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Can Health Information Technology Really Improve Patient Safety? (의료정보기술은 환자안전을 향상시키는가?)

  • Lee, JaeHo
    • Quality Improvement in Health Care
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    • v.19 no.1
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    • pp.16-26
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    • 2013
  • Health information technology (HIT) is one of the most familiar tools to healthcare providers. It is used in routine practice to reduce cost, to improve clinical performance, and to improve patient safety. Patient safety is the driving force of recent expansion of HIT industry. But there are many evidences that it can be harmful to patient safety. Role of HIT and HIT-related error became big issues because more and more healthcare providers and healthcare organizations are willing to adopt it. Adoption rate of HIT in Korea is higher than that of United States. But researches of HIT regarding patient safety are rare. In this article, types of HIT, their mechanisms of improving patient safety and HIT-related errors were reviewed. Status of HIT in terms of patient safety in Korea was also reviewed. Knowledge of how HIT can improve patient safety, its' limitation, and how to make it safer is crucial to whom have to use it to improve patient safety. Impact of HIT on patient safety must be evaluated actively in Korea. HIT which was proven to improve patient safety must be widely adopted. Government must prepare a strategic plan to improve HIT quality, support hospitals financially and institutionally to introduce qualified HIT, and develop HIT infrastructures and standard designed for patient safety.

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The optimization of HIT solar cells on crystalline silicon substrates and amorphous silicon layers (HIT 태양전지 결정 실리콘 기판 및 비정질 실리콘 층의 최적조건)

  • Lyou, Jong H.
    • 한국신재생에너지학회:학술대회논문집
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    • 2011.05a
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    • pp.110.2-110.2
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    • 2011
  • 일본 Sanyo 사에 의해서 획기적으로 HIT 태양전지가 개발된 바 있다. 이러한 HIT 태양전지는 기존의 확산-접합 Si 태양전지에 비해서 저비용 고효율의 장점을 갖는다: 22% 이상의 변환효율, $200^{\circ}C$ 이하의 공정온도, 낮은 태양전지 온도 의존도, 높은 개방전압. 한편 Sanyo사의 HIT 태양전지는 n-형 Si 웨이퍼를 이용한 반면에, 최근 미국 National Renewable Energy Laboratory는 p-형 Si 웨이퍼를 이용해서 변환효율 19% 대의 HIT 태양전지를 개발한 바 있다. 그 동안 지속적으로 p-형 Si HIT 태양전지를 고효율화하기(< 22%) 위해서 많은 노력이 진행되어 왔지만 이와 같은 노력에도 불구하고 아직 p-형 HIT는 n-형 HIT 태양전지에 비해서 다소 성능면에서 떨어져 있다. 본 연구는 n- 및 p-형 실리콘 웨이퍼로 구성된 HIT 태양전지의 물리적인 차이점에 초점을 맞추고, 결정 및 비정질 실리콘 층의 역할에 대해서 연구하였다. 특히 태양전지 효율을 향상시키는 요소들로서 결정 실리콘의 불순물 준위(n- 및 p-형) 또는 비저항, 비정질 실리콘으로 구성된 emitter 층, intrinsic 층, 경계면이 고려되었다. 그리고 이러한 요소들이 HIT 태양전지에 미치는 영향을 조사하기 위해서 AMPS-1D 컴퓨터 프로그램을 사용하였고, 이를 통해서 HIT 태양전지의 결정 및 비정질 실리콘 층의 역할을 물리적 정량적으로 분석하였다. 본 연구에 적용되는 HIT는 ITO/a-Si:H(p+)/a-Si:H(i)/c-Si(n)/a-Si:H(i)/a-Si:H(n+) 및 ITO/a-Si:H(n+)/a-Si:H(i)/c-Si(p)/a-Si:H(i)/a-Si:H(p+)의 구조로서 다음과 같은 태양전지 특성을 갖는다: n-형 HIT의 경우, fill factor ~ 0.78, 단락전류밀도 ~ 38.1 $mA/cm^2$, 개방전압 0.74 V, 변환효율 22.3 % (그리고 p-형 HIT의 경우, fill factor ~ 0.76, 단락전류밀도 ~ 36.5 $mA/cm^2$, 개방전압 0.69 V, 변환효율 19.4 %).

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Causes of False Negative Bedside Head Impulse Test (나안 두부충동검사에서 위음성의 원인분석)

  • Kim, Dae-Young;Choi, Yoon-Gi;Kyung, Tae-Suk;Hwang, Jun-Ha;Kim, Hyun Ji;Lee, Seung Chul;Kim, Kyu-Sung
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.60 no.3
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    • pp.107-111
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    • 2017
  • Background and Objectives The bedside head impulse test (bHIT) in bare eyes often overlooks possible vestibular losses by missing the corrective saccade. This is why it is necessary to compare bHIT against video head impulse test (vHIT), which is more accurate in identifying vestibular losses than the bedside test. Subjects and Method A total of 51 vHIT positive ears underwent the study, and out of those, 47 were diagnosed with dizziness. bHIT and vHIT were performed for patients, and the occurrence rate of overt saccade (OS) was calculated. Results Among the 51 vHIT positive ears, 33 (64.7%) were bHIT positive ears and 18 ears (35.3%) were bHIT negative. Patterns of positive vHIT were classified as A: no corrective saccade, B: covert saccade (CS) only, C: OS only, and D: CS with OS (CS+OS), which were 45 out of 51 ears (88%). The occurrence rate of OS was higher in the bHIT positive group than in the bHIT negative group (p=0.05), and higher in the CS negative group (CS-) than in the CS positive group (CS+) (p<0.001). Conclusion Possible causes of false negative results of bHIT are seen as following: the absence of corrective (covert and overt) saccade, the occurrence of CS only, and missing the OS during the bHIT (probably due to low occurrence rate of OS). The occurrence of CS should be considered as an important factor in false negative bHIT when lowering the occurrence rate of OS.

Strength Characteristics of Geo-polymer Grout (지오폴리머계 그라우트재의 강도 특성)

  • Lee, Jonghwi;Kim, Seonju;Cha, Kyungsub;Kim, Sunkon;Chun, Byungsik
    • Journal of the Korean GEO-environmental Society
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    • v.13 no.4
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    • pp.53-59
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    • 2012
  • In this study, strength and durability of a geo-polymer grout material(HIT) was investigated through unconfined compression strength tests(UCS)), scanning electron microscope(SEM), elution tests, and surface observations. UCS tests showed high initial strength and rapid continuous strength increments when compared to labile wasser glass(LW) and space grouting rocket system (SGR) grout materials, which showed strength reduction after 28 days. The higher strength was also reflected in SEM results which showed calcium silicate hydroxide(C-S-H) gels of the dense hydrate range, indicating higher strength and durability. Additionally, elution tests and grout surface observations showed HIT was in good condition and the decrease in weight was minor when under water for six months. LW and SGR showed the grout surface to be constricted and lower durability due to higher weight increase. These results and observations show HIT to be better suited for coastal structural applications than LW and SGR in long terms of strength and durability.

A new hit-and-miss ratio transform and its application to warning sign segmentation (새로운 hit-and-miss 비변환과 주의 표시분할에의 응용)

  • 오주환;최태영
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.33B no.3
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    • pp.120-125
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    • 1996
  • A new hit-and-miss ratio transform is introduced as a modified hit-and-miss transform to be robust to noise, which uses a quasi-matching technique based on the fitting ratio functions. And a new gray-level object segmentation algorithm is proposed, which is based on the hit-and-miss ratio transform and threshold decomposition. The proposed segmentation images, and is similarly applicable to segmentation of an object with specific shapes form natural real images.

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Study on Hit Judgement Model of MMORPG - in case of Travia Online - (MMORPG 히트판정 모델에 관한 연구 - 트라비아 온라인을 중심으로 -)

  • Sohn Hyoung-Ryul
    • The Journal of the Korea Contents Association
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    • v.5 no.6
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    • pp.172-177
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    • 2005
  • Hit judgement is essential factor in design for battle-style MMORPG game system and sets foundation for other game systems. Hit judgement model consists of attack power and attack rate. The former contains minimum, maximum, and critical attack, the latter has miss, hit, and critical blow rate. Random function generates one value of attack rate and consequently the damage is calculated. In this article, we propose hit judgement model which Is widely acceptable for generic MMORPG and describe the effort of applying the proposed model to Travia Online in detail.

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Stochastic Combat Simulation with Variable Hit Probabilities (명중확률의 변화를 고려한 확률과정 전투 시뮬레이션)

  • 홍윤기
    • Journal of the military operations research society of Korea
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    • v.27 no.2
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    • pp.76-87
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    • 2001
  • The effect of variable hit probabilities in the stochastic duel are examined. The objective of this study is to evaluate the outcomes of combat under the situations which we assume either round dependent hit probabilities or time dependent hit probabilities. Due to the complexity of an analytic approach to large-sized battles, a simulation modeling technique has been introduced. several specific examples are demonstrated fire allocation strategies. Output measures are compared among cases each with its own type of hit probability fashion such as constant, round to round, or time dependent manners. For these specific cases, the advantages of round to round improvement or increasing function of time for the hit probability are displayed.

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Naval ship's susceptibility assessment by the probabilistic density function

  • Kim, Kwang Sik;Hwang, Se Yun;Lee, Jang Hyun
    • Journal of Computational Design and Engineering
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    • v.1 no.4
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    • pp.266-271
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    • 2014
  • The survivability of the naval ship is the capability of a warship to avoid or withstand a hostile environment. The survivability of the naval ship assessed by three categories (susceptibility, vulnerability and recoverability). The magnitude of susceptibility of a warship encountering with threat is dependent upon the attributes of detection equipment and weapon system. In this paper, as a part of a naval ship's survivability analysis, an assessment process model for the ship's susceptibility analysis technique is developed. Naval ship's survivability emphasizing the susceptibility is assessed by the probability of detection, and the probability of hit. Considering the radar cross section (RCS), the assessment procedure for the susceptibility is described. It's emphasizing the simplified calculation model based on the probability density function for probability of hit. Assuming the probability of hit given a both single-hit and multiple-hit, the susceptibility is accessed for a RCS and the hit probability for a rectangular target is applied for a given threat.

Effect of the Ethanol Extract from Citrus Peels on Oxidative Damage in Alloxan-induced HIT-T15 Cell (진피 에탄올 추출물이 Alloxan에 의해 유도된 HIT-T15 세포의 산화적 손상에 미치는 영향)

  • Jung, Hee-Kyoung;Jeong, Yoo-Seok;Park, Chi-Deok;Park, Chang-Ho;Hong, Joo-Heon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.8
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    • pp.1102-1106
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    • 2010
  • This study was carried out to investigate the effect of ethanol extract from citrus peels (CP-Et) against the alloxan-induced oxidative damage on HIT-T15, Hamster pancreatic $\beta$-cell. Total polyphenol and flavonoid contents in CP-Et were $57.00{\pm}2.91\;mg/g$ and $8.11{\pm}2.83\;mg/g$, respectively. Cell toxicity on HIT-T15 by CP-Et (0.125~0.75 mg/mL) was not observed. CP-Et (0.125 mg/mL) increased cell proliferation rate of HIT-T15, which was treated alloxan ($IC_{50}=11.58\;mM$) (cell viability=$80.52{\pm}3.29%$ of normal cell, p<0.05). In comparison with insulin secretion of oxidative damaged HIT-T15, 1.5 fold ($116.93{\pm}2.11\;{\mu}g/mg$ protein) was increased by treatment CP-Et treatment (0.125 mg/mL) in HIT-T15 (p<0.05). These results showed that CP-Et contribute to repairing cells and improvement of insulin expression on oxidative stress pancreatic $\beta$-cell, and also suggested application of CP-Et as a functional food material for type 2 diabetes.