize an interruption in chest compression, reduce the hands-off time, the American Heart Association has recommended the ratio of chest compression to ventilation ratio to 30:2 from 2005 CPR guideline to 2010 CPR guideline. However, current studies have shown that the hands-off time was > 10 seconds with that method. For this reason, we devised new CPR method that a ventilation to chest compression ratio of 2:30 to reduce pt assessment time and skipped the assessment step of carotid artery pulse would be a more effective way to reduce the hands-off time & the time to set the CPR. According to the more detailed purpose are listed below. 1) We would like to confirm efficiency of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 to reduce the hands-off time & the time to set the CPR. 2) We would like to evaluate possibility of increasing for chest compression accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 3) We would like to evaluate possibility of increasing for ventilation accuracy of a ventilation to chest compression ratio of 2:30 than a chest compression to ventilation ratio of 30:2 Methods: According to 2005 American Heart Association Guidelines, 60 paramedic students(20 students X freshmen, sophomore, junior) performed 5 cycles of 3~ chest compressions : 2 ventilations after A, B, C evaluation with Laerdal Resusci R Anne SkillReporters. After 5 minutes rest, the 60 students performed 5 cycles of 2 ventilations : 30 chest compressions after A, B evaluation with the manikins between 13 and 17 September 2010. The short reports including speed & accuracy of chest compression, respiratory, CPR cycle were gained from the manikins. Hands-off times were measured by assistants. Results: Recently, the importance of high quality CPR was emphasized in order to perform the CPR faster and more accurate. To find out improving the conventional CPR method, we switch the procedure of the compression and the ventilation. By switching the procedure back and forth, we are able to compare the effectiveness of CPR between two type of CPR method which are 2:30 and 30:2 methods. 2:30 is that the breaths is delivered twice, first and perform 30 compressions while 30:2 perform 30 compressions first and give 2 breaths followed by the ABC method. Also, we verify the effectiveness of the hands off time, compression accuracy of the compression through the comparison of the two procedure as mentioned earlier. Consequently research verified that 2:30 is the efficient by providing faster set up delivering more accurate chest compression. Conclusion: 2:30 can minimize a time delay from cardiac standstill until starting the chest compression. In addition, hands-off time which is an interruption in chest compression can be shortened by 2:30 method, which result to effective oxygenation of coronary artery & maintenance of the bloodstream. Once again, performing the 2:30 method provide lessen hands off time and increase the accuracy of the chest compression.

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Recognition for Lung Cancer using PCA in the Digital Chest Radiography (디지털 흉부영상에서 주성분분석을 이용한 폐암인식)

  • Park, Hyung-Hu;Ok, Chi-Sang;Kang, Se-Sik;Ko, Sung-Jin;Choi, Seok-Yoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.7
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    • pp.1573-1582
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    • 2011
  • Risk of lung cancer among lung-related diseases has gradually increased during last decades. The chest digital radiography is the primary diagnosis method for lung cancer. Diagnosing lung cancer using this method requires doctors of ripe experience. Despite their experience there are often wrong diagnoses, which decrease early diagnosis and survival rates of patients. The aim of this study was intended to establish the base on the Computer Aided Diagnosis (CAD) by analyzing Image Recognition Algorithm using Principle component Analysis (PCA) and diagnosing patient's chest X-ray image. The database obtained through this approach enables a doctor to significantly reduce misdiagnosis during the early diagnosis stage, if he or she utilizes it as the preliminary reading step. Case studies were carried out using normal organ, and organs suffering from bronchogenic carcinoma and granuloma. A normal image and unique disease images were extracted after PCA analysis, and their cross-recognition efficiency were compared each other. The result revealed that the recognition rate was much high between normal and disease images, but relatively low between two disease images. In order to increase the recognition efficiency among chest diseases the related algorithms have to be developed continuously in the future study, and such effort will establish the resolute base for CAD.

A Study on the Situation Analysis for Competitive Advantage Power of Korean Shipping Industry (우리나라 해운산업의 경쟁력 실태분석)

  • 이학헌;민성규
    • Journal of the Korean Institute of Navigation
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    • v.19 no.3
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    • pp.35-65
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    • 1995
  • The development of Korean shipping industry is maybe defined into three development stages-industry fixing stage, industry coordinating stage, industry development stage-. The development of shipping industry has been depended on the geovernment/authority role such as shipping policy, system, law, rules and regulations. In 1983, Korean shipping industry reorganization and coordination by shipping authority have made our shipping industry on the stable condition together with each company's efforts. Today's world economic environment such WTO/UR negotiation results get this government role limited. According to the being reduced government role, each company's competitive advantage power becomes more important. Besides, korean shipping industry is exposed into the entire and bitter world competition. In order to win and prevent the world shipping competition, it is necessary to look out the competitive advantage power of Korean shipping industry. The first purpose of this study is the situation analysis for competitive advantage power of Korean shipping industry. The second is to compare with our shipping policies with foreign ones concerned with ship, cargo, crew, tax and others. But in order to compare with foreign shipping, this study need their shipping statistics data, this study has some limit of the foreign data. This study has been carried on the basis of the following items. 1. Shipping environment, 2. Ships and ship acquirement(shipbuilding/purchasing), 3. Oceangoing cargo and ship's stowage rate, 4. Human factor in shipping-crew, 5. The incomes and costs in finacial statements. We have some conclusions as following through the this study. First, Korean shipping industry environment-competitive disadvantage situation- has changed rapidly due to the shipping market opening, free market entering of foreign shipping. Second, Korean shipping is disadvantageous due to the high tax rate and financing conditions in connection with ship acquirement. In order to improve the competitive advantage power, the shipping tax system and ship financing conditions should be reviewed to profitable for owners. Third, but both world and Korean oceangoing cargoes quantity have been increased annualy, Korean ship's cargo stowage rate is being decreased. This is serious situation but Korean shipping take well use of foreign vessel with hire. It is recommended to take use of owner's vessel and hired ones in the long range view, considering the world shipping management. But the number of crew has been decreased by 2, 000~3, 000 annualy, it is desirable that the long sea-experienced crew have been increased. Almost of owners usauly complain the crew cost is the main obstacles to competitive advantage power. Human factor is the most important firm's asset. All owners should pay attention to this though, and invest the proper budget to training, education, welfare as much as possible. In the long run this effects could be feedback to owners. Fifth, We must improve the financial statements structure, that is, the first step is to increase income, the second is to decrease cost, the third is to increase income on the same cost, the fourth is to decrease cost on the same income. It is essential to find out what the urgent investment is and what unnecessary cost is. At last, in order to competite world shipping race, each shipping firm must try for himself to retain the power. The government/authority is no longer dependable. I believe that each firm's power will be the industry's power, the industry's power will be the nations's power.

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Technical Issues and Solutions for Developing IoT Applications (IoT 애플리케이션 개발의 기술적 이슈 및 솔루션)

  • Shin, Dong Ha;Han, Seung Ho;La, Hyun Jung;Kim, Soo Dong
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.3
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    • pp.99-110
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    • 2015
  • Internet-of-Things(IoT) is the computing paradigm converged with different technologies, where diverse devices are connected via the wireless network, acquire environmental information from their equipped sensors, and actuated. IoT applications typically provide smart services to users by interacting with multiple devices connected to the network and are designed by integrating multiple technologies such as sensor network, communication technologies, and software engineering. Moreover, since the concept of IoT has been introduced recently, most of the researches are in the beginning step, which is too early to be practically applied. Due to these facts, developing IoT application results in unconventional technical challenges which have not been observed in typical software applications. And, it is not straightforward to apply conventional project guidelines to IoT application development projects. Hence, there can be many difficulties to successfully complete the projects. Therefore, for successful completion of the projects, we analyze technical challenges occurring in all phases of the project lifecycle, i.e. project preparation stage and development stage. And, we propose the effective solutions to overcome the issues. To verify identified issues and presented solutions, we present the result of applying the solutions to an IoT application development. Through the case study, we evaluate how reasonable the unconventional technical issues are generated and analyze effectiveness of applying the solutions to the application.

Multi-modality MEdical Image Registration based on Moment Information and Surface Distance (모멘트 정보와 표면거리 기반 다중 모달리티 의료영상 정합)

  • 최유주;김민정;박지영;윤현주;정명진;홍승봉;김명희
    • Journal of KIISE:Computer Systems and Theory
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    • v.31 no.3_4
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    • pp.224-238
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    • 2004
  • Multi-modality image registration is a widely used image processing technique to obtain composite information from two different kinds of image sources. This study proposes an image registration method based on moment information and surface distance, which improves the previous surface-based registration method. The proposed method ensures stable registration results with low registration error without being subject to the initial position and direction of the object. In the preprocessing step, the surface points of the object are extracted, and then moment information is computed based on the surface points. Moment information is matched prior to fine registration based on the surface distance, in order to ensure stable registration results even when the initial positions and directions of the objects are very different. Moreover, surface comer sampling algorithm has been used in extracting representative surface points of the image to overcome the limits of the existed random sampling or systematic sampling methods. The proposed method has been applied to brain MRI(Magnetic Resonance Imaging) and PET(Positron Emission Tomography), and its accuracy and stability were verified through registration error ratio and visual inspection of the 2D/3D registration result images.

Science & Technology Business: The Role of International Science Business Belt in Korea (과학기술 비즈니스(S&T Business): 과학벨트(ISBB)의 역할)

  • Lee, Won Cheul;Choi, Jong-In
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.4
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    • pp.139-148
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    • 2016
  • The importance of technology commercialization is being emphasized more and more, but high technology excellence does not always lead to a successful business. In addition, companies that invest heavily in basic research and technology development are also not always able to guarantee high profits. This is due to the technical problems when present in step research and development levels are difficult to commercialize. And the market will not work rationally is also the cause of the problem. Therefore, to effectively utilize the resources necessary to ensure such partners to build alliances and cooperation with external funding or manpower is crucial to commercialize the research results of basic science successfully. In previous studies, it has been made many studies in accordance with the approach to the technology (e.g. Research and Development, Management of Technology, Technology Innovation, etc.). But the study of technology commercialization point of view is not being done much. This study should explores the available business required, or realized in the process of researching the basic science and trying to understand the imperfections of the market through the property of technology (tacit knowledge, objectified value of technology and the information asymmetry between innovation subjects, etc.). In addition, this paper, we try to focus on a strategic approach to the role of International Science Business Belt (ISBB) with success in science and technology business as appropriate countermeasures about breaking the 'Valley of Death.

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Nonlinear Analysis of Nuclear Reinforced Concrete Containment Structures under Accidental Thermal Load and Pressure (온도 및 내압을 받는 원자로 철근콘크리트 격납구조물의 비선형해석)

  • Oh, Byung Hwan;Lee, Myung Gue
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.14 no.3
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    • pp.403-414
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    • 1994
  • Nonlinear analysis of RC containment structure under thermal load and pressure is presented to trace the behaviour after an assumed LOCA. The temperature distribution varying with time through the wall thickness is determined by transient finite element analysis with the two time level scheme in time domain. The layered shell finite elements are used to represent the containment structures in nuclear power plants. Both geometric and material nonlinearities are taken into account in the finite element formulation. The constitutive relation of concrete is modeled according to Drucker-Prager yield criteria in compression. Tension stiffening model is used to represent the tensile behaviour of concrete including bond effect. The reinforcing bars are modeled by smeared layer at the location of reinforcements accounting elasto-plastic axial behaviors. The steel liner model under Von Mises yield criteria is adopted to represent elastic-perfect plastic behaviour. Geometric nonlinearity is formulated to consider the large displacement effect. Thermal stress components are determined by the initial strain concept during each time step. The temperature differential between any two consecutive time steps is considered as a load incremental. The numerical results from this study reveal that nonlinear temperature gradient based on transient thermal analysis will produces excessive large displacement. Nonlinear behavior of containment structures up to ultimate stage can be traced reallistically. The present study allows more realistic analysis of concrete containment structures in nuclear power plants.

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Efficient Plant Regeneration from Mature Seed-derived Callus of Italian ryegrass (Lolium multiflorum Lam.) (이탈리안 라이그래스의 성숙종자 유래 캘러스로부터 효율적인 식물체 재분화)

  • Woo, Hyun-Sook;Lee, Sang-Hoon;Lee, Dong-Gi;Kim, Jin-Soo;Won, Sung-Hye;Lee, Byung-Hyun
    • Journal of Plant Biotechnology
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    • v.31 no.1
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    • pp.43-48
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    • 2004
  • As an initial step for future genetic manipulations to improve forage characteristics of Italian ryegrass (Lolium multiflorum Lam.), an efficient tissue culture system was established and the factors affecting plant regeneration were evaluated. MS medium containing 5mg/L 2,4-D was optimal for embryogenic callus induction from mature seed and had a strong effect on successive plant regeneration. The plant regeneration frequency was observed at above 70% when embryogenic calli induced were transferred to N6 medium supplemented with 1mg/L 2,4-D and 5mg/L BA. Among several basic media tested, MS and N6 medium were optimal for callus induction and plant regeneration, respectively. Genotype was an important factor in plant regenerability. 'Jeanne' showed the highest regeneration frequency of 73%. A short tissue culture period and high-frequency regeneration system established in this study will be useful for molecular breeding of Italian ryegrass through genetic transformation.

The Consideration for Optimum 3D Seismic Processing Procedures in Block II, Northern Part of South Yellow Sea Basin (대륙붕 2광구 서해분지 북부지역의 3D전산처리 최적화 방안시 고려점)

  • Ko, Seung-Won;Shin, Kook-Sun;Jung, Hyun-Young
    • The Korean Journal of Petroleum Geology
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    • v.11 no.1 s.12
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    • pp.9-17
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    • 2005
  • In the main target area of the block II, Targe-scale faults occur below the unconformity developed around 1 km in depth. The contrast of seismic velocity around the unconformity is generally so large that the strong multiples and the radical velocity variation would deteriorate the quality of migrated section due to serious distortion. More than 15 kinds of data processing techniques have been applied to improve the image resolution for the structures farmed from this active crustal activity. The bad and noisy traces were edited on the common shot gathers in the first step to get rid of acquisition problems which could take place from unfavorable conditions such as climatic change during data acquisition. Correction of amplitude attenuation caused from spherical divergence and inelastic attenuation has been also applied. Mild F/K filter was used to attenuate coherent noise such as guided waves and side scatters. Predictive deconvolution has been applied before stacking to remove peg-leg multiples and water reverberations. The velocity analysis process was conducted at every 2 km interval to analyze migration velocity, and it was iterated to get the high fidelity image. The strum noise caused from streamer was completely removed by applying predictive deconvolution in time space and ${\tau}-P$ domain. Residual multiples caused from thin layer or water bottom were eliminated through parabolic radon transform demultiple process. The migration using curved ray Kirchhoff-style algorithm has been applied to stack data. The velocity obtained after several iteration approach for MVA (migration velocity analysis) was used instead or DMO for the migration velocity. Using various testing methods, optimum seismic processing parameter can be obtained for structural and stratigraphic interpretation in the Block II, Yellow Sea Basin.

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The South Sea Circulation of Korea: Two-dimensional Barotrophic Model (한국 남해의 해수순환: 2차원 순압모델)

  • Chang, Kyung-Il;Park, Kyeong;Suk, Moon-Sik;Kim, Choong-Ki
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.5 no.4
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    • pp.257-266
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    • 2000
  • A vertically-averaged, two-dimensional version of the Princeton Ocean Model has been applied to the South Sea to simulate the circulation driven by tides and inflows/outflows across open boundaries. To incorporate both forcing properly, a two-step modeling approach is adopted, in which the tidal circulation is first simulated by specifying the tides along the open boundaries, and then both the calculated tidal currents and the observed steady mean currents are prescribed across the open boundaries. Model results show that the steady, subtidal circulation of the South Sea is different from the residual circulation due to tidal rectification, and subtidal currents become locally as strong as tidal currents. The Cheju Current entering the model domain across the Cheju Strait flows eastward in general while shifting onshore or offshore areas following local isobaths. The Tsushima Current entering across the southern boundary reaches farther to the north in the eastern vicinity of Cheju-Do as compared to that entering across other parts of the southern boundary. The Tsushima Current turns to the east, merges with the Cheju Current, and both the Cheju and Tsushima Current exit to the East Sea through the western channel of the Korea Strait. An intensification of the outflow occurs over the deep trough adjacent to the Tsushima Island, which appears to be due to the formation of the frictional boundary layer in order to remove excess positive relative vorticity generated by an increase in the layer thickness. The circulation driven by both the tidal and inflows/outflows is different from that driven by each forcing separately in coastal areas, which implies that both forcings should be considered simultaneously in the simulation of more realistic coastal circulation.

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