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Study of the U.S. Missile Non-proliferation Policy Applied on Space Launch Vehicles of India and China (인도와 중국 우주발사체에 적용된 미국의 비확산정책 연구)

  • Choe, Nammi
    • Journal of Aerospace System Engineering
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    • v.10 no.4
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    • pp.59-66
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    • 2016
  • India and China are capable of developing indigenous space launch vehicles, with the rocket technology transferred from the U.S., Western countries, and the Soviet Union, in the 1950s and 1960s. Barring the early 1990s, both countries are absent in the missile nonproliferation regime, and have no major space cooperation records with the U.S., since the establishment of the Missile Technology Control Regime in 1987. With the advent of the $21^{st}$ century, historic progress has been made in the U.S.-India space cooperation, which includes using Indian launch vehicles to launch U.S.non-commercial satellites. However, the U.S. is skeptical with regards to space cooperation and using Chinese space launch vehicle services. In this paper, we present the U.S. nonproliferation policy applied on launch vehicles of India and China, and different aspects of the policy will be examined to draw implications on Korean space activities.

Two Cases of Disseminated Intravascular Coagulation (DIC) Following Pit Viper Envenomation (살모사 교상 후 발생한 범발성 혈관내 응고장애 2례)

  • Kim, Suk-Hwan;Choi, Se-Min;Oh, Young-Min;Park, Kyu-Nam;Lee, Won-Jae;Choi, Kyung-Ho
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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    • pp.137-142
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    • 2006
  • Our records include two cases of DIC in snakebite patients. One patient, who was 48-years old, was bitten in his left ankle 3 days before admission to our hospital. Initial symptoms were painful swelling, extensive ecchymosis, and persistent bleeding at the bite site. He visited and was admitted to a local hospital, but his condition did not improve with supportive care that included a single dose of antivenin. He was transferred to our hospital. His condition was compatible with DIC. We tried multi-dose antivenin therapy and blood product transfusion. At the seventh hospital day, the patient's symptoms were completely resolved. The other patient, who was 75 years old, was bitten in his right thumb. Initial symptoms were painful swelling of the right arm and persistent bleeding at the bite site, and within minutes of hospital admission, the patient experienced massive hematochezia. We peformed laboratory tests, the results of which were compatible with DIC, and the next day a sigmoidscopic examination showed ischemic colitis. We administered multi-dose antivenin therapy and blood product tranfusion. At the third hospital day mild anemia still existed, but the patient's clinical condition was improved. No signs or symptoms of gastrointestinal bleeding were observed. In these two cases, multi-dose antivenin therapy and transfusion effectively resolved symptoms of DIC. Platelet concentrate transfusion was required only for acute thrombocytopenia. After resolution of DIC, platelet counts were returned to normal ranges within a few days. The authors propose that multidose antivenin therapy and coagulation factor transfusion might be useful for improving coagulopathy in snakebite patients.

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Analysis of Cultivator-related Trauma Cases in a Regional Trauma Center in the Rural Area of Gyeongbuk Province

  • Hwang, Ui Kang;Youn, Seok Hwa;Park, Chan Yong
    • Journal of Trauma and Injury
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    • v.30 no.3
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    • pp.80-86
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    • 2017
  • Purpose: To analyze the data of patients who suffered trauma in a cultivator accident and visited the trauma center in rural Gyeongbuk Province. Methods: We retrospectively reviewed the medical records and Korean Trauma Data Bank data of 120 patients who suffered cultivator-related traumas and visited the rural regional trauma center in Gyeongbuk Province from January to December 2015. Results: The age of the patients ranged from 35 to 96 years (mean, 70 years). Ninety-one (75.8%) patients were men, and twenty-nine (24.2%) were women. Most of the patients were in their 70s (46 men [50.5%] and 13 women [44.8%]). In total, 113 patients (94.1%) arrived at the regional trauma center by ground transport and 7 (5.9%) arrived by air transport. Ninety-eight patients (81.7%) were transported to the regional trauma center directly from the scene of the accident, and twenty-two (18.3%) were transferred from another medical institute. The mean time from the accident to arrival at the emergency department was 139 minutes, and only 46 patients (38.3%) arrived within 1 hour. Twelve (10.0%) patients died, including two deaths on arrival and two post- cardiopulmonary resuscitation deaths in the emergency department. All deaths were of male cultivator operators. The causes of death were shock (hypovolemic, traumatic, or septic), subdural hematoma (open), hemothorax, rhabdomyolysis, and pneumonia. Conclusions: As the government - led regional trauma center project is on process, it would be clinically important to summarize the initial outcome of cultivator injuries, which are characteristically found more in regional trauma centers in the rural area, and have high mortality. Based on this study, in the future, it will be necessary to follow up and analyze more number of patients and to construct accurate database about trauma cases related to cultivator in Gyeongbuk region.

A Study of Factors that have Influence on the Length of Stay in the Emergency Room of Patients who have Acute Myocardial Infarction (응급실 급성심근경색증 환자의 체류시간에 영향을 미치는 요인에 관한 연구)

  • Joung, Hye-Gyoung;Kim, Hae-Joon;Yoon, Seok-Jun;Lee, June-Young;Lee, Heeyoung
    • Quality Improvement in Health Care
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    • v.10 no.1
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    • pp.42-56
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    • 2003
  • Background : The purpose of this study is to investigate the influencing factors on the length of emergency department stay of patients with acute myocardial infraction. Methods : we reviewed medical records of all patients who were Hospitalized with acute myocardial infraction from March 1, 2002 to February 28, 2003. Results : The average length of stay in the emergency room of the subjects was 182.74 minutes. After the emergency room treatment, 48.1% of the subjects were transferred to intensive care unit. The hospitalization through emergency room mostly took place in the office hours. There were more patients on Monday. The influencing factors on the length of stay in the emergency room of patients with acute myocardial infraction were emergency room arrival time which was classified in seasons, treatment hours of specialized doctors, medical care insurance and required time of radiologic examination. Conclusion : In order to reduce the length of emergency room stay, it might be an available solution secure enough spaces, facility, and staff of the radiologic test only for the patients of the emergency room. And the effective use of emergency facility and space, establishment of standardized treatment guideline, and provision of emergency treatment support system are also needed.

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Tenolysis after the reconstruction of PIP joint of the finger using second toe PIP joint free flap (제 2족지 근위지관절 유리피판술을 이용한 수지 근위지관절 재건 후 시행한 건박리술)

  • Park, Hyoung Joon;Lee, Dong Chul;Kim, Jin Soo;Ki, Sae Hwi;Roh, Si Young;Yang, Jae Won
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.450-457
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    • 2009
  • Purpose: The second toe PIP joint free flap is a method of reconstruction used for abnormalities of the PIP joint of the finger. We report the results of the additional tenolysis in patients with a difference between passive ROM and active ROM after second toe PIP joint free flap. Methods: From March 2001 to July 2008, tenolysis was performed in patients with a difference in their active and passive ROM after second toe PIP joint free transfer, performed on 14 fingers. We performed a retrospective analysis of the medical records, noting the clinical and radiological findings. In addition, we measured the preoperative and postoperative range of motion of the PIP joint. Results: The average active ROM was $22.5^{\circ}$ at the three months after the joint transfer surgery, and was $38^{\circ}$ after additional tenolysis between five months and twelve months after the joint transfer. Conclusions: Additional tenolysis, after the second toe PIP joint free flap, might be a good option for improved results in patients with difference in active and passive ROM of a transferred PIP joint.

An App Visualization design based on IoT Self-diagnosis Micro Control Unit for car accident prevention

  • Jeong, YiNa;Jeong, EunHee;Lee, ByungKwan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.11 no.2
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    • pp.1005-1018
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    • 2017
  • This paper proposes an App Visualization (AppV) based on IoT Self-diagnosis Micro Control Unit (ISMCU) for accident prevention. It collects a current status of a vehicle through a sensor, visualizes it on a smart phone and prevents vehicles from accident. The AppV consists of 5 components. First, a Sensor Layer (SL) judges noxious gas from a current vehicle and a driver's driving habit by collecting data from various sensors such as an Accelerator Position Sensor, an O2 sensor, an Oil Pressure Sensor, etc. and computing the concentration of the CO collected by a semiconductor gas sensor. Second, a Wireless Sensor Communication Layer (WSCL) supports Zigbee, Wi-Fi, and Bluetooth protocol so that it may transfer the sensor data collected in the SL to ISMCU and the data in the ISMCU to a Mobile. Third, an ISMCU integrates the transferred sensor information and transfers the integrated result to a Mobile. Fourth, a Mobile App Block Programming Tool (MABPT) is an independent App generation tool that changes to visual data just the vehicle information which drivers want from a smart phone. Fifth, an Embedded Module (EM) records the data collected through a Smart Phone real time in a Cloud Server. Therefore, because the AppV checks a vehicle' fault and bad driving habits that are not known from sensors and performs self-diagnosis through a mobile, it can reduce time and cost spending on accidents caused by a vehicle's fault and noxious gas emitted to the outside.

Reengineering of TACT Process Management Analyzed on Task Information (업무정보 분석을 통한 TACT공정관리 프로세스 재설계)

  • Kim, Ok-Kyue;Park, Jun-Mo;Kim, Beop-Su
    • Korean Journal of Construction Engineering and Management
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    • v.13 no.5
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    • pp.113-124
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    • 2012
  • TACT process reengineering is applied to the finish work of apartment buildings and extra tall buildings to conduct efficient process control in Korea. Non-systemized information on the performances, however, causes difficulties in building a database for such records and it takes long time to find the relevant information. In order to solve such problems, scientific and quantitative understanding on the construction information and data is required to perform TACT process reengineering satisfactorily and also proper management plan should be provided for the working level staff to understand the required information and data more easily. In this regard, this paper reorganizes the TACT process reengineering based on the general process control and classifies the items of required information to redesign. Redesigned process was verified by specialists making use of work-information matrix. As a result, paper contributed to increasing comprehension level of the working level people and when the persons in charge are transferred to other duty, it makes them understand all the working procedure faster, which enables the departments involved to carry out their cooperation and adjustment more efficiently.

Evaluation of Interaction and Safety in Administering Herb-medicine with Warfarin (한약과 와파린 병용의 상호작용과 안전성에 대한 연구)

  • Kwon, Dong-Hyun;Kim, Ho-Jun;Lee, Myeong-Jong;Song, Mi-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.175-181
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    • 2010
  • Objectives : The purpose of this study is to investigate interaction and safety in administering herb-medicine with warfarin. Methods : For this study, we selected 19 patients who have been taking warfarin, from the ones that have been transferred from western hospital to oriental hospital. During their stay in the oriental hospital, we gave herb-medicine in addition to warfarin. Then we gathered informations and data on sex, age, main indications, and International Normalized Ratio(INR) values of selected patients through Electronic Medical Records(EMR) of Dong-Guk university hospital. Accordingly, we compiled all of the above data for a period of 10 days prior and 10 days post admission(western hospital period and oriental hospital period, respectively). Results and Conclusions : The statistical analysis of the data have revealed that there was no significant change of INR values after giving herb-medicine with warfarin(p=0.586). The result shows that administration of herb-medicine with warfarin is safe and has little drug interaction. However, this study was carried out on small sample size and the interaction with other drugs and various kinds of herb-medicine was not considered. Although we attained a restrictive result from this study, we are able to suggest the safety about co-administration of herb-medicine and warfarin.

A Case of the Advanced Non-Small Cell Lung Cancer Patient Who Showed Symptoms Improvement (항암치료 시 지속된 증상의 호전을 보인 태음인 폐암환자 치험 1례)

  • Park, So-Ra;Lee, Soo-Min;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.3
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    • pp.326-332
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    • 2015
  • Objectives The quality of life in cancer patients is important. The aim of this study is to report a case which showed symptoms improvement after treatment with modified Galgeunhaegi-tang. Methods We retrospectively reviewed the medical records. The patient's body weight and the circumference of lower extremity were measured and the subjective symptoms such as chest pain were evaluated by the NRS(Numeric Rating Scale). And the frequency of defecation was checked daily. Results The patient had received chemotherapy from March to November 2014 for 8th times. During the chemotherapy, the patient developed symptoms such as weight gain, edema of lower extremity, chest pain, headache, low back pain, and constipation. But additional evaluation and management with western medicine couldn't solve the problem. So he started to take Korean medicine. And he was transferred to our cancer center to keep continuing the treatment. After the treatment, the body weight, the lower extremity circumference and the subjective severity of chest pain, headache, low back pain were all decreased. During hospitalization at our center, the patient didn't suffer from constipation. Conclusions An elderly non-small cell lung cancer patient showed the improvement of symptoms that were continued during chemotherapy. As we can see in this case, Korean medicine can be a solution of the symptoms induced by chemotherapy, if there is no symptom improvement with western medicine.

An Analysis of Treatment Types and Home Care Services Referral for Patients with Diabetic Foot (당뇨병성 족부궤양 환자의 치료형태 및 가정간호 연계)

  • Song, Chong-Rye;Han, Seung-Hwan;Lee, Young-Ah;Kim, Mi-Young;Chae, Sun-Mi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.18 no.1
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    • pp.32-39
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    • 2011
  • Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20 years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes, 5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.

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