• 한국의료질향상학회지
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• 제14권1호
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• pp.55-59
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• 2008

Background : The purpose of inner cannula is to protect the upper air way and permit air to pass freely, in addition, to provide endotracheal suction, artificial respiration and to maintain adequate oxygen saturation. The tube needs to be sterilized for maintenance and cleanness of air way and for prevention of bronchospasm. However, it has been reported that there is no guideline for sterilization and many hospitals conduct their own sterilization methods, for example, once a day(13's general hospital), three times a day(The Catholic University of Korea ST Mary's hospital) or even no cleansing. Consequently, the QI team of our hospital suggested the SOP(standard operating procedure) of sterilization and evaluate cost and time effect in nursing. Method : 1) Benchmarking of 13's neurosurgery department of general hospital in Seoul 2) Investigation of test records of sputum culture from patients with intubation for tracheotomy 3) Check of results of O2 Sat. monitoring to confirm of maintaining opened air way Result : 1) Improvement of process: decrease of excess sterilization of inner cannula (from 3 times a day to once a day) 2) Cost effects: saving over 10 million won per one year 3) Providing better nursing: time effects (30 min a day) permit to conduct more nursing activities Conclusion : It can get Cost and time effects in nursing with improved sterilization method of inner cannula. It needs to do research on improvement of the monthly exchange protocol of outer cannula and provide supporting data for the proper exchange schedule. The result of additional microorganism detection from patients with new process needs to be evaluated further more.

• Journal of Periodontal and Implant Science
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• 제44권2호
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• pp.65-70
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• 2014

Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

• Advances in pediatric surgery
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• 제11권1호
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• pp.27-33
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• 2005

Infantile hypertrophic pyloric stenosis (HPS) is a relatively common entity. A number of studies for the postoperative feeding schedule has been studied to allow for earlier hospital discharge and improve cost-effectiveness in the treatment of HPS. The purpose of this study was to compare 3 feeding-methods and to evaluate the usefulness of ad lib feeding for HPS. The authors retrospectively reviewed the records of 116 patients who underwent pyloromyotomy for HPS from 1995 to 2004. Three cases were excluded because of the duodenal perforation during pyloromyotomy. Three feeding-methods were defined as: Conventional feeding (>10 hours nothing by mouth and incremental feeding every 2 hours, C), Early feeding(for 4 to 8 hours nothing by mouth and incremental feeding every 2 hours, E), and Ad lib feeding (for 4 hours nothing by mouth and ad lib feeding, A). Time to normal feeing in C, E and A were $51{\pm}24$, $34{\pm}12$ and $24{\pm}6$ hours, respectively. Hospital-stay in C, E and A were $72{\pm}17$, $55{\pm}13$ and $43{\pm}12$ hours, respectively. There were statistically significant differences according to the method of feeding. Frequency of postoperative emesis in C, E and A were 38 %, 47 % and 53 %, but was not significant statistically. Ad lib feeding decreased time to normal feeding and hospital stay, and did not increase postoperative emesis. We conclude that ad lib feeding is recommended for patient with pyloromyotomy in HPS.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권4호
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• pp.178-184
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• 2018

Objectives: The objective of this study was to investigate the concordance of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV and DSM-5) diagnostic criteria for autism spectrum disorder (ASD). Methods: We retrospectively reviewed the medical records of 170 subjects (age range: 3-23, 140 boys) with developmental delay or social deficit from January 2011 to July 2016 at the Department of Psychiatry of Asan Medical Center. The Autism Diagnostic Interview-Revised (ADI-R), the Autism Diagnostic Observation Schedule (ADOS), and intelligence tests were performed for each subject. Diagnosis was reviewed and confirmed for each subject with DSM-IV Pervasive Developmental Disorder (PDD) and DSM-5 ASD criteria, respectively. Results: Fifty-eight of 145 subjects (34.1%) who were previously diagnosed as having PDD in DSM-IV did not meet DSM-5 ASD criteria. Among them, 28 (48.3%) had Asperger's disorder based on DSM-IV. Most algorithm scores on ADOS and all algorithm scores on ADI-R were highest in subjects who met both DSM-IV PDD criteria and DSM-5 ASD criteria (the Convergent group), followed by subjects with a DSM-IV PDD diagnosis who did not have a DSM-5 ASD diagnosis (the Divergent group), and subjects who did not meet either DSM-IV PDD or DSM-5 ASD criteria (the non-PDD group). Intelligence quotient was lower in the Convergent group than in the Divergent group. Conclusion: The results of our study suggest that ASD prevalence estimates could be lower under DSM-5 than DSM-IV diagnostic criteria. Further prospective study on the impact of new DSM-5 ASD diagnoses in Koreans with ASD is needed.

• 건축역사연구
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• 제29권6호
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• pp.101-112
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• 2020

This study focuses on the construction of Gyeongbokgung Palace in the second year of King Gojong's reign, which has been spotlighted for political and economic history. The author analyzed the contents of wood procurement with the Yeonggeon Diary, which records each day of construction site. The results are as follows: First, the 2nd year of King Gojong's reign, Yeonggeon of Gyeongbokgung Palace, was a new building that reflected the old system and 270 years of changed environment on the existing site. Despite the poor economic conditions, it began with years of effort and voluntary volunteer work and dedication. Second, the priority of timber transport was recruiting people in the whole process and the supply and demand of transportation tools. Carrying lumber from the mountains to the riverside and floating it at the right time were all a matter of manpower. Soldiers and carts were used to carry timber that arrived in Hangang River to the construction site. The cart was a consumable product, so it was necessary to continuously use the wood to make cart at the site. Third, fire and flood were the biggest obstacles to the Yeonggeon schedule of Gyeongbokgung Palace. Especially the fire was fatal. It was difficult to extinguish the fire in temporary structure, where was the storage for wood to construct. These disasters greatly affected the construction cost and construction period. Wood procurements of Gyeongbokgung Palace were based on public offerings. At the same time, recycled materials from other palace wood and nearby houses, nationwide buying of private mountain wood, the logging of royal tombs and some of the buildings of Gyeonghui Palace and Changgyeong Palace were relocated.

• 국제학술발표논문집
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• The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
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• pp.561-566
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• 2011

In general, the early stage of urban renewal such as preparing a master plan and processing administrative works including planning permission are conducted by local governments in Korea. The local governments need to review the status of projects that are undergone in other local governments' territories. However, no integrated information system to manage information to this end at the level of nation exists in Korea. If the system would be developed, it may support central government to obtain information on required resources at the national level. In addition, local governments can gain guidance on the process and recognize potential problematic situations from others experience. The system should include functions to collect data on project summary, cost and schedule of projects according to local governments. The expected effects from using the information system are as following. First, information generated from project practice become more credible on account of management at the national level. Because the authorized party such as system administrative agents of governments are responsible for collecting and managing data. Second, the unified information system with no regard to the place where projects progresses reduces the efforts for accumulating reference data for aiding local governments decision making by providing appropriate information timely. Also, enhanced information accessibility for stakeholders make the project process clear. Finally, oversight management is enforced with visualization technology adopted in the system, presenting master plan and mass model including information on usage by floors and progressing information graphically. Ultimately, potential challenges can be anticipated by considering records accumulated from other local governments' projects. This paper presents concept, functionalities, and architecture of information system enabling to manage data from individual projects and aggregate those for oversight management for local and central governments. As a part of systems analysis, general requirements of briefing system for governments and necessary data fields to this end are identified.

• Asian Pacific Journal of Cancer Prevention
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• 제13권10호
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• pp.5119-5124
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• 2012

Purpose: The aim of this retrospective study was to determine response rates, progression-free survival (PFS), overall survival (OS) and toxicity of gemcitabine and paclitaxel combinations with advanced or metastatic non-small cell lung cancer patients (NSCLC) who have progressive disease after platinum-based first-line chemotherapy. Methods: We retrospectively evaluated the file records of patients treated with gemcitabine plus paclitaxel in advanced or metastatic NSCLC cases in a second-line setting. The chemotherapy schedule was as follows: gemcitabine $1500mg/m^2$ and paclitaxel 150 mg/m2 administered every two weeks. Results: Forty-eight patients (45 male, 3 female) were evaluated; stage IIIB/IV 6/42; PS0, 8.3%, PS1, 72.9%, PS2, 18.8%; median age, 56 years old (range 38-76). Six (12.5%) patients showed a partial response (PR), 13 (27.1%) stable disease (SD), and 27 (56.3%) progressive disease (PD). The median OS was 6.63 months (95% CI 4.0-9.2); the median PFS was 2.7 months (95% CI 1.8-3.6). Grade 3 and 4 hematologic toxicities, including neutropenia (n=4, 8.4%), and anemia (n=3, 6.3%) were encountered, but no grade 3 or 4 thrombocytopenia. One patient developed febrile neutropenia. There were no interruption for reasons of toxicity and no exitus related to therapy. Conclusion: The combination of two-weekly gemcitabine plus paclitaxel was an effective and well-tolerated second-line chemotherapy regimen for advanced or metastatic NSCLC patients previously treated with platinum-containing chemotherapy. Although the most common and dose limiting toxicities were neutropenia and neuropathy, this regimen was tolerated well by the patients.

• 기록학연구
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• 제14호
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• pp.241-288
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• 2006

오늘날 지방자치단체는 중앙정부가 추진하고 있는 지방분권에 대응하는 수단으로 로컬 거버넌스를 지향하고 있다. 로컬 거버넌스는 공사간의 구분없이 협력과 파트너십을 통해 문제의 해결을 도모한다는 점에서 무엇보다도 정보의 공유를 통한 각 행위주체 및 네트워크 형성 운영 자체의 투명성과 책임성이 중요한 과제임을 보여주고 있다. 그런데 이러한 정보의 공유를 위해서는 공유될 정보, 즉 기록이 수집, 관리되는 시스템을 구축하는 것이 전제되어야만 한다. 이런 배경 속에서 지방의회는 주민대표기관이자 전통적인 주민참여 집행기관(단체장) 견제기구로서 로컬 거버넌스를 구성하는 중요한 행위주체가 된다. 그럼에도 불구하고 지방의회에 대한 정보는 부존재하거나 비공개되고 있으며, 공개되는 정보 역시 그 양이나 질에 있어서 시민사회로부터 받는 불신과 저평가를 해소하기에 부족한 현실에 있다. 지방의회는 기록관리에 대한 전반적인 의식변화와 함께 기록관리의 근본적인 개선이 시급한 시점에 이른 것이다. 본 연구는 이러한 문제의식에 근거하여 오늘날 지방의회의 기록관리 실태를 검토하고 이에 대한 개선방안을 제안하였다. 기록은 생산되는 시점부터 관리까지의 모든 프로세스가 합리적인 구조 속에서 일관적으로 수행될 때 진정한 가치를 구현할 수 있다. 따라서 본 연구에서는 무엇보다도 지방의회에서 반드시 생산 관리되어야 하는 기록을 기록물분류기준표의 단위업무를 통해 제어할 수 있도록 하였으며, 처리과-기록관-전문관리기관이라는 세 단계로 구분된 우리의 기록관리체계에 부응하여 적용할 수 있는 기록관리정책 및 기록관의 설치를 제안하였다. 마지막으로, 지방의회가 기록관리에 의해 실현하는 투명성과 책임성의 확보와 더불어, 기록관리 자체로 로컬 거버넌스 실현의 유력한 수단이 되는 여러 효과에 대해 정리하였다.

• 화약ㆍ발파
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• 제38권4호
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• pp.16-25
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• 2020

터널 발파 굴착 시 발생되는 진동을 저감시키기 위해 사용되는 MSP(Multi-setting smart-investigation of the ground and pre-large hole boring method) 공법은 1회 천공 시 수평방향으로 50m에 달하는 장거리를 천공하기 때문에 고 중량 해머비트와 롯드의 일방향 회전으로 롯드의 처짐과 우향 현상이 동반된다. 이는 전문가의 경험과 시공 이력을 바탕으로 가변적인 세팅을 통해 일부 보정되고 있다. 그러나 암반 특성, 장비 상태, 경험 부족 등은 목표 지점으로부터 천공 오차를 발생시키는 원인이 되며, 큰 이격 오차 발생 시 재시공으로 인한 공기 증가와 경제적 손실이 발생된다. 본 연구에서는 딥러닝을 활용하여 상황별 천공 장비의 최적 세팅조건 산정 모델을 개발하였으며, 학습 과정에서 발생 가능한 과적합 문제를 방지하기 위해 dropout, early stopping, pre-training 기법들을 사용하여 향상된 결과를 도출하였다. 본 연구를 통해 대구경 천공 장비의 상황별 초기세팅 산정 모델 개발의 높은 가능성을 확인했으며, 지속적인 데이터 수집과 다양한 인자들의 추가 학습을 통해 최적화된 세팅 가이드라인을 개발할 수 있을 것으로 기대된다.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.97-106
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• 2020

본 연구의 목적은 소프트웨어 공인시험기관에 국제 표준 ISO/IEC 17025 요구사항을 기준으로 ISO/IEC/IEEE 29119 소프트웨어 시험 절차와 ISO/IEC 25023 소프트웨어 시험 평가 항목을 적용하는 방법에 대한 연구이다. 연구의 방법으로 시험기관에 적용하는 전체 요구사항은 ISO/IEC 17025를 기준으로 ISO/IEC/IEEE 29119와 ISO/IEC 25023을 매핑하여 분석되었다. 해당 매핑 분석에 따라 시험기관 운영을 위한 품질 매뉴얼과 절차서, 지침서는 총 29 종류의 문서를 작성하였다. 연구의 결과 시험기관 관리 시스템은 분석된 전체 요구사항 결과를 적용하여 Confluence 6.15 소프트웨어를 이용하여 구현하였고 시험절차서, 문서, 기록은 시험관리 시스템에 저장하여 운영하도록 하였다. 시험기관운영 적합성 검증은 서울 소재 LG전자 SW공인시험소에서 KOLAS 평가사에 의하여 문서 심사 및 현장 심사로 진행이 되었다. 결론적으로 시험기관 관리 시스템과 시험기관의 운영은 KOLAS의 심사 평가를 통하여 적합하다는 것을 확인할 수 있었고 이전 연구 사례와 비교하여 효과적으로 시험기관 운영과 전체 일정을 단축할 수 있었다.