• Proceedings of the Korea Water Resources Association Conference
• /
• 2018.05a
• /
• pp.106-106
• /
• 2018

Ecosystem service valuation is a crucial step for the sustainable management of watershed. In the context of various ecosystem services provided by watershed, this study, particularly deals with water yield computation in Bagmati Basin of Nepal. The water availability per population in Bagmati Basin is lowest compared to other basins in Nepal. Also, the rate of urbanization is rapidly growing over a decade. In this regard, the objectives of this study are 1) to compute the total water yield of the basin along with computation on a sub-watershed scale, and 2) Study the impacts of land use change on water yield based on CLUE-S model. For the study, Integrated Valuation of Environmental Services and Tradeoffs (InVEST), a popular model for ecosystem service assessment based on Budyko hydrological method is used to compute water yield. As well, CLUE-S model is used to study land use change, which is further related to study variation on water yield. The sub-watershed wise outcome of the study is expected to provide the guidelines for the effective and economic management of a watershed on a regional scale.

• International Journal of Arrhythmia
• /
• v.19 no.3
• /
• pp.285-339
• /
• 2018

Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.

• Earthquakes and Structures
• /
• v.20 no.2
• /
• pp.175-185
• /
• 2021

This study strives to highlight the importance of considering the vertical ground motions (VGM) in the seismic evaluation of RC buildings. To this aim, IDA (Incremental Dynamic Analysis) is conducted on three code-based designed high-rise RC frame-core wall buildings using a suite of earthquake records comprising of significant VGMs. To unravel the significance of the VGM inclusion on the performance of the buildings, IDAs are conducted in two states (with and without the vertical component), and subsequently based on each analysis, fragility curves are developed. Non-simulated collapse criteria are used to determine the collapse state drift ratio and the area under the velocity spectrum (SIm) is taken into account as the intensity measure. The outcome of this study delineates that the inclusion of VGM leads to the increase in the collapse vulnerability of the structures as well as to the change in the pattern of inter-story drifts and failure mode of the buildings. The results suggested that it would be more conservative if the VGM is included in the seismic assessment and the fragility analysis of RC buildings.

• International Journal of Computer Science & Network Security
• /
• v.21 no.3
• /
• pp.83-93
• /
• 2021

COVID-19 poses a major risk to global health, highlighting the importance of faster and proper diagnosis. To handle the rise in the number of patients and eliminate redundant tests, healthcare information exchange and medical data are transmitted between healthcare centres. Medical data sharing helps speed up patient treatment; consequently, exchanging healthcare data is the requirement of the present era. Since healthcare professionals share data through the internet, security remains a critical challenge, which needs to be addressed. During the COVID-19 pandemic, computed tomography (CT) and X-ray images play a vital part in the diagnosis process, constituting information that needs to be shared among hospitals. Encryption and image steganography techniques can be employed to achieve secure data transmission of COVID-19 images. This study presents a new encryption with the image steganography model for secure data transmission (EIS-SDT) for COVID-19 diagnosis. The EIS-SDT model uses a multilevel discrete wavelet transform for image decomposition and Manta Ray Foraging Optimization algorithm for optimal pixel selection. The EIS-SDT method uses a double logistic chaotic map (DLCM) is employed for secret image encryption. The application of the DLCM-based encryption procedure provides an additional level of security to the image steganography technique. An extensive simulation results analysis ensures the effective performance of the EIS-SDT model and the results are investigated under several evaluation parameters. The outcome indicates that the EIS-SDT model has outperformed the existing methods considerably.

• Journal of the Korean Society of Physical Medicine
• /
• v.13 no.3
• /
• pp.49-60
• /
• 2018

PURPOSE: This study was conducted to investigate the intervention effect obtained by applying an ICF tool to improve the dressing in a patient with rotator cuff syndrome to schematize the problems and approaching with PNF to solve the problems. METHODS: The subject of this study was a 44-year-old patient who underwent surgery after complete right rotator cuff tear. To treat his symptoms, the processes of clinical practice were implemented in the order of examination, assessment, diagnosis, prognosis, intervention, and outcome. During examination, patient information was collected using the ICF core set. In the assessment, the problems were schematized, and an ICF assessment sheet was used to identify the interaction of the problems. The diagnosis was made by clearly describing the causal relationship derived from the assessment in ICF terms. To solve the problems, the intervention was given in the order of indirect, direct, and task based on the philosophy of PNF. To evaluate the outcome, the differences before and after the intervention were compared. Additionally, the comparison for the ICF qualifier is presented with the ICF evaluation display. RESULTS: The results of the study showed clinical advantages in shoulder strength, eccentric control, range of motion, scapular stability, and shoulder pain. Overall, our patient with rotator cuff syndrome showed improvement in dressing and undressing activity in response to the PNF strategy. CONCLUSION: Application of the PNF intervention strategy after complete rotator cuff tear would have a positive effect on patient upper extremity function.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.6
• /
• pp.2203-2207
• /
• 2015

Background: Breast conservative surgery (BCS) followed by radiotherapy is the standard approach in management of stage I-II breast cancer. Several factors can affect cosmetic outcomes. The aim of this study was to evaluate the cosmetic results of BCS and influencing factors in the Iranian Breast Cancer Research Center. Materials and Methods: Patients who had undergone BCS were included. Photographs were taken of both breasts of the patients in three aspects and were evaluated by three specialists. The cosmetic scores were calculated based on a standard questionnaire. The data were analyzed using univariate and multivariate regression for relationships between cosmetic scores and clinical data. Results: A total number of 103 patients were included in the study. Mean age and BMI of the patients were $46.8{\pm}8.9$ and $28.1{\pm}3.9$, respectively. Breast cup sizes C and D accounted for 74.7% of the study group. The mean cosmetic score obtained from three referees was 5.72+2.06, consisting of 35.9% excellent-good, 35% moderate, and 29.1% unsatisfactory results. Patient BMI, volume of the resected tissue and breast cup size (D) showed significant correlation with the cosmetic score. On multivariate regression analysis, cosmetic score and BMI (p=0.022,) as well as breast cup size (p=0.040), remained significant. Conclusions: Immediate or delayed symmetrization of the breasts is suggested during breast conservative surgery, meanwhile performing oncoplastic techniques to improve the results significantly. Also it is suggested to discuss anticipation of less satisfactory results with patients having higher BMI and large breast cup size.

• The Journal of the Korea Contents Association
• /
• v.17 no.12
• /
• pp.191-201
• /
• 2017

The purpose of this study was to examine the learning outcome of problem-based learning as an efficient teaching method to improve the competencies of great talents for future society. A general education course of a university that was one of teaching profession courses titled "prevention of school violence and countermeasures" was provided in the form of PBL, and data were gathered, which were reflective journals, evaluation sheet and observational journals. As a result, PBL produced learning effects such as understanding and applying learning contents, fostering cooperativeness, problem-solving skills and a sense of responsibility, extended thinking and good understanding of PBL. Also, that provided a great opportunity for the students to build up their character by learning caring and by improving cooperativeness, a sense of responsibility and communicative competency, which preservice teachers should have. The findings of the study suggest that the expansion of PBL is necessary to bolster problem- solving skills, self-directed learning, cooperativeness and creativity that are competencies required in the era of the Fourth Industrial Revolution.

• Journal of Korean Neurosurgical Society
• /
• v.40 no.5
• /
• pp.323-329
• /
• 2006

Objective : This study was designed to analyze surgical strategies for patients with intractable supplementary sensorimotor area[SSMA] seizures. Methods : Seventeen patients who had surgical treatment were reviewed retrospectively. Preoperatively, phase I [non-invasive] and phase II [invasive] evaluation methods for epilepsy surgery were done. Seizure outcome was assessed with Engel's classification. The mean follow-up period was 27.2 months [from 12 months to 54 months]. Results : An MRI identified structural abnormality in eight patients and 3D-surface rendering revealed abnormal gyration in three. PET, SPECT, and surface EEG could not delineate the epileptogenic zone. Video-EEG monitoring with a subdural grid or depth electrodes verified the epileptogenic zone in all patients. Surgical procedures consisted of a resection of the SSMA and simultaneous callosotomy in two patients, a resection of the SSMA extending to the adjacent area in seven, a resection of a different area without a SSMA resection in seven, and a callosotomy in one. Seizure outcomes were class I in 11 [65%]. class II in five [29%], class III in one [6%]. Conclusion : In patients with intractable SSMA seizure, surgery was an excellent treatment modality. Precise delineation of the epileptogenic zone based on multimodal diagnostic methods can provide good surgical outcomes without neurological complications.

• Journal of Korean Academy of Nursing Administration
• /
• v.18 no.1
• /
• pp.106-117
• /
• 2012

Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.41 no.4
• /
• pp.176-180
• /
• 2015

Objectives: The increased prevalence of antibiotic resistance is an outcome of evolution. Most patients presenting with odontogenic space infections also have associated systemic co-morbidities such as diabetes mellitus resulting in impaired host defense. The present study aims to compare the odontogenic spaces involved, antibiotic susceptibility of microorganisms, length of hospital stay, and the influence of systemic comorbidities on treatment outcome in diabetic patients. Materials and Methods: A 2-year prospective study from January 2012 to January 2014 was conducted on patients with odontogenic maxillofacial space infections. The patients were divided into two groups based on their glycemic levels. The data were compiled and statistically analyzed. Results: A total of 188 patients were included in the study that underwent surgical incision and drainage, removal of infection source, specimen collection for culture-sensitivity, and evaluation of diabetic status. Sixty-one out of 188 patients were found to be diabetic. The submandibular space was the most commonly involved space, and the most prevalent microorganism was Klebsiella pneumoniae in diabetics and group D Streptococcus in the nondiabetic group. Conclusion: The submandibular space was found to be the most commonly involved space, irrespective of glycemic control. Empiric antibiotic therapy with amoxicillin plus clavulanic acid combined with metronidazole with optimal glycemic control and surgical drainage of infection led to resolution of infection in diabetic as well as nondiabetic patients. The average length of hospital stay was found to be relatively longer in diabetic individuals.