• Title/Summary/Keyword: Simulation Practice

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Application of Simulated Three Dimensional CT Image in Orthognathic Surgery (악교정 수술에서 모의 조종된 3차원 전산화 단층촬영상의 응용)

  • Kim Hyung-Don;Yoo Sun-Kook;Lee Kyoung-Sang;Park Chang-Seo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.2
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    • pp.363-385
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    • 1998
  • In orthodontics and orthognathic surgery. cephalogram has been routine practice in diagnosis and treatment evaluation of craniofacial deformity. But its inherent distortion of actual length and angles during projecting three dimensional object to two dimensional plane might cause errors in quantitative analysis of shape and size. Therefore, it is desirable that three dimensional object is diagnosed and evaluated three dimensionally and three dimensional CT image is best for three dimensional analysis. Development of clinic necessitates evaluation of result of treatment and comparison before and after surgery. It is desirable that patient that was diagnosed and planned by three dimensional computed tomography before surgery is evaluated by three dimensional computed tomography after surgery. too. But Because there is no standardized normal values in three dimension now and three dimensional Computed Tomography needs expensive equipments and because of its expenses and amount of exposure to radiation. limitations still remain to be solved in its application to routine practice. If postoperative three dimensional image is constructed by pre and postoperative lateral and postero-anterior cephalograms and preoperative three dimensional computed tomogram. pre and postoperative image will be compared and evaluated three dimensionally without three dimensional computed tomography after surgery and that will contribute to standardize normal values in three dimension. This study introduced new method that computer-simulated three dimensional image was constructed by preoperative three dimensional computed tomogram and pre and postoperative lateral and postero-anterior cephalograms. and for validation of new method. in four cases of dry skull that position of mandible was displaced and four patients of orthognathic surgery. computer-simulated three dimensional image and actual postoperative three dimensional image were compared. The results were as follows. 1. In four cases of dry skull that position of mandible was displaced. range of displacement between computer-simulated three dimensional images and actual postoperative three dimensional images in co-ordinates values was from -1.8 mm to 1.8 mm and 94% in displacement of all co-ordinates values was from -1.0 mm to 1.0 mm and no significant difference between computer-simulated three dimensional images and actual postoperative three dimensional images was noticed(p>0.05). 2. In four cases of orthognathic surgery patients, range of displacement between computer­simulated three dimensional images and actual postoperative three dimensional images in coordinates values was from -6.7 mm to 7.7 mm and 90% in displacement of all co-ordinates values was from -4.0 to 4.0 mm and no significant difference between computer-simulated three dimensional images and actual postoperative three dimensional images was noticed(p>0.05). Conclusively. computer-simulated three dimensional image was constructed by preoperative three dimensional computed tomogram and pre and postoperative lateral and postero-anterior cephalograms. Therefore. potentiality that can construct postoperative three dimensional image without three dimensional computed tomography after surgery was presented.

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Nursing Students' Awareness of Biomedical Ethics and Attitudes toward Death of Terminal Patients (간호대학생의 말기환자에 대한 생명의료윤리 인식과 죽음에 대한 태도)

  • Kim, Young-Hee;Yoo, Yang-Sook;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.16 no.1
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    • pp.1-9
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    • 2013
  • Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

The Recognition Comparison for the Utilization State of Smart Devices and Culinary Education Application Development of High School Students (고등학생의 스마트 기기 활용 실태와 조리교육 애플리케이션 개발에 대한 인식 비교 연구)

  • Kang, Keoung-Shim
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.619-626
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    • 2012
  • The purpose of this study is to compare and analyze the utilization state of smart devices and the recognition level of educational application development of the general high school and the specialized high school. Specialized high school students preferred the utilization of smart devices more and daily spent on the devices more time than general high school students. As for the learning field, language for the general high school and the certificate of qualification for the specialized high school were shown high. The merit of smart device utilization is the use of spare time and its infrastructure was most required. The most expected content is a video lecture for the general high school and cooperative learning for the specialized high school and the most satisfied point was mobility. The specialized high school students feel more necessity about the application development for culinary education and had a plan to utilize it more and more preferred practice videos. As for the food development areas, the general high school students hoped simple food and the specialized high school students did cooking technician food and they both hoped the application to be uploaded in portal sites and the department homepage. The application development for culinary education is required to focus simulation learning including practice videos and cooking recipes and add an evaluation function to check the academic achievement levels. It is required to provide the subject goals of each course and concrete information on solving problems. Contents including video, music, texts need to be attached to improve learning immersion. There should be the beginning and development of a lesson and the flow of arrangement and communication between main bodies of learning should be improved by utilization of SNS cooperative learning services.

Development of Information Security Practice Contents for Ransomware Attacks in Digital Twin-Based Smart Factories (디지털트윈 기반의 스마트공장에서 랜섬웨어 공격과 피해 분석을 위한 정보보안 실습콘텐츠 시나리오 개발)

  • Nam, Su Man;Lee, Seung Min;Park, Young Sun
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.31 no.5
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    • pp.1001-1010
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    • 2021
  • Smart factories are complex systems which combine latest information technology (IT) with operation technology (OT). A smart factory aims to provide manufacturing capacity improvement, customized production, and resource reduction with these complex technologies. Although the smart factory is able to increase the efficiency through the technologies, the security level of the whole factory is low due to the vulnerability transfer from IT. In addition, the response and restoration of the business continuity plan are insufficient in case of damage due to the absence of factory security experts. The cope with the such problems, we propose an information security practice content for analyzing the damage by generating ransomware attacks in a digital twin-based smart factory similar to the real world. In our information security content, we introduce our conversion technique of physical devices into virtual machines or simulation models to build a practical environment for the digital twin. This content generates two types of the ransomware attacks according to a defined scenario in the digital twin. When the two generated attacks are successfully completed, at least 8 and 5 of the 23 virtual elements are take damage, respectively. Thus, our proposed content directly identifies the damage caused by the generation of two types of ransomware in the virtual world' smart factory.

Digital Contents Application using Intelligence (지능을 이용한 디지털 콘텐츠 응용)

  • Kim, Man-Ki;Hong, You-Sik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.9 no.2
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    • pp.65-71
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    • 2009
  • The end of the 1990s due to the rapid development of Internet communications and two-way communication advertising, public relations, online music, video, movies, e-Book, and distribution of digital content is actively underway. The combination of Internet and TV, as well as born of IPTV and interactive digital content industry's future has become a key industry. However, these two-way communication that illegal adult sites, illegal Bulletin, illegal Ads, PR, shopping mall, illegal music copying, video replication, such as negative due to the emergence of IPTV and is always around us and should be recognized. For example, on the Internet, which has been operating in the ocean sounds from the music copyright issue, the prosecution decided to prosecute because of the digital cultural content, copyright issues has become an important issue. Status and issues of this paper to learn the digital content, using intelligence to solve these problems, two-way communication advertising, public relations and practice of digital content, practices and courses of students vulnerable to offers for the analysis simulation.

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Efficient Interference Alignment for Uplink MIMO/FDD Systems with Limited Feedback (제한된 궤환 채널 기반 상향링크 MIMO/FDD 시스템에서의 효율적인 간섭 정렬 기법)

  • Cho, Sung-Yoon;Jang, Jin-Young;Kim, Dong-Ku
    • Journal of Advanced Navigation Technology
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    • v.16 no.6
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    • pp.988-996
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    • 2012
  • Assuming perfect channel state information (CSI), the conventional interference alignment (IA) algorithm in the uplink cellular system suppresses inter-cell interference (ICI) by aligning ICI to a randomly selected reference vector. However, IA in practice relies on limited feedback between base stations and users, resulting in residual ICI. In this paper, we propose the optimization of the reference vector that minimizes the upper-bound of residual ICI power. Secondly, the iterative IA that designs the direction of transmit and receive filter is proposed to minimize the residual ICI as well as maximize the desired signals. Moreover, we propose the user scheduling method combined with proposed IA schemes which provides the multiuser diversity gain in multi-cell environments. Finally, the performance gain of the proposed IA algorithms compared with the existing IA are analyzed and demonstrated by simulation results.

Analysis of Participation Status in Clinical Nursing Education and Needs for Continuing Education among Clinical Nurses according to Hospital Type (의료기관 종별 간호사의 임상간호교육 참여 현황과 보수교육 요구 분석)

  • Shin, Sujin;Hwang, Eunhee;Kang, Youngmi;Oh, Hyunjoo
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.196-204
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    • 2020
  • Purpose: This study investigates the participation status in clinical nursing education and nurses' continuing education needs to develop educational programs. Methods: Participants were 227 nurses working in medical institutions where nursing students practiced, and the selection criteria were nurses with more than two years of clinical education experience; data were collected using structured questionnaires. Results: More than half of the clinical nurses had completed a preceptor training program for clinical nursing education, and the subjects mainly educated by nurses were new graduate nurses and nursing students. The obstacles to clinical nursing education were lack of compensation, lack of manpower, lack of patient nursing time, excessive workload, and lack of knowledge as educators. The educational methods preferred in continuing education were small-group workshops and online education. The desired educational topics in continuing education were current nursing practice standards, simulation nursing education, and the role of clinical nursing educators. Conclusion: Based on our results, it is necessary to understand the importance of clinical nursing education, which is essential for clinical nurses, to prepare a specific system for them and to develop and operate a systematic education program according to medical institutions' characteristics.

Analysis of Effects of Lightning on PAV Using Computational Simulation and a Proposal to Establish Certification Guidance (전산 시뮬레이션을 통한 PAV 낙뢰 영향성 분석 및 인증기술에 관한 연구)

  • Park, Se-Woong;Kim, Yun-Gon;Kang, Yong-Seong;Myong, Rho-Shin
    • Journal of Aerospace System Engineering
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    • v.13 no.6
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    • pp.60-69
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    • 2019
  • Companies around the world are actively developing Personal Air Vehicle (PAV) to solve the serious social problem of traffic jams. Airworthiness certification for PAV is required, since it is a manned vehicle. As with aircraft, the critical threat to the safe operation of PAV is lightning strike with strong thermal load and magnetic fields. Lightning certification issue also remains important for PAV, since there are still insufficient development of PAV-related lightning certification technologies, guidelines, and requirements. In this study, the SAE Aerospace Recommended Practice (ARP), an international standard certification guideline recognized by the Federal Aviation Administration (FAA), was analyzed. In addition, the guideline of lightning certification was applied to a PAV. The impact of lightning on PAV was also analyzed through computational software. Finally, the basis for the establishment of the PAV lightning certification guidance was presented.

Intelligent 3D packing using a grouping algorithm for automotive container engineering

  • Joung, Youn-Kyoung;Noh, Sang Do
    • Journal of Computational Design and Engineering
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    • v.1 no.2
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    • pp.140-151
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    • 2014
  • Storing, and the loading and unloading of materials at production sites in the manufacturing sector for mass production is a critical problem that affects various aspects: the layout of the factory, line-side space, logistics, workers' work paths and ease of work, automatic procurement of components, and transfer and supply. Traditionally, the nesting problem has been an issue to improve the efficiency of raw materials; further, research into mainly 2D optimization has progressed. Also, recently, research into the expanded usage of 3D models to implement packing optimization has been actively carried out. Nevertheless, packing algorithms using 3D models are not widely used in practice, due to the large decrease in efficiency, owing to the complexity and excessive computational time. In this paper, the problem of efficiently loading and unloading freeform 3D objects into a given container has been solved, by considering the 3D form, ease of loading and unloading, and packing density. For this reason, a Group Packing Approach for workers has been developed, by using analyzed truck packing work patterns and Group Technology, which is to enhance the efficiency of storage in the manufacturing sector. Also, an algorithm for 3D packing has been developed, and implemented in a commercial 3D CAD modeling system. The 3D packing method consists of a grouping algorithm, a sequencing algorithm, an orientating algorithm, and a loading algorithm. These algorithms concern the respective aspects: the packing order, orientation decisions of parts, collision checking among parts and processing, position decisions of parts, efficiency verification, and loading and unloading simulation. Storage optimization and examination of the ease of loading and unloading are possible, and various kinds of engineering analysis, such as work performance analysis, are facilitated through the intelligent 3D packing method developed in this paper, by using the results of the 3D model.

Role of Balloon Guide Catheter in Modern Endovascular Thrombectomy

  • Chueh, Ju-Yu;Kang, Dong-Hun;Kim, Byung Moon;Gounis, Matthew J.
    • Journal of Korean Neurosurgical Society
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    • v.63 no.1
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    • pp.14-25
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    • 2020
  • Proximal flow control achieved with a balloon guide catheter (BGC) during endovascular treatment of acute ischemic stroke is reviewed in this article. In clinical practice, BGCs offer a multi-faceted approach for clot retrieval by creating proximal flow arrest, reducing embolic burden, and shortening procedure time. Evaluation of frontline thrombectomy procedures with BGCs revealed advantages of combined use over the conventional guide catheter (CGC), notably in the significant reduction of distal emboli to both the affected and previously unaffected territories. Recently, new measures of early and complete reperfusion at first thrombectomy pass have been identified as independent predictors of improved outcomes, which were consistently demonstrated with use of BGC as a safe and effective option to minimize number of passes during intervention. Prior randomized controlled trials reported the positive correlation between BGC-treated patients and a lower risk of mortality as well as shortened procedure time. While BGC use is more common in stent retriever-mediated mechanical thrombectomy, preliminary data has shown the potential benefit of device application during contact aspiration thrombectomy to achieve successful recanalization. However, the question of which major endovascular strategy reigns superior as a frontline remains to be answered. Along with clinical case assessments, BGC performance during in-vitro simulation was analyzed to further understand mechanisms for optimization of thrombectomy technique.