• Journal of Chest Surgery
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• v.26 no.1
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• pp.32-35
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• 1993

During the period from September 1989 through December 1992, 118 cases of coronary arterial bypass graft were performed at Department of Cardiothoracic Surgery, Asan Medical Center. Twenty-one of these had history of recent or remote percutaneous transluminal coronary angioplasty. They consisted of 13 males[age,58.7 + 5.4 years] and 8 females[age, 63.6 + 2.8years] with the mean age of 60.6. History of old myocardial infarction was noted in 24%[5/21] of the patients and congestive heart failure in 2 cases. The angina by type of presentation is unstable in all of the patients. The patterns of involvement of coronary arterial disease were left main disease[1], single vessel disease[5], double vessel involvement[10], and triple vessel involvement[5]. We performed 4 cases of single bypasses, 7 cases of double, 8 cases of triple, and 2 cases of quadruple bypasses. Total of 51 grafts[LIMA:12, RSVG:39] were inserted in 21 cases with average of 2.4 grafts per patient. The methods of myocardial protection were cold blood cardioplegia[8 cases], intermittent aortic occlusion[11], and continuous coronary perfusion with local coronary sharing[2]. There were no operative or late death. The only cardiac complication was 1 case of low cardiac output required IABP. The other complications were 1 case of sternal wound infection and 1 case of postoperative bleeding required reoperation. And there was no case of perioperative myocardial infarction. Postoperatively, 3 cases of recurrent angina were detected at 5, 7, and 18months after surgery. One of them was managed successfully with repeat PTCA[who was recurred 18 months postoperatively], and the other two with medication. I conclude that we can approach the patients more aggressively with PTCA, because of our acceptable operative risks.

• The Journal of the Korea Contents Association
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• v.20 no.3
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• pp.209-222
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• 2020

The purpose of this paper is to predict the future changes of housing through the Delphi technique. The targets to predict were set by housing type, housing space, housing demand, and architectural technology. The results were as follows: ① The influences of social and value perspectives on the change of housing type, space, and demand would be high, on the other hands, the influence of political perspective would be low. ② In terms of housing type, the increase in demand for downsizing housing for high-rise buildings and the possibility of realizing remote medical support services and homecare using big data are highly predicted. That is, ③ it is anticipated that IoTs will have a significant influences on future housing changes, and ④ enactment of co-housing and related laws by the sharing economy, services for maintenance through the supply of high-rise and high-density homes, housing support for residents, and advanced lease markets by developed architectural technology are expected as anticipated forms of future housing.

• The korean journal of orthodontics
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• v.46 no.3
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• pp.129-136
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• 2016

Objective: To investigate the dimensional accuracy of digital dental models obtained from the dental cone-beam computed tomography (CBCT) scan of alginate impressions according to the time elapse when the impressions are stored under ambient conditions. Methods: Alginate impressions were obtained from 20 adults using 3 different alginate materials, 2 traditional alginate materials (Alginoplast and Cavex Impressional) and 1 extended-pour alginate material (Cavex ColorChange). The impressions were stored under ambient conditions, and scanned by CBCT immediately after the impressions were taken, and then at 1 hour intervals for 6 hours. After reconstructing three-dimensional digital dental models, the models were measured and the data were analyzed to determine dimensional changes according to the elapsed time. The changes within the measurement error were regarded as clinically acceptable in this study. Results: All measurements showed a decreasing tendency with an increase in the elapsed time after the impressions. Although the extended-pour alginate exhibited a less decreasing tendency than the other 2 materials, there were no statistically significant differences between the materials. Changes above the measurement error occurred between the time points of 3 and 4 hours after the impressions. Conclusions: The results of this study indicate that digital dental models can be obtained simply from a CBCT scan of alginate impressions without sending them to a remote laboratory. However, when the impressions are not stored under special conditions, they should be scanned immediately, or at least within 2 to 3 hours after the impressions are taken.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.3
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• pp.525-532
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• 1998

The autism is a complex disorder, characterized language impairment, perceptual-motor difficulties, and social disturbance. The autistic children have hyperactivity, lack of communication' lack of cooperation, inappropriate patient/dentist interaction, so they require professionally recognized behavioral management technique during dental treatment such as behavior modification, phamacological agents, and general anesthesia. A behavior management technique can be chosen by factors such as the severity of autism and possible accompanying disabilities, degree of cooperation, oral and general conditions of children. A non-pharmacological behavior modification may be selected for the autistic children who are able to communicate with dentist with mild dental caries, without compromised medical history. In case of excessively hyperactive, destructive, antisocial, and/or severe communicative disorder, a sedation technic with chloral hydrate, hydroxyzine, midazolam or nitrous oxide gas might to be performed. General anesthesia is preferred for severe communicative and/or behavioral disorder, elder age, excessive dental care need, and living a remote area.

• Journal of Biomedical Engineering Research
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• v.21 no.3 s.61
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• pp.255-260
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• 2000

This paper presents a radio-telemetry patient monitor. which is used for intensive cal?e units. emergency and surgical operation rooms to monitor continuously patients' vital signs. The radio-telemetry patient monitor consists of a vital sign acquisition unit. wireless data transmission units and a vital sign-monitoring unit. The vital sign acquisition unit amplifies biological signals, performs analog signal to serial digital data conversion using the one chip micro-controller. The converted digital data is modulated FSK in UHF band using low output power and transmitted to a remote site in door. In comparison with analog modulation. FSK has major advantages to improve performance with respect to noise resistance with fower error and the potential ability to process and Improve quality of the received data. The vital sign-monitoring unit consists of the receiver to demodulate the modulated digital data, the LCD monitor to display vital signs continuously and the thermal head printer to record a signal.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.2
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• pp.920-926
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• 2011

In this paper, a solar power emotional LED lightening street lamps with multi control sun tracker is presented. The proposed system has a multiple control sun tracking function and high quality emotional LED lamps. The system is designed to absorb maximum sun lights by temperature sensor and humidity sensor of control circuits. A battery charge-discharge controller is developed for high efficient usage of battery charger for utilization of new and renewal energy. An interface circuit for remote monitoring and controlling is included in the developed system. The proposed multi tracking solar power emotional LED street lamps is better than conventional systems in aspect of tracking operation and energy efficiency, and expected to be a leading model for next generation solar power street lamp system, because it is a new technology combining sun tracking solar power system and emotional lightening system.

• Journal of radiological science and technology
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• v.25 no.2
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• pp.71-75
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• 2002

According to this study, we can make the radiation check meter which have not supply because of high cost and import barrier and lengthen its life by means of repairing of radiation bomb and equipment. We can make better medical service. In my study, I used the photodiod, photoelectron, among semiconductor detectors which have a excellent detect capacity and are low cost and small size. I set up this equipment in June 1, 2002, used 640 mA remote operative fluorography equipment, which make the grade as capacity test. I used the standard measuring instrument which took proofs from a agency, now it was using in measuring agency. The comparative measuring instrument used in same condition. I took the standard which was gauged with a connecting measuring instrument. Using a existing unconnected measuring instrument, I compared the accuracy with new unconnected one. As a result, three score are within the standard. For the detailed analysis, I took the average of percentage average error. So standard instrument was -0.02, comparable was -0.22, and new one was -0.17. New one took a closer measured value with standard than comparable one. In more study, I think to take more accurate value. I expect that my study will be a base of measuring instrument, with low cost, supply of this instrument increase, I expect to decrease radiation bomb and maintain, repair and manager better.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.35 no.2
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• pp.135-141
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• 2011

A smart home provides services that its inhabitant needs or wants, by integrating and simultaneously controlling various devices and sensors. In this study, we focused on a smart-home system for people with disabilities and for elderly people. We introduced a new type of system for real-time analysis of body posture of the inhabitants of a smart home. The system includes the concept that offers remote healthcare or medical services by using a 3D tilt sensor for recognizing the static and dynamic postures of inhabitants in real time. It consists of a smart-home server and a 3D tilt sensor, and it uses wireless technology to communicate with the inhabitants and thus enhance their mobility. The smart-home server includes the inference engine that differentiates the dynamic postures from the static ones. Finally, we also demonstrate the usefulness of the proposed system by applying it to a real environment.

• Health Policy and Management
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• v.7 no.2
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• pp.65-88
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• 1997

In Korea, telemedicine is still under the beginning stage, but we expect that the developing 'Information Highway' will make this technology more common place and more easily used in coming soon. Currently, three hospitals are providing telemedicine services with their subsidiary hospitals which are far away from their remote place. However, the fee schedule of telemedicine services are not well-settled down, of course not reimbursed through current health insurance system. This study aims to develop new payment system for medical services provided through telemedicaine system. To design appropriate fee schedule for telemedicine services, we, first, review the current insurance payment system and telemedicine system both in domestic and foreign countries focusing on its payment system. A framework of telemedicine payment system is proposed in following steps based on information we acquired from this stage. Second. We decide the span of cost items which should be covered by telemedicine payment scheme. In hear, we suggest payment method for telemedicine services should be designed as dual structure which are telemedicine fee that should be reimbursed through payment scheme and any costs related to capital investment that should not be covered by payment system. Which is, payment system for telemedicine services should cover only service-related costs and any costs related to capital investment should be generated through third party such as government, health insurance association, etc. Finally, we suggest new fee schedules for telemedicine services. The key issues on developing telemedicine fee schedules are related with the determination of appropriate additional rate($\alpha$). The reasonable additional rate($\alpha$) must determine through careful evaluation of any additional efforts(e. g. : additional work hours which are related to providing telemedicine services). This study shows the process of how to determine appropriate additional rate($\alpha$).

• Journal of the Korean Institute of Intelligent Systems
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• v.17 no.5
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• pp.619-625
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• 2007

As low power, low cost wireless communication technology like Bluetooth, Zigbee, RFID has been put to practical use together with the wellbeing trend, the concern about ubiquitous health care has been greatly increased and u-Health is becoming one of the most important application in the sensor network field. Especially, development of the medical services to be able to cope with a state of emergency for solitary senior citizens and the aged in silver town is very meaningful itself and their needs are also expected to continuously increase with a rapid increase in an aging population. In this paper we demonstrate the feasibility of extracting accurate heart rate variability (HRV) measurements from photoelectric plethysmography(PPG) signals gathered by a ring type pulse oximeter sensor attached to the finger. For this, we made 2 types of ring sensor, that is reflective and pervious type, and developed the remote monitoring system which is able to collect HR data from ring sensor, analyze and cope with a state of emergency.