• The Korean Journal of Pain
• /
• v.13 no.2
• /
• pp.196-201
• /
• 2000

Background: Currently, minimally invasive operations are preferred to open surgery whenever possible. Lumbar sympathectomy using RF (radiofrequency) thermocoagulation is both safe and minimally invasive. The problem with the technique is that it cannot be performed successfully in a significant number of cases. If the temperature change in the sole is monitored immediately after the procedure then it can be determined if the procedure needs to be repeated. Methods: A curved tip cannula, 150 mm long with a 10 mm active tip, was used for RF lumbar sympathectomy. The temperature of the soles of both the foot on the affected side and the foot on the control side was monitored immediately before the procedure, immediately after making the L2 lesion, immediately after making the L3 lesion and at 5, 10, and 15 minutes after the procedure. Results: No statistically significant difference was observed in the temperature of the two soles before making the lesions. In the 24 of the 27 patients, there were prominent differences in temperature between the two soles at 10 minutes after the procedures. 11 of the 24 patients showed a significant temperature change after the first trial. But the remaining 13 required a second lesion on L2 and L3. Conclusions: We judged the success of the operation in the operating room by monitoring the temperature difference in the soles of the feet. When no increase in the temperature difference is observed, we can move the electrode and make another lesion. With this procedure, we can drastically increase the success rate of the procedure.

• Korean Journal of Head & Neck Oncology
• /
• v.23 no.1
• /
• pp.32-36
• /
• 2007

Background and Objective：A post-operative hypertrophic scar of the anterior neck is the leading complaint of the patients who underwent conventional thyroid surgery. In order to minimize the post-operative scar of the anterior neck, we performed thyroidectomy via axillary approach using operating microscope and a specialized retractor to determine technical feasibility. Patients and Methods：From January 2005 to December 2006, we performed thyroidectomy via axillary approach under operating microscope(f=400mm, ${\times}2.5$；OPMI $pico^{(R)}$；Zeiss, Germany) for benign unilateral nodule in 25 cases(all female, average age 34.5yrs). Under general anesthesia less than 7cm of skin incision was made in the axilla of ipsilateral side. A subcutaneous tunnel went over the pectoralis major muscle and the clavicle, and then through the sternocleidomastoid muscle and sternothyroid muscle was excised. The area around the thyroid was sufficiently dissected, and then a retractor designed for exposure via axillary approach was placed within the tunnel and under operating microscope thyroidectomy was performed. Results：There were 17 cases of thyroid nodulectomy and 8 cases of subtotal lobectomy. The mean average operative time was 102.64minutes. Postoperative complications included one case of postoperative bleeding, one case of temporary vocal cord paralysis, two cases of delayed wound healing, two cases of paresthesia of shoulder and arm, and two cases of hypertrophic scar of the axilla. Postoperative histopathology includes 17 cases of adenomatous hyperplasia, six cases of cyst, and two cases of follicular adenoma. For all cases hospitalization period was two days. Conclusion：Thyroidectomy via axillary approach under operating microscope has a good cosmetic advantage without a post-operative scar of the anterior neck. The procedure is simple due to direct vision using operating microscope, easy to identify important structures by magnifying them, and therefore surgical time can be reduced.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.21 no.1
• /
• pp.347-351
• /
• 2007

This study was done to report the improvement of second case report form(CRF) and standard operating procedure(SOP) of Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. We were in charge of developing case report form(CRF) and educating the investigators. In the process of this project, we needed to develop standard operating procedure(SOP) for this CRF. So we made Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke and tried clinical application at Department of Oriental Internal Medicine of Wonkwang University and Daejeon University in 2005. And in this pilot study we can find out some problems and need to improve it. We strengthen the incision and exclusion criteria of CRF We canceled the Chief complains entry for efficiency. We reflected the decision of Stroke standard committee. We reduced the differentiation index of CRF to promote efficiency and accuracy. We rearranged the order of the differentiation index to promote rationality and practicality. We regulated detail item belonging to Differentiation index. We used a colloquialism in question. We inserted flow chart in SOP. We inserted picture of diagnostic index.

• Journal of the HCI Society of Korea
• /
• v.3 no.1
• /
• pp.19-26
• /
• 2008

In the medical environment today, new technology has compelled new work paradigm, as it has been other areas of our lives. However it is very difficult to see the changes that have been taken place, even though new computer technology has changed the medical industry so rapidly. In this study, new concept of human computer interaction focusing on tangible interaction for anaesthetic procedure in an operating theatre has been explored with a 5 years technological and social perspective. This project is not intended to redesign the equipment itself but to focus on enhanced human computer interaction concepts. The exper iment shows that how new technology affects anaesthetic nurses' work in an operating theatre in the near future to improve quality of the medical service by helping to increase work efficiency and enhance patient satisfaction. As a result of the study, the KEY brings new visions to the anaesthetic nurses via various types of interaction. Thanks to the KEY, the nurse is really free from the machines so that he can keep attention to patient most of the time during the whole operation. The discussion in this study is still preliminary, and further elaboration is strongly needed. It might be certain that additional further studies, such as high-fidelity prototyping and logistical user testing, should be followed not only to refine and communicate the ideas to audiences, but as a means of stimulating and generating further ideas.

• Journal of the Korea Convergence Society
• /
• v.8 no.10
• /
• pp.105-114
• /
• 2017

The purpose of this study was to examine the convergent awareness of emergency medical technicians serving as paramedics on the standard operating procedure(SOP) and their performance of it. The subjects in this study were 400 selected emergency medical technicians who were working as paramedics, and SPSS 20.0 was employed to make an analysis. The findings of the study were as follows: As for the convergent awareness of the subjects, they were best aware of the prevention of respiratory infections, and they were least aware of hand hygiene. Concerning performance, they performed best in handling treatment equipment and ensuring staff safety, and they performed least well in terms of hand hygiene. Overall, they were rated higher in awareness than in performance. Second, regarding the influence of general characteristics, there were statistically significant differences in awareness according to age, gender and injury experience, and significant differences were found in performance according to career only. The convergent awareness of the emergency medical workers was positively correlated with their performance. Given the findings of the study, it's required to improve both the Standard Operating Procedure awareness and performance of emergency medical workers who serve as paramedics, and it's expected to make it possible to boost their performance when repeated education is provided with the kind of programs that aim at improving awareness.

• Journal of Biomedical Engineering Research
• /
• v.15 no.3
• /
• pp.317-324
• /
• 1994

This paper proposed a new method in the implementation of ISDN (integrated services digital network) LAPD (link access procedure on the D-channel) and LAPB (link access procedure on the B-channel) protocols. The proposed method in this paper implement ISDW LAPD protocol through multi-tasking operating system and adopt a kernel part that is changed operating system to target board. The features of implemented system are (1) the para.llel processing of the events generated at each layer, as follows (2) the supporting necessary timers for the implementation of ISDW LAPD protocol from the kernel part by using software, (3) the recommanded SAP (Service Access Point) from CCITT was composed by using port function in the operating system. With the proposed method, the protocols of ISDH layerl, layer2 and layer3 (call control) were implemented by using the kernel part and related tests were carried out by connecting the ISDH terminal simulator to ISDN S-interface system using the ISDN LAPD protocol The results showed that ISDW S-interface terminals could be discriminated by TEI (Terminal Equipment Identifier) assignment in layer 2 (LAPD) and the message transmission of layer 3 was verified by establishing the multi-frame transmission and then through the path established by the LAPD protocol, a user data was tranfered and received on B-channel with LAPB protocol Thererfore, as new efficient ISDN S-interface environment was implemented in the thesis, it was verified that the implemented system can be utilized by connecting ISDW in the future to transfer a medical image data.

• KIEE International Transactions on Power Engineering
• /
• v.11A no.4
• /
• pp.15-20
• /
• 2001

Power system stability is correlated with system structure, disturbances and operating conditions, and power flows on transmission lines are closely related with those conditions. This paper proposes a methodology to identify correlative power flows for power system transient and small-signal stability prediction. In transient stability sense, the Critical Clearing Time is used to select some dominant contingencies, and Transient Stability Prediction index is proposed for the quantitative comparison. For small-signal stability discusses a methodology to identify crucial transmission lines for stability prediction by introducing a sensitivity factor based on eigenvalue sensitivity technique. On-line monitoring of the selected lines enables to predict system stability in real-time. Also, a procedure to make a priority list of monitored transmission lines is proposed. The procedure is applied to a test system, and it shows capabilities of the proposed method.

• The Transactions of the Korean Institute of Electrical Engineers A
• /
• v.52 no.5
• /
• pp.271-278
• /
• 2003

Power system stability is correlated with system structure, disturbances and operating conditions, and power flows on transmission lines are closely related with those conditions. This paper proposes a methodology to identify correlative power flows for power system transient and small-signal stability prediction. In transient stability sense, the Critical Clearing Time is used to select some dominant contingencies, and Transient Stability Prediction index is proposed for the quantitative comparison. For small-signal stability, this paper discusses a methodology to identify crucial transmission lines for stability Prediction by introducing a sensitivity factor based on eigenvalue sensitivity technique. On-line monitoring of the selected lines enables to predict system stability in real-time. Also, a Procedure to make a priority list of monitored transmission lines is proposed. The procedure is applied to a test system and the KEPCO systems in the year of 2003 and it shows capabilities of the proposed method

• Journal of Ocean Engineering and Technology
• /
• v.23 no.3
• /
• pp.53-58
• /
• 2009

A scale model test for ship Infra-Red signature measurements at sea is impossible, because it is sensitive to the environment. Since we can't control the meteorological environment of the real sea, it can't be carried out with the desired maritime environments. Therefore, in the sea, we made measurements of the weather, operating conditions of the ship, and ship IR signatures under given conditions, and then analyzed them. Conversely, we compared the results of the test with a prediction for a given scenario condition. This paper describes the test items, procedures, and measuring instruments of the experiments at sea and the results from basic researches for methods of estimation and analysis of the measured data.

• Proceedings of the KSME Conference
• /
• 2001.06c
• /
• pp.476-481
• /
• 2001

In a vacuum circuit breaker mechanism, a spring-actuated linkage system is used to satisfy the desired opening and closing characteristics of electric contacts. Because the opening dynamics of electric contacts is determined by such a linkage system, the stiffness, free length and attachment points of a spring become the important design parameters. In this paper, based on the energy conservation that the total system energy is constant throughout the operating range of a mechanism, a systematic design procedure of determining the spring design parameters is presented. The proposed procedure is applied to the design of an opening spring for satisfying the specified opening characteristics.