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Development of Nutrition Screening Index for Hospitalized Patients (입원 환자 영양검색 지표 개발)

  • Kim, Su-An;Kim, So-Yeon;Sohn, Cheong-Min
    • Korean Journal of Community Nutrition
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    • v.11 no.6
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    • pp.779-784
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    • 2006
  • Several studies about hospital malnutrition have been reported that about more than 40% of hospitalized patients are having nutritional risk factors and hospital malnutrition presents a high prevalence. People in a more severe nutritional status ended up with a longer length of hospital stay and higher hospital cost. Nutrition screening tools identify individuals who are malnourished or at risk of becoming malnourished and who may benefit from nutritional support. For the early detection and treatment of malnourished hospital patients , few valid screening instruments fur Koreans exist. Therefore, the aim of this study was to develop a simple, reliable and valid malnutrition screening tool that could be used at hospital admission to identify adult patients at risk of malnutrition using medical electrical record data. Two hundred and one patients of the university affiliated medical center were assessed on nutritional status and classified as well nourished, moderately or severely malnourished by a Patient-Generated subjective global assessment (PG-SGA) being chosen as the 'gold standard' for defining malnutrition. The combination of nutrition screening questions with the highest sensitivity and specificity at prediction PG-SGA was termed the nutrition screening index (NSI). Odd ratio, and binary logistic regression were used to predict the best nutritional status predictors. Based on regression coefficient score, albumin less than 3.5 g/dl, body mass index (BMI) less than $18.5kg/m^2$, total lymphocyte count less than 900 and age over 65 were determined as the best set of NSI. By using best nutritional predictors receiver operating characteristic curve with the area under the curve, sensitivity and 1-specificity were analyzed to determine the best optimal cut-off point to decide normal or abnormal in nutritional status. Therefore simple and beneficial NSI was developed for identifying patients with severe malnutrition. Using NSI, nutritional information of the severe malnutrition patient should be shared with physicians and they should be cared for by clinical dietitians to improve their nutritional status.

Strategy of Driver Selection in C3MR Process Considering Extraction Rate from Natural Gas Well (가스전의 추출속도를 고려한 C3MR 공정의 동력기 선택전략)

  • Lee, Sunkyu;Lee, Inkyu;Tak, Kyungjae;Moon, Il
    • Journal of the Korean Institute of Gas
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    • v.20 no.1
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    • pp.7-12
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    • 2016
  • Natural gas liquefaction process is essential to transport natural gas for long distances. Lots of compressors in this process are needed and the energy for these compressors can be supplied by drivers. Total driver cost can be changed by selecting various drivers. This study focused on the minimization of the driver cost to provide the energy to the compressors. Moreover, scenarios, extracting velocity is changed during whole operating period, are set with considering gas well capacity. The mathematical model was established by considering trade off relationship between the capital cost and the operating cost of the turbines. The model also considers the life time of the driver equipments. As the result, the driver cost of the optimized case was reduced by 6.4% than the base case.

Thermal and telemetry module design for satellite camera

  • Kong, Jong-Pil;Yong, Sang-Soon;Heo, Haeng-Pal;Kim, Young-Sun;Youn, Heong-Sik
    • Proceedings of the KSRS Conference
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    • 2002.10a
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    • pp.229-234
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    • 2002
  • Under the hostile influence of the extreme space environmental conditions due to the deep space and direct solar flux, the thermal control in space applications is especially of major importance. There are tight temperature range restrictions for electro-optical elements while on the other hand there are low power consumption requirements due to the limited energy sources on the spacecraft. So, we usually have strong requirement of thermal and power control module in space applications. In this paper, the design concept of a thermal and power control module in the MSC(Multi-Spectral Camera) system which will be a payload on KOMPSATII is described in terms of H/W & S/W. This thermal and power control module, called THTM(Thermal and Telemetry Module) in MSC, resides inside the PMU(Payload Management Unit) which is responsible for the proper management of the MSC payload for controlling and monitoring the temperature insides the EOS(Electro-Optic System) and gathering all the analog telemetry from all the MSC sub-units, etc. Particularly, the designed heater controller has the special mode of "duty cycle" in addition to normal closed loop control mode as usual. THTM controls heaters in open loop according to on/off set time designed through analysis in duty cycle mode in case of all thermistor failure whereas it controls heaters by comparing the thermistor value to temperature based on closed loop in normal mode. And a designed THTM provides a checking and protection method against the failure in thermal control command using the test pulse in command itself.

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Analysis of Electronic Endoscopic Image of Intramucosal Gastric Carcinoma Using Hemoglobin Index

  • Kim Gwang-Ha;Lim Eun-Kyung;Kim Kwang-Baek
    • Journal of the Korean Institute of Intelligent Systems
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    • v.16 no.3
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    • pp.332-337
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    • 2006
  • It has been suggested that the endoscopic color of intramucosal gastric carcinoma is correlated with mucosal vascularity within the carcinomatous tissue. The development of electronic endoscopy has made it possible to quantitatively measure the mucosal hemoglobin volume, using a hemoglobin index. The aim of this study was to make a software program to calculate the hemoglobin index (IHb) and then investigate whether the mucosal IHb determined from the electronic endoscopic data is a useful marker for evaluating the color of intramucosal gastric carcinoma, in particular with regard to its value for discriminating between the histologic types. The mean values of IHb for the carcinoma (IHb-C) and the mean values of IHb for the surrounding non-cancerous mucosa (IHb-N) were calculated in 75 intestinal-type and 34 diffuse-type gastric carcinomas. Then, we analyzed the ratio of the IHb-C to IHb-N. The mean IHb-C/IHb-N ratio in the intestinal-type carcinoma group was higher than that in the diffuse-type carcinoma group (1.28$\pm$0.19 vs. 0.81$\pm$0.18, respectively, p<0.001). When the cut-off point of the C/N ratio was set at 1.00, the accuracy rate, the sensitivity, the specificity, and the positive and negative predictive values of a C/R ratio below 1.00 for the differential diagnosis of diffuse-type carcinoma from intestinal-type carcinoma were 94.5%, 94.1%, 94.7%, 88.9% and 97.3%, respectively. IHb is useful for quantitative measurement of the endoscopic color in intramucosal gastric carcinoma and the IHb-C/IHb-N ratio would be helpful in distinguishing diffuse-type carcinoma from intestinal-type carcinoma.

Historical Development of Industrial Revolutions and the Place of So called 'the Fourth Industrial Revolution' (산업혁명의 역사적 전개와 4차 산업혁명론의 위상)

  • Song, Sungsoo
    • Journal of Science and Technology Studies
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    • v.17 no.2
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    • pp.5-40
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    • 2017
  • The purpose of this paper lies in summing up the historical stream of industrial revolutions and inspecting the place of so called 'the Fourth Industrial Revolution' set off by 2016 World Economic Forum. This paper examined the development of the First Industrial Revolution, the Second Industrial Revolution, the Third Industrial Revolution, and extracted the characteristics of each industrial revolution. Consequently, this paper certificated the history of industrial revolutions perceived by participants concerning the Fourth Industrial Revolution is problematic with reference to core technology and starting time. In addition, this paper raised a question whether the Fourth Industrial Revolution is another new industrial revolution or not, suggested some conditions required to bring industrial revolution into existence. In conclusion, the Fourth Industrial Revolution discussed enthusiastically in recent times is a sort of working hypothesis, and it is necessary to make future vision appropriate to Korean situation.

Run-off Forecasting using Distributed model and Artificial Neural Network model (분포형 모형과 인공신경망을 활용한 유출 예측)

  • Kim, Won Jin;Lee, Yong Gwan;Jung, Chung Gil;Kim, Seong Joon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.35-35
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    • 2019
  • 본 연구에서는 분포형 수문 모형 Drying Stream Assessment Tool and Water Flow Tracking (DrySAT-WTF)을 활용해 우리나라의 1976년부터 2015년까지의 유출량을 산정하고, 이를 다층퍼셉트론(Multi Layer Perceptron) 인경신경망 모형(Artificial Neural Network Model)에 적용해 미래 유출을 예측하였다. DrySAT-WFT은 전국 표준 유역을 대상으로 하천 건천화 원인 추적 및 평가를 위해 개발된 모형으로 유출모의를 위한 기상자료 외에 건천화 영향 요소를 고려하기 위한 산림 높이, 도로망, 지하수 이용량, 토지이용, 토심 변화에 대한 DB를 적용 가능한 것이 특징이다. DrySAT-WFT를 위한 기상자료로 모의 기간에 대한 일별 강우량, 상대습도, 평균풍속, 평균 및 최고, 최저 기온, 일조시간을 구축하였으며, 연대별 건천화 영향 요소 DB를 구축하여 적용하였다. 전국 다목적 댐 보 12지점의 유량을 활용해 모형의 보정(2005-2010) 및 검증(2011-2015)을 실시한 결과, 평균 결정계수(Coefficient of determination, $R^2$)는 0.76, 모형효율성계수(Nash-Sutcliffe efficiency, NSE)는 0.62, 평균제곱근오차(average root mean square error, RMSE)는 3.09로 신뢰성 있는 유출 모의 결과를 나타내었다. 미래 유출량 예측을 위한 MLP-ANN은 1976년부터 2015년까지의 유출 모의 결과를 Training Set으로 훈련하여 $R^2$가 0.5 이상이 되어 신뢰성을 확보하였고, 2016년부터 2018년까지의 기간을 1개월 단위로 실제 유출량과 예측 유출량을 비교하며 적용성을 검증 및 향상시켰다.

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Effect of pre-hospital BLS simulation training on the paramedic's competency

  • Jung, Jun-Ho;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.1
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    • pp.103-109
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    • 2018
  • The purpose of the study is to investigate the effect of a simulation training of BLS in paramedics in pre-hospital situation. This a nonequivalence control quasi-experimental study. The study subjects were 8 paramedics of experimental group and 8 paramedics of control group in K fire department. An informed consent was written by the subjects after explaining of the purpose of the study. The study methods consisted of conventional education and practice training. The conventional education was done for 30 minutes and the practice training was taken by four trainees of one group and the instructor demonstrated Basic Iife Support (BLS) performance for three minutes. Each trainer peformed BLS for ten minutes. In the beginning of the course, two paramedics got off from the ambulance and performed BLS including 5 cycles of Cardiopulmonary Resuscitation (CPR). Soon after the BLS, another two paramedics performed pre-hospital BLS survey. The education was guided by two professors of emergency medical technology, two Basic Iife Support instructors, and two emergency rescue directors. Pre-hospital BLS was measured by a 5-point Likert scale. Higher score means higher performance skills. The data were analyzed using SPSS/WIN 22.0 program set at significance level of p<05. The effect of simulation education was much more significant than the conventional education in BLS. The simulation education is very important and effective in improving the clinical performance skills of paramedics than the conventional education. The simulation education can provide the virtual environment of cardiac arrest to the paramedics. In conclusion, the simulation education can provide the effective teaching methods for various practice performance skills and solution by critical thinking in the paramedics and healthcare providers in the future.

The Asymmetric Relationship between Output Volatility and Growth : Evidence from the U.K. Industrial Production (영국 산업생산 자료에 나타난 성장률과 변동성간의 비대칭적 관계)

  • Kim, Jan R.
    • International Area Studies Review
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    • v.14 no.3
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    • pp.86-107
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    • 2010
  • Prior research on the relationship between output volatility and growth has produced mixed results, failing to provide clear empirical evidence on the sign of the relationship. In this paper, we raise the possibility that such failure is due to misspecification in empirical models previously used, i.e., not taking into account the business cycle dependence of the volatility-growth relation. We set off with the conjecture that higher volatility exerts qualitatively different effect on growth depending on whether the economy is in expansion or contraction. We estimate a series of ARCH-type models with the monthly industrial production data of the U.K., and find strong evidence suggesting that the volatility-growth relation is positive when the economy is in expansion, while higher volatility lowers growth rate in the contraction phase. We also find evidence supporting that the volatility-growth relation estimated in the paper captures a a causal relation, not a bidirectional correlation.

Deep neck flexor endurance in university students: normative data and reliability

  • Lee, Su-chang;Lee, Ye-rin;Yu, Seong-kwang;Seo, Dong-kwon
    • Physical Therapy Rehabilitation Science
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    • v.7 no.4
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    • pp.186-190
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    • 2018
  • Objective: Deep neck flexor muscle endurance (DNFET) is important to cervical pain patients. However, there is no normative data of the DNFET hold time of Korean university students. The purpose of this study was to provide normative data and the reliability of the DNFET times of Korean university students and to compare the DNFET hold times between male and female subjects. Design: Cross-sectional study. Methods: The participants included 39 male and 39 female students with no cervical pain. Each DNFET was measured while the subjects kept their chin tucked in while in a supine (hook-lying) position and with the head lifted 2.5 cm off the bed. The DNFET was conducted on each subject twice and the mean values were obtained. After each measurement, the participants rested for 5 minutes. Inter-rater reliability was measured by intraclass correlation coefficient (ICC) by three separate evaluators. Results: The inter-rater reliability was good, showing an ICC (2,3) value = 0.785 (95% confidence interval, 0.370-0.942). The DNFET time scores for men and women were $25.14{\pm}9.96$ seconds and $15.23{\pm}6.10$ seconds, respectively, in which the time scores of the men were significantly longer compared to women (p<0.05). Conclusions: Asymptomatic men displayed higher DNFET scores than women. This study can help clinicians test cervical function of patients and set an interventional goal. These findings serve as a basis that insists Korean women to increase their amount of physical activity.

A study on method of setting up the defense integrated security system (군 통합보안시스템 구축 방안 연구)

  • Jang, Worl-Su;Choi, Jung-Young;Lim, Jong-In
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.22 no.3
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    • pp.575-584
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    • 2012
  • A established military security tast based on existing manual and off-line needs the change and development to support effective and systematic task performance according to environment change of informational and scientific project in the military. Therefore this study suggests to set up the standard model of the defense integrated security system to automate and informationize major defense security task based on actual and problem in the area of major defense of security task and case analysis of these in America, England and other countries. The standard model consist of unit systems were made up integrated security system, security management system, man entrance system, vehicle entrance system, high-tech guard system, terror prevention system and the security accident analysis system, and this suggested model based on possible technology and system. If this model is apply to each real military unit, we will expect the development of defense security.