• Korea Journal of Hospital Management
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• v.20 no.4
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• pp.50-61
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• 2015

Advances in healthcare technology and rapid economic growth lead to the increased life expectancy and consequently the size of elderly population. Korea is one of the countries that are rapidly aging. Thus, it is particularly important to prepare for the aging society. Recently, the number of healthcare institutions for the elderly citizens has increased. The purpose of selecting a hospital for the elderly is, in general, maintenance of health rather than improvement of health receiving proper treatment. Unlike choosing a hospital for treatment, customers of a long term care hospital have a different set of factors to consider. Especially, when choosing a long term care hospital, the influence of patient's family is greater than the patient. This study examines the factors they consider for long term care hospital. A total of 198 questionnaires were collected from the families of actual patients of long term care hospitals. Twelve questionnaires were found to be non-usable because of missing and unsatisfactory responses. Consequently, 186 questionnaires were used for the analyses. Findings of this study are as follows. First, seven factors have been identified to consider when choosing a long term care hospital for the elderly. They include convenience of facilities, costs variety of facility programs, service hours, reputation, accessibility, quality of medical staff, medical facilities, and facility size. Second, This study measured both importance and satisfaction with these attributes and analyzed the difference between them. Satisfaction was lower than importance in the categories of convenience of facilities, costs, and programs, and accessibility. On the other hand, satisfaction was higher in terms of service hours, reputation, and quality of medical staff. Finally, the current study found positive impact of accessibility and quality of medical staff on reuse intention of a long term care hospital.

• Archives of Plastic Surgery
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• v.47 no.6
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• pp.551-558
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• 2020

Background Giant congenital melanocytic nevus (GCMN) is a rare disease, for which complete surgical resection is recommended. However, the size of the lesions presents problems for the management of the condition. The most popular approach is to use a tissue expander; however, single-stage expansion in reconstructive surgery for GCMN cannot always address the entire defect. Few reports have compared tissue expansion techniques. The present study compared single and serial expansion to analyze the risk factors for complications and the surgical outcomes of the two techniques. Methods We retrospectively reviewed the medical charts of patients who underwent tissue expander reconstruction between March 2011 and July 2019. Serial expansion was indicated in cases of anatomically obvious defects after the first expansion, limited skin expansion with two more expander insertions, or capsular contracture after removal of the first expander. Results Fifty-five patients (88 cases) were analyzed, of whom 31 underwent serial expansion. The number of expanders inserted was higher in the serial-expansion group (P<0.001). The back and lower extremities were the most common locations for single and serial expansion, respectively (P =0.043). Multivariate analysis showed that sex (odds ratio [OR], 0.257; P=0.015), expander size (OR, 1.016; P=0.015), and inflation volume (OR, 0.987; P=0.015) were risk factors for complications. Conclusions Serial expansion is a good option for GCMN management. We demonstrated that large-sized expanders and large inflation volumes can lead to complications, and therefore require risk-reducing strategies. Nonetheless, serial expansion with proper management is appropriate for certain patients and can provide aesthetically satisfactory outcomes.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.47 no.4
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• pp.34-40
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• 2010

This paper proposes an efficient CABAC encoder to reduce syntax element storage in H.264/AVC entropy coding. In the proposed architecture, all blocks are designed in dedicated hardware, so it performs fast processing without programmable processors. Context modeler of CABAC encoder requires the neighbor block data. However it requires impractically huge memory size if the neighbor block data is directly stored without proper processing. Therefore, this paper proposes an effective method of storing the neighbor block data to decrease memory size. The proposed CABAC encoder has 35,463 gates in 0.18um standard cell library. It operates at maximum speed of 180MHz and its throughput is about 1 cycle per input symbol.

• Journal of Advanced Navigation Technology
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• v.17 no.6
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• pp.646-651
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• 2013

In this paper, a small inverted-F antenna with adjustable characteristics is proposed with use of lumped elements, capacitor and resistor. Capacitor is inserted between end of the antenna and ground for size reduction and tuning of resonant frequency. On the other hand, $0{\Omega}$ resistor is replaced as the short line connected to ground. The movement of short point due to use of $0{\Omega}$ resistor results in providing variation of input impedance. Therefore optimum characteristics can be obtained only by proper choice of capacitor and short point without redesign of it's geometry. In order to check the validity, the proposed antenna is designed and fabricated for 2.4 GHz frequency band, and then is applied to a product of Zigbee wireless remote controller. As a result, the size of applied antenna is $8.5{\times}4.5mm^2$ and it is observed that the measured bandwidth and antenna gain are 150 MHz and 2 dBi respectively without redesign of the antenna.

• Korea Journal of Hospital Management
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• v.12 no.4
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• pp.1-21
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• 2007

The relaxation of the regulation in selection of medical institution allows patients to use their own judgement in choosing proper institution for their diseases. Since the change of the regulation, there should have been many changes in medical institution selection behavior. The analysis of the change in disease specific selection pattern is critical because there be an optimal selection criteria that ensure the efficient and effective utilization of medical resources. This study analysis the institution selection factors by comparing the choice among the cases of acute diseases, the cases of chronic diseases, inpatient services, outpatient services, and emergency medical service. The comparisons performed in terms of size, class and other characteristics of medical institutions. For the study the nationally surveyed database was used and the data were analyzed using logistic regression procedure. The results indicates that the primary care facilities were not properly utilized. This study speculates that the reason for the undesirable pattern of utilization is that the roles of primary care facilities in the healthcare delivery system was not clearly defined. Based on the results, the medical policy implications are discussed.

• Geomechanics and Engineering
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• v.33 no.6
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• pp.567-581
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• 2023

The prediction and achievement of a proper rock fragmentation size is the main challenge of blasting operations in surface mines. This is because an optimum size distribution can optimize the overall mine/plant economics. To this end, this study attempts to develop four improved artificial intelligence models to predict rock fragmentation through cascaded forward neural network (CFNN) and radial basis function neural network (RBFNN) models. In this regards, the CFNN was trained by the Levenberg-Marquardt algorithm (LMA) and Conjugate gradient backpropagation (CGP). Further, the RBFNN was optimized by the Dragonfly Algorithm (DA) and teaching-learning-based optimization (TLBO). For developing the models, the database required was collected from the Midouk copper mine, Iran. After modeling, the statistical functions were computed to check the accuracy of the models, and the root mean square errors (RMSEs) of CFNN-LMA, CFNN-CGP, RBFNN-DA, and RBFNN-TLBO were obtained as 1.0656, 1.9698, 2.2235, and 1.6216, respectively. Accordingly, CFNN-LMA, with the lowest RMSE, was determined as the model with the best prediction results among the four examined in this study.

• International Journal of Human Ecology
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• v.9 no.2
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• pp.107-116
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• 2008

A new movement in forming community villages for better living standards is becoming popular. In order to sustain a proper community, it is essential to design proper community programs and facilities, which can encourage the proactive participation of residents. In this study, detailed aspects of the Mindlre (Dandelion) community (including formation process and management of the village) are investigated. The Mindlre community is a successful community village in Korea concerned with residents' participation and community activities. The community is located in Sancheong, Gyungsangnamdo province in Korea. The study methods are references, field trips, and interviews with residents. Six areas were surveyed and investigated: the physical environment of the Mindlre community and eco-friendly elements, respondents' background and the motivation to join, residents composition, residents' participation in the formation process of the community, self-management systems and common activities, and residents's life satisfaction. The mindlre Community was founded on Christian religions faith. The primary idea of this village was building a new hope for rural areas without discrimination. The size of the village was expanded with housing for teachers and students who were linked with the Mindlre School (substitution school). When the community was founded, existing shapes of the village were preserved. The village was physically renovated based on the original environment, in addition nature friendly materials and methods were used. The residents were proactively involved in the community through regular meetings, self-regulation, and community worship. Although the survey results should that most residents were highly satisfied with living standards, there seemed to be no clear division between community facilities and private houses. A systematic and detailed space planning technique was required. In addition, various community facilities are required due to the expansion of the community.

• Radiation Oncology Journal
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• v.11 no.2
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• pp.439-448
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• 1993

The B-type gamma knife unit was installed at Kyung-Hee University Hospital in March 1992. The selective beam plugging method can be used to reduce the low percentage isodose profiles of normal sensitive organ and to modify the isodose curves of treatment volume for better shaping of the target volume. For representing the changes of the low percentage isodose profiles, the variations of dose distribution for several cases were discussed in this paper. The film dosimetry was peformed for the evaluation of calculated isodose profiles predicted by KULA dose planning system. The results were verified by RFA-3 automatic densitometry. The clinical application of selective beam shielding method was peformed in 17 patients in 100 patients who have undergone gamma knife radiosurgery for a year. The calculated and the measured isodose profiles for the high percentage regions were well consistent with each other. When the target of pituitary tumor is macro-size, the selective beam shielding method is the most applicable method. When the target size, however, is small, the correct selection of the proper helmet size is very important. All patients were exposed almost about 3~12 Gy for brain stem, and 3~11.2 Gy for optic apparatus. It is recommended that the same or other plugging patterns with multiple isocenters should be used for protection of the radiosensitive normal structures with precise treatment of CNS lesions.

• The Journal of the Korea Contents Association
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• v.22 no.10
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• pp.827-839
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• 2022

The severity of smartphone dependence among early adolescents, known as the most vulnerable group to smartphone addiction, is increasing. In this study, the factors affecting the smartphone dependence of early adolescents were analyzed by separating into elementary school and middle school students. For this purpose, the 1st data from Korean Children and Youth Panel Survey(2018) was used. The subjects of the study were 2,607 4th grade from elementary school and 2,590 1st grade from middle school. Factors that affect to smartphone dependence of both elementary and middle school students in common were gender, self-esteem, aggression, time spent with parents, and negative parenting attitude. On the other hand, region(city size), economic level, health status, school life satisfaction, and relationship with teachers were significant in the smartphone dependence of elementary school students, but not in middle school students. In middle school students, positive parenting attitudes were significant. Based on the results of the analysis, implications for policy establishment and social service provision were drawn to encourage the proper use of the by early youth.

• Interdisciplinary Bio Central
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• v.2 no.2
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• pp.6.1-6.5
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• 2010

Fragment molecular orbital (FMO) method provides a novel tool for ab initio calculations of large biomolecules. This method overcomes the size limitation difficulties in conventional molecular orbital methods and has several advantages compared to classical force field approaches. While there are many features in this method, we here focus on explaining the issues related to protein-ligand binding: FMO method provides useful interaction-analysis tools such as IFIE, CAFI and FILM. FMO calculations can provide not only binding energies, which are well correlated with experimental binding affinity, but also QSAR descriptors. In addition, FMO-derived charges improve the descriptions of electrostatic properties and the correlations between docking scores and experimental binding affinities. These calculations can be performed by the ABINIT-MPX program and the calculation results can be visualized by its proper BioStation Viewer. The acceleration of FMO calculations on various computer facilities is ongoing, and we are also developing methods to deal with cytochrome P450, which belongs to the family of drug metabolic enzymes.