• Title/Summary/Keyword: Integrated Primary System

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Study on the Multilevel Effects of Integrated Crisis Intervention Model for the Prevention of Elderly Suicide: Focusing on Suicidal Ideation and Depression (노인자살예방을 위한 통합적 위기개입모델 다층효과 연구: 자살생각·우울을 중심으로)

  • Kim, Eun Joo;Yook, Sung Pil
    • 한국노년학
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    • v.37 no.1
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    • pp.173-200
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    • 2017
  • This study is designed to verify the actual effect on the prevention of the elderly suicide of the integrated crisis intervention service which has been widely provided across all local communities in Gyeonggi-province focusing on the integrated crisis intervention model developed for the prevention of elderly suicide. The integrated crisis intervention model for the local communities and its manual were developed for the prevention of elderly suicide by integrating the crisis intervention theory which contains local community's integrated system approach and the stress vulnerability theory. For the analysis of the effect, the geriatric depression and suicidal ideation scale was adopted and the data was collected as follows; The data was collected from 258 people in the first preliminary test. Then, it was collected from the secondary test of 184 people after the integrated crisis intervention service was performed for 6 months. The third collection of data was made from 124 people after 2 or 3 years later using the backward tracing method. As for the analysis, the researcher used the R Statistics computing to conduct the test equating, and the vertical scaling between measuring points. Then, the researcher conducted descriptive statistics analysis and univariate analysis of variance, and performed multi-level modeling analysis using Bayesian estimation. As a result of the study, it was found out that the integrated crisis intervention model which has been developed for the elderly suicide prevention has a statistically significant effect on the reduction of elderly suicide in terms of elderly depression and suicide ideation in the follow-up measurement after the implementation of crisis intervention rather than in the first preliminary scores. The integrated crisis intervention model for the prevention of elderly suicide was found to be effective to the extent of 0.56 for the reduction of depression and 0.39 for the reduction of suicidal ideation. However, it was found out in the backward tracing test conducted 2-3 years after the first crisis intervention that the improved values returned to its original state, thus showing that the effect of the intervention is not maintained for long. Multilevel analysis was conducted to find out the factors such as the service type(professional counseling, medication, peer counseling), characteristics of the client (sex, age), the characteristics of the counselor(age, career, major) and the interaction between the characteristics of the counselor and intervention which affect depression and suicidal ideation. It was found that only medication can significantly reduce suicidal ideation and that if the counselor's major is counseling, it significantly further reduces suicidal ideation by interacting with professional counseling. Furthermore, as the characteristics of the suicide prevention experts are found to regulate the intervention effect on elderly suicide prevention in applying integrated crisis intervention model, the primary consideration should be given to the counseling ability of these experts.

Electronic Ballast of High Power Factor Using SEPIC Converter for Electrodeless Fluorescent Lamps (SEPIC 컨버터를 이용한 무전극형광램프용 고역률 전자식 안정기)

  • 장도현;주형종;권명일
    • The Transactions of the Korean Institute of Power Electronics
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    • v.9 no.3
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    • pp.285-293
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    • 2004
  • In this Paper the electronic ballast using the SEPIC(Single Ended Primary Inductor Converter) converter for the multiple electrodeless fluorescent lamps is proposed, which has the structure of the active PFC and self oscillating function. The SEPIC converter system has the characteristics of the power factor with low input current harmonic distortion. The proposed control method is based on the aveage-current-mode using the dedicated integrated circuit UC3854. The proposed electronic ballast has the reduction effect for the energy and manufacturing cost because it is designed for tripple electrodeless fluorescent lamps. The experimental results shows that the power factor is higher and the THD is lower.

A Review on Clinical Studies on Metabolic Disease Using a Pulse Tonometry Device (맥진기를 활용한 대사증후군 대상 임상연구 고찰)

  • Kim, Ji-hye;Jeon, Young-ju
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.612-623
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    • 2018
  • Objective: The aim of this research was to investigate the current status and limitations of the clinical use of a pulse tonometry device (PTD). Methods: We searched online medical databases, including Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), DataBase Periodical Information Academic (DBpia) and PubMed, for clinical studies of metabolic diseases that used PTD. We selected articles on the clinical application of the PTD but excluded duplicate articles, clinical studies without the PTD, and non-clinical studies. In the first screening, 551 articles were selected. Ultimately, we found 10 articles and classified the articles according to the following diseases: hyperlipidemia, diabetes, overweight and obesity, hypertension, and metabolic disease. Results: Of the 10 selected articles, 4 were focused on hypertension. Two articles were focused on overweight or obesity and two articles were focused on the metabolic disease. Conclusions: This study was the first attempt to conduct a systematic review on clinical studies of metabolic disease using the PTD as a primary outcome. We suggest that the standard of pulse wave parameters and operating procedures for the PTD should be further developed. The results of this study are expected to be used as basic information for the planning and progression of clinical studies of metabolic syndrome using PTD.

Enzymatic activity of Endoplasmic Reticulum Oxidoreductin 1 from Bombyx mori

  • Park, Kwanho;Yun, Eun-Young;Goo, Tae-Won
    • International Journal of Industrial Entomology and Biomaterials
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    • v.37 no.1
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    • pp.15-20
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    • 2018
  • Most proteins produced in the endoplasmic reticulum (ER) of eukaryotic cells fold via disulfide formation (oxidative folding). Oxidative folding is catalyzed by protein disulfide isomerase (PDI) and PDI-related ER protein thiol disulfide oxidoreductases (ER oxidoreductases). In yeast and mammals, ER oxidoreductin-1s (ERO1s) supply oxidizing equivalent to the active centers of PDI. We previously identified and characterized the ERO1 of Bombyx mori (bERO1) as a thioredoxin-like protein that shares primary sequence homology with other ERO1s. Here we compare the reactivation of inactivated rRNase and sRNase by bERO1, and show that bERO1 and bPDI cooperatively refold denatured RNase A. This is the first result suggesting that bERO1 plays an essential role in ER quality control through the combined activities of bERO1 and bPDI as a catalyst of protein folding in the ER and sustaining cellular redox homeostasis.

Quantification of Genetically Modified Canola GT73 Using TaqMan Real-Time PCR

  • Kim, Jae-Hwan;Song, Hee-Sung;Kim, Dong-Hern;Kim, Hae-Yeong
    • Journal of Microbiology and Biotechnology
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    • v.16 no.11
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    • pp.1778-1783
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    • 2006
  • Event-specific PCR detection methods are the primary trend in genetically modified (GM) plant detection owing to their high specificity based on the flanking sequence of the exogenous integrant. Therefore, this study describes a real-time PCR system for event-specific GM canola GT73, consisting of a set of primers, TaqMan probe, and single target standard plasmid. For the specific detection of GT73 canola, the 3'-integration junction sequence between the host plant DNA and the integrated specific border was targeted. To validate the proposed method, test samples of 0, 1, 3, 5, and 10% GT73 canola were quantified. The method was also assayed with 15 different plants, and no amplification signal was observed in a real-time PCR assay with any of the species tested, other than GT73 canola.

Effects of Auditory Warning Types on Response Time and Accuracy in Ship Bridges (선교내에서 청각경보음의 유형이 반응속도와 정확성에 미치는 영향)

  • Ha, Wook-Hyun;Park, Sung-Ha;Kim, Hong-Tae
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.4
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    • pp.673-680
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    • 2010
  • The effects of different auditory warnings on response time and accuracy were studied in a laboratory ship-bridge work environment. Subjective preference on the type of auditory warnings was also of a primary concern. Twenty five subjects were asked to select an appropriate button for the warning sound presented with three types of auditory warning (abstract sound, auditory icon, and voice alarm) and five levels of warning situation (fire, steering failure, collision, engine failure, and low power). Results showed that the response time and accuracy was significantly affected by the types of auditory warning. The voice alarm resulted in a higher accuracy and subjective preference, as compared to the auditory icon and abstract sound. Regarding the response time, auditory icons and voice alarms were equivalent and superior to abstract sounds. Actual or potential applications of this research include guidelines for the design of integrated ship bridge systems.

Automatic Segmentation of Retinal Blood Vessels Based on Improved Multiscale Line Detection

  • Hou, Yanli
    • Journal of Computing Science and Engineering
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    • v.8 no.2
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    • pp.119-128
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    • 2014
  • The appearance of retinal blood vessels is an important diagnostic indicator of serious disease, such as hypertension, diabetes, cardiovascular disease, and stroke. Automatic segmentation of the retinal vasculature is a primary step towards automatic assessment of the retinal blood vessel features. This paper presents an automated method for the enhancement and segmentation of blood vessels in fundus images. To decrease the influence of the optic disk, and emphasize the vessels for each retinal image, a multidirectional morphological top-hat transform with rotating structuring elements is first applied to the background homogenized retinal image. Then, an improved multiscale line detector is presented to produce a vessel response image, and yield the retinal blood vessel tree for each retinal image. Since different line detectors at varying scales have different line responses in the multiscale detector, the line detectors with longer length produce more vessel responses than the ones with shorter length; the improved multiscale detector combines all the responses at different scales by setting different weights for each scale. The methodology is evaluated on two publicly available databases, DRIVE and STARE. Experimental results demonstrate an excellent performance that approximates the average accuracy of a human observer. Moreover, the method is simple, fast, and robust to noise, so it is suitable for being integrated into a computer-assisted diagnostic system for ophthalmic disorders.

A Review of Korean Medicine Treatment for Seizure Disease in Children (소아 발작 질환에 대한 국내 임상논문 고찰)

  • Lee, Shin Hee;Baek, Jung Han;Cho, Yun Soo
    • The Journal of Pediatrics of Korean Medicine
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    • v.34 no.3
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    • pp.37-54
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    • 2020
  • Objectives The purpose of this study is to analyze the treatment and treatment's effect for seizures disease in children by reviewing Korean clinical studies. Methods 13 articles which were published from August, 2002 to August, 2016 were obtained from the National discovery for science leader (NDSL), Research information sharing service (RISS), Google Scholar, and Oriental medicine advanced searching integrated system (OASIS) by using keyword 'Seizure', 'Convulsion', and 'Epilepsy'. Results Most of the study cases were with epilepsy children. The most frequently used herbal medicine was Gwakhyangjeonggi-san gami, and the most commonly used acupoints were LI4 and LR3. Treatment periods range from 13 days to 14 months, and all of the seizures were completely cured or relieved after the treatments. Conclusions This study shows that there are common symptoms and treatments for seizures in children. The reported different treatments can be used in primary medical care. Developing guideline standards of the seizure treatments can be possible with further studies.

Quality of Life, Frailty and Depression in Elderly in Rural Area (일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질)

  • Kang, Hee Gyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.1
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    • pp.13-27
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    • 2017
  • Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

A MAC Protocol for Link Maintenance in Multichannel Cognitive Radio Ad Hoc Networks

  • Li, Jingye;Luo, Tao;Gao, Jing;Yue, Guangxin
    • Journal of Communications and Networks
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    • v.17 no.2
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    • pp.172-183
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    • 2015
  • To provide an efficient link maintenance approach, we propose a cross layer medium access control (LM-MAC) protocol for multichannel cognitive radio ad hoc networks. Link establishment and reliable transmission are two key problems for a perfect link maintenance mechanism. Since the cognitive user (CU) pairs have to reestablish their links each frame, in the proposed MAC protocol, three different access modes are designed to guarantee transmission efficiency in continuous frames. To enhance the transmission reliability, each CU will create a father spectrum list (FSL) after joining in the network. FSL is divided into three groups of sub-channels with different functions to compensate the packet loss caused by the primary users' appearance and the deep fading. Meanwhile, since the transmitter and the receiver will share the same FSL, periodical cooperative sensing is adopted to further optimize the former problem. Finally, compared with the existing opportunistic multichannel (OMC)-MAC protocol, the proposed LM-MAC protocol achieves better system performance in terms of saturation throughput, continuity and access delay.