• Title/Summary/Keyword: Management of DM

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Cardiovascular Risk Factors in Diabetic Patients according Duration of Diabetes Mellitus: The Sixth Korea National Health and Nutrition Examination Survey (당뇨병 유병기간에 따른 당뇨병 환자의 심혈관 위험 인자: 국민건강영양조사 6기 자료 이용)

  • Kim, Hee Sung
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.208-217
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    • 2018
  • The purpose of this study was to provide information on the treatment and management of diabetic patients using all the available data of the Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015) on the serological and complication patterns of cardiovascular disease (CVD) according to the duration of diabetes mellitus (DM). KNHANES consists of health questionnaires, screenings, and nutrition surveys. The study subjects were 1,316 persons who were aged between 18 and 80 years and who answered the duration of DM. DM was classified as 0-5, 6-10, 11-15, 16-20, and over 20 years according to duration of DM. The longer the duration of DM, the older the BMI, the lower the smoker, the higher the HbA1c and the lower the glomerular filtration rate. Total cholesterol, LDL-C and triglyceride levels were low and HDL-C levels were similar. The proportion of patients receiving insulin and oral hypoglycemic agents increased. The longer the duration of DM, the worse blood glucose control and the increased risk of microvascular and macrovascular complications. To prevent these complications, intensive care and monitoring should be used to control the risk factors.

Development of T2DM Prediction Model Using RNN (RNN을 이용한 제2형 당뇨병 예측모델 개발)

  • Jang, Jin-Su;Lee, Min-Jun;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.249-255
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    • 2019
  • Type 2 diabetes mellitus(T2DM) is included in metabolic disorders characterized by hyperglycemia, which causes many complications, and requires long-term treatment resulting in massive medical expenses each year. There have been many studies to solve this problem, but the existing studies have not been accurate by learning and predicting the data at specific time point. Thus, this study proposed a model using RNN to increase the accuracy of prediction of T2DM. This work propose a T2DM prediction model based on Korean Genome and Epidemiology study(Ansan, Anseong Korea). We trained all of the data over time to create prediction model of diabetes. To verify the results of the prediction model, we compared the accuracy with the existing machine learning methods, LR, k-NN, and SVM. Proposed prediction model accuracy was 0.92 and the AUC was 0.92, which were higher than the other. Therefore predicting the onset of T2DM by using the proposed diabetes prediction model in this study, it could lead to healthier lifestyle and hyperglycemic control resulting in lower risk of diabetes by alerted diabetes occurrence.

Performance Improvement of WDM Channels using Inline Dispersion Management in Transmission Link with OPC Placed at Various Position (다양한 위치에 존재하는 OPC를 갖는 전송 링크에서 Inline 분산 제어를 이용한 WDM 채널의 성능 개선)

  • Lee, Seong-Real
    • Journal of Advanced Navigation Technology
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    • v.14 no.5
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    • pp.668-676
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    • 2010
  • Optimal net residual dispersions (NRDs) of inline dispersion management (DM) for compensating the signal distortion of $24{\times}40$ Gbps WDM channels in optical transmission links, in which optical phase conjugator (OPC) is placed from 250 km to 750 km by spacing 50 km in 1,000 km total transmission length of single mode fiber (SMF), are induced as a function of various ope positions. And, performance improvement of WDM channels in transmission links with the induced optimal NRD is investigated by comparing with that in transmission links with NRD = 0 ps/nm. It is confirmed that optimal NRDs are decided by displacement of OPC from mid-way of total transmission length, i.e. 500 km, and the determinating and applying of optimal NRD in case of ope displacement into transmitters is more stable and effective than that in case of ope displacement into receivers from 500 km. Also, it is shown that eye opening penalties (EOPs) of WDM channels in transmission links with optimal NRD are improved by 1.5 dB to 3 dB, which are related with OPC position, from that obtained in transmission links with fixed NRD of 0 ps/nm.

Dietary Quality and Self-Management Status according to the Glycemic Control in the Elderly with Type 2 Diabetes (노인 당뇨환자에서 혈당조절에 따른 식사의 질과 당뇨자가관리상태)

  • Park, Soo-Jin;Woo, Mi-Hye;Choue, Ryo-Won
    • The Korean Journal of Food And Nutrition
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    • v.21 no.4
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    • pp.530-535
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    • 2008
  • Evidence for the effects of different health behaviors, including diet, in elderly diabetes is currently limited. The aim of this study was to compare the quality of diet and health behaviors in Korean elderly T2DM patients, using a glycemic control. T2DM elders(>65 yr, n=48) were recruited and categorized by the concentration of glycated-hemoglobin HbA1c; subjects with HbA1c<7% were the good control(GC) group, and subjects with $HbA1c{\geq}8%$ constituted the poor control(PC) group. General characteristics, self-management behavior questionnaires, and 3-d diet records were all collected and assessed. No significant differences in general characteristics between GC and PC were detected, with the exception of a higher level of education in GC(p<0.05). A twofold longer duration of diabetes was observed in PC as compared to GC(p<0.01). The GC group did exercise for a longer time(p<0.001), and had an earlier beginning of diabetes self-management education (DSME) by healthcare practitioners using a team teach as compared with the PC group(p<0.05). The total dietary quality index(p<0.001) and individual index for carbohydrate(p<0.001) or vegetables and fruit(p<0.05) were better in GC than in PC. Therefore, the earlier DSME including intensive exercise and balanced diet selection should be expected to improve glycemic control in diabetic Korean elders.

Optimization of Net Residual Dispersion and Launching Power Depend on Total Transmission Length and Span Length in Optical Transmission Links with Dispersion Management and Optical Phase Conjugation (분산 제어와 광 위상 공액이 적용된 광전송 링크에서 총 전송 거리와 중계 간격에 따른 전체 잉여 분산과 입사 전력의 최적화)

  • Lee, Seong-Real
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.12B
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    • pp.1433-1441
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    • 2011
  • Design rules of optical transmission links with dispersion management (DM) and optical phase conjugation (OPC) for compensating optical signal distortion due to chromatic dispersion and self phase modulation (SPM) of single mode fiber (SMF) are investigated in this paper. Design rules consist of optimal net residual dispersion (NRD) and optimal range of launching power of wavelength division multiplexed (WDM) channels as a function of total transmission length and span length. In all considered total transmission length and span length, optimal NRD are obtained to +10 ps/nm and -10 ps/mn for transmission links, which is controlled by precompensation and postcompensation, respectively. It is confirmed that system performances are more improved and effective NRD for wide launching power have wider range as total transmission length and span length are more decreased.

A Study on Efficient Multicast Technique using Virtual Group based on Geographic Information in MANET (위치정보 기반 가상 그룹을 활용한 효율적인 멀티캐스트 기법 연구)

  • Yang, Hwan Seok
    • Convergence Security Journal
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    • v.17 no.5
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    • pp.87-92
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    • 2017
  • MANET is a network composed itself because mobile nodes are connected wirelessly. It has been applied to various fields for group communication. However, the dynamic topology by the movement of the nodes causes routing failure frequently because it is difficult to maintain the position information of the nodes participating in the group communication. Also, it has a problem that network performance is decreased due to high overhead for managing information of member nodes. In this paper, we propose a multicast technique using location-based 2-tier virtual group that is flexible and reliable in management of member nodes. The network is composed of cellular zones and the virtual group is constructed using the location information of the nodes in the proposed technique. The virtual group management node is selected to minimize the overhead of location information management for member nodes in the virtual group. In order to improve the reliability for management of member nodes and multicast data transmission, it excludes the gateway node with low transfer rate when setting the route after the packet transmission rate of the member nodes is measured. The excellent performance of the proposed technique can be confirmed through comparative experiments with AMroute method and PAST-DM method.

Modulation Instability in Dispersion and Gain Managed Fibers (이득과 분산을 조절한 광섬유의 변조 불안정성 분석)

  • Choi, Byung-Hoon;Kim, Sang-In
    • Korean Journal of Optics and Photonics
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    • v.18 no.2
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    • pp.93-99
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    • 2007
  • We investigated analytically and numerically the occurrence of modulation instability in fibers with periodic changes both in dispersion and gain. Previously, it has been known that the modulation instability is suppressed in dispersion managed solitons where dispersion is managed in such a way that the local dispersion alternates between the normal and the anomalous regimes. In this work, we enhanced the advantage of the dispersion management scheme by additionally introducing proper gain/loss profiles in fibers. The gain/loss profile is given by $\Gamma(z)=0.5/D(z)*(dD/dz)$, where D(z) represents the dispersion profile. The fundamental gain spectra of the modulation instability in the dispersion and gain managed fibers have been derived analytically and confirmed by numerical calculation. Our investigation reveals that in the dispersion and gain fibers the modulation instabilities are always much more suppressed compared to the case with only dispersion managed. In practical dispersion management schemes, dispersion profiles show discontinuity. and thus. the corresponding gain/loss profiles tend to be finite. In these cases, the gain/loss profiles were approximated by lumped gains/losses of finite values. Our numerical calculations confirm that this approximation also works well.

A Study on the MIS curriculum directions and courses based on the MIS identity and IS core competency (MIS 정체성과 IS 핵심 역량 관점의 MIS 교육과정 방향 및 내용에 관한 연구)

  • Chang, Yun-Hee
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.253-270
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    • 2012
  • In a rapidly changing IT and business management environment the demand for competent IS personnels is increasing. However, it is ironic that the number of IT and IS majors has sharply decreased as well as the widespread skepticism of IS identity. This research suggests directions to differentiate MIS to other IT majors, diversify IS core competency and make general improvements in MIS curriculum. The research recommend the courses of IS Strategy and policy, ITA/EA, Global IT Management, Emerging Technologies, DW/DM, BI, IT Service Science, Project Management, IT Consulting and integrated capstone which are few in Kore universities. This research also stress the course of soft skills like business communication, team building, analytic/logical thinking, rational problem solving and so on as a important IS competency. The pedagogy of course is important, so the research recommend the internship, mentoring programme, lecturers in industry according to industrial - educational cooperation.

Lifestyle factors related to glucose control for diabetes management strategies: Nested case control design using KNHANES data (당뇨병 관리전략을 위한 혈당조절 관련 생활습관 요인: 국민건강영양조사 활용 코호트내 환자-대조군 연구)

  • Kim, Yunjung;Cho, Eunhee
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.501-510
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    • 2019
  • This study aimed to find health related lifestyle factors that influence glycemic control for diabetes mellitus (DM) management strategies. This study used nested case-control design with matching variables that were not controlled by individuals such as age, sex, insulin or oral hypoglycemic agent (OHA) use, disease duration, education level and household income. This study analyzed 983 subjects with type 2 DM who enrolled in the $7^{th}$ (2016-2017) Korean National Health and Nutrition Examination Survey (KNHANES). The target HbA1c level of controlled glucose was defined as less than 6.5%, and 289 (30%) were achieved. Conditional multivariable logistic regression analysis was performed to find self-control factors associated with HbA1c levels. The results statistically significant for variables such as duration of diabetes, insulin or OHA use in overall cohort and body mass index (BMI), smoking and fundus Examination in matched cohort. These results are expected to provide as evidence for the intensive care criteria(disease duration, drug use) and lifestyle management strategy(BMI, smoking, fundus examination).

A study on Satisfaction with Treatment in Medically vulnerable areas based on DRM (DRM기반 의료취약지 진료만족도 조사 연구)

  • Kyeung-Hwa Lee
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.213-220
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    • 2021
  • A policy is needed to provide appropriate medical services to rural residents living in medically vulnerable areas and to resolve imbalances in health and medical resources through this. In general, a survey method is used to secure medical services to the residents, and a security policy is needed to distribute and collect the questionnaire type and personal information between the investigator and the participant as digital contents. The proposed thesis introduces DRM (Digital Rights Management) technology as a way to safely manage the questionnaire type of the investigator and the personal information of the participants, and improves the problem that the existing License Server issues, renews, and cancels licenses to all domains. In order to do this, it provides convenience to the DRM-based survey policy that only DMs bundled with the family domain performs license management after the certificate is issued.