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실신으로 내원한 후벽 단독 심근경색 환자에서 발생한 심장눌림증 1례 (Case Report: Cardiac tamponade in a patient with isolated posterior myocardial infarction presenting with syncope)

  • 강민성;오성범;김지원
    • 한국응급구조학회지
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    • 제25권1호
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    • pp.235-241
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    • 2021
  • Cardiogenic syncope occurs due to arrhythmia (bradycardia and tachycardia) or decreased cardiac output, and if proper treatment is not provided, it can lead to acute sudden death. A detailed medical history and physical examinations are required to determine the cause of syncope, and clinical approaches, including 12-lead ECG, are important. The 12-lead ECG does not have a chest lead in the posterior wall of the left ventricle; therefore, ECG of the isolated posterior wall myocardial infarction caused by left circumflex artery occlusion is not observed with ST elevation. Therefore, the significantly higher appearance of ST depression and R waves than S waves from V1 to V3 of the chest lead must be interpreted meaningfully. Isolated posterior wall myocardial infarction is small in the area of myocardial necrosis, and tension is increased in the necrotic area due to the contraction of the normal myocardial muscle, which can cause ventricular wall rupture. Therefore, it is necessary to additionally check Beck's triad, such as jugular venous distension and decreased heart sound, in patients with low blood pressure with an isolated posterior wall myocardial infarction on 12-lead ECG in patients with syncope.

Servicescape in Delivering Values to Customer to Enhance Service Quality and Behavioural Intention

  • NGUYEN, Van Anh;NGUYEN, Thi Phuong Thao
    • 유통과학연구
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    • 제19권9호
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    • pp.29-39
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    • 2021
  • Purpose: Nowadays, café shop chains are becoming a trend and growing rapidly in Vietnam. There are numerous people who spend their time in cafes and this has become part of the current lifestyle. Therefore, cafe chains owners compete in offering new cafe concepts to attract customers and deliver their values to customers effectively. To gain competitiveness and attractiveness, a cafe must possess an interesting servicescape and provide a good impression toward customers in a cafe. Therefore, this study is to evaluate the role of servicescape as an antecedent to service quality and behavioral intentions in the Vietnam market. Research design, data, and methodology: The study was conducted through survey questionnaires who had used the service at coffee shop chains in cities of Vietnam. We apply the PLS-SEM method to analyze data and test hypotheses. Results: Servicescape is a second-order construct including hygiene, space, ambiance, design, and equipment. Servicescape also impacts directly on overall service quality, employee service quality, and behavioral intention. Conclusions: Servicescape plays a role as an antecedent for service quality and behavioral intention. Therefore, it confirms the importance of managing servicescape in order to deliver more value to customers through improving service quality so that enhance intention to return to use services in coffee shop chains.

A Portable IoT-cloud ECG Monitoring System for Healthcare

  • Qtaish, Amjad;Al-Shrouf, Anwar
    • International Journal of Computer Science & Network Security
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    • 제22권1호
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    • pp.269-275
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    • 2022
  • Public healthcare has recently become an issue of great importance due to the exponential growth in the human population, the increase in medical expenses, and the COVID-19 pandemic. Speed is one of the crucial factors in saving life, particularly in case of heart attack. Therefore, a healthcare device is needed to continuously monitor and follow up heart health conditions remotely without the need for the patient to attend a medical center. Therefore, this paper proposes a portable electrocardiogram (ECG) monitoring system to improve healthcare for heart attack patients in both home and ambulance settings. The proposed system receives the ECG signals of the patient and sends the ECG values to a MySQL database on the IoT-cloud via Wi-Fi. The signals are displayed as an ECG data chart on a webpage that can be accessed by the patient's doctor based on the HTTP protocol that is employed in the IoT-cloud. The proposed system detects the ECG data of the patient to calculate the total number of heartbeats, number of normal heartbeats, and the number of abnormal heartbeats, which can help the doctor to evaluate the health status of the patient and decide on a suitable medical intervention. This system therefore has the potential to save time and life, but also cost. This paper highlights the five main advantages of the proposed ECG monitoring system and makes some recommendations to develop the system further.

A study on estimating the interlayer boundary of the subsurface using a artificial neural network with electrical impedance tomography

  • Sharma, Sunam Kumar;Khambampati, Anil Kumar;Kim, Kyung Youn
    • 전기전자학회논문지
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    • 제25권4호
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    • pp.650-663
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    • 2021
  • Subsurface topology estimation is an important factor in the geophysical survey. Electrical impedance tomography is one of the popular methods used for subsurface imaging. The EIT inverse problem is highly nonlinear and ill-posed; therefore, reconstructed conductivity distribution suffers from low spatial resolution. The subsurface region can be approximated as piece-wise separate regions with constant conductivity in each region; therefore, the conductivity estimation problem is transformed to estimate the shape and location of the layer boundary interface. Each layer interface boundary is treated as an open boundary that is described using front points. The subsurface domain contains multi-layers with very complex configurations, and, in such situations, conventional methods such as the modified Newton Raphson method fail to provide the desired solution. Therefore, in this work, we have implemented a 7-layer artificial neural network (ANN) as an inverse problem algorithm to estimate the front points that describe the multi-layer interface boundaries. An ANN model consisting of input, output, and five fully connected hidden layers are trained for interlayer boundary reconstruction using training data that consists of pairs of voltage measurements of the subsurface domain with three-layer configuration and the corresponding front points of interface boundaries. The results from the proposed ANN model are compared with the gravitational search algorithm (GSA) for interlayer boundary estimation, and the results show that ANN is successful in estimating the layer boundaries with good accuracy.

세계유산 정읍무성서원의 건축구성에 관한연구 - 강학영역을 중심으로 - (A Study on the Architectural Composition of the World Heritage Jeongeup MuseongSeowon - Focusing on the Lecture Area -)

  • 김윤상
    • 한국농촌건축학회논문집
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    • 제24권3호
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    • pp.13-21
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    • 2022
  • Seowon is an educational institution of Neo-Confucianism in the Joseon Dynasty and is distributed throughout the country. Such a Seowon has a certain form in the composition and arrangement of buildings. Korean Seowon were recognized as excellent for localization by transforming them according to the local environment. Therefore, it was registered as a World Heritage Site. Museongseowon is located in the village differently from the 8 registered Seowons. However, data and research on the location setting and architectural composition of MuseongSeowon are insignificant, so related research is needed. Therefore, in this study, the appearance of the period when MuseongSeowon was equipped with architectural formality was investigated. This study compared the appearance of MuseongSeowon in Chilkwong-do drawn in 1910 and the present appearance, focusing on the Ganghak area. As a result, the architectural composition of the Seowon was similar to the present appearance after the revision of the Gangdang area in Chilkwong-do. Therefore, the present architectural composition of the Seowon appears to be the same as before 1900. In addition, the location and appearance of Heunghakjae and Myeonamsa, which were currently lost in the Gangsujae area, were partially derived. It seems that seowon played a central role in the village even after 1910. Also, since it is located in the village, the building seems to have a flexible spatial composition.

A Study on a car Insurance purchase Prediction Using Two-Class Logistic Regression and Two-Class Boosted Decision Tree

  • AN, Su Hyun;YEO, Seong Hee;KANG, Minsoo
    • 한국인공지능학회지
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    • 제9권1호
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    • pp.9-14
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    • 2021
  • This paper predicted a model that indicates whether to buy a car based on primary health insurance customer data. Currently, automobiles are being used to land transportation and living, and the scope of use and equipment is expanding. This rapid increase in automobiles has caused automobile insurance to emerge as an essential business target for insurance companies. Therefore, if the car insurance sales are predicted and sold using the information of existing health insurance customers, it can generate continuous profits in the insurance company's operating performance. Therefore, this paper aims to analyze existing customer characteristics and implement a predictive model to activate advertisements for customers interested in such auto insurance. The goal of this study is to maximize the profits of insurance companies by devising communication strategies that can optimize business models and profits for customers. This study was conducted through the Microsoft Azure program, and an automobile insurance purchase prediction model was implemented using Health Insurance Cross-sell Prediction data. The program algorithm uses Two-Class Logistic Regression and Two-Class Boosted Decision Tree at the same time to compare two models and predict and compare the results. According to the results of this study, when the Threshold is 0.3, the AUC is 0.837, and the accuracy is 0.833, which has high accuracy. Therefore, the result was that customers with health insurance could induce a positive reaction to auto insurance purchases.

선박 연료배관용 St37.4 탄소강의 암모니아 농도에 따른 부식 특성 (Corrosion Characteristics of St37.4 Carbon Steel for Ship Fuel Pipe with Ammonia Concentration)

  • 이도빈;이승준
    • Corrosion Science and Technology
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    • 제21권6호
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    • pp.514-524
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    • 2022
  • Carbon emissions from fuel consumption have been pointed by scientists as the cause of global warming. In particular, fossil fuels are known to emit more carbon when burned than other types of fuels. In this regard, International Maritime Organization has announced a regulation plan to reduce carbon dioxide emissions. Therefore, recently, Liquefied Natural Gas propulsion ships are responding to such carbon reduction regulation. However, from a long-term perspective, it is necessary to use carbon-free fuels such as hydrogen and ammonia. Nitrogen oxides might be generated during ammonia combustion. There is a possibility that incompletely burned ammonia is discharged. Therefore, rather than being used as a direct fuel, Ammonia is only used to reduce NOX such as urea solution in diesel vehicle Selective Catalyst Reduction. Currently, LPG vehicle fuel feed system studies have evaluated the durability of combustion injectors and fuel tanks in ammonia environment. However, few studies have been conducted to apply ammonia as a ship fuel. Therefore, this study aims to evaluate corrosion damage that might occur when ammonia is used as a propulsion fuel on ships.

편집자 주: 31권 3호 (Editorial for Vol. 31, No. 3)

  • 김영효
    • 항공우주의학회지
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    • 제31권3호
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    • pp.61-63
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    • 2021
  • In Vol. 31, No. 3, our journal prepared three review articles, an original paper, and two case reports. First, as COVID-19 continues for a long time, aviation workers, including pilots, are also experiencing mental problems such as depression. Therefore, we have compiled the basic principles for improving the mental health of pilots. Next, it is difficult to properly perform cardio-pulmonary resuscitation (CPR) when a cardiac arrest situation occurs in an aircraft. Moreover, in the context of the COVID-19 pandemic, CPR is more difficult because medical staff and other passengers may also be exposed to infections. Therefore, we have summarized the principles of CPR on board and ways to perform CPR while keeping the safety of medical staff and other passengers in the COVID-19 situation. The sudden change of gravity caused by space travel has various effects on the human body, and among them, the effect on the immune system is profound. Therefore, we reviewed the research methods to study the effect of gravity on the immune system and the results. In addition, we analyzed the demographic characteristics and health status of immigrant visa applicants who intended to immigrate to the United States over the past five years. Next, through two case reports, we reported cases of determining physical fitness for aviation service in patients who recovered after receiving appropriate treatment for chronic myeloid leukemia or renal cell carcinoma.

알레르기 비염 진단 및 치료, 항공업무 적합성 평가에 있어 항공전문의사의 역할 (The Role of Aviation Medical Examiners in the Diagnosis, Treatment and Aeromedical Assessment of Patients with Allergic Rhinitis)

  • 김영효
    • 항공우주의학회지
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    • 제30권2호
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    • pp.66-69
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    • 2020
  • Since allergic rhinitis is a disease with a very high prevalence, it is common to find patients with allergic rhinitis among aviation workers. However, they are so afraid that the report of rhinitis will have a negative effect on the evaluation of one's work suitability. Therefore, aviation medical examiners (AMEs) must be able to accurately understand the nature of allergic rhinitis, and confidently explain that appropriate treatment of rhinitis has a positive effect on their performance. In the treatment of allergic rhinitis, there are some medications that may cause drowsiness, which may impair the accuracy and safety of the aviation service. Therefore, AMEs should accurately know safe drugs that do not cause drowsiness and prescribe them to patients. In addition, it is necessary to know exactly whether air workers may receive the latest treatments for allergic rhinitis, such as surgical treatment and immunotherapy, and be able to recommend these treatments appropriately. Therefore, in this paper, we first briefly describe the pathophysiology, genetics, causative antigen, symptoms, diagnosis, and treatment of allergic rhinitis. We also aimed to discuss safe medication and other treatment modalities for allergic rhinitis.

The Status of Damage Relief in the Cosmetics Industry and the ADR System

  • Um, Mi Sun
    • 한국중재학회지:중재연구
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    • 제32권3호
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    • pp.93-109
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    • 2022
  • Cosmetics are products that consumers use every day to maintain or improve the health of their skin and hair. Therefore, the expansion of the cosmetics market leads to the expansion of disputes over cosmetic damage. Along with constant social changes, new conflicts continue to arise. In order to resolve these disputes, various consumer dispute resolution organizations and methods are required. Therefore, Alternative Dispute Resolution (ADR), an alternative method that can provide a reasonable judgment on problems that occur during the manufacture and distribution of cosmetics with expert knowledge of the industry, is required. Korea resolves disputes between consumers and manufacturers caused by cosmetics through the ADR of the Korea Cosmetics Association and the Korea Consumer Agency. It handles disputes related to accidents caused by cosmetics, offers consultation on consumer complaints on cosmetics and provides information on accidents and safety related to cosmetics. It is not possible to completely eradicate disputes from cosmetic damages. Therefore, it is necessary to expand and efficiently operate the cosmetic ADR system for consumers. In this study, the current status of cosmetic damage disputes and damage relief and the role of the domestic ADR system were reviewed. Consumers should be easily relieved from damage caused by cosmetics. By accumulating important precedents with an efficient cosmetic damage dispute resolution system, disputes over cosmetic damage should be smoothly resolved.