• Quality Improvement in Health Care
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• v.2 no.2
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• pp.32-45
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• 1996

Background : A critical path defines an optimal sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to better utilize resources, maximize quality of care, and minimize delays. It can be thought of as a visualization of the patient care process. In this study, a review of appendectomy patient records was undertaken to identify a critical path for the management of this treatment. Methods: For this study, records of patients under 15 or over 65 years of age were excluded ; cases where the patient was pregnant, or where complications developed were also excluded. The remaining 21 cases were divided into two categories according to the indication for appendectomy : for acute appendicitis, and for perforated appendix or drainage of periappendical abscess. The time frame for the review was from patient examination immediately prior to operation, through discharge. The study team was composed of a surgeon, research head nurse, education head nurse, surgical part head nurse, and medical recorder. Following their review of the 21 charts, the team determined an appropriate progression and schedule for an appendectomy. Result : Through the chart and literature review, the following aspects of the care process were identified as typical and tracked : monitoring/assessment, treatment, lines/drains, medication, activity, diet, tests and patient education. Conclusion : From this study, the design team determined two separate critical paths : one for appendectomy only, and one for appendectomy plus drainage. Next, these paths must be validated and fine-tuned through clinical implementation. In addition, a comparison of our design with the critical paths determined at other hospitals would be extremely valuable for advancing research in this area. Lastly, the critical path approach to improving patient care and maximizing hospital resources should be applied to other procedures.

• Journal of Korean Neurosurgical Society
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• v.38 no.4
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• pp.281-286
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• 2005

Objective : The authors report our experience of urokinase thrombolysis in treating patients harboring nonaneurysmal spontanesous intraventricular hemorrhage[IVH] and evaluated complications, safety and feasibility of this procedure retrospectively. Methods : Fifty-three patients with nonaneurysmal IVH>15mL without underlying structural etiology or coagulopathy were recruited. The patients with Glasgow Coma Scale[GCS]<5 were excluded. A catheter was directed into the IVH. Hematoma aspiration was followed by instillation of urokinase at the ear level of drainage bag under intracranial pressure monitoring system. This was repeated every 6hours until half of its initial volume. For analysis of prognostic factors, we classified the patients into two groups by Glasgow outcome scale[GOS]; good [$GOS\;{\ge}3$] and bad [GOS<3] prognosis group, and performed comparative analysis between two groups. Results : Mean age was 60.2years. The baseline hematoma size ranged 16 to 72mL. IVH volume reduction was done by an average of 74.2%. As complications, there were 3cases of rebleeding and 2cases of ventriculitis. No intracranial adverse effects were observed during thrombolytic theraphy. At 6months after the procedure, 29patients had achieved a good recovery, 15remained vegetative. 9patients died in hospital. The main good prognostic factors were young age, small IVH volume, and high GCS. Conclusion : The results of this study suggest that this relatively easy and safe method of treatment will improve the prognosis. However, further clinical studies also must assess optimal thrombolytic dosage, frequency, and timing of urokinase instillation for safety and effectiveness and must include controlled comparisons of mortality, disability outcome, quality of life, time until convalescence, and cost of care in treated and untreated patients.

• Proceedings of the Korean Environmental Sciences Society Conference
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• 2003.11a
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• pp.73-78
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• 2003

In this research, we implement Realtime Air Diffusion Prediction System which is a parallel Fortran model running on distributed-memory parallel computers. The system is designed for air diffusion simulations with four-dimensional data assimilation. For regional air quality forecasting a series of dynamic downscaling technique is adopted using the NCAR/Penn. State MM5 model which is an atmospheric model. The realtime initial data have been provided daily from the KMA (Korean Meteorological Administration) global spectral model output. It takes huge resources of computation to get 24 hour air quality forecast with this four step dynamic downscaling (27km, 9km, 3km, and lkm). Parallel implementation of the realtime system is imperative to achieve increased throughput since the realtime system have to be performed which correct timing behavior and the sequential code requires a large amount of CPU time for typical simulations. The parallel system uses MPI (Message Passing Interface), a standard library to support high-level routines for message passing. We validate the parallel model by comparing it with the sequential model. For realtime running, we implement a cluster computer which is a distributed-memory parallel computer that links high-performance PCs with high-speed interconnection networks. We use 32 2-CPU nodes and a Myrinet network for the cluster. Since cluster computers more cost effective than conventional distributed parallel computers, we can build a dedicated realtime computer. The system also includes web based Gill (Graphic User Interface) for convenient system management and performance monitoring so that end-users can restart the system easily when the system faults. Performance of the parallel model is analyzed by comparing its execution time with the sequential model, and by calculating communication overhead and load imbalance, which are common problems in parallel processing. Performance analysis is carried out on our cluster which has 32 2-CPU nodes.

• Journal of Korean Society for Atmospheric Environment
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• v.21 no.3
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• pp.357-365
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• 2005

The typical patterns of surface $O_3$ pollution and their dependence on meteorology were studied in the Greater Seoul Area (GSA) during warm season (April-September) from 1998 to 2002. In order to classify the $O_3$ pollution patterns, two-stage (average linkage then k-means) clustering technique was employed based on daily maximum $O_3$ concentrations obtained from 53 monitoring sites during high $O_3$ events (118 days). The clustering technique identified four statistically distinct $O_3$ pollution patterns representing the different horizontal distributions and levels of $O_3$ in GSA. The prevailed pattern (93 days, $49.5\%$) distinctly showed the gradient of $49.5\%$ concentrations going from west to east in GSA. Very high $49.5\%$ concentrations throughout GSA (24 days, $12.8\%$) were also found as a significant pattern of severe $O_3$ pollution. In order to understand the characteristics of $O_3$ pollution patterns, the relationship between $O_3$ pollution patterns and meteorological conditions were analyzed using both synoptic charts and surface/upper air data. Each pattern was closely associated with surface wind interacted with synoptic background flow allowing to transport and accumulate $O_3$ and its precursor. In particular, the timing and inland penetration of sea-breeze were apparently found to play very important role in determining $O_3$ distributions.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.33 no.7
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• pp.98-105
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• 2005

In this paper, the decryption function of CCSDS telecommand of CTU EQM for the security of communications satellite was verified. In order to intensify the security level of DES CFB decryption algorithm applied to CTU EM, 3DES CFB decryption algorithm using three keys is implemented in the CTU EQM. As the decryption keys increased due to the 3DES algorithm, the keys and IV are stored in PROM memory, and used for the telecommand decryption by taking the keys and IVs corresponding to the selected key and IV indexes from the memory. The operation of the 3DES CFB is validated through the timing simulation of 3DES CFB algorithm, and then the 3DES CFB core implemented on the A54SX32 FPGA. The test environment for the telecommand decryption verification of the CTU EQM was built up. Through sending and decrypting the encrypted command, monitoring the opcodes, and confirming LED on/off by executing the opcodes, the 3DES CFB telecommand decryption function of the CTU EQM is verified.

• Journal of the Korean Institute of Telematics and Electronics S
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• v.35S no.10
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• pp.11-18
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• 1998

A binary line code, called MB46d, is designed by use of the BUDA(Binary Unit DSV and ASV) cell concept to retain the property of being runlength limited, DC tree, and with a power spectral null at the Nyquist frequency. This new code is a stateless line code with a simple encoding and a decoding rule and enables efficient error monitoring. The power spectrum and the eye pattern of the new line code are simulated for a minimum-bandwidth digital transmission system where the sinc function is used as a basic pulse. The obtained power null at the Nyquist frequency is wide enough to enable easy band-limiting as well as secure insertion of a clock pilot where necessary. The eye is also substantially wide to tolerate a fair amount of timing jitter in the receiver.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.10
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• pp.5980-5987
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• 2014

As a response to exhaust gas regulations, the electronic control system was applied to the diesel engine. The injected fuel mass and injection timing are accurately controlled using it, and the fuel efficiency and the engine output are significantly increased. In addition, the noise and the vibration of vehicles are decreased. To maintain the optimal performance of an electronic control diesel engine, it is important to control the fuel injection pressure accurately using the fuel pressure regulator. When the fuel pressure regulator is not worked normally, the failure phenomena (starting failure, staring delay, accelerated failure, engine mismatch et al.) occurred because the fuel pressure is not stabilized and controlled accurately. In this study, the effects on a fuel pressure, return fuel mass flow, and engine rotating speed according to the control rate of fuel pressure regulator were investigated to analyze the performance variation under the failure conditions of a fuel pressure regulator. As a result, when the control rate of a fuel pressure regulator decreased by 4%~6% compared to that of the standard condition, the variation of engine rotating speed and return fuel flow were increased greatly, and the abnormal condition occurred. In addition, it is possible to diagnose the failure of a fuel pressure regulator by monitoring these conditions.

• IEMEK Journal of Embedded Systems and Applications
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• v.16 no.6
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• pp.267-276
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• 2021

The automotive industry and academic research have been continuously conducting research on standardization such as AUTOSAR (AUTomotive Open System ARchitecture) and ISO26262 to solve problems such as safety and efficiency caused by the complexity of electric/electronic architecture of automotive. AUTOSAR is an automotive standard software platform that has a layered structure independent of MCU (Micro Controller Unit) hardware, and improves product reliability through software modularity and reusability. And, ISO26262, an international standard for automotive functional safety and suggests a method to minimize errors in automotive ECU (Electronic Control Unit)s by defining the development process and results for the entire life cycle of automotive electrical/electronic systems. These design methods are variously applied in representative automotive safety-critical systems. However, since the functional and safety requirements are different according to the characteristics of the safety-critical system, it is essential to research the AUTOSAR functional safety design method specialized for each application domain. In this paper, a software functional safety mechanism design method using AUTOSAR is proposed, and a new failure management framework is proposed to ensure the high reliability of the product. The AUTOSAR functional safety mechanism consists of memory partitioning protection, timing monitoring protection, and end-to-end protection. The fault management framework is composed of several safety SWCs to maintain the minimum function and performance even if a fault occurs during the operation of a safety-critical system. Finally, the proposed method is applied to the Shift-by-Wire system design to prove the validity of the proposed method.

• The Journal of the Korea institute of electronic communication sciences
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• v.13 no.6
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• pp.1405-1410
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• 2018

The Ringer's Solution used in medical institutions is one of the injections helpful for recovering the body condition from fever or dehydration by supplying the water to the body. The medical staffs frequently check the amount of Ringer's Solution prescribed for the relevant patient to check the time for replacing the Ringer's Solution. However, currently, many nurses experience the excessive workload because of the insufficient workforce and lots of workload assigned to each of the nurses; so the they cannot provide the high-quality medical services to patients and guardians. In order to solve this problem, this thesis designed and realized the Ringer's Solution replacement time control system through the non-contacting sensor, IoT device using WiFi, and OCS interlock. Thus, this study is expected to be able to efficiently operate the Ringer's Solution replacement work and also to provide the high-quality medical service to patients and guardians by automatically notifying the timing of Ringer's Solution replacement to medical staffs, and omitting the inefficient intermediate step in the past.

• Korean Journal of Clinical Laboratory Science
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• v.53 no.2
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• pp.193-198
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• 2021

The purpose of spinal dural arteriovenous fistula (SDAVF) ligation is to prevent neurological injury and the poor blood supply through ligation of arteriovenous fistula. Therefore, intraoperative neurophysiological monitoring (INM) is required via multimodal neurological examination for minimizing the side effects after surgery based on the patient's symptoms. Transcranial electric motor-evoked potentials (TceMEP) help to check the condition of the corticospinal tract. Whenever ligation is performed, TceMEP should be performed every minute to check for abnormalities. However, an examiner's lack of knowledge about the operation procedure and examination and also poor communication between the examiner and surgeon can cause incorrect timing of the stimulation of TceMEP that interferes with the procedure and causes side effects such as paralysis and motor weakness. As a result of this SDAVF ligation survey, it is believed that for proper INM, case reports will be needed along with further research and the examiner will also have to work closely with the surgeon to minimize neurological damage to patients.