• 임상간호연구
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• 제23권3호
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• pp.350-360
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• 2017

Purpose: The purpose of this study was to investigate the present status of falls among inpatients in general hospitals and to identify the fall risk factors that reflect the characteristics of domestic hospitals. Methods: Data were collected between December 15, 2016 and January 15, 2017 from 32 Korean hospitals having 500 or more beds. First, 42 risk factors were extracted based on literature review and expert opinions. Then the importance of each factor was evaluated by 223 nurses from medical and surgical adult ward and intensive care units in 40 hospitals. Results: The incidence rate of falls in 18 hospitals was 3.87 per 1,000 total discharged patients and 0.55 per 1,000 patient-days, and the rate of injury-related falls was 40.5%. Major risk factors for falling were identified as the following: being over 65 years of age, history of falls during admission, physical mobility disorders requiring assistance, physical factors (dizziness or vertigo, unstable gait, general weakness, walking aids, visual problems), cognitive factors (delirium, lack of understanding on limitations), neurological disease, CNS medications Conclusion: The findings provide information that can be in the development of a fall risk assessment tool for inpatients in general hospitals in Korea.

• 정보처리학회논문지B
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• 제16B권4호
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• pp.327-331
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• 2009

퍼지 논리에서 불확실성의 병합은 일반적으로 t-norm 과 t-conorm 같은 연산자에 의해 수행된다. 그러나 기존의 병합 연산자는 다음과 같은 단점을 가지고 있다 : 첫째, 그들은 상황에 독립적이다. 결과적으로 동적 병합 과정에 적절히 적용하기 어렵다. 둘째, 의사결정 과정에의 직관적 연결성을 제공하지 못한다. 이러한 문제점을 해결하기 위해 의사결정 과정에서 옵션들의 강점 정도를 반영해 주는 퍼지 다차원 의사결정분석에 기반을 둔 $\varepsilon$-AMDA 알고리즘을 제안한다. $\varepsilon$-AMDA 알고리즘은 옵션의 강점 정도를 나타내 주는 매개변수의 값에 따라 최소값(옵션의 최약점)과 최대값(옵션의 최강점) 사이에서 적응적인 병합 결과를 생성한다. 이러한 관점에서 이는 동적 병합에 적용될 수 있다. 또한, 의사결정을 위한 퍼지 다차원 의사결정 분석에 대한 메커니즘을 제공하고 의사결정 과정에의 직관적 연결성을 제공한다. 결과적으로 제안된 방법은 의사결정자가 옵션의 강점 정도에 따라 적절한 의사결정을 하도록 지원할 수 있다.

• 한국지능시스템학회논문지
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• 제18권5호
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• pp.692-699
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• 2008

본 논문은 보행보조기 사용자의 사용자 의지 파악을 통해 보행보조기의 최적 구동 방법을 제시하고자 한다. 최근에 노인인구의 증가로 인해 노인 및 장애인을 위한 보행 보조기에 대한 관심이 증가되고 있다. 그러나 대부분의 경우 동력이 없는 시스템으로써 경사 등의 공간에서 취약성을 가지고 있다. 이에 동력형 보행보조기에 대한 관심이 증가되고 있으나, 대부분의 경우 보행보조기 조종이 여의치 않다. 이에 본 논문에서는 사용자의 보행 의지를 파악할 수 있는 시스템을 도입하고 이를 기초로 보행자의 안정적인 구동을 수행할 수 있도록 퍼지 기반의 알고리즘을 적용한다. 먼저 사용자의 의지력은 FSR 센서를 이용하여 파악하고, 이를 기초로 사용자가 이동하고자 하는 이동 방향과 이동속도에 대해 퍼지 알고리즘을 적용하였다. 퍼지알고리즘으로부터 나온 데이터를 기초로 보행보조기의 차량 속도와 방향에 대해 구동 바퀴의 차동 구동을 통해 사용자의 의지에 맞춰 구동할 수 있도록 하였다. 이를 통해 사용자의 이동하려는 의지에 대해 안정적으로 차량을 이동시킬 수 있도록 최적의 보행 시스템을 구축하였다. 이 모든 과정을 실험을 통해 검증하였다.

• 한국전자통신학회논문지
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• 제10권4호
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• pp.461-467
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• 2015

119 긴급구조시스템은 화재, 구조, 구급 등 각종 사건사고로부터 인명과 재산을 보호하기 위하여 구축된 소방 신고접수시스템이다. 119 긴급구조시스템을 활용한 상황관제요원들의 사건사고신고 접수능력은 사건사고로부터 소중한 생명과 재산을 보호하고 대처할 수 있는 능력과 직결된다. 119 종합상황실에 투입되는 신규인력과 재배치되는 인력들에 대하여 상황실에서 운용되고 있는 시스템과 동일한 시스템을 이용한 교육훈련이 절실하게 요구되나, 긴급구조시스템은 고가이고 소방본부에서 상시 운용되고 있는 유일한 시스템으로 공동 활용이 불가능하다. 따라서 적은비용으로 다양한 종류의 재해/재난에 대한 사건접수/출동지령/상황관제 등의 훈련을 수행할 수 있는 119 종합상황실 교육훈련시뮬레이터 시스템을 개발하였다.

• Parasites, Hosts and Diseases
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• 제44권4호
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• pp.285-294
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• 2006

Changing patterns of the reemerging Plasmodium vivax malaria in the Republic of Korea (South Korea) during the period 1993 to 2005 are briefly analyzed with emphasis on the control measures used and the effects of meteorological and entomological factors. Data were obtained from the Communicable Diseases Monthly Reports published by the Korea Center for Disease Control and Prevention, and webpages of World Health Organization and United Nations. Meteorological data of Kangwon-do (Province) were obtained from local weather stations. After its first reemergence in 1993, the prevalence of malaria increased exponentially, peaking in 2000, and then decreased. In total, 21,419 cases were reported between 1993 and 2005 in South Korea. In North Korea, a total of 916,225 cases were reported between 1999 and 2004. The occurrence of malaria in high risk areas of South Korea was significantly (P < 0.05) correlated with the mosquito population but not with temperature and rainfall, Control programs, including early case detection and treatment, mass chemoprophylaxis of soldiers, and international financial aids to North Korea for malaria control have been instituted. The situation of the reemerging vivax malaria in the Republic of Korea is remarkably improving during the recent years, at least in part, due to the control activities undertaken in South and North Korea.

• 한국실내디자인학회논문집
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• 제26권4호
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• pp.65-74
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• 2017

The purpose of this study is to grasp the retention status of household items for children and the real condition of storage targeting dual career families of living in 3-bedroom apartment. To do this, a field survey was conducted by having subjects as 30 households of conforming with the requirements. This led to understanding kinds and quantities of household items for children inside the residence and to surveying the present status on household items of being stored by room, thereby having analyzed a difference in household items according to children's age. The survey results are as follows. First, the household items for children within dwelling were indicated to be totally 145 detailed items. In the quantities of the detailed items, a great difference was shown by age in clothes, books, teaching aids, toys, and stationery. Second, as a result of examining a place of being stored the household items for children, the household items in great quantities were found in living room, room 1, and room 3 even in addition to room 2 that is children's room. Third, in consequence of looking at the storage status of household items for children by age level, it could be known that very different household items are being used depending on children's age, and that a place of storing household items is much varied by age. This outcome could lead to being capable of knowing that one-child families living in 3-bedroom apartment are using every room focusing on child, and that child's household items are being disorderedly stored in each space, thereby requiring the systematic storage plans so much that reflect the real situation.

• Clinical and Experimental Pediatrics
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• 제45권2호
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• pp.267-272
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• 2002

저자들은 재태 $31^{+5}$주 산전 심초음파검사에서 좌심형성부전 및 대동맥축삭으로 진단되어 추적 관찰한 태아가 출생 후 전부하의 증가에 의해 단기간 내에 좌심실 용적의 증가를 보임으로 생후 최소 며칠은 심근세포 증식의 가능성이 있음을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국의료질향상학회지
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• 제19권2호
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• pp.80-88
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• 2013

Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.57-72
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• 2005

Objectives: To investigate the status of health education in elementary schools. Methods: 620 school nurses were surveyed by questionnaires from September to December in 2003. Results: 1) Among the school nurses under inquiry of planning of health education, 3.3% and 9.3% of them did not prepare for teaching plan. 2) The average time for health education by a school nurse was 96.8 hours a year, and handouts for health education were distributed 10.6 times. Among the contents of health education, sex education took the largest portion of health education with 24.6 hours a year. 3) With regard to the contents of health education covered by school nurses, sex education ranked first with 90.2%, next came drug abuse with 78.4%, dental health, CDC, disease control, healthy life and smoking, body structure and function and growth and development safety, alcohol, nutrition and environmental health followed them. 4) The main contents of education were CDC, dental health sex, healthy life and disease control for 1st, 2nd and 3rd grade students, sex, CDC, disease control and safety for 4th grade students, and sex, CDC, drug abuse and smoking for 5th and 6th grade students. 5) 72.6% of school nurses used class room for health education, 20.0% and 7.4% of them used grade and others such as broadcast, respectively. 6) 42.1% of school nurses used blackboard, 37.0% and 18.6% of them used visual media and handout as a teaching aids for health education. 7) 31.6% of school nurses replied that education time was insufficient 9.5% and 15.9% of them replied the contents of health education were inadequate and methods of health education were inappropriate, respectively. Conclusions: For the successful school health education, it would be in need of sufficient time for health education by opening health education course and of modify the various working conditions of school nurses, and those of effective educational materials and media for health education.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.253-257
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• 2015

Background: Tuberculosis (TB) is the leading cause of mortality among human immunodeficiency virus (HIV) patients and the majority of them occur in developing countries. The aims of the present study were to determine the frequency of HIV/TB co-infection and other probable associated factors. Methods: This 10 year retrospective study was conducted on 824 HIV patients in the south-west of Iran. HIV infection was diagnosed by the enzyme linked immunosorbent assay and confirmed by Western blot. TB diagnosis was based on consistency of the clinical manifestations, chest X-ray, and microscopic examination. Drug susceptibility testing was done by the proportional method on $L{\ddot{o}}wenstein$-Jensen media. Results: Of 824 HIV patients, 59 (7.2%) were identified as TB co-infected and the majority (86.4%) of them were male. Of the overall TB infected patients, 6 cases (10.2%) showed multidrug-resistant with the mean CD4+ lymphocyte count of $163{\pm}166cells/mm^3$. The main clinical forms of TB were pulmonary (73%). There was a significant (p<0.05) correlation between TB infection and CD4+ lymphocyte counts ${\leq}200cells/mm^3$, gender, prison history, addiction history, and highly active anti-retroviral therapy. Conclusion: We reported novel information on frequency of HIV/TB co-infection and multidrug resistant-TB outcome among co-infected patients that could facilitate better management of such infections on a global scale.