• Title/Summary/Keyword: Monitoring Period

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The Surveillance of Adverse Drug Reactions (ADR) Reported in Samsung Medical Center (삼성서울병원에서 보고된 의약품 부작용의 현황 조사)

  • Cho, Jeong Ah;Lee, Hu Kyung;Sohn, Kie Ho;Choi, Kyung Eub
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.1
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    • pp.30-37
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    • 2000
  • Adverse drug reactions (ADR) may result in increased hospital admissions, morbidity and mortality, adding extra cost to healthcare expenditures. Thus, it is critical to activate ADR monitoring and reporting program in tertiary hospitals in developing countries such as Korea. This study was performed to identify the types of ADR being reported in a tertiary hospital, Samsung Medical Center, and to find out the ways to improve current ADR monitoring system. Of 464 ADR reports submitted to the pharmacy department during the 6-month survey period, $97.8\%$ of the reports were from out patient and $48.5\%$ were from patients aged between 50 and 60. The medical department with the highest frequency in ADR reporting was Internal Medicines $(35.6\%)$. The most common ADR manifestations were gastrointestinal complaints $(43.4\%)\;and\;75\%$ of the reported cases were mild in their severity. The most common drugs suspected of causing ADR were CNS drugs which accounted for $32.8\%$. In terms of causality assessment, $85.1\%$ of the reports were probable cases by WHO causality assessment criteria. In regards to sources of report, $75.6\%$ of ADR were reported by physicians and $24.4\%$ by nurses. There were no ADR reported by pharmacists. In conclusion, there is an urgent need to improve ADR monitoring system for inpatient and to motivate pharmacist involvement in ADR monitoring and reporting in Korea.

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Android based Reagent Cabinet Safety Management System (안드로이드 기반 시약장 안전 관리 시스템)

  • Choi, Hyungwook;Min, Gyeongbae;Lee, Jongwon;Jung, Hoekyung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.579-580
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    • 2017
  • Recently, as safety accidents by reagents increase in laboratories, systems are being developed to safely manage reagents. The existing system monitoring and manages the reagent through the web page, but the internal environment change of the reagent cabinet is considered or the remote monitoring and control function is insufficient. In order to solve this problem, this paper predicts the deterioration of the reagent loaded in the reagent cabinet. And we propose a system that can monitoring and control remotely. It predicts the deterioration of the reagent through the temperature attached to the inside of the reagent cabinet, the value measured by the humidity sensor and the validity period of the reagent, and sends a alert message to the manager. The manager monitoring and controls the reagent cabinet through the application. By predicting the deterioration of the reagents and remotely managing the reagents cabinet it is thought that safety accidents can be reduced.

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Evaluation of Total Parenteral Nutrition in Tertiary Hospital (3차병원에서의 TPN 사용의 적정성 점토)

  • Min, Kyoung A;Sohn, Ki Ho;Suh, Ok Kyung;Choi, Kyung Eob
    • Korean Journal of Clinical Pharmacy
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    • v.8 no.1
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    • pp.35-46
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    • 1998
  • A retrospective study was conducted to evaluate the appropriateness of total parenteral nutrition (TPN) for 200 hospitalized adult patients in Samsung Medical Center from January 1st in 1995 to June 31st in 1997. Standard criteria were modified and determined from those stated by AJHP (American Journal of Health System Pharmacy) and ASPEN (American Society of Parenteral and Enteral Nutrition). The justification for indications was appropriate in $35\%,\;44\%,\;and\;32\%$ of the patient's in 1995, 1996, and 1997, respectively, without significant improvement over the last two and half years. Before and during the administration of TPN, several monitoring indicators were well documented, and monitoring frequencies were increased over two and half years period. However, the majority of the monitoring indicators were not found in the standard criteria range of $90\%$. The monitoring indicators for electrolyte balance, $PO_4$ and Mg, were not measured appropriately and resulted in the complications which could have been prevented. The indicator for lipid tolerance, triglyceride and the indicator for hemorrhagic incidence, prothrombin time (PT), were not well documented in comparison with other indicators. The indicators for the improvement in nutritional status, albumin and total protein, were appropriate in $90\%$ of the patients. Determination of TPN formula was based on the laboratory data and chart reviews, and it was appropriate in $98\%$. But the administration of lipid and vitamin K for the prevention of essential fatty acid deficiency and hemorrhage, respectively, was not carried out appropriately when the administration of TPN was prolonged, lasting more than 7 days. When a patient returned to oral or enteral feeding, TPN was terminated. However, increase in albumin level or weight was rarely observed. In conclusion, healthcare professionals should all work as a team and active participation to provide optimized nutrition support for partners.

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Real-Time Monitoring of ECG Signal under Ubiquitous Environment (유비쿼터스 환경 하의 실시간 심전도 신호 모니터링)

  • Kim, Jungjoon;Kim, Jin-Sub;Ryu, Chunha;Kim, Jeong-Hong;Park, Kil-Houm
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38B no.9
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    • pp.728-735
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    • 2013
  • In this paper, we present a method of transmitting ECG signals in real-time mobile environment to be possible to implement the ubiquitous healthcare system. Because of the excessive amount of data transmission of ECG signals, it is necessary to propose a limitation to the real-time transmission. We propose a real-time electrocardiographic monitoring system based on the proposal of unusual waveform detection algorithm which detects the R-wave distortions from the arrhythmia ECG signals having unusual waveform of about 10% on average. It is very effective in terms of time and cost for medical staffs to monitor and analyze ECG signals for a long period of time. Monitoring unusual waveform by gradually adjusting the threshold values of potential and kurtosis makes the amount of data transmitted decrease and significance level of waveform to be enhanced. The unusual waveform detection algorithm is implemented with ubiquitous environment inter-working device client. It is applicable to ubiquitous healthcare system capable of real-time monitoring the ECG signal. While ensuring the mobility, it allows for real-time continuous monitoring of ECG signals.

Evidences of in Situ Remediation from Long Term Monitoring Data at a TCE-contaminated Site, Wonju, Korea

  • Lee, Seong-Sun;Kim, Hun-Mi;Lee, Seung Hyun;Yang, Jae-Ha;Koh, Youn Eun;Lee, Kang-Kun
    • Journal of Soil and Groundwater Environment
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    • v.18 no.6
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    • pp.8-17
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    • 2013
  • The contamination of chlorinated ethenes at an industrial complex, Wonju, Korea, was examined based on sixteen rounds of groundwater quality data collected from 2009 to 2013. Remediation technologies such as soil vapor extraction, soil flushing, biostimulation, and pumping-and-treatment have been applied to eliminate the contaminant sources of trichloroethylene (TCE) and to prevent the migration of TCE plume from remediation target zones. At each remediation target zone, temporal monitoring data before and after the application of remediation techniques showed that the aqueous concentrations of TCE plume present at and around the main source areas decreased significantly as a result of remediation technologies. However, the TCE concentration of the plumes at the downstream area remained unchanged in response to the remediation action, but it showed a great fluctuation according to seasonal recharge variation during the monitoring period. Therefore, variations in the contaminant flux across three transects were analyzed. Prior to the remediation action, the concentration and mass discharges of TCE at the transects were affected by seasonal recharge variation and residual DNAPLs sources. After the remediation, the effect of remediation took place clearly at the transects. By tracing a time-series of plume evolution, a greater variation in the TCE concentrations was detected at the plumes near the source zones compared to the relatively stable plumes in the downstream. The difference in the temporal profiles of TCE concentrations between the plumes in the source zone and those in the downstream could have resulted from remedial actions taken at the source zones. This study demonstrates that long term monitoring data are useful in assessing the effectiveness of remediation practices.

Early Shell Crack Detection Technique Using Acoustic Emission Energy Parameter Blast Furnaces (음향방출 에너지 파라미터를 이용한 고로 철피균열의 조기 결함탐지 기술)

  • Kim, Dong-Hyun;Lee, Sang-Bum;Bae, Dong-Myung;Yang, Bo-Suk
    • Journal of the Korean Society for Nondestructive Testing
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    • v.36 no.1
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    • pp.45-52
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    • 2016
  • Blast furnaces are crucial equipment for steel production. A typical furnace risks unexpected accidents caused by contraction and expansion of the walls under an environment of high temperature and pressure. In this study, an acoustic emission (AE) monitoring system was tested for evaluating the large-scale structural health of a blast furnace. Based on the growth of shell cracks with the emission of high energy levels, severe damage can be detected by monitoring increases in the AE energy parameter. Using this monitoring system, steel mill operators can establish a maintenance period, in which actual shell cracks can be verified by cross-checking the UT. From this study, we expect that AE systems permit early fault detection for structural health monitoring by establishing evaluation criteria based on the severity of shell cracking.

Development of Continuous Ground Deformation Monitoring System using Sentinel Satellite in the Korea (Sentinel 위성기반 한반도 연속 지반변화 관측체계 개발)

  • Yu, Jung Hum;Yun, Hye-Won
    • Korean Journal of Remote Sensing
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    • v.35 no.5_2
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    • pp.773-779
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    • 2019
  • We developed the automatic ground deformation monitoring system using Sentinel-1 satellites which is operating by European Space Agency (ESA) for the Korea Peninsula's ground disaster monitoring. Ground deformation occurring over a long-term period are difficult to monitoring because it occurred in a wide area and required a large amount of satellite data for analysis. With the development of satellites, the methods to regularly observe large areas has been developed. These accumulated satellite data are used for time series ground displacement analysis. The National Disaster Management Research Institute (NDMI) established an automation system for all processes ranging from acquiring satellite observation data to analyzing ground displacement and expressing them. Based on the system developed in this research, ground displacement data on the Korean Peninsula can be updated periodically. In the future, more diverse ground displacement information could be provided if automated small regional analysis systems, multi-channel analysis method, and 3D analysis system techniques are developed with the existing system.

Drought Monitoring for Paddy Fields Using Satellite-derived Evaporative Stress Index (위성영상기반 증발스트레스지수를 활용한 필지단위 논 가뭄 모니터링)

  • Lee, Hee-Jin;Nam, Won-Ho;Yoon, Dong-Hyun;Kim, Ha-Young;Woo, Seung-Beom;Kim, Dae-Eui
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.3
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    • pp.47-57
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    • 2021
  • Drought monitoring over paddy field area is an important role as the frequency and intensity of drought due to climate change increases. This study analyzed the applicability of drought monitoring on paddy crops using MODIS-based field surveys. As a satellite-based drought index using evapotranspiration for quantitative drought determination, ESI (Evaporative Stress Index), was applied and calculated through the ratio of MODIS- based actual and potential evapotranspiration. For the irrigated areas of Idong, Gosam, Geumgwang, and Madun reservoirs the availability of irrigation water supply, ponding depth, precipitation, paddy growth were investigated for the paddy field within one grid of MODIS. In addition, the percentile-based ESI drought severity was calculated to compare the growth process of paddy and changes in the drought category of ESI. The Idong area was irrigated about a week later than other reservoirs for the period of water supply, transplanting, and water drainage and the ESI drought category tended to be different. The Gosam, Geumgwang, and Madun area expressed moderate drought prior to the farming season, and indicated normal as the water was supplied. During the water drainage, the drought category intensified, indicating that the water available on land was decreasing. These results demonstrated that the MODIS-based ESI could be an effective tool for agricultural drought monitoring over paddy field area.

LoRa LPWAN Sensor Network for Real-Time Monitoring and It's Control Method (실시간 모니터링을 위한 LoRa LPWAN 기반의 센서네트워크 시스템과 그 제어방법)

  • Kim, Jong-Hoon;Park, Won-Joo;Park, Jin-Oh;Park, Sang-Hyun
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.31 no.6
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    • pp.359-366
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    • 2018
  • Social infrastructure facilities that have been under construction since the country's high-growth period are undergoing rapid aging, and safety assessments of large structures such as bridge tunnels, which can be directly linked to large-scale casualties in the event of an accident, are necessary. Wireless smart sensor networks that improve SHM(Structural Health Monitoring) based on existing wire sensors are difficult to construct economical and efficient system due to short signal reach. The LPWAN, Low Power Wide Area Network, is becoming popular with the Internet of Things and it is possible to construct economical and efficient SHM by applying it to structural health monitoring. This study examines the applicability of LoRa LPWAN to structural health monitoring and proposes a channel usage pre-planning based LoRa network operation method that can efficiently utilize bandwidth while resolving conflicts between channels caused by using license - exempt communication band.

Condition Monitoring Technique for Heating Cables by Detecting Discharge Signal (방전신호 검출에 의한 히팅 케이블의 상태감시기술)

  • Kim, Dong-Eon;Kim, Nam-Hoon;Lim, Seung-Hyun;Kil, Gyung-Suk
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.34 no.2
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    • pp.136-141
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    • 2021
  • Heating cables, widely used in office buildings, factories, streets and railways, deteriorate in electrical insulation during operation. The insulation deterioration of heating cables leads to electric discharges that can cause electrical fires. With this background, this paper dealt with a condition monitoring technique for heating cables by the analysis of discharge signals to prevent electrical fires. Insulation deterioration was simulated using an arc generator specified in UL1699 under AC operation, and the characteristic and propagation of discharge signals were analyzed on a 100 meter-long heating cable. Discharge signals produced by insulation deterioration were detected as a voltage pulse because they are as small as a few mV and they are attenuated through propagation path. The frequency spectrum of discharge signals mainly existed in the range from 70 kHz to 110 kHz, and the maximum attenuation of the signal was 84.8% at 100 meters away from the discharge point. Based on the experimental results, a monitoring device, which is composed of a high pass filter with the cut-off frequency of 70 kHz, a comparator, a wave shaper and a microprocessor, was designed and fabricated. Also, an algorithm was designed to discriminate the discharge signal in the presence of noise, compared with the pulse repetition period and the number of pulse counts per 100ms. In the experiment, the result showed that the prototype monitoring device could detect and discriminate the discharge signals produced at every discharge point on a heating cable.