• Title/Summary/Keyword: An agreement

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Validation of initial nutrition screening tool for hospitalized patients (입원 환자용 초기 영양검색도구의 타당도 검증)

  • Kim, Hye-Suk;Lee, Seonheui;Kim, Hyesook;Kwon, Oran
    • Journal of Nutrition and Health
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    • v.52 no.4
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    • pp.332-341
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    • 2019
  • Purpose: Poor nutrition in hospitalized patients is closely linked to an increased risk of infection, which can result in complications affecting mortality, as well as increased length of hospital stay and hospital costs. Therefore, adequate nutritional support is essential to manage the nutritional risk status of patients. Nutritional support needs to be preceded by nutrition screening, in which accuracy is crucial, particularly for the initial screening. To perform initial nutrition screening of hospitalized patients, we used the Catholic Kwandong University (CKU) Nutritional Risk Screening (CKUNRS) tool, originally developed at CKU Hospital. To validate CKUNRS against the Patient-Generated Subjective Global Assessment (PG-SGA) tool, which is considered the gold standard for nutritional risk screening, results from both tools were compared. Methods: Nutritional status was evaluated in 686 adult patients admitted to CKU Hospital from May 1 to July 31, 2018 using both CKUNRS and PG-SGA. Collected data were analyzed, and the results compared, to validate CKUNRS as a nutrition screening tool. Results: The comparison of CKUNRS and PG-SGA revealed that the prevalence of nutritional risk on admission was 15.6% (n = 107) with CKUNRS and 44.6% (n = 306) with PG-SGA. The sensitivity and specificity of CKUNRS to evaluate nutritional risk status were 98.7% (96.8 ~ 99.5) and 33.3% (28.1 ~ 39.0), respectively. Thus, the sensitivity was higher, but the specificity lower compared with PG-SGA. Cohen's kappa coefficient was 0.34, indicating valid agreement between the two tools. Conclusion: This study found concordance between CKUNRS and PG-SGA. However, the prevalence of nutritional risk in hospitalized patients was higher when determined by CKUNRS, compared with that by PG-SGA. Accordingly, CKUNRS needs further modification and improvement in terms of screening criteria to promote more effective nutritional support for patients who have been admitted for inpatient care.

Development of a deep neural network model to estimate solar radiation using temperature and precipitation (온도와 강수를 이용하여 일별 일사량을 추정하기 위한 심층 신경망 모델 개발)

  • Kang, DaeGyoon;Hyun, Shinwoo;Kim, Kwang Soo
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.21 no.2
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    • pp.85-96
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    • 2019
  • Solar radiation is an important variable for estimation of energy balance and water cycle in natural and agricultural ecosystems. A deep neural network (DNN) model has been developed in order to estimate the daily global solar radiation. Temperature and precipitation, which would have wider availability from weather stations than other variables such as sunshine duration, were used as inputs to the DNN model. Five-fold cross-validation was applied to train and test the DNN models. Meteorological data at 15 weather stations were collected for a long term period, e.g., > 30 years in Korea. The DNN model obtained from the cross-validation had relatively small value of RMSE ($3.75MJ\;m^{-2}\;d^{-1}$) for estimates of the daily solar radiation at the weather station in Suwon. The DNN model explained about 68% of variation in observed solar radiation at the Suwon weather station. It was found that the measurements of solar radiation in 1985 and 1998 were considerably low for a small period of time compared with sunshine duration. This suggested that assessment of the quality for the observation data for solar radiation would be needed in further studies. When data for those years were excluded from the data analysis, the DNN model had slightly greater degree of agreement statistics. For example, the values of $R^2$ and RMSE were 0.72 and $3.55MJ\;m^{-2}\;d^{-1}$, respectively. Our results indicate that a DNN would be useful for the development a solar radiation estimation model using temperature and precipitation, which are usually available for downscaled scenario data for future climate conditions. Thus, such a DNN model would be useful for the impact assessment of climate change on crop production where solar radiation is used as a required input variable to a crop model.

A Study for establishment of soil moisture station in mountain terrain (1): the representative analysis of soil moisture for construction of Cosmic-ray verification system (산악 지형에서의 토양수분 관측소 구축을 위한 연구(1): Cosmic-ray 검증시스템 구축을 위한 토양수분량 대표성 분석 연구)

  • Kim, Kiyoung;Jung, Sungwon;Lee, Yeongil
    • Journal of Korea Water Resources Association
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    • v.52 no.1
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    • pp.51-60
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    • 2019
  • The major purpose of this study is to construct an in-situ soil moisture verification network employing Frequency Domain Reflectometry (FDR) sensors for Cosmic-ray soil moisture observation system operation as well as long-term field-scale soil moisture monitoring. The test bed of Cosmic-ray and FDR verification network system was established at the Sulma Catchment, in connection with the existing instrumentations for integrated data provision of various hydrologic variables. This test bed includes one Cosmic-ray Neutron Probe (CRNP) and ten FDR stations with four different measurement depths (10 cm, 20 cm, 30 cm, and 40 cm) at each station, and has been operating since July 2018. Furthermore, to assess the reliability of the in-situ verification network, the volumetric water content data measured by FDR sensors were compared to those calculated through the core sampling method. The evaluation results of FDR sensors- measured soil moisture against sampling method during the study period indicated a reasonable agreement, with average values of $bias=-0.03m^3/m^3$ and RMSE $0.03m^3/m^3$, revealing that this FDR network is adequate to provide long-term reliable field-scale soil moisture monitoring at Sulmacheon basin. In addition, soil moisture time series observed at all FDR stations during the study period generally respond well to the rainfall events; and at some locations, the characteristics of rainfall water intercepted by canopy were also identified. The Temporal Stability Analysis (TSA) was performed for all FDR stations located within the CRNP footprint at each measurement depth to determine the representative locations for field-average soil moisture at different soil profiles of the verification network. The TSA results showed that superior performances were obtained at FDR 5 for 10 cm depth, FDR 8 for 20 cm depth, FDR2 for 30 cm depth, and FDR1 for 40 cm depth, respectively; demonstrating that those aforementioned stations can be regarded as temporal stable locations to represent field mean soil moisture measurements at their corresponding measurement depths. Although the limit on study duration has been presented, the analysis results of this study can provide useful knowledge on soil moisture variability and stability at the test bed, as well as supporting the utilization of the Cosmic-ray observation system for long-term field-scale soil moisture monitoring.

Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI (효율적 의료영상정보교류를 위한 프로토콜 제안: 유방자기공명영상)

  • Park, Ji Hee;Choi, Seon-Hyeong;Kim, Sungjun;Yong, Hwan Seok;Woo, Hyunsik;Jin, Kwang Nam;Jeong, Woo Kyoung;Shin, Na-Young;Choi, Moon Hyung;Jung, Seung Eun
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.254-258
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    • 2018
  • Purpose: Establishment of an appropriate protocol for breast magnetic resonance imaging (MRI) in the study of image quality standards to enhance the effectiveness of medical image information exchange, which is part of the construction and activation of clinical information exchange for healthcare informatization. Materials and Methods: The recommended protocols of breast and MRI scans were reviewed and the questionnaire was prepared by a responsible researcher. Then, a panel of 9 breast dedicated radiologists was set up in Korea. The expert panel conducted a total of three Delphi agreements to draw up a consensus on the breast MRI protocol. Results: The agreed breast MRI recommendation protocol is a 1.5 Tesla or higher device that acquires images with prone position using a breast dedicated coil and includes T2-weighted and pre-contrast T1-weighted images. Contrast enhancement images are acquired at least two times, and include 60-120 seconds between images and after 4 minutes. The contrast enhancement T1-weighted image should be less than 3 mm in thickness, less than 120 seconds in temporal resolution, and less than $1.5mm^2$ in-plane pixel resolution. Conclusion: The Delphi agreement of the domestic breast imaging specialist group has established the recommendation protocol of the effective breast MRI.

Convergent Studies of Utilization Plan and Brand Suggestion for Abandoned Passenger Ferry Terminal in Jangseungpo to Improve Local Community Value (지역 가치 증진을 위한 장승포 폐 여객선 터미널의 활용 방안 및 브랜드 제안에 관한 융합 연구)

  • Lee, Ha Na;Oh, Kwang Myung;Paik, Jin Kyung
    • Korea Science and Art Forum
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    • v.37 no.2
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    • pp.239-250
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    • 2019
  • Along with changes in the industrial structure, revitalizing decrepit or abandoned industrial-age infrastructures are actively under way on a global scale. This study was motivated by an interest in investigating currently idle industrial infrastructures and revitalizing the abandoned passenger ferry terminal in Geoje's Jangseungpo and surrounding areas. The main aims of this study were to examine regional features for the purpose of establishing urban renewal plans and field opinions of the local residents on how to proceed with the restoration of the passenger ferry terminal. To this end, this paper looked into previous case studies of converting decrepit industrial infrastructures into new cultural venues, depending on each region's special circumstances. This paper's findings are as follows: First, as a result of this investigation, the author found that in all cases in Korea and elsewhere revitalization focused on creating modern cultural spaces appropriate for the region while retaining its traditional value. At the same time, they sought sustainable cultural and economic revival. Second, as a result of the investigation on Geoje City's local characteristics, the author found that the surrounding areas' commercial districts were depressed after the terminal's closure. At the time of the investigation, the city government was trying to reopen the terminal as a major port offering multiple international ferry destinations while attracting tourists. Third, as a result of the surveys on the local residents, it was found that more than half of the residents were in agreement with the city government's plan to reopen the terminal and expressed their wishes that they want the terminal to have other uses such as cultural venues. Based on these research results, the author makes proposals, including expanding the passenger ferry terminal and offering cultural spaces within and near the terminal, based on the local residents' opinions and in reflection of local circumstances. As part of this effort, the author also recommends a new brand name and design plan for the new passenger ferry terminal so that Geoje City can improve its local community value.

The Existence Aspects of the Hyangri Class in Imsilhyeon, Jeolla Province in the Latter Half of Joseon - With a focus on Woonsuyeonbangseonsaengan (조선후기 전라도 임실현 향리층의 존재양태 - 『운수연방선생안(雲水?房先生案)』을 중심으로 -)

  • Kwon, Ki-jung
    • (The)Study of the Eastern Classic
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    • no.72
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    • pp.157-183
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    • 2018
  • The purpose of this study was to investigate the existence aspects of the Hyangri class in Imsilhyeon, Jeolla Province in the latter half of Joseon based on Woonsuyeonbangseonsaengan, which provides lists of Hyangris in Imsilhyeon from the fourth year(1724) of King Gyeongjong's reign to the early 20th century. It contained the names of total 704 Hyangris, who included 119 Kims, 103 Eoms, 103 Jins, 87 Parks, 86 Muns, 66 Lees, 31 Baeks, 27 Hwangs, and 17 Taes. In addition, there were 12 more family names that produced fewer than ten Hyangris. Based on the share of representative family names among the Hyangris of the area, it is estimated that the dominant family names were Kim, Eom, Jin, Park, Mun, and Lee. Another interesting aspect is that the Jeon and Yang families produced no Hyangris in the 19th century, whereas the Hwang family produced 5% of Hyangris in the century with the Jin family accounting for 10% or more. These findings show that little changes were consistent within the community of Hyangris despite the fact that a couple of families were dominant. The family clans of the family names were checked in Nosogyean, which records that they were the Kim family of Gyeongju, Eom family of Yeongwol, Jin family of Namwon, Park family of Hamyang, Mun family of Nampyeong, and Lee family of Gyeongju. The study then examined the family names of 76 Hojangs that were recorded to hold the Hojang title in Woonsuyeonbangseonsaengan to see whether the family names that produced higher-level Hyangris were the same as the ones above. There was an overall agreement between the family names that produced a lot of Hojangs and those that produced the most Hyangris, but there were differences according to the periods. Six family names produced Hojangs in similar percentage in the 18th century, and only three family names, which were the Jin family of Namwon(13), Mun family of Nampyeong(9), and Eom family of Yeongwol(6), produced more than ten Hojangs in the 19th century. Other noteworthy changes in the 19th century include the rapidly rising frequency of Hojangs serving the term twice or more compared with the 18th century and the concentration of Hojangs on certain family names. These findings indicate that six family names coexisted in the active production of Hyangris in the community of Hyangris in Imsilhyeon in the latter half of Joseon, that there were changes to the family names of higher-level Hyangris internally according to the periods, and that a shift happened toward the leadership of certain family names in the society of Hyangris.

A Study on the Nature observation and Scientific methodology in Zhōuyì周易 - Focusing on its association with Contemporary Science (『주역(周易)』의 자연관찰과 과학적 방법론에 관한 연구 - 『주역(周易)』에 나타난 현대자연과학적 의미를 중심으로 -)

  • Shin, Jungwon
    • (The)Study of the Eastern Classic
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    • no.71
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    • pp.99-128
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    • 2018
  • Zhōuyì周易 is intended to explain the affairs of human beings by observing the images and works of all things in the universe, abstracting them into the $b{\bar{a}}gu{\grave{a}}$八卦, calculating the process and inducing the outcome by the method of stalk divination, in which this paper finds the origin of natural scientific thought of Zhōuyì. The way of Zhōuyì's thought on the natural science is distinguished from that of the Western's. In the West, people dismantled the objects into the parts until they reached the atom and analyzed them by the principle of causality to draw an axiomatic truth. In the meantime Zhōuyì observed and studied the dynamic functions and changes of all things for the convergence of the whole. While the way of Zhōuyì's thinking could have not contributed to the development of modern scientific development, that of the West overwhelmed Asian development passing through the period of enlightenment during 16-17 century. This paper tries to articulate the points where Zhōuyì can share its theory with the contemporary science by finding the traces of scientific thoughts in Zhōuyì. It encounters its ground from the methodology of natural science and scientific statements proposed by Zhōuyì. The essential concepts of Zhōuyì are induced from all things in nature. This can be considered as the idea of '法自然'(emulating the patterns and examples from nature). Also they observed the images and changes seen by the habits of animals, plants and human beings to sense and perceive their laws. These are regarded as the methodology of natural science in Zhōuyì. As a book of divination, the way of stalk divination is designed to calculate the future by using the system of 'numbers'. 'tàijí太極', ' yīnyáng陰陽', 'four symbols四象', '$b{\bar{a}}gu{\grave{a}}$八卦' and 'wǔxíng五行' are the essential concepts of Zhōuyì to represents the dynamic phenomena and changes of the natural order. Among them '$b{\bar{a}}gu{\grave{a}}$八卦' is a presentment to explain the structure of the world not by the individual analysis of things but by the unification of the whole through the contradictions and interchanges among them to reach the new orders. As of now, the studies of Zhōuyì in Korea have focused on the traditional perspectives, such as political and ethical philosophy. Some of recent studies, having interpreted Zhōuyì with scientific inclination have generated controversy 'Can Zhōuyì be a science?', for which scholars have hard time to reach the agreement. This paper tries to find the headwaters of the contemporary natural science by elaborating the methodology of natural science stated in Zhōuyì.

Confirmation of Enzymatic Synthesis of 1, 2-Octanediol Galactoside using Mass Spectrometry and NMR Spectroscopy (Mass spectrometry와 NMR Spectroscopy를 이용한 1, 2-Octanediol Galactoside의 효소합성 확인)

  • Lee, Hyang-Yeol;Jin, Hong-Jong;An, Seung Hye;Lee, Hye Won;Jung, Kyung-Hwan
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.824-831
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    • 2021
  • 1, 2-Octanediol galactoside (OD-gal) has been synthesized from 1, 2-octanediol (OD), as a safer cosmetic preservative, using recombinant Escherichia coli β-galactosidase (β-gal). To confirm the molecular structure of synthesized OD-gal, mass spectrometry and NMR (1H- and 13C-) spectroscopy of OD-gal were carried out. In the reaction mixture, a sodium adduct ion of OD-gal (m/z=331.1732) was identified using mass spectrometry analysis. In addition, 1H NMR spectrum of OD-gal showed multiple peaks corresponding to the galactosyl group, which is evidence of galactosylation on OD. Downfield proton peaks at δH 4.39 ppm and multiple peaks from δH 3.98~3.55 ppm were indicative of galactosylation on OD. Up field proton peaks at δH 1.52~1.26 ppm and 0.89 ppm showed the presence of CH2 and CH3 protons of OD. 13C NMR spectrum revealed the presence of 24 carbons suggestive of α- and β-anomers of OD-gal. Among 14 carbon peaks from each anomer, the 4 peaks at δC 31.4, 29.0, 22.3, and 13.7 ppm were assigned to be overlapped showing only 24 peaks out of a total of 28 peaks. The mass value from mass spectrometry analysis of OD-gal, and 1H and 13C NMR spectral data were in good agreement with the expecting structure of OD-gal. Finally, we identified a galactose molecule from the hydrolysate of OD-gal using β-gal. We are expecting that through future study it will eventually be able to develop a safe cosmetic preservative.

Study on Bandwidth and Characteristic Impedance of CWP3DCS (Coplanar Waveguide Employing Periodic 3D Coupling Structures) for the Development of a Radio Communication FISoC (Fully-integrated System on Chip) Semiconductor Device (완전집적형 무선통신 SoC 반도체 소자 개발을 위한 주기적인 3차원 결합구조를 가지는 코프레너 선로에 대한 대역폭 및 임피던스 특성연구)

  • Yun, Young
    • Journal of Navigation and Port Research
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    • v.46 no.3
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    • pp.179-190
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    • 2022
  • In this study, we investigated the characteristic impedance and bandwidth of CPW3DCS (coplanar waveguide employing periodic 3D coupling structures), and examined its potential for the development of a marine radio communication FISoC (fully-integrated system on chip) semiconductor device. To extract bandwidth and characteristic impedance of the CPW3DC, we induced a measurement-based equation reflecting measured insertion loss, and compared the measured results of the propagation constant β and characteristic impedance with the measured ones. According to the results of the comparison, the calculated results show a good agreement with the measured ones. Concretely, the propagation constant β and characteristic impedance exhibited an maximum error of 3.9% and 6.4%, respectively. According to the results of this study, in a range of LT = 30 ~ 150 ㎛ for the length of periodic structures, the CPW3DC exhibited a passband characteristic of 121 GHz, and a very small dependency of characteristic impedance on frequency. We could realize a low impedance transmission line with a characteristic impedance lower than 20 Ω by using CPW3DCS with a line width of 20 ㎛, which was highly reduced, compared with a 3mm line width of conventional transmission line with the same impedance. The characteristic impedance was easily adjusted by changing LT. The above results indicate that the CPW3DC can be usefully used for the development of a wireless communication FISoC (fully-integrated system on chip) semiconductor device. This is the first report of a study on the bandwidth of the CPW3DC.

Developing a Diagnostic Bundle for Bronchiectasis in South Korea: A Modified Delphi Consensus Study

  • Choi, Hayoung;Lee, Hyun;Ra, Seung Won;Jang, Jong Geol;Lee, Ji-Ho;Jhun, Byung Woo;Park, Hye Yun;Jung, Ji Ye;Lee, Seung Jun;Jo, Kyung-Wook;Rhee, Chin Kook;Kim, Changwhan;Lee, Sei Won;Min, Kyung Hoon;Kwon, Yong-Soo;Kim, Deog Kyeom;Lee, Jin Hwa;Park, Yong Bum;Chung, Eun Hee;Kim, Yae-Jean;Yoo, Kwang Ha;Oh, Yeon-Mok
    • Tuberculosis and Respiratory Diseases
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    • v.85 no.1
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    • pp.56-66
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    • 2022
  • Background: Because the etiologies of bronchiectasis and related diseases vary significantly among different regions and ethnicities, this study aimed to develop a diagnostic bundle for bronchiectasis in South Korea. Methods: A modified Delphi method was used to develop expert consensus statements on a diagnostic bundle for bronchiectasis in South Korea. Initial statements proposed by a core panel, based on international bronchiectasis guidelines, were discussed in an online meeting and two email surveys by a panel of experts (≥70% agreement). Results: The study involved 21 expert participants, and 30 statements regarding a diagnostic bundle for bronchiectasis were classified as recommended, conditional, or not recommended. The consensus statements of the expert panel were as follows: A standardized diagnostic bundle is useful in clinical practice; diagnostic tests for specific diseases, including immunodeficiency and allergic bronchopulmonary aspergillosis, are necessary when clinically suspected; initial diagnostic tests, including sputum microbiology and spirometry, are essential in all patients with bronchiectasis, and patients suspected with rare causes such as primary ciliary dyskinesia should be referred to specialized centers. Conclusion: Based on this Delphi survey, expert consensus statements were generated including specific diagnostic, laboratory, microbiological, and pulmonary function tests required to manage patients with bronchiectasis in South Korea.