• Title/Summary/Keyword: 중앙경로

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Medications at the End of Life Care for Terminal Cancer Patients during Their Last Admission (말기 암 환자의 마지막 입원 동안 임종돌봄시의 약제들)

  • Kim, Do-Yeun
    • Journal of Hospice and Palliative Care
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    • v.13 no.1
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    • pp.7-12
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    • 2010
  • Purpose: To evaluate medications at the end of life care for terminal cancer patients during their last admission. Methods: Medical records of terminal cancer patients during their last admission from July 2003 to April 2008 at a district academic hospital were evaluated. Patient's characteristics, therapeutic drug classification during their last admission and on the patient's day of death, and the administrated route and number of medications on the patient's day of death were analyzed. Results: Total 81 patients were included. The median patient age was 63 years. The median length of admission was 18 days (range: 1~101). 54% of the patients had more than one comorbidities. The most frequently prescribed drugs during the last admission were opioid analgesics (63%), followed by antibiotics (58%) and antacids (53%). On the day of death, common medications were antibiotics (59%), antacids (58%), and opioid analgesics (46%). Intravenous injection was given to 81% of the patients and intramuscular injection was given to 16% of the patients on the day of patient's death. Number of medications prescribed to patients was between 0 and 11 (median: 3) and 12% (10/81) of the patients took over 8 medications including intravenous and oral drugs on the day of death. 6% (5/81) of the patients took potentially futile medications, like multivitamin or statin until the day of death. Conclusion: This study suggests that potentially futile medications and uncomfortable care were given to terminal cancer patients. Multicenter-based studies are necessary to diminish futile medications by essential medication at the end of life care for terminal cancer patients.

Influence of Service Quality and Visit the Motivation on Visitors Satisfaction, Behavioral Intention in Museum. -Focused on National Museum of Korea (박물관 서비스 품질과 방문동기가 관람객 만족도, 행동의도에 미치는 영향 연구 -국립중앙박물관을 중심으로)

  • So, Eun-Hye;Lee, Kyoung-Rul
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.515-527
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    • 2014
  • The purpose of the study is to find factors to measure Museum Service Quality (SERVQUAL) and Visitors' motivation. The survey was analyzed with 214 questionnaires out of 230 ones and it was conducted by those who have once visited the National Museum of Korea. Pre-test was conducted from May, 2013. Deriving adequate Service Quality Measures in Museum, factor analysis was applied. From 29th of July 2013 to 23rd of August 2013, surveys were conducted through online and off-line. Using the SPSS 20.0 statistics, Population analysis was applied frequently. In order to ensure the reliability, cronbach ${\alpha}$ value was evaluated. Fit of the research model and the suitability of the path coefficients were evaluated through AMOS to ensure the validity and reliability. As a result, in terms of Analysis on Service Quality, it influenced significantly on the degree of satisfaction. Visitors' motivation also had partial influence on the degree of satisfaction. Moreover, Behavioral Intentions were also influenced by the degree of satisfaction.

Calculation on Pure Sediment Volume at Namgang Dam Basin by Echo-sounder based on NTRIP Service (NTRIP 기반 음향측심기를 이용한 남강댐 유역의 순퇴적량 산정)

  • Lee, Suk-Bae;Kim, Ki-Heung;Park, Jae-Hyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.31 no.4
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    • pp.251-257
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    • 2013
  • Bathymetry sounding or water depth measurement is becoming more and more sophisticated with the increasing demand in accuracy, resolution and coverage in the recent years. Single beam echo sounding is still utilized to gather single line bathymetric profile in many surveys as ever, although there is an increasing demand for multi-beam echo sounding. Single beam echo sounder system acquires single line profiles of water depth as the vessel travel along the survey line. In this study, we performed single beam echo sounding with GNSS receiver for hydrographic survey at Namgang dam basin to calculate pure sediment. Unlike traditional research, we used not field reference station but NTRIP service of the reference station of DGNSS(Differential Global Navigation Satellite System) Central Office in this GNSS survey. The calculation results show that scouring volume is $603,650m^3$, sediment volume is $3,913,750m^3$ and so pure sediment volume is $3,310,100m^3$ at Namgang dam basin. And the availability of the NTRIP service of the DGNSS Central Office for echo sounding in land area has been confirmed in this study.

Spatial distribution of hydrocarbon reservoirs in the West Korea Bay Basin in the northern part of the Yellow Sea, estimated by 3D gravity forward modeling (3차원 중력 모델링에 의해 예측된 황해 북부 서한만 분지 석유 저류층의 공간적 분포)

  • Choi, Sungchan;Ryu, In-Chang
    • Journal of the Geological Society of Korea
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    • v.54 no.6
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    • pp.641-656
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    • 2018
  • Although an amount of hydrocarbon has been discovered in the West Korea Bay Basin (WKBB), located in the North Korean offshore area, geophysical investigations associated with these hydrocarbon reservoirs are not permitted because of the current geopolitical situation. Interpretation of satellite derived potential field data can be alternatively used to image three-dimensional (3D) density distribution in the sedimentary basin associated with hydrocarbon deposits. We interpreted the TRIDENT satellite-derived gravity field data to provide detailed insights into the spatial distribution of sedimentary density structures in the WKBB. We used 3D forward density modeling for the interpretation that incorporated constraints from existing geological and geophysical information. The gravity data interpretation and 3D forward modeling showed that there are two modeled areas in the central subbasin that are characterized by very low density structures, with a maximum density of about $2,000kg/m^3$, indicating some type of hydrocarbon reservoir. One of the anticipated hydrocarbon reservoirs is located in the southern part of the central subbasin with a volume of about $250km^3$ at a depth of about 3,000 m in the Cretaceous/Jurassic layer. The other hydrocarbon reservoir should exist in the northern part of the central subbasin, with an average volume of about $300km^3$ at a depth of about 2,500 m. A comparison between the TRIDENT derived gravity field and the ship-based gravity field measured in 1980s shows us that our results are highly reliable and there is a very high probability to detect another low-density layer existings in the northwestern part of the central subbasin.

A Study on the Apple Watch Satisfaction and Continuous Use Intention : Evidence from the Chinese Market (애플워치 만족도와 지속적 사용의도에 대한 실증연구 : 중국시장을 중심으로)

  • Ruan, Jing-kun;Song, Hyo-jung;Kim, Tae-ha
    • Journal of Venture Innovation
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    • v.6 no.3
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    • pp.73-93
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    • 2023
  • This study provides a prospect for the fast growing the smartwatch market by investigating the relationship between the satisfaction and the continuous use intention of Apple watch users, as well as the factors influencing their satisfaction. Based on the TAM, this study uses system quality, information quality, and self-efficacy as independent variables, perceived usefulness, perceived ease of use, and satisfaction as mediators, and continuous use intention as the dependent variable. We analyze the data of 256 individuals who completed an online survey with SPSS 26.0 and AMOS 26.0 software. This study conducts several tests and analyses to empirically evaluate the data including reliability analysis, factor analysis, feasibility analysis, path analysis, hypothesis verification, and mediation analysis. Our results investigate which factors may influence consumers' intention to continuously using Apple Watch devices in the future. In summary, satisfaction has a positive effect on the intention to continuously use smartwatchs. Perceived usefulness and perceived ease of use have a positive effect on satisfaction. Among the three factors (system quality, information quality, and self-efficacy), only self-efficacy has no significant impact on perceived usefulness but had a positive effect on perceived ease of use. In addition, system quality and information quality positively affect perceived usefulness, perceived ease of use, satisfaction, and continuous intention to use an Apple Watch. Taking the Apple Watch as the subject of our research topic, this study provides theoretical value by exploring the impact of user's satisfaction with their smartwatch on their continuous usage intention. This study further explains the influence of system quality, information quality, and self-efficacy on user satisfaction. Additionally, this research offers valuable insight to practitioners by confirming that information quality, system quality, and self-efficacy are important features for enhancing satisfactory user experiences which in turn may increase users' intention to continued using smartwatches.

Association Between Psychiatric Medications and Urinary Incontinence (정신과 약물과 요실금의 연관성)

  • Jaejong Lee;SeungYun Lee;Hyeran Ko;Su Im Jin;Young Kyung Moon;Kayoung Song
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.63-71
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    • 2023
  • Urinary incontinence (UI), affecting 3%-11% of males and 25%-45% of females globally, is expected to rise with an aging population. It significantly impacts mental health, causing depression, stress, and reduced quality of life. UI can exacerbate psychiatric conditions, affecting treatment compliance and effectiveness. It is categorized into transient and chronic types. Transient UI, often reversible, is caused by factors summarized in the acronym DIAPPERS: Delirium, Infection, Atrophic urethritis/vaginitis, Psychological disorders, Pharmaceuticals, Excess urine output, Restricted mobility, Stool impaction. Chronic UI includes stress, urge, mixed, overflow, functional, and persistent incontinence. Drug-induced UI, a transient form, is frequently seen in psychiatric treatment. Antipsychotics, antidepressants, and other psychiatric medications can cause UI through various mechanisms like affecting bladder muscle tone, altering nerve reflexes, and inducing other conditions like diabetes or epilepsy. Specific drugs like lithium and valproic acid have also been linked to UI, though mechanisms are not always clear. Managing UI in psychiatric patients requires careful monitoring of urinary symptoms and judicious medication management. If a drug is identified as the cause, options include discontinuing, reducing, or adjusting the dosage. In cases where medication continuation is necessary, additional treatments like desmopressin, oxybutynin, trihexyphenidyl, or amitriptyline may be considered.

Performance Analysis of DS-CDMA Signal through MZ Modulator in Optical SCM Signal Transmission (광 SCM 전송방식에서 MZ 변조기를 통과한 DS-CDMA 신호의 성능분석)

  • 김회준;임명섭
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.13 no.4
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    • pp.331-341
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    • 2002
  • It is expected that the SCM (Subcarrier Multiplexing) optical link system, in which a number of small scale base stations with only antenna and RF transceiver are connected to central station through optical fiber, is in demand. In order to analyze the performance of SCM optical link system fur RF signal transmission, MZ(Mach-Zehnder) modulator's transfer function is modelled as nonlinear form with the cube of input signal. And considering the multiple access interferences occurred In the demodulation of other users'CDMA signals with multipath components after passing through MZ modulator, the BER performance is analyzed.

A Study on Manufacturing of Mobile Robot System having Flexible Trajectory for Manless-Transportation (무인 운반용 유연궤도 이동로봇 시스템 제작에 관한 연구)

  • 이부형;송필재
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.4 no.3
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    • pp.284-288
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    • 2003
  • In this paper, a mobile robot system which have trajectory of metal tape- type is designed and manufactured. The mobile robot for manless-transportation consists of sensor-part with ultrasonic and infrared sensor, motor-part with motor and encoder, user interface-part, central control-part and computer interface-part. The ultrasonic sensor detects obstacles which can appear during the mobile robot is move. The infrared sensor has ability which detect the metal tape trajectory and then lead the robot to a correct position. By using the mobile robot, the flexiblity of a moving trajectory is improved and cost which can happen in using a mobile robot system having trajectory is cut as well.

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Analisys of Power System Remote Data Acquisition & Control System Operating (전력계통 원격자료취득.제어시스템 운영실적에 대한 고찰)

  • Sa, Kwan-Joo;Lee, Sung-Eun;Cho, Se-Cheol
    • Proceedings of the KIEE Conference
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    • 2008.10a
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    • pp.75-76
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    • 2008
  • 전력거래소는 전격계통 안정된 운영과 공정한 전력시장 운영을 주요 임무로 하며, 이를 위하여 전국의 80여개의 발전소와 600여개 변전소로부터 발전량, 전압, 조류, 자단기 상태정보 등 다양한 전력계통 자료를 취득하고 있다 전력거래소의 중앙급전소에는 이와 같은 계통자료 취득은 물론 발전량 제어기능을 수행하기 위한 에너지관리시스템(이하 EMS 라 한다)을 운영하고 있으며, 발,변전소에는 현장의 전력설비와 연결되어 계통자료를 취득하여 EMS로 전송하는 원격소장치 (이하 RTU 라한다)를 운영하고 있다. 자료취득 경로는 모든 발전소와 34skv급 이상의 변전소의 경우 EMS와 RTU가 직접 연결되어 자료를 취득하며 154Kv급 이하 변전소는 12개 지역급전소의 자료취득제어시스템(이하 SCADA라 한다)를 경유하여 자료를 취득하고 있다. 전력계통의 대형화와 복잡화에 따라 계통해석기능 자동발전제어기능에 의한 계류운영으로 정보기술에 대한 의존도가 증가하고 있으며, 변동비 반영시장의 개선운영에 따라 공정한 전력시장 운영과 안정된 전력계통 운영을 위해 전력계통 취득자료의 신뢰도가 요구되고 있다. 따라서 EMS를 비롯한 RTU, 통신망 등 전력계통 자료취득 설비의 운영실적을 분석하여 각 시스템별 고장 고장원인 고장유형 등을 고찰하므로써 시스템 성능개선을 위한 설비투자와 운영개선에 반영하고자 한다.

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Ad-hoc Network Routing Protocol in the Yard of Automated Container Terminal (항만 자동화를 위한 장치장내의 Ad-hoc 네트워크 라우팅 프로토콜)

  • Lee, Seung-Ju;Park, Doo-Jin;Choi, Young-Bok
    • The Journal of the Korea Contents Association
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    • v.9 no.8
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    • pp.84-90
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    • 2009
  • In this paper, the RFID-based ad-hoc network is presented for the efficient yard management of the container terminal. The loading and unloading work is performed through the ad-hoc communication between YT and GC, YT and TC within the yard without the control of the central server. That makes the efficient operation of the yard with real task correspondence. Using the location information of the RFID tag, we have proposed the routing protocol which is suitable for the yard environment of the container terminal. The performance evaluation has been carried out through the network simulator and gained an effective results.