• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.554-564
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• 2018

Purpose: This study aimed to construct a management model for patient transfer in a multilevel healthcare system and to predict the effect of counseling with nurses on the patient transfer process. Methods: Data were collected from the electronic medical records of 20,400 patients using the referral system in a tertiary hospital in Seoul from May 2015 to April 2017. The data were analyzed using system dynamics methodology. Results: The rates of patients who were referred to a tertiary hospital, continued treatment, and were terminated treatment at a tertiary hospital were affected by the management fee and nursing staffing in a referral center that provided patient transfer counseling. Nursing staffing in a referral center had direct influence on the range of increase or decrease in the rates, whereas the management fee had direct influence on time. They were nonlinear relations that converged the value within a certain period. Conclusion: The management fee and nursing staffing in a referral center affect patient transfer counseling, and can improve the patient transfer process. Our findings suggest that nurses play an important role in ensuring smooth transitions between clinics and hospitals.

• Journal of Power Electronics
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• v.18 no.6
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• pp.1659-1669
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• 2018

An improved circulating current suppression control method is proposed in this paper. In the proposed controller, an outer loop of the average capacitor voltage control model is used to balance the sub-module capacitor voltage. Meanwhile, an individual voltage balance controller and an arm voltage balance controller are also used. The DC and harmonic components of the circulating current are separated using a low pass filter. Therefore, a multiple quasi-proportional-resonant (multi-quasi-PR) controller is introduced in the inner loop to eliminate the circulating harmonic current, which mainly contains second-order harmonic but also contains other high-order harmonics. In addition, the parameters of the multi-quasi-PR controller are designed in the discrete domain and an analysis of the stability characteristic is given in this paper. In addition, a simulation model of a three-phase MMC system is built in order to confirm the correctness and superiority of the proposed controller. Finally, experiment results are presented and compared. These results illustrate that the improved control method has good performance in suppressing circulating harmonic current and in balancing the capacitor voltage.

• Asia-Pacific Journal of Business
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• v.13 no.3
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• pp.329-341
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• 2022

Purpose - The purpose of this study was to investigate consistency in estimating the number of vacant jobs using the two business labor force survey with two different time points of survey. Design/methodology/approach - We studied the cause of the differences in estimating the number of vacant jobs between the monthly sample and the new sample in business labor force survey. Findings - To summarize our findings, As the size of the company increases, the number of vacant jobs in the company also increases, and the probability that the number of vacant jobs in the company is zero decreases. The monthly sample was assessed to have a higher likelihood that the number of vacant jobs in the company was zero and the number of vacant jobs was considerable compared to the local sample. Research implications or Originality - Because local survey sample companies tend to minimize the number of vacant jobs even when they reply under the same conditions, the estimation result of the number of vacant jobs in the current monthly survey differs significantly from the estimation result of the local survey. Divergent "degrees of knowledge of question items," survey methodologies, or investigators could be the causes of the various response trends.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.6019-6023
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• 2013

Lung cancer, one of the leading causes of cancer-related deaths, usually appears as solitary pulmonary nodules (SPNs) which are hard to diagnose using the naked eye. In this paper, curvelet-based textural features and clinical parameters are used with three prediction models [a multilevel model, a least absolute shrinkage and selection operator (LASSO) regression method, and a support vector machine (SVM)] to improve the diagnosis of benign and malignant SPNs. Dimensionality reduction of the original curvelet-based textural features was achieved using principal component analysis. In addition, non-conditional logistical regression was used to find clinical predictors among demographic parameters and morphological features. The results showed that, combined with 11 clinical predictors, the accuracy rates using 12 principal components were higher than those using the original curvelet-based textural features. To evaluate the models, 10-fold cross validation and back substitution were applied. The results obtained, respectively, were 0.8549 and 0.9221 for the LASSO method, 0.9443 and 0.9831 for SVM, and 0.8722 and 0.9722 for the multilevel model. All in all, it was found that using curvelet-based textural features after dimensionality reduction and using clinical predictors, the highest accuracy rate was achieved with SVM. The method may be used as an auxiliary tool to differentiate between benign and malignant SPNs in CT images.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.37 no.6
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• pp.981-987
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• 2017

Jeju Island is a volcanic island which has a large permeability. Groundwater is a major water resources and its proper management is essential. Especially, there is a multilevel restriction due to the groundwater level decline during a drought period to protect sea water intrusion. Preliminary countermeasure using long-term groundwater level prediction is necessary to use agricultural groundwater properly. For this purpose, the monthly groundwater level prediction technique by Artificial Neural Network model was developed and applied to the representative monitoring wells. The monthly prediction model showed excellent results for training and test periods. The continuous groundwater level prediction model also developed, which used the monthly forecasted values adaptively as input data. The characteristics of groundwater declines were analyzed under extreme cases without precipitation for several months.

• Journal of Electrical Engineering and Technology
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• v.9 no.5
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• pp.1471-1481
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• 2014

This paper presents the new power dissipation model of individual switching device in a high-level modular multilevel converter (MMC), which can be mostly used in voltage sourced converter (VSC) based high-voltage direct current (HVDC) system and flexible AC transmission system (FACTS). Also, the voltage balancing method based on sorting algorithm is newly proposed to advance the MMC functionalities by effectively adjusting switching variations of the sub-module (SM). The proposed power dissipation model does not fully calculate the average power dissipation for numerous switching devices in an arm module. Instead, it estimates the power dissipation of every switching element based on the inherent operational principle of SM in MMC. In other words, the power dissipation is computed in every single switching event by using the polynomial curve fitting model with minimum computational efforts and high accuracy, which are required to manage the large number of SMs. After estimating the value of power dissipation, the thermal condition of every switching element is considered in the case of external disturbance. Then, the arm modeling for high-level MMC and its control scheme is implemented with the electromagnetic transient simulation program. Finally, the case study for applying to the MMC based HVDC system is carried out to select the appropriate insulated-gate bipolar transistor (IGBT) module in a steady-state, as well as to estimate the proper thermal condition of every switching element in a transient state.

• Journal of Electrical Engineering and Technology
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• v.11 no.6
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• pp.1645-1655
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• 2016

A Dynamic Voltage Restorer (DVR) model is proposed to eliminate the short-term voltage disturbances that occur in the grid-connected mode, the switching between grid-connected mode and the stand-alone mode of a Microgrid. The proposed DVR structure is based on a conventional cascaded H-bridge multilevel inverter (MLI) topology; a novel composite control strategy is presented, which could ensure the compensation ability of voltage sag by the DVR. Moreover, the compensation to specified order of harmonic is added to implement effects that zero-steady error compensation to harmonic voltage in specified order of the presented control strategy; utilizing wind turbines-batteries units as DC energy storage components in the Microgrid, the operation cost of the DVR is reduced. When the Microgrid operates under stand-alone mode, the DVR can operate on microsource mode, which could ease the power supply from the main grid (distribution network) and consequently be favorable for energy saving and emission reduction. Simulation results validate the robustness and effective of the proposed DVR system.

• International Journal of Fuzzy Logic and Intelligent Systems
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• v.16 no.4
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• pp.246-253
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• 2016

Infrared (IR) imaging has been researched for various applications such as surveillance. IR radiation has the capability to detect thermal characteristics of objects under low-light conditions. However, automatic segmentation for finding the object of interest would be challenging since the IR detector often provides the low spatial and contrast resolution image without color and texture information. Another hindrance is that the image can be degraded by noise and clutters. This paper proposes multi-level segmentation for extracting regions of interest (ROIs) and objects of interest (OOIs) in the IR scene. Each level of the multi-level segmentation is composed of a k-means clustering algorithm, an expectation-maximization (EM) algorithm, and a decision process. The k-means clustering initializes the parameters of the Gaussian mixture model (GMM), and the EM algorithm estimates those parameters iteratively. During the multi-level segmentation, the area extracted at one level becomes the input to the next level segmentation. Thus, the segmentation is consecutively performed narrowing the area to be processed. The foreground objects are individually extracted from the final ROI windows. In the experiments, the effectiveness of the proposed method is demonstrated using several IR images, in which human subjects are captured at a long distance. The average probability of error is shown to be lower than that obtained from other conventional methods such as Gonzalez, Otsu, k-means, and EM methods.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.13 no.2
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• pp.120-126
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• 1988

In this paper the performance of the asynchronous Repeated FH/MFSK system for the CDMA(Code Division Multiple Access) was analyzed. Actually there was no difference in the probabilities of hit of frequency between Random Coding method and frequency hopping pattern vector suggested by Einarsso. Actual situation was adopted as a model in thie simulation, on the assumption thet;a:there was no Noise, Multipath propagation, b:there was only mutual interference. c:the number of users M was given. Also it was found that there is almost no deviation between the value calculated from the formula of word error probability expressed by bound and that obtained from this simulation.

• Archives of Plastic Surgery
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• v.47 no.6
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• pp.559-566
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• 2020

Background Infraorbital nerve dysfunction is commonly reported after zygomaticomaxillary complex fractures. We evaluated sensory changes in four designated areas (eyelid, nose, zygoma, and lip) innervated by the infraorbital nerve. This evaluation was conducted using the static two-point discrimination test and the vibration threshold test. We assessed the diagnostic significance of the blink reflex in patients with infraorbital nerve dysfunction. Methods This study included 18 patients, all of whom complained of some degree of infraorbital nerve dysfunction preoperatively. A visual analog scale, the infraorbital blink reflex, static two-point discrimination, and the vibration threshold were assessed preoperatively, at 1 month postoperatively (T1), and at a final follow-up that took place at least 4 months postoperatively (T4). The results were analyzed using a multilevel generalized linear mixed model. Results Scores on the visual analog scale significantly improved at T1 and T4. The infraorbital blink reflex significantly improved at T4. Visual analog scale scores improved more rapidly than the infraorbital blink reflex. Two-point discrimination significantly improved in all areas at T4, and the vibration perception threshold significantly improved in the eyelid at T4. Conclusions Recovery of the infraorbital blink reflex reflected the recovery of infraorbital nerve dysfunction. We also determined that the lip tended to recover later than the other areas innervated by the infraorbital nerve.