• Journal of Korean Neurosurgical Society
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• v.62 no.1
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• pp.35-45
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• 2019

Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.

• The Korean Society of Law and Medicine
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• v.20 no.1
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• pp.109-132
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• 2019

Recently, medical accidents related to surgical procedures have increased. In addition, the media reported that some of these accidents were involved in health crimes. Patient-advocate groups have called for mandatory establishment and management of CCTV in operating rooms. There is a lot of discussion among the interested parties, so it is necessary to review the relevant laws and regulations. The purpose of this study is to identify the characteristics of CCTV in operating rooms and to review legislations related to establishment and management of the CCTV in operating rooms. Medical institutions use CCTV for management of facilities and patient safety and install it in operating rooms optionally. The Constitution guarantees the privacy and the privacy of correspondence of every citizen, but it can be limited by the law for public welfare. Currently, however, there is no existing law about establishment and management of the CCTV in operating rooms and it can be defect of legal system. Under the current legislations, it is likely that the Self-determination can be violated due to the characteristic of healthcare provider when CCTV is mandatorily installed in operating room. In addition, the regulations on access and leakage of confidential information known by operator are insufficient. So that, the safety of the visual data might be threatened. Furthermore, unless the period and the place of storage of the visual data are clearly defined, it is highly unlikely to meet the original purpose of patient safety and prevention of medical accidents. This study is meaningful as there is few previous study on this topic although the need for legal review about this is growing and several bills are being proposed. It is expected that the results of this study can be utilized as basic data for enactment or amendment of the laws and regulations about establishment and management of CCTV in operating rooms.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.47 no.7
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• pp.1-7
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• 2010

The device performances of accumulation-mode Pi-gate pMOSFETs with different fin widths have been characterized at high operating temperatures. The device fin height is 10nm and fin widths are 30nm, 40nm, and 50nm. The variation of the drain current, threshold voltage, subthreshold swing, effective mobility, and leakage current have been investigated as a function of operating temperatures. The drain current at high temperature is slightly larger than at room temperature. The variation of the threshold voltage as a function of the operating temperature is smaller than that of the inversion-mode MOSFETs. The effective mobility is decreased with the increase of operating temperature. It is observed that the effective mobility is enhanced as the fin width decreases.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.16 no.4
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• pp.311-317
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• 2004

In the present study, the cooling characteristics of the multi-air conditioner (A/C) using an inverter scroll compressor are experimentally investigated for the number of the indoor units and the operating conditions (2$0^{\circ}C$, 24$^{\circ}C$, 26$^{\circ}C$) under the cooling standard conditions by KS C 9306. In the case of the simultaneous operation for 3 indoor units, the cooling capacity, the mass flow rate and the input power have a decreasing trend and COP has an increasing trend, with decreasing the difference in the operating temperature of the indoor unit and the room temperature. In the case of the simultaneous operation for 2 indoor units, the COP of the indoor unit with large cooling capacity is high when the operating temperature is high, but the COP of the indoor unit with low cooling capacity is high when the operating temperature is low. In the case of the single operation for one unit, when the large cooling capacity of the indoor unit is less than 50％ the compressor operates at the minimum operation frequency region and the COP decreases.

• Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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• 2004.04b
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• pp.179-182
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• 2004

ZnO varistor for transmission class arrester$({\Phi}65{\times}20mm)$ of 10kA(Class 3) grade was recently developed in korea and is tested for the properties by switching surge operating duty test to know the line discharge class and complex surge property in electric properties. To find out changing rate of residual voltage before and after lightning impulse residual voltage testing, the sample is cool to room temperature after finishing switching surge operating duty test, and the rate is good as 1.0~1.7%. The element had been considered as applicable ZnO varistor for electricity transmission from the test results of state conterl, switching surge operating duty, thermal stability and above test. But various test should be required for actual application because this is a part of the to be needed for application.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.39 no.3
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• pp.180-191
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• 2016

Optimizing energy usage for maximum efficiency is an essential goal for manufacturing plants in every industrial manufacturing sector. The generation and distribution of purifying compressed air is a large expense incurred in practically all manufacturing processes. Not only is the generation and treatment expensive equipment of compressed air, but frequent maintenance and effective operation is also required. As a plant's compressed air system is often an integral part of the production process, it needs to be reliable, efficient, and easy to be maintain. In this paper, we study to find operating method to save energy from the adsorption dryer in the process of purifying compressed air, which is required for a clean room production site in "A" company. The compressed air passes through a pressure vessel with two "towers" filled with a material such as activated alumina, silica gel, molecular sieve or other desiccant material. This desiccant material attracts the water from the compressed air via adsorption. As the water clings to the desiccant, the desiccant particle becomes saturated. Therefore, Adsorption dryer is an extremely significant facility which removes the moisture in the air $70^{\circ}C$ below the dew point temperature while using a lot of energy. Also, the energy consumption of the adsorption dryer can be varied by various operating conditions (time, pressure, temperature, etc). Therefore, based on existing operating experiments, we have searched operating condition to maximize energy saving by changing operating conditions of the facility. However, due to a short experiment period (from September to October), further research will be focused on considering seasonality.

• Quality Improvement in Health Care
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• v.11 no.1
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• pp.16-30
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• 2004

Background: Although the number of cancer patients increase, the resources for cancer management are not increased. If the outpatient chemotherapy administration room is operated, the shift of patients from inpatient 10 outpatient is occurred. So the capacities for chemotherapy increased and the shifted rooms were occupied with new non-chemotherapy patients. The income of the hospital increased. The purpose of this study was to assess usefulness and cost-effectiveness of the outpatient-chemotherapy adminstration model. Method: There are six beds, two chairs and two nurses and one personnel in the outpatient chemotherapy room. The satisfaction study by patients/family and doctors and the cost analysis over 12 months, by comparing costs of chemotherapy administration at outpatient chemotherapy room with inpatient at ward and inpatient-nonchemotherapy at ward were done. Results: The 97.1 percent of patients/family and the 94.4 percent of doctor who involved chemotherapy were satisfied with outpatient chemotherapy administration. The 91.7% of doctors said there were no differences in treatment outcome between outpatient and inpatient chemotherapy administration. The average number of patients in outpatient chemotherapy room increased from 10.7 to 15.4 but in inpatient from 19.4 to 18.3. The average number of inpatient chemotherapy were not changed related to increase of the average number of outpatient chemotherapy. The profit between outpatient chemotherapy and inpatient chemotherapy administration was 45,344,710 won and the profit between outpatient chemotherapy and non chemotherapy treatment was -185,294,614 won. Conclusion: The outpatient chemotherapy administration model is good for patients/family, doctors and hospital partially. But the hypothesis described above was not correct. The process of cancer patients treatment were from diagnosis and treatment to first administration of chemotherapy. So the shift from inpatient to outpatient was not occurred. In economic aspect, the profit between outpatient chemotherapy and non chemotherapy treatment was in the red. As the level of health care fees was so low, the hospitals hesitate operating the room of outpatient chemotherapy. It is necessary to raise the level of health case fees for outpatient chemotherapy administration.

• Korean Medical Education Review
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• v.20 no.2
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• pp.112-117
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• 2018

Attending the operation room is an essential part of surgical clerkships. Syncope or presyncopal attacks in the operation room may negatively affect students' learning and career development. This study set out to identify the prevalence of syncope and presyncopal attacks in the operation room during medical students' surgical clerkships. Data from 420 medical students (303 men and 117 women) in their 3rd year of clerkship were collected between 2014 and 2017. An anonymous questionnaire was distributed to assess the prevalence and degree of syncope and presyncopal symptoms. A total of 27% of the respondents had experienced syncope or presyncopal symptoms, 49.6% of the female students and 18.8% of the male students (p<0.001). Fifty students (43.5%) had been attending as observers at the time of the syncopal attack, while 65 students (56.5%) had been participating as assistants. Thirty-four students (29.6%) had recently eaten at the time of the syncopal attack, while 81 students (70.4%) had not recently eaten. Prodromal symptoms included the urge to sit down (21.2%), sweating (19.3%), nausea (16.9%), a feeling of warmth (13.3%), darkened vision (12.6%), yawning (11.7%), palpitation (11.0%), ear fullness (10.2%), black spots in one's vision (7.6%), and hyperventilation (7.1%). This study showed the prevalence of syncope and presyncopal symptoms in the operation room during surgical clerkships. For students' safety and effective clerkship learning, thorough proactive education on syncopal attacks is required.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.25 no.10
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• pp.534-539
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• 2013

In general, entire supply air of the BSL3 laboratory should be vented to the outside for its biosafety and the air conditioning system should always be operating to maintain a room pressure difference. In this regard, annual energy consumption is approximately five or ten times greater than the magnitude of the office building. In addition, to adjust room pressure difference to the set value efficiently, the supply and exhaust duct system are installed in each room of the BSL3 lab. Thus, initial construction cost is extremely high. In this study, multizone simulation is performed to estimate maintaining the appropriate room pressure difference in the case of changing model A (each room supply and exhaust system) to model B (each zone supply and exhaust system) for verification of the BSL3 lab biosafety. Also, in the case of these two models, the multizone simulation for three kinds of biohazard scenario is performed as part of risk assessment. The analysis of initial construction cost of two models is conducted for comparison. According to the studies, initial construction cost of model B is less than about 22% of existing model A. Moreover, biosafety of the BSL3 lab is still maintaining in the case of the two models.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.20 no.6
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• pp.400-408
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• 2008

Multipurpose Dam, it produces electric energy by converting the potential energy into kinetic energy utilizing its head and quantity of the water. However, in this process, since during the time when the turbine connected to the hydraulic turbine generator revolves, there occurs a ceaseless loud noise, and due to this condition, it is true state that those people who work at inside of the power plant are damaging as hard as they are unable to concentrate on their work. Not only this, because the hydro-electric power generator room that locates at middle section between the hydraulic turbine room and the office is very large space volume, also since it was constructed chiefly by the reflecting material, it is functioning of amplify the noise when operating the generator, the soundproof measure against this condition is necessitated. On such viewpoint, I have presented the problem point of the relevant Hydraulic turbine dynamo and Hydraulic turbine dynamo room, and after improve such problem point, this study has ever investigated the satisfying degree about the noise-reduction at before and after of the improvement of soundproof measure, using the Auralizational technique that can experience virtual acoustic field. It is considering that such result could be utilized usefully as the fundamental material hereafter for the acoustic performance of the hydro-electric power generator room in dam and when its construction.