• Title/Summary/Keyword: DM protocol

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Effects of Nutrition Service Improvement Activities for Reducing Plate Waste of the Diabetic Mellitus Diet in a General Hospital (당뇨식 잔반 감량을 위한 영양서비스 개선 활동의 효과)

  • Sohn, Cheong-Min;Yeom, Hae-Sun
    • Korean Journal of Community Nutrition
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    • v.13 no.5
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    • pp.674-681
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    • 2008
  • Hospital malnutrition could be caused by not completing the food served in the hospital. This has been a big problem since it delays the recovery of the patient and extends the length of hospital stay. The purpose of the study was to reduce the plate waste for the DM diet by performing several nutrition service improvement activities. The study was performed in a general hospital with 900 beds. A questionnaire survey was taken by 39 DM patients to obtain their aspect of the hospital foodservice systems and the quality of the meals at the beginning of the study. The amounts of foods served in the hospital kitchen and returned were measured by weights. After the improvement activities, the measurement of the plate waste was performed again for comparison. The average percentage of plate waste for the DM diet was 23.2%. The survey showed no difference by sex, age or duration of admission in plate waste. However, this food wastage percentage showed differences between the patients having a chance to get information about the diet therapy (12.21%) and not having one (26.06%) (p < 0.05). Using a five-point Likert-type scale, the quality of food by its taste was 2.49 (1: very poor, 5: excellent), the temperature score was 3.56 (1: very poor, 5: excellent), and the amount of food served score was 2.95 (1: very poor, 5: excellent), and the preference score was 3.13 (1: very dislike, 5: very like). Nutritional care improving activities were performed by adjusting seasonings, developing new menus, and standardizing cooking methods in order to increase the satisfaction of meal quality. The dietitian's inpatients care protocol was adjusted to expand the nutritional counseling chance for the DM patients. After the improvement activities, the average plate waste was reduced to 14.6%, and the satisfaction of food taste and preference increased to 3.21 (p < 0.001), and 3.36 (p < 0.05) correspondingly. The result shows that, for therapeutic diet patients, food intake could be increased by improving the food service satisfaction by controlling the meal quality and clinical nutritional service activities.

Performance Analysis comparisons for the CBT and PIM Multicast Protocol (CBT와 PIM 멀티캐스트 라우팅 프로토콜 비교에 관한 성능분석)

  • 최원혁;이광재;김정선
    • Proceedings of the Korea Multimedia Society Conference
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    • 2002.11b
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    • pp.649-652
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    • 2002
  • 멀티캐스트는 현재 일-대-글 통신서비스로부터 일-대-다 또는 다-대-다 통신서비스에서 신뢰성을 요구하는 새로운 요구가 많아지고 있다. 그리고 최근 대두되고 있는 멀티미디어 응용을 지원하기 위해서는 광대역 네트워크의 링크, 실시간 전송, 보다 효과적인 멀티캐스트 프로토콜이 요구된다. 멀티캐스트 프로토콜 알고리즘에는 DVMRP, MOSPF, CBT, PIM 구조의 멀티캐스팅 프로토콜 있다. 이는 네트워크 패킷의 특성을 송수신의 경로비용으로 라우터 자체의 근거리 알고리즘이 적용되고 있다. 본 연구에서는 멀티캐스트 프로토콜인 CBT와 PIM-DM종단간의 특징을 이용하여 비교 분석하여 이용하여 각 데이터 패킷 전송을 위한 공정하고 실용적인 대역폭 사용하고 대역폭과 데이터처리능력 시뮬레이션 상에서 구현하고 성능을 평가한다.

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A Terminal Remote Mangement for Using Wireless Protocol (무선 프로토콜을 이용한 단말기 원격 관리)

  • Han, Cheong-Woon;Lee, Jyung-Min;Lee, Kyoun-Ha
    • Proceedings of the Korea Information Processing Society Conference
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    • 2003.05b
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    • pp.1345-1348
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    • 2003
  • 본 논문에서는 CDMA(Code Division Mutiple Access) 단말기의 상태를 점검하고 제어하는 DM(Diagnostic Monitor) 기능을 CDMA 무선망인 IS-95/A/B/C 및 1X 무선망을 이용하여 사용 할 수 있도록 제안하였다. 기존의 방식은 필드에서 사용중인 단말기의 A/S 또는 필드의 상황 파악을 위해 단말기 개발자가 장비를 가지고 그곳으로 가야하는 시간적, 공간적인 한계가 있었다. 이를 보완하기 위해서 CDMA 무선망에서 SMS(Short Message Service) 프로토콜을 이용하여 원격으로 단말기 상태점검 및 제어, 기지국과 단말기간의 인터페이스 유지보수 등을 할 수 있는 프로토콜을 제안한다. 제안된 프로토콜을 이용한 실험을 통하여 실제 필드에서 단말기를 제어하는 것과 동일한 제어가 가능하고 필드 환경 상태를 직접 가지 않고도 알아낼 수 있는 등 단말기 개발 및 유지보수에 많은 이득을 가져다 줄 수 있음을 입증한다.

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An Efficient Micro Mobility Support Scheme using PIM-SM in IPv6 Network (IPv6망에서의 PIM-SM을 이용한 마이크로 이동성 제공 방안)

  • 유연주;우미애
    • Proceedings of the IEEK Conference
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    • 2002.06a
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    • pp.275-278
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    • 2002
  • This paper proposes an efficient micro mobility scheme to support user mobility inside an access network which employs Ipv6. The proposed scheme, namely SMM(Sparse-mode Multicast for mobility), utilizes a class of multicast protocol, PIM-SM, in the visited access network to reduce signaling to the home agent as well as to the correspondent node and to minimize packet loss during the handoff when mobile user changes its point of attachment frequently. Through the simulation, the performance of the proposed SMM is analyzed and compared with those of Mobile nv6 and for the case which adpots PIM-DM. The result shows that SMM provides significantly better performance in terms of packet loss that is invariant to transmission rate and packet size.

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A Remote SNMP Connection Request Mechanism for NATed Devices using UDP Hole Punching and Heuristic Hole Binding Time Search (UDP 홀 펀칭과 경험적 홀 유지시간 탐색을 이용한 NAT 환경단말의 SNMP 원격 접속요청 메커니즘)

  • Park, Choon-Gul;Kim, Seong-Il;Jeong, Ki-Tae;Lee, Young-Seok
    • Journal of KIISE:Information Networking
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    • v.35 no.5
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    • pp.367-373
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    • 2008
  • Recently, the NAT middlebox widely deployed in the home network environment prohibits DM operations from reaching user devices behind NAT. In this article, we focus on NAT issues to manage home network devices. Particularly, we discuss standardization efforts, and present our proposal to deploy DM services for VoIP and IPTV devices under NAT. By slightly changing behaviors of Simple Network Management Protocol (SNMP) Manager and Agent, and defining additional Management Objects (MOs) to gather NAT binding information, we could solve the NAT traversal problem under symmetric NAT. Moreover, we propose an enhanced method to search the UDP hole binding time of the NAT box. We applied our method to randomly selected 22 VoIP devices out of 194 NATed hosts in the real broadband network and have achieved 99% of the success ratio for exchanging SNMP request messages and 26% of enhancement for searching the UDP hole binding time.

Current Issues for ROK Defense Modeling & Simulation Scheme under the Transition of New HLA Simulation Architecture (HLA 모의구조전환에 따른 한국군 DM&S 발전방안)

  • 이상헌
    • Journal of the military operations research society of Korea
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    • v.26 no.2
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    • pp.101-119
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    • 2000
  • US DoD designated the High LEvel Architecture (HLA) as the standard technical architecture for all military simulation since 1996. HLA will supercede the current Distributed Interactive Simulation(DIS) and Aggregated LEvel Simulation Protocol(ALSP) methods by no funds for developing/modifying non-HLA compliant simulations. The new architecture specifies Rules which define relationships among federation components, an Objects Model Template which species the form which simulation elements are described, and an Interface Specification which describes the way simulations interact during operations. HLA is named as standard architecture in NATO, Australia and many other militaries. Also, it will be IEEE standard in the near future. It goes without saying that ROK military whose simulation models are almost from US must be prepared in areas such as ROK-US combined exercise, training, weapon system acquisition, interface models with C4I system, OPLAN analysis, operations, and os on. In this paper, we propose several effective alternatives and issues for ROK Defense Modeling and Simulation under the transition of new HLA architecture. Those include secure the kernel of new simulation technology and develop our own conceptual model, RTI software, prototype federation for each service and aggregated one. In order to challenge the new simulation architecture effectively, we should innovate our current defense modeling and simulation infrastructure such s manpower, organization, budget, research environment, relationships among academia and industry, and many others.

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Nutrient Intake and Utilization by Range Managed Sheep in Critical Physiological Stages Maintained on Grazing with Concentrate Supplementation in a Hot Semi-Arid Environment

  • Karim, S.A.;Santra, A.;Sharma, V.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.9
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    • pp.1228-1234
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    • 2000
  • The reported study was conducted on range managed Malpura ewes that were non-breeding empty, were at an advanced stage of pregnancy, and were in early lactation, under a protocol of free grazing with concentrate supplementation at 1.00, 1.25 and 1.50% of their body weight to assess their plane of nutrition and nutrient intake. The biomass yield of pasture plots was 1689, 1820 and 2912 kg/ha in pregnancy, lactation and empty phases, respectively. In addition to natural shrubs and forbs, Cenchrus ciliaris (36.4%) and dead litter (31.6%) were the major component of pasture vegetation during pregnancy. The dead litter disappeared during the lactation and empty phase with a concomitant increase in distribution of Cenchrus ciliaris to 73.0 and 87.2% respectively. The daily dry matter consumption from supplemental concentrate and free grazing was 70.1, 57.3 and 63.5 g/kg $W^{0.75}/d$ with concentrate to roughage ratio of 40:60, 47:53 and 33:67 in pregnancy, lactation and empty phases respectively. Digestibility of DM and OM were similar in the three phases while CP digestibility was higher (p<0.0l) during lactation than other two phases. Digestibility of NDF, ADF and cellulose were higher (p<0.0l) in empty than pregnancy and lactation, while hemicellulose digestibility was similar in lactation and empty and lower in pregnancy phase. The ewes in ~hases of pregnancy, lactation and empty consumed 7.1, 7.7 and 6.1 g DCP and 197.2, 214.6 and 232.5 kcal DE/kg $W^{0.75}/d$ respectively. It is concluded that ewes maintained on semi-arid Cenchrus dominated pasture with concentrate supplementation during pregnancy, lactation and empty phases consumed 45.2, 45.1 and 35.2 g DCP/Mcal ME respectively.

A Basic Study Contributes to Extract the Standardized 3D Body Data for Women Aged 60 and Older (노년 여성 체형의 표준화된 3차원 측정 데이터 추출을 위한 기초 연구)

  • ;;Susan p. Ashdown
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.2
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    • pp.344-353
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    • 2004
  • The purpose of this study was to offer the basis contributes to extract the standardized body data from 3D body measuring for women aged 60 and older. The WB4 of Cyberware was used, and the measuring program of 3D scanning data was 3DM. This study was focused to verify the reliability of 3D data and to offer the effective utilization of 3D measuring on the research for elderly women■s body. Subjects were 19 women aged 60 and older. And three women in late twenties and three dressforms for women were comparing subjects to analyze the signiscant difference by age or human body variable making error. First, 3D scanning was executed twice on each subject, but any significant difference was not appear between two scanning data. So we certifed we could get the consistent and reliable data from the 3D scanner used in this study. Second, the reliability of 3D measuring data was analyzed, and the error range which meant the difference between 3D data and traditional measuring data was analyzed. In elderly women, the significant difference between two data was appeared in 19 body parts. The 7 of 19 were concerned with armpit point. In young women, three significant difference were appeared, and in dressforms, any significant difference was not certified. From these results, we could certify that age or human body variable produced the difference between two data. Third, the data of elderly women from three measuring methods, 3D measuring, traditional measuring, and measuring on 2D photographs were compared. From the result, we found that the 3D measuring data was quite reliable for most body parts excluding some width parts. But in elderly women, there were some limitation to extract reliable data because of their unique body characteristics. In order to be a role of the effective measuring method, the 3D measuring protocol reflected the body characteristics of each age or gender had to be prepared.

Traffic-based Caching Algorithm and Performance Evaluation for QoS-adaptive Streaming Proxy Server in Wireless Networks (무선 환경에서 QoS 적응적인 스트리밍 프락시 서버를 위한 트래픽 기반 캐싱 알고리즘 및 성능 분석)

  • Kim, HwaSung;Kim, YongSul;Hong, JungPyo
    • Journal of Broadcast Engineering
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    • v.10 no.3
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    • pp.313-320
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    • 2005
  • The increasing popularity of multimedia streaming services introduces new challenges in content distribution. Especially, it is important to provide the QoS guarantees as they are increasingly expected to support the multimedia applications. Multimedia streams typically experience the high start-up delay due to the large protocol overhead, the delay, and the loss properties of the wireless networks. The service providers can improve the performance of multimedia streaming by caching the initial segment (prefix) of the popular streams at proxies near the requesting clients. The proxy can initiate transmission to the client while requesting the remainder of the stream from the server. In this paper, we propose the traffic based caching algorithm (TSLRU) to improve the performance of caching proxy. TSLRU classifies the traffic into three types, and improve the performance of caching proxy by reflecting the several elements such as traffic types, recency, frequency, object size when performing the replacement decision. In simulation, TSLRU performs better than the existing schemes in terms of byte hit rate, hit rate, startup latency, and throughput.

Enhancing generation efficiency of liver organoids in a collagen scaffold using human chemically derived hepatic progenitors

  • Myounghoi Kim;Yohan Kim;Elsy Soraya Salas Silva;Michael Adisasmita;Kyeong Sik Kim;Yun Kyung Jung;Kyeong Geun Lee;Ji Hyun Shin;Dongho Choi
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.4
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    • pp.342-349
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    • 2023
  • Backgrounds/Aims: Liver organoids have emerged as a powerful tool for studying liver biology and disease and for developing new therapies and regenerative medicine approaches. For organoid culture, Matrigel, a type of extracellular matrix, is the most commonly used material. However, Matrigel cannot be used for clinical applications due to the presence of unknown proteins that can cause immune rejection, batch-to-batch variability, and angiogenesis. Methods: To obtain human primary hepatocytes (hPHs), we performed 2 steps collagenase liver perfusion protocol. We treated three small molecules cocktails (A83-01, CHIR99021, and HGF) for reprogramming the hPHs into human chemically derived hepatic progenitors (hCdHs) and used hCdHs to generate liver organoids. Results: In this study, we report the generation of liver organoids in a collagen scaffold using hCdHs. In comparison with adult liver (or primary hepatocyte)-derived organoids with collagen scaffold (hALO_C), hCdH-derived organoids in a collagen scaffold (hCdHO_C) showed a 10-fold increase in organoid generation efficiency with higher expression of liver- or liver progenitor-specific markers. Moreover, we demonstrated that hCdHO_C could differentiate into hepatic organoids (hCdHO_C_DM), indicating the potential of these organoids as a platform for drug screening. Conclusions: Overall, our study highlights the potential of hCdHO_C as a tool for liver research and presents a new approach for generating liver organoids using hCdHs with a collagen scaffold.