• Journal of The Korean Society of Clinical Toxicology
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• v.18 no.2
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• pp.78-84
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• 2020

Purpose: In acute acetaminophen poisoning, the administration of N-acetylcysteine (NAC) can effectively treat the main complications, such as kidney injury and liver failure. In the current situation, measurements of the acetaminophen concentration are not checked in the usual medical facilities. Therefore, this study examined the factors of determining the administration of NAC in addition to the stated amount of intake. Methods: The medical records of patients who visited Ajou University Hospital emergency center with acetaminophen poisoning from January 2015 to December 2019 were reviewed retrospectively. One hundred and seventy-nine patients were initially included. Among these patients, 82 patients were finally selected according to the inclusion criteria in the study. The inclusion criteria were as follows: patients who were 15 years of age or older; those whose ingested dose, ingested time, and body weight were clearly identified; and patients whose acetaminophen sampling time was within 24 hours. Patients were divided into two groups: NAC administered vs. non-NAC administered. The following variables were compared in these two groups: ingested dose, ingested dose per body weight, hospital arrival time after ingestion, suicide attempt history, psychiatric disease history, classification of toxic/non-toxic groups, duration of hospitalization, and laboratory results. Results: Univariate analysis revealed the ingested dose per body weight, hospital arrival time after ingestion, suicide attempt history, and psychiatric disease history to be the determining factors in administering NAC. Logistic regression analysis confirmed that the ingested dose per body weight was the only significant factor leading to an NAC treatment decision. (Odds ratio=1.039, 95% Confidential interval=1.009-1.070, p=0.009) Conclusion: The ingested dose per body weight was the only determining factor for administering NAC in patients with acute acetaminophen poisoning. On the other hand, additional criteria or indicators for the NAC administration decision will be necessary considering the inaccuracy of the ingested dose per body weight and the efficiency of NAC administration.

• Journal of The Korean Society of Clinical Toxicology
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• v.3 no.1
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• pp.22-26
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• 2005

The majority of acute toxic poisoning occur via oral route. The most important emergency treatment of acute poisoning are gastric lavage. Gastric lavage should be considered a patient has ingested a potentially life-threatening amount of a poison and the procedure can be undertaken within 60 mins of ingestion. But, gastric lavage does not consist properly in the cases of emergency situation or an inexperienced doctors treat. The purpose of this study was to determine whether gastric lavage is performed properly. Eighty patients were enrolled in the study in 12-month period from January to December 2002. A retrospective chart review was performed on patients identified as drug overdose who admitted to ER. To assess whether there was a subgroup of patients who may have been candidates for the initiation of gastric lavage in the ER, the patients divided in two groups by time interval from toxin ingestion to ER arrival. The group 1 that admit within 60 minutes after drug ingestion was 38 cases ($47.5\%$), and the group 2 patient who admitted after 60 minutes was 42 cases ($52.5\%$). The average age was $44\pm19$ years in group 1, and $48\pm24$ years in group 2. There were no differences in sexual distribution of two groups. The mean time interval was $49\pm20$ minutes in the group $1,258\pm190$ minutes in the group 2. Only thirty ($37.5\%$) of the patients had an overdose for which the treatment of gastric lavage was potentially feasible according to guideline. The correctly performed gastric lavage was 18 ($47.4\%$) in group 1, 12 ($28.6\%$) in group 2. We must enforce education about the gastric lavage, and do so that may treat according to guideline.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.38B no.11
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• pp.861-869
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• 2013

We consider an information system where viruses arrive according to a Poisson process with rate ${\lambda}$. The information system has two types of anti-virus operation policies including 'real-time scan' and 'batch scan.' In the real-time scan policy, a virus is assumed to be scanned immediately after its arrival. Consequently, the real-time scan policy assumes infinite number of anti-viruses. We assume that the time for scanning and curing a virus follows a general distribution. In the batch scan policy, a system manager operates an anti-virus every deterministic time interval and scan and cure all the viruses remaining in the system simultaneously. In this paper we suggest a probability model for the operation of anti-virus software. We derive a condition under which the operating policy is achieved. Some numerical examples with various cost structure are given to illustrate the results.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.16 no.6
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• pp.159-164
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• 2016

This paper proposes an improved superframe structure with one : N situation of the network as a target for efficiency battery and communication performance used in the existing standard IEEE 702.15.4 MAC layer. The proposed superframe transforms and adds a two structures. First, we add the proposed scheduling interval after the arrival of the beacon. Second, we change to a structure in which one of the contention access period is divided into two. The contention access period and the contention-free access period of active portion are divided according to the LQI value of the device. Through this system-level simulation written by $c{^+^+}$, as a results show that the battery consumption and transmission performance has been increased.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.3 no.4
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• pp.344-365
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• 2009

The performance of a tracking system is greatly increased if multiple types of sensors are combined to achieve the objective of the tracking instead of relying on single type of sensor. To conduct the multi-modal tracking, we have previously developed a multi-modal sensor-based tracking model where acoustic sensors mainly track the objects and visual sensors compensate the tracking errors [1]. In this paper, we find a network synchronization problem appearing in the developed tracking system. The problem is caused by the different location and traffic characteristics of multi-modal sensors and non-synchronized arrival of the captured sensor data at a processing server. To effectively deliver the sensor data, we propose a time-based packet aggregation algorithm where the acoustic sensor data are aggregated based on the sampling time and sent to the server. The delivered acoustic sensor data is then compensated by visual images to correct the tracking errors and such a compensation process improves the tracking accuracy in ideal case. However, in real situations, the tracking improvement from visual compensation can be severely degraded due to the aforementioned network synchronization problem, the impact of which is analyzed by simulations in this paper. To resolve the network synchronization problem, we differentiate the service level of sensor traffic based on Weight Round Robin (WRR) scheduling at the routers. The weighting factor allocated to each queue is calculated by a proposed Delay-based Weight Allocation (DWA) algorithm. From the simulations, we show the traffic differentiation model can mitigate the non-synchronization of sensor data. Finally, we analyze expected traffic behaviors of the tracking system in terms of acoustic sampling interval and visual image size.

• Health Policy and Management
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• v.19 no.3
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• pp.27-44
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• 2009

The length of stay in emergency departments has been used as a quality indicator to reflect the overall efficiency of emergency care. Identifying characteristics associated with length of stay is critical to monitor overcrowding and improve efficient throughput function of emergency departments. This study examined the level of waiting time for initial assessment by physician and length of stay in emergency departments. Furthermore, we investigated the characteristics of patients' attendance associated with length of stay. An observational study was performed for a sample of 1,526 patients visiting ten nation-wide emergency departments. A structured form was designed to collect information about patients' demographics, route of admission, time and mode of arrival, triage level, cause of attendance, initial assessment time by physician, departure time, and disposition. Multiple regression analysis was performed to determine factors associated with length of stay. The average length of stay was 209.4 minutes (95% confidence interval [CI]=197.1-221.7), with a mean waiting time for initial assessment of 5.9 minutes (95% CI=5.1-6.7). After controlling for emergency department characteristics, increasing age, longer waiting times, attendance due to diseases, higher acuity, multiple diagnoses($\geq$2) and requiring admission or transfer to other health care facilities were positively associated with length of stay in emergency departments. The findings suggest that both patients' characteristics and the flow between emergency departments and parent hospitals should be taken into account in predicting length of stay in emergency departments.

• Transactions of the Korean Society of Mechanical Engineers
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• v.11 no.1
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• pp.118-123
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• 1987

In relation to the dust detonatians which have imposed severe damages on the industry, the ignitability of various dusts has been investigated on a horizontal shock tube in this study. By using a newly designed air injector, very well-distributed clouds could be obtained. The proper reflected shock conditions have been generated by placing a reflector 1.5cm behind the air injector, which reflected the incident shock wave. The incident shock waves in the range of Mach number 2.8-3.3 created the postreflected shock temperature of 1200-1600K. Experimentally the ignition delay was defined as the time interval between the arrival of a reflected shock wave at dusts and the detection of visible light. Measured ignition delays of dusts investigated were located lower than 1msec under the above conditions. These values are one-order higher than those in the incident shock wave condition. In this type of ignitiion process the following three processes are considered to play important roles; heating of a particle, generation of volatile gas by endothermic devolatilization process, and its diffusion from the particle surface and the formation of stoichiometric mixture with oxidizer.

• Journal of The Korean Society of Clinical Toxicology
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• v.2 no.2
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• pp.90-95
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• 2004

Purpose: The purpose of this study is to compare the toxicologic characteristics of two groups of patients with acute intoxication for two different time periods and to make recommendations based on the results of this study. Methods: We reviewed retrospectively the medical records of patients with acute intoxication in our emergency center from June 1997 to May 1998 (group A) and from June 2000 to May 2003 (group B), and we evaluated differences in the epidemiologic and the toxicologic characteristics between the two groups. Results: The ratios of the number of patients with acute intoxication to the total numbers of patients who visited our emergency department were $0.49\%$ and $0.52\%$ for groups A and B, respectively. In both groups many poisoned patients visited our emergency center from 4:00 pm to midnight. The interval between the time of intoxication and arrival at the hospital was significantly shorter in group B. The number of patients transferred to our emergency center was larger in group B. Attempted suicide was the major cause of acute intoxication in both groups. Major toxic substances in both groups were centrally active drugs and insecticides. The number of comatose and mechanically ventilated patients was larger in group B. However, there was no statistically significant difference in the mortality rates. Conclusion: Emergency physicians who manage intoxicated patients should recognize regional characteristics and differences in the toxicologic characteristics of poisoning. In addition, the establishment of a poisoning control center in the regional emergency center is necessary to integrate data control and to enhance specialized management of intoxicated patients.

• Journal of Advanced Navigation Technology
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• v.19 no.6
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• pp.534-543
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• 2015

This paper introduces the time-misalignment error between multiple range measurements acquired by an onboard distance measuring equipment (DME) interrogator and proposes an efficient position determination method that can mitigate the negative effects of the time-misalignment error. The introduced time-misalignment error does not occur in conventional utilization of DME combined with VHF omnidirectional range (VOR). The proposed position determination method projects all the DME range measurements acquired irregularly during an interval to the same time instance where the aircraft position is determined. By the simulation utilizing a representative aircraft trajectory, it is shown that it is possible to estimate the horizontal position accurately without any changes of ground DME facilities.

• The Journal of Pediatrics of Korean Medicine
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• v.21 no.2
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• pp.35-50
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• 2007

Objectives The purpose of this study was to revitalize pediatric emergency care in oriental medical hospital. Methods The study was composed of 281 pediatric patients who visited emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital, from March 2006 to February 2007. Results The age distribution showed that 1 to 3 year's patients(40.6%) are the most New pediatric patients(59.1%) were more than who received medical treatment in this place. The seasonal distribution of between month's section and the 24 solar terms's section made no differences and pediatric patients who visited in emergency room was most in spring, least in autumn. Moreover the changes of season's patients were more than others. Pediatric patients who visited during the weekends and holidays(50.9%) were more than during the weekdays(49.1%). Systemic division of the major problems were the digestive symptoms(44.5%) and nervous symptoms(30.6%), respiratory symptoms(12.5%), musculoskeletal symptoms(5.3%), dermatological symptoms(1.8%), cardiovascular symptoms(0.7%) and others(4.6%) followed. The time interval between arrival and onset : within 6 hours were the most(54.5%). Pediatric patients who had digestive, nervous, musculoskeletal diseases within 6 hours were the most, but in the case of patients who had respiratory diseases, most of them were visited within 48 hours. Acting and herb-med treatment(77.9%) were the most in medical treatments. Pediatric patients(69.0%) who didn't revisit in this hospital after treatment in emergency room were more than who revisited(29.9%). Conclusions Pediatric patients who visited in emergency room of oriental medical hospital were most not acute form of a serious diseases, patients most visited in disease prefer to oriental medicine; such as dyspepsia, convulsions, crying, ankle sprain. Further studies will be needed for the actual circumstance's reflecion from this hospital and other oriental hospitals nearby or other western emergency rooms for the accurate studies.