• Quality Improvement in Health Care
• /
• v.9 no.2
• /
• pp.116-133
• /
• 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.

• Journal of The Korean Astronomical Society
• /
• v.52 no.1
• /
• pp.23-30
• /
• 2019

The KVN(Korean VLBI Network)-style simultaneous multi-frequency receiving mode is demonstrated to be promising for mm-VLBI observations. Recently, other Very long baseline interferometry (VLBI) facilities all over the globe start to implement compatible optics systems. Simultaneous dual/multi-frequency VLBI observations at mm wavelengths with international baselines are thus possible. In this paper, we present the results from the first successful simultaneous 22/43 GHz dual-frequency observation with KaVA(KVN and VERA array), including images and astrometric results. Our analysis shows that the newly implemented simultaneous receiving system has brought a significant extension of the coherence time of the 43 GHz visibility phases along the international baselines. The astrometric results obtained with KaVA are consistent with those obtained with the independent analysis of the KVN data. Our results thus confirm the good performance of the simultaneous receiving systems for the nonKVN stations. Future simultaneous observations with more global stations bring even higher sensitivity and micro-arcsecond level astrometric measurements of the targets.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.28 no.4
• /
• pp.318-327
• /
• 2017

It is essential for the near-field receiving measurement to make beam pattern and check the performance of a active phased array antenna system. Also, we could obtain compensation value for mono-pulse function through the near-field receive test, however, if the radar has many frequency channel, the test would take long time and hard effort. So it is needed that frequency channels are selected for measurement and calculates the values for other frequency channels to improve efficiency in development and manufacture. In this case, the phase variations in sum and del channels would be checked. The phase measurement includes un-linear characteristic because of wrapping effect. Generally, radars have similar path length in sum and del channel, but if a radar has a electrical length gap between sum and del channel, errors could occur by phase's wrapping effect. In this paper, the interpolation method's error caused by electrical length gap is checked and the effective method for frequency channel selection to avoid wrapping effect is introduced.

• Journal of Astronomy and Space Sciences
• /
• v.19 no.4
• /
• pp.377-384
• /
• 2002

We have developed Real-time Phase DAta processor(RPDAP) for GPS L1 carrie. And also, we tested the RPDAP's positioning accuracy compared with results of real time kinematic(RTK) positioning. While quality of the conventional L1 RTK positioning highly depend on receiving condition, the RPDAP can gives more stable positioning result because of different set of common GPS satellites, which searched by elevation mask angle and signal strength. In this paper, we demonstrated characteristics of the RPDAP compared with the L1 RTK technique. And we discussed several improvement ways to apply the RPDAP to precise real-time positioning using low-cost GPS receiver. With correcting the discussed weak points in new future, the RPDAP will be used in the field of precise real-time application, such as precise car navigation and precise personal location services.

• Clinical and Experimental Reproductive Medicine
• /
• v.48 no.3
• /
• pp.262-267
• /
• 2021

Objective: Progesterone application for luteal phase support is a well-established concept in in vitro fertilization (IVF) treatment. Water-soluble subcutaneous progesterone injections have shown pregnancy rates equivalent to those observed in patients receiving vaginal administration in randomized controlled trials. Our study aimed to investigate whether the results from those pivotal trials could be reproduced in daily clinical practice in an unselected patient population. Methods: In this retrospective cohort study in non-standardized daily clinical practice, we compared 273 IVF cycles from 195 women undergoing IVF at our center for luteal phase support with vaginal administration of 200 mg of micronized progesterone three times daily or subcutaneous injection of 25 mg of progesterone per day. Results: Various patient characteristics including age, weight, height, number of oocytes, and body mass index were similar between both groups. We observed no significant differences in the clinical pregnancy rate (CPR) per treatment cycle between the subcutaneous (39.9%) and vaginal group (36.5%) (p=0.630). Covariate analysis showed significant correlations of the number of transferred embryos and the total dosage of stimulation medication with the CPR. However, after adjustment of the CPR for these covariates using a regression model, no significant difference was observed between the two groups (odds ratio, 0.956; 95% confidence interval, 0.512-1.786; p=0.888). Conclusion: In agreement with randomized controlled trials in study populations with strict selection criteria, our study determined that subcutaneous progesterone was equally effective as vaginally applied progesterone in daily clinical practice in an unselected patient population.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.8 no.3
• /
• pp.433-438
• /
• 2013

Interference reduction method of vehicle collision avoidance sensor which is used for the low speed electric vehicle has been investigated. Various methods were attempted for the vehicle collision avoidance distance sensor, which received a transmitted signal from a front driving vehicle to measure the distance between two vehicles, to avoid interference by the own transmitter signal toward the rear following vehicle. In this study, -12dB of interference cancellation ratio was realized by using the phase cancellation method to the transmitted signal from the own vehicle. Proposed phase cancellation method is regarded to have the advantage of continuous monitoring in comparison to the conventional time sharing transmitting and receiving method.

• PNF and Movement
• /
• v.16 no.2
• /
• pp.179-185
• /
• 2018

Purpose: This study aimed to analyze the visual and spatial elements of the gait of a stroke patient who had diverse ankle weight loads applied, according to weight changes. Methods: The subject was a 57-year-old stroke patient diagnosed and hospitalized with a left intracerebral hemorrhage. A weight equivalent to 0%, 1%, and 2% of his body weight was applied to the area 5cm upward from the ankle using a Velcro strap. He was then trained on a treadmill, receiving a six-minute walk test to evaluate his gait ability. A gait analyzer was used to collect visual and spatial elements, such as gait distance, gait velocity, cadence, step length, stride length, and swing phase, according to a weight load equivalent to 0%, 1%, and 2% of his body weight. Results: According to the results of applying 0%, 1%, and 2% of his body weight on the ankle, except for gait velocity, his gait distance, cadence, step length, stride length, and swing phase were higher when 1% of his body weight was applied compared to 0% or 2% of his body weight. Conclusion: Applying a weight equivalent to 1% of the body weight to the ankle positively affected the visual and spatial element of the gait and heightened the efficiency of exercise during treadmill training, a gait-training tool generally used for stroke patients. However, the result is difficult to generalize because the number of subjects was small with only one subject.

• The Bulletin of The Korean Astronomical Society
• /
• v.40 no.2
• /
• pp.58.4-59
• /
• 2015

We have performed single dish and VLBI monitoring observations of $H_2O$ and SiO masers toward the semi-regular variable star R Crateris using the Korean VLBI Network(KVN) 4 band receiving system. In the case of VLBI observations at 3 epochs, successful superposed maps of $H_2O$ and SiO masers were obtained on 2015 May by adopting the Source Frequency Phase Referencing(SFPR) method. These results enable us to investigate the development of outflow and asymmetric motions from SiO maser to $H_2O$ maser regions according to stellar pulsation which are closely related with a mass-loss process. Single dish monitoring observations were carried out from 2009 June to 2015 May. Intensity variations between $H_2O$ and SiO masers were investigated according to stellar phases together with peak velocity variations. We will compare the VLBI results with those of single dish.

• The Bulletin of The Korean Astronomical Society
• /
• v.42 no.2
• /
• pp.57.2-57.2
• /
• 2017

KVN is a millimeter VLBI array composed of three 21m-diameter radio telescopes at Seoul, Ulsan and Jeju island in Korea. KVN has unique simultaneous multi-frequency receiving systems, which enable us to correct phase fluctuation of troposphere by transferring phase solution of low frequency data to higher frequency data. Although KVN can achieve very high performance up to 130 GHz through multi-frequency technique, imaging capability is highly limited because of lack of the number of baselines. In order to enhance imaging capability and maximizing multi-frequency capability, we plan to extend KVN baselines from 3 to 10 (or more) by constructing new KVN stations. This talk introduce expected performances, science cases, required budgets and periods of the Extended-KVN.

• Journal of the Korean Society of Physical Medicine
• /
• v.7 no.4
• /
• pp.493-500
• /
• 2012

PURPOSE: The purpose of this study was to investigate effect of self-controlled feedback on proprioception in elbow flexion. METHODS: Thirty young adult volunteered to participate and were randomly assigned to one of three groups (self-controlled, yoked, control). Power and velocity in elbow flexion was measured by PRIMUS RS (BTE Tech., Hanover, U.S.A). Statistical analysis was used multivariate ANOVA to know effect of self-controlled feedback on proprioception in elbow flexion. Post hoc was used Scheffe. RESULTS: In acquisition phase to practice effect, variable errors in self-controlled group was significantly low scored more than yoked and control group. In retention phase to learning effect, variable errors in self-controlled group was significantly low scored more than yoked and control group. CONCLUSION: Self-controlled feedback was more effective on movement control when the learner could make a decision about receiving feedback after the trial. This seems to support the view that self-controlled feedback benefits learning, because learners can make a decision about feedback based on their performance on a given trial.