• Journal of Preventive Medicine and Public Health
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• 제29권1호
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• pp.51-65
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• 1996

The purpose of this study was to examine the trends of length of hospital stay (LOS), which is most likely to be a major attribute to hospital performance. From 1984 to 1994, an average LOS of each hospital was analyzed by factors such as medical departments, bed size, occupancy rate, region and ownership. This study was analyzed changing rate of LOS during 11 years. This rate was calculated by simple regression, which was used only with hospital without missing data during 11 years. This study findings are as follows. 1. The results indicated that the average LOS was steadily increased until 1990 but it was slightly decreased after 1990. 2. This trend could be found in all hospital scale and all group of occupancy rate. Specifically this trends of LOS were found in internal medicine, corporate owned hospitals, and hospitals in major city. But LOS of individual owned hospital was continuously increased until 1994. 3. Means of changing rates of LOS were calculated from 1984 to 1994. If we devided it into two parts, before 1990 and after 1990, most changing rates of LOS before 1990 except individual owned hospital were found positive sign. The changing rates after 1990 were negative sign but small hospital(lesser then 200 bed), individual owned hospital, national & public hospital and hospital in small urban have little change of LOS after 1990. Finally from this results we thought that most hospitals in Korea began to be concerned with LOS. Nevertheless LOS of several hospital such as small hospital or individual owned hospital was increased. And this trend may be caused by a few patients, low occupancy rate, or low profit. This trend of LOS is different from that of other countries. Perhaps this phenomenon is resulted from the reimbursement method. Because of fee for service reimbursement system in Korea the hospitals didn't need to shorten LOS in order to save the cost and increase the profit. Therefore reform of hospital cost reimbursement method will be needed to reduce hospital cost in Korea. We thought that the Korean health authority should consider the reimbursement method by unit of bundle of services, for example DRG and prepayment in the United States. This study presents some limitations such as no insight of severity of disease, case-mix measurement of hospital, and other clinical characteristics that can. possibly affect LOS. However, this study reports an important trend in LOS from 1984 to 1994.

• 한국전자통신학회논문지
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• 제13권1호
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• pp.221-228
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• 2018

빅데이터(Big data)는 제4차 산업혁명 시대를 맞이하여 과학, 기술, 산업, 사회분야에서 사물인터넷(IoT), 인공지능(AI), 클라우드(Cloud)와 더불어 공공분야와 민간분야를 아우르는 곳에서 중요한 키워드가 되고 있다. 빅데이터 기반의 서비스는 교통, 기상, 의료, 마케팅 등의 다양한 분야에서 제공되고 있다. 특히 스포츠 분야에서는 병원이나 재활센터가 아닌 훈련이나 일상 생활에서 생체 신호(Vital sign)를 측정할 수 있는 웨어러블 장치(Wearable device)의 등장으로 여러 형태의 생체 신호를 수집, 관리할 수 있게 되었다. 하지만 아직까지 스포츠분야, 즉 야구선수의 훈련(training)과 재활(rehabilitation)을 위한 웨어러블 장치에서 추출된 생체 신호를 가지는 빅데이터에 대한 연구가 활성화되지 못하고 있다. 따라서 본 논문에서는 야구선수에 대한 훈련, 특히 내야와 외야 수비선수에 대한 운동량 측정 생체신호를 빅데이터 기반으로 저장하고 분석할 수 있는 시스템에 대한 연구를 제안한다.

• 임상간호연구
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• 제15권1호
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• pp.5-17
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• 2009

Purpose: This study was to develop a factor-type patient classification system for general nursing unit based on nursing needs (KPCS; Korean patient classification system for nurses). Method: We reviewed workload management system for nurses(WMSN) of Walter Reed Medical Center, Korean patient classification system for ICU, and nursing activities in nursing records and developed the first version of KPCS. The final version KPCS was evaluated via validity and reliability verifications based on panel discussions and data from 800 patient classifications. Content validity was performed by Delphi method and concurrent validity was verified by the correlation of two tools (r=.71). Construct validity was also tested by medical department (p<.001), patient type (p<.001), and nurse intuition (p<.001). These verifications were performed from April to October, 2008. Results: The KPCS has 75 items in classifying 50 nursing activities, and categorized into 12 different nursing area (measuring vital sign, monitoring, respiratory treatment, hygiene, diet, excretion, movement, examination, medication, treatment, special treatment, and education/emotional support). Conclusion: The findings of the study showed sound reliability and validity of KPCS based on nursing needs. Further study is mandated to refine the system and to develop index score to estimate the necessary number of nurses for adequate care.

• 한국과학예술포럼
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• 제19권
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• pp.281-292
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• 2015

본 연구는 현재 종합병원 대기공간에서 사용 중인 안내사인의 시각요소(레이아웃, 서체, 컬러)와 디지털 안내사인의 요소(시간, 영상타임라인)에 대해 최근 5년 내에 디지털 안내사인을 설치한 병원을 선정하여 현황조사 및 사용자 선호도 조사, 현장 실험을 실시하였다. 현장조사 결과 색채의 경우 서로 상반되는 배경과 서체의 색을 이용하여 명시성을 높여 내용을 잘 파악할 수 있도록 제작하였으며, 서체는 상대적으로 가독성이 뛰어난 고딕서체를 사용하고 있었다. 또한 디지털 안내사인의 특징이라고 할 수 있는 시간과 영상 타임라인에서는 진료안내 혹은 병원 광고화면과 진료안내를 일정한 간격으로 보여주고 있었다. 사용자 만족도 조사 결과 대부분의 사용자들이 디지털 안내사인을 경험한 적이 많았으나, 안내사인의 회전 속도가 빠르거나 글자의 크기가 작아 안내사인에서 제공하는 내용을 파악하기 어렵다는 의견이 과반수를 넘었다. 하지만 사용자들은 디지털 안내사인에서 가장 많이 찾는 정보로는 진료과를 들었으며, 가장 중요하게 생각하는 정보 또한 진료과에 대한 응답이 가장 높게 나타났다. 이를 바탕으로 진행한 실험은 현재 사용되고 있는 디지털 안내사인의 디자인은 그대로 유지하면서 내용을 재구성한 새로운 샘플을 만들어 2~50대의 사용자를 대상으로 실시하였다. 모든 연령대에서 조건이 같고 서체크기가 클 경우, 찾고자 하는 정보를 약 3.5초 정도 빨리 찾을 수 있었다. 또한 사용자 연령에 따른 샘플 별 차이를 봤을 때 2-30대와 4-50대는 별로 서체크기가 작은 샘플에서 4.7초, 큰 서체 샘플에서는 6초의 시간차를 보여, 서체크기에 관계없이 모든 경우에 연령대별 화면 회전에 대한 실험 시간에 따른 격차가 매우 큰 것으로 나타났다.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2007년도 춘계학술대회 논문집
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• pp.71-72
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• 2007

In this study and design, I explore the visual communication design process related to wayfinding in Wonkwang University Hospital in Iksan City. The purpose for designing an integrated is to graphically communicate the complex information. I have designed a graphic information system combining graphic elements such as typography, color, image and text layout, and graphic image to present interpretive and communicative processes. As a result of designing, the wayfinding is s term used to describe the program of applying environmental graphics and or architectural sign systems. In other words, wayfinding is the art of helping people find their way by utilizing visual communications such as signs, directories, landmarks, edges, paths and so on. Wayfinding can also be explained as the ability to know where one is in space and how to find one's way through space. Wayfinding design then becomes a systematic arrangement of the variables that allows patients and visitors to successfully find their desired destinations, especially in a hospital.

• Journal of Korean Neurosurgical Society
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• 제55권3호
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• pp.173-177
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• 2014

Neurocysticercosis is the commonest parasitic disease of the human central nervous system. The incidence of intra ventricular form of neurocysticercosis (NCC) is less common accounting 10-20% that of total central nerve system cysticercosis. Intra ventricular NCC is complicated due, to its high incidence of acute hydrocephalus caused by ball valve mechanism. The only reliable tool for diagnosis of NCC is by neuroimaging with CT or MRI. MRI preferred over CT because of its high specificity and sensitivity. In emergency situations like acute hydrocephalus one can proceed with emergency endoscopic surgery. Through the endoscopic view, intra ventricular NCC (IVNCC) has distinguished morphological features like the full moon sign. This feature not only helps in identification of IVNCC, but also guides in further endoscopic treatment strategy. Authors report two cases of 3rd ventricular NCC with acute hydrocephalus managed with emergency endoscopy. Authors have discussed the clinical features, intra operative endoscopic findings and role of endoscopy in emergency surgery for NCC with acute hydrocephalus.

• Journal of Acupuncture Research
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• 제27권2호
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• pp.11-21
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• 2010

Objectives : We tried to investigate the effects of Carthami Semen(CF) pharmacopuncture and Bovis Calculus Fei Ursi(BU) pharmacopuncture on the heart rate variability(HRV) in adult men. As well as we tried to observe how CF pharmacopuncture and BU pharmacopuncture effect on the balance of the autonomic nervous system. Methods : We investigated on 40 healthy volunteers consisted of 20 subjects in CF pharmacopuncture group and 20 subjects in BU pharmacopuncture group respectively. We ruled out subjects whose vital sign isn't in normal range, yet they had taken a rest. The study established by a randomized, single-blind clinical trial. CF pharmacopuncture and BU pharmacopuncture was applied on each group. We measured HRV 7 times : baseline measurement and every 5 minutes for 30 minutes after injection. The SPSS 15.0 for Windows was used to analyze the data by the paired t-test(in group) and Independent sample t-test(between the groups). Results 1. After injection of CF pharmacopuncture, SDNN, Ln(TP), Ln(VLF) and Ln(LF) increased significantly, and Complexity, pNN50 decreased significantly. 2. After injection of BU pharmacopuncture, RMSSD, SDSD and HRV-index increased significantly. Conclusions : We suggest that CF pharmacopuncture activate sympathetic nervous system and BU pharmacopuncture tend to activate the autonomic nervous system.

• Imaging Science in Dentistry
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• 제45권1호
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• pp.55-60
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• 2015

Multiple myeloma is a clonal neoplastic proliferation of terminally differentiated B-lymphocytes involving the skeletal system in a multifocal fashion. Its oral manifestations are less common in the maxilla than in the mandible due to the lower amount of hemopoietic bone marrow in the maxilla. We report the case of a 50-year-old man who presented with a mass in the left maxillary alveolar region with tooth mobility. The mass had become enlarged after the teeth were extracted 15 days previously. Radiographs demonstrated multiple punched-out radiolucent lesions in the skull and pelvic region. Computed tomography images showed a soft tissue density mass in the left maxilla, eroding the floor and walls of the maxillary sinus. Although several analytical techniques were used to characterize the lesion, it was finally confirmed as multiple myeloma through immunohistochemistry.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 추계종합학술대회 B
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• pp.357-360
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• 2008

본 논문에서는 모바일 환경에서 무선센서노드의 라우팅와 질의응답이 가능하도록 실시간 쿼리 기능, 자율구성 네트워크, 다양한 생체 신호 모니터링을 설계 및 구현하였다. 센서노드에 부착 가능한 any devices(심전도, 혈압, 혈당모듈)는 의사나 건강관리 전문가가 특정한 모듈을 선택적으로 사용할 수 있도록 쿼리 프로세서를 설계하였다. 또한 이 프로세서를 이용하여 모바일 환경에서 자율구성 네트워크 토폴로지가 형성되는 모습을 제어할 수 있도록 하였다. 무선의료 디바이스를 이용한 생체신호는 실시간 분석을 하기 위해 서버 PC에서 분석하는 게 아니라 모바일로 먼저 분석하게 된다. 이는 휴대폰의 데이터 통신 비용을 절약하기 위해서 심전도, 혈압, 혈당과 같은 생체신호는 모바일에서 비정상 생체신호를 검출 후 정밀한 신호처리를 하기 위해서 서버에 보내지도록 구현하였다.

• Journal of electromagnetic engineering and science
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• 제3권1호
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• pp.45-49
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• 2003

Wireless life signal detecting system is implemented with using the mechanism of Doppler Effect. This system can measure the respiration and heart rates with the periodic movement of skin and muscle near the heart. The system is consisted of antenna, RF transmitter, receiver, and display part. We did use two operating frequencies at 1.9 ㎓ and 10 ㎓. Firstly, the link budget about detecting system is analyzed and the signal detected from the system is compared with electrocardiogram(ECG) of monitor which is using for patient monitoring in hospital. Secondly, the detection of vital sign is also performed according to the different distances, and including behind the wall.