요양급여적정성 평가자료를 이용한 예방적 항생제 사용과 수술부위 감염 발생의 관련성 연구

김경훈,박춘선,장진희,김남순,이진서,최보람,이병란,이규덕,김선민,염선아,Kim, Kyoung-Hoon,Park, Choon-Seon,Chang, Jin-Hee,Kim, Nam-Soon,Lee, Jin-Seo,Choi, Bo-Ram,Lee, Byung-Ran,Lee, Kyoo-Duck,Kim, Sun-Min,Yeom, Seon-A 대한예방의학회 2010 예방의학회지 Vol.43 No.3

Objectives: To examine the prophylactic antibiotic use in reducing surgical site infection. Methods: This was a retrospective study for patients aged 18 years and older who underwent gastrectomy, cholecystectomy, colectomy, cesarean section and hysterectomy. The data source was quality assessment data of the Health Insurance Review & Assessment Service gathered from medical records of 302 national hospitals. Prophylactic antibiotic use was defined as: timely antibiotic administration or inappropriate antibiotic selection. We performed hierarchical logistic regression to examine the association between prophylactic antibiotic use and surgical site infection with adjustment for covariates. Results: The study population consisted of 16 348 patients (1588 gastrectomies, 2327 cholecystectomies, 1,384 colectomies, 3977 hysterectomies and 7072 cesarean sections) and surgical site infection was identified in 351 (2.1%) patients. The rates of timely antibiotic administration and inappropriate antibiotic selection varied according to procedures. Cholecystectomy patients who received timely prophylactic antibiotic had a significantly reduced risk of surgical site infection compared with those who did not receive a timely prophylactic antibiotics (OR 0.64, 95% CI=0.50-0.83), but no significant reduction was observed for other procedures. When inappropriate prophylactic antibiotics were given, the risk of surgical site infection significantly increased: 8.26-fold (95% CI=4.34-15.7) for gastrectomy, 4.73-fold (95% CI=2.09-10.7) for colectomy, 2.34-fold (95% CI=1.14-4.80) for cesarean section, 4.03-fold (95% CI=1.93-8.42) for hysterectomy. Conclusions: This study examines the association among timely antibiotic administration, inappropriate antibiotic selection and surgical site infection. Patients who received timely and appropriate antibiotics had a decreased risk of surgical site infection. Efforts to improve the timing of antibiotic administration and use of appropriate antibiotic are needed to lower the risk of surgical site infection.

신뢰도를 요구하는 임베디드 시스템에서의 저전력 태스크 스케쥴링

김경훈,김유나,김종,Kim, Kyong Hoon,Kim, Yuna,Kim, Jong 대한임베디드공학회 2008 대한임베디드공학회논문지 Vol.3 No.1

In this paper, we provide an adaptive power-aware checkpointing scheme for fixed priority-based DVS scheduling in dependable real-time systems. In the provided scheme, we analyze the minimum number of tolerable faults of a task and the optimal checkpointing interval in order to meet the deadline and guarantee its specified reliability. The energy-efficient voltage level at a fault arrival is also analyzed and used in the recovery of the faulty task.

Sol-Gel 법을 이용한 칼슘-알루미네이트계 전자화물 박막의 제조와 특성

김경훈,박주석,채재홍,서원선,소성민,김태관,김형순,이병하,Kim, K.H.,Park, J.S.,Chae, J.H.,Seo, W.S.,So, S.M.,Kim, T.K.,Kim, H.S.,Lee, B.H. 한국결정성장학회 2010 한국결정성장학회지 Vol.20 No.6

Sol-gel법을 적용하여 $12CaO{\cdot}7Al_2O_3$(C12A7) 전자화물 박막을 제조하기 위해 CaO-$Al_2O_3$ sol을 제조하여 dip 코팅법을 적용하여 quartz 기판에 박막을 형성하였으며 열처리를 통해 C12A7의 박막을 제조하였다. C12A7 상의 형성 $800^{\circ}C$에서 시작되었고 $1,200^{\circ}C$ 온도에서 1시간 열처리를 통해 치밀화된 박막을 제조할 수 있었다. 제조된 C12A7 박막은 부도체였지만 수소 환원 분위기 열처리를 통해 전기전도도를 나타내기 시작했으며 $1,200^{\circ}C$ 48시간 열처리 시 120 S/cm의 전기전도도를 나타내었다. The Calcium-aluminate electride thin films on the quartz substrates was coated by sol-gel process. The crystallization of the C12A7 thin film was observed at $800^{\circ}C$ and high density C12A7 thin film was achieved on heat treatment at $1,200^{\circ}C$ for 1 hour. The reduction heat treatment of C12A7 thin film could be converted from insulator to conductor and the electrical conductivity was 120 S/cm in the C12A7 thin film heat treated at $1,200^{\circ}C$ with $H_2$ gas for 48 hours.

신이론 신기술 - 반려견 사료의 탄수화물원 차이와 사료 기호성 그리고 배설분 특성

김경훈,Kim, Gyeong-Hun 한국사료협회 2012 飼料 Vol.54 No.-

RMESH구조에서 선형 사진트리의 윈도우 연산을 위한 상수시간 알고리즘

김경훈,우진운,Kim, Kyung-Hoon,Jin, Woon-Woo 한국정보과학회 2002 정보과학회논문지 : 시스템 및 이론 Vol.29 No.3

계층적 자료구조인 사진트리는 이진 영상을 표현하는데 매우 중요한 자료구조이다. 사진트리를 메모리에 저장하는 방법 중 선형 사진트리 표현 방법은 다른 표현 방법과 비교할 때 저장 공간을 매우 효율적으로 절약할 수 있는 이점이 있기 때문에 사진트리와 관련된 연산의 수행을 위해 선형 사진트리를 사용하는 효율적인 알고리즘 개발에 많은 연구가 진행되어 왔다. 윈도우 연산은 영상에서부터 윈도우에 표시된 부분 영상을 추출하는 연산으로, 영상 처리의 응용에서 중요하게 사용되는 기하학적 연산에 속한다. 본 논문에서는 RMESH(Reconfigurable MESH) 구조에서 3-차원 $n{\times}n{\times}n$ 프로세서를 사용하여 선형 사진트리로 표현된 이진 영상의 윈도우 연산을 수행하는 효율적인 알고리즘을 제안한다. 이 알고리즘은 $n{\times}n{\times}n$ RMESH의 계층구조에서 선형 사진트리의 위치코드들을 효율적으로 전송할 수 있는 기본적인 연산들을 이용함으로써 상수 시간의 시간복잡도를 갖는다. Quadtree, which is a hierarchical data structure, is a very important data structure to represent binary images. The linear quadtree representation as a way to store a quadtree is efficient to save space compared with other representations. Therefore, it has been widely studied to develop efficient algorithms to execute operations related with quadtrees. The window operation is one of important geometry operations in image processing, which extracts a sub-image indicated by a window in the image. In this paper, we present an algorithm to perform the window operation of binary images represented by quadtrees, using three-dimensional $n{\times}n{\times}n$ processors on RMESH(Reconfigurable MESH). This algorithm has constant-time complexity by using efficient basic operations to route the locational codes of quardtree on the hierarchical structure of $n{\times}n{\times}n$ RMESH.

EGML 기반 이동 객체 검출 알고리듬의 하드웨어 구현

김경훈,안효식,신경욱,Kim, Gyeong-hun,An, Hyo-sik,Shin, Kyung-wook 한국정보통신학회 2015 한국정보통신학회논문지 Vol.19 No.10

영상에서 움직임이 있는 객체 영역을 검출하기 위한 이동 객체 검출(moving object detection; MOD) 알고리듬을 EGML(effective Gaussian mixture learning) 기반 배경 차분 방법을 적용하여 하드웨어로 설계하였다. EGML 계산 일부의 근사화를 통해 하드웨어 복잡도를 줄였으며, 파이프라이닝 적용을 통해 동작속도를 개선하였다. Verilog-HDL을 이용하여 하드웨어를 설계하였으며, MATLAB/Simulink와 FPGA가 연동된 FPGA- in-the-loop 환경에서 하드웨어 동작을 검증하였다. 설계된 MOD 프로세서는 XC5VSX95T FPGA 디바이스에서 2,218 슬라이스로 구현되었으며, 102 MHz의 클록 주파수로 동작하여 102 MS/s의 처리율을 갖는 것으로 평가되었다. IEEE CDW-2012 데이터 세트의 12가지 영상에 대해 MOD 프로세서의 성능을 분석한 결과, 평균 recall 값은 0.7631, 평균 precision 값은 0.7778, 그리고 평균 F-measure 값은 0.7535로 각각 평가되었다. A hardware implementation of MOD(moving object detection) algorithm using EGML(effective Gaussian mixture learning)- based background subtraction to detect moving objects in video is described. Some approximations of EGML calculations are applied to reduce hardware complexity, and pipelining technique is adopted to improve operating speed. The MOD processor designed in Verilog-HDL has been verified by FPGA-in-the-loop verification using MATLAB/Simulink. The MOD processor has 2,218 slices on the Virtex5-XC5VSX95T FPGA device and its throughput is 102 MSamples/s at 102 MHz clock frequency. Evaluation results of the MOD processor for 12 images in the IEEE CDW-2012 dataset show that the average recall value is 0.7631, the average precision value is 0.7778 and the average F-measure value is 0.7535.

도시열섬 완화를 위한 나무심기운동에 따른 지표면 온도 변화 분석 - 구미시를 사례로 -

김경훈,김형수,권용하,박인선,정윤재,KIM, Kyunghun,KIM, Hung Soo,KWON, Yong-Ha,PARK, Insun,CHOUNG, Yun-Jae 한국지리정보학회 2022 한국지리정보학회지 Vol.25 No.1

Due to climate change, temperature is rising worldwide. Since rapid growth has been achieved focused on cities, South Korea is experiencing serious environmental problems such as heat island and air pollution in urban areas. To solve this problem, the central and each local government are actively promoting tree planting campaigns. This study quantitatively calculated changes in green areas and vegetation of Gumi by the tree planting campaign, and analyzed the temperature changes accordingly. For the target area, the green area, vegetation index, and ground temperature were calculated for 4 different time periods using the given Landsat satellite images. As a result of the study, the green area of was increased by 7.24km² and 4.93km² for two regions, respectively. Accordingly, the vegetation index increased by 0.14 to 0.16, and the temperature decreased by 0.8 to 1.2℃. The Tree planting campaign not only plays a role in lowering the temperature of the city but also does various roles such as air purification, carbon absorption, and providing green rest areas to citizens. Therefore the campaign should be carried out continuously.

Ni/γ-Al₂O₃ 촉매상에서 이산화탄소에 의한 프로판의 개질

김경훈,김종화,장성진,박대원,Kim, K. H.,Kim, J. H.,Chang, S. C.,Park, D. W. 한국공업화학회 1997 공업화학 Vol.8 No.3

Reforming of propane by carbon dioxide using NiO/${\gamma}$-$A1_2O_3$ was carried out in a pulse or continuous kid bed reactor. NiO/${\gamma}$-$Al_2O_3$ showed higher dissociation ability of $CO_2$ than NiO/${\gamma}$-$Al_2O_3$, and the former exhibited higher conversion of propane than the latter. The presence of oxygen in the reaction mixture of propane and $CO_2$ increased the conversion of propane and reduced the amount of carbon deposit on the catalyst surface. Mechanical mixture catalyst of NiO/${\gamma}$-$Al_2O_3$ and $Ga_2O_3$ showed higher stability to deactivation than NiO/${\gamma}$-$Al_2O_3$ itself. The synergistic effect between NiO/${\gamma}$-$Al_2O_3$ and $Al_2O_3$ was also observed in this study. 본 연구는 펄스 반응기 및 고정층 연속반응기를 사용하여 ${\gamma}$-알루미나에 담지된 니켈촉매상에서 이산화탄소에 의한 프로판의 개질반응 특성을 고찰한 것이다 Ni/${\gamma}$-$A1_2O_3$촉매가 NiO/${\gamma}$-$A1_2O_3$촉매보다 $CO_2$의 해리능력과 프로판의 개질 능력이 우수한 것으로 나타났다. 프로판과 $CO_2$의 혼합물에 산소를 추가한 결과 프로판의 전환율이 증가하였고 표면의 탄소침적도 감소함을 알 수 있었다. Ni/${\gamma}$-$A1_2O_3$와 $Ga_2O_3$의 기계적 혼합 촉매는 Ni/${\gamma}$-$A1_2O_3$자체보다 촉매의 활성이 오래 유지되었고 두 상의 협동에 의한 상승효과(synergistic effect)가 관찰되었다.

키네시오 테이핑을 병행한 후방보행훈련이 만성 뇌졸중 환자의 하지 근력 및 보행에 미치는 영향

김경훈,Kim, Kyung Hun 대한물리치료과학회 2021 대한물리치료과학회지 Vol.28 No.2

Purpose: The objective of the present study was to examine the effects of Kinesio taping with backward walking training (KTBW) on muscle strength of lower extremity and gait ability in post-stroke patients. Design: Randomized controlled trial. Method: Participants included 27 post stroke patients and were randomly distributed into two groups: KTBW group received Kinesio taping with backward training (n=13), control group receive general physical therapy (n=14). Intervention was given five times a week, a total of four weeks. The subjects evaluated the muscle strength test and walking ability before and 4 weeks after the experiment. Muslce strength of lower extremity was measured by digital manual muscle test. Gait ability was measured by G-walk. Result: After training, the KTBW group showed significant improvement in muscle strength of the lower extremity compared to the control group (p<0.05). KTBW group showed significant improvement in gait ability compared to the control group (p<0.05). Conclusion: These finding show the benefits of the Kinesio taping with backward walking training on the muscle strength of lower extremity and gait ability in post stroke patients.

건강보험 청구자료에서 동반질환 보정방법과 관찰기관 비교 연구: 경피적 관상동맥 중재술을 받은 환자를 대상으로

김경훈,안이수,Kim, Kyoung-Hoon,Ahn, Lee-Su 대한예방의학회 2009 예방의학회지 Vol.42 No.4

Objectives : To compare the performance of three comorbidity measurements (Charlson comorbidity index, Elixhauser s comorbidity and comorbidity selection) with the effect of different comorbidity lookback periods when predicting in-hospital mortality for patients who underwent percutaneous coronary intervention. Methods : This was a retrospective study on patients aged 40 years and older who underwent percutaneous coronary intervention. To distinguish comorbidity from complications, the records of diagnosis were drawn from the National Health Insurance Database excluding diagnosis that admitted to the hospital. C-statistic values were used as measures for in comparing the predictability of comorbidity measures with lookback period, and a bootstrapping procedure with 1,000 replications was done to determine approximate 95% confidence interval. Results : Of the 61,815 patients included in this study, the mean age was 63.3 years (standard deviation: ${\pm}$10.2) and 64.8% of the population was male. Among them, 1,598 2.6%) had died in hospital. While the predictive ability of the Elixhauser's comorbidity and comorbidity selection was better than that of the Charlson comorbidity index, there was no significant difference among the three comorbidity measurements. Although the prevalence of comorbidity increased in 3 years of lookback periods, there was no significant improvement compared to 1 year of a lookback period. Conclusions : In a health outcome study for patients who underwent percutaneous coronary intervention using National Health Insurance Database, the Charlson comorbidity index was easy to apply without significant difference in predictability compared to the other methods. The one year of observation period was adequate to adjust the comorbidity. Further work to select adequate comorbidity measurements and lookback periods on other diseases and procedures are needed.