• 한국병원경영학회지
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• 제6권1호
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• pp.107-119
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• 2001

There has been pointed out that a great portion of hospitalized patients stay in hospitals longer than necessary, often even after the completion of necessary care. This causes that hospital resources are not used efficiently. In order to identify underlying forces in postponing inpatients' discharge, this study aimed to investigate reasons for long-term stay of patients admitted in general hospitals. A total of 135 patients, who were staying at 7 general hospitals in Inchon and Kyonggi-Do for more than 60 days, were surveyed with a self-administered questionnaire between April 3 and April 10, 2000. Medical reasons including incompleteness of necessary care, difficulty in receiving outpatient-based care, and being under physical therapy were the most significant factors associated with long-term stay, followed by the lack of familial resources to take care of patients after discharge. Financial problems such as inability to pay for hospital bills were not significant factors influencing long-term stay. Regression analyses were conducted for medical reasons, familial resources, and financial problems, respectively. It was shown that receiving physical therapy and the number of admission in the past were significant predictors for medical reasons. The lack of familial resources as a reason for long-term stay had a positive relationship with the degree of need for aid in daily living. It may be recommended for the hospitals to cope with administrative problems due to the patients' long-term stay, considering the reasons of it, and their characteristics. And also, institutional efforts like vitalizing the home care service systems by hospitals as the continuing care after discharge should be needed.

• 한국의료질향상학회지
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• 제3권2호
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• pp.60-68
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• 1997

Background : Medical records are used to assess clinical performance of physicians and quality of care. The contents which are written in medical records are considered as the objective evidences to know what the doctors think about the patient's problems. But the problem to use medical records as the assessment tools is the incompleteness of medical recording. The purpose of this study is to know if the completeness of medical recording is correlated to quality of care for inpattients and it can predict physicians's quality of care. Method : 32 clinical physicians reviewed 200 patients' medical records who were selected randomly from the inpatients who were admitted to the university hospital during July, 1995 and June, 1996. The reviewers used the structured evaluation questionnaires which were composed of two part. One part evaluated the completeness of the medical recording and the other evaluating appropriateness of diagnosis and treatment processes. We summated the scores of each items and calculated percentile scores. Results : The mean percentile score of completeness of the medical recording was 67.9% in 1995 and 79.8% in 1996. The mean percentile score of appropriateness was 52.2% in 1995 and 69.5% in 1996. This change between 1995 and 1996 was statistically significant. In non-surgical patients, the percentile scores of the completeness and those of the appropriateness were correlated positively and this correlation was statistically significant(p<0.05). In surgical patients, the positve correlation between the completeness and the appropriateness was also statistically significant(p<0.05). Discussion : In conclusion, the completeness of medical recording is considered as the good predictor of the quality of care for inpatients.

• 천문학회지
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• 제35권4호
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• pp.197-208
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• 2002

Five contemporary pre-main sequence (PMS) evolution model grids are compared with the photo-metric data for a nearly complete sample of low-mass members in NGC 2264. From amongst the grids compared, the models of Baraffe et al. (1998) prove to be the most reliable in mass-age distribution. To overcome the limited mass range of the models of Baraffe et al. we derived a simple transformation relation between the mass of a PMS star from Swenson et al. (1994) and that from Baraffe et al., and applied it to the PMS stars in NGC 2264 and the Orion nebula cluster (ONC). The resulting initial mass function (IMF) of the ONC shows that the previous interpretation of the IMF is not a real feature, but an artifact caused by the evolution models adopted. The IMFs of both clusters are in a good agreement with the IMF of the field stars in the solar neighborhood. This result supports the idea proposed by Lada, Strom, & Myers (1993) that the field stars originate from the stars that are formed in clusters and spread out as a result of dynamical dissociation. Nevertheless, the IMFs of OB associations and young open clusters show diverse behavior. For the low-mass regime, the current observations suffer from difficulties in membership assignment and sample incompleteness. From this, we conclude that a more thorough study of young open clusters is necessary in order to make any definite conclusions on the existence of a universal IMF.

• 한국정보처리학회논문지
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• 제3권7호
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• pp.1781-1791
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• 1996

전문가시스템의 지식획득, 적합한 추론기구의 설계 및 구현, 지식의 정제 등 다단계 과정으로 이뤄져 있다. 각각을 하나의 연구이슈로 다양한 연구가 진행되어 왔으나 전체를 하나로 연계해 통합적 개발에 관해서는 상대적으로 연구가 활발히 진행되지 못한 실정이다. 지식획득은 전문가에 의해 수행되는 추론과정에서 특징 응용분야의 필요한 지식이 전달되어야 하므로 시식획득과 추론을 서로 밀접한 연관성을 갖는다. 지식의 정제는 추론과정에서 일어나는 문에의 제기와 이의 해결을 통해 지식베이스의 불완전하거나 논리적 모순을 찾아 해결함으로 지식베이스를 보다 완벽하고 정확한 것으로 만드는 것이다. ㅂㄴ 연구에서는 서로 연관된 다단계 과정이 통합적으로 개발될 수 있는 환경의 설저엥 대한 하나의 방안을 제시하려한다. 특히 도메인 모델이 잘 정립되기 어려운 분야에 학습기법을 활용햇 초기 지식 베이스를 구성할 수 있는 점진적 지식획득방법과 이를 통해 만들어진 지식베이스 규칙들을 학습기법의 일종인 개념적 클러스터링 기법을 이용하여 규칙모델을 구축하고 이를 이용해 효율적인 추론이 가능하게 하며, 지식획득 과정에서는 규칙의 오류를 제시할 수 있고 이에 대한 규칙의 수정이나 새로운 규칙이 기존의 지식구조에 합당한지를 결정하는 통합적 설계방안에 대해 연구한다. 지식의 정제는 설명기구와 규칙모델을 활용하여 문제의 원인을 찾고 해결점을 제시해 그에 대한 유효성을 검증합으로 이뤄지게 한다.뤄지게 한다.

• 한국지능시스템학회논문지
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• 제5권3호
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• pp.117-127
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• 1995

본 논문에서는 ART-II 경쟁학습 신경망과 퍼지추론을 이용하여 동일한 물체를 연속적인 영상열에서 정합 시킴으로서 움직임을 분석하는 방법을 제시한다. 영상분할을 통해 얻을 수 있는 영역의 크기가 평균광도를 이용하여 영역단위의 정합을 수행하고, 영역의 모양을 표현하기 위한 특징점을 선택하기 위하여 입력패턴들의 위상을 나타날 수 있는 ART-II 경쟁학습 신경망을 사용하였다. 선택된 특징점들의 정합을 통해 각 물체에 대한 움직임 벡터를 구한다. 그러나 3차원적 실제세계의 사영인 2차원 영상은 영상 자체의 불완전성과 물체에 대한 정보를 얻기 위하여 사용되는 영상분할의 잘목스오 인한 오류 때문에 움직임 추정 과정에서 모호성이 발생한다. 이러한 움직임 분석과정에서 나타나는 불확실성을 처리하기 위하여 퍼지추론을 사용하여 신뢰도를 표현함으로써 이동 물체와 음직임 벡터를 추출하였다.

• 한국ITS학회 논문지
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• 제18권6호
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• pp.11-30
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• 2019

교통카드 데이터는 다양한 대중교통 통계 지표 산출, 정책 및 평가를 위한 자료로 활용되어 그 활용범위가 상당히 높다. 그러나 교통카드 데이터 내 주요 문제점은 하차 정류장에서 태그를 안 하고 하차하는 경우가 대부분으로 이는 교통카드 이용자의 불완전한 OD 통행 자료로 활용범위에 있어 한계가 있다. 본 연구는 의사결정 모델 기반 교통카드 데이터 하차 정류장 추정 방법을 적용한 결과 오차 범위 2개 정류장 이하에서 하차 정류장 추정 정확도는 89.7%으로 분석되었다. 이를 통하여 교통카드 데이터의 불완전성을 해소함으로써 다양한 대중교통 분석 및 평가 등에 대한 기초 자료로 활용 될 수 있을 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3265-3269
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• 2016

Background: Around half of input data in the global burden of disease cancer collaboration (GBD-CC) and GLOBOCAN projects come from low quality sources, mainly from developing countries. This may lead to loss of precision in estimates. Our question was: Are the absolute values and trends of the GBD-CC and GLOBOCAN estimates for lung cancer (LC) in Iran consistent with available statistics?. Materials and Methods: Incidence and mortality statistics were extracted from national reports (N.IRs & N.MRs) and GBD-CC (GBD-incidence & mortality) and GLOBOCAN databases for 1990-2013 where available. Trends were analyzed and absolute values and annual percentage changes (APCs) were estimated and compared. Incompleteness of case ascertainment at the Iranian national cancer registry and Iranian national civil registration was assessed for better understanding. Results: Trends of N.IRs were significantly rising for males (APC: 19.4; 95% CI: 12.5-26.7) and females (23.2; 16.0-30.8). Trends of GBD-incidence were stable for males (-0.2; -1.5-1.1) and females (-1.0; -2.3-0.4). Absolute N.IRs were less than GBD-incidence steadily except for 2009. Trend of N.MRs was increasing up to 2004, but stable thereafter. Trends of GBD-mortality were also stable. Absolute N.MRs were less than GBD-mortality for years up to 2003 and more than GBD-mortality since 2005. The estimates of GLOBOCAN were more than N.IRs and N.MRs. Conclusions: The GBD-CC and GLOBOCAN values for LC in Iran are underestimates. Generation of data quality indices to present along with country specific estimates is highly recommended.

• Journal of Chest Surgery
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• 제19권4호
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• pp.606-617
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• 1986

During the period from November 1981 through June 1986, 18 cases of coronary arterial bypass graft were performed at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital. They consisted of 13 males and 5 females with the mean age of 49 [range: 28-69 years]. History of myocardial infarction was noted in 50% of the patients and cardiomegaly on chest PA in 2 patients with preserved LV function. On resting EKG, except the evidences of old myocardial infarction, the findings of LVH were noted in 7 cases, acute myocardial infarction in 2, diffuse myocardial ischemia in 1, and significant ventricular arrhythmia in 2 cases. The angina by type of presentation is stable in 3 patients, unstable in 15 patients with resting, postinfarction and progressive angina as the criteria of unstability. The patterns of involvement of significant disease were single vessel involvement [5 cases] double vessel involvement [8 cases], and triple vessel involvement [5 cases] including 5 cases of left main coronary arterial diseases. The pattern of coronary arterial disease in individual patient was one or more stenosis of the proximal left coronary arterial system with or without right coronary involvement, in every case. We performed 9 cases of double bypass and 9 cases of triple bypass with great saphenous vein using single anastomosis technique except in 4 cases, One of the 4 cases is our first case, sequential anastomosis between LAD and diagonal was performed due to shortage of the prepared vein graft. In the other 3 cases, our latest experience, we adopted the left internal mammary artery for the left anterior descending coronary revascularization. The distribution of sites of distal anastomosis revealed more striking predilection to LAD, showing our attention on the significance of the revascularization of LAD system. The ischemic time was 35 minutes per graft and mean number of grafts per patient was 2.5. Of the 18 patients, 13 [77.2%] had complete revascularization, and incomplete in 5 cases with the causes of incompleteness as presented. The early results of operation were as followed: surgical death in 2 [11%], perioperative infarction 2 [11%], need of inotropic support 5 [28%], arrhythmia 2 [11%], wound problem, bleeding, and emotional dysfunction. The actuarial anginal free survival during the period of 6 months through 2 years was 85.2% with excellent symptomatic control according to the angina classification of Canadian Cardiovascular Society.

• 한국치위생학회지
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• 제10권6호
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• pp.1095-1105
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• 2010

Objectives : This paper is designed to help the public prevent their future dental caries, based on the studies of xylitol about it's efficacy and effectiveness, and its appropriate usage. Methods : This study of xylitol on the basis of existing research papers and literature is not only to learn about the mechanism of what xylitol acts, but also to search the effectiveness of incompleteness of xylitol-containing foods, bacterial infection between xylitol and mother-baby, and the side-effects of xylitol. Results : 1. Xylitol's continuous intake of teeth effects the decrease of calculus amount, cleanness of teeth, as well as the remineralization process. The xylitol effect varies depending on the weight of xylitol, which has no effect on root caries. 2. Mouth gargle solution is higher resistant against acids; recalcification is significantly reduced; and remineralization effect represents. 3. It is reported that regular consumption of xylitol by mothers just during two years after birth has significantly decreased the spread possibility of mutans streptococcei. 4. The reduction of dental caries by xylitol is happened by its restraining the growth of bacteria resource caries, with their presence in amount of uncontrolled growth. 5. When a small amount of eating xylitol is absorbed slowly into gastrointestinal tract, being followed by glucose metabolism in the liver, while its excessive amount of eating can cause gastrointestinal problems. Conclusion : Dental hygienists should be required to provide dental information to the public on the basis of academic knowledge. In situation that one is not yet sure of xylitol on solid and multifaceted researches, there must be needed more accurate and detailed reviews on the side-effects of xylitol and the overall impact on the oral environments.

• 분석과학
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• 제13권6호
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• pp.743-750
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• 2000

라듐 및 라돈과 같은 환경 방사성 핵종의 분석 방법 중 HPGe 검출기를 이용한 감마선 분광 분석법은 대부분 플라스틱 용기를 많이 이용하고 있다. 그러나 플라스틱 용기는 대기 중 라돈 딸 핵종의 흡착에 의해 백그라운드가 증가할 뿐만 아니라 방사 평형 과정에서 생성된 기체 상의 라돈의 손실에 의하여 완전한 방사 평형에 도달하지 않는다는 것이다. 이러한 문제점을 해결하기 위하여 알루미늄 재질의 측정 용기를 제작하였고, 그 특성을 조사하였다. 알루미늄 용기를 이용하여 방사 평형 과정을 조사한 결과, 고체 및 액체 시료 모두 기체 상태의 라돈 손실 없이 라듐과 그 딸핵종들이 측정 용기 안에서 완전한 방사 평형에 도달하는 것을 알았다. 또한 감마선 분광 분석법을 이용한 고체 및 액체 시료 중의 라듐 및 라돈의 비파괴 분석이 가능함을 확인하였다.