• 제목/요약/키워드: A-POC

검색결과 146건 처리시간 0.023초

처방조제지원시스템 도입성과 평가 (Performance Evaluation of a Clinical Decision Support System for Drug Prescriptions)

  • 조경원;박진우;채영문
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.312-320
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    • 2011
  • 이 논문에서는 일개 POC(Point Of Care) 시스템을 사용하는 의료기관을 중심으로 의약품 처방조제지원 시스템(Clinical Decision Support System, CDSS)과 조직성과와의 관계를 규명하는 것에 목적을 두고 있다. 이를 위하여 정보시스템 평가요소에 대해 정의를 내리고, CDSS의 성과 평가 모형을 제시하여 설문조사 분석을 통해 의약품 처방조제지원시스템의 도입 효과를 밝히고자 하였다. 분석결과 시스템 품질을 제외하고는 각 평가 영역들 사이에 인과성이 존재하는 것으로 분석되었으며, 통계적으로 유의하게 지지되는 것으로 분석되었다. 평가모형 검증결과 의약품처방최적화를 위한 CDSS의 시스템 품질이 사용자 만족도에 영향을 미친다는 근거를 발견할 수 없었다. 그러나 정보품질이 사용자의 만족도에 긍정적인 영향을 미치며 사용자 만족은 조직성과에 긍정적인 영향을 미치는 것으로 나타났다.

Integrated RT-PCR Microdevice with an Immunochromatographic Strip for Colorimetric Influenza H1N1 virus detection

  • Heo, Hyun Young;Kim, Yong Tae;Chen, Yuchao;Choi, Jong Young;Seo, Tae Seok
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2013년도 제45회 하계 정기학술대회 초록집
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    • pp.273-273
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    • 2013
  • Recently, Point-of-care (POC) testing microdevices enable to do the patient monitoring, drug screening, pathogen detection in the outside of hospital. Immunochromatographic strip (ICS) is one of the diagnostic technologies which are widely applied to POC detection. Relatively low cost, simplicity to use, easy interpretations of the diagnostic results and high stability under any circumstances are representative advantages of POC diagnosis. It would provide colorimetric results more conveniently, if the genetic analysis microsystem incorporates the ICS as a detector part. In this work, we develop a reverse transcriptase-polymerase chain reaction (RT-PCR) microfluidic device integrated with a ROSGENE strip for colorimetric influenza H1N1 virus detection. The integrated RT-PCR- ROSGENE device is consist of four functional units which are a pneumatic micropump for sample loading, 2 ${\mu}L$ volume RT-PCR chamber for target gene amplification, a resistance temperature detector (RTD) electrode for temperature control, and a ROSGENE strip for target gene detection. The device was fabricated by combining four layers: First wafer is for RTD microfabrication, the second wafer is for PCR chamber at the bottom and micropump channel on the top, the third is the monolithic PDMS, and the fourth is the manifold for micropump operation. The RT-PCR was performed with subtype specific forward and reverse primers which were labeled with Texas-red, serving as a fluorescent hapten. A biotin-dUTP was used to insert biotin moieties in the PCR amplicons, during the RT-PCR. The RT-PCR amplicons were loaded in the sample application area, and they were conjugated with Au NP-labeled hapten-antibody. The test band embedded with streptavidins captures the biotin labeled amplicons and we can see violet colorimetric signals if the target gene was amplified with the control line. The off-chip RT-PCR amplicons of the influenza H1N1 virus were analyzed with a ROSGENE strip in comparison with an agarose gel electrophoresis. The intensities of test line was proportional to the template quantity and the detection sensitivity of the strip was better than that of the agarose gel. The test band of the ROSGENE strip could be observed with only 10 copies of a RNA template by the naked eyes. For the on-chip RT-PCR-ROSGENE experiments, a RT-PCR cocktail was injected into the chamber from the inlet reservoir to the waste outlet by the micro-pump actuation. After filling without bubbles inside the chamber, a RT-PCR thermal cycling was executed for 2 hours with all the microvalves closed to isolate the PCR chamber. After thermal cycling, the RT-PCR product was delivered to the attached ROSGENE strip through the outlet reservoir. After dropping 40 ${\mu}L$ of an eluant buffer at the end of the strip, the violet test line was detected as a H1N1 virus indicator, while the negative experiment only revealed a control line and while the positive experiment a control and a test line was appeared.

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입자성 유기물의 안정동위원소비를 이용한 팔당호 수계내의 유기물 기원 연구 (Determination of the Origin of Particulate Organic Matter at the Lake Paldang using Stable Isotope Ratios (${\delta}^{13}C$, ${\delta}^{15}N$))

  • 김민섭;김종민;황종연;김보경;조항수;윤석제;홍석영;권오상;이원석
    • 생태와환경
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    • 제47권2호
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    • pp.127-134
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    • 2014
  • 본 연구는 안정동위원소 분석방법을 적용하여, 호소내 식물플랑크톤 성장에 영향을 미치는 외부 오염원의 기원을 추정함으로써, 효율적인 수질 관리 및 수생태계 기능해석을 제공하기 위하여 연구하였다. POC, PN, Chl. a, 탄소 안정동위원소비 및 질소 안정동위원소비의 자료로 유추해 보았을 때, 팔당댐, 남한강, 북한강 지역에 비해서 경안천 지역에서 계절에 따른 유기물의 기원 변동이 뚜렷하게 관찰되고 있다. 유입량 및 강우량이 많은 시기인 7, 8월경에 입자성 유기물의 기원이 자생기원 유기물보다는 외부기원 유기물이 높은 영향을 미치는 것으로 여겨진다. 한강 유역에서 입자성 유기물의 탄소 및 질소 안정동위원소비를 이용한 유기물 기원 연구는 적용가능 할 것으로 여겨지며, 추후 유역 오염원의 대표값(end member)의 지속적인 조사를 통하여 자료구축이 이루어져야 할 것이다.

A randomized controlled trial of an individualized nutrition counseling program matched with a transtheoretical model for overweight and obese females in Thailand

  • Karintrakul, Sasipha;Angkatavanich, Jongjit
    • Nutrition Research and Practice
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    • 제11권4호
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    • pp.319-326
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    • 2017
  • BACKGROUND/OBJECTIVE: Effective weight reduction remains a challenge throughout the world as the prevalence of obesity and its consequences are increasing. This study aimed to determine the effects of an individualized nutrition counseling program (IC) matched with a transtheoretical model (TTM) for overweight and obese subjects. SUBJECTS/METHODS: Fifty overweight and obese subjects aged 19-60 years with a body mass index ${\geq}23kg/m^2$ were enrolled in the weight reduction study. They were randomized into two groups: Intervention group received an IC matched with a TTM; control group received an educational handbook. Body weight (BW), body fat (BF), waist circumference (WC), waist to height ratio (WHtR), stages of change (SOC), processes of change (POC), food intake, and physical activity (PA) were assessed at baseline and at 4, 8, and 12 weeks after program initiation in both groups. All data were analyzed by intention-to-treat, using SPSS software for hypothesis testing. RESULTS: Forty-five female subjects were included in the 12-week trial at Ramkhamhaeng Hospital, Bangkok, Thailand. The results showed significant weight loss ($1.98{\pm}1.75kg$; 3% loss of initial weight) in the intervention group at 12 weeks, compared to a $0.17{\pm}1.67kg$ loss in the control group. There were significant differences between intervention and control groups in BF mass ($-1.68{\pm}1.78$, $-0.04{\pm}1.62kg$); percentage BF ($-1.54{\pm}2.11$, $0.08{\pm}2.05$); WC ($-5.35{\pm}3.84$, $0.13{\pm}3.23cm$); WHtR ($-0.0336{\pm}0.02$, $-0.0004{\pm}0.02$), and energy consumption ($-405.09{\pm}431.31$, $-74.92{\pm}499.54kcal/day$) in the intervention and control groups, respectively. Intragroup SOC was improved in both groups. The POC for the weight management action (WMA) process was significantly different with POC scores increasing by $16.00{\pm}11.73$ and $7.74{\pm}14.97$ in the intervention and the control groups, respectively. PA level did not change in either group. CONCLUSIONS: The IC matched with a TTM resulted in reductions in BW, BF, and WC, thus reducing likely health risks by decreasing energy intake and inducing positive behavior changes while enhancing the WMA process.

SF6 압력에 따른 결함별 부분 방전 펄스의 분포 분석 (Analysis on PD Pulse Distribution by Defects Depending on SF6 Pressure)

  • 김선재;조향은;정기우;길경석;김성욱
    • 한국전기전자재료학회논문지
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    • 제28권1호
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    • pp.40-45
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    • 2015
  • Electrode systems: a protrusion on conductor (POC), a protrusion on enclosure (POE), a crack in epoxy plate and a free particle (FP) were fabricated to simulate insulation defects in a gas insulated switchgear (GIS). $SF_6$ gas was filled in the electrode systems by 3 bar and/or 5 bar, respectively. Partial discharge (PD) pulses were detected through a $50{\Omega}$ non-inductive resistor. A calibration test was carried out according to IEC 60270, and the sensitivity was 0.25 pC/mV. PD pulses were distributed in the phase of $50^{\circ}{\sim}135^{\circ}$ and over 95% of them existed in the phase of $55^{\circ}{\sim}120^{\circ}$ for the POC. PD pulses were distributed in the phase of $230^{\circ}{\sim}310^{\circ}$ and over 90% of them existed in phase of $220^{\circ}{\sim}300^{\circ}$ for the POE. PD pulses occurred in the phase of $40^{\circ}{\sim}60^{\circ}$ and $220^{\circ}{\sim}300^{\circ}$ for the crack, and pulse counts were 25% higher in negative polarity than in positive polarity. PD pulses were distributed in every phase unlike to other three electrode systems and the peak magnitude was measured at $118^{\circ}$ and $260^{\circ}$ for the FP. As described above, PD pulses were observed in positive polarity for the POC, in negative one for the POE, in both one for the crack and the FP. In conclusion, it is expected that the identification rate of defect type can be improved by considering the polarity ratio of PD pulses on the PRPDA method.

SF6 가스 중 직류 고전압 하에서 부분방전 특성 (Characteristics of Partial Discharge Under HVDC in SF6 Gas)

  • 김민수;김선재;정기우;조향은;길경석
    • 한국전기전자재료학회논문지
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    • 제27권4호
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    • pp.238-243
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    • 2014
  • This paper dealt with the measurement and analysis of partial discharge (PD) under high voltage direct current (HVDC) in SF6 gas. Electrode systems such as a protrusion on conductor (POC), a protrusion on enclosure (POE), a crack on epoxy plate and a free particle (FP) were fabricated to simulate the insulation defects. The analysis system was designed with a Time-Frequency (T-F) map algorithm programed based on LabVIEW. This can arrange the acquired PD pulses into frequency and time domain. A HVDC power source is composed of a transformer (220 V/50 kV), a diode (100 kV) and a capacitor (50 kV, 0.5 ${\mu}F$). The gap between the electrodes is 3 mm, and the $SF_6$ gas was set at 5 bar. PD pulses were detected by a 50 ${\Omega}$ non-inductive resistor. In the analysis, PD pulses were distributed below 0.5 MHz and 20 ns ~ 35 ns for the POC, 0.7 MHz ~ 1.7 MHz, below 0.6 MHz and 10 ns ~ 40 ns and 60 ns ~125 ns for the POE, below 0.1 MHz and 135 ns ~ 215 ns for the crack, and below 1.6 MHz and 250 ns for the FP.

북동태평양 적도 Thermocline Ridge 해역에서 영양염(질소, 인, 규소)과 유기탄소(용존 및 입자)의 분포 특성 및 연간 변화 (Distribution and Inter-annual Variation of Nutrients (N, P, Si) and Organic Carbon (DOC, POC) in the Equatorial Thermocline Ridge, Northeast Pacific)

  • 손주원;김경홍;김미진;손승규;지상범
    • Ocean and Polar Research
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    • 제33권1호
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    • pp.55-68
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    • 2011
  • The distribution and inter-annual variation of nutrients (N, P, Si) and dissolved/particulate organic carbon were investigated in the equatorial thermocline ridge ($7^{\circ}{\sim}11.5^{\circ}N$, $131.5^{\circ}W$) of the northeast Pacific. From the Oceanic Nino Index and Multivariate ENSO Index provided by NOAA, normal condition was observed in July 2003 and August 2005 on the aspect of global climate/ocean change. However, La Ni$\~{n}$a and El Ni$\~{n}$o episodes occurred in July 2007 and August 2009, respectively. Thermocline ridge in the study area was located at $9^{\circ}N$ in July 2003, $8^{\circ}N$ in August 2005, $10^{\circ}N$ in July 2007, and $10.5^{\circ}N$ in August 2009 under the influence of global climate/ocean change and surface current system (North Equatorial Counter Current and North Equatorial Current) of the northeast Pacific. Maximum depth integrated values (DIV) of nutrients in the upper layer (0~100 m depth range) were shown in July 2007 (mean 21.12 gN/$m^2$, 4.27 gP/$m^2$, 33.72 gSi/$m^2$) and higher variability of DIV in the equatorial thermocline ridge was observed at $10^{\circ}N$ during the study periods. Also, maximum concentration of dissolved organic carbon (DOC) in the upper 50 m depth layer was observed in July 2007 (mean $107.48{\pm}14.58\;{\mu}M$), and particulate organic carbon (POC, mean $9.42{\pm}3.02\;{\mu}M$) was similar to that of DOC. Nutrient concentration in the surface layer increased with effect of upwelling phenomenon in the equatorial thermocline ridge and La Ni$\~{n}$a episode, which had formed in the central Pacific. This process also resulted in the increasing of organic carbon concentration (DOC and POC) in the surface layer. From these results, it is suggested that spatial and temporal variation of chemical and biological factors were generated by physical processes in the equatorial thermocline ridge.

공동현상 가시화 실험을 통한 절환밸브 바텀플러그 형상 최적화 (Cavitation Visualization Test for Shape Optimization of Bottom Plug in Reversing Valve)

  • 김태안;이명곤;한승호
    • 대한기계학회논문집A
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    • 제40권11호
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    • pp.913-918
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    • 2016
  • 자동차 엔진과 변속기 블록 등의 가공과정에서 잔류하는 기름때를 제거하기 위한 부품 세척장비는 정교한 제어장치 없이도 정확한 수류방향 절환이 원활히 이루지는 3 방향 절환밸브를 사용한다. 그러나, 밸브의 복잡한 유로 및 바텀플러그 형상으로 인해 유속변화가 심하게 발생하여 공동현상이 나타날 수 있다. 본 연구에서는 3 방향 절환밸브 내의 유동특성을 해석적으로 평가하였으며, 바텀플러그 하부에서 나타나는 공동현상을 공동화지표와 POC(Percent of cavitation)를 도입하여 정량화하였다. 공동현상의 저감을 위해 바텀플러그 형상을 매개변수화하고, 해석의 수렴성 개선과 해석시간을 단축시킬 수 있는 단순 유한요소모델을 이용하여 유동해석을 통한 형상최적설계를 실시하였다. 또한, 연구팀에서 보유하고 있는 유동시험설비와 ISA-RP75.23 규격에 맞게 제작된 시편을 이용하여 공동현상 가시화 실험을 실시하여 해석결과를 검증하였다.

스프링 서버 원격코드 실행 취약점(CVE-2018-1270)을 이용한 응용 공격 시나리오의 대응 방안 (Countermeasure of an Application Attack Scenario Using Spring Server Remote Code Execution Vulnerability (CVE-2018-1270))

  • 정병문;장재열;최철재
    • 한국전자통신학회논문지
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    • 제14권2호
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    • pp.303-308
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    • 2019
  • 스프링 프레임워크는 우리나라 공공기관의 웹서비스 개발도구의 표준이라 할 만큼 전자정부 프레임워크의 기반 기술로 많이 사용되고 있다. 그러나 최근 스프링 프레임워크를 이용한 애플리케이션에서 원격코드 실행 취약점(CVE-2018-1270)이 발견되었다. 본 논문은 스프링 프레임워크를 서버를 대상으로 발생한 취약점의 위험성을 해킹 시나리오 POC(Proof Of Concept)를 이용한 취약점 실험 분석 방법을 제안한다. 종국적 대응방안으로 버전 4.3.16와 버전 5.0.5 이상으로 패치를 제안한다. 아울러 제안한 해킹시나리오 취약점 실험분석이 보안 프로그램의 성능향상 및 새로운 인증체계의 구축을 위한 자료로 활용될 것으로 기대한다.

Hysteroscopic evaluation of endometrial changes and fallopian tubal functions in women using progestin-only contraceptives

  • Atef Darwish;Ibrahim Mohammad;Samuel Gendy;Dina Darwish;Mohammad Ramdan
    • Journal of Medicine and Life Science
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    • 제21권2호
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    • pp.21-30
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    • 2024
  • The purpose of this prospective study was to investigate whether office hysteroscopy (OH) can be used to assess the mechanisms of action of progestogen-only contraceptives (POCs), diagnose possible local causes of abnormal uterine bleeding (AUB), and support the treatment plan of symptomatic patients using POCs compared with those who do not use hormones. The study included 140 women who were divided into two groups. Group A consisted of 70 women who used POCs, whereas group B consisted of 70 women who did not use hormones. They were successively examined using transvaginal ultrasonography (TVS), OH, and endometrial sampling. The TVS results were consistent with those of OH and histopathology. The changes in endometrial thickness and vasculature, as well as fallopian tube (FT) functions, were significantly more pronounced in POC users than in non-POC users. There was a significant reduction in the peristalsis of the proximal part of the FT, as well as a reduction in the bubble flow test in group A compared with group B. In addition, the combination of peristalsis and the bubble flow test (Darwishscope test) was significantly lower in group A. It was concluded that using OH as a simple diagnostic tool in women with POCs would contribute to a better understanding of the mechanisms of endometrial and FT effects and explain some local endometrial causes of AUB. This ensures that the combination of TVS and OH would limit routine endometrial sampling in POCs users.