• The Korean journal of internal medicine
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• v.33 no.6
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• pp.1039-1049
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• 2018

The populations of Asian countries are expected to age rapidly in the near future, with a dramatic increase in the number of heart failure (HF) patients also anticipated. The need for palliative and end-of-life care for elderly patients with advanced HF is currently recognized in aging societies. However, palliative care and active treatment for HF are not mutually exclusive, and palliative care should be provided to reduce suffering occurring at any stage of symptomatic HF after the point of diagnosis. HF patients are at high risk of sudden cardiac death from the early stages of the disease onwards. The decision of whether to perform cardiopulmonary resuscitation in the event of an emergency is challenging, especially in elderly HF patients, because of the difficulty in accurately predicting the prognosis of the condition. Furthermore, advanced HF patients are often fitted with a device, and device deactivation at the end of life is a complicated process. Treatment strategies should thus be discussed by multi-disciplinary teams, including palliative experts, and should consider patient directives to address the problems discussed above. Open communication with the HF patient regarding the expected prognosis, course, and treatment options will serve to support the patient and aid in future planning.

• Journal of the Korean Society of Industry Convergence
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• v.22 no.2
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• pp.227-233
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• 2019

In recent years, vehicle fires account for the second highest rate after residential fires. It accounts for more than 10.7% of the total fire occurrence rate. Vehicle fires are very difficult to evolve at an early stage. Most of the vehicles are burned down in the event of a fire, resulting in a lot of physical and personal damage. In the EU and other countries, efforts are being made to install automatic fire extinguishing systems in preparation for vehicle fires. In addition, since the automatic fire extinguishing system applied to a vehicle must operate in a moving state of a car, a method for detecting a fire is needed. Therefore, this paper proposes a structure of an automatic fire extinguishing system that can evolve a fire when a fire occurs in a commercial vehicle among various vehicles. Especially, it confirms the feasibility of the automatic fire extinguishing system simulated in the laboratory environment and confirms its applicability.

• International journal of thyroidology
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• v.11 no.2
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• pp.88-91
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• 2018

After introducing tyrosine kinase inhibitors (TKIs) as promising treatments for radioactive iodine refractory advanced thyroid cancer patients, we more often meet patients with TKI-related hormone and electrolyte imbalances in clinics. Hypocalcemia associated with TKI is associated with an imbalance in calcium-vitamin D metabolism. TKI-related hypothyroidism is related to the metabolic rate of thyroid hormones. The two side effects usually occur in the early stages of TKI treatment, and if the imbalance is corrected appropriately, the effects are minor, but in severe cases, the TKI should be discontinued. The authors reported a case of severe hypocalcemia and thyroid dysfunction after TKI treatment. A 56-year-old man suffered from symptomatic hypocalcemia during TKI treatment, which was resolved after he stopped taking the TKI medication. Although calcium and vitamin D replacement have increased, hypocalcemia was recurred and TKI treatments have been permanently stopped due to serious weight loss in grade 3. After the interruption, his calcium levels normalized.

• Journal of Information Technology Services
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• v.18 no.2
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• pp.17-35
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• 2019

The objective of this study is to extract affecting factors on game satisfaction of a mobile game through the two mediated variables, self-fulfillment and flow. To apply mobile environment changed into the research model of a mobile game, we classify independent factors into three types such as system characteristics, cognitive characteristics, and individual characteristics. The previous studies for using mobile game have been based on intrinsic motivation, such as flow, as a mediated factor. However, the flow variable has some limitations in explaining user satisfaction aspects of mobile game, and the self-fulfillment variable is popularly used as an important mediated factor in the field of sports science. Because users of mobile game often attain their goals as sports event, we utilize self-fulfillment as well as flow as mediated variables. We developed a research model that includes independent factors, mediated variables of self-fulfillment and flow, and a dependent variable of game satisfaction. The data were collected from 438 users of mobile game and were used for analysis. Based on the survey results, we found the followings: (1) Immediate connectivity, enjoyment, relationship, early adopter tendency, and competitiveness affect self-fulfillment, and self-fulfillment affects the flow. (2) Enjoyment and competitiveness affect self-fulfillment, flow, and game satisfaction simultaneously.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.28 no.4
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• pp.141-146
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• 2020

The International Civil Aviation Organization (ICAO) developed Doc 9995 "Manual of Evidence-based Training," with the intention of providing guidance by establishing a new methodology for the development and conduct of a recurrent training and assessment program. The airline pilot training regulations were largely based on the evidence of hull losses from early generation jets, and in order to mitigate a risk, simply repeating an event in a training program was sufficient. At the time, studies concluded that it was time to change the paradigm of training and assessment program for pilots. One airline alone implemented Evidence-Based Training (EBT) program in their flight crew training and assessment program while another airline partially implemented the EBT program. In the regulatory framework of MOLIT, specific EBT regulations have not been established yet. Therefore, it is recommended to develop rules and standards that comply with ICAO SARPs as soon as possible. In this study we review the key steps in the implementation of the baseline EBT, approval process of baseline EBT program, and policy options regarding the implementation of EBT. It will provide guidance to operators, Approved Training Organizations (ATO), and stakeholders.

• Computers and Concrete
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• v.31 no.5
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• pp.371-384
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• 2023

Precast roofing systems employing prestressed elements often serve as smart structural solutions for the construction of industrial buildings. The precast concrete elements usually employed are highly engineered, and often consist in thin-walled members, characterised by a complex behaviour in fire. The present study was carried out after a fire event damaged a precast industrial building made with prestressed beam and roof elements, and non-prestressed curved barrel vault elements interposed in between the spaced roof elements. As a consequence of the exposure to the fire, the main elements were found standing, although some locally damaged and distorted, and the local collapse of few curved barrel vault elements was observed in one edge row only. In order to understand and interpret the observed structural performance of the roof system under fire, a full fire safety engineering process was carried out according to the following steps: (a) realistic temperature-time curves acting on the structural elements were simulated through computational fluid dynamics, (b) temperature distribution within the concrete elements was obtained with non-linear thermal analysis in variable regime, (c) strength and deformation of the concrete elements were checked with non-linear thermal-mechanical analysis. The analysis of the results allowed to identify the causes of the local collapses occurred, attributable to the distortion caused by temperature to the elements causing loss of support in early fire stage rather than to the material strength reduction due to the progressive exposure of the elements to fire. Finally, practical hints are provided to avoid such a phenomenon to occur when designing similar structures.

• The Bulletin of The Korean Astronomical Society
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• v.46 no.1
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• pp.43.4-44
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• 2021

99942 Apophis is an Sq-type Aten group Near-Earth Asteroid (NEA) with an estimated size of 370 m. It will approach the Earth to come within the geostationary orbit during the upcoming encounter on April 13, 2029 to offer a unique chance to study its 1) global properties, 2) surface arrangements, and 3) their detectable changes expected to happen, in sub-meter scale. What measurable scientific goals for the asteroid in this "once a millennium" event could transform our knowledge of planetary science and defense? The Apophis rendezvous mission aims to understand the characteristics of the small solar system body's nature. It also prepares for potential threats from natural objects by measuring in-situ surface, shape, rotation, and orbit changes expected to occur when the target asteroid passes close to the Earth in 2029. We will present an overview of the mission scheduled to be launched from late 2026 to early 2027 and introduce scientific objectives.

• Nuclear Engineering and Technology
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• v.55 no.6
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• pp.1988-1993
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• 2023

This experimental study investigated the effect of silica fume mixed in concrete blocks on laser-induced explosion behavior. We used a 5.3 kW fiber laser as a thermal source to induce explosive spalling on a concrete surface blended with and without silica fume. An analytical approach based on the difference in the removal rate and thermal behavior was used to determine the effect of silica fume on laser-induced explosive spalling. A scanner was employed to calculate the laser-scabbled volume of the concrete surface to derive the removal rate. The removal rate of the concrete mixed with silica fume was higher than that of without silica fume. Thermal images acquired during scabbling were used to qualitatively analyze the thermal response of laser-induced explosive spalling on the concrete surface. At the early stage of laser heating, an uneven spatial distribution of surface temperature appeared on the concrete blended with silica fume because of frequent explosive spalling within a small area. By contrast, the spalling frequency was relatively lower in laser-heated concrete without silica fume. Furthermore, we observed that a larger area was removed via a single explosive spalling event owing to its high porosity.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.142-142
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• 2021

An arbitrary representation of an urban drainage sewer system was devised using a geographic information system (GIS) tool in order to calculate the surface and subsurface flow interaction for simulating urban flood. The proposed methodology is a mean to supplement the unavailability of systematized drainage system using high-resolution digital elevation(DEM) data in under-developed countries. A modified DEM was also developed to represent the flood propagation through buildings and road system from digital surface models (DSM) and barely visible streams in digital terrain models (DTM). The manhole, sewer pipe and storm drain parameters are obtained through field validation and followed the guidelines from the Plumbing law of the Philippines. The flow discharge from surface to the devised sewer pipes through the storm drains are calculated. The resulting flood simulation using the modified DEM was validated using the observed flood inundation during a rainfall event. The proposed methodology for constructing a hypothetical drainage system allows parameter adjustments such as size, elevation, location, slope, etc. which permits the flood depth prediction for variable factors the Plumbing law. The research can therefore be employed to simulate urban flood forecasts that can be utilized from traffic advisories to early warning procedures during extreme rainfall events.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.134-134
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• 2022

Streamflow forecasting plays a crucial role in water resource control, especially in highly urbanized areas that are very vulnerable to flooding during heavy rainfall event. In addition to providing the accurate prediction, the evaluation of effects and importance of the input predictors can contribute to water manager. Recently, machine learning techniques have applied their advantages for modeling complex and nonlinear hydrological processes. However, the techniques have not considered properly the importance and uncertainty of the predictor variables. To address these concerns, we applied the GA-BART, that integrates a genetic algorithm (GA) with the Bayesian additive regression tree (BART) model for hourly streamflow forecasting and analyzing input predictors. The Jungrang urban basin was selected as a case study and a database was established based on 39 heavy rainfall events during 2003 and 2020 from the rain gauges and monitoring stations. For the goal of this study, we used a combination of inputs that included the areal rainfall of the subbasins at current time step and previous time steps and water level and streamflow of the stations at time step for multistep-ahead streamflow predictions. An analysis of multiple datasets including different input predictors was performed to define the optimal set for streamflow forecasting. In addition, the GA-BART model could reasonably determine the relative importance of the input variables. The assessment might help water resource managers improve the accuracy of forecasts and early flood warnings in the basin.