• Journal of the Korean Dietetic Association
• /
• v.16 no.2
• /
• pp.122-132
• /
• 2010

Elderly people comprise an increasing proportion of the population, and nutritional impairments may contribute to health problems among this group. This study was conducted to evaluate the nutritional status by Mini-Nutritional Assessment (MNA) and to identify relationships among anthropometric measurements, biochemical indicators, bone Mineral Density (BMD) and MNA results among older adults (${\geq}$65 yrs, n=98, 66.7${\pm}$2.5 yrs; M=52, F=46, BMI 24.5${\pm}$2.8 $kg/m^2$) at a Health Care Center. A dietitian administered MNA and collected anthropometric measurements (weight, height, waist circumference), biochemical indicators (albumin, hemoglobin, hematocrit, TLC, glucose, lipids) and the BMD (spine, femur, F=46). Subjects were grouped into a normal nutrition group (0~2 risk factors of malnutrition) and a high risk of malnutrition group (>=3 risk factors of malnutrition) based on their risk factor status for malnutrition. The risk factors for malnutrition include age ${\geq}$65 years, PIBW <90%, albumin <3.5 g/dl, TLC <1,500%, Hgb <14 g/dl (men), Hgb <10 g/dl (women), loss of appetite and weight loss 1~3 kg/last 3 months. In addition, subjects were grouped into a normal, osteopenia and osteoporosis group by BMD. We found that 12% of the subjects were at risk of malnutrition (MNA score, 21.4${\pm}$2.1) and that 88% were well nourished (27.3${\pm}$1.5) according to the MNA. Full-MNA scores were positively and significantly (p<0.05) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), albumin and hemoglobin, respectively. The full-MNA score of the high risk of malnutrition group (23.0${\pm}$3.8) was lower than that of the normal nutrition group (27.0${\pm}$2.1) (p<0.05). In addition, the Full-MNA score was negatively associated with the risk factor of malnutrition (r=－0.35, p=0.0004). We found that 39.1% of the subjects had osteoporosis, 45.7% had osteopenia and 15.2% were normal according to their BMD. The MNA score of osteoporosis group (24.58${\pm}$3.3) was lower than that of the normal (27.4${\pm}$1.1) and osteopenia group (26.9${\pm}$1.5) (p<0.05). These results suggested that MNA can be useful as a nutritional screening tool of older adults in Health Care Centers.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
• /
• v.9 no.3
• /
• pp.93-105
• /
• 2004

Spatio-temporal distribution patterns of the major dominant species were assessed from bimonthly monitoring of macrotidal flat in Cheokjeon, Incheon, Korea between September 1990 and July 1992. Overall, macrofauna comprised a total of 111 species, 25,491 inds.136 ㎡. The result of Le Bris index, dominance ranking of the lead-ing species showed that the top 15 species accounting for 74.8% (19,072 inds.) of total density. In Cheokjeon tidal flat, some species were especially habitat-restricted such as genus Nephtys (Annelids; Polychaetes) and Mac-rophthalmus (Crustaceans; Decapods). Based on the density data, the five dominant species were the polychaetes Het-eromastus filiformis, the bivalves Mactra veneriformis and Solen strictus, the brachyurans Macrophthalmus japonicus, the holothuriodeans Protankyra bidentata. The results of one-way ANOVA, mean value of H. filiformis and M. ven-eriformis did not show significant changes with tidal elevation and sediment composition (p>0.05). But, other species (S. strictus, M. japonicus and P. bidentata) showed significant variations (p<0.001). In conclusion, these indicate significant spatial fluctuation with tidal elevation and sediment characteristics in some species.

• Structural Engineering and Mechanics
• /
• v.58 no.2
• /
• pp.277-300
• /
• 2016

Cold-formed steel (CFS) sections are becoming an increasingly popular solution for constructing floors in residential, healthcare and education buildings. Their reduced weight, however, makes them prone to excessive vibrations, increasing the need for accurate prediction of CFS floor modal properties. By combining experimental modal analysis of a full-scale CFS framed building and its floors and their numerical finite element (FE) modelling this paper demonstrates that the existing methods (based on the best engineering judgement) for predicting CFS floor modal properties are unreliable. They can yield over 40% difference between the predicted and measured natural frequencies for important modes of vibration. This is because the methods were adopted from other floor types (e.g., timber or standard steel-concrete composite floors) and do not take into account specific features of CFS floors. Using the adjusted and then updated FE model, featuring semi-rigid connections led to markedly improved results. The first four measured and calculated CFS floor natural frequencies matched exactly and all relevant modal assurance criterion (MAC) values were above 90%. The introduction of flexible supports and more realistic modelling of the floor boundary conditions, as well as non-structural $fa{\c{c}}ade$ walls, proved to be crucial in the development of the new more successful modelling strategy. The process used to develop 10 identified and experimentally verified FE modelling parameters is based on published information and parameter adjustment resulting from FE model updating. This can be utilised for future design of similar lightweight steel floors in prefabricated buildings when checking their vibration serviceability, likely to be their governing design criterion.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.37 no.1B
• /
• pp.1-8
• /
• 2012

In this paper, we propose an algorithm to improve collision avoidance in Vehicle-to-Vehicle (V2V) networks based on IEEE 802.11p. Since IEEE 802.11p adopts CSMA/CA as a multiple access scheme and an emergency warning message (EWM) is delivered to behind vehicles in a multi-hop manner, due to transmission collision, the more vehicles in the vehicle chain results in a longer delay. The longer delay increases the possibility of a rear-end collision. In order to ensure message reception with low latency, we consider implicit acknowledgement of a broadcasted EWM message and propose an algorithm to reduce redundant message transactions, called Two-Way Implicit Acknowledgement (TWIA). By simulations, we show that our proposed algorithm can reduce the latency until the last car receives the message by 9% and the success rate every car receives the message within 0.7sec by 12% at 100 fixed-number-of-car environment.

• Clinics in Shoulder and Elbow
• /
• v.26 no.2
• /
• pp.169-174
• /
• 2023

Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

• Korean Journal of Adult Nursing
• /
• v.20 no.3
• /
• pp.395-405
• /
• 2008

Purpose: The purpose of this study was to develop a Web-based flash content for fighting spirit promotion and to test its effect on cancer patients' fighting spirit. Methods: The 15-minute long Web-based flash content was developed using the following 5 process: analysis, planning, development, program operation and evaluation stages and utilized the multiple edition and revision processes from December 2005 to August 2006. The evaluation was done by one group pretest-posttest design. Study subjects were 17 cancer patients undergoing chemotherapy. The group were received a 2-week intervention, a day weekly, and measured the variables at baseline, 4 weeks later. The study was performed from August 2006 to February 2007 at a cancer center in Korea. Fighting spirit was measured by Mini-MAC(Mental Adjustment to Cancer). Data was analysed by descriptive statistics and paired t-test using SAS 9.13 program. Results: On the Web-based flash content, there are 4 menu bars that consisted of cancer diagnosis, symptom management, stress management, and cancer survivorship. The study group revealed significantly more fighting spirit than pre-test(t=-3.04, p=.008). Conclusion: This Web-based flash content can be utilized in psychosocial interventions for promoting fighting spirit in patients with cancer.

• KSII Transactions on Internet and Information Systems (TIIS)
• /
• v.11 no.1
• /
• pp.78-101
• /
• 2017

High-quality industrial control is critical to ensuring production quality, reducing production costs, improving management levels and stabilizing equipment and long-term operations. WiFi-based Long Distance (WiLD) networks have been used as remote industrial control networks. Real-time performance is essential to industrial control. However, the original mechanism of WiLD networks does not minimize end-to-end delay and restricts improvement of real-time performance. In this paper, we propose two algorithms to obtain the transmitting/receiving phase cycle length for each node such that real time constraints can be satisfied and phase switching overhead can be minimized. The first algorithm is based on the branch and bound method, which identifies an optimal solution. The second is a fast heuristic algorithm. The experimental results show that the execution time of the algorithm based on branch and bound is less than that of the heuristic algorithm when the network is complex and that the performance of the heuristic algorithm is close to the optimal solution.

• Journal of Cardiovascular Imaging
• /
• v.31 no.1
• /
• pp.18-23
• /
• 2023

BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

• IMMUNE NETWORK
• /
• v.24 no.2
• /
• pp.17.1-17.16
• /
• 2024

We have reported that anterior cruciate ligament (ACL) injury leads to the differential dysregulation of the complement system in the synovium as compared to meniscus tear (MT) and proposed this as a mechanism for a greater post-injury prevalence of post traumatic osteoarthritis (PTOA). To explore additional roles of complement proteins and regulators, we determined the presence of decay-accelerating factor (DAF), C5b, and membrane attack complexes (MACs, C5b-9) in discarded surgical synovial tissue (DSST) collected during arthroscopic ACL reconstructive surgery, MT-related meniscectomy, osteoarthritis (OA)-related knee replacement surgery and normal controls. Multiplexed immunohistochemistry was used to detect and quantify complement proteins. To explore the involvement of body mass index (BMI), after these 2 injuries, we examined correlations among DAF, C5b, MAC and BMI. Using these approaches, we found that synovial cells after ACL injury expressed a significantly lower level of DAF as compared to MT (p<0.049). In contrast, C5b staining synovial cells were significantly higher after ACL injury (p<0.0009) and in OA DSST (p<0.039) compared to MT. Interestingly, there were significantly positive correlations between DAF & C5b (r=0.75, p<0.018) and DAF & C5b (r=0.64 p<0.022) after ACL injury and MT, respectively. The data support that DAF, which should normally dampen C5b deposition due to its regulatory activities on C3/C5 convertases, does not appear to exhibit that function in inflamed synovia following either ACL injury or MT. Ineffective DAF regulation may be an additional mechanism by which relatively uncontrolled complement activation damages tissue in these injury states.

• Structural Engineering and Mechanics
• /
• v.37 no.4
• /
• pp.385-399
• /
• 2011

The aim of this research is to model the behaviour of recently developed high force to volume (HF2V) passive energy dissipation devices using a simple finite element (FE) model. Thus, the end result will be suitable for use in a standard FE code to enable computationally fast and efficient analysis and design. Two models are developed. First, a detailed axial model that models an experimental setup is created to validate the approach versus experimental results. Second, a computationally and geometrically simpler equivalent rotational hinge element model is presented. Both models are created in ABAQUS, a standard nonlinear FE code. The elastic, plastic and damping properties of the elements used to model the HF2V devices are based on results from a series of quasi-static force-displacement loops and velocity based tests of these HF2V devices. Comparison of the FE model results with the experimental results from a half scale steel beam-column sub-assembly are within 10% error. The rotational model matches the output of the more complex and computationally expensive axial element model. The simpler model will allow computationally efficient non-linear analysis of large structures with many degrees of freedom, while the more complex and physically accurate axial model will allow detailed analysis of joint connection architecture. Their high correlation to experimental results helps better guarantee the fidelity of the results of such investigations.