• Title/Summary/Keyword: Improvement Devices

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A Study on the Effect Analysis and Improvement of Cardiopulmonary Resuscitation on Life-rafts (구명뗏목에서의 비상대응 심폐소생술의 효과 분석 및 개선에 관한 연구)

  • Lee, Chang-Woo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.4
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    • pp.433-440
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    • 2019
  • Offshore working environments such as ships, offshore oil and gas plants, and offshore wind turbines are isolated and directly exposed to rough seas, which pose high risks of safety accidents. Therefore, all workers in offshore plants should be able to cope with emergency situations and must be qualified according to relevant laws and regulations such as the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW Convention) and Offshore Petroleum Industry Training Organization (OPITO) standards. In particular, marine workers should be able to perform cardiopulmonary resuscitation (CPR) in isolated locations or enclosed and confined spaces such as those in life-boats, life-rafts, rescue-boats, etc. Because the floor material is made of rubber, it may be difficult to perform chest compressions in life-rafts used to escape from emergency situations in ships or offshore plants. Chest compressions performed on life-rafts may reduce the accuracy of CPR and increase fatigue for those providing aid. To measure the accuracy and fatigue of those performing CPR in life-rafts, 15 experimenters with more than five years of experience as first aid instructors were exposed to different CPR environments in a marine safety training center equipped with an artificial wave generator. The results showed that the accuracy of CPR in the classroom was 99.6 %, but that in various life-raft environments was only 84 %. T-verification of the two sites confirmed the reduced accuracy of CPR performed on life-rafts. CPR on life-rafts should be performed in groups of two and with the use of automated chest compression devices.

A Study on the Uniform Mixing of Ammonia-Air with the Change of Ammonia Supply Device Shape in a De-NOx System (탈질설비에서 암모니아 혼합기의 형상에 따른 암모니아-공기 균일 혼합에 관한 연구)

  • Ha, Ji Soo
    • Journal of the Korean Institute of Gas
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    • v.23 no.3
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    • pp.20-26
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    • 2019
  • Selective catalytic reduction(SCR) method is widely used among various methods for reducing nitrogen oxides in combustion devices of coal power plant. In the present study, the computational fluid dynamic analysis was accomplished to derive the optimal shape of ammonia-dilution air mixing device in a ammonia injection grid. The distribution characteristics of flow and $NH_3$ concentration had been elucidated for the reference shape of ammonia mixing device(Case 1). In the mixing device of Case 1, it could be seen that $NH_3$ distribution was shifted to the wall opposite to the inlet of the ammonia injection pipe. For the improvement of $NH_3$ distribution, the case(Case 2) with closing one upper injection hole and 4 side injection holes, the case(Case 3) with installing horizontal plate at the upper of ammonia injection pipe, the case(Case 4) with installing horizontal plate and horizontal arc plate at he upper of ammonia injection pipe were investigated by analyzing flow and $NH_3$ concentration distributions. From the present study, it was found that the % RMS of $NH_3$ for Case 4 was 4.92%, which was the smallest value among four cases, and the range of $R_{NH3}$ also has the optimally uniform distribution, -10.82~8.34%.

A Review of Improvements for Providing Safe and Secure Environments for Medical Treatment (안전한 진료환경 구축을 위한 정책 개선과제)

  • Choe, A Reum;Kim, Sung Eun;Baek, Kyoung Hee
    • Health Policy and Management
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    • v.29 no.2
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    • pp.105-111
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    • 2019
  • On December 31, 2018, an incident occurred where a doctor was attacked and killed by a patient carrying a lethal weapon in the outpatients' clinic of the psychiatric department of a tertiary general hospital. The suspect was diagnosed with bipolar affective disorder (manic depressive disorder) and has been hospitalized and cared for in the psychiatric ward of this hospital. This incident illustrates the necessity of more active cures and therapeutic intervention for mental patients with intellectual developmental disorders who require treatment considering the fact that a radical outcome has been caused by such a patient. However, on the other hand, there is also a need for an approach and analysis from the perspective of crime prevention for all medical departments. The reason for this is that even a tertiary general hospital equipped with the largest human resources, medical devices, facilities, and so forth, is susceptible to violence. As for illegal actions perpetrated against health and medical service personnel in medical institutions, such as verbal abuse, assault, injury, etc. there have neither been understanding shown for the current extent of damage in detail, nor discussions of active institutional improvement related to the seriousness of the act. It can be said that violence in the field of medical treatment is a realm requiring serious discussion and appropriate remedial actions. This is because when such incidents take place, if a patient who is supposed to get treatment from the damaged health care provider is in an urgent situation or on the waiting list of serious cases, he or she could suffer serious damage caused by deprivation of treatment opportunity, or secondary damage might be caused to the patient and/or a guardian who can hardly have an opportunity to take action. Accordingly, in this review, we would like to help create the necessary conditions for both health and medical service personnel and patients/guardians, respectively, to provide and receive medical treatment in a more secure environment. Therefore, objective assessment of the institution and issues relating to this aforementioned incident and general cases of violence occurring in medical institutions, and by suggesting legal and institutional improvements and solutions.

A Study for Comparison of Geometric Characteristics on Forearms for Improvement of Convinience in Splint Manufacturing with 3D Printing Technology (3D 프린팅 기술을 적용한 스플린트의 제작 용이성 향상을 위한 아래팔 기하 정보 비교에 관한 연구)

  • Chang, Ji Hong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.5
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    • pp.475-481
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    • 2019
  • A splint is one of assisting devices for the disabled with hemiplegia or contracture and is manually made by an experienced expert. Heated thermoplastic materials are continuously fitted to the affected part. This traditional method has a possible risk of low-temperature burn, quality variance of the splint due to the proficiency of maker. etc. While various approaches has been made using 3D printing technology in order to redeem those disadvantages, they still carry high cost issues with 3D scanners or accuracy issues with manual measurement. This research begins with symmetrical characteristics of human body and focuses on the preliminary study for the possibility of splint manufacturing with 3D printing technology based on geometric characteristics of unaffected arm. 3D right and left forearm models of healthy male adults were created by photogrammetry software and a series of digital images in order to measure the circumference and cross-sectional area of the forearm models at every 20mm from the elbow. The circumference and cross-sectional area showed tolerable levels of differences between both sides within subjects; The circumference and cross-sectional area showed very strong correlations between both sides within subjects. From these findings, the possibility of splint manufacturing with 3D printing technology could be confirmed based on the geometric characteristics of unaffected side.

Reliability of OperaVOXTM against Multi-Dimensional Voice Program to Assess Voice Quality before and after Laryngeal Microsurgery in Patient with Vocal Polyp (성대 용종 환자의 후두미세수술 전후 음성 평가에서 OperaVOXTM와 Multi-Dimensional Voice Program 간의 신뢰도 연구)

  • Kim, Sun Woo;Kim, So Yean;Cho, Jae Kyung;Jin, Sung Min;Lee, Sang Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.71-77
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    • 2020
  • Background and Objectives OperaVOXTM (Oxford Wave Research Ltd.) is a portable voice analysis software package designed for use with iOS devices. As a relatively cheap, portable and easily accessible form of acoustic analysis, OperaVOXTM may be more clinically useful than laboratory-based software in many situations. The aim of this study was to evaluate the agreement between OperaVOXTM and Multi-Dimensional Voice Program (MDVP; Computerized Speech Lab) to assess voice quality before and after laryngeal microsurgery in patient with vocal polyp. Materials and Method Twenty patients who had undergone laryngeal microsurgery for vocal polyp were enrolled in this study. Preoperative and postoperative voices were assessed by acoustic analysis using MDVP and OperaVOXTM. A five-seconds recording of vowel /a/ was used to measure fundamental frequency (F0), jitter, shimmer and noise-to-harmonic ratio (NHR). Results Several acoustic parameters of MDVP and OperaVOXTM related to short-term variability showed significant improvement. While pre-operative value of F0, jitter, shimmer, NHR was 155.75 Hz (male: 125.37 Hz, female: 183.37 Hz), 2.20%, 6.28%, 0.16, post-operative values of these parameter was 164.34 Hz (male: 129.42 Hz, female: 199.26 Hz), 2.15%, 5.18%, 0.14 Hz in MDVP. While pre-operative value of F0, jitter, shimmer, NHR was 168.26 Hz (male: 135.16 Hz, female: 201.37 Hz), 2.27%, 6.95%, 0.26, post-operative values of these parameters was 162.72 Hz (male: 128.267 Hz, female: 197.18 Hz), 1.71%, 5.36%, 0.20 in OperaVOXTM. There was high intersoftware agreement for F0, jitter, shimmer with intraclass correlation coefficient. Conclusion Our results showed that the short-term variability of acoustic parameters in both MDVP and OperaVOXTM were useful for the objective assessment of voice quality in patients who received laryngeal microsurgery. OperaVOXTM is comparable to MDVP and has high intersoftware reliability with MDVP in measuring the F0, jitter, and shimmer

The effect of plasma treatment to improve adhesion strength of parylene-C coated medical grade SUS304 (Parylene-C 코팅된 의료용 SUS304 소재의 결합력 향상을 위한 플라즈마 처리 효과)

  • Kim, Dong-Guk;Song, Tae-Ha;Jeong, Yong-Hoon;Kang, Kwan-Su;Yoon, Deok-kyu;Kim, Min-Uk;Woo, Young-Jae;Seo, Yo-Han;Kim, Kyung-Ah;Roh, Ji-hyoung
    • Journal of the Korean institute of surface engineering
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    • v.55 no.6
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    • pp.390-397
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    • 2022
  • Parylene-C which was mainly used for industries such as electronics, machinery and semiconductors has recently been in the spotlight in the medical field due to its properties such as corrosion resistance and biocompatibility. In this study we intend to derive a plan to improve the bonding strength of Parylene-C coating with the SUS304 base material for medical use which can be applied to various medical fields such as needles, micro needles and in vitro diagnostic device sensors. Through plasma pretreatment the bonding strength between Parylene-C and metal materials was improved. It was confirmed that the coated surface was hydrophobic by measuring the contact angle and the improvement of the surface roughness of the sample manufactured through CNC machining was confirmed by measuring the surface roughness with SEM. Through the above results, it is thought that it will be effective in increasing usability and reducing pain in patients by minimizing friction when inserting medical devices and in contact with skin. In addition it can be applied to various application fields such as human implantable stents and catheters, and is expected to improve the performance and lifespan of medical parts.

The Effect of Problem-Centered Learning Based STEAM Field Experience Learning Program on Science Process Skills, Creative Problem Solving Ability, and Scientific Attitude of Gifted Students in Elementary Science (문제중심학습 기반 STEAM 현장체험학습 프로그램이 초등과학 영재의 과학 탐구 능력, 창의적 문제해결력 및 과학적 태도에 미치는 영향)

  • Ko, Dong Guk;Hong, Seung-Ho
    • Journal of Korean Elementary Science Education
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    • v.40 no.1
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    • pp.113-125
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    • 2021
  • In this study, a problem-centered learning based STEAM field experience learning program was developed and the effects of applying it were investigated. The program was composed of 8 sessions by using problem-centered learning education method and integrating STEAM elements between disciplines. The contents of program are as follow. In the step of sharing problems and making a problem-solving plan, they understood the various examples and meanings of endangered species, explored the project activities, and made an inquiry plan. In the search and re-exploration phase, a smart device was used to investigate the appearance, habitat environment and cause of extinction for Clithon retropictus, and a site inquiry plan was established for each group. Then, they moved to the field to explore brackish-headed gallops and discuss ways to protect endangered species. In the step of creating a solution, a web-based report was produced as the final product using smart devices based on the results of the inquiry. In the presentation and evaluation stage, the produced web-based report was used to present each group, conduct mutual evaluation, and organize project activities. The developed program was applied to 6th grade 29 students enrolled in the J University Gifted Education Center. In order to find out the effectiveness of the program, tests of science process skill, creative problem-solving ability, and scientific attitude were conducted before and after of program learning, and the results were statistically analyzed by t-test. In addition, a STEAM program satisfaction test was conducted after project in order to find out the satisfaction of the class. As a result of application of the program, the results were significantly improved in openness, criticism, and creativity among the sub-factors of creative problem-solving ability and scientific attitude. Satisfaction with the STEAM program was also high, but no significant result was found in science process skill. Therefore, the program of this study could be influenced on improvement of creative problem-solving ability and scientific attitude of gifted students in elementary science.

Performance Improvement of Power Attacks with Truncated Differential Cryptanalysis (부정차분을 이용한 전력분석 공격의 효율 향상*)

  • Kang, Tae-Sun;Kim, Hee-Seok;Kim, Tae-Hyun;Kim, Jong-Sung;Hong, Seok-Hie
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.19 no.1
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    • pp.43-51
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    • 2009
  • In 1998, Kocher et al. introduced Differential Power Attack on block ciphers. This attack allows to extract secret key used in cryptographic primitives even if these are executed inside tamper-resistant devices such as smart card. At FSE 2003 and 2004, Akkar and Goubin presented several masking methods, randomizing the first few and last few($3{\sim}4$) rounds of the cipher with independent random masks at each round and thereby disabling power attacks on subsequent inner rounds, to protect iterated block ciphers such as DES against Differential Power Attack. Since then, Handschuh and Preneel have shown how to attack Akkar's masking method using Differential Cryptanalysis. This paper presents how to combine Truncated Differential Cryptanalysis and Power Attack to extract the secret key from intermediate unmasked values and shows how much more efficient our attacks are implemented than the Handschuh-Preneel method in term of reducing the number of required plaintexts, even if some errors of Hamming weights occur when they are measured.

Study on Improvement of Signal to Background Ratio of Laser-based Fluorescence Imaging System (레이저 기반 형광 영상 시스템의 Signal to Background Ratio 향상 연구)

  • Kim, J.H.;Jeong, M.Y.
    • Journal of the Microelectronics and Packaging Society
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    • v.27 no.4
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    • pp.107-111
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    • 2020
  • Recently, as an aging society progresses, a lot of interest in health and diagnosis is increasing, As the field of various bio-imaging systems for guided surgery capable of accurate diagnosis has emerged as important, a Fluorescence imaging system capable of accurate measurement and real-time confirmation has emerged as an important field. Fluorescence images currently being used are mainly in the NIR-I band, but many studies are in progress in the NIR-II band in order to improve resolution and confirm fluorescence deeply and accurately. In this paper, the difference between NIR-I and NIR-II, optical characteristics, and SBR (signal to background ration) of a fluorescent imaging system, was investigated using the finite element (FEM) method. After confirming, it was confirmed that the SBR was 16.2 times higher in the NIR-II area than in the NIR-I by making the skin phantom and measuring the fluorescence. It is confirmed that the enhancement in SBR of the Fluorescence imaging system is more effective in the NIR-II region than in the NIR-I region and expected to be used in application fields such as guided surgery, bio-sensor and also device which can detect the defect of optical devices.

A Study on the Factors Affecting User Behavior of Internet Medical Apps (인터넷 의료 애플리케이션 사용 행위에 영향을 미치는 요소에 관한 연구)

  • Han, Xiao;Lee, Hong;Kim, Hyeong-woo
    • Smart Media Journal
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    • v.9 no.4
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    • pp.81-90
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    • 2020
  • Due to the recent economic development and the improvement of income level in China, the desire for quality medical services is increasing compared to the past. As an alternative to satisfy these needs, various applications using smart phones and the like are being developed. The new corona that occurred in December 2019 began to show great interest in non-face-to-face telemedicine services using smart phones due to the worldwide spread of the coronavirus. Therefore, in this study, a total of 200 people were surveyed on the top three mobile medical applications in China, and the data of 120 people who actually used medical applications were analyzed based on Venkatesh's UTAUT2 theory. A study was conducted on the intent to use and the factors affecting the in-law behavior. First, it has become clear that the interactive characteristics, expectations for effort, price value, interest in privacy, habits, and promotional conditions have a positive impact on the user's use. Second, it was investigated that the user's intention to use influences the behavior of use, and among the intentions of use, it was found that the mobilization characteristic expectation, hedonistic motivation, price value, habits, and promotion conditions affect the use behavior. Third, a study result was derived that the controlling variables such as gender, age, school age, and annual income do not affect the user's intention to use mobile medical applications as a controlling variable. Finally, due to the nature of mobile devices that use the Internet, various security vulnerabilities exist, and this can cause great damage or personal and social impact. Therefore, for the development of mobile medical services in China, it is necessary to re-establish a research model through comprehensive and in-depth considerations to supplement these problems in the future.