• Journal of Trauma and Injury
• /
• v.18 no.2
• /
• pp.161-171
• /
• 2005

Background: The management of hepatic injuries has changed dramatically during the past two decade after the technologic breakthroughs in radiologic imaging techniques. Recently, the non-operative management of blunt hepatic trauma has become the standard of care in hemodynamically stable patients. We reviewed our experience of the non-operative management of blunt hepatic trauma. And the purpose of this study was to examine the prognostic factors and indicators affecting the decision for treatment modality of emergent hepatic trauma. Methods: The medical records of 84 patients who were treated for blunt hepatic injury at Masan Samsung Hospital from January 2002 to December 2003. The patients were divided two groups, non-operative(Non-OP) and operative(OP), according to the treatment modality. The two groups were compares for age, sex, mechanism of injury, grade of liver injury scale, combined injury, systolic blood pressure, pulse rate, hemoglobin, hematocrit, WBC count, S-GOT, S-GPT, ALP, transfusion amount during initial 24 hours, amount of infused crystalloid fluid, length of ICU stay, length of ward care, morbidity and mortality. The grade of the liver injury were determined by using the organ injury scale(OSI). Results: Among the 84 patients, 46 cases(54.8%) were managed non-surgically, and 3 cases of Non-OP group were treated by transarterial embolization. Between the two groups, there were significant difference in age, injury grade, combined injury, hemoglobin, hematocrit, initial systolic blood pressure, amount of infused crystalloid fluid, amount of transfusion during the first 24 hours, and length of ICU care, morbidity and mortality.(p<0.05) The overall mortality rate was 8.3%, but 2.2% mortality in the non-operative group. Conclusion: Non-operative management may be considered as a first choice in hemodynamic stable patients with blunt liver trauma. The reliable indicators affecting the treatment modality of blunt hepatic trauma were systolic BP, Hb, Hct, amount of infused crystalloid fluid, amount of transfusion during the first 24 hours, liver injury grade and combined injury. Strict selection of treatment madality and aggresive monitoring with intensive care unit were more important.

• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.35 no.4
• /
• pp.55-62
• /
• 2012

In this study, it was observed through the ability of performing secondary tasks and baseline fetal heart rate how the supply of lavender, peppermint and highly concentrated oxygen (40%) affected distraction due to the performance of secondary tasks in the driving environment. Twelve male university students conducted secondary tasks while driving in the environments (6 in total) mixed and designed with oxygen concentration (21%, 40%) and the condition of odors (Normal, Lavender, Peppermint). The test was proceeded in order of stable state (5mins), driving (5mins), and secondary tasks (1min), and by extracting ECG data from every section by 30secs, the mean value of baseline fetal heart rate was calculated. As a result of analysis, in the ability of performing secondary tasks, a percentage of correct answers showed no difference in oxygen concentration and the condition of odors (p > 0.05). In performance completion time, a percentage of correct answers decreased showing a statistically significant difference in the condition of odors compared with the condition where odors were not provided (p < 0.05). As for baseline fetal heart rate, in the comparison between sections, while performing secondary tasks, it increased showing a significant difference compared with stable state and driving state (p < 0.05). The effect of interaction was observed in oxygen concentration and the condition of odors. When odors were not provided, baseline fetal heart rate decreased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05), however, when peppermint was provided, it increased in 40% oxygen concentration compared with 21% oxygen concentration (p < 0.05). In conclusion, the fact that the condition of odors increased the ability of calculation, and when only the highly concentrated oxygen was provided, parasympathetic nerve system was activated, however, when highly concentrated oxygen was provided with peppermint at the same time, sympathetic nervous system (sns) was activated, which had a negative effect on the autonomic nervous system was drawn.

• Journal of Chest Surgery
• /
• v.25 no.4
• /
• pp.424-428
• /
• 1992

Post-AMI VSD is an infrequent but often catastrophic complication of acute myocardial infarction In general, the mortality is associated with end organ failure due to low output syndrome. Therefore, a stable hemodynamic is necessary to prevent the end organ failure. If a supportive therapy does not accomplish it, surgical intervention should be considered. Recently, we have experinced a case of post-AMI VSD with cardiogenic shock. Early recognition and surgical repair of post-AMI VSD gave us a good result. Postoperative result was satisfactory and recovery was uneventful. We believe that early surgical repair can be lifesaving in the case of post-AMI VSD with cardiogenic shock.

• Journal of the Korean Professional Engineers Association
• /
• v.44 no.2
• /
• pp.29-33
• /
• 2011

In recent years, maximum electric power demand has been increasing steadily. But, Electric Power Supply & Demand problem is occurring due to lack of electric power reserve ratio caused by electric power peak. For this reason, I investigated the current status of the Electric Power Supply & Demand and established Electric Power Supply & Demand and established Electric Power Supply & Demand measures. I will expect that this paper will be contributed balanced and stable Electric Power Supply & Demand management.

• Proceedings of the KIEE Conference
• /
• 1987.07b
• /
• pp.916-920
• /
• 1987

This paper describes the maintenance function and administration function in the IWS (InterWorking System between PSTN and PSDN) which Interconnects the PSTN and PSDN. The former function is for the stable operation of the IWS system, and the latter function is for the management of the subscriber, billing and statistics informations.

• Proceedings of the KIEE Conference
• /
• 2008.07a
• /
• pp.2052-2053
• /
• 2008

High voltage motors are the core equipment of electric generation facilities and need to guarantee stable operation. Therefore, keeping healthy state is of importance by means of insulation diagnosis periodically. However, if the diagnosis went through in the different circumstances such as temperature, humidity, and impedance applied to the test equipment, the trend analysis have no significance. This paper presents the experimental results supporting the importance of keeping the same conditions under insulation diagnosis.

• Journal of applied mathematics & informatics
• /
• v.24 no.1_2
• /
• pp.367-376
• /
• 2007

In this paper we consider the global convergence of a new super memory gradient method for unconstrained optimization problems. New trust region radius is proposed to make the new method converge stably and averagely, and it will be suitable to solve large scale minimization problems. Some global convergence results are obtained under some mild conditions. Numerical results show that this new method is effective and stable in practical computation.

• Journal of Korean Society of Industrial and Systems Engineering
• /
• v.24 no.69
• /
• pp.13-22
• /
• 2001

The efficient quality assurance system to prevent mixed assembly in introduced in this paper, It supports JIT(Just-In-Time) based Kanban and demand pull system. A new system is designed for the synchronized production and quality assurance using barcode and production kanban card, And the performance improvement method for the stable and fast response of the proposed system is suggested in this paper also. As the result of the proposed system, we improved production status visibility and quality traceability.

• Journal of Digital Convergence
• /
• v.5 no.1
• /
• pp.131-140
• /
• 2007

This paper studies characteristics of e-Learning users' motivation, attitudes and satisfaction. For this purpose, surveys were conducted of university students who choose e-Learning as one of main learning tools. The research found that stable service and proper service charges were critical to the loyalty to e-Learning service. It also showed that both quality and quantity of contents were very important factors to e-Learning growth.

• Proceedings of the Korean Institute of Building Construction Conference
• /
• 2021.05a
• /
• pp.191-192
• /
• 2021

For the stable management of radioactive waste, it is necessary to secure a solidification treatment technology capable of immobilizing hazardous radioactive elements in a solid matrix. In this study, the feasibility of using recycled cement recovered from waste concrete as a solidifying material for radioactive waste was analyzed.