• 한국임상약학회지
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• 제13권2호
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• pp.72-81
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• 2003

Adverse drug reaction (ADR) may increase hospital admission, morbidity and mortality and adding extra cost to healthcare expenditures. AIMS: This study was performed to identify the types of ADR being reported in a tertiary hospital, and to find out the ways to improve current ADR monitoring system. To investigate the attitudes of hospital pharmacists towards, and their understanding of ADR reporting. METHODS: Of 117 reports submitted to the pharmacy department during 3 months survey period, A questionnaire survey of 75 randomly selected hospital pharmacists was conducted. RESULT: Of the report was from patients aged between 60 and 70. The medical department with the high frequency in ADR reporting was Internal Medicines $(60\%)$. The most common ADR manifestations were gastrointestinal complaints $(47.8\%)\;and\;80\%$ of the reported cases were mild in their severity. The most common drugs suspected of causing ADR were CNS drugs which accounted for $38.4\%.\;55.5\%$ of respondent were aware of the need to education and information about ADR monitoring. The important reasons for unreporting ADR were unknown of how to report ADRs $(94.6\%)$. CONCLUSIONS: An ADR reporting system based on reporting by staff pharmacists has been effective increasing the number of reported reactions and pharmacist involvement in monitoring patients for ADRs. Pharmacists have the knowledge and responsibility to contribute to ADR reporting program. A great opportunity exists for pharmacists to contribute in this area of patient care.

• Clinical and Experimental Pediatrics
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• 제59권3호
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• pp.120-125
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• 2016

Purpose: Viral gastroenteritis among children is mainly caused by rotavirus, norovirus, astrovirus, or adenovirus strains. However, changing socioeconomic conditions and a rotavirus vaccination program may be affecting the prevalence of these viral infections. Therefore, we aimed to elucidate the season-specific trends in viral infections for facilitating prophylaxis and surveillance in our region. Methods: We evaluated 345 pediatric patients (203 males, 142 females; age, 1 month to 16 years) who visited the CHA Bundang Medical Center because of gastroenteric symptoms between June 2014 and May 2015. The specimens were simultaneously tested for norovirus, rotavirus, astrovirus, and adenovirus via multiplex reverse transcription polymerase chain reaction. Clinical characteristics of patients were analyzed retrospectively. Results: The most common virus was norovirus, followed by rotavirus, adenovirus, and astrovirus. Of all viral infections, 45.2% occurred mainly between 6 and 24 months of age; in particular, norovirus infection mostly occurred in all age groups except those below 6 months of age, when rotavirus was most prevalent. In addition, seasonal variation was observed, such as norovirus infection from December to February, rotavirus infection from February to April, and adenovirus infection from July to October. Conclusion: Our results showed that the most common cause of acute pediatric viral gastroenteritis had changed from rotavirus to norovirus in our patients, because of effective rotaviral vaccination. We recommend the management of food and personal hygiene in accordance with age or seasons as well as active vaccination for preventing viral gastroenteritis.

• 한국항행학회논문지
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• 제19권5호
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• pp.379-388
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• 2015

1990년대 말 미국에서는 미래 자유비행 기술개발 및 시험을 추진하였고, 이에 국내에서도 2017년까지 자유비행을 실현 할 계획을 수립하였다. 자유비행 실현을 위해서는 항공기 간 충돌의 예방을 위해 항공기 분리보증 (separation assurance)이 필수적이다. 현대 대형 민간항공기는 분리보증을 위해 충돌회피장치(TCAS; traffic collision avoidance system) 운영 및 회피 기동 규칙이 있지만 경량항공기는 비용과 공간 문제로 TCAS를 적용하기 어렵기 때문에 이에 대한 대안이 필요하다. 이에 본 논문에서는 저비용으로 경량화 및 소형화되어 구성된 ADS-B 환경 하를 가정하여 소형항공기에 적합하도록 수정하였고 LABVIEW 프로그램으로 시뮬레이션하여 시험해보았다. 시뮬레이션은 국제항공민간기구에서 제시한 항공기 충돌상황에 대하여 수행하였고, 그 결과 TCAS 기준에 따라 경보발령을 100% 수행하였음을 확인하였다.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.44-51
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• 2002

Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1273-1276
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• 2012

Purpose: The incidence of colorectal cancer (CRC) has been increasing in Asian countries including Thailand. Double contrast barium enema (DCBE) is one of the investigation tools used in CRC screening. This study aimed to determine the incidence of colorectal neoplasm detected at screening by DCBE in Thai people. Methods: The computerized radiology database of screening DCBE in Thai adults between June 2009 and October 2011 at the Faculty of Medicine, Siriraj Hospital, was reviewed. DCBE examination performed in a surveillance program after curative CRC resection or the removal of colorectal polyps was also considered as a screening DCBE. Results: A total of 819 screening DCBEs performed during this 28-month period were analyzed. The mean age of patients was $59.8{\pm}13.6$ years. Of the total, 467 (57%) were male. A family history of CRC and a previous history of curative CRC resection or polyp removal were noted in 34 patients (4%) and 124 patients (15%), respectively. A total of 31 patients (3.8%; 95%CI = 2.7%-5.3%) were reported to have colorectal polyp or mass demonstrated on DCBE. Of these, follow-up endoscopy was performed in 20 cases (65%). According to pathological results, the incidence of advanced adenoma and CRC detected at screening DCBE was 0.7% (95%CI = 0.3%-1.6%; n=6) and 0.4% (95%CI = 0.1%-1.1%; n=3), respectively. Conclusions: The screening DCBE performed in Thai adults had a diagnostic yield of 0.7% for advanced adenoma and 0.4% for CRC.

• 한국보건간호학회지
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• 제17권1호
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• pp.96-112
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• 2003

The purpose of this study was to determine how often toddlers and preschoolers in kindergartens have accidents and what factors affect the accident rate. The study population consisted of 150 children who were attending at nursery schools and 150 children who were attending at kindergartens. The data was collected from ten nursery schools and five kindergartens from five districts in Daegu. The questionnaires were distributed to teachers of participating nursery schools and kindergartens to be completed using nursing care records in the institutions and by interviewing children's parents about all of the accidents happened in a previous year. Data were collected during the period of August 1 through 31, 2002. The results of the study are as follow: 1. Among 300 children, 282 had 506 accidental injuries during the study period. 2. The month, the day and the time with the highest accident rate were April. Monday, and between 2 and 4 o'clock in the afternoon, respectively. 3. Locations where the injury took place most included nursery schools or kindergartens, around the homes of the children, and inside the home. 4. Most accidents were occurred due to lack of carefulness of the children, and the most prevalent forms of injury was abrasions. 5. Most frequently injured part of the body was legs of the children. 6. Most injuries were healed within three days and required first aid measures to disinfect the wound. Mostly, these were performed by family members at home. Some children go to the hospital to suture the open wound. Most frequent type of complication was scar formation and the cost of the treatment ranged from 9,000 to 30,000 won. 7. Children's age. sex, birth order. personality. type of family composition. type of residency. father's occupation, father's age, and mother's age were significantly related to the frequency of injury among children. Children who were in nursery schools and kindergartens need their assessment for accident involving condition according to seasons, time. place. This study provided a very useful and important data to prepare accident prevention education program and accident prevention strategies, and to develop Injury Surveillance System.

• 한국항행학회논문지
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• 제12권6호
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• pp.567-573
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• 2008

본 논문에서는 우리나라 항공용 위성항법 보강시스템의 구축 방안에 대해 ICAO기준을 만족하는 전공역 위성항법 보강시스템 성능기준을 바탕으로 정량화하여 검토하였다. 국제적 동향으로부터 구축예상시점에서의 추세변화를 예측하고, 우선적으로 우리나라 여건에 적합한 구축 시나리오를 설정하여 가용성(Availability)에 대한 성능분석을 수행하였다. 국내 구축 시나리오로는 GBAS의 경우 국내 모든 공항에 구축하고, SBAS와 GRAS의 경우 5개 지역의 기준국과 2개의 중앙처리국이 필요함을 알 수 있었다. 추가적으로 SBAS의 경우는 2개의 지상 송신국(Uplink Station)과 2개의 정지위성이 소요되고, GRAS의 경우는 15개의 VDB가 소요되는 것으로 분석되었다. 전공역에 대한 각 보강시스템들에 대한 우리나라에서의 기용성 분석결과를 제시하였으며, 위성항법기술의 발전추세를 종합적으로 고려하더라도, SBAS와 GRAS의 경우는 CAT-I 수준 이상의 가용성을 보장하지 못할 것으로 판단되는 반면, ABAS의 성능은 지속적으로 개량되어 나갈 것이 확실시 되므로 대형기 중심의 우리나라 상황에서의 항공항법용 보강시스템으로서는 ABAS와 GBAS만으로 충분할 것으로 평가되었다.

• 한국멀티미디어학회논문지
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• 제14권8호
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• pp.1041-1049
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• 2011

사회의 발전과 함께 사회 기반을 구성하는 시설물들의 관리에 대한 연구가 지속되고 있으며, 사회 각 분야에서는 다양한 아이디어를 바탕으로 새로운 시스템을 구축하여 왔다. 그 중 상수도 관망 관리를 위해서 현재 시공되어 운영되고 있는 RTD-1000은 누수 및 파손 등을 원격으로 감지하는 기기로써, PC 기반의 시스템 형태를 가지고 있다. 하지만 PC 기반에서 오는 리소스 소비, 발열, 소비전력이 크다는 취약점이었다. 본 논문에서는 RTD-1000의 취약점을 보완한 개량된 시스템인 RTD-2000을 제안한다. 이 시스템은 WinCE 기반의 ARM9 개발 킷과 LCD가 제거된 TDR만으로 설계 및 구현되었다. RTD-1000에 탑재되었던 윈도우 기반의 각종 감지 프로그램들은 ARM9 기반의 전용 임베디드 S/W로 대체하였고, 성능 비교를 위하여 시뮬레이션 및 평가를 수행하였다.

• 한국항공우주학회지
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• 제34권4호
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• pp.33-39
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• 2006

본 논문에서는 항공기충돌방지장치인 TCAS-II를 응용한 무인항공기의 충돌회피를 다룬다. TCAS-II의 최소운용성능표준 문서에 기초한 시뮬레이션 프로그램을 구현하고, TCAS-II가 제공하는 다양한 수직회피 명령을 자동조종장치의 입력으로 변환하여 최대고도변화율이 상이한 두 가지 무인항공기의 충돌회피 성능을 비교분석한다. 낮은 최대고도변화율을 가진 무인항공기에 TCAS-II를 적용할 때 발생 가능한 Near Mid-Air Collision을 방지할 수 있는 방안으로서, 최대고도변화율과 고도를 고려한 개선된 알고리듬을 제안하였다. 이 알고리듬은 ADS-B 개념에 의한 보다 넓은 감시범위가 제공된다는 전제하에 사용될 수 있다.

• 시큐리티연구
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• 제60호
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• pp.91-111
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• 2019

꾸준히 늘어나고 있는 강력범죄의 예방은 언제나 인류의 중요 화두 중 하나이다. 최근의 대표적인 예방법은 도시에 범죄예방환경설계(CPTED)을 적용해 설계하는 것이다. 이 개념에서 가장 중요한 것이 감시와 접근통제인데, 그 중 일반적으로 많이 사용되는 방법은 기계적 감시에 속하는 것이지만 새로운 흐름에 맞추어 공공데이터를 활용한 다른 관점에서의 클래식 범죄예방 정책 제안이 필요하다. 이에 본 연구에서는 활용하는 공공데이터로 한국의 중심지인 서울시 데이터 포탈에서 제공되는 최근 년도의 자치구별 5대 범죄 발생현황통계를 중심으로 범위를 설정, 가장 개선이 필요한 부분에 범죄예방정책을 제안하도록 한다. 데이터 분석 및 시각화 방법으로는 오픈소스인 Python 분석 프로그램을 사용하였다.