• 대한기계학회논문집A
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• 제24권8호
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• pp.1991-1999
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• 2000

This research has been performed to reveal the hysteresis phenomena of the hunting motion in a railway passenger car having a bolster. Since linear analysis can not explain them, bifurcation analysis is used to predict its outbreak velocities in this paper. However bifurcation analysis is attended with huge computing time, thus this research proposes more effective numerical algorithm to reduce it than previous researches. Stability of periodic solution is obtained by adapting of Floquet theory while stability of equilibrium solutions is obtained by eigen-value analysis. As a result, linear and nonlinear critical speed are acquired. Full scale roller rig test is carried out for the validation of the numerical result. Finally, it is certified that there are many similarities between numerical and test results.

• 중환자간호학회지
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• 제9권1호
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• pp.1-14
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• 2016

Purpose: To investigate the post-intensive care syndrome (PICS) and to analyze the factors affecting the quality of life (QoL) of survivors of critical illness. Methods: Subjects were 114 outpatients who had been discharged from intensive care units of a university hospital in B city, Korea. From July 30 through September 30, 2015, PICS was assessed using the Korean Montreal Cognitive Assessment, Hospital Anxiety-Depression Scale, Korean Instrumental/Activities of Daily Living (K-I/ADL) index, and handwriting transformation, while physical and mental health-related QoL was measured using the SF-12. Results: Of the subjects, 39.5% were screened for mild cognitive disorder and 23.7% experienced handwriting transformation after discharge. Multiple regression analysis revealed that restraint application, current job, time of ${\geq}36$ months after discharge, depression, anxiety, and handwriting transformation accounted for 40.9% of the physical health-related QoL, and depression, anxiety and experience of delirium accounted for 62.4% of the mental health-related QoL. Conclusions: It is necessary to make efforts to reduce restraint application in intensive care units and prevent the occurrence of delirium, with the objective of reducing PICS and improving the QoL of critical illness survivors.

• 대한한의학회지
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• 제42권2호
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• pp.62-71
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• 2021

Objectives: This study was aimed to share the development process of the critical pathway (CP) for the treatment and management of stroke patients admitted to a Korean medicine hospital. Methods: A draft CP was prepared based on a review of relevant literature and medical records in the hospital, and its validity was reviewed by the in-hospital CP review committee. Each member evaluated all items in the CP on a 5-point Likert scale. Items with an average score of 3.5 or higher or an agreement rate of more than 80% were considered valid. In addition, free described opinions to improve the CP were also received from the review committee. Results: The horizontal axis of the CP was composed of a time domain, including 7 time points from hospitalization to discharge. The vertical axis was composed of 9 domains of medical practice. All items in the CP satisfied the validity criteria. The CP was revised, supplemented, and completed by reflecting the opinions of the committee. Conclusions: This CP will be taught to in-hospital users and will continue to be used with regular monitoring and a feedback plan. This study is expected to serve as a useful reference for standardizing the treatment process and delivering measures to improve the adequacy of Korean medicine treatment for stroke patients.

• 중환자간호학회지
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• 제16권3호
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• pp.24-33
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• 2023

Purpose : This study aims to establish an optimal cut-off score on the Braden scale for the assessment of pressure injury to detect pressure injury risks among inpatients in a South Korean tertiary hospital. Methods : This retrospective study used electronic medical records, from January to December 2022. A total of 654 patients were included in the study. Of these, 218 inpatients with pressure injuries and 436 without pressure injuries were classified and analyzed using 1:2 Propensity Score Matching (PSM), and the generalized estimating equation was performed using SPSS Version 26 and the R Machlt package program. Results : The cut-off value on the Braden scale for distinguishing pressure injury was 17 points, and the AUC (area under the ROC curve) was 0.531 (0.484-0.579). The sensitivity was 56.6% (45.5-67.7%) and the specificity was 69.7% (66.0-73.4%). With 17 points, the Braden scale cut-off distinguished those who had pressure injuries from those who did not at the time of admission (p < .03). In the pressure injury group, the Braden score on the day of the pressure injury was 14, with significant results in all subcategories except the moisture category. Conclusion : Our findings revealed that a cut-off value of 17 was optimal for predicting the risk of pressure injuries among tertiary hospital inpatients. Future studies should evaluate the optimal cut-off values in different clinical environments. Additionally, it is necessary to conduct multicenter large sample studies to verify the effectiveness of a 17 value in PI risk assessments.

• 전력전자학회논문지
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• 제8권1호
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• pp.56-63
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• 2003

본 연구에서는 감쇠상 역기전력을 고려한 토크모델이 도통 및 전환구간에서 다름을 보였으며 이를 통해 전환구간에서 나타나는 토크맥동을 수학적으로 해석하였다. 본 논문에서는 전환시간에 의해 나타나는 토크맥동을 저감할 수 있는 새로운 방식을 제안하였다. 첫째, 전환시간을 조절하여 상승상 및 감쇠상의 전류의 기울기를 일정하게 조정하는 절환지연시간제어를 제안하였다. 이를 통하여 비전환상에서의 전류맥동을 저감하였으며 직류단전압과 4배의 역기전력전압의 크기가 같아지는 임계속도 이하에서 토크맥동을 저감할 수 있다. 그러나, 역기전력 및 전환하는 전류의 관계에 의해 토크맥동이 여전히 존재한다. 특히 임계속도 이상에서는 토크맥동율이 크게 증가한다. 둘째, 역기전력과 전류의 관계에 따라 나타나는 토크맥동을 고려한 전환시점제어를 제안하였다. 제안한 방식에 의하여 BLDC 전동기의 토크맥동을 임계속도 이상에서 뿐 만 아니라 전 속도영역에서도 최소화 할 수 있다.

• Tuberculosis and Respiratory Diseases
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• 제71권4호
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• pp.271-277
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• 2011

Background: A chronic obstructive pulmonary disease (COPD) assessment test (CAT) has recently been developed as a short and simple method for assessing the quality of life in COPD patients. The object of this study was to assess the usefulness of the Korean version of the CAT for assessing COPD patients in an outpatient clinic. Methods: The study included 60 COPD patients in a stable state from an outpatient clinic. The authors investigated the frequency of acute exacerbation during aprevious year through reviewing medical records. We evaluated the spirometry test, a 6-min walk distance test, and obtained the MMRC dyspnea scale, the Korean version of the CAT, and the BODE index at the time of visit. To assess the usefulness of the CAT, correlations between the CAT and other methods were evaluated. Results: The mean age of patients was $68.3{\pm}8.6$ years and 95% of patients were male. There was a significant correlation between the CAT score and $FEV_1%$ (r=-0.323, p=0.012), the frequency of acute exacerbation (r=0.292, p=0.024), the MMRC dyspnea scale (r=0.554, p<0.001), the BODE index (r=0.380, p=0.003), and 6 MWD (r=-0.372, p=0.004). The mean CAT score increased according to the GOLD stage (stage 1, $10.7{\pm}4.5$; stage 2, $13.1{\pm}7.9$; stage 3, $16.3{\pm}6.2$; stage 4, $16.5{\pm}14.8$; p=0.746). Conclusion: The CAT was shown to be useful for the assessment of COPD severity. Therefore, the CAT is an easily applied and simple method for assessing COPD severity in an outpatient clinic.

• Advances in materials Research
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• 제7권1호
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• pp.1-16
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• 2018

Thermal bifurcation buckling behavior of fully clamped Euler-Bernoulli nanobeam built of a through thickness functionally graded material is explored for the first time in the present paper. The variation of material properties of the FG nanobeam are graded along the thickness by a power-law form. Temperature dependency of the material constituents is also taken into consideration. Eringen's nonlocal elasticity model is employed to define the small-scale effects and long-range connections between the particles. The stability equations of the thermally induced FG nanobeam are derived via the principal of the minimum total potential energy and solved analytically for clamped boundary conditions, which lead for more accurate results. Moreover, the obtained buckling loads of FG nanobeam are validated with those existing works. Parametric studies are performed to examine the influences of various parameters such as power-law exponent, small scale effects and beam thickness on the critical thermal buckling load of the temperature-dependent FG nanobeams.

• 기술혁신학회지
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• 제8권3호
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• pp.1005-1026
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• 2005

On the contrary to the expansion of feasibility studies on public construction and development projects, there is few feasibility studies on S&T, especially large-scale basic research facilities. Based on this critical mind, we tried the first feasibility study on large-scale basic research facilities, that is, the 4th Generation Light Source. First, it is validated whether the construction of 4th Generation Light Source is economically feasible and second, if economically feasible, the optimal place and time for construction are analyzed by using Analytical Hierarchy Process. This research shows that the construction is economically feasible irregardless of scenarios on future bio-medicine industry growth and to construct at Pohang in 2006 is optimal strategy. On the basis of this analysis, the feasibility studies on large-scale basic research facilities are expected to be more expanded and developed.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권4호
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• pp.1100-1122
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• 2023

Scheduling user-submitted cloud tasks to the appropriate virtual machine (VM) in cloud computing is critical for cloud providers. However, as the demand for cloud resources from user tasks continues to grow, current evolutionary algorithms (EAs) cannot satisfy the optimal solution of large-scale cloud task scheduling problems. In this paper, we first construct a large- scale multi-objective cloud task problem considering the time and cost functions. Second, a multi-objective optimization algorithm based on multi-factor optimization (MFO) is proposed to solve the established problem. This algorithm solves by decomposing the large-scale optimization problem into multiple optimization subproblems. This reduces the computational burden of the algorithm. Later, the introduction of the MFO strategy provides the algorithm with a parallel evolutionary paradigm for multiple subpopulations of implicit knowledge transfer. Finally, simulation experiments and comparisons are performed on a large-scale task scheduling test set on the CloudSim platform. Experimental results show that our algorithm can obtain the best scheduling solution while maintaining good results of the objective function compared with other optimization algorithms.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권4호
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• pp.1562-1578
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• 2020

Vector data compression algorithm can meet requirements of different levels and scales by reducing the data amount of vector graphics, so as to reduce the transmission, processing time and storage overhead of data. In view of the fact that large threshold leading to comparatively large error in Douglas-Peucker vector data compression algorithm, which has difficulty in maintaining the uncertainty of shape features and threshold selection, a segmented Douglas-Peucker algorithm based on node importance is proposed. Firstly, the algorithm uses the vertical chord ratio as the main feature to detect and extract the critical points with large contribution to the shape of the curve, so as to ensure its basic shape. Then, combined with the radial distance constraint, it selects the maximum point as the critical point, and introduces the threshold related to the scale to merge and adjust the critical points, so as to realize local feature extraction between two critical points to meet the requirements in accuracy. Finally, through a large number of different vector data sets, the improved algorithm is analyzed and evaluated from qualitative and quantitative aspects. Experimental results indicate that the improved vector data compression algorithm is better than Douglas-Peucker algorithm in shape retention, compression error, results simplification and time efficiency.