• Korean Journal of Clinical Pharmacy
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• v.32 no.1
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• pp.27-36
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• 2022

Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.137-137
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• 2021

In this study we aimed to enhance streamflow prediction skill of a land-surface hydrological model, WRF-Hydro, over one of the snow dominated catchments lies in Himalayan mountainous range, Astore. To assess the response of the Himalayan river flows to climate change is complex due to multiple contributors: precipitation, snow, and glacier melt. WRF-Hydro model with default glacier module lacks generating streamflow in summer period but recently developed WRF-Hydro-CROCUS model overcomes this issue by melting snow/ice from the glaciers. We showed that by implementing WRF-Hydro-CROCUS model over Astore the results were significantly improved in comparison to WRF-Hydro with default glacier module. To constraint the model with the observed streamflow we chose 17 sensitive parameters of WRF-Hydro, which include groundwater parameters, surface runoff parameters, channel parameters, soil parameters, vegetation parameters and snowmelt parameters. We used Dynamically Dimensioned Search (DDS) method to calibrate the daily streamflow with the Nash-Sutcliffe efficiency (NSE) being greater than 0.7 both in calibration (2009-2010) and validation (2011-2013) period. Based on the number of iterations per parameter, we found that the parameters related to channel and runoff process are most sensitive to streamflow. The attempts to address the responses of the streamflows to climate change are still very weak and vague especially northwest Himalayan Part of Pakistan and this study is one of a few successful applications of process-based land-surface hydrologic model over this mountainous region of UIB that can be utilized to have an in-depth understanding of hydrological responses of climate change.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.4
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• pp.61-71
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• 2023

Purpose : Energy bars are increasingly popular among active individuals, yet their timing and nutrient combinations' impact on exercise adaptation remains unclear. This study aims to address this knowledge gap by investigating whether the combination of pre- and post-workout supplementation can synergistically enhance fitness and alleviate fatigue in trained CrossFit participants. Investigate if combining pre- and post-workout supplements can enhance fitness and blood lactate management in trained CrossFit participants, potentially improving exercise performance for this group. Methods : In a randomized crossover study, 20 trained CrossFit individuals (11 males, 9 females) completed thrice-weekly 60-minute CrossFit sessions for 3 weeks, with a one-week washout period. Participants were randomly assigned to either a chocolate bar group (CH, 45 g, 225 kcal) or an energy bar group (ES, 48 g, 238 kcal, with protein, caffeine, taurine, and BCAAs). For one week, participants consumed two bars of their assigned supplement five minutes before and after workouts. After a washout period, they switched supplements. Blood lactate levels and a visual analog scale (VAS) were assessed before, immediately after, and 30 minutes post-workout. Fitness tests (hand grip, broad jump, sit-ups) were conducted at baseline and 30 minutes post-final workout. Data were analyzed using two-way repeated measures ANOVA (p<.05), 95 % confidence intervals, and magnitude inferences. Results : Hand grip strength (t=-5.60, p=.000), broad jump (t=-3.43, p=.003) and sit up (t=-3.94, p=.001) were significantly increased in the ES group. Compared to CH group, there was a significant time and group interactions for blood lactate level (F=5.51, p=.008) and VAS(F=31.67, p=.000) in the ES group. Conclusion : Pre- and post-workout energy bar supplementation may have a beneficial effect on blood lactate clearance and fitness in trained CrossFit individual. The combination of proprietary supplements taken may provide benefits for removing the blood lactate during high-intensity functional exercise.

• Structural Engineering and Mechanics
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• v.48 no.6
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• pp.809-822
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• 2013

Base isolation is widely used in seismic resisting buildings due to its low construction cost, high reliability, mature theory and convenient usage. However, it is difficult to design the isolation layer in high-rise buildings using the available bearings because high-rise buildings are characterized with long period, low horizontal stiffness, and complex re-distribution of the internal forces under earthquake loads etc. In this paper, a simple and innovative isolation bearing, named Teflon-based lead rubber isolation bearing, is developed to address the mentioned problems. The Teflon-based lead rubber isolation bearing consists of friction material and lead rubber isolation bearing. Hence, it integrates advantages of friction bearings and lead rubber isolation bearings so that improves the stability of base isolation system. An experimental study was conducted to validate the effectiveness of this new bearing. The effects of vertical loading, displacement amplitude and loading frequency on the force-displacement relationship and energy dissipation capacity of the Teflon-based lead rubber isolation bearing were studied. An analytical model was also proposed to predict the force-displacement relationship of the new bearing. Comparison of analytical and experimental results showed that the analytical model can accurately predict the force-displacement relationship and elastic shear deflection of the Teflon-based lead rubber isolation bearings.

• ETRI Journal
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• v.37 no.2
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• pp.222-232
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• 2015

In this paper, we propose a dual-phase approach to improve the process of heart disease prediction in a mobile environment. Firstly, only the confident frequent rules are extracted from a patient's clinical information. These are then used to foretell the possibility of the presence of heart disease. However, in some cases, subjects cannot describe exactly what has happened to them or they may have a silent disease - in which case it won't be possible to detect any symptoms at this stage. To address these problems, data records collected over a long period of time of a patient's heart rate variability (HRV) are used to predict whether the patient is suffering from heart disease. By analyzing HRV patterns, doctors can determine whether a patient is suffering from heart disease. The task of collecting HRV patterns is done by an online artificial neural network, which as well as learning knew knowledge, is able to store and preserve all previously learned knowledge. An experiment is conducted to evaluate the performance of the proposed heart disease prediction process under different settings. The results show that the process's performance outperforms existing techniques such as that of the self-organizing map and gas neural growing in terms of classification and diagnostic accuracy, and network structure.

• Journal of Preventive Medicine and Public Health
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• v.53 no.6
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• pp.405-408
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• 2020

In epidemiology, the basic reproduction number (R₀) is a term that describes the expected number of infections generated by 1 case in a susceptible population. At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, R₀ was frequently referenced by the public health community and the wider public. However, this metric is often misused or misinterpreted. Moreover, the complexity of the process of estimating R₀ has caused difficulties for a substantial number of researchers. In this article, in order to increase the accessibility of this concept, we address several misconceptions related to the threshold characteristics of R₀ and the effective reproduction number (R_t). Moreover, the appropriate interpretation of the metrics is discussed. R₀ should be considered as a population-averaged value that pools the contact structure according to a stochastic transmission process. Furthermore, it is necessary to understand the unavoidable time lag for R_t due to the incubation period of the disease.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.41 no.1
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• pp.1-8
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• 2004

We developed a new PDP gray scale implementation method on the basis of the quantized memory addressing(QMA) principle. We defined three wall charge states; 'fully-on', 'off', and 'half-on', by controlling the width of address pulses. With these three wall charge state, we were able to express 255 level gray scale with only 7 sub-fields. Furthermore, in contrast to the conventional driving methods, the sub-field combinations for any two adjacent gray levels differ by only 1 sub-field, at worst, and therefore, eliminate the dynamic false contours. Since this method use 7 sub-field, the sustain discharge Period is increased by more than $70\%$ compared to the 12 sub-field method which reduces the dynamic false contours.

• ETRI Journal
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• v.39 no.4
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• pp.582-591
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• 2017

To address the wire complexity problem in large-scale globally asynchronous, locally synchronous systems, a current-mode ternary encoding scheme was devised for a two-phase asynchronous protocol. However, for data transmission through a very long wire, few studies have been conducted on reducing the long propagation delay in current-mode circuits. Hence, this paper proposes a current steering logic (CSL) that is able to minimize the long delay for the devised current-mode ternary encoding scheme. The CSL creates pulse signals that charge or discharge the output signal in advance for a short period of time, and as a result, helps prevent a slack in the current signals. The encoder and decoder circuits employing the CSL are implemented using $0.25-{\mu}m$ CMOS technology. The results of an HSPICE simulation show that the normal and optimal mode operations of the CSL achieve a delay reduction of 11.8% and 28.1%, respectively, when compared to the original scheme for a 10-mm wire. They also reduce the power-delay product by 9.6% and 22.5%, respectively, at a data rate of 100 Mb/s for the same wire length.

• Journal of Advanced Marine Engineering and Technology
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• v.33 no.2
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• pp.267-271
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• 2009

The Marine Environment Protection Committee(MEPC) which is the IMO's specialized committee on marine pollution related matters deals with GHG related issues to discuss and compile possible approaches on technical, operational and market based measures to address GHG emissions from ships. The nitrous oxide($N_2O$) which remains generally in the atmosphere for around 114 years is one of the green house gases. The global warming potential of $N_2O$ is 310 times than $CO_2$ in the given period 100 years. It seems that the $N_2O$ formation is influenced by the nitrogen compound contained in the fuel which is named as "Fuel N" during the combustion process or the NOx, SOx and $H_2O$ through the emission gases before exhausted into the atmosphere. This paper has carried out an experimental study of the $N_2O$ concentration profiles by the change of $NH_3$ flows in the planner premixed combustion with using $C_3H_8$ and air.

• Journal of Korean Biological Nursing Science
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• v.11 no.1
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• pp.23-31
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• 2009

Purpose: The purpose of the present study was to investigate the prevalence and related factors of sleep-wake disturbance (SWD) in Korean post-stroke patients. This study was the first to address post-stroke SWD in Korea using a structured questionnaire. Method: We investigated the prevalence of SWD and related factors including lesion location, stroke severity, presence of depression and fatigue. We assessed sleep-wake pattern including quality of sleep, sleep latency, wake episodes, wake time after sleep onset, daytime sleep episode and sleep time at daytime. Ninety stroke patients admitted to a university affiliated hospital in Seoul between the period September 2008 and January 2009 were included in the study. Result: Thirty five patients (38.9%) complained insomnia and 32 (35.6%) complained excessive daytime sleepiness (EDS). Quality of sleep (p=.000), sleep latency (p=.000) and total sleep time (p=.001) were significantly poorer in 16 patients with both insomnia and EDS than in the others. The related factors to insomnia were level of education (p=.030), depression (p=.007) and fatigue (p=.034), though related factors to EDS were stroke onset time (p=.049), stroke severity (p=.005), motor dysfunction (p=.035), dysphasia (p=.018), fatigue (p=.001) and lesion location (p=.019). Conclusion: Sleep-wake disturbance is a common problem in Korean stroke patients. Strategies to improve quality of sleep are urgently needed in the post-stroke patients.