• Tuberculosis and Respiratory Diseases
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• 제40권4호
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• pp.353-356
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• 1993

Advent of new imaging modalities such as computed tomography, magnetic resonance imaging and ultrasound contributed greately to the specific imaging diagnosis. However plain chest X-ray is still most prequently used for imaging diagnosis of respiratory disease in clinical pratic and it is important to make a good quality of X-ray film and good interpretation. The optimal chest X-ray should be taken with full inspiration without rotation and motion and the exposure is at the level of barely demonstrable thoracic vertebral disc space. It is recommended that higk KVP technique for detection of lesions which is overlaped by mediastinum, heart and rib cage. It is better to examine chest X-ray film start at some distance(6-8 feet) and closer to the film later on and the reader should not read a film in fatigue condition. The reading room should be quiet and relately dark illumination. It is important, to make a good X-ray film and good interpretation to reduce the observer error.

• 대한전기학회논문지:전기기기및에너지변환시스템부문B
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• 제48권11호
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• pp.625-631
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• 1999

In this paper, an accurate position control using new estimator which estimates the instantaneous speed and accurate position with a low precision shaft encoder is proposed. The overall performance of position control system is strongly depend on the accuracy of the position information and the performance of the speed controller in low speed range. In this paper the position and speed of the motor are obtained from Kalman filter which is an optimal full order estimator. This estimator has good performance even in very low speed range include standstill. The simulation and experimental results confirm the validity of the proposed estimation and control scheme.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2002년도 춘계학술대회 논문집
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• pp.342-347
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• 2002

After the industrial revolution in 20 century, the world are preparing for new revolution that is society with knowledge for a basis such as IT(Information Technology), NT(Nano Technology) and BT(Bio Technology). Recently, NT is applied to various fields that are composed of science, industry, media and semiconductor-micro technology. It has need of IT that is ultra-precision positioning technology with strokes of many hundreds mm and maintenance of nm precision in fields of ultra micro process, ultra precision measurement, photo communication part and photo magnetic memory. Performance test of servo control system that is used ultra-precision positioning system with single plane X-Y stage is performed by simulation with Matlab. Analyzed for previous control algorithm and adapted for modern control theory, dual servo algorithm is developed by minimum order observer, and stability and priority on controller are secured. Through the simulation and experiments on ultra precision positioning, stability and priority on ultra-precision positioning system with single plane X-Y stage and control algorithm are secured by using Matlab with Simulink and ControlDesk made in dSPACE

• 설비공학논문집
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• 제26권12호
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• pp.579-587
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• 2014

This paper deals with precise analytical state equation modeling of a variable speed refrigeration system (VSRS) for optimum control in state space. The VSRS is described as multi-input and multi-output (MIMO) system, which has two controlled variables and two control inputs. First, the Navier-Stokes equation and mass flow rate were applied to each component of the basic refrigeration cycle to build a dynamic model. The dynamic model, represented by a differential equation, was transformed into the state equation formula. Next, a full-order state observer was built to estimate all of the state variables to compose an optimum control system. Then, an optimum controller was designed to minimize an evaluation function that has input energy and control error. Finally, simulations and experiments were conducted to verify the validity of the proposed modeling and designed optimum controller to regulate target temperature and superheat in a 1RT oil cooler system. The results show that the proposed method, state equation modeling and optimum control, is efficient to ensure optimal control performance of the VSRS.

• 수산해양기술연구
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• 제26권1호
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• pp.88-100
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• 1990

이상과 같이 엑튜에이터의 동특성 해석을 행하고 PID 제어기 및 최적 제어기를 설계하여 응답시뮬레이션을 한 결과 다음과 같은 결론을 얻었다. 1) 엑튜에이터 부의 시정수는 엔진 부의 시정수에 비해 아주 작아 생략하여 제어계를 구성할 수 있다. 2) 한계 감도법에 의해 PID 제어기를 시뮬레이션 한 결과 PID 제어 가버너는 전반적으로 오버슈트가 크고 중속 및 고속 상태에서는 정정시간이 비교적 짧지만 저속에서는 정상 상태에 도달하는데 상당한 시간이 걸린다. 3) 중량 matrix를 적당히 선택하여 최적 피이드 백 게인을 구한 후 마이크로 프로세서에 저장하여 제어기를 구성하면 PID 제어기 보다 양호한 응답 특성을 갖는 제어기를 설계 할 수 있다.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.673-678
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• 2014

Background The depth of graft harvest and the residual dermis available for reepithelization primarily influence the healing of split-skin graft donor sites. When the thigh region is chosen, the authors hypothesize based on thickness measurements that the anterolateral region is the optimal donor site. Methods Full-thickness skin specimens were sampled from the anteromedial, anterior, and anterolateral regions of human cadavers. Skin specimens were cut perpendicularly with a custom-made precision apparatus to avoid the overestimation of thickness measurements. The combined epidermal and dermal thicknesses (overall skin thickness) were measured using a digital calliper. The specimens were histologically stained to visualize their basement membrane, and microscopy images were captured. Since the epidermal thickness varies across the specimen, a stereological method was used to eliminate observer bias. Results Epidermal thickness represented 2.5% to 9.9% of the overall skin thickness. There was a significant difference in epidermal thickness from one region to another (P<0.05). The anterolateral thigh region had the most consistent and highest mean epidermal thickness ($60{\pm}3.2{\mu}m$). We observed that overall skin thickness increased laterally from the anteromedial region to the anterior and anterolateral regions of the thigh. The overall skin thickness measured $1,032{\pm}435{\mu}m$ in the anteromedial region compared to $1,220{\pm}257{\mu}m$ in the anterolateral region. Conclusions Based on skin thickness measurements, the anterolateral thigh had the thickest epidermal and dermal layers. We suggest that the anterolateral thigh region is the optimal donor site for split-skin graft harvests from the thigh.

• Journal of Astronomy and Space Sciences
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• 제26권3호
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• pp.329-344
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• 2009

일광절약시간제는 하절기에 낮 시간을 효율적으로 활용하기 위한 것이다. 한국은 해방이후부터 1988년까지 12번의 일광절약시간제를 시행하였다. 지난 20여년간 이 제도가 실시되지 않았으나, 최근에 일광절약시간제의 시행에 관한 문제가 다시 제기되고 있다. 이 논문에서는 세계 여러 국가의 일광절약시간제 시행경향, 한국의 일광절약시간제 실시의 역사를 살펴보고, 일출 몰시각 변화에 따른 낮의 길이 변화를 계산해 한국에 적합한 일광절약시간제 시행시기를 연구하였다. 한국은 동경 $135^{\circ}$ 표준자오선을 사용하고 있는데, 일출시각과 표준자오선의 지역적 치우침을 고려해 계산한 결과, 5월 두번째 일요일이나 4월 두번째 일요일이 적절한 일광절약시간제의 시작시기임을 알아내었다. 또한 일광절약시간제를 시행할 경우 발생하는 한국표준시에 대한 시간마찰과 이에 파생되는 문제들을 논하였다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권5호
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• pp.295-300
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• 2018

Background: Removal of the plate following Le Fort I osteotomy and BSSO (bilateral sagittal split osteotomy) is a common procedure. However, patients who undergo plate removal experience intense pain and discomfort. This study investigated the half-maximal effective concentration ($Ce_{50}$) of remifentanil in the prevention of plate removal pain under sedation using dexmedetomidine. Methods: The study evaluated 18 patients, between 18 and 35 years of age, scheduled for elective surgery. Remifentanil infusion was initiated after sedation using dexmedetomidine, and started at a dose of 1.5 ng/mL on the first patient via target-controlled infusion (TCI). Patients received a loading dose of $1.0{\mu}g/kg$ dexmedetomidine over 10 min, followed by a maintenance dose of $0.7{\mu}g/kg/h$. When the surgeon removed the plate, the patient Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score was observed. Results: The Ce of remifentanil ranged from 0.9 to 2.1 ng/mL for the patients evaluated. The estimated effect-site concentrations of remifentanil associated with a 50% and 95% probability of reaching MOAA/S score of 3 were 1.28 and 2.51 ng/mL, respectively. Conclusion: Plate removal of maxilla can be successfully performed without any pain or adverse effects by using the optimal remifentanil effect-site concentration ($Ce_{50}$, 1.28 ng/mL; $Ce_{95}$, 2.51 ng/mL) combined with sedation using dexmedetomidine.

• 대한두개안면성형외과학회지
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• 제22권6호
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• pp.310-318
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• 2021

Background: Transcutaneous lower eyelid approaches are associated with a risk of postoperative scarring depending on the distance between the incision line and the lower eyelid margin. The lower eyelid crease of Caucasians corresponds to a ridge-shaped fold in young Asians. However, this relationship has not been sufficiently evaluated in the latter. The authors, therefore, investigated the location of the scar and the lower eyelid crease or ridge to find the optimal location for the incision line. Methods: This study included 60 out of 139 patients who underwent inferior orbital wall reconstruction through a lower eyelid skin incision between July 2019 and June 2020. According to the location of the scar, the patients were classified into three groups: group A (≥ 2 mm above the lower eyelid crease or ridge), group B (within the lower eyelid crease or ridge to 2 mm above the lower eyelid crease or ridge), and group C (within the lower eyelid crease or ridge to 2 mm below the lower eyelid crease or ridge). At 6 or 12 months after surgery, the Patient and Observer Scar Assessment Scale (POSAS) score was obtained, the distance between the lower eyelid margin and the scar (DMS) and the distance between the margins of the peripheral pupil and the lower eyelid (DMPE) were measured, and the occurrence of ectropion was evaluated. Results: Group B had the lowest POSAS score (A: 22.7 ± 8.0, B: 20.9 ± 2.4, C: 32.5 ± 4.1, p< 0.001). Linear regression analysis showed that the DMS was positively correlated with the POSAS score (p< 0.001) and that the risk of DMPE widening increased as the DMS decreased (p= 0.029). None of the patients had ectropion. Conclusion: When using the transcutaneous approach for inferior orbital wall reconstruction, the optimal incision site is within the lower eyelid crease or ridge to 2 mm above the lower eyelid crease or ridge.

• 기본간호학회지
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• 제24권3호
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• pp.189-199
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• 2017

Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students' assessment and communication skills. Methods: Participants were 51 third year nursing students in a simulation practice of 'nursing care for a patient admitted with chest pain'. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students' assessment and communication skills during the simulation. Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (${\geq}.41$) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (${\geq}.40$) between the two evaluators, which was measured by intraclass correlation coefficient. Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.