• Journal of Korean Society for Geospatial Information Science
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• v.18 no.3
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• pp.105-114
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• 2010

This study considers and analyzes the position and area errors and the related problems through the experimental study of the converting process from the cadastral coordinate system to the global coordinate system. Also, based on the result, the points of improvement have been considered. According to the conversion of the coordinates in the study area, the standard deviations for the conversion of coordinates in regard to every parcel boundary point (478 points in total) have been calculated as X=0.0079m and Y=0.0153m respectively. It can be considered that such values are extremely excellent. Also, after analyzing the area errors, it has been found that there is a difference of $0.062m^2$ on average. Such a difference stays within the range of the allowable error tolerance specified by the current laws. Therefore, in regard to the limited area which is subject to the study, it can be concluded that the difference is not great in differences of the position or the area. As a result, the converting process into the global coordinate system is possible.

• Korean Institute of Interior Design Journal
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• v.25 no.6
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• pp.52-60
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• 2016

Observation about space is looked steady in an instant, but in continuous movement, one's observation unconsciously stays at different points. In department store, customer actually observes around the store for buying, not focusing on certain point. By studying customer's movement and observation feature, buying desire and interest can be found. For analysis of the different searching-features according to the continuous-observation depending on sex, the study is set up to record movements of customers at women in Department store. The following are the findings. First, Men observed 0.2-0.4 units more in I-II section which are assumed as predominant. The result shows that men can focus on more section (around +0.4%) and longer (around +5.7%) than women do. Second, the same feature of observation depending on sex is that both men and women observe left and right section while keep focusing on middle section. Third, according to the fact that right-focused observation magnificently occurred in the image curved to right, the Space-composition has influenced on the observation of both men and women on the space. Forth, excessive number of display can cause avoidance of observation. Moreover, observation does not stay on the coverage due to wall or post, but is attracted to the brand name. As brand name causes right-focused observation in the image [(8)], brand name can be one of the reasons to attract observation in women apparel store. To sum up, this study is noticeable as it researches about continuous-observation. Furthermore, verifying the result that the composition of space and the placement of products can cause big differences in the observation feature is meaningful outcome.

• Journal of Korean Neurosurgical Society
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• v.40 no.6
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• pp.406-411
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• 2006

Objective : The authors have developed a procedure, termed posterior microscopic lesionectomy, that creates a minimal laminotomy site according to the location of the shifted disc using the $METRx^{TM}$ system in the lumbar spine. This study compared the usefulness and surgical outcomes of this procedure with those of traditional standard lumbar discectomy. Methods : From June 2003 to June 2004, Twenty-two patients with one-level radiculopathy due to lumbar disc herniation underwent posterior microscopic lesionectomy with the assistance of an operating microscope and the $METRx^{TM}$ tubular retractor. Surgical results of the new procedure were compared to those of 39 patients who underwent traditional lumbar discectomy from April 2003 to September 2004. All patients were evaluated for pain score, clinical assessment according to the VAS, and Roland-Morris scores pre-operatively and at 1, 3, 6, and 12 months post-operatively. Results : Mean blood loss, operation time, and admission date showed significant improvements for microscopic lesionectomy compared to traditional lumbar discectomy [P < 0.001]. Also, both measures of short-term functional improvement, the Visual Analogue Scale[VAS] and Roland-Morris[RM] scores, were statistically better for microscopic lesionectomy than for traditional discectomy [P < 0.001]. Conclusion : Posterior microscopic lesionectomy can be performed more safely and provide greater benefit than traditional discectomy. The procedure is associated with less post-operative pain, shorter hospital stays, and quicker rehabilitation.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.1
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• pp.67-74
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• 2009

This paper presents a method of improving the service availability by distributing the traffic of voice/data calls over the multi-layer cells in a mobile communication network. The traffic model is described and the call handling performance is analyzed. In our method, a fast moving call is moved to and serviced in the upper layer cell. A call is also moved upward when an overflow occurs. But unlike other methods, the call that is moved upward in the overflow case is the one which has the longest sojourn time in the cell. Moreover, when the call that was moved upward due to overflow condition stays longer than a certain period of time in the upper layer cell, the system moves the call back to the lower layer in order to save the more expensive resources of the upper layer cell. Call handling performance of this method evaluated from M/M/C/K models shows clear improvement with respect to call blocking probability and forced termination probability.

• Journal of Korean Society for Quality Management
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• v.47 no.4
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• pp.739-754
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• 2019

Purpose: The purpose of this paper is to develop a reliability estimation procedure for the underground gas pipeline in the presence of corrosion defects. Methods: Corrosion is one of the major causes of the gas pipeline failure. Several failure forms caused by corrosion have been studied. Among them, small leak and burst are considered in this paper. The composite failure of the two is defined by limit state function, and it is expressed with pipe parameters. Given a modified corrosion dataset, in order to obtain reliability estimations, the method of first order and second moment is adopted because of its simplicity. The computation processes are conducted with MATLAB coding. Results: According to numerical results, the probability of composite failure is affected by both small leak and burst. In particular, when corrosion depth stays at low level, it is consistent with the probability of burst failure. On the contrary, it is more influenced by the small leak failure as corrosion depth is increasing. In such case, the probability of composite failure is fast approaching to the safety limit. Conclusion: By considering the composite failure, more practical predictions of remaining life can be obtained. The proposed method is useful for maintenance planning of the underground gas pipeline.

• Journal of Preventive Medicine and Public Health
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• v.28 no.2 s.50
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• pp.325-333
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• 1995

Laparoscopic cholecystectomy was introduced into Korea in 1990 and has been rapidly replacing open cholecystectomy when the indications were met. In this study a medical utilization and technology was assessed on the selected hospitalized patients with cholelithiasis who underwent open or laparoscopic cholecystectomy from April 1, 1991 to March 31, 1994. The results are as follows. Despite the low reimbursement rate by the health insurance, the number of laparoscopic cases have been steadily increased. The post-operative days before health insurance coverage were significantly shortened from 8.4 days to 4.6 days. The preoperative days before health insurance coverage were significantly shorted from 8.4 days to 4.0 days. The total length-of-stays in the hospital were also significantly shortened from 15.2 days to 10.7 and 9.8 days in laparoscopic cholecystectomy. The laparoscopic cholecystectomy showed low expenses in all aspects expect the average hospital charges per day. For the hospital to have cost containment, it is more effective if length-of-stay is shorter because of high daily inpatient hospital charge. The laparoscopic cholecystectomy also showed shortened anesthesia time and operation time compared with open cholecystectomy that were statistically significant. The mean anesthesia and operation time for open cholecystectomy were 113.2 and 90.2 minutes but those of laparoscopic cholecystectomy were 105.7 and 68.6 minutes. According to this study the laparoscopic cholecystectomy has reduced the medical expenditure and we recommend this procedure over open cholecystectomy. The further discussion on the different morbidity rate between two types of procedure is essential in providing quality medical care, and to educate specialist.

• Quality Improvement in Health Care
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• v.4 no.2
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• pp.184-195
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• 1997

Background : The purpose of this research was to evaluate the appropriateness of preoperative hospital days in a tertiary care hospital and to examine the reasons of the inappropriateness, so as to provide basic information and policy for enhancing appropriateness of preoperative hospitalization and benefit of patients and hospital. Methods : The subjects of the research were the 344 patients who received operation among discharged patients during January, 1996 in surgical departments including general surgery, neurosurgery, orthopedic surgery, plastic surgery and ophthalmology. Their medical records were reviewed and appropriateness of hospital days was evaluated by the Appropriateness Evaluation Protocol. Result : The results of evaluating the appropriateness of preoperative hospitalization showed that inappropriate hospital days were 80.8%. The reasons of inappropriate hospital stays were the tests or preparation which could be done in outpatient basis' followed by 'possible tests or preparation on the operation day' and 'cancelation of operation'. Conclusion : In order to shorten the inappropriate preoperative length of stay, it is recommended that lengthening of laboratory running time and doing most of tests necessary for operations on the outpatient basis prior to admission should be considered. In addition, the operation at the same day of hospitalization and usage of day surgery should be encouraged. Finally there should be changes in the inpatient management system and attitudes and behaviors of surgeons to shorten unnecessary preoperative and maximize the benefit for patients and hospital.

• Journal of Korean Neurosurgical Society
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• v.43 no.3
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• pp.143-148
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• 2008

Objective: Postoperative delirium (POD) is characterized by an acute change in cognitive function and can result in longer hospital stays, higher morbidity rates, and more frequent discharges to long-term care facilities. In this study, we investigated the incidence and risk factors of POD in 224 patients older than 70 years of age, who had undergone a neurosurgical operation in the last two years. Methods: Data related to preoperative factors (male gender, >70 years, previous dementia or delirium, alcohol abuse, serum levels of sodium, potassium and glucose, and co-morbidities), perioperative factors (type of surgery and anesthesia, and duration of surgery) and postoperative data (length of stay in recovery room, severity of pain and use of opioid analgesics) were retrospectively collected and statistically analyzed. Results: POD appeared in 48 patients (21.4%) by postoperative day 3. When we excluded 26 patients with previous dementia or delirium, 17 spontaneously recovered by postoperative day 14, while 5 patients recovered by postoperative 2 months with medication, among 22 patients with newly developed POD. The univariate risk factors for POD included previously dementic or delirious patients, abnormal preoperative serum glucose level, pre-existent diabetes, the use of local anesthesia for the operation, longer operation time (>3.2 hr) or recovery room stay (>90 mini, and severe pain (VAS>6.8) requiring opioid treatment (p<0.05). Backward regression analysis revealed that previously dementic patients with diabetes, the operation being performed under local anesthesia, and severe postoperative pain treated with opioids were independent risk factors for POD. Conclusion: Our study shows that control of blood glucose levels and management of pain during local anesthesia and in the immediate postoperative period can reduce unexpected POD and help preventing unexpected medicolegal problems and economic burdens.

• Nutrition Research and Practice
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• v.5 no.5
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• pp.450-454
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• 2011

The beneficial effects of total parenteral nutrition (TPN) in improving the nutritional status of malnourished patients during hospital stays have been well established. However, recent randomized trials and meta-analyses have reported an increased rate of TPN-associated complications and mortality in critically ill patients. The increased risk of complications during TPN therapy has been linked to the development of hyperglycemia, especially during the first few days of TPN therapy. This retrospective study was conducted to determine whether the amount of dextrose from TPN in the 1st week in the intensive care unit (ICU) was related to the development of hyperglycemia and the clinical outcome. We included 88 non-diabetic critically ill patients who stayed in the medical ICU for more than two days. The subjects were 65 ${\pm}$ 16 years old, and the mean APACHE (Acute Physiology and Chronic Health Evaluation) II score upon admission was 20.9${\pm}$7.1. The subjects received 2.3${\pm}$1.4 g/kg/day of dextrose intravenously. We divided the subjects into two groups according to the mean blood glucose (BG) level during the 1st week of ICU stay: <140 mg/dl vs ${\geq}$ 140 mg/dl. Baseline BG and the amount of dextrose delivered via TPN were significantly higher in the hyperglycemia group than those in the normoglycemia group. Mortality was higher in the hyperglycemia group than in the normoglycemia group (42.4% vs 12.8%, P=0.008). The amount of dextrose from TPN was the only significant variable in the multiple linear regression analysis, which included age, APACHE II score, baseline blood glucose concentration and dextrose delivery via TPN as independent variables. We concluded that the amount of dextrose delivered via TPN might be associated with the development of hyperglycemia in critically ill patients without a history of diabetes mellitus. The amount of dextrose in TPN should be decided and adapted carefully to maintain blood glucose within the target range.

• Journal of Korean Neurosurgical Society
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• v.63 no.5
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• pp.640-648
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• 2020

Objective : This study aimed to assess the relationship between increased intracranial pressure (ICP) and mastoid effusions (ME). Methods : Between January 2015 and October 2018, patients who underwent intracranial surgery and had ICP monitoring catheters placed were enrolled. ICP was recorded hourly for at least 3 days. ME was determined by the emergence of opacification in mastoid air cells on follow-up brain imaging. C-reactive protein (CRP) levels, presence of endotracheal tube (ETT) and nasogastric tube (NGT), duration of intensive care unit (ICU) stay, duration of mechanical ventilator application, diagnosis, surgical modalities, and presence of sinusitis were recorded. Each factor's effect on the occurrence of ME was analyzed by binary logistic regression analyses. To analyze the independent effects of ICP as a predictor of ME a multivariable logistic regression analysis was performed. Results : Total of 61 (53%) out of 115 patients had ME. Among the patients who had unilateral brain lesions, 94% of subject (43/50) revealed the ipsilateral development of ME. ME developed at a mean of 11.1±6.2 days. The variables including mean ICP, peak ICP, age, trauma, CRP, ICU stays, application of mechanical ventilators and presence of ETT and NGT showed statistically significant difference between ME groups and non-ME groups in univariate analysis. Sex and the occurrence of sinusitis did not differ between two groups. Adding the ICP variables significantly improved the prediction of ME in multivariable logistic regression analysis. Conclusion : While multiple factors affect ME, this study demonstrates that ICP and ME are probably related. Further studies are needed to determine the mechanistic relationship between ICP and middle ear pressure.