• Title/Summary/Keyword: address period

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The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program (응급실 기반 자살 시도자 사후 관리사업의 등록률에 영향을 미치는 인자)

  • Lee, Junchul;Kang, Hyung Goo;Kim, Changsun;Oh, Jaehoon;Lim, Taeho;Ahn, Dong Hyun;Lee, Jung Im;Park, Min Hee;Kim, Kyung Hee
    • Journal of The Korean Society of Clinical Toxicology
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    • v.13 no.1
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    • pp.25-32
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    • 2015
  • Purpose: The aim of this study was to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between March and December 2013 at the academic ED at the tertiary urban hospital. During the study period, the pre-designed registry was recorded. The variables examined included the following: patients' demographic data (Sex, age, address, type of insurance, marital status, level of education, and history of previous psychiatric disease), suicide-related data (suicidal methods, combined drink of alcohol and number of previous attempts), and management-related data (disposition at ED, physician's training level, etc.). Univariated and multivariated logistic regression analyses were performed for identification of factors affecting the registration rate for the community-based post suicidal care program. Results: A total of 163 suicides were included during the study period. Of these, 33 (20.2%) patients were registered in the post-suicide care program. Factors including a patient's address (OR: 14.92, 95% CI: 3.606-61.711), immediate intervention by psychiatric healthcare center (OR: 5.05, CI: 1.688-15.134), admissions in hospital (OR: 3.69, CI: 1.286-10.605), and history of previous psychiatric disease (OR: 3.52, CI: 1.216-10.201) showed significant association with registration for the program. Conclusion: The community-based post-suicidal care program, which is available 24 hours a day, should be operated in each district in order to increase the registration rate. Emergency physicians should actively consider the inpatient treatment program for suicidal patients and strongly recommend registration to the program, particularly for patients without previous history of psychiatric disease.

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Analyzing the Issue Life Cycle by Mapping Inter-Period Issues (기간별 이슈 매핑을 통한 이슈 생명주기 분석 방법론)

  • Lim, Myungsu;Kim, Namgyu
    • Journal of Intelligence and Information Systems
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    • v.20 no.4
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    • pp.25-41
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    • 2014
  • Recently, the number of social media users has increased rapidly because of the prevalence of smart devices. As a result, the amount of real-time data has been increasing exponentially, which, in turn, is generating more interest in using such data to create added value. For instance, several attempts are being made to analyze the relevant search keywords that are frequently used on new portal sites and the words that are regularly mentioned on various social media in order to identify social issues. The technique of "topic analysis" is employed in order to identify topics and themes from a large amount of text documents. As one of the most prevalent applications of topic analysis, the technique of issue tracking investigates changes in the social issues that are identified through topic analysis. Currently, traditional issue tracking is conducted by identifying the main topics of documents that cover an entire period at the same time and analyzing the occurrence of each topic by the period of occurrence. However, this traditional issue tracking approach has two limitations. First, when a new period is included, topic analysis must be repeated for all the documents of the entire period, rather than being conducted only on the new documents of the added period. This creates practical limitations in the form of significant time and cost burdens. Therefore, this traditional approach is difficult to apply in most applications that need to perform an analysis on the additional period. Second, the issue is not only generated and terminated constantly, but also one issue can sometimes be distributed into several issues or multiple issues can be integrated into one single issue. In other words, each issue is characterized by a life cycle that consists of the stages of creation, transition (merging and segmentation), and termination. The existing issue tracking methods do not address the connection and effect relationship between these issues. The purpose of this study is to overcome the two limitations of the existing issue tracking method, one being the limitation regarding the analysis method and the other being the limitation involving the lack of consideration of the changeability of the issues. Let us assume that we perform multiple topic analysis for each multiple period. Then it is essential to map issues of different periods in order to trace trend of issues. However, it is not easy to discover connection between issues of different periods because the issues derived for each period mutually contain heterogeneity. In this study, to overcome these limitations without having to analyze the entire period's documents simultaneously, the analysis can be performed independently for each period. In addition, we performed issue mapping to link the identified issues of each period. An integrated approach on each details period was presented, and the issue flow of the entire integrated period was depicted in this study. Thus, as the entire process of the issue life cycle, including the stages of creation, transition (merging and segmentation), and extinction, is identified and examined systematically, the changeability of the issues was analyzed in this study. The proposed methodology is highly efficient in terms of time and cost, as it sufficiently considered the changeability of the issues. Further, the results of this study can be used to adapt the methodology to a practical situation. By applying the proposed methodology to actual Internet news, the potential practical applications of the proposed methodology are analyzed. Consequently, the proposed methodology was able to extend the period of the analysis and it could follow the course of progress of each issue's life cycle. Further, this methodology can facilitate a clearer understanding of complex social phenomena using topic analysis.

Childhood cutaneous leishmaniasis: report of 117 cases from Iran

  • Talari Safar Ali;Talaei Rezvan;Shajari Cholamreza;Vakili Zarichehr;Taghaviardakani Abbas
    • Parasites, Hosts and Diseases
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    • v.44 no.4 s.140
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    • pp.355-360
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    • 2006
  • Cutaneous leishmaniasis (CL), due to Leishmania major, is endemic in different parts of Iran and has long been recognized in most provinces of Iran. This study was conducted to determine the prevalence of childhood leishmaniasis in 3 areas at the southeast of Kashan, A descriptive study was carried out on all children referred to central laboratories during a 3-year period. Initial information including age, sex, sites of ulcer on the body, number of lesions, address, and the place of the disease was obtained. The study gathered 117 children, and the results showed a prevalence of 7.2% in patients with lesions among the population and 4.2% of people displayed lesion and scar. The ages of subjects were from 6 to 15 years (average 9.75 years). The boy: girl ratio was 1.2. All of our patients lived in an endemic area. The face was affected in 47.0% of cases. The encountered forms of leishmaniasis are as follows: papulonodular 27.4%, ulcer 60.7%, sporotrichoid 6%, impetiginous 2.5%, and erysipeloid 3.4%. Treatment with intramuscular meglumine antimoniate 20-30 mg/kg/day was done for 93 patients. Meglumine antimoniate treatment was tolerated with no side effects. All leishmaniasis lesions healed within an average period of 2-14 months. Hyperpigmented scars were formed in 25.6% of the patients, atrophic scars in 4.3%, and hypopigmented scars were in 3.4%, respectively The findings of this study indicate increased prevalence of CL in the villages at the area of Kashan and Aran-Bidgol. The clinical finding patterns belonged to different endemic strains of L. major in Isfahan, which indicates the possible transmission of infection from Isfahan to this area.

Contention/Collision Mitigation Scheme in IEEE 802.15.4 Mesh Sensor Networks (IEEE 802.15.4 메쉬 센서 네트워크에서의 경쟁 및 충돌 완화 기법)

  • Lee, Hyo Ryun;Jung, Kyoung-Hak;Suh, Young-Joo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.38C no.8
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    • pp.683-691
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    • 2013
  • This paper address a new scheme that alleviates the packet collision problem caused by contentions among nearby coordinators (CNs) in IEEE 802.15.4 meshed sensor networks. In existing studies, the number of retransmissions is reduced by adjusting the proper backoff period (BP) of sensor nodes, or unnecessary energy consumption is diminished by increasing channel utilization efficiently based on traffic load. In contrast, the proposed scheme avoids contentions among nearby CNs, thereby it enhances the energy efficiency of sensor nodes. To achieve this, the proposed scheme separates the starting points of CNs' contention periods and reduces contentions and collisions among overlapping CNs. According to our simulation results, the proposed scheme shows improved performance in terms of energy consumption, throughput, the number of collisions, and average delay for all conditions.

Study on Sustain Driving Waveform for Linear Gray Scale Expression in AC Plasma Display Panel (플라즈마 디스플레이 패널에서 선형적 계조 표현을 위한 유지 구동파형의 연구)

  • Cho, Byung-Gwon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.6
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    • pp.255-260
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    • 2014
  • A new sustain driving waveform and its implementation method is proposed to improve the gray scale linearity by applying the sustain waveform for producing the strong and weak discharge in AC plasma display panel. The driving method to express the gray scale of AC PDP is the combination of the several subfield in one TV frame, and the luminance of the each subfield is decided by the number of the sustain pulses. As the same amount of the strong plasma discharge is produced when the sustain pulses are applied during a sustain period, it looks easy to express the linear gray scale ideally. However, it is difficult to express the real linear gray scale due to the production of the address and first sustain discharge irrelevant to gray scale expression in every subfleld. Therefore, a new sustain driving waveformis adopted to produce partially the weak discharge instead of the strong discharge by the modification of the sustain pulses shape during the sustain period and the gray scale expression is close to the linearity.

A Real Time Sensing Through The Eigenvalue Detection in Cognitive Radio (Cognitive Radio 환경에서 고유치 값 검출을 통한실시간 센싱 방법)

  • Sohn, Sung-Hwan;Jang, Sung-Jeen;Kim, Jae-Moung
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.3
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    • pp.1-7
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    • 2010
  • Cognitive Radio, which adaptively utilizes the vacant licensed spectrum band, is considered as an effective way to alleviate the scarcity of spectrum resource shortage. In order to guarantee the non-interference transmission of primary system, spectrum sensing, especially in quiet period, is proposed. However, it is insufficient to avoid the unacceptable interference caused by Cognitive Radios, because the primary user may appear anytime that is unpredictable. In this paper, we address the deficiency of conventional spectrum sensing and propose a novel Cognitive Radio receiver structure with monitoring function block to detect the appearance of primary user in a real-time manner. Simulations prove that the proposed eigenvalue based detection method together with the two-threshold decision procedure performs properly.

Unmet Healthcare Needs Status and Trend of Korea in 2018 (2018 미충족의료율과 추이)

  • Joo, Jae Hong;Kim, Hwi Jun;Jang, Jieun;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.30 no.1
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    • pp.120-125
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    • 2020
  • Unmet healthcare needs lead to increased disease severity, increased likelihood of complications, and worse disease prognosis. To examine the latest status of unmet healthcare needs in South Korea, the four different data configured with nationally representative sample of South Korean population were used: the Korea Health and Nutrition Examination Survey (KNAHANES, 2007-2018), the Community Health Survey (CHS, 2008-2018), the Korea Health Panel Survey (KHP, 2011-2016), and the Korean Welfare Panel Study (KOWEPS, 2006-2018). The proportion of individuals reporting unmet healthcare needs were 7.8% (KNHANES, 2018), 8.8% (CHS), and 10.8% (KHP, 2016). Annual percentage change which characterizes trend for the follow-up period was -9.1%, -3.2%, and -6.8%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.2% (KNAHANES, 2018), 1.2% (CHS, 2018), 2.5% (KHP, 2016), and 0.5% (KOWEPS, 2018). Annual percentage change which characterizes trend for the follow-up period was -10.3%, -12.0%, -11.3%, and -18.8, respectively. The low-income population and the elderly population were vulnerable groups reporting the highest rate of unmet health care needs. The rate of unmet healthcare needs has been declining since the past decade, still, the disparity between different income groups and age groups suggests that there are many challenges to address.

Low-flow simulation and forecasting for efficient water management: case-study of the Seolmacheon Catchment, Korea

  • Birhanu, Dereje;Kim, Hyeon Jun;Jang, Cheol Hee;ParkYu, Sanghyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.243-243
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    • 2015
  • Low-flow simulation and forecasting is one of the emerging issues in hydrology due to the increasing demand of water in dry periods. Even though low-flow simulation and forecasting remains a difficult issue for hydrologists better simulation and earlier prediction of low flows are crucial for efficient water management. The UN has never stated that South Korea is in a water shortage. However, a recent study by MOLIT indicates that Korea will probably lack water by 4.3 billion m3 in 2020 due to several factors, including land cover and climate change impacts. The two main situations that generate low-flow events are an extended dry period (summer low-flow) and an extended period of low temperature (winter low-flow). This situation demands the hydrologists to concentrate more on low-flow hydrology. Korea's annual average precipitation is about 127.6 billion m3 where runoff into rivers and losses accounts 57% and 43% respectively and from 57% runoff discharge to the ocean is accounts 31% and total water use is about 26%. So, saving 6% of the runoff will solve the water shortage problem mentioned above. The main objective of this study is to present the hydrological modelling approach for low-flow simulation and forecasting using a model that have a capacity to represent the real hydrological behavior of the catchment and to address the water management of summer as well as winter low-flow. Two lumped hydrological models (GR4J and CAT) will be applied to calibrate and simulate the streamflow. The models will be applied to Seolmacheon catchment using daily streamflow data at Jeonjeokbigyo station, and the Nash-Sutcliffe efficiencies will be calculated to check the model performance. The expected result will be summarized in a different ways so as to provide decision makers with the probabilistic forecasts and the associated risks of low flows. Finally, the results will be presented and the capacity of the models to provide useful information for efficient water management practice will be discussed.

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A Study of Dorothy Wordsworth's Later Conversation Poetry (도로시 워즈워드의 후기 대화시 연구)

  • Cho, Heejeong
    • Journal of English Language & Literature
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    • v.57 no.2
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    • pp.191-215
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    • 2011
  • This paper aims at investigating Dorothy Wordsworth's later conversation poetry, which has not been the focus of critical discussions on her literary works. While many critics have been emphasizing Dorothy Wordsworth's journals and the tendency of self-effacement in her prose, this paper argues that her later poetry often reveals acute self-consciousness about the circumstances that condition this self-annihilation and searches for a creative way to endorse her own identity. In "Lines Intended for My Niece's Album," she expresses anxiety and uncertainty about the inclusion of her poetic piece in Dora Wordsworth's album, which contains poems by prominent male writers of the contemporary period. "Irregular Verses" presents Dorothy Wordsworth's self-conscious narrative of her girlhood and shows how her own ambition to become a "Poet" has been stifled by external circumstances, including the ideology that instills the idea of proper womanhood into aspiring girls. While these poems examine contemporary gender discourse and the frustrated poethood resulting from it, other poems activate conversations with William Wordsworth's poems and thereby provide a revisionary re-writing of her brother's texts. For example, in "Lines Addressed to Joanna H." Dorothy Wordsworth becomes "a woman addressed who herself addresses others." Her scrupulous approach to her own addressee refuses to subordinate the other to the self's will, and through this revision of "Tintern Abbey," Dorothy Wordsworth vicariously liberates her own self confined in her brother's poems. "Thoughts on My Sick-Bed," which echoes "Tintern Abbey" through borrowed phrases and direct address to William Wordsworth, foregrounds her own poetic identity in the form of the first-person pronoun "I." Dorothy Wordsworth's continual illness during this period of her life paradoxically allows her the time for personal reflection formerly denied to her in her busy life constantly occupied by physical and spiritual labor for others. Instead of earning satisfaction from the subsumption of her creative energy under William Wordsworth's poetical endeavor, Dorothy Wordsworth finally starts to affirm her own poetic identity that can properly express her inner vision and artistic talent. Although this final affirmation remains largely incomplete due to her later mental collapse bordering on madness, it powerfully conveys the hidden literary aspiration of the formerly frustrated female poet.

Transitional care for high-risk elderly patients pre/post discharge by collaboration between general hospital and community pharmacy: a pilot study

  • Park, Mi Seon;Lee, Ji Hee;Lee, Heung Bum;Kim, Ju Sin;Choi, Eun Joo
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.1
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    • pp.27-36
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    • 2022
  • Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.