• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.79-87
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• 2005

Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).

• Journal of Satellite, Information and Communications
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• v.7 no.2
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• pp.97-103
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• 2012

A very low complexity QRD-M algorithm based on limited search area is proposed for MIMO systems. The conventional QRD-M algorithm calculates Euclidean distance between all constellation symbols and the temporary detection symbol at each layer. We found that performance will not be degraded even if we adaptively restrict the search area of the candidate symbols only to the neighboring points of temporary detection symbol according to the channel condition at each layer. As a channel condition indicator, we employ the channel gain ratio among the layers without necessity of SNR estimation. The simulation results show that the proposed scheme effectively achieves near optimal performance while maintaining the overall average computation complexity much smaller than the conventional QRD-M algorithm.

• Journal of Yeungnam Medical Science
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• v.39 no.2
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• pp.133-140
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• 2022

Background: Despite advances in surgery and intensive perioperative care, fecal peritonitis secondary to colonic perforation is associated with high rates of morbidity and mortality. This study was performed to review the outcomes of patients who underwent colonic perforation surgery and to evaluate the prognostic factors associated with mortality. Methods: A retrospective analysis was performed on 224 consecutive patients who underwent emergency colonic perforation surgery between January 2008 and May 2019. We divided the patients into survivor and non-survivor groups and compared their surgical outcomes. Results: The most common cause of colon perforation was malignancy in 54 patients (24.1%), followed by iatrogenic perforation in 41 (18.3%), stercoral perforation in 39 (17.4%), and diverticulitis in 37 (16.5%). The sigmoid colon (n=124, 55.4%) was the most common location of perforation, followed by the ascending colon, rectum, and cecum. Forty-five patients (20.1%) died within 1 month after surgery. Comparing the 179 survivors with the 45 non-survivors, the patient characteristics associated with mortality were advanced age, low systolic blood pressure, tachycardia, organ failure, high C-reactive protein, high creatinine, prolonged prothrombin time, and high lactate level. The presence of free or feculent fluid, diffuse peritonitis, and right-sided perforation were associated with mortality. In multivariate analysis, advanced age, organ failure, right-sided perforation, and diffuse peritonitis independently predicted mortality within 1 month after surgery. Conclusion: Age and organ failure were prognostic factors for mortality associated with colon perforation. Furthermore, right-sided perforation and diffuse peritonitis demonstrated a significant association with patient mortality.

• Health Policy and Management
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• v.30 no.4
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• pp.433-437
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• 2020

Cancer is a disease which has the huge burden in worldwide, and cancer is the number one cause of death in Korea. At this point, the new framework for cancer monitoring index is required for regional cancer monitoring. Especially, cancer survivors are the important target which is rapidly increasing recently, also cancer survivor's quality of care should be considered in the cancer monitoring index framework. To develop the Multidimensional Cancer Monitoring Index considering cancer survivor's quality of care, we took into account cancer continuum which including prevention, detection, diagnosis, treatment, survivorship, assessment of quality of care and monitoring cancer patient, and end-of life care for stage. For target, components of health care delivery system such as patient, family, provider, payer, and policy maker are included. Also, Donabedian model which is a framework for examining health services and evaluating quality of health care such as structure, process, and outcome is applied to contents. This new cancer monitoring framework which includes multidimensional components could help to develop regional cancer monitoring index, and to make national cancer management and prevention policy in the future.

• Journal of Chest Surgery
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• v.54 no.1
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• pp.36-44
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• 2021

Background: Extracorporeal membrane oxygenation (ECMO) has become increasingly accepted as a life-saving procedure for patients with severe acute respiratory distress syndrome (ARDS). This study investigated the relationship between cumulative fluid balance (CFB) and outcomes in adult ARDS patients treated with ECMO. Methods: We retrospectively analyzed the data of adult ARDS patients who received ECMO between December 2009 and December 2019 at Korea University Anam Hospital. CFB was calculated during the first 7 days after ECMO initiation. The primary endpoint was 28-day mortality. Results: The 74 patients were divided into survivor (n=33) and non-survivor (n=41) groups based on 28-day survival. Non-survivors showed a significantly higher CFB at 1-7 days (p<0.05). Cox multivariable proportional hazard regression revealed a relationship between CFB on day 3 and 28-day mortality (hazard ratio, 3.366; 95% confidence interval, 1.528-7.417; p=0.003). Conclusion: In adult ARDS patients treated with ECMO, a higher positive CFB on day 3 was associated with increased 28-day mortality. Based on our findings, we suggest a restrictive fluid strategy in ARDS patients treated with ECMO. CFB may be a useful predictor of survival in ARDS patients treated with ECMO.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.43 no.12 s.354
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• pp.1-8
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• 2006

In this paper, we propose carrier phase synchronization algorithm which are base on turbo coded system for DVB-RCS. There have been two categories of phase estimator, single estimator outside turbo code decoder and multiple estimators inside turbo code decoder. In single estimator, we use the estimation algorithm that ML(Maximum Likelihood) and LMS(Least Mean Square), also three different soft decision methods are proposed. Multiple estimator apply PSP(Per Survivor Processing) algorithm additionally. We compared performance between single estimator and Multiple estimator in AWGN channel. We presented the two methods of PSP algorithm for performance elevation. First is the Bi-directional channel estimation and second is binding method.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.21 no.8
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• pp.2077-2089
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• 1996

In this paper, a memory organization and its control method are proposed for the implementation of parallel Virterbi decoders. The design is mainly focused on lowering the hardware complexity of a parallel Viterbi decoder which is to reduce the decoding speed. The memories requeired in a Viterbi decoder are the SMM(State Metric Memory) and the TBM(Traceback Memory);the SMM for storing the path metrics of states and the TBM for storing the survial path information. A general parallel Viterbi decoder for high datarate usually consists of multiple ACS (Add-Compare-Select) units and their corresponding memeory modules.for parallel ACS units, SMMs and TBMs are partitioned into smaller independent pairs of memory modules which are separately interleaved to provide the maximum processing speed. In this design SMMs are controlled with addrss generators which can simultaneously compute addresses of the new path metrics. A bit shuffle technique is employed to provide a parallel access to the TBMs to store the survivor path informations from multiple ACS modules.

• English Language & Literature Teaching
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• v.17 no.1
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• pp.37-52
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• 2011

The purposes of this study were to review developmental stages of acculturation, to establish dimensions and components of intercultural communicative competence, and to suggest teaching methods in the elementary school based on the dimensions and the components of the stages. In order to achieve these purposes, theoretical research on the nature of intercultural communicative competence and teaching methods of intercultural dimensions and components was carried out in terms of developmental stages of acculturation. The stages of acculturation have relation to cognitive domain, affective domain, and cultural awareness. In the domain of cognitive development, the models such as Cummins (1981), Wong-Fillmore (1983), and Ausubel (1968) were presented. In the affective domain of second language research, the models of Gardener and Lambert (1972), Maslow (1954), and Bloom (1974) were argued. Modifying the models of Ausubel, Cummins, Wong-Fillmore, the dimensions and components of intercultural communicative competence were established. In addition, it was suggested that cultural syllabus and lesson plan based on tourist and survivor stage should be considered.

• International Journal of Advanced Culture Technology
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• v.10 no.1
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• pp.17-23
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• 2022

The purpose of this study is to develop a cancer rehabilitation program for cancer survivors in the form of a smartphone application and to confirm the effectiveness through Pilot study. The contents of the application consisted of health records, lab-test records, and health information, and the information recorded by the patient was graphically checked for changes over time on my page. 7 subjects who ended acute treatment and were undergoing follow-up were asked to use the application for 4 weeks, and then changes in variables (uncertainty, e-health literacy, self-efficacy, and cancer rehabilitation) were confirmed. It was confirmed that e-health literacy and self-efficiency increased significantly over time after using the application. In addition, the level of cancer rehabilitation was found to increase significantly over time. The application for cancer rehabilitation developed in this study needs to be expanded to improve the quality of life of cancer survivors.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.33 no.4
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• pp.167-177
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• 2010

Recent competitive and technological changes during the past decade have accelerated the need for better capital recovery methods. Competition and technology have together shortened the expected lives of property which could not have been forecasted several years ago. Since the usage of technological growth models has been prevalent in various technological forecasting environments, the various forms of growth models have become numerous. Of six such models studied, some models do significantly better than others, especially at low penetration levels in predicting future levels of growth. A set of criteria for choosing an appropriate model for technological growth models was developed. Two major characteristics of an S-shaped curve were elected which differentiate the various models; they are the skewness of the curve and underlying assumptions regarding the variance of error structure of the model.