김태림 교수

This study aims to introduce a novel blockchain-applied personal health records (PHR) application and validate its user experience. The system transmits the part corresponding to the patient’s personal information off-chain and prevents data forgery and falsification by storing encrypted data on-chain. Patients may easily trace the opt-in and opt-out history of their consent data and dynamically store the consent system for data exchange on the blockchain. A mixed-method study using a questionna

(1) Background: During a pandemic, patients and processes in the emergency department (ED) change. These circumstances affect the length of stay (LOS) or degree of crowding in the ED. The processes for patients with acute critical illness, such as cerebrovascular disease (CVD), can be also delayed. Using the process mining (PM) method, this study aimed to evaluate LOS, ED processes for CVD, and delayed processes during the coronavirus disease 2019 (COVID-19) pandemic. (2) Methods: Data were coll

Background and objectives: As in adults, the survival rates and neurological outcomes after infant Cardiopulmonary resuscitation (CPR) are closely related to the quality of resuscitation. This study aimed to demonstrate that using a smartwatch as a haptic feedback device increases the quality of infant CPR performed by medical professionals. Materials and methods: We designed a prospective, randomized, case-crossover simulation study. The participants (n = 36) were randomly allocated to two grou

Understanding age-specific injury patterns allows the continued improvement of prevention strategies. This is a retrospective study analyzing the Korea Emergency Department-Based Injury In-depth Surveillance data, including those aged ≤19 years old between January 2011 and December 2017. In this study, we focused on changes in the modes of injury and severity, and prevention potential by dividing the patients into four age groups: group 1 (0-4 years), group 2 (5-9 years), group 3 (10-14 years),

Background and aims: This study developed a clinical support system based on federated learning to predict the need for a revised Korea Triage Acuity Scale (KTAS) to facilitate triage. Methods: This was a retrospective study that used data from 11,952,887 patients in the Korean National Emergency Department Information System (NEDIS) from 2016 to 2018 for model development. Separate cohorts were created based on the emergency medical center level in the NEDIS: regional emergency medical center (

BACKGROUND: Personal health records (PHRs) can be useful in the emergency department, as they provide patient information in an accurate and timely manner and enable it to be used actively. This has an effect on patients' health outcomes and patient experience. Despite the importance of PHRs in emergencies, there are only a few studies related to PHRs in emergencies that evaluate patient experience. OBJECTIVE: This study aims to introduce the novel mobile PHR (mPHR) platform to emergency environ

ABSTRACT: Objective/Introduction : Sequential vital-sign information and trends in vital signs are useful for predicting changes in patient state. This study aims to predict latent shock by observing sequential changes in patient vital signs. Methods : The dataset for this retrospective study contained a total of 93,194 emergency department (ED) visits from January 1, 2016, and December 31, 2020, and Medical Information Mart for Intensive Care (MIMIC)-IV-ED data. We further divided the data into

Abnormally large swells that appeared on the coast of the East Sea in October in 2005 and 2006 were simulated using SWAN model to examine the accuracy of the model for future forecasting Seawind data calculated based on the weather chart ant bottom topography were used for input data, and the model was operated more than 20 days before the observed swells to avoid the problems from the cold start of the model. The comparisons with observed wind and wave data were unsatisfactory and neededmore im

Surveillance of injury patterns and comparisons among different age groups help develop a better understanding of recent injury trends and early prevention. This study conducted a national surveillance of injury by age group. Data were collected retrospectively from Emergency Department-Based Injury In-Depth Surveillance (EDIIS) in South Korea, between January 2011 and December 2017. Patients were divided into the following four groups by age: Group 1-18 to 34 years, Group 2-35 to 49 years, Grou

This study aimed to investigate the association of characteristics and clinical outcomes of patients who presented with mushroom intoxication. We conducted a retrospective study of mushroom intoxication cases using national registry data (representative of the period 01 January 2011 to 31 December 2019). Specifically, we analyzed the demographics, vital signs, mental status, intoxication related factors, and clinical presentations of the patients. The outcomes were assessed based on general ward

큰 너울은 먼 해역에서 발생한 후 우리나라 해안에 전파하여 피해를 입히는 경우가 많다. 이를 방지하기 위해서는 우리나라 인근 해역에서 뿐만 아니라 외해역에서도 파랑 관측이 이루어져야 하지만 현장 관측의 경우 많은 비용 및 장비 망실 위험 때문에 어려움이 따른다. 위성의 고도계를 활용할 경우 우리나라 동해 중앙 해역이나 외해 그리고 타 국가의 해역과 같이 접근이 어려운 해양에서 파랑을 관측하는 일이 가능하다. 그러나 이에 앞서서 고도계 파랑 자료의 정확도를 검증하는 것이 필요하다. 본 연구에서는 ENVISAT 위성의 고도계 파고 자료와 이어도 기지에서 관측한 파랑 자료를 비교 분석 한 후 그 활용성을 검토한다. Big swell is often generated offshore and damages the coasts after travelling long distance. In order to prevent coastal damages, wave measurements should

Swells occurred on the coast of the East Sea on February 24, 2008 caused a loss of three lives and also damaged several west coasts of Japan. The recent increase of swell intensity with number of accidents demands more accurate forecasting of swells in terms of time and location. The swells occurred in February 2008 are hindcasted using SWAN model to examine the accuracy of the model for future forecasting. The model results are compared with ReWW3 data as well as measurement wave data and speci

연안 환경에 대한 효과적인 관측을 위해서는 높은 주기 및 공간 해상도의 지속적인 관측이 필요하다. 지상에 설치한 기기로부터 이루어지는 원격 관측은 소수의 현장 기기 개수로는 관측할 수 없는 넓은 범위의 해역을 통시에 관측할 수 있고 또한 높은 빈도의 지속적인 관측이 가능하다. 본 연구에서는 연안 환경에 대한 대표적인 지상 원격 관측 기기인 마린 레이다와 카메라 시스템의 활용에 대하여 고찰해본다. 마린 레이다는 시간적으로 연속된 레이다 영상으로부터 파수 스펙트럼을 계산하고 이를 통합 적분하고 조정 전달함수를 적용하여 시간에 따른 주파수 스펙트럼을 산출할 수 있다. 또한 시간에 따른 파랑 레이다 영상을 평균함으로서 쇄파대와 이안류 그리고 연안사주의 위치 등에 대한 분석도 기능하다. 카메라 시스템은 해안선의 변화뿐만 아니라 오염 등으로 인하여 해안에서 발생하는 거품 발생량의 변화에 대한 분석을 할 수 있다. 빗각 촬영된 거품 영상을 기하 보정 후 거품부분을 따로 추출함으로서 거품량에 대한

새만금 방조제 갑문의 개폐 상황은 새만금 인근 해역의 수질에 영향을 미치는 중요한 요소이다. 갑문의 개폐 정보는 새만금 방조제 인근 해역의 해상 탑에서 이루어지는 수질 및 유속 자료의 분석에 중요할 뿐만 아니라 해양 환경에 대한 수치 모의시 중요한 경계 조건이다. 본 연구에서는 기설치된 해상 관측 탑에 미니 노트북과 디지털카메라를 이용하여 자동무인영상 관측 시스템을 구축하고 촬영된 영상으로부터 갑문의 개폐상황을 자동으로 추출하였다. 특히 영상의 분산도 차이를 이용한 방법과 경계선 검출 기술을 동시에 활용한 결과 정확하게 갑문의 개폐 여부를 자동으로 확인할 수 있었다. The opening status of Saemangeum sluice gate is an important factor to the coastal water qualities near Saemangeum dikes. The sluice gate opening information is important in analy