• 한국의료질향상학회지
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• 제9권2호
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• 디지털융복합연구
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• 제19권4호
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• pp.467-475
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• 2021

목적: 병동에서 급성악화 환자가 발생할 때 환자에게 집중치료가 필요한지 여부에 대한 결정은 환자의 예후를 향상시키기 위해서는 매우 중요하나, 특히 사용 가능한 ICU 자원이 제한적일 때는 ICU 전동 여부를 결정하기에는 어려움이 있다. 따라서 본 연구는 일반병동 급성 악화 환자를 대상으로 중환자실 전동 위험요인을 확인하고자 한다. 연구방법: 후향적 조사연구로서 대상자는 일 상급종합병원 일반병동에 입원한 18세 이상의 성인 환자 중 악화상태를 보여 신속대응팀에 의뢰된 환자 2,945명을 대상으로 하였다. 중환자실 전동 위험요인을 파악하기 위해 다변량 로지스틱 회귀분석을 시행하였다. 연구결과: 다변량 로지스틱 회귀분석 결과 입원시 고형암을 진단받은 경우 (odds ratio [OR] 0.39, 95% CI 0.32-0.47), 악화원인이 호흡문제인 경우 (OR 1.51, 95% CI 1.17-1.95), MEWS (OR 1.22, 95% CI 1.17-1.28)와 SpO2/FiO2 score (OR 2.41, 95% CI 2.23-2.60)가 중환자실 전동 위험요인으로 나타났다. 결론: 본 연구 결과는 중환자실 전동 위험이 높은 환자의 조기 예측을 가능하게 하여 환자의 예후를 향상시키는데 도움이 될 것으로 사료된다.

• 터널과지하공간
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• 제17권1호
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• pp.56-65
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• 2007

기존의 단열 시스템, 지하동굴 건설기술과 새로운 동결링 방벽기술을 결합하여 암반동굴식 지하 LNG 저장시스템이 개발되었다. 이 저장시스템의 기술적 적합성은 파일럿 동굴 실증시설의 건설과 운영을 통해 검증된 바 있으며, 조만간 실규모 프로젝트가 시작될 예정이다. LNG 저장시스템에서 중요한 사항 중의 하나는 극저온 열전달을 통해 장기간의 운영 기간동안 열손실을 최소화하는 것이다. 이 논문은 지하 LNG 저장 시스템의 설계를 위한 몇 가지 중요한 열전달 해석 결과를 제시하며, 기화율, 단열재 두께와 같은 설계 변수를 결정하기 위해 일련의 실규모 동굴에 대한 열전달 및 열-수리 해석을 실시하였다. 열-수리 연계해석결과 LNG 저장시설의 기화율은 초기 단계에서 0.04 %/day로 떨어져 유지되는 것으로 나타났다. 이 값은 암반내 존재하는 불연속면을 고려할 때 더욱 낮아질 수 있을 것으로 판단된다.

• 천문학회보
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• 제41권1호
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• pp.77.4-78
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• 2016

Binary interactions may have significant impact on Pop III stellar evolution. Pop III single star evolution indicates that for primary masses less than $20M_{\odot}$, no significant binary mass transfer would occur before core helium exhaustion. We perform binary system evolution for various primary masses ($20M_{\odot}$ < $M_1$ < $60M_{\odot}$) and initial periods under same mass ratio $M_2/M_1=0.9$, and follow the evolution and mass transfer of the primary star. If binary mass transfer occurs during post main sequence, the primary star does not evolve into naked helium star and still contain significant hydrogen in the envelope. During the post mass transfer phase, the primary star evolves redward, and does not become sufficiently hot to enhance the number of ionizing photons, compared to the case of single star evolution for a given initial mass. This result implies that primary stars of massive Pop III binary systems would have little contribution to the reionization in the early universe. Given the large hydrogen content ($0.326-1.793M_{\odot}$), the primary stars that underwent stable mass transfers would explode as a Type IIb supernova, and it would be difficult for Pop III binary stars to produce Type Ib/c supernovae that look similar to those found in the local universe.

• 대한기계학회논문집A
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• 제22권2호
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• pp.391-398
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• 1998

The intake noise, a major source of vehicle noises, has rapidly become a noticeable, and has been studied to reduce the level. Traditionally, the intake system has been developed through the road test and the experiment using a engine dynamo, namely, the trial and error process. This approach require very high cost and long time consuming to develop the system. In this study, the simulator which had a speaker in the cylinder head was presented. It was easy to analyze the acoustic characteristic of the intake system in laboratory environment. This study presented a improvement to reduce the level of the intake noise using the Transfer Matrix Method and NIT/SYSNOISE, FE analysis commercial software. It was to select optimum position of a resonator and verified by the simulator. This simulator can be used early in the design stage of development of the intake system.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2007년도 Proceedings of ISRS 2007
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• pp.142-145
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• 2007

In order to analyze hyper-spectral properties of Sand and Dust Storm (SDS), dust observation experiment has been performed at the Korea Global Atmosphere Watch Center (KGAW) in Anmyeon form early March to middle of May, 2007. We measured down-welling radiances by using ground-based Fourier Transform Infrared Spectroscopy (FT-IR) at the time of overpass of AIRS. And radiative transfer model simulation has been carried out to estimate the effects of size distribution, components, and altitude of SDS over the high resolution infrared spectrum in the range of 500-1500 $cm^{-1}$ with a line-by-line radiative transfer model and compared them with FT-IR and AIRS/Aqua observing data.

• 한국수정란이식학회지
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• 제1권1호
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• pp.35-49
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• 1986

Recipients are an integral part of embryo transfer and they are expensive to maintain as a good recipient. Recipient management is one of the most important components in a successful embryo transfer program. Management includes selection and subsequent care of the animals. A good recipient is basically on "open" cows or heffers whose reproductive tract is capable of receiving one or two embryos and incubating it to term. Potential recipients should be always be healthy and cycling normally ranging from 18 to 23 days. A thorough veterinary examination is recommended for candidate of recipients and cattle for questionable health should be eliminated from the recipient herd. Age and size of recipients are particularly important considerations when heifers are used, because of most embryos available for transfer are from large dams and sires. Body condition can influence a recipient's production, reproduction and health. Obese and underconditioned cattle should be avoided for use. Transfer of fresh embryos especially requires precise synchronization of donors and recipients. For estrus synchronization, PGF$_2$$\alpha$ is injected twice 10 to 12 days apart and short4erm progestagen treatment is applied to potential recipient cattle by coil into vagina (PRID) or ear implant (Synchro-Mate-B). The highest pregnancy results are achieved in recipients at exact synchrony with donors or 12 to 24 hr earlier than donors. Estrus detection is a major factor in breeding efficiency. High accuracy can be achieved by use of heat mount detection alds or by obserbing cattle for 30-minute peroids 3 times daily. Assay progesterone in milk can be used to discrIminate between pregnant and nonprenant recipients. Rectal palpation on day 35 to 70 after is an accurate and safe method of pregnancy diagnosis. Embryonic mortality in recipients may be associated with factors such as high environmental temperature and nutritional or lactational stress in early lactation period. Achievement of short calving interval requires concentrated management activity during the first 90 days following calving. Acceptable candidate for a recipient should be routinely vaccinated for infectious diseases. Proper nutritional programs according to NRC requirements and body condition scoring system for recipient cattles are vital to the ultimate success of an embryo transfer program.r program.

• 한국수정란이식학회지
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• 제10권3호
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• pp.251-256
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• 1995

This study was experimented that developmental effects of bovine in vitro fertilized embryos by coculture system and supplementation of energy materials into simple media. With the ovaries from slaughter house in vitro maturation by 24h, in vitro fertilization was performed with sperms collected by Percoll gradient method. Fertilized embryos were cocultured in 15% FCS+CZB medium with BOEC(bovine oviductal epithelial cell), GCM (granulosa cell monolayer) and MEFC(mouse embryonic fihrohlast cell). And also in this study, there was trying to improve the early developmental rate of embryos by addition of concentration-controlled Na-pyruvate, D-glucose which were used as energy sources into CZB medium. In vitro developmental rate was confirmed by the cleavage rate of 48h post-IVF and the embryo development rate at 240h culture. In the coculture system BOEC had 20.0% of blastocysts rate, which was higher than that of other coculture systems. To determine the optimum concentration for early embryo developmental rate rapidly, through the gradient of concentrations of Na-pyruvate and D-glucose, we focused on the cleavage rate at 48h and blastocysts rate at 240h. In case of Na-pyruvate, cleavage rate and developmental rate over 3-cell were lower at the concentration of 1.OOrnM than the other treatment concentrations, otherwise the blastocysts rate was higher as 23.2% than the others. That result showed that as like reported group which had higher develop-mental rate over 3-cell was also higher to the blastocysts rate. In case of D-glucose, there was no effects through the concentration changes. It was the result of this study for which the use of BOEC coculture system and 1.OOmM Na-pyruvate as an energy source had an effect upon embryo development.

• 한국발생생물학회지:발생과생식
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• 제18권4호
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• pp.267-274
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• 2014

The immune system in teleost fish is not completely developed during embryonic and larval stages, therefore effective innate mechanisms is very important for survival in such an environment. However, the knowledge of the development of immune system assumed to be restricted. In many species, lysozymes have been considered as important genes of the first line immune defense. The early detection of lysozyme mRNA in previous reports, led to the investigation of its presence in oocytes. As a result, c-type lysozyme mRNA transcripts were detected in unfertilized oocytes indicating maternal transfer. Therefore, we investigated the expression patterns of lysozymes in flounder, including the matured oocyte. In our results, c-type lysozyme mRNA was first detected in unfertilized oocyte stage, observed the significantly decreased until hatching stage, and was significantly increased after hatching stage. On the other hand, g-type lysozyme mRNA transcripts were first detected at late neurula stage, and the mRNA level was significantly increased after 20 dph. It may be suggest that maternally supplied mRNAs are selectively degraded prior to the activation of embryonic transcription. This study will be help in understanding the maturation and onset of humoral immunity during development of olive flounder immune system.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2000년도 추계학술대회논문집B
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• pp.341-346
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• 2000

A numerical simulation has been carried out for the engine cooling system. It is the important element to analysis of heat transfer process in cooling system for an automotive engine. Thus, the purpose of this simulator is to present useful information at the early stages of the design of the cooling system by enabling the development engineer to predict performance trends. This program has useful window interface for analysis of the cooling system and it is convenient for user to control data with relational database. The system was simulated and compared with experimental data. As a result, the inlet, outlet temperature of the radiator by the simulator agrees well with it. It is concluded that this simulation program is available in developing the cooling system for a new car.