• Annals of Clinical Neurophysiology
• /
• 제19권2호
• /
• pp.118-124
• /
• 2017

Electroencephalography (EEG) is frequently used to assist the diagnosis of brain death. However, to date there have been no guidelines in terms of EEG criteria for determining brain death in Korea, despite EEG being mandatory. The purpose of this review is to provide an update on the evidence and controversies with regarding to the utilization of EEG for determining brain death and to serve as a cornerstone for the development of future guidelines. To determine brain death, electrocerebral inactivity (ECI) should be demonstrated on EEG at a sensitivity of $2{\mu}V/mm$ using double-distance electrodes spaced 10 centimeters or more apart from each other for at least 30 minutes, with intense somatosensory or audiovisual stimuli. ECI should be also verified by checking the integrity of the system. Additional monitoring is needed if extracerebral potentials cannot be eliminated. Interpreting EEG at high sensitivities, which is required for the diagnosis of brain death, can pose a diagnostic challenge. Furthermore, EEG is affected by physiologic variables and drugs. However, no consensus exists as to the minimal requirements for blood pressure, oxygen saturation, and body temperature during the EEG recording itself, the minimal time for observation after the brain injury or rewarming from hypothermia, and how to determine brain death when the findings of ECI is equivocal. Therefore, there is a strong need to establish detailed guidelines for performing EEG to determine brain death.

• 수산해양기술연구
• /
• 제56권2호
• /
• pp.172-182
• /
• 2020

In order to offer specific information needed to assist in operation of a ship with same type rudder through evaluating the maneuverability of training ship A-Ra with flapped rudder, sea trials based full scale for turning test, zig-zag test with rudder angle 10° and 20°, and spiral test at service condition were carried out on starboard and port sides around Jeju Island according to the standards of maneuverability of IMO. As a result, the angular velocity of port turn was higher than that of starboard turn. Therefore, the size of turning circle was longer on the starboard side. In addition, variation of the transfer due to various factors was more stable than those of the others. In the Z-test results, the mean of 1st and 2nd overshoot angles were 9.8°, 6.3° and 15.3°, 9.2° respectively when the port and starboard was 10°; the 1st overshoot angle were 18°, 13.7° when using 20°. Her maneuverability index T' and K' can be easily determined by using a computer with the data obtained from Z-test where K' and T' are dimensionless constants representing turning ability and responsiveness to the helm, respectively. In the Z-test under flap rudder angle 10°, the obtained K' value covered the range of 2.37-2.87 and T' was 1.74-3.45. Under the flap rudder angle 20°, K' and T' value showed 1.43-1.63, 1.0-1.73, respectively. In the spiral test, the loop width was unstable at +0.3° and -0.5°-0.9° around the midship of flap rudder. As a result, course stability was comparatively good. From the sea trial results, training ship ARA met the present criterion in the standards of maneuverability of IMO.

• 대한유전성대사질환학회지
• /
• 제18권2호
• /
• pp.50-54
• /
• 2018

Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.

• 한국전자통신학회논문지
• /
• 제19권3호
• /
• pp.563-570
• /
• 2024

본 논문은 운전자의 운행 보조 역할로 주행 가능한 차선 영역을 인식하고 추적하는 방법을 제안한다. 주요 주제는 차량 내부의 앞 유리 중앙에 설치된 카메라를 통해 실시간으로 획득한 영상을 기반으로 컴퓨터 비전과 딥 러닝 기술을 활용하여 주행 가능한 도로 영역을 예측하는 심층 기반 네트워크를 설계한다. 본 연구는 YOLOv8 알고리즘을 이용하여 카메라에서 직접 획득한 데이터로 훈련한 새로운 모델을 개발하는 것을 목표한다. 실제 도로에서 자신의 차량의 정확한 위치를 실제 영상과 일치하게 시각화하여 주행 가능한 차선 영역을 표시 및 추적함으로써 운전자 운행의 보조하는 역할을 기대한다. 실험 결과, 대부분 주행 가능한 도로 영역의 추적이 가능했으나 밤에 비가 심하게 오는 경우와 같은 악천후에서 차선이 정확하게 인식되지 않는 경우가 발생하여 이를 해결하기 위한 모델의 성능 개선이 필요하다.

• 유통과학연구
• /
• 제11권1호
• /
• pp.55-63
• /
• 2013

Purpose - As the members of the baby boomer generation have retired in earnest, the start-up market has received more attention than ever before. According to recent statistical data, an increasing number of entrepreneurs are in their fifties. There has been a continuous increase in promotional materials on small business issues published by start-ups. This means that senior start-ups have increased in number. A number of support systems have been established for youth start-ups, but there are few government support policies in place for the senior start-up market. Thus, this study suggests a number of constructive alternatives from the perspective of government policy and marketing strategy for entrepreneurs, in order to generate competitiveness in the start-up process, through examining the current state of the senior start-up and by diagnosing extant problems. Research design, data, methodology - This study gives a number of options regarding the government's support policies and the securing of competitiveness in order to vitalize senior business start-ups. As for the government's support policies, funding support policy, publicizing business start-up policies, and operating systematic mentoring policies before retirement have all been covered. In particular, in order for senior business start-ups to become competitive, development through mutual relations with diverse policies is urgently needed. The aging population is becoming an issue in Korea, so businesses for the aged, and the creation of jobs for these people, will become a social issue. Senior business start-ups are playing an important role in expanding enterprise productivity, in addition to enhancing national competitiveness. Expanding senior business start-ups is important, because they also serve to expand the national infrastructure. Productivity increase through continuous expansion is thus recommended. Results - In order to expand the competitiveness of business start-ups, marketing-related observations and learning in regard to customers are necessary for the baby boomer generation, and competitiveness for seniors is urgently needed. Conclusions - Studies on the business start-up policies for the domestic baby boomer generation are almost non-existent, and systematic studies on small businesses are necessary. Only the government is providing statistical studies for small businesses, and such research remains at a general level for entrepreneurs. Therefore, a support system that can actually assist entrepreneurs is essential. Continuous business start-up studies with respect to the baby boomers should be vitalized, to invigorate studies on competition. In order to supplement and strengthen foundational support, senior business start-ups must develop various competitive capabilities with a focus on the customer. The government and the various stakeholder agencies and organizations involved with start-up businesses must find ways to offer support to founders. Such support should include access to knowledge and legal and consultancy services in order to incubate the rapid increase in start-ups founded by seniors. Government support projects should be expanded to meet this end.

• 대한의용생체공학회:의공학회지
• /
• 제24권5호
• /
• pp.391-399
• /
• 2003

혈관내 산화는 급성 호흡 곤란 증후군 (ARDS)의 치료를 위해 관심을 갖고 있는 호흡보조방법이다. 그러나 ARDS 치료에 효과적인 임상적용을 위해서는 더 많은 기체교환을 통한 혈관내 산화가 필요했다. 본 연구에서는 헤모글로빈의 미세캡슐화가 혈액의 손상을 줄여줌으로 미세캡슐화를 통하여 진동형 혈관내 폐보조장치 (VIVLAD)의 기체교환을 향상시키고자 시도하였으며 또한 perfluorocarbone 유화액(PFC 유화액)을 사용하여 기체교환을 향상시키고자 하였다. 혈액 기체 측정은 순환장치의 정맥혈과 동맥혈 시료 채취구에서 채취하여 혈액./기체 분석기를 이용하여 수행하였다. Hemosome. 혈액/hemosome 혼합액과 혈액/PFC 유화액 혼합액의 기능은 혈액/기체 분석기를 사용한 산소 해리 곡선에 의하여 평가되었다. 그 결과. hemosome과 혈액/hemosome 혼합액의 산소 전달은 전혈의 산소전달보다 각각 더 효과적이었으며 또한 PFC 유화액의 이산화탄소 전달속도는 다른 용액들보다 우수하였다. 그러므로 hemosome 용액과 PFC 유화액은 산소전달속도와 이산화탄소 전달속도를 각각 향상시킬 수 있으리라 판단하였다.

• Geomechanics and Engineering
• /
• 제8권5호
• /
• pp.727-739
• /
• 2015

Reclamation of closed dumping grounds is a potential solution to solve land scarce problems. Traditional geotechnical investigations of closed dumping grounds face some problems, such as the emission of hazardous liquids and gases, and the lack of ground information due to the discontinuity between two boreholes. Thus, noninvasive and continuous investigation methods are needed to supplement traditional geotechnical investigations. In this paper, two types of geophysical investigation methods, Seismic Analysis of Surface Waves (SASW) and 2D Resistivity, were carried out to study noninvasive and continuous site investigations for dumping grounds. The two geophysical methods are able to profile the distribution of physical properties of the fill and original materials, by which the extent of the dumping ground can be found and some anomalies in the subsurface can be located. Boreholes were used to assist in locating the dumping material-ground interfaces. The results show that dumping material-ground interfaces obtained from the two geophysical methods are roughly consistent. Moreover, attempt is made in the paper to use the geophysical methods to classify the types of dumping materials. The results show that the classification of dumping materials using the geophysical methods follows the results of the manual sorting of the dumping materials from a borehole.

• Nutritional Sciences
• /
• 제5권2호
• /
• pp.103-110
• /
• 2002

In Korea, the school foodservice program has been expanding rapidly in recent years, partly as a result of increased government support. With the growth in the number of schools offering foodservice programs, food safety and sanitation concerns have been increasing. To assist with program improvement, a situation analysis was carried out, with the focus on equipment and sanitary management of school foodservice programs under flour different management systems. A questionnaire was mailed to the foodservice directors of 234 randomly selected schools chi[h included elementary, middle and high schools at the national level. Among them, one hundred and sixty-five responses reasonably completed were used for the analysis. This study classified each school's foodservice management into one of four types : independent-conventional, independent-commissary, contract-conventional, and contract-delivery. The results show that the monitoring of employees' health and personal hygiene, and employees' sanitary education was well conducted, but that the sanitary education of the voluntary parent workers was largely ignored. Eighty-six percent of the schools had their drinking water tested for sanitation, and the results showed that more effort is needed in careful management of drinking water in order to prevent foodborne illnesses and bacillary dysentery. In general, contract management showed lower scores in foodservice equipment and their efficiency, compared with independent management. A relatively high number of schools on the contract-delivery management system employed nurses and leachers instead of dietitians and foodservice directors. The adoption of the HACCP (Hazard Analysis Critical Control Point) system was lowest in contract-conventional and contract-delivery management systems, and highest in elementary schools using the independent-conventional system.

• Journal of Preventive Medicine and Public Health
• /
• 제37권4호
• /
• pp.321-328
• /
• 2004

Objectives : The purpose of this study was to investigate the effect of genetic polymorphism of cytochrome P450 2E1 (CYP2E1) and aldehyde dehydrogenase 2 (ALDH2) on the xylene metabolism. Methods : Among 247 workers, 116 were occupationally exposed to xylene and 131 were not. Workers exposed to xylene had different work such as spray, touch-up, mix & assist, and pre-treat. Questionnaire variables were age, sex, use of personal protective equipment, smoking, previous night's drinking and work duration. The urinary methylhippuric acid was measured in the urine collected in the afternoon and corrected by urinary creatinine concentration. The genotypes of CYP2E1 and ALDH2 were investigated by using PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism) methods with DNA extracted from venous blood. Results : 1. The urinary concentrations of o-, m-, and p-methylhippuric acid and total methylhippuric acid in the exposed group were significantly higher than those in the non-exposed group (p<0.001). 2. In multiple regression analysis, the urinary methylhippuric acid concentration was significantly influenced by exposure grade (Job-exposure matrixes), smoking, drug use and kind of protective equipment (p<0.1). 3. Genetic polymorphism of CYP2E1 and ALDH2 did not affect urinary methylhippuric acid level in the exposed group (p>0.05). Conclusions : Exposure grade, smoking, drug use and kind of protective equipment affected urinary methylhippuric acid level, whereas genetic polymorphism of CYP2E1 and ALDH2 did not. However, further investigation for the effect of genetic polymorphism on the metabolism of xylene with a larger sample size is needed.

• 보건행정학회지
• /
• 제28권3호
• /
• pp.315-319
• /
• 2018

This paper aims to make a step-by-step strategy to formulate an unified health system by clarifying and overcoming challenges facing South and North Korea and to estimate costs needed for South Korea to assist North Korea to recover to normal health delivery system. We explored implications through literature review and estimated costs under the assumption that supportive activities be provided for 5 years in three ways: support for the development of health and medical care manpower; support for health and medical facilities; and support for the provision of both preventive and primary health care. Step-by-step strategy is formulated for a unified health system with the cost estimation resulting as follows: in case of basic scenario, a total of 3 trillion and 341 billion won (at present value of the year 2017) is in need for the 5-year period at the initial 'recovery support stage' with 135.9 billion won for the development of health and medical care manpower, approximately 2 trillion won for health and medical facilities, and 1.2 trillion won for the provision of both preventive and primary health care. Step-by-step approach is more realistic and applicable in formulating unified health system. Suggested stages are 'recovery support stage,' 'system homogenization stage,' and 'unified system stage.' Strategies at 'recovery support stage' suggested in this paper need to be pursued and followed by those at 'system homogenization stage' and 'unified system stage.'