• Journal of Korean Neurosurgical Society
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• v.61 no.3
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• pp.363-375
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• 2018

Intraoperative monitoring (IOM) utilizes electrophysiological techniques as a surrogate test and evaluation of nervous function while a patient is under general anesthesia. They are increasingly used for procedures, both surgical and endovascular, to avoid injury during an operation, examine neurological tissue to guide the surgery, or to test electrophysiological function to allow for more complete resection or corrections. The application of IOM during pediatric brain tumor resections encompasses a unique set of technical issues. First, obtaining stable and reliable responses in children of different ages requires detailed understanding of normal age-adjusted brain-spine development. Neurophysiology, anatomy, and anthropometry of children are different from those of adults. Second, monitoring of the brain may include risk to eloquent functions and cranial nerve functions that are difficult with the usual neurophysiological techniques. Third, interpretation of signal change requires unique sets of normative values specific for children of that age. Fourth, tumor resection involves multiple considerations including defining tumor type, size, location, pathophysiology that might require maximal removal of lesion or minimal intervention. IOM techniques can be divided into monitoring and mapping. Mapping involves identification of specific neural structures to avoid or minimize injury. Monitoring is continuous acquisition of neural signals to determine the integrity of the full longitudinal path of the neural system of interest. Motor evoked potentials and somatosensory evoked potentials are representative methodologies for monitoring. Free-running electromyography is also used to monitor irritation or damage to the motor nerves in the lower motor neuron level : cranial nerves, roots, and peripheral nerves. For the surgery of infratentorial tumors, in addition to free-running electromyography of the bulbar muscles, brainstem auditory evoked potentials or corticobulbar motor evoked potentials could be combined to prevent injury of the cranial nerves or nucleus. IOM for cerebral tumors can adopt direct cortical stimulation or direct subcortical stimulation to map the corticospinal pathways in the vicinity of lesion. IOM is a diagnostic as well as interventional tool for neurosurgery. To prove clinical evidence of it is not simple. Randomized controlled prospective studies may not be possible due to ethical reasons. However, prospective longitudinal studies confirming prognostic value of IOM are available. Furthermore, oncological outcome has also been shown to be superior in some brain tumors, with IOM. New methodologies of IOM are being developed and clinically applied. This review establishes a composite view of techniques used today, noting differences between adult and pediatric monitoring.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.765-770
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• 2020

The turbochargers used widely in diesel and gasoline engines are effective devices to reduce fuel consumption and emissions. In this study, the isentropic turbine efficiency of the steady flow in a twin-scroll turbocharger for the passenger vehicle gasoline engine was analyzed. The cold gas test bench was designed and made. The pressure and temperature of the inlet and exit of the turbine were measured at 60,000, 70,000, 90,000, and 100,000rpm under the steady-state flow. The isentropic turbine efficiency was calculated. The efficiency was the range of 0.53 to 0.57. The BSR and expansion ratio were changed from 0.71 to 0.84 and from 1.24 to 1.72, respectively. The isentropic turbine efficiency decreased with increasing BSR and expansion ratio. The operation of only scroll A or B was compared with that of the twin-scroll turbine. The isentropic efficiency of using only scroll B was higher than those of only scroll A at 60,000rpm. The isentropic efficiency of using only scroll A was higher than those of only scroll B at 100,000rpm. Therefore, the twin-scroll turbine used in this study is operating effectively in the wide speed range.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.851-860
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• 2020

With an increase in the aging population and a rising social interest in health and welfare, studies to improve healthcare in the elderly are being actively conducted. This study attempted to improve the current design and manufacture of elevating electric wheelchairs to enhance user safety and convenience. Seat design based on the user's body shape, convenience while boarding or alighting, caster turning radius and, safety and stability features that prevent shaking when the user gets up or sits down were improved. A driving experiment was conducted to evaluate the operation of the indoor electric wheelchair designed and manufactured with these additional functionalities. During the test, the performance parameters evaluated were continuous driving time, turning radius, maximum lifting and lowering load, maximum lifting height, noise level, minimum distance sensing by the driving auxiliary sensor, ability to interact with server and app programs, and the duty cycle maximum error rate. The test confirmed that this improved electric wheelchair successfully met target parameters. In a future study, we will evaluate this improved electric wheelchair from a user's perspective for its usability parameters, such as satisfaction, convenience and stability.

• Journal of the Korean Institute of Landscape Architecture
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• v.36 no.3
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• pp.1-8
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• 2008

The purpose of this study is to understand the conflicts that occurred in the rural village's joint management project. This study examined the perception of conflicts among people working in agricultural related fields. A questionnaire survey was given to collected data from people who participated in nation-wide resrvice training course programs. The content of the questionnaire consisted of the factors of conflict in a rural village and the details recognized by general farmers. The data was collected from October 15 to 23, 2007. 206 samples were used for final analysis from a total of 240 samples. Frequency analysis and T-test between variables were conducted by SPSS 14.0. The results suggest that farmers have a negative perception of the business partnership. Proposal for business partnerships should be avoided because of the conflicts between partners. Accordingly, as farmers don't recognize that their joint project is a business partnership, the likehood of a conflict in the agricultural joint business operation and management is contained. Conflicts mainly exist between a village leader and villagers. The main reasons for conflicts are a lack of interest and lack of communal homogeneity, and lack of methodology to share the benefit of business. It will be necessary to understand the aspects of future conflicts in order to manage joint projects ill agricultural experience villages.

• KIPS Transactions on Software and Data Engineering
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• v.4 no.5
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• pp.219-224
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• 2015

In this paper, the designed fish robots DOMI ver1.0 is researched and development for aquarium underwater robot. The presented fish robot consists of the head, 1'st stage body, 2nd stage body and tail, which is connected two point driving joints. The model of the robot fish is analysis to maximize the momentum of the robot fish and the body of the robot is designed through the analysis of the biological fish swimming. Also, Lighthill was applied to the kinematics analysis of robot fish swimming algorithms, we are applied to the approximate method of the streamer model that utilizes techniques mimic the biological fish. The swimming robot has two operating mode such as manual and autonomous operation modes. In manual mode the fish robot is operated to using the RF transceiver, and in autonomous mode the robot is controlled by microprocessor board that is consist PSD sensor for the object recognition and avoidance. In order to the submerged and emerged, the robot has the bladder device in a head portion. The robot gravity center weight is transferred to a one-axis sliding and it is possible to the submerged and emerged of DOMI robot by the breath unit. It was verified by the performance test of this design robot DOMI ver1.0. It was confirmed that excellent performance, such as driving force, durability and water resistance through the underwater field test.

• Proceedings of the Korean Society for Agricultural Machinery Conference
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• 2003.07a
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• pp.309-316
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• 2003

Generally, sesame are dried on the field after being harvested in Korea. Since harvesting season is rainy autumn and sesame drying is mainly affected sun and natural wind, it is difficult to dry sesame in time. Moreover, sesame threshing by hand is very laborious work. Therefore, tractor mounted sesame thresher which threshes sesame bundles fed in upside down and conveyed along threshing bar was developed to mechanize sesame threshing and to reduce labor cost in this research. the thresher was equipped with a threshing bar which beats sesame bundles and a three layer sieve which screens sesame. The results are summarized as follows ; 1 The sesame thresher was consisted of a hitting-stick, a feeding chain conveyor, a threshing bar, conveyor belt, and the three-layer shaking sieve. 2. In threshing test, prototype thresher showed maximum threshing ratio 98.5%, 98.7% at 14, 17 cpm beating rate respectively. 3. In screening test, prototype sieve showed maximum threshing ratio 97.2% at 12$^{\circ}$ of inclined angle and 220 cpm of sieve vibrating rate. 4. Prototype showed 98.7% of threshing ratio, 1.3% of threshing loss, 97.0% of screening ratio, 0.7% of screening loss on the rest condition of 15 sesame bundles/min of feeding rate, 14 cpm of beating rate, 220 cpm of sieve vibrating rate. 5. The working performance of prototype was 0.5hr/10a. It was 9.6 times more efficient than manual work. And, operation cost of prototype was saved by 45.9% compared to manual work.

• Quality Improvement in Health Care
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• v.21 no.2
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• pp.12-24
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• 2015

Purpose: The need for the rapid evaluation and treatment of emergency department patients with major trauma is essential. A computerized physician order entry (CPOE) system can improve communication and provide immediate access to information with the goal of reducing ED time delays. The aim of this study was to report on the operation of a trauma CPOE program and demonstrate its usefulness by comparing time intervals from ED arrival to various evaluation steps before and after implementation of the program. Methods: This was a before-and-after observational study from a single emergency department at an academic center. The CPOE program was implemented for 6 months and compared with the data collected from the pre-CPOE implementation period. The efficacy of the program was assessed by comparing the time difference before and after CPOE implementation based on the following factors: total boarding time in ED, door-to-disposition decision time, door-to-blood-test report time, door-to-X-ray time, door-to-CT time, and door-to-transfusion time. Results: Over a period of 6 months, the CPOE was activated for a total of 17 patients. Total boarding time was reduced significantly after implementation [median, 641.5 minutes (IQR, 367.3-859.3) versus289.0 minutes (IQR, 140.0-508.0) for pre-CPOE vs. post-CPOE, respectively, p< 0.05). Time intervals for all evaluation steps were reduced after implementation of the program. The improvements in the door-to-blood-test and door-to-CT times were both statistically significant. Conclusion: This study demonstrated that a standard CPOE system can be successfully implemented and can reduce ED time delays in managing trauma patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.47-53
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• 2020

The purpose of this study was to increase product reliability by improving the durability of the breech block for a 30mm Automatic Gun. The breech block is a key component of a gun that functions as chambering, closing, and extracting. The breech block requires high reliability, which needs to be improved because cracks of a breech block can occur early in operation. Cause analysis confirmed that the crack is caused by repeated impacts. Therefore, the following improvement measures were studied, and the effects were demonstrated using a firing test. The energy of impact absorption was increased by changing the material, and the stress concentration was mitigated by increasing the value of R. In addition, the fatigue life was increased by adding Shot-peening, deleting chromium plating, and changing the forging method. The firing test did not show firing trouble for up to 5,000 rounds. The start timing of the crack was delayed, and the depth was small. Therefore, the improved product was more durable than the existing product. This study can be used as a useful reference when assessing the improvement of the durability of similar products, life study, and criteria for crack acceptance.

• Women's Health Nursing
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• v.17 no.3
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• pp.225-242
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• 2011

Purpose: The purpose of this study was to identify students' experiences of performance and their satisfaction with clinical nursing practice in Women's health nursing. Methods: Data was collected using questionnaire consisting of 104; 89,; and 82 nursing activities with 12; 10; and 7 domains for delivery floor, obstetric, and gynecologic wards retrospectively. Five hundred ninety nursing students from 10 four year and one three year colleges, were recruited and selected for data collection. Results: Site specific core nursing activities among top 15 items of performed experience were: interpreting fetal monitoring; massage for pain reduction; breathing technique; perineal pad change; non stress test; manual check for uterine contraction; and position change for the delivery floor. Experiences of clinical nursing practice for the obstetric ward and the gynecologic ward were identified and ranked as well. Observation of delivery, measurement & test during labor and observation of anesthesia and operation were the highest ranked activity domains of satisfaction for delivery floor, obstetric and gynecologic wards retrospectively. Conclusion: Discussions are needed to standardize curriculum for clinical practice in women's health nursing initiated at the level of Korean Society of Womens' Health Nursing by reflecting this result. Strategic approaches are emphasized in order to enhance a collaboration between clinical fields and colleges.

• Journal of Korean Society of Environmental Engineers
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• v.36 no.9
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• pp.648-658
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• 2014

We examined the effects of pollutants into sub-basin on the water quality and loading based on data surveyed during January-December 2013 from 13 sites of 5 streams in the Jinwi watershed. We used the contour plot and Kruskal-Wallis rank sum test to analyze seasonal variation of water quality and loading and Pearson correlation analysis to assess the relationships between pollutants and loadings. The significantly higher seasonal variation were SS, TN and TOC as compared to other water quality constituents (P < 0.001). A significant interaction existed between the effects of human population and the effects of discharge of Sewage Treatment Plant (STP) on water quality and loading, especially for the spring and winter seasons. It is necessary to control discharge water of sewage and wastewater from industrial facilities and to make full use of the watershed management system such as TMDLs in operation since 2012 for improvement in stream water quality.