• Title/Summary/Keyword: Operation Category

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Decompressive Hemicraniectomy and Duroplasty in Toddlers and Preschool Children with Refractory Intracranial Hypertension after Unilateral Hemispheric Stroke

  • Lee, Sang-Kook;Kim, Sang-Dae;Kim, Se-Hoon;Lim, Dong-Jun;Park, Jung-Yul
    • Journal of Korean Neurosurgical Society
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    • v.51 no.2
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    • pp.86-90
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    • 2012
  • Objective : Life-threatening hemispheric stroke is associated with a high mortality and morbidity. Decompressive hemicraniectomy has been regarded as an effective treatment option for refractory intracranial hypertension. Here, we reported the clinical course of 5 children with decompressive craniectomy and duroplasty after non-traumatic refractory intracranial hypertension. Methods : Four toddlers and one preschool-girl were included in this study; there were 3 boys and 2 girls with a mean age of 34.6 months (range 17-80). Decompressive craniectomy including duroplasty was performed in cases of dilatation of pupil size after intensified standard medical therapy had proven insufficient. All children had a Pediatric Glasgow Coma Scale score <8 at pre-operation state. The mean time-point of craniectomy after stroke attack was 12 hours (range 4-19). Results : During the long-term follow-up period (mean 47.6 months), no children died. One year later, when we checked their Glasgow Outcome Scale scores, only one toddler received a score of 4 (moderate disability). But the others had good recoveries although they had minor physical or mental deficits. According to the Pediatric Cerebral Performance Category Scale, 4 children received a score of 2 (mild disability). Conclusion : Despite our small cases, we suggest that decompressive hemicraniectomy and duroplasty is an acceptable and life-saving treatment for refractory intracranial hypertension after unilateral hemispheric stroke in toddlers and preschool children.

Life Cycle Impacts of Flexible-fiber Deep-bed Filter Compared to Sand-Filter including Coagulation and Sedimentation in Water Treatment Plant

  • Uh, Soo-Gap;Kim, Ji-Won;Han, Ki-Back;Kim, Chang-Won
    • Environmental Engineering Research
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    • v.13 no.1
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    • pp.1-7
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    • 2008
  • Recently a new technology called the flexible-fiber deep-bed filter (FDF) claimed to replace the conventional sand filter including coagulation and sedimentation filter (CSF) processes in the water treatment plant. Therefore the life cycle assessment (LCA) approach was applied for evaluating the life cycle impacts of FDF compared with those of CSF. The used LCA softwares were the Simapro 6 and PASS and their life cycle impact assessment (LCIA) methodologies were the Eco-indicator 99 and the Korean Eco-indicator, respectively. The goal of this LCA was to identify environmental loads of CSF and FDF from raw material to disposal stages. The scopes of the systems have been determined based on the experiences of existing CSF and FDF. The function was to remove suspended solids by filtration and the functional unit was $1\;m^3$/day. Both systems showed that most environmental impacts were occurred during the operation stage. To reduce the environmental impacts the coagulants and electricity consumptions need to be cut down. If the CSF was replaced with the FDF, the environmental impacts would be reduced in most of the impact categories. The LCA results of Korean Eco-indicator and Eco- indicator99 were quite different from each other due to the indwelling differences such as category indicators, impact categories, characterization factors, normalization values and weighting factors. This study showed that the life cycle assessment could be a valuable tool for evaluating the environmental impact of the new technology which was introduced in water treatment process.

Location Recommendation Customize System Using Opinion Mining (오피니언마이닝을 이용한 사용자 맞춤 장소 추천 시스템)

  • Choi, Eun-jeong;Kim, Dong-keun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.11
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    • pp.2043-2051
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    • 2017
  • Lately, In addition to the increased interest in the big data field, there is also a growing interest in application fields through the processing of big data. Opinion Mining is a big data processing technique that is widely used in providing personalized service to users. Based on this, in this paper, textual review of users' places is processed by Opinion mining technique and the sentiment of users was analyzed through k-means clustering. The same numerical value is given to users who have a similar category of sentiment classified as a clustering operation. We propose a method to show recommendation contents to users by predicting preference using collaborative filtering recommendation system with assigned numerical values and marking contents with markers on the map in order of places with high predicted value.

A Scheduling System for the Patient Treatment on a Heavy-ion Radiotherapy

  • Toyama, Hinako;Shibayama, Kouichi;Kanatsu, Syusuke;Kuroiwa, Toshitaka;Watanabe, Hideo;Wakaisami, Mitsuji;Tsuji, Hiroshi;Endo, Masahiro;Tsujii, Hirohiko
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.177-179
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    • 2002
  • We have developed a scheduling system for heavy ion radiotherapy considering the condition of three treatment rooms and treatment planning for each patient. This system consists of a database (patient information, treatment method and machine schedule), a schedule for radiotherapy and WEB server. All operation of this system, such as data input, to change and to view the schedule, are performed by using a WEB browser. In order to protect personal information for the patients, access privilege to each information are limited by according to the occupational category. This system is connected with a hospital central information management system (AMIDAS) and an irradiation-managing computer for the heavy ion radiotherapy. A basic information for the patient is got from AMIDAS and the daily schedule sends to the treatment control computer at each treatment room through the irradiation-managing computer every morning. The daily, weekly, monthly schedules in the treatment room and the treatment condition of each patient are shared on the WEB browser with the all participants of the heavy ion therapy. This system could be useful to save a time to generate a treatment schedule and to inform us the most up-to-date treatment schedule and the related information at the same time.

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Comparing Recurrence and Complications After Laparoscopy and Laparotomy Surgery among Patients Suffering from Colorectal Cancer, Shiraz, Iran

  • Ghaem, Haleh;Amiri, Zahra;Kianpour, Fatemeh;Rezaianzadeh, Abbas;Hosseini, Seyed Vahid;Khazraei, Hajar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3111-3116
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    • 2016
  • Background: The goal of this study was to compare the rate of recurrence and occurrence of complications in colorectal cancer patients after two kinds of laparoscopy and laparotomy. Materials and Methods: A follow-up study was carried out among 358 patients who suffered from colorectal cancer from 2012-2014. The data were gathered from colorectal research center in Shiraz, Shahid Faghihi hospital, and analyzed using the chi-square test, logistic regression, and multinomial regression. Results: The average age of these patients was $56.3{\pm}14.6$, 55.0% being men. Moreover, 57.8% of them underwent laparoscopy surgery and 42.2% of the patients underwent laparotomysurgery and the conversion rate was 58.0% which ultimately was put under the category of laparotomy surgery. After biennial median follow-up, differences in the occurrence of complications such as bleeding (hemorrhage), fever, intestine blockage and wound infection in these two kinds of surgery werestatistically significant (P<0.05). However, the rate of recurrence and the patients' ultimate status (alive without disease, alive with disease, and death) did not significantly differ between these two surgery groups. Conclusions: Post-operation complications were laparoscopy surgery were less than those in laparotomy. However, the outcomes such as patients' ultimate status and recurrence were similar between the two groups.

Development of an E-learning Education Program for Preventing Nursing Errors and Adverse Events of Operating Room Nurses (수술실의 간호오류 및 과오 예방을 위한 E-learning 실무교육 프로그램의 개발 및 평가)

  • Kim, Jung-Soon;Kim, Myung-Soo;Hwang, Sun-Kyung
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.697-708
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    • 2005
  • Purpose: This study was to develop, implement, and evaluate an e-learning education program for improving practical knowledge and preventing nursing errors and adverse events of nurses working in the operating room (OR). Method: The e-learning program was developed and evaluated according to the following processes: 1) preparation phase 2) implementation phase 3) evaluation phase. In evaluation phase, the effectiveness was analyzed based on the Kirkpatrick's model. Results: The e-learning program consisted of OR basic nursing skills and techniques and nursing activities' manual based on the categories of nursing errors: surgical operation preparation, nursing skills and techniques, environment management, patient safety and comfort, and patient monitoring. The program was provided through on-line, http://cafe.daum.net/pnuhorn, for 4 weeks. The mean score(percent) of participants' satisfaction was $21.24{\pm}1.71$(68.2%). Their total knowledge level was significantly improved(Z=-3.00, p=.003) and specifically in the category of environment management(Z=-3.77, p<.001) and patient monitoring(Z=-2.46, p=.014). The occurrence of nursing errors or adverse events was a little decreased, but not statistically significant(Z=-3.10, p=.756). Conclusion: E-learning for nurses is one way of effective and efficient teaching-learning strategies. For better e-learning, it is important to develop the vital content of the education and objective measures for detecting nursing errors and adverse events.

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Experiences and Process of Patients' Healing Relation with Nurses (환자-간호사간의 치유적 관계형성 경험과 과정)

  • Kang, Byung-Ok;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.1
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    • pp.112-131
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    • 1995
  • The purpose of this study is to know experiences and process of patients' healing relation with nurses. This study had been conducted from July to September in 1994. The subjects were 7 patients who had hospitalized within 10 days at general surgery unit in C university hospital. The data were collected through in-depth interview and observation on the basis of Grounded Theory. In-depth interview were performed 3-6 times for each patient and taken 10-15 minutes at once. The result were as follows : (1) The main concepts are worry to operation, worry to hospital environment, worry to their children, worry to nurses, general appraisal, appraisal of appearance, appraisal of attitude, appraisal of nurses' response, appraisal of nurses' help, interest to patients, appraisal of explanation, appraisal of direct nursing, appraisal of nursing role, appraisal of nursing fairness, empathy, feeling of jung, discontent exposure, content, rapport. (Jung is a unique feeling that appeared in only korean culture) (2) The main categories are worry, general appraisal, concrete appraisal, empathy, and rapport. (3) These process is worry, appraisal, empathy, and rapport in the order. (4) The core category is the need of relation formation. The hospitalized patients have had need of relation formation with nurses. In order to satisfy this need, patients in the early of hospitalization had the worries to nurses, hospital environment, their children and themselves. The more patients have information about themselves, the more they have worries. In addition to, patients have general appraisal through the first impression or feeling to nurses. A time goes by, general appraisal has changed concrete appraisal. High educated group (above bachelor degree) have expressed concretely and variousely their needs. The patients who have empathy to nurses are content with nurses and form rapport to be shown frankly thier discontents. Therefore, patients' healing relation formation is the process of being filled up the need of relation formaton with Nurses. As mentioned above, researcher suggests that nurses need study nursing strategies to make earlier the last phase of the healing relation formation, rapport.

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Speaker Verification System Using Continuants and Multilayer Perceptrons (지속음 및 다층신경망을 이용한 화자증명 시스템)

  • Lee, Tae-Seung;Park, Sung-Won;Hwang, Byong-Won
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2003.10a
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    • pp.1015-1020
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    • 2003
  • Among the techniques to protect private information by adopting biometrics, speaker verification is expected to be widely used due to advantages in convenient usage and implementation cost. Speaker verification should achieve a high degree of the reliability in the verification score, the flexibility in speech text usage, and the efficiency in verification system complexity. Continuants have excellent speaker-discriminant power and the modest number of phonemes in the category, and multilayer perceptrons (MLPs) have superior recognition ability and fast operation speed. In consequence, the two provide viable ways for speaker verification system to obtain the above properties. This paper implements a system to which continuants and MLPs are applied, and evaluates the system using a Korean speech database. The results of the experiment prove that continuants and MLPs enable the system to acquire the three properties.

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Analysis of Application and Economical Efficiency on Next Generation Digital Maps on Demand Updating System (차세대 수치지도 수시갱신 시스템의 활용성 및 경제성 분석)

  • Lee, Hyun-Jik;Park, Ki-Suk;Park, Chung
    • Journal of Korean Society for Geospatial Information Science
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    • v.17 no.2
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    • pp.133-143
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    • 2009
  • Next Generation Digital Maps on demand Updating System is a system for setup of efficient on-demand updating system, keeping up-to-date data and conducting high-quality service and efficient management. The system is designed that object-based continuous Digital Maps may have on-demand updating available, as well as the exiting feature-based digital maps, and the relevant development is being done. This study presented some problems and improvement plans related to the system operation, by means of implementing object-based continuous Digital Maps and feature-based digital maps updating test, for the next generation digital maps on demand updating system, in order to contribute to present plans to apply next generation digital maps and to secure competitiveness. And, for the economical efficiency of the next generation digital maps on demand updating system, this study analyzed expenses and benefit resulted from introduction of on demand updating system for 1:5,000 digital maps, intended for National Geographic Information Institute. and the land category which have an effect on the officially assessed land price and it using GIS technology.

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Research on Standardization for Survey Control Points (측량기준점 표준화 방안 연구)

  • Lee, Hyun Jik
    • Journal of Korean Society for Geospatial Information Science
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    • v.23 no.2
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    • pp.79-88
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    • 2015
  • In any production and construction of geospatial information covering surveying, survey control point is a vital geospatial information. Survey control points in South Korea are currently classified as following: national control points, public control points, and cadastral control points. Each of these different categories of survey control points act as a basis and sets perimeters for the production, management and operation of subjects within the category. Universal standard, the unified format between different survey control points, also, are not yet defined, causing difference in basic information provided by altering categories and disturbance in connecting, managing, utilizing and operating survey control points. Establishment of a standard regarding survey control points, is therefore required for the efficacy of their utilization. This study, to solve such inadequacies, selects management items for creation of standardized survey control point, by investigating domestically and internationally the status of operating survey control points, determining data model for management, establishing TTA and agency standards, and establishing of activation methodology for survey control point standards.