• 보건의료산업학회지
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• 제3권2호
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• pp.29-43
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• 2009

The purpose of this study is to provide basic material about the improvement method of the hospital evaluation system by grasping recognition, corresponding behavior to evaluation, influence and problems about the hospital evaluation system with respect to the employee of mid sized hospitals having relatively poorer environment. In this study were used 518 questionnaires to hospital employee working at 20 general hospitals in Pusan, Kyungnam with less than 500 beds and having experience of the hospital evaluation during 2005~2007. As a result of the research, they felt the investigation tool used for the hospital evaluation has too many items and it could be difficult to reflect characteristics of each hospital. It appeared that utilization of the report result after the hospital evaluation was helpful for grasping a part necessary for hospital improvement and the present level of hospitals and increase of interest about medical service quality improvement of the a hospital director or hospital employee. They trusted the result of the hospital evaluation to some degree, and recognized it helps the patients to select a hospital and increase rights-to-know. Hospital employee recognized the necessity and showed high interest and participation, but they didn't sympathize in the propriety and the feasibility of the hospital evaluation items. High degree evaluated hospital employee receive hospital evaluation system positively and think hospital services to be improve after taking hospital evaluation. The hospital evaluation should make the hospital to effort to achieve medical quality improvement to its purpose. Also, systematic reformation will be necessary to reflect characteristics of the hospital that has relatively small scale or locates in poor environment.

• Journal of Korean Neurosurgical Society
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• 제62권4호
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• pp.458-466
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• 2019

Objective : We retrospectively assessed the efficacy of stereotactic radiosurgery (SRS) for dural arteriovenous fistulas (DAVFs) involving the transverse-sigmoid sinus and analyzed the angiographic and clinical results with our 8-year experience. Methods : Nine patients with intracranial DAVFs involving the transverse-sigmoid sinus underwent SRS using a Gamma $Knife^{(R)}$ (Elekta Inc., Atlanta, GA, USA) between 2009 and 2016. Five patients underwent SRS for residual DAVFs after embolization and four patients were treated with SRS alone. The median target volume was $1.9cm^3$ (range, 0.8-14.2) and the median radiation dose of the target was 17 Gy (range, 16-20). The median follow-up period was 37 months (range, 7-81). Results : Pulsating tinnitus (33%) was the most common symptom. DAVFs were completely obliterated in four patients (44%) and subtotally obliterated in five (56%). Six patients (67%) showed complete recovery of symptoms or signs, and three (33%) showed incomplete recovery. One patient experienced a recurrent seizure. Adverse radiation effects after SRS occurred in one patient (11%). The total obliteration rates after SRS were 16.7%, 37.5%, and 68.7% at 1, 2, and 3 years, respectively. The median interval from SRS to total obliteration of the fistula was 31 months (range, 12-38). The rates at which the symptoms started to improve were 40% at 1 month and 80% at 2 months after SRS. Symptoms started to improve at a median of 5 weeks after SRS (range, 3-21). Conclusion : SRS with or without embolization is a safe and effective treatment to relieve symptoms and obliterate DAVFs on the transverse-sigmoid sinus.

• 웰빙융합연구
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• 제6권4호
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• pp.51-61
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• 2023

Purpose: This study aims to provide basic data to improve disaster nursing competency by identifying nursing students' disaster awareness, disaster preparedness, and disaster nursing competency and confirming the relationship among them. Research design, data, and methodology: The subjects of this study were 310 students attending the Department of Nursing at E University in Gyeonggi-do, and the data was collected from April 13 to May 24, 2023. Results: Disaster awareness averaged 72.91±7.46 points, disaster preparedness averaged 2.82±2.81 points, and disaster nursing competency averaged 44.11±10.76 points. Disaster preparedness and disaster nursing competency were significantly higher in subjects with disaster nursing education experience than in those without experience. Disaster awareness showed a significant positive correlation with disaster preparedness (r=.20, p <.001), and also with disaster nursing competency (r=.37, p <.001). Disaster preparedness showed a significant positive correlation with disaster nursing competency (r=.49, p <.001). It was found that the disaster nursing competency was high when the disaster awareness (B=0.472, p<.001), and the disaster preparedness (B=1.561, p<.001) was high. Conclusions: The results show it is possible to improve students' disaster nursing competency by strengthening education on disaster awareness and disaster preparedness. Thus, specific efforts and future research are needed to develop disaster nursing education.

• 사상체질의학회지
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• 제35권4호
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• pp.42-54
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• 2023

Objectives This study aims to identify differences in clinical manifestations of COVID-19 between different Sasang constitution. Methods Subjects were recruited from August 29, 2022, to July 11, 2023. COVID-19 clinical symptoms were self-reported via questionnaires. Sasang constitutional diagnosis was performed using the K-PRISM, and Sasang constitutional specialist. Results A total of 66 subjects were recruited for the study, and the Sasang constitutional distribution of the subjects was 19 soyangin, 25 taeeumin, and 22 soeumin. For most of the COVID-19 clinical manifestations, the study found that soyangin experienced symptoms at a higher rate than other constitutions. Among the symptoms observed in the study, sore throat, pantalgia, and cough were severe in all subjects regardless of constitution. Soeumin was more likely to experience abdominal pain, chest pain, and diarrhea, while soyangin was more likely to experience chest pain, nausea/vomiting, diarrhea, and cutaneous symptoms compared to other constitutions. Taeeumin had more sputm, nasal congestion, and skin symptoms, but fewer digestive symptoms. There were differences in the onset and duration of symptoms by constitution. Conclusions This study is an important contribution to our understanding of the differences in response to the COVID-19 virus among different Sasang constitutions. Symptomatic differences between constitutions may have important implications for prevention and treatment strategies for infectious diseases, and personalized treatment and management based on these differences may be needed in the future.

• 암석학회지
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• 제26권2호
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• pp.113-125
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• 2017

이 연구는 임진강대 남변부에서 산출되는 보장산조면암에 대한 새로운 지구화학적 특징과 조구조 배경에 대해 논한다. 보장산조면암은 희토류 및 고장력 원소의 함량이 매우 풍부하며 거미도형에서 Nb의 이상치가 나타나지 않는 것이 특징인데, 이는 지각물질이 개입하는 호환경의 마그마 과정을 겪지 않았음을 암시한다. 이 조면암은 비유동적인 고장력 원소인 Nb-Y와 (Y+Nb)-Rb 상관도에 의하면 판내부 환경에서 생성된 것으로 판단된다. 또한 높은 Ga 함량은 전형적인 A-형 마그마의 특성을 잘 보여주고, Nb-Y-Ce과 Nb-Y-3Ga 삼각도에서 A1-형 영역에 속하며, Y-La-Nb 삼각도에서 판내부 대륙열곡에서 산출되는 알칼리암을 나타낸다. 이는 이들이 비조산성 대륙열곡 환경에서 맨틀근원물질로부터 나온 마그마의 분화작용으로 생성되었음을 의미한다. 이의 지화학적 특징은 임진강대에서 보장산조면암이 페름-트라이아스기 송림조산운동동안 주 충돌작용 다음에 확장성 환경에서 발달하는 대륙열곡에서 맨틀유래 마그마작용에 의해 생성된 사건을 가리킨다. 이러한 자료는 임진강대를 북중국 및 남중국 지괴 사이의 칠링-다비-술루대의 연장부로 생각할 수 있게 한다.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2003년도 ICCAS
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• pp.428-432
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• 2003

Quantitative Feedback Theory (QFT) is one of most effective methods of robust controller design and can be considered as a suitable method for systems with parametric uncertainties. Particularly it allows us to obtain controllers less conservative than other methods like $H_{\infty}$ and ${\mu}$-synthesis. In QFT method, we transform all the uncertainties and desired specifications to some boundaries in Nichols chart and then we have to find the nominal loop transfer function such that satisfies the boundaries and has the minimum high frequency gain. The major drawback of the QFT method is that there is no effective and useful method for finding this nominal loop transfer function. The usual approach to this problem involves loop-shaping in the Nichols chart by manipulating the poles and zeros of the nominal loop transfer function. This process now aided by recently developed computer aided design tools proceeds by trial and error and its success often depends heavily on the experience of the loop-shaper. Thus for the novice and First time QFT user, there is a genuine need for an automatic loop-shaping tool to generate a first-cut solution. In this paper, we approach the automatic QFT loop-shaping problem by using an algorithm involving Linear Programming (LP) techniques and Genetic Algorithm (GA).

• 한국정보통신설비학회:학술대회논문집
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• 한국정보통신설비학회 2009년도 정보통신설비 학술대회
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• pp.320-325
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• 2009

네트워크 서비스에 있어서 품질을 정확히 측정하고 품질지수를 도출하는 것은 매우 중요하다. 종래의 네트워크 서비스에 대한 품질지수는 QoS(Quality of Service)로서 많은 연구가 있어왔다. 하지만 QosS를 통한 사용자 품질지수는 실제 사용자의 서비스 만족도를 효과적으로 표현해 주지 못하였다. 그래서 본 연구에서는 QoE(Quality of Experience)라는 개념을 도입하여, 사용자가 실제로 느낀 서비스의 만족도를 도출하고자 하였다. 사용자의 서비스 만족도를 잘 표현해주는 QoE를 도출하기 위하여 본 연구에서는 QoE Framework를 제안한다. QoE Framework는 framework를 위해 동작하는 agent들로 구성된다. QoE Framework의 agent는 크게 서비스 제공자측과 서비스 사용자 측으로 나눌 수 있는데, 서비스 사용자 측의 agent는 서비스를 이용하다가 사용자가 서비스 불만족을 감지하였을 때, 서비스 제공자측 agent는 사용자측 agent로부터 받은 서비스 불만족에 대한 feedback으로부터 QoE도출 알고리즘을 사용하여 최적의 QoE를 도출하는 기능을 한다. 서비스 제공자측 agent의 QoE도출 알고리즘으로 GA(Genetic Algorithm)을 사용하여 최적의 값을 구하게 된다. QoE framework의 알고리즘에서는 불만족 feedbaek을 이루는 QoS 파라미터들간의 중요도와 관계를 도출하여, 주어진 서비스 개선 비용으로 최적의 QoE를 도출함으로써, 네트워크 서비스에 대한 사용자의 만족도를 최대로 높이는 결과를 도출하게 된다.

• 대한전기학회논문지:전력기술부문A
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• 제48권6호
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• pp.789-799
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• 1999

In this paper, the optimization of fuzzy inference systems is proposed for fuzzy model of nonlinear systems. A fuzzy model needs to be identified and optimized by means of the definite and systematic methods, because a fuzzy model is primarily acquired by expert's experience. The proposed rule-based fuzzy model implements system structure and parameter identification using the HCM(Hard C-mean) clustering method, genetic algorithms and fuzzy inference method. Two types of inference methods of a fuzzy model are the simplified inference and linear inference. in this paper, nonlinear systems are expressed using the identification of structure such as input variables and the division of fuzzy input subspaces, and the identification of parameters of a fuzzy model. To identify premise parameters of fuzzy model, the genetic algorithms is used and the standard least square method with the gaussian elimination method is utilized for the identification of optimum consequence parameters of fuzzy model. Also, the performance index with weighting factor is proposed to achieve a balance between the performance results of fuzzy model produced for the training and testing data set, and it leads to enhance approximation and predictive performance of fuzzy system. Time series data for gas furnace and sewage treatment process are used to evaluate the performance of the proposed model.

• 한국치위생학회지
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• 제15권5호
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• pp.881-887
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• 2015

Objectives: The purpose of the study was to investigate the awareness toward the informed consent in the dental hygienists and the patients before treatment. Methods: A self-reported questionnaire was completed by 200 dental hygienists and 200 dental patients in Changwon after explaining the purpose of the study from June 15 to September 15, 2014. The questionnaire was developed as two types for the dental hygienists and the patients. The questionnaire consisted of general characteristics of the subjects, awareness toward the informed consent before treatment, and experience before the treatment. Results: In the necessity of informed consent, 49.5% of dental hygienists and 72.0% of the patients answered that informed consent is very necessary. In the written informed consent, 33.3% of dental hygienists and 54.9% of the patients answered that the dispute can always happen during treatment. Conclusions: The informed consent is recognized as a defensive means for medical malpractice. For the sake of the dental hygienists and the patients, mutual respect and compromise is the very important factor.

• 대한한방내과학회지
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• 제39권2호
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• pp.268-276
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• 2018

Although patients with breast cancer receive standard treatments, they often experience recurrence or metastasis of tumors. Therefore, patients seeking treatment with traditional Korean medicine (TKM) in addition to conventional treatment have increased. We present a case of 46-year-old female with recurring breast cancer. She underwent surgeries and various hormone therapies since being diagnosed in 2007. Upon follow-up examination, she had metastatic lesions on the lung and multiple bones in 2015 and 2016. She received TKM treatments from May 2017 with Aromasin and Afinitor. However, hepatic metastasis was found after two months, so she started Capecitabine with TKM. After about two months, the liver nodules disappeared and a seeding nodule in the right paracolic gutter was decreased. After two months, the tumor response was stable disease. Back pain due to bone metastasis was improved. We suggest that combination treatment of TKM and chemotherapy is a promising method for treating breast cancer.