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Individualized diabetes nutrition education improves compliance with diet prescription

  • Lim, Hae-Mi;Park, Ji-Eun;Choi, Young-Ju;Huh, Kap-Bum;Kim, Wha-Young
    • Nutrition Research and Practice
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    • v.3 no.4
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    • pp.315-322
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    • 2009
  • This study was designed to evaluate the effect of individualized diabetes nutrition education. The nutrition education program was open to all type 2 diabetes patients visiting the clinic center and finally 67 patients agreed to join the program. To compare with 67 education group subjects, 34 subjects were selected by medical record review. The education program consisted of one class session for 1-2 hours long in a small group of 4~5 patients. A meal planning using the food exchange system was provided according to the diet prescription and food habits of each subject. Measurements of clinical outcomes and dietary intakes were performed at baseline and 3 months after the education session. After 3 months, subjects in education group showed improvement in dietary behavior and food exchange knowledge. In education group, intakes of protein, calcium, phosphorus, vitamin $B_2$, and folate per 1,000 kcal/day were significantly increased and cholesterol intake was significantly decreased. They also showed significant reductions in body weight, body mass index (BMI), and fasting blood concentrations of glucose (FBS), HbA1c, total cholesterol, and triglyceride. However, no such improvements were observed in control group. To evaluate telephone consultation effect, after the nutrition education session, 34 subjects of the 67 education group received telephone follow-up consultation once a month for 3 months. The others (33 subjects) had no further contact after the nutrition education session. Subjects in the telephone follow-up group showed a decrease in BMI, FBS, and HbA1c. Moreover, the subjects who did not receive telephone follow-up also showed significant decreases in BMI and FBS. These results indicated that our individually planned education program for one session was effective in rectifying dietary behavior problems and improving food exchange knowledge, and quality of diet, leading to an improvement in the clinical outcomes. In conclusion, our individualized nutrition education was effective in adherence to diet recommendation and in improving glycemic control and lipid concentrations, while follow-up by telephone helped to encourage the adherence to diet prescription.

Android-Based Synchronous Mobile Distance Learning System with Session Recording and Replay Support (세션 레코딩과 리플레이를 지원하는 안드로이드 기반 동기식 모바일 원격 교육 시스템)

  • Sung, Dae-Hyun;Lee, Jang-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.6
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    • pp.1369-1380
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    • 2011
  • Most existing mobile distance learning systems are asynchronous ones that allow students to download lecture video and presentation material. However, there are a few synchronous real-time mobile distance learning systems that support slide, annotation, feedback from student, and lecture video and audio at the same time. These live mobile distance learning systems have an advantage of supporting real-time interaction between students and a lecturer thereby making students understand the lecture better. But, they also have a disadvantage in the sense that they don't allow students to experience the past lecture. This problem can be solved by recording and replaying lecture session. So far, there are few mobile distance learning systems that support session recording and replay. This paper presents a synchronous mobile distance learning system that supports video and audio, slide with annotation, and real-time feedback from students, as well as session recording and replay, which is not supported by the existing mobile distance learning systems. The evaluation of the system among students shows that 61.3% of them were satisfied while 3.2% weren't.

Some Developments at the Thirty-Fourth Session of the UNCITRAL Working Group II(Arbitration and Conciliation) (UNCITRAL 제2 실무작업반의 제34차 회의 동향)

  • 강병근
    • Journal of Arbitration Studies
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    • v.11 no.1
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    • pp.181-215
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    • 2001
  • The thirty-fourth session of UNCITRAL Working Group on Arbitration was held in New York. Among the topics discussed at the session, many delegations agreed to reform the article 7 of the UNCITRAL Model Law on International Commercial Arbitration in light of the development of electronic commerce. As for the article 2(2) of the New York Convention, it was agreed to reflect the changes of the article 7 not in the form of a treaty amendment but in the form of an interpretative statement. The topic as to provisional measures has been found so difficult to reach an agreement that most of its texts submitted by the secretariat were left untouched for the lack of time. However, most provisions of the legislative texts on conciliation were dealt with by delegations. The next session is to be held in Vienna. While the Korean Arbitration Act of 1966 was fully amended in 1999, it seems interesting to look at the development in which the arbitration community of the world has already begun discussing the new dimension of the law and practice of international commercial arbitration. It may be considered early to start a new project of reforming the Korean Arbitration Act at this time when only three years passed after it was fully amended. It is, however, worthwhile to remember that some progressive efforts were aborted in amending the Arbitration Act of 1966. One of them is about the same issue on the insertion of some provisions on the enforcement of interim measures of protection to which the priority is given by the Working Group. It seems fair to say that it would not be dangerous to follow the developments and to adapt ourselves to such trends shown in the session. In Korea, the words “arbitration” and “conciliation” are misleadingly interchanged although these two words should be differentiated from each other in the sense of third-party binding decision. It is self-evident from the Korean Arbitration Act and judicial decisions that arbitral awards bind the disputing parties and are to be treated as final judgements by the competent courts. It is, however, not uncommon to find that the word “arbitration” is misinterpreted as having the same meaning of the word “conciliation”. One of the reasons for the confusion is that many legislations in Korea provide for conciliation as having the meaning of arbitration and vice versa. It may be probable that the proposed legislative texts on conciliation could be a kind of useful method to prevent such confusion from being uncontrollable. It is, therefore, necessary that the legislative texts should be introduced into Korea as a legislation on conciliation.

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A New Resource Lists Architecture using Dynamic Notification Control Method (새로운 동적 통지 제어 방식을 사용한 리소스 리스트 구조)

  • Jang, Choon-Seo;Lee, Ky-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.1
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    • pp.133-140
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    • 2012
  • In SIP(Session Initiation Protocol) service, users should send SIP SUBSCRIBE messages to the SIP server to get subscription informations of the other parties, and total amount of SIP messages becomes large in network as refresh messages and notification messages are generated to each SIP subscription. In this paper, a new resource lists architecture using dynamic notification control method has been proposed to solve these problems. In this architecture, service users can control event notification generation rate dynamically from the server according to the operation circumstances, and users can control generation of notification messages during refresh for maintaining SIP session. Furthermore users can also control generation of notification messages according to session connection conditions. A new resource lists MIME type has been designed, and several parameters for dynamic notification message control have been added to the extended SIP message headers. In this system new resource lists MIME type can be used for processing of the event package. Therefore total amount of SIP messages in network can be largely reduced, and load of the resource lists server for processing messages can be reduced also. The performance of the proposed method has been evaluated by experiments.

A Design of Framework for Thin-Client by using X Protocol based Application (X 프로토콜 기반의 애플리케이션을 통한 씬-클라이언트 프레임워크 설계)

  • Song, Min-Gyu
    • Journal of Digital Contents Society
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    • v.10 no.4
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    • pp.509-520
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    • 2009
  • The advancement of network & application technology causes a major change for the use of IT(Information Technology) equipment, including computer and mobile system. In the process from beginning with main frame in the 1960s and 70's, through the server-client paradigm in the 1980s and toward the development of network computer since 90's, computer systems are now evolutioning from isolated physical system to complementary network based virtual system[1][2]. In network based computer system, application and data required for operation are stored at not client as local system, but at server[1]. User can use application & data on a server as if those are on a local client, and a client is now toward a developing thin and network friendly system. In this paper, we discuss possible ways for the efficient implementation of thin-client. For the use of remote application & data as if in local environment, we make use of X protocol. Unlike formal simple Client - Server paradigm, we design a Proxy for middle-tier server for the improvement of QoS and session persistence. X server, Xvfb(X virtual frame buffer) are implemented on thin client and Server, respectively and we applied XSMP(X Session Management Protocol) to our framework for session management. In the end, beyond simple transfer of server display, we suggest thin client framework for the transfter of remote server application over internet.

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Implementation of a Web-based Hybrid Engineering Experiment System for Enhancing Learning Efficiency (학습효율 향상을 위한 웹기반 하이브리드 공학실험시스템 구현)

  • Kim, Dong-Sik;Choi, Kwan-Sun;Lee, Sun-Heum
    • Journal of Engineering Education Research
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    • v.10 no.3
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    • pp.79-92
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    • 2007
  • To enhance the excellence, effectiveness and economical efficiency in the learning process, we implement a hybrid educational system for engineering experiments where web-based virtual laboratory systems and distance education systems are properly integrated. In the first stage, we designed client/server distributed environment and developed web-based virtual laboratory systems for digital systems and electrical/electronic circuit experiments. The proposed virtual laboratory systems are composed of four important sessions and their management system: concept learning session, virtual experiment session, assessment session. With the aid of the management system every session is organically tied up together to achieve maximum learning efficiency. In the second stage, we have implemented efficient and cost-effective distant laboratory systems for practicing electric/electronic circuits, which can be used to eliminate the lack of reality occurred during virtual laboratory session. The use of simple and user-friendly design allows a large number of people to access our distant laboratory systems easily. Thus, self-guided advanced training is available even if a lot of expensive equipment will not be provided in the on-campus laboratories. The proposed virtual/distant laboratory systems can be used in stand-alone fashion, but to enhance learning efficiency we integrated them and developed a hybrid educational system for engineering experiments. Our hybrid education system provides the learners with interactive learning environment and a new approach for the delivery of engineering experiments.

The Overload Control Scheme Using a Delay Queue in the SIP Signalling Networks (SIP 시그널링 네트워크에서 지연 큐를 이용한 과부하 제어 방법)

  • Lee, Jong-Min;Jeon, Heung-Jin;Kwon, Oh-Jun
    • Journal of Korea Multimedia Society
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    • v.15 no.8
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    • pp.1038-1047
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    • 2012
  • The SIP(Session Initation Protocol) is an application layer protocol that is used to establish, release, and change the call session of the IP telephony. In the SIP signalling networks, when the number of the UA(User Agent) requested the call session increase, the number of messages to be processed by SIP proxy server increase. It often will be caused the overload of the SIP proxy server. In this paper, we proposed the overload control method with a normal queue and a delay queue in the SIP proxy server. When it is estimated the overload of the server by the excess of the high threshold in the normal queue, new INVITE messages will be put into the delay queue to reduce the load of the server. It results in some delay of the call session from the INVITE message. Subsequently when the number of messages in the normal queue is reduced below the low threshold, the INVITE messages in the delay queue is processed. The simulation results showed that the number of the retransmission messages by our proposed method was 45% less than the one by the method with single queue. The results also showed that the average call success rate by the proposed method was 2% higher than the one by the method with single queue.

The Effects of Music Therapy by Self-Selected Music Listening on Terminal Cancer Patients' Affect and Stress by Pain Level (선호 음악 감상의 음악치료가 말기암환자의 통증 정도에 따른 정서 및 스트레스에 미치는 효과)

  • Lee, Eun-Hai;Choi, Sung-Eun
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.77-87
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    • 2012
  • Purpose: This study investigated the effects that music therapy by self-selected music listening has on the affect and stress relief in adult patients who have been diagnosed with terminal cancer by pain level. Methods: Participants were 20 terminally ill cancer patients who were over 18 years old and were admitted to the hospice and palliative care unit of a local hospital. At the beginning of each session, participants selected music of their choice. Each participant had a total of six 30-minute music listening sessions. Participants were grouped into two according to their self-rated perceived pain scores on the visual analogue scale and numeric rated score: 5 and above and less than 5. Each participant completed a questionnaire on their affect state before and after each session and a questionnaire on their stress level before the first session and after the last session. Further analysis was performed to compare differences between the two groups according to pain level. Results: There were significant differences in patients' affect before and after each session (P<0.001) and stress level before and after the therapy (P=0.001). Conclusion: In this study, self-selected music listening had positive effects on terminal cancer patients' affect and stress regardless of perceived pain level. Therefore, self-selected music listening can be used as an appropriate intervention to improve affect and reduce stress in terminal cancer patients in the hospice and palliative care unit.

Investigation of light stimulated mouse brain activation in high magnetic field fMRI using image segmentation methods

  • Kim, Wook;Woo, Sang-Keun;Kang, Joo Hyun;Lim, Sang Moo
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.12
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    • pp.11-18
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    • 2016
  • Magnetic resonance image (MRI) is widely used in brain research field and medical image. Especially, non-invasive brain activation acquired image technique, which is functional magnetic resonance image (fMRI) is used in brain study. In this study, we investigate brain activation occurred by LED light stimulation. For investigate of brain activation in experimental small animal, we used high magnetic field 9.4T MRI. Experimental small animal is Balb/c mouse, method of fMRI is using echo planar image (EPI). EPI method spend more less time than any other MRI method. For this reason, however, EPI data has low contrast. Due to the low contrast, image pre-processing is very hard and inaccuracy. In this study, we planned the study protocol, which is called block design in fMRI research field. The block designed has 8 LED light stimulation session and 8 rest session. All block is consist of 6 EPI images and acquired 1 slice of EPI image is 16 second. During the light session, we occurred LED light stimulation for 1 minutes 36 seconds. During the rest session, we do not occurred light stimulation and remain the light off state for 1 minutes 36 seconds. This session repeat the all over the EPI scan time, so the total spend time of EPI scan has almost 26 minutes. After acquired EPI data, we performed the analysis of this image data. In this study, we analysis of EPI data using statistical parametric map (SPM) software and performed image pre-processing such as realignment, co-registration, normalization, smoothing of EPI data. The pre-processing of fMRI data have to segmented using this software. However this method has 3 different method which is Gaussian nonparametric, warped modulate, and tissue probability map. In this study we performed the this 3 different method and compared how they can change the result of fMRI analysis results. The result of this study show that LED light stimulation was activate superior colliculus region in mouse brain. And the most higher activated value of segmentation method was using tissue probability map. this study may help to improve brain activation study using EPI and SPM analysis.

A Large Scale Distributed Presence Service System by SIP Message Control Session (SIP 메시지 제어 세션에 의한 대용량 분산 프레즌스 서비스 시스템)

  • Jang, Choonseo
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.5
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    • pp.514-520
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    • 2018
  • Presence service provides various information about users such as locations, status of on/offline and network access methods, and number of presence resources required by each users increases largely in mobile environment. Therefore an effective method which can reduce load of presence servers is needed. In this paper, a large scale distributed presence service system which can distribute effectively total presence system load of presence servers using message control session has been presented. This large scale distributed presence service system provides various presence information for massive volumes of users. In this study, a new message control session architecture which can dynamically distribute loads of the presence servers to multiple servers has been presented, and a new presence information data architecture for controlling load of the presence servers has been designed. In this architecture, each presence server can exchange current load level in real time to get variance of the total system load change according to user numbers, and can distribute system load to maintain load level of each server evenly. The performance of the proposed large scale distributed presence service system has been analysed by experiments. The results has been showed that average presence resource subscription processing time reduced from 42.6% to 73.6%, and average presence notification processing time reduced from 37.6% to 64.8%.