• Journal of Digital Convergence
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• v.11 no.5
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• pp.371-384
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• 2013

The purpose of this study was to develop the risk-adjusted mortality model using Korean Hospital Discharge Injury data and US National Hospital Discharge Survey data and to suggest some ways to manage hospital mortality rates through comparison of Korea and United States Hospital Standardized Mortality Ratios(HSMR). This study used data mining techniques, decision tree and logistic regression, for developing Korea and United States risk-adjustment model of in-hospital mortality. By comparing Hospital Standardized Mortality Ratio(HSMR) with standardized variables, analysis shows the concrete differences between the two countries. While Korean Hospital Standardized Mortality Ratio(HSMR) is increasing every year(101.0 in 2006, 101.3 in 2007, 103.3 in 2008), HSMR appeared to be reduced in the United States(102.3 in 2006, 100.7 in 2007, 95.9 in 2008). Korean Hospital Standardized Mortality Ratios(HSMR) by hospital beds were higher than that of the United States. A two-aspect approach to management of hospital mortality rates is suggested; national and hospital levels. The government is to release Hospital Standardized Mortality Ratio(HSMR) of large hospitals and to offer consulting on effective hospital mortality management to small and medium hospitals.

• Journal of Korean Society of Disaster and Security
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• v.16 no.4
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• pp.75-84
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• 2023

Many developing countries face challenges in estimating long-term discharge due to the lack of hydrological data for water supply planning, making it difficult to establish a rational water supply plan for decision-making on water distribution. The study area, the Bandung region in Indonesia, is experiencing rapid urbanization and population concentration, leading to a severe shortage of freshwater. The absence of water reservoir prediction methods has resulted in a water supply rate of approximately 20%. In this study, we aimed to propose an approach for predicting water reservoirs in developing countries by analyzing water safety and potential water supply using the MODSIM (Modified SIMYLD) network model. To assess the suitability of the MODSIM model, we applied the unit hydrograph method to calculate long-term discharge based on 19 years of discharge data (2002-2020) from the Pataruman observation station. The analysis confirmed alignment with the existing monthly optimal operation curve. The analysis of power plant capacity revealed a difference of approximately 0.30% to 0.50%, and the water intake safety at the Pataruman point showed 1.64% for Q95% flow and 0.47% for Q355 flow higher. Operational efficiency, compared to the existing reservoir optimal operation curve, was measured at around 1%, confirming the potential of using the MODSIM network model for water supply evaluation and the need for water supply facilities.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.245-257
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• 2015

This study was to develop the predictive model for severity-adjusted mortality of inpatients with multiple chronic conditions and analyse the factors on the variation of hospital standardized mortality ratio(HSMR) to propose the plan to reduce the variation. We collect the data "Korean National Hospital Discharge In-depth Injury Survey" from 2008 to 2010 and select the final 110,700 objects of study who have chronic diseases for principal diagnosis and who are over the age of 30 with more than 2 chronic diseases including principal diagnosis. We designed a severity-adjusted mortality predictive model with using data-mining methods (logistic regression analysis, decision tree and neural network method). In this study, we used the predictive model for severity-adjusted mortality ratio by the decision tree using Elixhauser comorbidity index. As the result of the hospital standardized mortality ratio(HSMR) of inpatients with multiple chronic conditions, there were statistically significant differences in HSMR by the insurance type, bed number of hospital, and the location of hospital. We should find the method based on the result of this study to manage mortality ratio of inpatients with multiple chronic conditions efficiently as the national level. So we should make an effort to increase the quality of medical treatment for inpatients with multiple chronic diseases and to reduce growing medical expenses.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.33 no.2
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• pp.537-548
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• 2013

In this study, the hydraulic channel routing model was constructed to analysis the effect of flood control with the operation of Chungju Dam for 2006 flood. Study area was divided with up- and downstream of Chungju Dam in the upper Han River of Paldang Dam. The model was calibrated and verified for the flood event of 1995-2008. The effects of flood control of Chungju Dam were compared with the simulation results without the dam, and the rising effects of stage in the main observation stations were analyzed by the variation of released dam discharge. Consequently, the operation of Chungju Dam for 2006 flood was performed properly, but the effects of flood control of Chungju Dam were so focused in downstream of the dam that institutional complement was demanded to reduce the flood damage in the upper region of the dam. The limit of decision rule of downstream stage in the backwater region of dam was analyzed to solve the problem, and the decision rule of downstream stage was proposed to consider the discontinuity between the backwater region of dam and the design flood of upper stream. The proposed rule will be used to design the reduction of flood damage in upper stream of dam and to apply the analysis of region for flood damage.

• Journal of Trauma and Injury
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• v.27 no.2
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• pp.13-19
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• 2014

Purpose: In general, X-ray examinations are not recommended for radial head subluxation (pulled elbow) patients. The purpose of this study was to determine the frequency of X-ray examinations and to investigate the factors associated with the decision to perform an X-ray examination on a patient with a pulled elbow. Methods: Patients who visited the pediatric emergency department (ED) of one tertiary hospital from January 1, 2011, to December 31, 2012, with a diagnosis of radial head subluxation at discharge were enrolled in this study. Through retrospective chart reviews, factors that could have influenced the decision to perform an X-ray examination and their statistical relevance were analyzed. Results: A total 308 patients were enrolled, and 101 patients (32.8%) underwent X-ray examinations. Among the 252 patients with a typical pulled elbow, 65 underwent X-ray examination. This result showed statistical significance compared to atypical pull-elbow group (25.8% vs. 64.3%, p<0.001). Factors associated with the decision to perform an X-ray examination were analyzed using the Chi-square test and the Fisher's exact test. The mechanism of injury and consultation with an orthopedic surgeon (p=0.001) showed statistical significance. In the multivariable logistic regression, the odds ratio (OR) for the injury mechanism was 4.7 (95% CI: 1.8~8.8, p<0.001) and that for consultation with an orthopedic surgeon was 8.0 (95% CI: 1.6~40.7, p=0.004). Conclusion: One third of patients with a pulled elbow underwent X-ray examination, and patients with an atypical mechanism of injury underwent more frequent X-ray examinations than did patients with a typical mechanism of injury. The factors that could have influenced the decision to perform an X-ray examination were mechanism of injury and consultation with an orthopedic surgeon.

• Journal of Digital Convergence
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• v.11 no.9
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• pp.229-238
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• 2013

Out-of-hospital cardiac arrest is a major public health problem in Korea. The survival rate to discharge remains at approximately 3.5% and only 1% have good neurological function. To increase the survival rate, prehospital care should restore spontaneous circulation. The purpose of this study was to analyze the factors associated with return of spontaneous circulation(ROSC) after out-of-hospital cardiac arrest. Data used for this study were collected from KCDC Out-of-Hospital Cardiac Arrest Surveillance 2009. As for the results of decision tree analysis, it is clear that prehospital CPR, cardiac arrest witness, activity, past history(cancer/heart disease/stroke), place, bystander CPR, response time, age, etc are significant contributing factors in ROSC. Among 16 cardiac arrest types from decision tree classification, the ROSC rate of type 1 is the highest(29.6%). Also notable is the fact that bystander CPR was strongly correlated with ROSC of patents with cardiac arrest occurring in non-public places. Community resources should be concentrated on increasing bystander CPR and early prehospital emergency care.

• The Journal of the Korea Contents Association
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• v.8 no.10
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• pp.198-207
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• 2008

The purpose of this study supplies the basic data to plan the optimum mental health service that is reflected needs of the elderly people with mental illness by checking how their demographic-sociological distinctive feature and function level have an effect on their needs of mental health service by being absent situation of a study of the elderly people with mental illness. As results of analysis, the residental type, the disease period, and the decision person of admission-discharge control of demographic-sociological distinctive feature is much effect on needs of programs and also effect commonly on the needs of the health promotion program and the discharge support program. Generally, the function level of the elderly people with mental illness is favorable and the order of function level is the group activity program, the counseling program, and the resource network program.

• Journal of Digital Convergence
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• v.10 no.1
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• pp.413-422
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• 2012

In this study, we developed the severity-adjusted length of stay (LOS) model for acute myocardial infarction patients using data from the hospital discharge survey and proposed management of medical quality and development of policy. The dataset was taken from 2,309 database of the hospital discharge survey from 2004 to 2006. The severity-adjusted LOS model for the acute myocardial infarction (AMI) patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of AMI patients were CABG and comorbidity. The difference between severity-adjusted LOS from the ensemble model and real LOS was compared and it was confirmed that insurance type and location of hospital were statistically associated with LOS. And to conclude, hospitals should develop the severity-adjusted LOS model for frequent diseases to manage LOS variations efficiently and apply it into the medical information system.

• Journal of Korean Society on Water Environment
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• v.31 no.3
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• pp.295-303
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• 2015

In Korea, Total Maximum Daily Loads(TMDLs) has been enforced to restore and manage water quality in the watersheds. However, some assesment of implementation plan of TMDLs showed that the achievement of the target water quality is not related to the proper allocation loads because difference of flow duration interval. In the United States, the discharge loads are determined by water quality modeling considering standard flow conditions according to purpose. Therefore, this study tried to develop the allocation method considering economical efficiency using water quality model. For this purpose, several allocation methods being used in the management of TMDLs is investigated and develope an allocation criteria considering regional equality and uniformity. Since WARMF(Watershed Analysis Risk Management Framework) model can simulate the time varying behavior of a system and the various water quality variables, it was selected for a decision support system in this study. This model showed fairly good performance by adequately simulating observed discharge and water quality in Miho watershed. Furthermore, the scenario simulation results showed that the effect of annual average water quality improvement to remove 1kg BOD is more than 25 times, even if point pollutants treatment facility is six times more expensive to operate than non-point pollutants treatment facility.

• Proceedings of the KIEE Conference
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• 2006.07b
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• pp.1203-1204
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• 2006

Recently, utility network is getting more and more complicated and huge. In addition to, demands of power conversion devices which have non-linear switching devices are getting more and more increased. Consequently, according to the non-linear power semiconductor devices, current harmonics are unavoidable. Those current harmonics flow back to utility network and become one of the reasons which make the voltage distortion. On the other hands, voltage sag from sudden increasing loads is also one of the terrible problems inside of utility network. In order to compensate the current harmonics and voltage sag problem, AF(Active Filter) systems could be a good solution method and SMES(Superconducting Magnetic Energy Storage) system is a very good promising source due to the high response time of charge and discharge. Therefore, the combined system of AF and SMES is a wonderful device to compensate both harmonics current and voltage sag. However, unfortunately SMES needs a superconducting magnetic coil. Because of the introduction of superconducting magnetic coil, quench problem caused by unexpected reasons is always existed. In case of discharge operation, quench is a significantly harmful factor according as it decreases the energy capacity of SMES. Therefore, this paper presents a decision method of the specification of the AF-SMES system considering internal fault condition. Especially, authors analyzed the change of the original energy capacity of SMES regarding to the size of resistance caused by quench of superconducting magnetic coil. Finally, based on this simulation, authors manufactured actual Active Filter System using DSP.