• Journal of The Korean Society of Clinical Toxicology
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• v.18 no.2
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• pp.85-93
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• 2020

Purpose: The annual statistics for poisoning are reported based on the data from poison control centers in many advanced countries. In 2016 a study was conducted to analyze the 2016 Korea Poisoning status. This study was conducted to make a better annual report for poisoning statistics in Korea from a 2017-2018 national representative database. Methods: This study was a retrospective analysis of poisoning patients based on the data from an emergency department (ED) based injury in-depth surveillance project by the Korea Centers for Disease Control and Prevention in 2017-2018. Bite or sting injuries were not included. Results: A total of 17714 patients presented to 23 EDs because of poisoning. Adults above 20 years old age accounted for 84.6% of the population, while the proportion of intentional poisoning was 60.8%. The poisoning substance presented in the ED were therapeutic drugs (51.2%), gas (20.3%), pesticides (16.4%), and artificial substances (11.4%). Overall, 35% of patients were admitted for further treatment. The mortality was 2.4% (422 cases), and the most common fatal substances in order were carbon monoxide, other herbicides, and paraquat. Conclusion: This study showed the 2017-2018 status of poisoning in Korea. The prognosis is different from the cause of poisoning and the initial mental state of the patient. Therefore, appropriate methods for preventing poisoning and therapeutic plans in specific situations are needed.

• The Journal of Internal Korean Medicine
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• v.31 no.4
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• pp.892-900
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• 2010

Objectives : To save the lives of patients with cardiac arrests, CPR must be performed rapidly and precisely. Regarding its critical necessity, there is a growing tendency to encourage whomever witnesses the cardiac arrest to perform basic CPR. However, the attitude toward basic CPR nor its current state of education in Korean Oriental Medical arena, which is one of the dual axes unique to Korean medical system, are not known. This is a kind of pilot study to research attitudes toward and the educative effect of basic CPR among oriental medical doctors in Korea. Methods : We carried out surveys and tests targeting nineteen apprentice doctors working in Dongguk University Ilsan Oriental Hospital, who were receiving training for 'AHA BLS course for healthcare providers', on the attitude toward and educative effect of basic CPR before and after the education. Results : The pre-educational survey showed that most of the participants felt the necessity to be trained in the BLS course, were not confident about performing CPR, and not well-acquainted with the whole process of performing CPR. After education, however, none of them responded with a lack of confidence to perform basic CPR, and the score of the confidence to perform basic CPR was significantly increased, too (from $2.05{\pm}0.71$ to $4.05{\pm}0.40$, n=19, p<0.001). Moreover, all of them answered they were satisfied with this BLS course, and it aroused their sense of responsibility as oriental medical doctors. All the participants passed the exam, and their average score for BLS scheme performance was $28.2{\pm}1.3$. Conclusions : It is necessary, in the future, to set up a management system for intensive, regular and continuous reeducation and expand the research on the perception and attitude targeting larger numbers and more multilevel groups of oriental medical doctors.

• Journal of Korean Neurosurgical Society
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• v.65 no.6
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• pp.816-824
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• 2022

Objective : Emergency superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis in patients with large vessel occlusion who fails mechanical thrombectomy or does not become an indication due to over the time window can be done as an alternative for blood flow restoration. The authors planned this study to quantitatively measure the degree of improvement in cerebral perfusion flow using perfusion magnetic resonance imaging (MRI) after bypass surgery and to find out what factors are related to the outcome of the bypass surgery. Methods : For a total of 107 patients who underwent emergent STA-MCA bypass surgery with large vessel occlusion, the National Institute of Health stroke scale (NIHSS), modified Rankin score (mRS), infarction volume, and hypoperfusion area volume was calculated, the duration between symptom onset and reperfusion time, occlusion site and infarction type were analyzed. After emergency STA-MCA bypass, hypoperfusion area volume at post-operative 7 days was calculated and analyzed compared with pre-operative hypoperfusion area volume. The factors affecting the improvement of mRS were analyzed. The clinical status of patients who underwent emergency bypass was investigated by mRS and NIHSS before and after surgery, and changes in infarct volume, extent, degree of collateral circulation, and hypoperfusion area volume were measured using MRI and digital subtraction angiography (DSA). Results : The preoperative infarction volume was median 10 mL and the hypoperfusion area volume was median 101 mL. NIHSS was a median of 8 points, and the last normal to operation time was a median of 60.7 hours. STA patency was fair in 97.1% of patients at 6 months follow-up DSA and recanalization of the occluded vessel was confirmed at 26.5% of patients. Infarction volume significantly influenced the improvement of mRS (p=0.010) but preoperative hypoperfusion volume was not significantly influenced (p=0.192), and the infarction type showed marginal significance (p=0.0508). Preoperative NIHSS, initial mRS, occlusion vessel type, and last normal to operation time did not influence the improvement of mRS (p=0.272, 0.941, 0.354, and 0.391). Conclusion : In a patient who had an acute cerebral infarction due to large vessel occlusion with large ischemic penumbra but was unable to perform mechanical thrombectomy, STA-MCA bypass could be performed. By using time-to-peak images of perfusion MRI, it is possible to quickly and easily confirm that the brain tissue at risk is preserved and that the ischemic penumbra is recovered to a normal blood flow state.

• Research in Community and Public Health Nursing
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• v.7 no.2
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• pp.333-348
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• 1996

The purpose of this study was to examine the effect of nursing information on the level of need fulfillment and anxiety of the emergency patient's family members. The quasi-experimental study was designed using a noneqivalent control group non-synchronized design. During the first period, 30 subjects were assigned to the control group and 25 to the experimental group at a late period. The experimental group was provided with nursing information via guide booklet designed by the researcher. The control group received only routine care. Data was collected from January 31 to April 16 in 1996 at the K hospital in Taegu and analysed by chi-square test, t-test, ANOVA and Pearson correlation with SAS program. The instruments used for this study were the Family Needs Scale developed by Jung and the State-Trait Anxiety Inventory developed by Spielberger. The results of this study were summarized as follows : 1. The first hypothesis that the family members who received nursing information will have greater need fulfillment than family members who did not receive nursing information was supported. 2. The second hypothesis that the family members who received nursing information will have lower anxiety level than family members who did not receive nursing information was not supported. 3. The third hypothesis that the more the need of family member of emergency patient was met, the lower the anxiety level, was not supported. In conclusion, it was proved that nursing information about the emergency room provides family members with more need fulfillment, but did not decrease the anxiety level.

• Proceedings of the Korean Vacuum Society Conference
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• 2014.02a
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• pp.169-169
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• 2014

Interfacial electronic structure of bathocuproine and Al was investigated using in-situ photoemission spectroscopy and density functional theory (DFT) calculations. Bathocuproine is used for exciton blocking and electron transport material in organic photovoltaics and Al is typical cathode material. When thin thickness of Al was thermally evaporated on BCP, gap states were observed by ultraviolet photoemission spectroscopy. The closest gap state yielded below 0.3 eV from Fermi level. By x-ray photoemission spectroscopy, interaction of Al with nitrogen of BCP was observed. To understand the origin of gap states, DFT calculation was carried out and gap states was verified with successive calculation of interaction of Al and nitrogen of BCP. Furthermore, emergency of another state above Fermi level was observed. Remarkable reduction of electron injection barrier between Al and BCP, therefore, is possible.

• Transactions of the Korean Society of Automotive Engineers
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• v.11 no.5
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• pp.163-169
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• 2003

Modeling of engine-generator system and its control responses are investigated using high performance generator controller. The nonlinear engine is modeled using mean torque production model based on experimental engine map. In case of diesel engine. the amount of injected fief is decided by engine controller depending on the APS(Acceleration Position Sensor) value. An electromechanical generator model contains electrical circuits and moment of inertia. The generator controller maximizes the performance of generator using decoupling and linearized current feedback control. The generator control system consists of 3-phase IGBT inverter and controller board based on 32 bit floating point DSP. Field oriented control algorithm with digital current feedback control at 10kHz sampling enabled high performance torque and speed control of induction machine. Not only the steady state but also the transient state responses can be evaluated through a batch test of the engine generator system. Developed engine and generator modeling and control can be utilized in various applications such as Series Hybrid Electric Vehicle(SHEV), engine-generator for emergency, and other hybrid generation systems.

• Journal of Korean Neurosurgical Society
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• v.53 no.1
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• pp.49-51
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• 2013

A case of traumatic spondyloptosis of the cervical spine at the C6-C7 level is reported. The patient was treated succesfully with a anterior-posterior combined approach and decompression. The patient had good neurological outcome after surgery. A-51-year-old female patient was transported to our hospital's emergency department after a vehicle accident. The patient was quadriparetic (Asia D, MRC power 4/5) with severe neck pain. Plain radiographs, computerize tomography and spinal magnetic resonance imaging (MRI) showed C6-7 spondyloptosis and C5, C6 posterior element fractures. Gardner-Wells skeleton traction was applied. Spinal alignment was reachived by traction and dislocation was decreased to a grade 1 spondylolisthesis. Then the patient was firstly operated by anterior approach. Anterior stabilization and fusion was firstly achieved. Seven days after first operation the patient was operated by a posterior approach. The posterior stabilization and fusion was achieved. Postoperative lateral X-rays and three-dimensional computed tomography showed the physiological realignment and the correct screw placements. The patient's quadriparesis was improved significantly. Subaxial cervical spondyloptosis is a relatively rare clinical entity. In this report we present a summary of the clinical presentation, the surgical technique and outcome of this rarely seen spinal disorder.

• The Transactions of the Korean Institute of Electrical Engineers
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• v.39 no.8
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• pp.779-791
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• 1990

This paper presents a knowledge based system to solve reactive power/voltage control problem in a power system. A need is recognized for new methods to alleviate a bus voltage limit violation more quickly when a power system becomes an emergency state due to contingency. To cope with this object, a set of indices concept which is used to make bus order list of reactive power injection priority is introduced. A set of indices, based on the overall system conditions, consists of steady state stability index, reactive power transmittance indes, voltage severity index and generator fuel cost index. This scheme and empirical rules of the knowledge on the basis of the human expert result in fast decision-making of the reactive power compensation devices since only the amount of devices is determined by the inference in the knowledge based system when the voltage violation is detected. In this approach, control devices such as shunt capacitor (reactor), transformer tap settings and generator voltages are utilized. Also the developed system herein can be used to minimize control action taken or generator fuel cost according to the user's option on the weighting factor. The results of a case study are also presented.

• Structural Monitoring and Maintenance
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• v.2 no.2
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• pp.115-132
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• 2015

This paper presents a new method for seismic vulnerability assessment of buildings with reference to their operational limit state. The importance of this kind of evaluation arises from the civil protection necessity that some buildings, considered strategic for seismic emergency management, should retain their functionality also after a destructive earthquake. The method is based on the identification of experimental modal parameters from ambient vibrations measurements. The knowledge of the experimental modes allows to perform a linear spectral analysis computing the maximum structural drifts of the building caused by an assigned earthquake. Operational condition is then evaluated by comparing the maximum building drifts with the reference value assigned by the Italian Technical Code for the operational limit state. The uncertainty about the actual building seismic frequencies, typically significantly lower than the ambient ones, is explicitly taken into account through a probabilistic approach that allows to define for the building the Operational Index together with the Operational Probability Curve. The method is validated with experimental seismic data from a permanently monitored public building: by comparing the probabilistic prediction and the building experimental drifts, resulting from three weak earthquakes, the reliability of the method is confirmed. Finally an application of the method to a strategic building in Italy is presented: all the procedure, from ambient vibrations measurement, to seismic input definition, up to the computation of the Operational Probability Curve is illustrated.

• 전기의세계
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• v.22 no.1
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• pp.35-41
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• 1973

An automatic point traffic control method is recommended for more idealistic traffic flow over coarse road netowrks. The automatic control apparatus recommended, consists of a transceiver, amplifier, digital-to-analog converter, signal light controller for emergency and steady state, and digital counter as monitor. The transmitter sends a signal to the target vy means of Microwave-FM-CW and a diode detector picks up the echo signal. Thus the operation of the entire system will be carried out through an open loop state. Some factors necessary for an ideal detector system are rapid response, longevity and stability. An analytical method of the Doppler effect substitutes the conventional frequency deviation into the amplitude of detector output. The changing rate of amplitude is proportional to the voltage of the detector output. Some induced formula from Maxwell's radiation field theory ensures this new method, and, new method, and proves the fact with an experimental data presentation. Stability depends upon Klystron as an oscillator and a diode as a detector. the transceiver installation affects on the response and sensitivity of the system. In accordance with the detector output, several targets are easily classified by amplitudes on the scope. The traffic flow, i.e., target movement which is analyzed by the amplitude method, is shown through the scope and indicates it on the digital counter. The best efficiency for the amplitude analysis can be attained through use of an antenna having the highest sensitivity.