• Title/Summary/Keyword: records usage

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Intravenous Sedation for Patients of Pediatric Dentistry in Wonkwang University Daejeon Dental Hospital (원광대학교 대전치과병원 소아치과 환자에서의 정주 진정법)

  • Kim, Yun-Hee;Kim, Min-Soo;O, Se-Ri
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.1
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    • pp.11-16
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    • 2012
  • Background: The purpose of this study was to evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation in uncooperative children and disabled people undergoing dental procedures. Methods: From September 2009 to January 2012, total 114 intravenous deep sedation were carried out using midazolam and ketamine at pediatric dentistry in Wonkwang University Daejeon Dental Hospital. Patients' dental charts and sedation records were retrospectively reviewed. Results: 103 cases were enrolled, divided into four groups. There were 22 children under five in group 1, 14 children over six years with severe anxiety in group 2, 34 disabled person in group 3 and 33 children over six years with surgical procedure in group 4. Carries treatment (56 cases) was the most common dental treatment. The highest ketamine usage was 4.15 mg/kg, the longest duration of dental treatment was 41.6 minutes in children under five group. Nausea and vomiting (16 cases) was the most common side effect. Conclusions: Intravenous ketamine-midazolam sedation appears safe and effective for uncooperative children and disabled person undergoing dental procedures. But, emesis is a common side effect of ketamine occurring with increasing age.

Study on Origin and Creative Design of Korean Folding Stool (한국 호상(胡床)의 시원(始原)과 조형에 관한 연구)

  • Hong, Sun Aa
    • Journal of the Korea Furniture Society
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    • v.24 no.2
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    • pp.156-182
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    • 2013
  • In this paper, the origin, development and features of a Korean folding stool are studied. A folding stool is a piece of collapsible seating furniture with its legs crossed in the form of the letter "X" and no back attached. In China, the folding stool was introduced from the West around the second century A.D. The folding stool of Korea was influenced by that of China. It is known from the records that the king used the folding stool from the Three Kingdom period. During the Koryo period, Chosun period and the modern period, the folding stool was used to show the authority of the king and nobleman. The folding stool was also used at outside places such as a hunting ground, a ceremonial walk, a battlefield, a garden etc. due to its portableness. Buddha worship policy of Koryo period supported the usage of the folding stool for shanding (禪定) by ascetics of Buddhist temple, or aristocrats. In a contemporary period, the folding stool is continuously produced and used as one kind of a folding chair due to its functionality, movability, storability and efficient space utilization. This research will serve as a momentum to investigate the origin and development of the East Asian seating furniture culture, and contribute to the further study and manufacturing of Korean seating furniture.

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Hierarchical Authentication Algorithm Using Curvature Based Fiducial Point Extraction of ECG Signals (곡률기반 기준점 검출을 이용한 계층적 심전도 신호 개인인증 알고리즘)

  • Kim, Jungjoon;Lee, SeungMin;Ryu, Gang-Soo;Lee, Jong-Hak;Park, Kil-Houm
    • Journal of Korea Multimedia Society
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    • v.20 no.3
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    • pp.465-473
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    • 2017
  • Electrocardiogram(ECG) signal is one of the unique bio-signals of individuals and is used for personal authentication. The existing studies on personal authentication method using ECG signals show a high detection rate for a small group of candidates, but a low detection rate and increased execution time for a large group of candidates. In this paper, we propose a hierarchical algorithm that extracts fiducial points based on curvature of ECG signals as feature values for grouping candidates ​and identifies candidates using waveform-based comparisons. As a result of experiments on 74 ECG signal records of QT-DB provided by Physionet, the detection rate was about 97% at 3-heartbeat input and about 99% at 5-heartbeat input. The average execution time was 22.4 milliseconds. In conclusion, the proposed method improves the detection rate by the hierarchical personal authentication process, and also shows reduced amount of computation which is plausible in real-time personal authentication usage in the future.

Development of an Algorithm for Emergency Nursing Care of Dyspneic Patients (호흡곤란 환자 응급간호 관리를 위한 알고리즘 개발 연구)

  • Yang, Jin-Ju;Jang, Keum-Seong
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.4
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    • pp.491-505
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    • 2009
  • Purpose: This study was to develop an algorithm for emergency nursing care of dyspneic patients. Methods: This methodological study was done through reviews of medical records and literatures, checklists of emergency nursing care for dyspneic patients, interviews with nurses, and experts' validity. Results: Firstly, the initial assessment confirmed the identification of airway patency, accessory muscle usage, RR, $SpO_2$, v/s, skin color, and mental status. Immediate emergency care provided oxygen, checked ABG, EKG, and chest X-ray, established a semi-fowler position, maintained IV routes, administered medication orders, and conducted careful monitoring. Secondly, if the patient exhibited $SpO_2$ of less than 90%, the nurse considered the patient's condition to be aggravated. Thirdly, if the patient showed improvement of more than 90% $SpO_2$, the nurse administered secondary assessment and carried out specific nursing care. However, if the patient continuously showed $SpO_2$ of less than 80%, the nurse assisted the intubation and then executed ventilator therapy. Conclusions: This study suggests that the algorithm is an effective decision tool and utilizing the algorithm is expected to improve the emergency nursing care for dyspneic patients.

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Drug Interaction Review of Prescriptions for Outpatients at General Hospital (종합병원의 외래환자 처방전에 대한 약물상호작용 검토)

  • Cho, Jin Hoan;Choi, Byung Chul;Sohn, Uy Dong
    • YAKHAK HOEJI
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    • v.49 no.5
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    • pp.399-404
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    • 2005
  • To investigate drug interaction, 23,536 prescriptions published for 1 year were investigated with 'Drug Inter­action Fact 2002'. Dispensing records and a database file written in a local general hospital in South Korea were used as a sample. The number of total cases of drug interaction was 3,238 ($13.76\%$) out of 23,536 prescriptions. The incidence of drug interaction in each prescription the children, the adults, and the elderly were $1.33\%,\;10.97\%,\;25.50\%$, respectively. The incidences of drug interaction per each prescription were $22.03\%,\;20.52\%,\;0.51\%,\;and\;0.36\%$ in neurosurgery, internal med­icine, pediatrics, and orthopedics, respectively. In neurosurgery and internal medicine, risk-high drugs of drug interaction such as antihypertensive drugs, diuretics, and cimetidine were used very often in elderly. In this paper, several suggestions to reduce drug interaction were postulated with regard to the usage of analgesics, non-steroidal antiinflammatory drugs, and antibiotics.

A Decentralized Copyright Management Model using Mydata Concept (마이데이터 개념을 활용한 탈중앙화 저작권 관리 모델)

  • Kim, Hyebin;Shin, Weon;Shin, Sang Uk
    • Journal of Korea Multimedia Society
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    • v.23 no.2
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    • pp.262-273
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    • 2020
  • This paper analyzes the existing copyright management and copyright sharing model and discusses the limitations. It then proposes a consortium Blockchain-based copyright management model in which the service platform participates as a node, and discusses how to combine the My Data concept with Blockchain and smart contracts. Also, Blockchain-based CP-ABE is introduced and applied to the proposed model as a way for users to define access policies and store copyright data in encrypted form on the storage of the online service providers (OSP). Compared with the existing copyright management model, the proposed model allows the copyright holder to focus on copyright registration, license content design, and sharing, as the data subject. And it is expected to be able to transparently manage the usage records and the basis for the settlement of the copyrighted data that are shared and used on each platform.

Managing Customer's Usage Behavior in a Multi-vendor Loyalty Program

  • Koo, Kay-Ryung;Woo, Won-Seok
    • Journal of Distribution Science
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    • v.13 no.5
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    • pp.5-14
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    • 2015
  • Purpose - Loyalty programs enable retailers to maintain longer and better customer relationships. In successful services, customers actively use and value these programs. As the proximity to the goal (goal gradient) might signal active participation, this study empirically examines customer's goal gradient behavior in a multi-vendor loyalty program. We also consider the effect of customer's accrual diversity on goal gradients, which is a differentiating feature in a multi-vendor loyalty program, and is further examined. Research Design, Data, and Methodology - The data consists of6,646 OK Cashbag members' individual transaction records from 2006 to 2009. The goal gradient hypothesis was tested as an increase in both the speed and the amount of accumulated award points. Result - The findings suggest that the goal gradient is also observed in a multi-vendor loyalty program, occurring more strongly among members with high accrual diversity. Conclusions - The results indicate that customers with high accrual diversity attend strongly to goal gradients in multi-vendor loyalty programs; hence, it is important for such program managers to better inform members about affiliated partners.

The Usefulness of the Admission Base Deficit as a Marker of Mortality in Severely Injured Patients with Blunt Trauma (둔상성 중증 외상환자에서 내원 초기에 시행한 동맥혈 염기결핍과 예후의 관계)

  • Yu, Byung-Chul;Chung, Min;Lee, Gil-Jae;Lee, Jung-Nam
    • Journal of Trauma and Injury
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    • v.26 no.1
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    • pp.1-5
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    • 2013
  • Purpose: The base deficit (BD) at admission in severely injured patients has been shown to predict the adequacy of resuscitation and outcome, but this relationship is not well established in the Korean experience. The purpose of this study was to define the association between arterial blood gas (ABG) values and the mortality for patients with severe blunt trauma at a developing trauma center in Korea. Methods: A retrospective review of 415 adult patients with severe blunt trauma was conducted using electronic medical records from Jan. 2010 to Dec. 2011. Results: A total of 256 patients had ABG drawn within 1 hour of arrival. Patients who expired displayed a higher lactate level (4.86 vs. 3.31, p<0.0001), a worse BD (-7.99 vs. -5.37, p=0.001), and a lower pH (7.31 vs. 7.34, p=0.011) at arrival compared with those who survived. A statistically significant association was also observed between BD and blood product usage (p=0.001). Conclusion: The base deficit at admission is a useful marker of mortality and outcome in severely injured patients with blunt trauma in Korea.

Design of SPMR using URN based UCI with RFID (RFID와 UCI 기반의 URN을 활용한 SPMR 설계)

  • Jang, Doc-Sung
    • Journal of the Korea Society of Computer and Information
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    • v.12 no.2 s.46
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    • pp.291-297
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    • 2007
  • Linking patient's medical records throughout country is required to get patient's accurate information which is helpful for doctor to diagnosis patient's symptoms more exactly. With shortening of time and preventing of retest, patient can be survived or alleviate suffering. Purpose of this paper is to design combined identification system linking patient's RFID card with medical digitalized Chart to share patient's information between the hospitals. With research and review of pre-studied related identification system, standardization, and UCI-RFID linkage study, SPMR(sharing patient's medical record) has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain. SPMR(sharing patient's medical record) which will take information needed and pay for information usage to related hospitals has been designed for doctors to make a medical treatment properly at the right time and alleviate patient's pain.

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A study on Improvement of Automatic Water Management System in Uiryeong Watershed Area (의령수역의 자동화 물관리 시스템 운영개선연구)

  • Cho, Young-Jea;Lee, Moung-Jun;Kim, Young-Ho;Park, Sang-Hyun
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2005.10a
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    • pp.213-214
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    • 2005
  • Uiryung Watershed area, located at the confluence of Nam River and Nagdong River has 9000 ha of agricultural land area and 3024 ha of paddy rice field have been reclaimed and managed by Korean Agricultural and Rural Infrastructure Corporation(KARICO) in the riparian area since 1954. In spite of irrigation and drainage improvement projects in last 3 decades since 1970, there are severe drought and innundation problems in the area. To improve the difficulties and efficient usage of irrigation water not only for agriculture but also for environmental conservation and cultural ceremony, Automatic Water management system has been installed supported by Ministry of Agriculture and Fishery in Korean Government. The control office in Uiryung Branch Office of KARICO, receive all the water management records from Remote Terminal Units in 7 reservoirs and 26 Pump stations to operate the decision supporting system of irrigation and drainage facility during cropping period. Since the completion of the water management system at the end of 2003, the electric cost decrease in 80 % than average years. In spite of decrease of two technical assistants since 2004, complains from farmers for the water management are very rare. The technological experience from the automatic water management system would contribute not only for the efficient water management of Uiryang area but also for the modernization of water management of other watershed areas in the future.

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