• The Journal of Korean Medicine
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• v.32 no.6
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• pp.95-102
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• 2011

Objectives: The purpose of this study is to develop a program of group psychotherapy named "the promotion of hope program (PHP)" that will provide effective emotional support for cancer patients. Methods: In order to develop a group counseling program for cancer patients, this study utilized reality therapy based on Oriental medicine theory which is the mind affect the body. We established four steps for making positive changes to individual behavior: creating soil for hope, watering hope, sprouting hope, and the blossoming flower of hope. To verify the effectiveness of the program, we conducted a comparative clinical trial. Patients were divided into two groups by unrestricted randomization: the intervention group (n=20) and the control group (n=17). The members of each group did not exceed seven patients. We divided the trial period into three sections. The intervention group received group psychotherapy twice a week for 4 weeks. The control group watched hope-related videos and talked about members for two hours each week for four weeks. We evaluated the scale of anxiety and depression, self-esteem, and hope, both before and after the examination. Results: PHP decreased the level of anxiety and depression in the intervention group (1.21 vs. 0.75, p<0.01). PHP also improved the level of both self esteem (2.80 vs. 3.34, p<0.01) and hope (2.69 vs. 3.23, p<0.01). In contrast, the control group showed no interval change at any point in time. Conclusion: Following the above results, PHP can be seen as an effective program for helping cancer patients to increase positive emotions and behaviors while reducing negative thoughts.

• Clinical and Experimental Reproductive Medicine
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• v.43 no.4
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• pp.247-252
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• 2016

Objective: Heparin can modulate proteins, and influence processes involved in implantation and trophoblastic development. This study aimed to assess the improvement of clinical pregnancy and implantation rates after local intrauterine injection of low-molecular-weight heparin (LMWH) in patients undergoing intracytoplasmic sperm injection (ICSI). Methods: A randomised case/control design was followed in women scheduled for ICSI. The study arm was injected with intrauterine LMWH during mock embryo transfer immediately following the ovum pickup procedure, while the control arm was given an intrauterine injection with a similar volume of tissue culture media. Side effects, the clinical pregnancy rate, and the implantation rate were recorded. Results: The pregnancy rate was acceptable (33.9%) in the LMWH arm with no significant reported side effects, confirming the safety of the intervention. No statistically significant differences were found in the clinical pregnancy and implantation rates between both groups (p= 0.182 and p= 0.096, respectively). The odds ratio of being pregnant after intrauterine injection with LMWH compared to the control group was 0.572 (95% confidence interval [CI], 0.27-1.22), while the risk ratio was 0.717 (95% CI, 0.46-1.13; p= 0.146). No statistical significance was found between the two groups in other factors affecting implantation, such as day of transfer (p= 0.726), number of embryos transferred (p= 0.362), or embryo quality. Conclusion: Intrauterine injection of LMWH is a safe intervention, but the dose used in this study failed to improve the outcome of ICSI. Based on its safety, further research involving modification of the dosage and/or the timing of administration could result in improved ICSI success rates.

• The Transactions of the Korean Institute of Power Electronics
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• v.2 no.2
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• pp.8-18
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• 1997

In this paper, a New Low Loss Quasi-Parallel Resonant DC-Link(NLQPRDCL) Inverter which shows highly improved PWM capability, low loss characteristic and low voltage stress is presented. A method to minimize freewheeling interval, which is able to largely decrease DC-link operation losses and to steadily guarantee soft switching in the wide operation region is also proposed. In addition, lossless control of zero voltage duration of DC-link makes the proposed inverter maintain the advanced PWM capability even under a very low modulation index. Experiment and simulation were performed to verify validity of the proposed inverter topology.

• Journal of Korean Society of Water and Wastewater
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• v.29 no.3
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• pp.415-425
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• 2015

Aging water pipe networks hinder efficient management of important water service indices such as revenue water and leakage ratio due to pipe breakage and malfunctioning of pipe appurtenance. In order to control leakage in water pipe networks, various methods such as the minimum night flow analysis and sound waves method have been used. However, the accuracy and efficiency of detecting water leak by these methods need to be improved due to the increase of water consumption at night. In this study the Principal Component Analysis (PCA) technique was applied to the night water flow data of 426 days collected from a water distribution system in the interval of one hour. Based on the PCA technique, computational algorithms were developed to narrow the time windows for efficient execution of leak detection job. The algorithms were programmed on computer using the MATLAB. The presented techniques are expected to contribute to the efficient management of water pipe networks by providing more effective time windows for the detection of the anomaly of pipe network such as leak or abnormal demand.

• Journal of Microbiology and Biotechnology
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• v.29 no.9
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• pp.1434-1443
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• 2019

Although chemical oxygen demand (COD) is an important issue for wastewater treatment, COD reduction with microalgae has been less studied compared to nitrogen or phosphorus removal. COD removal is not efficient in conventional wastewater treatment using microalgae, because the algae release organic compounds, thereby finally increasing the COD level. This study focused on enhancing COD removal and meeting the effluent standard for discharge by optimizing sludge inoculation timing, which was an important factor in forming a desirable algae/bacteria consortium for more efficient COD removal and higher biomass productivity. Activated sludge has been added to reduce COD in many studies, but its inoculation was done at the start of cultivation. However, when the sludge was added after 3 days of cultivation, at which point the COD concentration started to increase again, the algal growth and biomass productivity were higher than those of the initial sludge inoculation and control (without sludge). Algal and bacterial cell numbers measured by qPCR were also higher with sludge inoculation at 3 days later. In a semi-continuous cultivation system, a hydraulic retention time of 5 days with sludge inoculation resulted in the highest biomass productivity and N/P removal. This study achieved a further improved COD removal than the conventional microalgal wastewater treatment, by introducing bacteria in activated sludge at optimized timing.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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• pp.469-480
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• 2021

Purpose: Nurses are exposed to stressful circumstances during the COVID-19 outbreak, which increases their turnover intention. This study aimed to identify predictive factors of turnover intention among nurses during the COVID-19 outbreak. Methods: This study was a cross-sectional design using self-report questionnaires. A total of 164 nurses working at three hospitals participated voluntarily in the study. Questionnaires included nursing professionalism, job satisfaction, control belief and COVID-19 stress. Data were collected from February 1, 2021, to March 15, 2021. Data were analyzed with SPSS WIN 23.0 program using descriptive statistics, x2-test, independent t-test and logistic regression. Results: The turnover intention rate of nurses was 33.5%. Two significant predictors of nurses' turnover intention were identified, including risk acceptance in caring for patients with COVID-19 (odds ratio [OR] 4.24, 95% confidence interval [CI]=1.76~10.49) and nursing professionalism (OR=1.06, 95% CI=1.02~1.10). Conclusion: Hospital administrations should provide an improved work environment, such as individual protective equipment, compensation and protective system to nurses to avoid turnover intention in COVID-19 outbreak.

• Journal of Yeungnam Medical Science
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• v.2 no.1
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• pp.71-75
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• 1985

The clinical state with EEG pattern similar to interval discharge of epileptics is named as latent epilepsy, which does not necessarily mean that the patient will develop epilepsy later. However, since there is possibility of developing epilepsy on later date, antiepileptic mainly dilantin was tried to control the abnormal EEG. Since January to October 1985, total 580 headache sases with more than moderately abnormal EEG Visited the Neurology clinic. Among them 162 cases with interval seizure pattern (ISP) of epilepsy were selected for the study. The main ISP was 1. diffuse theta and/or delta bursts and 2. spikes. Since the study is only analysis of clinical treatment of 162 cases Without previous planning based on financial aid, about 30% of the patients did not return after the 1st EEG examination, in 42% failed to follow the EEG after the treatment and only remaining 28% of the cases were studied. Among 29 patients who were treated with Dilantin 100mg tid po, 16 improved and 13 not. Of the 13, 4 showed partial Improvement and partial progression. Case 1. In 4 weeks of antiepileptic the ray (AR), spikes disappeared but in 2 months developed bursts. Case 2. In 17days of AR, spikes and bursts disappeared but in 3 months bursts reccured. Case 3. In 1 week of AR, bursts disappeared but spikes developed. Case 4. In 3 months of AR, no change of spikes and bursts and she discontinued the AR. In 6 months she developed grandmal seizure. Eighteen cases, treated with other drugs except antiepileptics, all showed improvement. The other drugs were vincaprol, polygammalon, aronamin, ATP and hydergine. The improved cases had spikes more often than theta bursts. In view of the small number of the cases due to dropping most patients out of present study, it is considered meaningless to perform statistical analysis. Further well planned study With more patients is to be expected.

• Journal of Digital Convergence
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• v.11 no.5
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• pp.285-290
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• 2013

In a MPC coding using excitation source of voiced and unvoiced, it would be a distortion of speech waveform. This is caused by normalization of synthesis speech waveform of voiced in the process of restoration the multi-pulses of representation section. To solve this problem, this paper present a method of position compensation(PC-MPC) in a multi-pulses each pitch interval in order to reduce distortion of speech waveform. I was confirmed that the method can be synthesized close to the original speech waveform. And I evaluate the MPC and PC-MPC using multi-pulses position compensation method. As a result, $SNR_{seg}$ of PC-MPC was improved 0.4dB for female voice and 0.5dB for male voice respectively. Compared to the MPC, $SNR_{seg}$ of PC-MPC has been improved that I was able to control the distortion of the speech waveform finally. And so, I expect to be able to this method for cellular phone and smart phone using excitation source of low bit rate.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.9
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• pp.4119-4124
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• 2011

In a MPC coding using excitation source of voiced and unvoiced, it would be a distortion of speech waveform in case of increasing or decreasing of speech signal amplitude in a frame. This is caused by normalization of synthesis speech signal in the process of restoration the multi-pulses of representation section. To solve this problem, this paper present a method of amplitude compensation(AC-MPC) in a multi-pulses each pitch interval in order to reduce distortion of speech waveform. I was confirmed that the method can be synthesized close to the original speech waveform. And I evaluate the MPC and AC-MPC using amplitude compensation method. As a result, SNRseg of AC-MPC was improved 0.7dB for female voice and 0.7dB for male voice respectively. Compared to the MPC, SNRseg of AC-MPC has been improved that I was able to control the distortion of the speech waveform finally. And so, I expect to be able to this method for cellular phone and smart phone using excitation source of low bit rate.

• Clinical and Experimental Reproductive Medicine
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• v.48 no.3
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• pp.203-210
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• 2021

We performed a systematic review and meta-analysis to evaluate whether intralipid administration improved the outcomes of in vitro fertilization. Online databases (PubMed, Cochrane Library, Medline, and Embase) were searched until March 2020. Only randomized controlled trials (RCTs) that assessed the role of intralipid administration during in vitro fertilization were considered. We analyzed the rates of clinical pregnancy and live birth as primary outcomes. Secondary outcomes included the rates of chemical pregnancy, ongoing pregnancy, and missed abortion. We reviewed and assessed the eligibility of 180 studies. Five RCTs including 840 patients (3 RCTs: women with repeated implantation failure, 1 RCT: women with recurrent spontaneous abortion, 1 RCT: women who had experienced implantation failure more than once) met the selection criteria. When compared with the control group, intralipid administration significantly improved the clinical pregnancy rate (risk ratio [RR], 1.48; 95% confidence interval [CI], 1.23-1.79), ongoing pregnancy rate (RR, 1.82; 95% CI, 1.31-2.53), and live birth rate (RR, 1.85; 95% CI, 1.44-2.38). However, intralipid administration had no beneficial effect on the miscarriage rate (RR, 0.75; 95% CI, 0.48-1.17). A funnel plot analysis revealed no publication bias. Our findings suggest that intralipid administration may benefit women undergoing in vitro fertilization, especially those who have experienced repeated implantation failure or recurrent spontaneous abortion. However, larger, well-designed studies are needed to confirm these findings.