• Clinical and Experimental Pediatrics
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• v.53 no.6
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• pp.680-687
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• 2010

Patients with congenital heart diseases (CHD) are confronted with early- and late-onset complications, such as conduction disorders, arrhythmias, myocardial dysfunction, altered coronary flow, and ischemia, throughout their lifetime despite successful hemodynamic and/or anatomical correction. Rhythm disturbance is a well-known and increasingly frequent cause of morbidity and mortality in patients with CHD. Predisposing factors to rhythm disturbances include underlying cardiac defects, hemodynamic changes as part of the natural history, surgical repair and related scarring, and residual hemodynamic abnormalities. Acquired factors such as aging, hypertension, diabetes, obesity, and others may also contribute to arrhythmogenesis in CHD. The first step in evaluating arrhythmias in CHD is to understand the complex anatomy and to find predisposing factors and hemodynamic abnormalities. A practical stepwise approach can lead to diagnosis and prompt appropriate interventions. Electrophysiological assessment and management should be done with integrated care of the underlying heart defects and hemodynamic abnormalities. Catheter ablation and arrhythmia surgery have been increasingly applied, showing increasing success rates with technological advancement despite complicated arrhythmia circuits in complex anatomy and the difficulty of access. Correction of residual hemodynamic abnormalities may be critical in the treatment of arrhythmia in patients with CHD.

• Journal of Korea Multimedia Society
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• v.23 no.1
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• pp.15-23
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• 2020

Recently, the increase in the elderly population due to an aging society has led to a relative increase in senile diseases such as vascular dementia or Alzheimer's disease, and the social burden for rehabilitation has increased. In addition, studies have been conducted for the risk assessment and prevention of musculoskeletal disorders. The purpose of this study is to suggest a system that can be used to help with dementia prevention training by tracking the movement of motion and virtual reality contents for the risk factors of musculoskeletal disorders of the elderly. We propose a training method for preventing dementia through musculoskeletal motion analysis algorithm and virtual reality content. Through motion recognition algorithm based on motion region design, we will track and analyze the moving radius of the target joint. The purpose of this study is to calculate and evaluate scores based on the time to accomplish the goals on virtual reality contents for the prevention of musculoskeletal disorders and the support of dementia prevention training, and the degree of difficulty, and to analyze the correlation between the results of performing K-MMSE and VR contents.

• Proceedings of the Korea Concrete Institute Conference
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• 2006.05a
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• pp.442-445
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• 2006

This paper presents an analytical prediction of nonlinear characteristics and behavior characteristics PSC structures with un-bonded tendon system. In this paper, a numerical model for un-bonded tendon is proposed based on the finite element method, which can represent straight or curved un-bonded tendon behavior. this model and time-dependent material model used to investigate the time-dependent behavior of un-bonded prestressed concrete structures. The accuracy and objectivity of the assessment process may be enhanced by the use of sophisticated nonlinear finite element analysis program. A computer program, named RCAHEST(Reinforced Concrete Analysis in Higher Evaluation System Technology), for the analysis of concrete structures and steel plate was used. The material nonlinearities are taken into account by comprising the tension, compression, and shear models of cracked concrete and models for reinforcements and tendons in the concrete. The smeared crack approach is incorporated. It accounts for the aging, creep and shrinkage of concrete and the stress relaxation of prestressed steel. The proposed un-bonded tendon model and numerical method of un-bonded prestressed concrete structures is verified by comparison with reliable experimental results.

• Korean Journal of Clinical Pharmacy
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• v.27 no.3
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• pp.136-142
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• 2017

Background: Dementia is one of important social and economic healthcare issues in the aging age. Therefore, it signifies to analyze the relationship between chronic disease or cardiovascular drug use and the incidence of dementia to establish a basis for increasing or preventing the risk of dementia. The purpose of this study was to investigate the correlation between the prevalence of chronic diseases and the use of cardiovascular drugs in patients diagnosed with dementia. Methods: In this study, we used data from sample of elderly patients from the Health Insurance Review and Assessment Service. We analyzed by logistic regression analysis with age, gender, and medication as covariates. KCD-7 was used to diagnosis of the disease, and drugs were analyzed using ATC codes and Korean standardized drug classification codes. Results: A total of 1,276,331 patients were analyzed in the sample of the elderly population, of which 532,075 (41.7%) were male and 744,256 (58.3%) were female. The patients have the higher risk of dementia in the older, women, and lower socioeconomically status. Cerebral infarction and ischemic heart disease increases risk of dementia. Patients taking statins, angiotensin converting enzyme inhibitor (ACEI) or angiotensin II receptor antagonists (ARB) showed low incidence of dementia. Conclusion: This study has been shown that ACEI, ARB, and statin drugs may associate with lower incidence of Alzheimer's and other dementia except vascular dementia.

• Journal of Korean Public Health Nursing
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• v.31 no.1
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• pp.5-18
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• 2017

Purpose: This study was conducted to suggest a method for financial projection of health insurance expenditures that reflects future changes in demographic structure. Methods: Using data associated with the number of patients and health insurance cost per patient, generalized linear models (GLM) were fitted with demographic explanatory variables. Models were constructed separately for individual medical departments, types of medical service, and types of public health insurance. Goodness-of-fit of most of the applied GLM models was quite satisfactory. By combining estimates of frequency and severity from the constructed models and results of the population projection, total annual health insurance expenditures were projected through year 2060. Results: Expenditures for medical departments associated with diseases that are more frequent in elderly peoples are expected to increase steeply, leading to considerable increases in overall health insurance expenditures. The suggested method can contribute to improvement of the accuracy of financial projection. Conclusion: The overall demands for medical service, medical personnel, and relevant facilities in the future are expected to increase as the proportion of elderly people increases. Application of a more reasonable estimation method reflecting changes in demographic structure will help develop health policies relevant to above mentioned resources.

• Journal of Preventive Medicine and Public Health
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• v.51 no.1
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• pp.1-5
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• 2018

Smokers keep smoking despite knowing that tobacco claims many lives, including their own and others'. What makes it hard for them to quit smoking nonetheless? Tobacco companies insist that smokers choose to smoke, according to their right to self-determination. Moreover, they insist that with motivation and willpower to quit smoking, smokers can easily stop smoking. Against this backdrop, this paper aims to discuss the addictive disease called tobacco use disorder, with an assessment of the addictiveness of tobacco and the reasons why smoking cessation is challenging, based on neuroscientific research. Nicotine that enters the body via smoking is rapidly transmitted to the central nervous system and causes various effects, including an arousal response. The changes in the nicotine receptors in the brain due to continuous smoking lead to addiction symptoms such as tolerance, craving, and withdrawal. Compared with other addictive substances, including alcohol and opioids, tobacco is more likely to cause dependence in smokers, and smokers are less likely to recover from their dependence. Moreover, the thinning of the cerebral cortex and the decrease in cognitive functions that occur with aging accelerate with smoking. Such changes occur in the structure and functions of the brain in proportion to the amount and period of smoking. In particular, abnormalities in the neural circuits that control cognition and decision-making cause loss of the ability to exert self-control and autonomy. This initiates nicotine dependence and the continuation of addictive behaviors. Therefore, smoking is considered to be a behavior that is repeated due to dependence on an addictive substance, nicotine, instead of one's choice by free will.

• Journal of the Korean Society for Nondestructive Testing
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• v.22 no.3
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• pp.239-245
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• 2002

Many civil and infrastructures continue to be used despite aging and the associated potential for damage accumulation. Therefore, the ability to monitor the health of these systems is becoming increasingly important. The purpose of this paper is to propose a real-time health monitoring system of cable-stayed bridge, based-on non-destructive measurement. And also this paper focuses on the safety assessment for bridge from health monitoring system to accomplish this safety assesment. Using the proposed health monitoring system, it helps bridge maintenance and reduces the economic cost of a life-cycle costs. Also it give important data to develop the design and analysis method for cable-stayed bridges.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.33 no.8
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• pp.739-744
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• 2009

Rail-pad is an important and readily replaceable component of a railway track, as it is the elastic layer between the rail and the sleeper. Characteristics and useful lifetime prediction of rail-pad was very important in design procedure to assure the safety and reliability. In this paper, the degradation of rail pad properties as a function of their in-service life is studied with a view of developing a technique for predicting the optimum period of track maintenance with regard to pad replacement. In order to investigate the useful lifetime, the accelerate test were carried out. Accelerated test results changes as the threshold are used for assessment of the useful life and time to threshold value were plotted against reciprocal of absolute temperature to give the Arrhenius plot. By using the acceleration test, several useful lifetime prediction for rail-pads were proposed.

• Proceedings of the KSME Conference
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• 2008.11a
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• pp.192-192
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• 2008

As the lifetime of nuclear power plants (NPPs) reaches design life, the probability for fatal accidents increases. Most of accidents are known to be caused by degradation of mechanical components. Pressure tubes are the most important components in CANDU reactor. They are subjected to various aging mechanisms such as delayed hydride cracking (DHC), irradiation and corrosion, etc. Therefore, the integrity of pressure tube is key concern in CANDU reactor. Up to recently, conventional deterministic approaches have been utilized to evaluate the integrity of components. However, there are many uncertainties to prevent a rational evaluation. The objective of this paper is to assess the failure probability of pressure tube in CANDU. To do this, probability fracture mechanics (PFM) analysis based on the Genetic Algorithm (GA) is performed. For the verification of the analysis, a comparison of the PFM analysis using a commercial code and mathematical method is carried out.

• Journal of KIBIM
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• v.7 no.4
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• pp.21-30
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• 2017

Due to the rapidly aging population, the death rate of elderly people by safety accidents has been increasing. In particular, precautions are needed for falls prevention because they either directly or indirectly cause death. In the case of elderly people, most of the fall accidents occur in dense residential areas, and particularly, the staircase poses a risk of falling. Therefore, a safety assessment should be performed from the design phase. However, in general, staircases are designed using existing stair data or only aims to satisfy the installation criteria. Laws and regulations only define minimum requirements for safety, so it is not possible to prevent fall accidents even if they satisfy the requirements. Therefore, this study proposes a simulation-based method for evaluating the safety of staircases. The behavioral characteristics of the elderly are implemented to an virtual user in a virtual space including staircases, and fall accidents are evaluated by the evaluation logic related to the behavioral characteristics. The result shows that the safety of staircases can be preevaluated and reflected on the design to reduce the possibility of fall accidents of the elderly.