• Title/Summary/Keyword: 조동영

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The Change in the Outpatient Visit to Tertiary care Hospital after the Implementation of the Separation of Prescription and Drug Dispensing Policy (의약분업 전.후 3차 진료기관 외래이용 변화)

  • Cho, Dong-Yeong;Yu, Seung-Hum;Sohn, Tae-Yang
    • Korea Journal of Hospital Management
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    • v.7 no.1
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    • pp.19-40
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    • 2002
  • The purpose of this study is to find out if there has been any change in the outpatient visit to tertiary care hospitals after the introduction of the new healthcare program that divides the roles of doctors and pharmacists and the reason for the change if there is any. Two tertiary care hospitals with the largest capacity of 1200 beds and two tertiary care hospitals with the lowest capacity of 600-700 beds were randomly selected. Data of the outpatient visits from March-May 2(xx), before the new healthcare system was adopted, were compared with the data from March-May 2001, after the new policy was adopted. Outpatient visits have decreased 5.8% after the new system. There has been a dramatic decrease, especially, in the department of OB-GYN and Pediatrics of tertiary hospitals. Decrease in re-visits is much higher than the first visits. Female patients decreased more than the male patients. Outpatient visits by economically active patients group aged 25-44 declined much. Tertiary hospitals in Seoul and Kyonggi Province, as well. Outpatient income of tertiary hospitals has dropped up to 14.7% due to the decline in outpatient visits and pharmaceutical income, and resell price system which in turn has caused the hospital financial deficits. While the new program has succeeded in lowering the use of antibiotics and injections, it has the pitfall of prescribing long days and expensive drugs. A full-fledged review of the system should be conducted for the establishment of the new system and I believe this study may be a useful references. Furthermore, more profound and overall studies on the chance in the patients use of hospitals are needed.

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Face Feature Extraction for Child Ocular Inspection and Diagnosis of Colics by Crying Analysis (소아 망진을 위한 얼굴 특징 추출 및 영아 산통 진단을 위한 울음소리 분석)

  • Cho Dong-Uk;Kim Bong-Hyun
    • The KIPS Transactions:PartB
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    • v.13B no.2 s.105
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    • pp.97-104
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    • 2006
  • There is no method to control for the child efficiently when disease happens who cannot be able to express his symptoms. Therefore, doctor's diagnosis depends on inquiring from child's patients, that leads to wrong diagnosis result. For this, in this paper, we would like to develop child ocular inspection, auscultation diagnosis instruments, using Oriental medicine principle that living body signal of five organs and six hallow organs which reflects patients face and voice We would like to get more accurate diagnosis result for child's symptoms from doctor's intuition on the basis of diagnostic sight visualization, objectification, quantization itself. This paper develops color revision, YCbCr application, and face color selection and five sensory organs and nose or apex extraction method etc, in child ocular inspection by first work achievement sequence among the whole development systems. Also, in occasion of child auscultation, crying characteristics of colics through pitch, intensity and formant analysis is numerized and objectifies doctor's intuition through this. Finally, experiments are performed to verify the effectiveness of the proposed methods.

Application of water-soluble tetrazolium salt for development of rapid antimicrobial susceptibility testing methods (신속한 항생제 감수성 테스트 법의 개발을 위한 Water-Soluble Tetrazolium Salt의 적용)

  • Hwang, Seong Don;Jo, Dong Hee;Kim, Gwang-Il;Cho, Mi Young;Jee, Bo Young;Park, Myoung-Ae;Park, Chan-Il
    • Journal of fish pathology
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    • v.28 no.2
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    • pp.71-78
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    • 2015
  • In this study, we conducted to the development of a rapid antimicrobial susceptibility test method using WST-1 which is known to water-soluble tetrazolium salt, in order to rapidly response against bacterial diseases in fish. Eight of antibiotics which are permissioned for marine organism from government were used to rapid antimicrobial susceptibility testing using the WST-1. As a result, a similar tendency was verified compare to conventional antibiotic susceptibility test results. Generally, the antibiotic susceptibility test method required about 3 days (72 hours) for determine the effective antibiotics, however, we have confirmed that the our method using WST-1 was required at least 36 hours in this study. Consequentially, our method will contribute to development of rapid antimicrobial susceptibility testing for bacterial diseases in fish.

Angiolymphoid Hyperplasia with Eosinophilia (ALHE) of the Oral Cavity: a Case Report (구강내에 발생한 혈관림프증식증: 증례보고)

  • Cho, Dong-Baek;Park, Ji-Un;Baek, Ji-Young;Choi, Won-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.6
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    • pp.573-576
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    • 2010
  • Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare benign vascular lesion that is characterized by proliferation of small to medium-sized vascular structures lined by histiocytoid or epithelioid endothelial cells and often accompanied by an inflammatory infiltrate comprising lymphocytes, plasma cells and eosinophils. A 34-year-old man without any generalized systemic conditions presented with a slowly enlarging painless swelling in the buccal area. An excisional biopsy was conducted and the diagnosis of Angiolymphoid hyperplasia with eosinophilia was confirmed. We report a case of angiolymphoid hyperplasia with eosinophilia of the buccal area in oral cavity and review the previously reported cases and literatures of angiolymphoid hyperplasia with eosinophilia.

A Case of Thrombocytopenia and Purpura Induced by Rifampin, Pyrazinamide, and Ciprofloxacin (Rifampin, Pyrazinamide and Ciprofloxacin에 의한 혈소판 감소증, 자반증 1예)

  • Son, Hyung-Dae;Kim, Chang-Sun;Park, Mi-Ran;Seo, Ji-Yung;Rheu, Nam-Soo;Cho, Dong-Il
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.4
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    • pp.930-934
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    • 1997
  • Drug-induced thrombocytopenia and purpura have been developed by many various agents. Rifampin and Pyrazinamide have been known as bactericidal antituberculous drugs, but, the above side effects have been a problem. Especially, hematologic side effects are fatal to patients occasionally. Rifampin-induced thrombocytopenia and purpura have been well known, also, pyrazinamide-induced thrombocytopenia have been reported. A new quilonone agent, Ciprofloxacin, has been commonly used in clinics now, but it's side effects are not known well. So, we report a case of a 23-year-old female with thrombocytopenia and purpura after taking Rifampin, Pyrazinamide, and Ciprofloxacin as antituberculous agents.

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Development of a Haptic Based Video and Audio Streaming Method (촉각기반 비디오 및 오디오 스트리밍 기술 개발)

  • You, Yong-Hee;Cho, Dong-Hyun;Lee, Hwan-Mun;Kim, Ki-Kwon;Jun, Kyung-Koo;Sung, Mee-Young
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.538-541
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    • 2009
  • In this paper, we explain a haptic based video and audio streaming method. The proposed method is to stream tactile and vibration information along with video and audio information. The video screen is divided into a grid, and each cell has tactile information which is corresponding to the content. At the same time, the sound stream is also analyzed and vibration information is applied. These data are streamed to clients and displayed through a haptic device and a vibration interface. So, a client will be more immersed into the video and audio by touching and getting vibrations.

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Sliding FFT based Algorithm for Detecting Specific Sound (Sliding-FFT를 이용한 특정사운드 감지 알고리즘)

  • Chi, Dong-Ju;Cho, Dong-Hyun;Jun, Kyung-Koo;Sung, Mee-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2008.06a
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    • pp.92-97
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    • 2008
  • 적절한 촉각자극과 결합된 효과음은 실감성을 향상시킨다고 알려져 있다. 예를 들어, 영화나 게임의 총소리 효과음에 진동자극이 결합되면 훨씬 몰입감이 증진된다. 영화의 경우, 미디어 파일 내에 진동효과 관련한 정보를 부가하는 연구가 진행되기도 하였으나 대중화되지는 못했다. 게임의 경우, 진동을 유발시키도록 프로그래밍하는 방식을 사용하기도 한다. 하지만 진동을 고려하여 개발하는 게임은 전체 10% 미만일 정도로 일반화되어 있지 않다. 따라서 효과음향을 실시간으로 감지하여 진동을 발생시키는 시스템이 바람직하다. 본 논문에서는 이러한 시스템에서 특정 효과음을 실시간으로 감지하는 알고리즘을 제안한다. 이 알고리즘에서는 감지하고자 하는 효과음의 주파수 분포를 미리 분석해서 저장해 놓는다. 입력되는 효과음에 대해 실시간으로 주파수를 분석하여 저장된 값과의 차이를 비교하여 특정 효과음을 감지하게 된다. 실시간 주파수 분포에는 sliding fast Fourier transform (SFFT)를 사용한다. 이는 특정 효과음의 시작순간을 명확히 알 수 없기 때문이다. 제안 알고리즘을 First Person Shooting (FPS) 게임에 적용하여 성능분석을 하였다. 소음이 없을 경우, 감지율은 $80{\sim}90%$였으나, 소음 정도가 커질수록 감지율이 선형적으로 반비례하였다. 또한 감지에 걸리는 시간은 효과음 발생순간부터 0.45초 이내였다.

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A Study on the Voice/Data Integrated PRMA Protocol With the Minimum Reservation Slot Assured (최소 예약슬롯 보증 음성/데이타 집적 PRMA 프로토콜에 관한 연구)

  • 김태규;조동호;윤용중
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.18 no.2
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    • pp.250-260
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    • 1993
  • Packet Reservation Multiple Access(PRMA) protocol provides a very efficient mechanism for many number of voice and data terminals with bursty traffic characteristics to share efficiently a common transmission channel. This protocol, however, cannot operate in high load conditions. That is, there occurs a instability problem, since the reservation channel is allowed to shrink to zero. In this paper, a more stable PRMA protocol which can avoid such problems and integrates voice and data traffic efficiently is proposed. Also, the performance of the proposed protocol is analyzed by a computer simulation. According to the simulation results, it can be shown that the proposed protocol provides a more efficient mechanism for voice/data integration and ensures a more stable operation than conventional PRMA protocol in high load conditions.

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Micro-tissue collecting tool for diagnosis of micro-spike biopsy (마이크로 스파이크로 채취한 조직의 진단을 위한 미세 조직회수도구)

  • Jeong, Hyo-Young;Koo, Kyo-In;Lee, Sang-Min;Ban, Jae-Won;Park, Ho-Soo;Bang, Seoung-Min;Song, Si-Young;Cho, Dong-Il Dan
    • Journal of Sensor Science and Technology
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    • v.18 no.2
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    • pp.122-127
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    • 2009
  • We have developed and reported several micro-spikes for minimally invasive biopsy. In this paper, a micro-tissue collecting tool for tissue diagnosis extracted by micro-spike is presented. Using proposed polydimethy-siloxane (PDMS) micro-tissue collecting tool, which has a negative micro-spike structure in a porous chamber, the extracted tissue in a micro-spike is effectively detached. The gastro-intestinal tissue of a pig is extracted in an in vivo environment, and then it is detached from a micro-spike using the PDMS micro-tissue collecting tool. A fine clinical picture of the detached tissue is acquired.

The Development of Educational Training Program by the Job Analysis Ship-Fitters (조선소 설비공의 직무 분석을 통한 교육훈련 프로그램 개발)

  • Cho, Dong-Heon;Moon, Dae-Young;Park, Jong-Un
    • Journal of Fisheries and Marine Sciences Education
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    • v.19 no.2
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    • pp.219-228
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    • 2007
  • The purpose of this study is to analyze the job and develops the educational training program of ship-fitter by using the DACUM (Developing A Curriculum) method. On the first stage, the authors have been defined the job and classified duties and tasks of ship-fitters. To fine what is the most efficient task for ship-fitter, we have been investigated the levels of importance, difficulty, frequency and entry in each task. A DACUM committee is composed of total 10 members, which are one facilitator, eight panel members, one recorder & coordinator to analyze the job of ship-fitter. Following is the result of this study. First, 5 duties and 28 tasks are analyzed. Second, 19 tasks that are essential in entry level of occupation containing 'drawing inspecting' are identified. Third, a job model of ship-fitter is constructed by the results of DACUM job analysis. Fourth, training program is developed. This program contains task/curriculum Matrix, task/Course Matrix, training Course Profile, training Road Map.