• Tuberculosis and Respiratory Diseases
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• 제69권6호
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• pp.450-455
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• 2010

Background: High cortisol levels are frequently observed in patients with severe infections are of prognostic value in sepsis. The aim of this study was to evaluate the clinical usefulness of serum cortisol in assessment for the severity of community-acquired pneumonia (CAP). Methods: This study analyzed the results of 52 CAP subjects admitted in Changwon Fatima Hospital between July 2008 to May 2010. Total serum cortisol, infection markers such as C-reactive protein (CRP), procalcitonin (PCT) and CURB (Confusion, Uremia, Respiratory rate, Blood pressure)-65 were examined retrospectively. Results: In clinically unstable subjects on admission day 4, baseline serum cortisol, CURB-65, and CRP were elevated significantly compared to those of stable subjects. Area under curve (AUC) of cortisol, CRP, and CURB-65 from ROC curves were 0.847, 0.783, and 0.724 respectively. In the subjects with serum cortisol ${\geq}22.82{\mu}g/dL$, CRP, PCT, CURB-65 score, and mortality were significantly elevated. Conclusion: These findings suggest that measurement of serum cortisol in early stage may provide helpful information in the assessment of CAP severity.

• 기본간호학회지
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• 제13권2호
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• pp.190-199
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• 2006

Purpose: To provide basic data and to identify the risk of pressure ulcers among neurological patients in ICU. Method: The participants in the study were on 78 neurological patients in the ICU of 3 hospitals. Data were collected every other day from 24 hours after admission, for up to 40 days or until discharge. The total period of data collection was 3 months. The risk assessment scales used for pressure ulcer were the Cubbin & Jackson(1991) scale and the National Pressure Ulcer Advisory Panel(1989) skin assessment tool. Results: There was a significant relationship between having a pressure ulcers and weight, skin condition, mental status, respiration, hygiene and hemodynamic status compared to not having a pressure ulcer. The incidence rate of the pressure ulcer was 28.2%(n=22). Of these patients the mean number of hospitalization days until pressure ulcer development was 5.2 days. The most common pressure ulcer site was the coccyx(39.3%). Based on a cut-off point of 24, 9 patients with risk scores <24 on admission also showed risk score for development of pressure ulcers, 10 patients with pressure ulcer scores ${\geq}24$ were older, hospitalized for a longer time, had low serum albumin, low hemoglobin, diabetes mellitus and surgery. Conclusion: In order to make the Cubbin & Jackson risk assessment scales more useful, there is a need to determine the reliability of the upper cut-off point 24. The result also showed a need to assess other risk factors and for early identification of at-risk patients in order to provide preventive care from admission to discharge.

• Earthquakes and Structures
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• 제16권4호
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• pp.501-512
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• 2019

In this study, seismic vulnerability assessment and seismic isolation retrofit of Bayburt Yakutiye Mosque is investigated. Bayburt Yakutiye Mosque was built in the early 19th century at about 30-meter distance to Coruh river in the center of Bayburt in Turkey. The walls of historical masonry structure were built with regional white and yellow stones and the domes of the mosque was built with masonry bricks. This study is completed in four basic phases. In first phase, experimental determination of the regional white stone used in the historical structure are investigated to determine mechanical properties as modulus of elasticity, poison ratio and compression strengths etc. The required information of the other materials such as masonry brick and the regional yellow stone are obtained from literature studies. In the second phase, three dimensional finite element model (FEM) of the historical masonry structure is prepared with 4738 shell elements and 24789 solid elements in SAP2000 software. In third phase, the vulnerability assessment of the historical mosque is researched under seismic loading such as Erzincan (13 March 1992), Kocaeli (17 August 1999) and Van (23 November 2011) earthquakes. In this phase, the locations where damage can occur are determined. In the final phase, rubber base isolators for seismic isolation retrofit is used in the macro model of historical masonry mosque to prevent the damage risk. The results of all analyses are comparatively evaluated in details and presented in tables and graphs. The results show that the application of rubber base isolators can prevent to occur the destructive effect of earthquakes.

• 한국수소및신에너지학회논문집
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• 제31권6호
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• pp.605-613
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• 2020

In July and October of this year, the government announced the 'Green new deal plan within the Korean new deal policy' and 'Strategies for proliferation of future vehicles and market preoccupation'. And, in response to changes in the global climate agreement, it has decided to expand green mobility such as electric vehicles and hydrogen electric vehicles with the aim of a "net-zero" society. Accordingly, the goal is to build 310 hydrogen refueling stations along with the supply of 60,000 hydrogen vehicles in 2022, and the hydrogen infrastructure is being expanded. however, it is difficult to secure hydrogen infrastructure due to expensive construction costs and difficulty the selection of a site. In Korea, it is possible to build a mobile hydrogen station according to the safety standards covering special case of the Ministry of Industry. Since the mobile hydrogen station can be charged while moving between authorized place, it has the advantage of being able to meet a large number of demands with only one hydrogen refueling station, so it is proposed as a model suitable for the early market of hydrogen infrastructure. This study demonstrates the establishment of a hydrogen refueling station by deriving a virtual accident scenario for leakage and catastrupture for each facility for the risk factors in a mobile hydrogen station, and performing a quantitative risk assessment through the derived scenario. Through the virtual accident scenario, direction of demonstration and implications for the construction of a mobile hydrogen refueling station were derived.

• 지역사회간호학회지
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• 제32권4호
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• pp.415-429
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• 2021

Purpose: The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea. Methods: This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Cronbach's α, and intra-class correlation coefficient. Results: The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's α of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.

• 산업경영시스템학회지
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• 제44권4호
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• pp.43-52
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• 2021

In weapon assignment studies to defend against threats such as ballistic missiles and long range artillery, threat assessment was partially lacking in analysis of various threat attributes, and considering the threat characteristics of warheads, which are difficult to judge in the early flight stages, it is very important to apply more reliable optimal solutions than approximate solution using LP model, Meta heuristics Genetic Algorithm, Tabu search and Particle swarm optimization etc. Our studies suggest Generic Rule based threat evaluation and weapon assignment algorithm in the basis of various attributes of threats. First job of studies analyzes information on Various attributes such as the type of target, Flight trajectory and flight time, range and intercept altitude of the intercept system, etc. Second job of studies propose Rule based threat evaluation and weapon assignment algorithm were applied to obtain a more reliable solution by reflection the importance of the interception system. It analyzes ballistic missiles and long-range artillery was assigned to multiple intercept system by real time threat assessment reflecting various threat information. The results of this study are provided reliable solution for Weapon Assignment problem as well as considered to be applicable to establishing a missile and long range artillery defense system.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권1호
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• pp.16-23
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• 2022

Objectives: Early detection of developmental issues in infants and necessary intervention are important. To identify the comorbid conditions, a comprehensive evaluation is required. The study's objectives were to 1) generate scale items by identifying and eliciting concepts relevant to young children (12-71 months) with developmental delays, 2) develop a comprehensive screening tool for developmental delay and comorbid conditions, and 3) assess the tool's validity and cut-off. Methods: Multidisciplinary experts devised the "Infant Comprehensive Evaluation for Neurodevelopmental Delay (ICEND)," an assessment method that comes in two versions depending on the age of the child: 12-36 months and 37-71 months, through monthly seminars and focused group interviews. The ICEND is composed of three parts: risk factors, resilience factors, and clinical scales. In parts 1 and 2, there were 41 caretakers responded to the questionnaires. Part 3 involved clinicians evaluating ten subscales using 98 and 114 questionnaires for younger and older versions, respectively. The Child Behavior Checklist, Strengths and Difficulties Questionnaire, Infant-Toddler Social Emotional Assessment, and Korean Developmental Screening Test for Infants and Children were employed to analyze concurrent validity with the ICEND. The analyses were performed on both typical and high-risk infants to identify concurrent validity, reliability, and cut-off scores. Results: A total of 296 people participated in the study, with 57 of them being high-risk (19.2%). The Cronbach's alpha was positive (0.533-0.928). In the majority of domains, the ICEND demonstrated a fair discriminatory ability, with a sensitivity of 0.5-0.7 and specificity 0.7-0.9. Conclusion: The ICEND is reliable and valid, indicating its potential as an auxiliary tool for assessing neurodevelopmental delay and comorbid conditions in children aged 12-36 months and 37-71 months.

• 한국건축시공학회지
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• 제22권2호
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• pp.171-182
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• 2022

주기적인 건축물 안전진단은 구조적 안전성 및 잠재적 위험을 조기에 파악할 수 있다. 하지만 기존의 수집 방식은 비정형화된 형태의 주관적 데이터가 주로 사용되며, 노동집약적이고 시간 소모적이기 때문에 신뢰성이 떨어진다. 이에 본 연구는 3D 레이저 스캐너를 이용하여 건축물 노후 상태 정보를 수집하고 Building Information Modeling(BIM)으로 통합하여 시각화하는 방안을 제안하며, 순서는 다음과 같다: (1) 3D 레이저 스캐너와 파이썬 스크립트를 통한 데이터 수집, (2) Scan-to-BIM 프로세스, (3) 다이나모를 이용한 상태 데이터 시각화 및 정보 통합. 이를 통해 데이터 저장과 보고서 및 도면 작성 과정의 생략에 따른 시간 단축 효과를 확인하였다. 또한 시각화된 3D 모델은 건축물 유지관리자가 효율적인 결정을 할 수 있도록 한다. 이를 통해 유지관리 업무 효율성이 향상될 것으로 예상된다.

• 한국지반공학회논문집
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• 제23권10호
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• pp.121-131
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• 2007

본 연구는 흙막이굴착 공사에 의한 지반거동을 평가하여, 구조물의 형상, 위치, 굴착공정 변화등의 다양한 조건과 지반/구조물의 상호작용이 고려된 모형실험을 기본으로 수행하였다. 흙막이굴착에 따른 인접구조물의 손상수준은 구조물의 형상비(L/h), 굴착단계, 이격거리(X) 등에 따라 현저히 다르게 나타남을 확인하였으며, 구조물 중 가장 취약한 구간(BAY)에 따른 평가가 시공초기에 보다 세밀하고 구체적으로 분석되어야 할 것으로 판단된다. 구조물에 발생된 균열의 손상수준을 손상도표에서 평가해 본 결과, 균열손상 수준이 적용된 평가가 각변위와 수평변형율만 적용된 손상수준보다 안전측으로 평가되는 것을 확인할 수 있었다. 그러므로, 각변위와 수평변형율 뿐만 아니라 균열이 고려된 손상평가를 수행하는 것이 보다 바람직할 것으로 판단된다.

• Korean Journal of Radiology
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• 제20권4호
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• pp.649-661
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• 2019

Objective: To systematically review the evaluation of the diagnostic accuracy of pre-treatment apparent diffusion coefficient (ADC) and change in ADC during the intra- or post-treatment period, for the prediction of locoregional failure in patients with head and neck squamous cell carcinoma (HNSCC). Materials and Methods: Ovid-MEDLINE and Embase databases were searched up to September 8, 2018, for studies on the use of diffusion-weighted magnetic resonance imaging for the prediction of locoregional treatment response in patients with HNSCC treated with chemoradiation or radiation therapy. Risk of bias was assessed by using the Quality Assessment Tool for Diagnostic Accuracy Studies-2. Results: Twelve studies were included in the systematic review, and diagnostic accuracy assessment was performed using seven studies. High pre-treatment ADC showed inconsistent results with the tendency for locoregional failure, whereas all studies evaluating changes in ADC showed consistent results of a lower rise in ADC in patients with locoregional failure compared to those with locoregional control. The sensitivities and specificities of pre-treatment ADC and change in ADC for predicting locoregional failure were relatively high (range: 50-100% and 79-96%, 75-100% and 69-95%, respectively). Meta-analytic pooling was not performed due to the apparent heterogeneity in these values. Conclusion: High pre-treatment ADC and low rise in early intra-treatment or post-treatment ADC with chemoradiation, could be indicators of locoregional failure in patients with HNSCC. However, as the studies are few, heterogeneous, and at high risk for bias, the sensitivity and specificity of these parameters for predicting the treatment response are yet to be determined.