• Clinical and Experimental Reproductive Medicine
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• 제47권3호
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• pp.227-232
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• 2020

Objective: The aim of this study was to compare in vitro fertilization outcomes between fresh day 3 or day 4 embryo transfer cycles with dual progesterone (P) administration (intramuscular and vaginal) and cycles with single intramuscular P administration for luteal support. Methods: We selected 124 cycles from 100 women (under age 40 years) who underwent oocyte pick-up (number of trials ≤ 3, 4-14 oocytes obtained) and transfer of two or three day 3 or day 4 embryos at two infertility centers from January 2014 to June 2019. Dual P (intramuscular P [50 mg] daily+vaginal P) was used in 52 cycles and a single intramuscular administration of P (50 mg daily) was used in 72 cycles. Results: Women's age, infertility factors, number of oocytes retrieved, number of transferred embryos, and mean embryo score were similar between the dual P group and the single P group. Although the number of trial cycles was significantly higher (1.9 vs. 1.5), and the mean endometrial thickness on the trigger day (10.0 mm vs. 11.0 mm) was significantly lower in the dual P group, the implantation rate, clinical pregnancy rate, ongoing pregnancy rate, and miscarriage rate for both day 3 and day 4 transfers were similar between the two groups. Conclusion: In fresh day 3 or day 4 embryo transfer cycles, dual P administration did not demonstrate any clinical advantages. Intramuscular P alone appears to be sufficient for luteal support.

• Clinical and Experimental Reproductive Medicine
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• 제42권1호
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• pp.8-13
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• 2015

Objective: Great advances have been made in the field of assisted reproductive technology (ART) since the first in vitro fertilization (IVF) baby was born in Korea. This study was designed to report on the current status of ART therapy in South Korea between January 1 and December 31 of 2010. Methods: A revised survey, originally developed by the International Committee Monitoring Assisted Reproductive Technologies, was sent to all available ART centers via email in 2013. Fresh embryo transfer (FET) cases were categorized into standard IVF or intracytoplasmic sperm injections. These cases, the thawing embryo transfer (TET) cases, and other related procedures were surveyed. Results: Data from 30,785 ART procedures were provided by 78 clinics. Of the 28,200 cycles in which oocytes were retrieved, 92.2% of these cycles were completely transferred. In addition, 8,075 cycles were confirmed to be clinical pregnancies in the FET cycles, which represent a pregnancy rate of 28.6% per oocyte pick-up and 31.1% per embryo transfer. The most common number of embryos transferred in the FET was three embryos (37.3%) followed by two embryos (36.3%) and one embryo (14.0%). Of the 6,648 TET cycles transferred, 2,356 clinical pregnancies were confirmed by ultrasonography. The most common number of embryos in the TET group was two embryos (43.4%) followed by three embryos (25.4%) and one embryo (18.9%). Conclusion: The clinical pregnancy rate per transfer in the FET cycles was similar in 2009 and 2010. Among the FET cycles where one or two embryos were transferred, the clinical pregnancy rate per transfer slightly increased from 2009 (28.7%) to 2010 (32.9%).

• 한국시뮬레이션학회논문지
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• 제15권3호
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• pp.103-114
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• 2006

최근의 자동물류센터는 자동창고(ASRS)와 자동주행대차(AGV)를 중심으로 각종 컨베이어시스템과 운반장치 등으로 구성되면서 매우 복잡한 시스템 형태를 갖게 되었다. 이러한 시스템의 복잡성에 기인하여 시스템 설계과정에서의 정확한 운영 수행도 파악을 위해서는 많은 종류의 설계변수들이 고려되어야 한다. 물류센터 설계에서 고려해야할 일반적인 설계 변수로는 보관설비 및 운반설비의 사양과 여러 가지 시스템 운영 규칙, 보관영역이나 보관물의 형태 등이 있다. 이 논문에서는 자동화물류센터에 대하여 시뮬레이션 실험과 반응표면모델을 이용하여 메타모델을 만들고 이를 통하여 설계변수들을 최적화하는 효율적인 방법에 대하여 소개 하고자 한다. 정확하게 정의된 시뮬레이션 기반의 메타모델은 시스템 함수의 근사적 표현으로서 수리적 계산을 통해 신속한 설계변수 최적화를 가능하게 한다. 이 논문에서 제시한 접근 방법은 자동물류센터와 같은 복잡한 물류 시스템의 설계 단계에서 시뮬레이션의 설계 참여도를 극대화시키고 최종 설계의 정확도를 향상시키는데 기여 할 것이다.

• Archives of Plastic Surgery
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• 제47권3호
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• pp.223-227
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• 2020

Background After the laws regulating emergency medicine were amended in 2012, regional trauma centers were established in South Korea. Plastic surgeons specialize in the simultaneous surgical care of patients with facial trauma, burns, and complicated wounds. The objective of this study was to evaluate the role of the plastic surgery department in treating severe trauma patients. Methods From January 2012 to December 2018, we enrolled 366 severe trauma patients with an Injury Severity Score (ISS) over 15 who received treatment by specialists in the plastic surgery department. Of these patients, 298 (81.4%) were male, and their mean age was 51.35 years (range, 6-91 years). The average ISS was 22.01 points (range, 16-75 points). Results The most common diagnosis was facial trauma (95.1%), and facial bone fracture (65.9%) was most common injury within this subgroup. Patients were referred to 1.8 departments on average, with the neurosurgery department accounting for a high proportion of collaborations (37.0%). The most common cause of trauma was traffic accidents (62.3%), and the average length of stay in the general ward and intensive care unit was 36.90 and 8.01 days, respectively. Most patients were discharged home (62.0%) without additional transfer or readmission. Conclusions Through this study, we scoped out the role of the specialty of plastic surgery in the multidisciplinary team at regional trauma centers. These results may have implications for trauma system planning.

• 기술혁신학회지
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• 제11권2호
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• pp.219-240
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• 2008

본 연구는 새로운 국가자원인 생물자원에 대한 최근의 국제적인 이슈와 주요국의 정책의지 및 관리 체계 등을 살펴 본 것이다. 그렇지만 논의의 전개를 위해 생물자원과 관련된 이론적인 논의, 역사 등을 먼저 검토하였다. 생물자원과 관련된 최근의 이슈는 지적재산권, 보관과 배송의 안전과 관련된 국제규약의 강화, 생물자원의 생물학적 표준강화, 생물자원센터의 윤리문제 등으로 특징지어진다. 이러한 논의를 바탕으로 본고는 생물자원정책의 방향, 체계 및 내용을 간단히 권고하였다. 특히 범부처적 차원에서의 생물자원의 관리와 확보를 위한 종합 조정과 시스템 구축의 필요성을 강조하였다.

• 대한토목학회논문집
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• 제28권5D호
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• pp.617-625
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• 2008

중소도시의 경우 저밀도 지역의 만연과 산재한 통행 기종점으로 인해 양질의 대중교통서비스 제공에 어려움을 겪고 있다. 동시환승체계는 이 같은 지역에 적절한 대중교통서비스 제공이 가능하도록 운행계획이 수립된 노선망으로, 도입 시 서비스 제고와 운행효율성 증대 등 다양한 효과가 발생할 수 있다. 본 연구는 동시환승체계의 현실적 적용을 위한 접근방법론 제시와 도입 시 발생 가능한 기대효과의 파악과 분석을 목적으로, 동시환승체계의 이론적 근거를 살펴보고 구축의 방법론적 접근법을 제시하였고, 전형적인 저밀도 지역인 양산시의 기존 시내버스 노선에 적용하여 그 효과를 분석하였다. 이를 위해 양산시의 양산시외버스터미널을 통과하는 11개 시내버스 노선을 양산터미널을 환승지점으로 동시환승체계를 구축하였다. 그 결과 노선 간 환승시간이 크게 감소하였고, 기존 차량대수를 유지함에도 불구하고 높은 빈도의 서비스 제공이 가능해지는 등 서비스 질이 개선 되었다. 또한 기존 노선망의 서비스 권역을 그대로 유지함에도 불구하고 노선단축 등으로 인한 총 운행거리와 요구차량대수가 감소하는 효과도 나타났다. 본 연구의 결과는 유사한 문제에 처한 여타 도시에 적용이 가능하며, 계획가와 정책가에게는 노선 구축을 위한 지침과 정책결정의 근거를 제공할 것이다.

• 한국전문물리치료학회지
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• 제24권4호
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• pp.54-59
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• 2017

Background: Light touch cue is a sensory input that could potentially help in the control of posture. The immediate stimulatory effect of light touch cues using a cane during gait is associated with postural stability. This strategy can help post-stroke individuals regain their ability to perform the sit-to-stand (STS) transfer safely. Objects: The effects of light grip on postural control during the STS transfer in post-stroke subjects were investigated. Methods: Eleven participants (6 men, 5 women) with hemiplegia due to stroke were recruited in the study. The subjects with hemiparesis performed STS transfer in three randomly assigned conditions (1) without a cane (2) light grip with a cane (3) strong grip with a cane. Results: The difference in weight-bearing distribution between the left and right feet, when the subjects were instructed to stand up, was $52.73{\pm}2.13%$ without a cane, $42.75{\pm}3.26%$ with a strong grip, and $43.00{\pm}2.55%$ with a light grip (p<.05). The rate of rise in force indicates the peak power provided by subjects during their STS transfers. The rate of rise in force was statistically significantly lower without a cane than that with a light grip or a strong grip (p<.05). The subjects' centers of pressure sway on the mediolateral side during STS transfers statistically significantly declined with a light grip or a strong grip when compared to those without a cane (p<.05). Conclusion: When the subjects with hemiparesis used a cane during STS transfers, their duration, center of pressure sway, and difference in weight-bearing distribution were all reduced. The subjects also exhibited similar results during STS transfers with a cane gripped lightly. This result may provide guidelines for the use of assistive devices when patients with hemiparesis practice STS transfers in clinical settings.

• Clinical and Experimental Reproductive Medicine
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• 제44권1호
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• pp.47-51
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• 2017

Objective: This study was designed to report the status of assisted reproductive technology (ART) therapy in South Korea between January 1, 2012 and December 31, 2012. Methods: A localized online survey, originally developed by the International Committee Monitoring Assisted Reproductive Technologies, was first launched and provided to all available ART centers via email in 2015. Fresh embryo transfer (FET) cases were categorized as standard in vitro fertilization, intracytoplasmic sperm injection (ICSI), or half-ICSI. Thawed embryo transfer (TET) and other related procedures, including surgical sperm retrieval, were surveyed. Results: Data from 33,956 ovum pick-up procedures were provided by 75 clinics in 2012. Of the 33,088 cycles in which ovums were retrieved, a complete transfer was performed in 90.5% (29,932 cycles). In addition, 10,079 FET cycles were confirmed to have resulted in clinical pregnancy, representing a pregnancy rate of 30.5% per ovum pick-up and 33.7% per ET. The most common number of embryos transferred in FET was 2 (41.6%), followed by 3 (34.0%), and non-elective single ETs (10.0%). Of the 10,404 TET cycles in which transfer was completed, 3,760 clinical pregnancies (36.1%) were confirmed by ultrasonography. Conclusion: The overall clinical pregnancy rate for FET and TET cycles in 2012 was higher than in 2011 (33.7% vs. 33.2% and 36.1% vs. 31.1%, respectively). The most common number of embryos transferred in FET cycles was 2, unlike in 2011.

• 대한교통학회지
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• 제28권3호
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• pp.85-98
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• 2010

대중교통 네트워크가 점점 더 복합수단화됨에 따라 네트워크의 연계성이 중요한 개념으로 대두되고 있다. 본 연구에서는 복합수단 대중교통 네트워크의 연계성을 평가하는 계량모형을 제시하였다. 이를 위하여 우선 대중교통 노선의 평가지표로 노선연장, 수송용량, 통행속도를 선정하고 이들의 곱을 노선의 연계강도로 정의하였다. 또한 사회 네트워크 분석에서 사용되는 노드의 중심성 지표 중 하나인 degree centrality 개념을 대중교통 네트워크에 적합하게 수정하였다. 노선의 연계강도와 그 노선이 서비스하는 정류장의 degree centrality를 접목하여 정류장의 연계정도를 나타내는 지수를 개발하였다. 이를 토대로 복합수단 대중교통 네트워크 내의 노선 및 지역의 연계성 지수도 도출하였다. 또한 정류장의 연계성 지수와 이용자수용비율 함수를 이용하여 환승센터의 연계성을 평가하는 방법도 제시하였다. 사례연구 결과 본 연구에서 개발된 연계성 평가 모형은 복합수단 대중교통 네트워크의 특성을 제대로 반영하고 있으며, 대중교통 네트워크 내의 정류장, 노선, 지역의 연계성을 적절하게 평가할 수 있고, 또한 환승센터의 서비스수준 산정에 활용될 수 있음을 확인하였다.

• 한국응급구조학회지
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• 제13권3호
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.