• 한국인터넷방송통신학회논문지
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• 제21권5호
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• pp.215-219
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• 2021

본 논문에서는 스마트 빌딩 시스템과 전력망이 각각의 전력거래 희망가격을 제안하고 조정하는 양방향 전력거래 협상 기법에 심층 강화학습 기법을 적용한 전력거래 기법을 제안한다. 심층 강화학습 기법 중 하나인 deep Q network 알고리즘을 적용하여 스마트 빌딩과 전력망의 거래 희망가격을 조정하도록 하였다. 제안하는 심층 강화학습 기반 양방향 전력거래 협상 알고리즘은 학습과정에서 평균 43.78회의 협상을 통해 가격 협의에 이르는 것을 실험을 통해 확인하였다. 또한, 본 연구에서 설정한 협상 시나리오에 따라 스마트 빌딩과 전력망이 거래 희망가격을 조정하는 과정을 실험을 통해 확인하였다.

• Archives of Plastic Surgery
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• 제48권4호
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• pp.404-409
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• 2021

Background To date, there are no consensus guidelines for management of lymphatic leak in groin vascular reconstruction patients. The goal of this study is to review the relevant literature to determine alternatives for treatment and to design an evidence-based algorithm to minimize cost and morbidity and maximize efficacy. Methods A systematic review of the literature was conducted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Two independent reviewers applied agreed-upon inclusion and exclusion criteria to eligible records. Studies that included patients who underwent groin dissection for oncologic diagnoses and level 5 data were excluded. Interventions were then categorized by efficacy using predetermined criteria. Results Our search yielded 333 records, of which eight studies were included. In four studies, the success of lymphatic ligation ranged from 75% to 100%, with average days to resolution ranging from 0 to 9. Conservative management in the form of elevation, compression, and bedrest may prolong time to resolution of lymphatic leak (14-24 days) and therefore cost. Conclusions The majority of patients should be offered early operative intervention in the form of lymphatic ligation with or without a primary muscle flap. If the patient is not an operative candidate, a trial of conservative management should be attempted before other nonsurgical interventions.

• Journal of Forest and Environmental Science
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• 제37권3호
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• pp.251-259
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• 2021

The basic for the achievement of the community forestry rests within the Community Forest User Groups (CFUGs). They are responsible to establish good governance, sustainable forest management and improve people's livelihoods. The study aimed to assess the governance score prevailing in CFUGs using stratified random sampling. Our study shows the governance score of 64.17% in community forests with highest 73.94% in Bhotechaur community forest and lowest 56.60% in Tinkanya community forest. Among the eight elements of good governance, consensus-oriented was found highest while responsiveness was lowest in the study area. Further, the independent variables such as well-being ranking (χ²=21.695, df=6, p<0.01), source of income (χ²=20.474, df=6, p<0.01) and education status (χ²=17.450, df=6, p<0.01) has significant impact on governance. Based upon the findings, it is very clear that good governance in CFs are more than average but still not up to the mark. Finally, it calls for rethinking that involving all the stakeholders during planning phases delineating the responsibility and power for correspondents can make possible in achieving sustainability in community forest.

• Asian Journal of Innovation and Policy
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• 제12권3호
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• pp.363-382
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• 2023

This study aims to discern the determinants influencing the perception of workability among the elderly population and delineate an appropriate retirement age within the labor market context. Employing binary logistic regression, this research utilizes data from the Korea Welfare Panel Study (2008, 2012, 2016, and 2020) provided by the Korea Institute for Health and Social Welfare. The findings indicate that key factors shaping the elderly's perception of workability encompass familial responsibilities (household and marital status) and their levels of physical and mental well-being. Econometric analysis suggests an anticipated retirement age for the elderly population ranging between 67 and 69 years. In addressing labor market demands and informing policymakers, the study proposes deliberations on extending the retirement age for individuals aged 60 to 65. This range serves as a compromise between the identified retirement age of 67 to 69 and the current average retirement age for elderly labor market participants. Bridging the disparity between the perceived workability age and the prevailing labor market baseline is crucial for achieving social consensus. Therefore, any extension of the retirement age should carefully consider both the demand and supply perspectives within the labor market. The study's contribution lies in two main aspects: firstly, presenting a retirement age framework for the labor market that integrates the workability of the elderly population, and secondly, providing evidence-based research outcomes to guide informed labor policies.

• 풍력에너지저널
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• 제14권1호
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• pp.5-13
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• 2023

The commercialization has been of great importance to the clean energy research sector for investing the wind farm development, but it would be difficult to reach a social consensus on the need to expand the economic feasibility of renewable energy due to the lack of reliable and continuous information on levelized cost of Energy (LCOE). Regarding this fact, this paper presents the evaluation of LCOE, focusing on Ulsan offshore region targeting to build the first floating offshore wind farm. Energy production is estimated by the meteorology data combined with the Leanwind Project power curve of an exemplar wind turbine. This work aims to analyze the costs of the Capex depending on site-specific variables. The cost of final LCOE was estimated by using Monte-Carlo method, and it became an average range 297,090 KRW/MWh, a minimum of 251,080 KRW/MWh, and a maximum of 341,910 KRW/MWh. In the year 2021, the SMP (system marginal price) and 4.5 REC (renewable energy certificate) can be paid if 1 MWh of electricity is generated by renewable energy. Considering current SMP and REC price, the floating platform industry, which can earn around 502,000 KRW/MWh, can be finally estimated highly competitive in the Korean market.

• 대한간호학회지
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• 제17권1호
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• pp.9-23
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• 1987

Nursing service, as the largest user of labor resources, has become concerned about appropriate allocation of staffing resources. Therefore, this project was designed to measure quantitatively the direct nursing care provided to patients and to develop a new patient classification system based on the direct nursing care activities. The initial step in the development of the classification instrument was to identify the content of direct nursing activities. The frequency with which these activities were carried out, the total time spent in carrying them out and the average time for one performance of each of the nursing activities was calculated. The next step was to select the items for the classification instrument taking into account these direct nursing activities. A list of 40 items was prepared. These items were then classified into 8 major categories: personal hygiene, moving ＆ exercise, nutrition & elimination, observation, medication, treatment, collecting specimens and other care activities for severity ill patients. Each item was assigned a value unit based on the average time required by the nursing staff to complete the specific item. The third step was to determine the practicality of the items and value units, so an attempt was made to establish content validity for these items and units by obtaing a consensus from 8 head nurses, representing eight different departments. The 4th step was to conducted a pilot study to establish the score range for the classification boundaries. For this purpose an instrument was designed using the list of items and value units and a prepared classification criteria as a guideline to validate the patient classification. A judgment group consisting of 52 supervisory nurses and head nurses were asked to select the proper patient to fit each classification criteria and to fill out the instrument for each patient. The total value unit and the frequency for each classification group was calculated. According to the frequency distribution, the score range for the classification group was determined as follows : 0~15 for groupI, 16~30 for group II, 31~50 for group III, and above 51 for group IV. Finally a patient classification form was developed.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.4873-4880
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• 2015

Purpose: To describe the clinicopathological features of gastrointestinal stromal tumors (GIST) diagnosed in our section and to perform risk stratification of our cases by assigning them to specific risk categories and groups for disease progression based on proposals by Fletcher et al and Miettinen and Lasota. Materials and Results: We retrieved 255 cases of GIST diagnosed between 2003 and 2014. Over 59% were male. The age range was 16 to 83 years with a mean of 51 years. Over 70% occurred between 40 and 70 years of age. Average diameter of tumors was 10 cms. The stomach was the most common site accounting for about 40%. EGISTs constituted about 16%. On histologic examination, spindle cell morphology was seen in almost of 85% cases. CD117 was the most useful immunohistochemical antibody, positive in 98%. Risk stratification was possible for 220 cases. Based on Fletcher's consensus proposal, 62.3 gastric, 81.8% duodenal, 68% small intestinal, 72% colorectal and 89% EGISTs were assigned to the high risk category; while based on Miettinen and Lasota's algorithm, about 48% gastric, 100% duodenal, 76% small intestinal, 100% colorectal and 100% EGISTs in our study were associated with high risk for disease progression, tumor metastasis and tumor related death. Follow up was available in 95 patients; 26 were dead and 69 alive at follow up. Most of the patients who died had high risk disease and on average death occurred just a few months to a maximum of one to two years after initial surgical resection. Conclusions: Epidemiological and morphologic findings in our study were similar to international published data. The majority of cases in our study belonged to the high risk category.

• Clinics in Shoulder and Elbow
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• 제1권2호
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• pp.167-174
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• 1998

Since the first description by Cotton, there have been sporadic reports about the inferior subluxation of the shoulder. Nevertheless there is still a lack of consensus regarding the mechanism of occurrence, evolution and treatment. We have experienced six cases of inferior sublusation(five cases after trauma and one case after surgery) which resolved over time. Analysis of the clinical informations including serial radiographs, data from clinical examination and electromyography(EMG) revealed the following results. All the five post-traumatic inferior subluxations were noted in women with an average age of 59 years after direct trauma resulting in fracture of the proxiaml hrnerus(4) or clavicle(1), of which nerve injury was proven by EMG in three. One case occurred after Bankart repair by stretch injury to the axillary nerve. The presenting symptom was unusually severe pain on passive motion. Absence of anterior or posterior displacement wasl confirmed by radiographs. All the cases seemed to have delayed onset of subluxation except one. The subluxed hu.meral head was concentrically reduced at an average 11 weeks(range 3-23 weeks) from the supposed time of occurrence and the acromiohumeral interval measUred on the standing anteroposterior radiographs decreased to 9.4 mm ftom 23 mm. Improvement of pain paralled the reduction. In conclusion, the most common cause of transient inferior subluxation was nerve injury in ou~ series and the prognosis was excellent, however protraction of recovery or leaving permanent subluxation would be possible if .the injured nerve is unrecoverable.

• Journal of Chest Surgery
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• 제49권1호
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• pp.15-21
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• 2016

Background: We aimed to evaluate the incidence, predictive factors, and impact of acute kidney injury (AKI) after thoracic endovascular aortic repair (TEVAR). Methods: A total of 53 patients who underwent 57 TEVAR operations between 2008 and 2015 were reviewed for the incidence of AKI as defined by the RIFLE (risk, injury, failure, loss, and end-stage kidney disease risk) consensus criteria. The estimated glomerular filtration rate was determined in the perioperative period. Comorbidities and postoperative outcomes were retrospectively reviewed. Results: Underlying aortic pathologies included 21 degenerative aortic aneurysms, 20 blunt traumatic aortic injuries, six type B aortic dissections, five type B intramural hematomas, three endoleaks and two miscellaneous diseases. The mean age of the patients was $61.2{\pm}17.5years$ (range, 15 to 85 years). AKI was identified in 13 (22.8%) of 57 patients. There was an association of preoperative stroke and postoperative paraparesis and paraplegia with AKI. The average intensive care unit (ICU) stay in patients with AKI was significantly longer than in patients without AKI (5.3 vs. 12.7 days, p=0.017). The 30-day mortality rate in patients with AKI was significantly higher than patients without AKI (23.1% vs. 4.5%, p=0.038); however, AKI did not impact long-term survival. Conclusion: Preoperative stroke and postoperative paraparesis and paraplegia were identified as predictors for AKI. Patients with AKI experienced longer average ICU stays and greater 30-day mortality than those without AKI. Perioperative identification of high-risk patients, as well as nephroprotective strategies to reduce the incidence of AKI, should be considered as important aspects of a successful TEVAR procedure.

• 한국문헌정보학회지
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• 제8권
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• pp.73-101
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• 1981

Retrieval effectiveness is the principal criterion for measuring the performance of an information retrieval system. The effectiveness of a retrieval system depends primarily on the extent to which it can retrieve wanted documents without retrieving unwanted ones. So, ultimately, effectiveness is a function of the relevant and nonrelevant documents retrieved. Consequently, 'relevance' of information to the user's request has become one of the most fundamental concept encountered in the theory of information retrieval. Although there is at present no consensus as to how this notion should be defined, relevance has been widely used as a meaningful quantity and an adequate criterion for measures of the evaluation of retrieval effectiveness. The recall and precision among various parameters based on the 'two-by-two' table (or, contingency table) were major considerations in this paper, because it is assumed that recall and precision are sufficient for the measurement of effectiveness. Accordingly, different concepts of 'relevance' and 'pertinence' of documents to user requests and their proper usages were investigated even though the two terms have unfortunately been used rather loosely in the literature. In addition, a number of variables affecting the recall and precision values were discussed. Some conclusions derived from this study are as follows: Any notion of retrieval effectiveness is based on 'relevance' which itself is extremely difficult to define. Recall and precision are valuable concepts in the study of any information retrieval system. They are, however, not the only criteria by which a system may be judged. The recall-precision curve represents the average performance of any given system, and this may vary quite considerably in particular situations. Therefore, it is possible to some extent to vary the indexing policy, the indexing policy, the indexing language, or the search methodology to improve the performance of the system in terms of recall and precision. The 'inverse relationship' between average recall and precision could be accepted as the 'fundamental law of retrieval', and it should certainly be used as an aid to evaluation. Finally, there is a limit to the performance(in terms of effectiveness) achievable by an information retrieval system. That is : "Perfect retrieval is impossible."