• 제목/요약/키워드: human error

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치과기공사의 업무스트레스에 대한 연구 (A Study on Job Stress of Dental Technician)

  • 이덕수;곽동주;남상용
    • 대한치과기공학회지
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    • 제24권1호
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    • pp.51-63
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    • 2002
  • The purpose of this study was to be of use for getting rid of job stress from dental technicians, by examining how much they were stressed out at work place as one of the professional medical personnels. The subjects in this study were 255 selected dental technicians who were working in the region of Taegu. The one-on-one interview was conducted from March 1 to 30, 2001, with structured questionnaire. The questionnaire sued in this study included 19 question items about the general characteristics and 29 items regarding job stress. The job stress was categorized into seven subareas based on earlier studies and considering the job situations of dental technicians: heavy workload, job conflicts, improper treatment, role and job knowledge, human relations, physical environment and personal matters. The job stress extent was measured on five-point Likert scale that is widely used in social science: one point for no stress, two for little stress, three for so-so, four for a little stress, and five for severe stress. Therefore, a higher point means a severer job stress. The reliability of the questionnaire turned out very good with Cronbach a = 0.9272. The findings of this study were as follows: 1. The general characteristics of the dental technicians investigated could be described as below: (1) By gender, 80.4% of the dental technicians were male, and 50.2%, the largest percentage, were in their 20s, followed by those in their 30s, those in their 40s, and those in their 50s in the order named. (2) The most common work place was dental technician shop(92.5%), followed by dental technology room in dental hospital or clinic and in general hospital in the order named. The primary duties were coating materials work(30.6%), followed by sculpture, grinding, partial and full denture and orthodontics in the order named. 2. The most larges (1) The most largest motivation to be a dental technician was its being a professional(33.7%), followed by the advice from others, their own aptitude, and good economic treatment in the order named. 3. Their job stress could be explained as below: (1) Their collective job stress average was 3.96$^{\circ}{\ae}$0.50 on the basis of 5 point, which showed that they were exposed to a fairly severe job stress. (2) By area, they were most stressed out from heavy workload (4.12), and they also were severely stressed from role and job knowledge(4.02) and personal matters(4.00). (3) By situation, they were most stressed when the disagreement of prosthesis that results from a specific error is unconditionally attributed to them(4.43). And they were also stressed a lot when their workload increases due to the rework(4.38), when a dentist asks something difficult for them to resolve(4.20), when heavy workload makes their working hours irregular and it's impossible to lead a personal life or have leisure time(4.16), and when they are o work for an excessively short time(4.16). This fact indicated that most of the dental technicians were exposed to a lot of stress in conjunction with job performance. 4. The main duties they took charge of didn't make any significant difference to their job stress, but yielded a significant difference to the extent of job stress in individual areas and the order of the most stressful one. Those who were engaged in grinding were most stressed from their own matters, whereas heavy workload was most stressful for those who were engaged in the other types of works. 5. As a result of seeing if their personal characteristics yielded any differences to job stress, the personal characteristics that made their job stress vary significantly were working hours, motivation of being a dental technician, job satisfaction and willingness to continue doing dental technology works. There was a tendency that longer working hours led to severer job stress, and those who chose to be a dental technician according to their own aptitude were less stressed than the others who became a dental technician because of economic reason or advices from others. And the people who were satisfied with their job were exposed to less job stress than the others who weren't, and those who had an intention to keep that job as much as possible were less stressed, compared to the others who hadn't.

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의료자원 공급, 수요의 성과 효율성에 대한 실증분석 (Technical Efficiency of Medical Resource Supply and Demand)

  • 장인수;안형석;김홍석
    • 지역연구
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    • 제34권2호
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    • pp.3-19
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    • 2018
  • 본 연구의 목적은 우리나라 의료자원의 임상적 성과에 대한 효율성을 종단적으로 관찰하는 데 있다. 이를 위하여, 2006년부터 2013년까지 우리나라 16개 시도의 연령 표준화 사망률을 산출변수로, 의사, 전문의, 수술, 의료기관, 상급종합병원비율, 만성질환 진료 실인원, 만성질환 내원일 수를 투입변수로 정하고, 이를 이용한 의료성과 및 의료자원에 대한 집계자료를 구축하여 패널확률프론티어모형을 분석방법으로 적용하였다. 또한 시도별 인구사회학적, 사회경제적 특성, 의료자원 분포 특성 변수인 실업률, 노인인구비율, 1인당 GRDP, 종합병원 대비 상급종합병원 비율이 패널확률프론티어모형 분석 결과를 바탕으로 도출된 기술적 효율성에 미치는 영향을 추가적으로 살펴보았다. 이때 오차항의 이분산과 자기상관을 고려한 패널모형을 적용하였다. 주요 분석 결과는 다음과 같다. 첫째, 임상적 성과에 대해서는 의사, 전문의와 같은 공급 측면의 인적 의료자원과 단위 인구당 만성질환 진료 실인원과 같은 수요 측면의 요인이 각각 유의한 영향력을 미치는 것으로 나타났다. 둘째, 투입요소 시변 마모 모형 적용 결과 각 투입요소별 기술 결합 효율성 추정치는 임상적 성과 효율성이 지역별로 59~70%로 나타났다. 셋째. 임상적 성과에 영향을 미치는 투입요소의 기술적 효율성 추정치는 분석기간 동안 모든 지역에서 미세하게 증가하는 추세가 도출된 반면, 증가 추세는 미세하게 감소하였다. 넷째, 지역의 노인인구비율과 1인당 GRDP는 기술적 효율성 수치에 유의한 정(+)적 영향력을 미치는 것으로 나타났다. 지역별 각 효율성의 차이는 투입요소인 의료자원의 지역별 차이와 이의 결합과 지역의 인구사회학적, 사회경제적 특성 등에 기인한 것으로서, 지역별로 임상적 성과에 영향을 미치는 의료자원의 공급 편중과 수요의 접근성 차이, 인구구조와 경제적 차이가 복합적으로 작용함에 따른 기술적 효율성 차이가 다르게 나타나고 있음을 보였다는 점에 본 연구의 의의가 있다.

섬유 보강재로 외부 보강된 강섬유 보강 콘크리트 슬래브의 충격저항성능 평가 (Evaluating Impact Resistance of Externally Strengthened Steel Fiber Reinforced Concrete Slab with Fiber Reinforced Polymers)

  • 류두열;민경환;이진영;윤영수
    • 콘크리트학회논문집
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    • 제24권3호
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    • pp.293-303
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    • 2012
  • 최근 건설기술의 발전에 따라 구조물이 대형화, 고층화, 장대화되고 있으며, 동시에 다양한 기능을 수행하고 있다. 그러나 요즘 들어 그 빈도수가 증가하고 있는 충돌 사고나 테러에 의한 폭발, 화재 등에 의한 극한하중이 상기의 구조물에 작용할 경우, 구조물의 손상뿐만 아니라 인명과 재산의 피해 정도가 상당히 커질 수 있다. 특히, 충격이나 폭발하중은 구조물에 작용하는 압력 또는 하중이 매우 짧은 시간에 발생하게 되고, 이러한 하중을 받는 구조물은 준-정적(quasi-static) 하중을 받는 구조물과는 다른 응답을 나타내게 되며 반드시 변형률 속도와 손상 효과를 고려해서 설계가 이루어져야 한다. 그러므로 이 연구에서는 콘크리트 슬래브의 충격저항성능 향상을 위해서 강섬유를 전체 부피의 0%에서 1.5%까지 혼입하고, 두 가지 종류의 FRP 시트를 인장부에 보강하여 저속 충격하중에서의 휨 실험을 수행하였다. 실험 결과 FRP 시트를 인장부에 보강할 경우에 최대 충격하중 및 소산에너지, 파괴 시의 타격 횟수가 증가하였으며, 최대 처짐 및 회전각은 감소하여 충격저항성능이 크게 향상되는 것으로 나타났다. 이러한 결과는 추후 극한하중에 노출될 수 있는 주요 시설물의 설계 시 유용하게 사용될 수 있을 것으로 판단된다. 또한, 이 논문에서는 두 가지 종류의 FRP 시트로 보강된 강섬유 보강 콘크리트 슬래브의 저속 충격하중에서의 동적응답을 해석하기 위하여 외연적 시간적분에 기초한 유한요소해석 프로그램인 LS-DYNA를 사용하였으며, 해석 결과 오차율 5% 이내로 비교적 정확하게 최대 처짐을 예측하는 것으로 나타났다.

전시 공간에서 다중 인터랙션을 위한 개인식별 위치 측위 기술 연구 (The Individual Discrimination Location Tracking Technology for Multimodal Interaction at the Exhibition)

  • 정현철;김남진;최이권
    • 지능정보연구
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    • 제18권2호
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    • pp.19-28
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    • 2012
  • 전시 공간에서 관객들의 반응에 따른 다중 인터랙션 서비스를 제공하기 위해서는 관람객의 정확한 위치 및 이동 경로를 얻기 위한 위치 추적 기술이 필요하다. 실외 환경에서 위치 추적을 위한 기술로 GPS가 현재 널리 사용되고 있다. GPS는 빠른 속도로 이동하는 이동체의 위치를 실시간으로 파악할 수 있으므로 위치 추적 서비스(Location Tracking Service)를 요구하는 분야에서 중요한 기술로 활용된다. 하지만 위성을 이용한 위치 추적 기법을 사용하기 때문에 위성 신호를 잡을 수 없는 실내에서는 사용할 수 없다는 단점이 있다(Per Enge et al., 1996). 위와 같은 이유로 Wi-Fi 위치 측위 기술을 비롯하여 ZigBee, UWB, RFID 등의 초단거리 통신 기술 등 다양한 형태의 실내 위치 측위 연구가 진행되고 있다(Schiler and Voisad, 2004). 하지만 이러한 기술들은 전시 공간에서 얻고자 하는 위치정보의 밀도가 높아질수록 구현의 난이도가 높아지고 구축 및 관리 비용도 커지며 구축 가능한 환경이 제약된다는 단점이 있다. 이와 같은 문제를 해결하기 위하여 본 논문에서는 실내 환경에서 스마트폰을 이용한 Wi-Fi 위치 측위 데이터를 기반으로 하여 3D카메라의 Depth Map 정보와의 매핑을 통해 사용자들을 식별하고 위치를 추적하는 시스템을 제안한다.

대화식 데이터 마이닝 기법을 활용한 자동차 보험사의 인입 콜량 예측 사례 (A Case Study on Forecasting Inbound Calls of Motor Insurance Company Using Interactive Data Mining Technique)

  • 백웅;김남규
    • 지능정보연구
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    • 제16권3호
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    • pp.99-120
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    • 2010
  • 최근 고객들의 비대면 접점 서비스 이용도가 높아짐에 따라, 비대면 채널은 다양한 데이터의 분석을 통해 고객 만족도를 향상시킬 수 있는 유용한 창구로 인식되고 있다. 이러한 비대면 채널의 대표적 영역으로 콜센터를 들 수 있으며, 콜센터 운영에서 고객 만족도에 가장 큰 영향을 미치는 요소는 상담 인력의 규모인 것으로 알려져 있다. 즉, 일정수준 이상의 고객 만족도를 유지하기 위해서는 충분한 상담 인력을 확보하는 것이 관건이지만, 불필요하게 많은 인력을 확보하는 것은 인건비 측면에서 비용의 낭비를 초래할 수 있다. 따라서 부족하지도 않고 넘치지도 않을 정도의 적정 인력을 산출하는 능력은 콜센터 운영의 핵심 경쟁력으로 인식되고 있으며, 최근 콜센터에서는 적정 인력의 규모를 예측하기 위해 WFM(Work Force Management) 업무 전담 부서를 설치하고 콜량을 정확하게 예측하기 위한 노력을 기울이고 있다. 콜량 예측을 위해 현업에서 주로 사용되는 방법은 담당자의 직관에 의존하는 방법으로, 일정기간의 콜량 평균을 담당자가 주관적 판단에 의해 보정함으로써 이루어진다. 하지만 이러한 방식은 담당자의 주관적 성향에 크게 좌우된다는 한계를 갖고 있어서, 최근에는 다양한 예측 모형을 시스템화한 WFMS(Workforce Management System) 패키지가 널리 활용되고 있다. 하지만 이 시스템은 초기 도입 시 매우 고가의 구축비용이 발생하며, 신규 요인 발굴 시 이를 즉각적으로 시스템에 반영하기 어렵다는 한계점을 갖고 있다. 이를 극복하기 위해 본 연구에서는 데이터 마이닝의 대화식 의사결정나무 기법을 이용함으로써, 객관적이면서도 업무 배경 지식을 충분히 활용할 수 있는 예측 모형을 수립하고자 한다. 또한, 본 연구에서 수립한 모형의 정확성 평가를 위해, 국내 최대 규모의 한 자동차 보험사 콜센터의 4년 8개월 간의 실 데이터를 사용한 실험을 수행하고 그 결과를 제시하였다. 실험에서는 기존의 WFMS와 본 연구에서 제안하는 두 가지 모형인 대화식 의사결정나무 기반의 예측 모형, 일반 의사결정나무 기반의 예측 모형의 세 가지 모형에 대해, 다양한 오차 허용범위 하에서의 사고콜 및 고장콜에 대한 예측 적중률을 평가하였다.

서울 지역 지상 NO2 농도 공간 분포 분석을 위한 회귀 모델 및 기계학습 기법 비교 (Comparative Assessment of Linear Regression and Machine Learning for Analyzing the Spatial Distribution of Ground-level NO2 Concentrations: A Case Study for Seoul, Korea)

  • 강은진;유철희;신예지;조동진;임정호
    • 대한원격탐사학회지
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    • 제37권6_1호
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    • pp.1739-1756
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    • 2021
  • 대기 중 이산화질소(NO2)는 주로 인위적인 배출요인으로 발생하며 화학 반응을 통해 이차오염 물질 및 오존 형성에 매개 역할을 하는 인체 건강에 악영향을 미치는 물질이다. 우리나라는 지상 관측소에 의한 실시간 NO2 모니터링을 수행하고 있지만, 이는 점 기반의 관측 값으로써 미관측 지역의 공간 분포 분석이 어렵다는 한계점을 지닌다. 본 연구에서는 선형 회귀 기반 모델인 다중 선형 회귀와 회귀 크리깅, 기계학습 알고리즘인 Random Forest (RF), Support Vector Regression (SVR)을 적용한 공간 내삽 모델링을 통해 서울 지역의 지상 NO2 농도 지도를 제작하였고, 일별 Leave-One-Out Cross Validation (LOOCV) 교차 검증을 시행하였다. 2020년 연구기간 내 일별 LOOCV에서 MLR, RK, SVR 모델의 일별 평균 Index of agreement (IOA)는 약 0.57로 유사한 성능을 보였으며, RF (0.50)보다 높은 성능이 확인되었다. RK의 일별 평균 nRMSE는 0.9483%으로 MLR (0.9501%)보다 상대적으로 낮은 오차를 나타냈다. MLR과 RK, RF 모델의 계절별 공간 분포는 비슷한 양상을 보였으며, RF는 다른 모델에 비해 좁은 NO2 농도 범위가 확인되었다. 본 연구에서 제안된 선형 회귀 기반 공간 내삽은 지상 NO2 뿐 아니라 다른 대기 오염 물질의 도시 지역 공간 내삽을 위해 활용 가능성이 높을 것으로 기대된다.

자궁경부암 방사선치료 시 직장가스 용적 변화에 따른 선량 비교 평가 - Phantom Study (Comparative evaluation of dose according to changes in rectal gas volume during radiation therapy for cervical cancer : Phantom Study)

  • 최소영;김태원;김민수;송흥권;윤인하;백금문
    • 대한방사선치료학회지
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    • 제33권
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    • pp.89-97
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    • 2021
  • 목 적: 본 연구에서는 자궁경부암 방사선치료 시 전산화치료계획에 없던 직장 내 가스 용적 변화에 따른 선량변화를 비교 평가하고자 한다. 대상 및 방법: 인체모형 팬텀(Anderson Research Laboratories Inc, RANDOTM phantom, USA)의 전산화 단층촬영 영상에 전산화치료계획시스템(EclipseTM Treatment Planning System, Varian, Palo Alto, version 15.6, USA)으로 9개의 필드를 이용한 정적 세기조절방사선치료계획(Static Intensity Modulated Radiation Therapy, S-IMRT)과 Full arc로 두 방향의 체적변조회전방사선치료계획(Volumetric Modulated Arc Therapy, VMAT)을 수립하였다. 임의의 가스 변수는 0.5 cm 단위로 2.0 cm까지 변화를 주어 계획표적체적(Planning Target Volume, PTV)에 포함될 수 있도록 하였다. 표적에 대한 처방선량지수(Conformity Index, CI), 선량균질지수(Homogeneity Index, HI), PTV Dmax를 구하였고, 손상위험장기(Organ At Risk, OAR)에 대한 최소선량(Minimum Dose, Dmin)과 평균선량((Mean Dose, Dmean), 최대선량(Maximum Dose, Dmax)을 계산하여 비교하였다. T-검정을 실시하여 p-value를 구했으며 유의수준은 0.05로 설정하였다. 결 과: S-IMRT와 VMAT의 HI 결정계수(R2)는 0.9423, 0.8223으로 상관관계가 비교적 명확하였고, PTV Dmax 결과 임의의 가스 용적이 커질수록 최대 2.8%까지 증가하는 것으로 나타났다. OAR의 경우 두 전산화치료계획 모두 방광에서 유의한 차이가 없었고, 직장의 경우 +1.0 cm 이상의 가스 용적에서 두 전산화치료계획 모두 Dmean 700 cGy 이상의 유의한 선량 차이가 나타났다. 방광의 Dmean을 제외한 모든 값에서 p-value 0.05 이하로 통계적인 유의한 차이를 확인하였다. 결 론: 기준 전산화치료계획에 없던 가스 발생 시 가스 용적 크기가 커질수록 PTV의 선량 변화와 직장에 전달되는 선량이 증가하였다. 방사선치료 진행 시 직장 가스의 용적이 클 경우 발생 할 수 있는 선량 전달 오류를 최소화하기 위한 노력이 반드시 필요한 것으로 판단되었다. 향후 가스 용적의 다양한 크기와 위치를 변수로 설정하여 추가적인 연구가 진행되어진다면 유익한 평가가 이루어 질 수 있을 것으로 사료된다.

조사로봇의 재난현장 활용을 위한 다중센서모듈 개발 및 성능평가에 관한 연구 (Development and Performance Evaluation of Multi-sensor Module for Use in Disaster Sites of Mobile Robot)

  • 정용한;홍준우;한수희;신동윤;임언택;김성삼
    • 대한원격탐사학회지
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    • 제38권6_3호
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    • pp.1827-1836
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    • 2022
  • 재난은 돌발적으로 발생하여 예측하기가 쉽지 않고 그 규모도 과거에 비해 커지고 있어 피해가 증가하고 있으며, 하나의 재난이 2차 재난으로 발전하는 경우가 많다. 재난관리의 4가지 단계 중 응급상황이 발생하는 대응단계에서 행해지는 수색과 구조 과정에서, 현장에 투입되는 인원들은 많은 위험을 감수하고 현장에 투입되고 있다. 이러한 점에서 로봇은 재난현장의 초기 대응과정에서 인명 및 재산의 피해를 줄일 수 있는 가능성이 높은 기술이다. 또한, Light Detection And Ranging (LiDAR)는 레이저를 이용하여 비교적 넓은 범위의 3차원 정보를 획득하고 정확도 및 정밀도가 높아 재난 현장의 특징을 생각할 때 매우 유용한 센서이다. 이에 본 연구에서는 로봇이 재난 현장에서 활용될 수 있도록 LiDAR와 Inertial Measurement Unit (IMU) 센서에 실시간 모니터링을 위한 컴퓨팅 보드를 결합하여 하나의 다중센서모듈 및 조사로봇 맞춤형 Simultaneous Localization and Mapping (SLAM) 알고리즘을 개발하였다. 다중센서모듈이 재난 현장에서 최적의 정확도를 유지할 수 있도록 조사로봇에 안정적으로 탑재하는 방안에 대해 연구하였고, 모듈의 성능을 확인하기 위해 재난건축물 실내에서 SLAM 맵핑을 수행하여 다양한 SLAM알고리즘과 거리 비교를 수행하였다. 그 결과, 본 연구에서 개발한 PackSLAM이 낮은 오차를 나타내어 활용 가능성을 보였다. 향후 재난현장에서의 적용성을 더욱 높이기 위해 장애물이 많은 험지환경을 구축하여 다양한 실험을 수행할 예정이다.

참조 수문관측소 구성 조건에 따른 LSTM 모형 홍수위예측 정확도 검토 사례 연구 (Case study on flood water level prediction accuracy of LSTM model according to condition of reference hydrological station combination)

  • 이승호;김수영;정재원;윤광석
    • 한국수자원학회논문집
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    • 제56권12호
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    • pp.981-992
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    • 2023
  • 최근 전세계적인 기후변화의 영향으로 강우가 집중되고 강우강도가 강해짐에 따라 홍수피해의 규모를 증가시키고 있다. 과거에 관측되지 않았던 규모의 비가 내리기도 하고, 기록되지 않았던 장기간의 장마가 발생하기도 한다. 이러한 피해들은 아세안 국가에도 집중되고 있으며, 태풍 및 집중호우로 인해 침수의 빈번한 발생과 함께 많은 사람들이 영향을 받고 있다. 특히, 인도네시아 찌따룸강 상류 유역에 위치한 반둥 지역은 분지 형태의 지형학적 특성을 가지고 있어서 홍수에 매우 취약한 실정이다. 이에 공적개발원조(ODA)를 통해 2017년에 찌따룸강 상류(Upper Citarum River) 유역에 대하여 홍수예경보시스템을 구축되었고, 현재 운영중에 있다. 그럼에도 불구하고, 찌따룸강 상류 (Upper Citarum River) 지역은 홍수발생시 인명 및 재산피해의 위험에 여전히 노출되어 있어 신속하고 정확한 홍수예경보의 실시를 통해 피해를 경감시키는 노력이 지속적으로 필요한 실정이다. 따라서 본 연구에서는 찌따룸강 상류의 Dayeuh Kolot 지점을 목표관측소로 하고, 강우관측소 4개소와 수위관측소 1개소의 10분 단위 수문자료를 수집하여 인공지능 기반의 하천홍수위예측모형을 개발하였다. 6개 관측소의 2017년 1월부터 2021년 1월까지의 10분 단위 수문관측자료를 활용하여 선행예보시간 0.5, 1, 2, 3, 4, 5, 6시간에 대해서 학습, 검증, 시험을 수행하였으며 인공지능알고리즘으로는 LSTM을 적용하였다. 연구결과 모든 선행예보시간에 대해 모형적합도 및 오차에서 좋은 결과를 나타냈으며, 학습자료 구축조건에 따른 예측정확도를 검토한 결과 참조관측소가 적은 경우에도 모든 관측소를 활용하는 경우와 유사하게 예측정확도를 확보하는 것으로 나타나 효율적인 인공지능 기반 모형 구축에 활용될 수 있을 것으로 기대된다.

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
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    • 제6권2호
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    • pp.1-8
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    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

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