• Title/Summary/Keyword: Two stage approach

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The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study (고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천: 질적연구)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.4
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    • pp.255-264
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    • 2008
  • Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

Two-Dimensional Hydrodynamic and Water Quality Simulations for a Coinjunctive System of Daecheong Reservoir and Its Downstream (대청호와 하류하천 연속시스템의 2차원 수리·모의)

  • Jung, Yong Rak;Chung, Se Woong;Ryu, In Gu;Choi, Jung Kyu
    • Journal of Korean Society on Water Environment
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    • v.24 no.5
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    • pp.581-591
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    • 2008
  • Most of our rivers are fragmented by the presence of at least one large dam. Dams are often the most substantial controller of the flow regimes and aquatic environments of natural river system. The quality of downstream water released from a stratified reservoir is highly dependent on upstream reservoir water quality. Thus, an integrated modeling approach is more efficient, compared to fragmented modeling approach, and necessary to better interpret the impact of dam operation on the down stream water quality. The objectives of this study were to develop an integrated reservoir-river modeling system for Daecheong Reservoir and its downstream using a two-dimensional laterally averaged hydrodynamic and water quality model, and evaluate the model's performance against field measurement data. The integrated model was calibrated and verified using filed data obtained in 2004 and 2006. The model showed satisfactory performance in predicting temporal variations of water stage, temperature, and suspended solid concentration. In addition, the reservoir-river model showed efficient computation time as it took only 3 hours for one year simulation using personal computer (1.88 Ghz, 1.00 GB RAM). The suggested modeling system can be effectively used for assisting integrated management of reservoir and river water quality.

Development of the Integrative System to Categorize Damaged Areas for Participatory Restoration by Local Residents (주민참여형 복원을 위한 훼손지의 통합적 유형 구분 체계 개발)

  • Ahn, Tong Mahn;Kim, In Ho;Choi, Hyung Suk;Lee, Jae Young;Lee, Ji Young;Lee, Young;Ryu, Sun Jung;Min, So Young;Yoon, Min Ho
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.11 no.2
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    • pp.87-103
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    • 2008
  • Despite its high level of symbolic and ecological values, BaigDooDaeGahn, about 684km long stretch of mountains in the eastern part of Korean peninsular, has been widely destroyed and barely recovered. While Korean government enacted a special law in 2005 to protect these areas and designated about 2,658 $km^2$ as the protection zone in 2007, there were a number of sites inside that had been disturbed by mining, illegal crop cultivations, stone quarry, development of resort facilities, construction of roads, and other human activities. To restore these damaged areas in a sustainable manner, the integrative system to categorize damaged areas for participatory restoration by local residents was suggested by this study. The most distinguished feature of the proposed system was to integrate the existing restoration approach focusing on biophysical conditions into the sustainability-building approach to reactivate socio-economic conditions of local society, called 'restoration of eco-cultural community'. As an entry stage to design the new restoration system including processes and procedures, the damaged areas had to be re-categorized by two characteristics, their physical conditions in terms of possibility of public participatory restoration and the readiness of local society required for pursuing endogenous development. More detailed considerations regarding these two characteristics and three different categories has been suggested and discussed.

Abnormal Behavior Recognition Based on Spatio-temporal Context

  • Yang, Yuanfeng;Li, Lin;Liu, Zhaobin;Liu, Gang
    • Journal of Information Processing Systems
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    • v.16 no.3
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    • pp.612-628
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    • 2020
  • This paper presents a new approach for detecting abnormal behaviors in complex surveillance scenes where anomalies are subtle and difficult to distinguish due to the intricate correlations among multiple objects' behaviors. Specifically, a cascaded probabilistic topic model was put forward for learning the spatial context of local behavior and the temporal context of global behavior in two different stages. In the first stage of topic modeling, unlike the existing approaches using either optical flows or complete trajectories, spatio-temporal correlations between the trajectory fragments in video clips were modeled by the latent Dirichlet allocation (LDA) topic model based on Markov random fields to obtain the spatial context of local behavior in each video clip. The local behavior topic categories were then obtained by exploiting the spectral clustering algorithm. Based on the construction of a dictionary through the process of local behavior topic clustering, the second phase of the LDA topic model learns the correlations of global behaviors and temporal context. In particular, an abnormal behavior recognition method was developed based on the learned spatio-temporal context of behaviors. The specific identification method adopts a top-down strategy and consists of two stages: anomaly recognition of video clip and anomalous behavior recognition within each video clip. Evaluation was performed using the validity of spatio-temporal context learning for local behavior topics and abnormal behavior recognition. Furthermore, the performance of the proposed approach in abnormal behavior recognition improved effectively and significantly in complex surveillance scenes.

Using three-dimensional theory of elasticity for vibration analysis of laminated sectorial plates

  • Liyuan Zhao;Man Wang;Rui Yang;Meng Zhao;Zenghao Song;N. Bohlooli
    • Steel and Composite Structures
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    • v.48 no.1
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    • pp.1-17
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    • 2023
  • The main goal of this paper is to study vibration of damaged core laminated sectorial plates with Functionally graded (FG) face sheets based on three-dimensional theory of elasticity. The structures are made of a damaged isotropic core and two external face sheets. These skins are strengthened at the nanoscale level by randomly oriented Carbon nanotubes (CNTs) and are reinforced at the microscale stage by oriented straight fibers. These reinforcing phases are included in a polymer matrix and a three-phase approach based on the Eshelby-Mori-Tanaka scheme and on the Halpin-Tsai approach, which is developed to compute the overall mechanical properties of the composite material. Three complicated equations of motion for the sectorial plates under consideration are semi-analytically solved by using 2-D differential quadrature method. Using the 2-D differential quadrature method in the r- and z-directions, allows one to deal with sandwich annular sector plate with arbitrary thickness distribution of material properties and also to implement the effects of different boundary conditions of the structure efficiently and in an exact manner. The fast rate of convergence and accuracy of the method are investigated through the different solved examples. The sandwich annular sector plate is assumed to be simply supported in the radial edges while any arbitrary boundary conditions are applied to the other two circular edges including simply supported, clamped and free. Several parametric analyses are carried out to investigate the mechanical behavior of these multi-layered structures depending on the damage features, through-the-thickness distribution and boundary conditions.

A 200-MHz@2.5V 0.25-$\mu\textrm{m}$ CMOS Pipelined Adaptive Decision-Feedback Equalizer (200-MHz@2.5-V 0.25-$\mu\textrm{m}$ CMOS 파이프라인 적응 결정귀환 등화기)

  • 안병규;이종남;신경욱
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2000.05a
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    • pp.465-469
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    • 2000
  • This paper describes a single-chip full-custom implementation of pipelined adaptive decision-feedback equalizer (PADFE) using a 0.25-${\mu}{\textrm}{m}$ CMOS technology for wide-band wireless digital communication systems. To enhance the throughput rate of ADFE, two pipeline stage are inserted into the critical path of the ADFE by using delayed least-mean-square (DLMS) algorithm Redundant binary (RB) arithmetic is applied to all the data processing of the PADFE including filter taps and coefficient update blocks. When compared with conventional methods based on two's complement arithmetic, the proposed approach reduces arithmetic complexity, as well as results in a very simple complex-valued filter structure, thus suitable for VLSI implementation. The design parameters including pipeline stage, filter tap, coefficient and internal bit-width and equalization performance such as bit error rate (BER) and convergence speed are analyzed by algorithm-level simulation using COSSAP. The singl-chip PADFE contains about 205,000 transistors on an area of about 1.96$\times$1.35-$\textrm{mm}^2$. Simulation results show that it can safely operate with 200-MHz clock frequency at 2.5-V supply, and its estimated power dissipation is about 890-mW.

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Evaluation of Carbon Fiber distribution in Unidirectional CF/Al Composites by Two-Dimensional Spatial Distribution Method

  • Lee, Moonhee;Kim, Sungwon;Lee, Jongho;Hwang, SeungKuk;Lee, Sangpill;Sugio, Kenjiro;Sasaki, Gen
    • Journal of the Korean Society of Industry Convergence
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    • v.21 no.1
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    • pp.29-36
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    • 2018
  • Low pressure casting process for unidirectional carbon fiber reinforced aluminum (UD-CF/Al) composites which is an infiltration route of molten Al into porous UD-CF preform has been a cost-effective way to obtain metal matrix composites (MMCs) but, easy to cause non-uniform fiber distribution as CF clustering. Such clustered CFs have been a problem to decrease the density and thermal conductivity (TC) of composites, due to the existence of pores in the clustered area. To obtain high thermal performance composites for heat-sink application, the relationship between fiber distribution and porosity has to be clearly investigated. In this study, the CF distribution was evaluated with quantification approach by using two-dimensional spatial distribution method as local number 2-dimension (LN2D) analysis. Note that the CFs distribution in composites sensitively changed by sizes of Cu bridging particles between the CFs added in the UD-CF preform fabrication stage, and influenced on only $LN2D_{var}$ values.

Post-Traumatic Avascular Necrosis of the Talus Treated by Vascular Pedicle Graft using Lateral Tarsal Artery (혈관경 이식술을 이용한 거골의 외상성 무혈성 괴사의 치료 - 2례의 예비보고 -)

  • Kim, Hyoung-Min;Jeong, Chang-Hoon;Lee, Kee-Haeng;Choi, Moon-Gu;Kim, Yoon-Soo;Ko, Lak-Hyun
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.50-55
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    • 1999
  • Avascular necrosis is a significant late complication of talar neck fracture. However, treatment for early stage avascular necrosis has been not established. Two patients with post-traumatic avascular necrosis of talus treated with vascular pedicle graft using lateral tarsal artery were reviewed to determine the efficacy of procedure. The procedure involved grafting the lateral tarsal artery and vein into a hole made in the talus through a anterolateral approach. Follow-up was 12 and 24 months respectively. Two patients had significant pain relief, improved function, no worsening of their radiologic staging. The results are promising enough to recommend consideration of this procedure in early stages of avascular necrosis.

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Optimal Perilune Altitude of Lunar Landing Trajectory

  • Cho, Dong-Hyun;Jeong, Bo-Young;Lee, Dong-Hun;Bang, Hyo-Choong
    • International Journal of Aeronautical and Space Sciences
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    • v.10 no.1
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    • pp.67-74
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    • 2009
  • In general, the lunar landing stage can be divided into two distinct phases: de-orbit and descent, and the descent phase usually comprises two sub-phases: braking and approach. And many optimization problems of minimal energy are usually focused on descent phases. In these approaches, the energy of de-orbit burning is not considered. Therefore, a possible low perilune altitude can be chosen to save fuel for the descent phase. Perilune altitude is typically specified between 10 and 15km because of the mountainous lunar terrain and possible guidance errors. However, it requires more de-orbit burning energy for the lower perilune altitude. Therefore, in this paper, the perilune altitude of the intermediate orbit is also considered with optimal thrust programming for minimal energy. Furthermore, the perilune altitude and optimal thrust programming can be expressed by a function of the radius of a parking orbit by using continuation method and co-state estimator.

Die System for Avoiding Thickness Reduction along the Bent Corner in Warm Plate Forging of an Axle Housing (액슬하우징의 온간 후판단조에서 굽힘 변형된 모서리에서 발생하는 두께 감소 방지를 위하여 고안된 금형 시스템)

  • Kim, J.S.;Kim, K.S.;Shim, S.H.;Eom, J.G.;Joun, M.S.
    • Transactions of Materials Processing
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    • v.19 no.8
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    • pp.447-451
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    • 2010
  • In this paper, a useful die system for warm plate forging of a large axle housing of heavy-duty trucks is presented. A die system composed of material flow guide pin as well as upper die and lower die is proposed to reduce the inherent thickness reduction along the bent corner of the product which deteriorates structural strength and fatigue life in its service. The role of the pin assembled in the upper die is to prevent formation of sharp corner in early forming stage and to supply material in the lower die cavity sufficient enough to thicken the bent corner at the final stroke. The mechanism of the die system is given and its effect on corner thickness of the product is revealed by two-dimensional finite element analysis under plain strain assumption. Three-dimensional finite element solutions are also given to verify validity of the two dimensional approach and to show the mechanics of the die system in detail. The die system has been successfully applied to manufacturing the axle housing of heavy-duty trucks.