• The Korean Nurse
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• v.32 no.5
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• pp.78-92
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• 1994

The purposes of this study were to evaluate the results of the hospital self inspection with the medical insurance and to offer basic materials to the medical insurance inspection and the education of medical insurance. The study was undertaken with 4,730 cases among the total 13,810 medical insurance in patients from Jan. 1990 to Dec. 1990 at one university hospital in Pusan. The major contents of the inspection were the omission of diagnosis and medical fee, curtailment, application mistake, the rates of inclusion, subtraction and total accumulation. The data were collected using patients charts and bills. The results of the paper analysis were as follows. 1. From the pre-discharge hospital self inspection, major omission were treatment and material fee but medication fee were moderately high and high curtailment was operation fee. 2. Decreasing order of operation fee adjustment were digestive(22.4%) muscular(22%) and neuro system operation(21.4%). Majority of the medication fee adjustments were injection form of medication(95.7%). 50% of the treatment fee adjustments were composed of injection fee(27.9%) and dressing or post-operative dressing fee(22.3%). 74.7% of material costs were composed of oxygen(30.6%), blood and the blood composed materials(44.1%). 3. Pre-discharge inspection showed 6% adjustment rate, 4.3% addition and 2.1% curtailment rate. Most of the adjustment were omission(66.1%). 4. Omission were divided by event omission(92.6%)and application mistake(7.4%). The decreasing order of omission fee were operation(21.84%), treatment(18.71 %) diagnosis(18.68%), medication (14.53%) and material costs(10.84%). So operation and treatment part were the major part of the total omission fee(40.55%). 5. The average omission of diagnosis were 1,800 per month.

• Journal of Korean Neurosurgical Society
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• v.58 no.1
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• pp.60-64
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• 2015

Objective : To present the incidence and management of dural tears and cerebrospinal fluid leakage during corrective osteotomy [Pedicle Subtraction Osteotomy (PSO) or Smith-Petersen Osteotomy (SPO)] for ankylosing spondylitis with kyphotic deformity. Methods : A retrospective study was performed for ankylosing spondylitis patients with fixed sagittal imbalance, who had undergone corrective osteotomy (PSO or SPO) at lumbar level. 87 patients were included in this study. 55 patients underwent PSO, 32 patients underwent SPO. The mean age of the patients at the time of surgery was 41.7 years (21-70 years). Of the 87 patients, 15 patients had intraoperative dural tears. Results : The overall incidence of dural tears was 17.2%. The incidence of dural tears during PSO was 20.0%, SPO was 12.5%. There was significant difference in the incidence of dural tears based on surgical procedures ( PSO vs. SPO) (p<0.05). The dural tears ranged in size from 12 to $221mm^2$. A nine of 15 patients had the relatively small dural tears, underwent direct repair via watertight closure. The remaining 6 patients had the large dural tears, consequently direct repair was impossible. The large dural tears were repaired with an on-lay graft of muscle, fascia or fat harvested from the adjacent operation site. All patients had a successful repair with no patient requiring reoperation for the cerebrospinal fluid leak. Conclusion : The overall incidence of dural tears during PSO or SPO for ankylosing spondylitis with kyphotic deformity was 17.2%. The risk factor of dural tears was complexity of surgery. All dural tears were repaired primarily using direct suture, muscle, fascia or fat graft.

• Journal of Korean Neurosurgical Society
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• v.54 no.6
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• pp.477-483
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• 2013

Objective : Although surgical techniques for clipping paraclinoid aneurysms have evolved significantly in recent times, direct microsurgical clipping of large and giant paraclinoid aneurysms remains a formidable surgical challenge. We review here our surgical experiences in direct surgical clipping of large and giant paraclinoid aneurysms, especially in dealing with anterior clinoidectomy, distal dural ring resection, optic canal unroofing, clipping techniques, and surgical complications. Methods : Between September 2001 and February 2012, we directly obliterated ten large and giant paraclinoid aneurysms. In all cases, tailored orbito-zygomatic craniotomies with extradural and/or intradural clinoidectomy were performed. The efficacy of surgical clipping was evaluated with postoperative digital subtraction angiography and computed tomographic angiography. Results : Of the ten cases reported, five each were of ruptured and unruptured aneurysms. Five aneurysms occurred in the carotid cave, two in the superior hypophyseal artery, two in the intracavernous, and one in the posterior wall. The mean diameter of the aneurysms sac was 18.8 mm in the greatest dimension. All large and giant paraclinoid aneurysms were obliterated with direct neck clipping without bypass. With the exception of the one intracavenous aneurysm, all large and giant paraclinoid aneurysms were occluded completely. Conclusion : The key features of successful surgical clipping of large and giant paraclinoid aneurysms include enhancing exposure of proximal neck of aneurysms, establishing proximal control, and completely obliterating aneurysms with minimal manipulation of the optic nerve. Our results suggest that internal carotid artery reconstruction using multiple fenestrated clips without bypass may potentially achieve complete occlusion of large paraclinoid aneurysms.

• Journal of Korean Neurosurgical Society
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• v.53 no.4
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• pp.235-240
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• 2013

Fusiform aneurysms on the basilar artery (BA) trunk are rare. The microsurgical management of these aneurysms is difficult because of their deep location, dense collection of vital cranial nerves, and perforating arteries to the brain stem. Endovascular treatment is relatively easier and safer compared with microsurgical treatment. Selective occlusion of the aneurysmal sac with preservation of the parent artery is the endovascular treatment of choice. But, some cases, particularly giant or fusiform aneurysms, are unsuitable for selective sac occlusion. Therefore, endovascular coiling of the aneurysm with parent vessel occlusion is an alternative treatment option. In this situation, it is important to determine whether a patient can tolerate parent vessel occlusion without developing neurological deficits. We report a rare case of fusiform aneurysms in the BA trunk. An 18-year-old female suffered a headache for 2 weeks. Computed tomography and magnetic resonance image revealed a fusiform aneurysm of the lower basilar artery trunk. Digital subtraction angiography revealed a $7.1{\times}11.0$ mm-sized fusiform aneurysm located between vertebrovasilar junction and the anterior inferior cerebellar arteries. We had good clinical result using endovascular coiling of unruptured fusiform aneurysm on the lower BA trunk with parent vessel occlusion after confirming the tolerance of the patient by balloon test occlusion with induced hypotension and accompanied by neurophysiologic monitoring, transcranial Doppler and single photon emission computed tomography. In this study, we discuss the importance of preoperative meticulous studies for avoidance of delayed neurological deficit in the patient with fusiform aneurysm on lower basilar trunk.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.16 no.6
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• pp.1148-1152
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• 2012

In this paper, we propose an intelligent surveillance system using fuzzy contrast and HOG method. This surveillance system is mainly for the intruder detection. In order to enhance the brightness difference, we apply fuzzy contrast and also apply subtraction method to before/after the surveillance. Then the system identifies the intrusion when the difference of histogram between before/after surveillance is sufficiently large. If the incident happens, the camera stops automatically and the analysis of the screen is performed with fuzzy binarization and Blob method. The intruder is detected and tracked in real time by HOG method and linear SVM. The proposed system is implemented and tested in real world environment and showed acceptable performance in both detection rate and tracking success rate.

• KIPS Transactions on Computer and Communication Systems
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• v.5 no.10
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• pp.319-326
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• 2016

Abnormal situation caused by aggressive behavior of pigs adversely affects the growth of pigs, and comes with an economic loss in intensive pigsties. Therefore, IT-based video surveillance system is needed to monitor the abnormal situations in pigsty continuously in order to minimize the economic demage. In this paper, we propose a new Kinect camera-based monitoring system for the detection of the individual pigs. The proposed system is characterized as follows. 1) The background subtraction method and depth-threshold are used to detect only standing-pigs in the Kinect-depth image. 2) The moving-pigs are labeled as regions of interest. 3) A contour method is proposed and applied to solve the touching-pigs problem in the Kinect-depth image. The experimental results with the depth videos obtained from a pig farm located in Sejong illustrate the efficiency of the proposed method.

• Journal of Electrical Engineering and Technology
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• v.13 no.6
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• pp.2479-2484
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• 2018

The filter bank multicarrier modulation (FBMC) technique is one of multicarrier modulation technique (MCM), which is mainly used to improve channel capacity of cognitive radio (CR) network and frequency spectrum access technique. The existing FBMC System contains serial to parallel converter, normal QAM modulation, Radix2 inverse FFT, parallel to serial converter and poly phase filter. It needs high area, delay and power consumption. To further reduce the area, delay and power of FBMC structure, a new clock gating technique is applied in the QAM modulation, radix2 multipath delay commutator (R2MDC) based inverse FFT and unified addition and subtraction (UAS) based FIR filter with parallel asynchronous self time adder (PASTA). The clock gating technique is mainly used to reduce the unwanted clock switching activity. The clock gating is nothing but clock signal of flip-flops is controlled by gate (i.e.) AND gate. Hence speed is high and power consumption is low. The comparison between existing QAM and proposed QAM with clock gating technique is carried out to analyze the results. Conversely, the proposed inverse R2MDC FFT with clock gating technique is compared with the existing radix2 inverse FFT. Also the comparison between existing poly phase filter and proposed UAS based FIR filter with PASTA adder is carried out to analyze the performance, area and power consumption individually. The proposed FBMC with clock gating technique offers low power and high speed than the existing FBMC structures.

• Journal of Broadcast Engineering
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• v.14 no.4
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• pp.475-487
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• 2009

We propose a visible light road-to-vehicle communication system at intersection as one of ITS technique. In this system, the communication between vehicle and a LED traffic light is approached using LED traffic light as a transmitter, and on-vehicle high-speed camera as a receiver. The LEDs in the transmitter are emitted in 500Hz and those emitting LEDs are captured by a high-speed camera for making communication. Here, the luminance value of each LED in the transmitter should be found for consecutive frames to achieve effective communication. For this purpose, first the transmitter should be identified, then it should be tracked for consecutive frames while the vehicle is moving, by processing the images from the high-speed camera. In our previous work, the transmitter was identified by getting the subtraction of two consecutive frames. In this paper, we mainly introduce an algorithm to track the identified transmitter in consecutive frames. Experimental results using appropriate images showed the effectiveness of the proposal.

• Journal of the Korean Society of Radiology
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• v.13 no.7
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• pp.961-968
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• 2019

The purpose of this study was to evaluate the usefulness of cerebral angiography in each energy level by using dual energy technique in CT. Methods were performed on 15 DE images and SE images of CT angiography. For the analysis of images, mean value, standard deviation, SNR and CNR value were determined by setting ROI on MCA, brain parenchyma tissue, and back ground. As a result of concurrent visual evaluation with Likert 5 point scale, the clearest MCA image was confirmed at DE 40 keV and SE 120 kVp(p>0.05). The SNR value of the SE image was measured to be similar to the 40 keV energy level of the DE image. The low energy level image of 40 keV and 50 keV was measured with a high SNR and the contrast ratio was higher than that of the high energy image.

• The Journal of the Korea Contents Association
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• v.18 no.2
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• pp.1-10
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• 2018

Aggression among pigs adversely affects economic returns and animal welfare in intensive pigsties. Recently, some studies have applied information technology to a livestock management system to minimize the damage resulting from such anomalies. Nonetheless, detecting each pig in a crowed pigsty is still challenging problem. In this paper, we propose a new Kinect camera and deep learning-based monitoring system for the detection of the individual pigs. The proposed system is characterized as follows. 1) The background subtraction method and depth-threshold are used to detect only standing-pigs in the Kinect-depth image. 2) The standing-pigs are detected by using YOLO (You Only Look Once) which is the fastest and most accurate model in deep learning algorithms. Our experimental results show that this method is effective for detecting individual pigs in real time in terms of both cost-effectiveness (using a low-cost Kinect depth sensor) and accuracy (average 99.40% detection accuracies).