This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.
Journal of the Korean Institute of Intelligent Systems
/
v.10
no.5
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pp.487-496
/
2000
In this paper, the Multi-FNN(Fuzzy-Neural Networks) model is identified and optimized using HCM(Hard C-Means) clustering method and genetic algorithms. The proposed Multi-FNN is based on Yamakawa's FNN and uses simplified inference as fuzzy inference method and error back propagation algorithm as learning rules. We use a HCM clustering and Genetic Algorithms(GAs) to identify both the structure and the parameters of a Multi-FNN model. Here, HCM clustering method, which is carried out for the process data preprocessing of system modeling, is utilized to determine the structure of Multi-FNN according to the divisions of input-output space using I/O process data. Also, the parameters of Multi-FNN model such as apexes of membership function, learning rates and momentum coefficients are adjusted using genetic algorithms. A aggregate performance index with a weighting factor is used to achieve a sound balance between approximation and generalization abilities of the model. The aggregate performance index stands for an aggregate objective function with a weighting factor to consider a mutual balance and dependency between approximation and predictive abilities. According to the selection and adjustment of a weighting factor of this aggregate abjective function which depends on the number of data and a certain degree of nonlinearity, we show that it is available and effective to design an optimal Multi-FNN model. To evaluate the performance of the proposed model, we use the time series data for gas furnace and the numerical data of nonlinear function.
The aim of this study is to see the change of the general characteristics and frame of nuclear power plant news in Korea from comparing the before Fukushima nuclear accident in Japan on March 11, 2011 with the after. To this aim, the national daily newspapers and the local daily newspapers in Busan located nuclear power plants were selected, and the content analysis of the newspaper stories about nuclear power plants was done. In research results, the stories about nuclear power plants in Korean newspapers increased greatly after Fukushima nuclear accident. Before the accident the nuclear power plant stories about economy held a large majority, while after the accident the stories about society held. Fukushima nuclear accident served as the momentum that the nuclear power plant stories in Korea became main news. Meanwhile, the frame of nuclear power plant stories in Korean newspapers changed greatly after the accident. Justly the environmental security frame increased greatly, because of increasing greatly the stories about security of nuclear power plants with Fukushima nuclear accident. Particularly in the local daily newspapers in Busan before the accident the environmental security frame was 29.3% of stories about nuclear power plants, and after the accident the frame was 77.6%.
Journal of the Korean Recycled Construction Resources Institute
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v.3
no.1
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pp.50-57
/
2015
Portland cement production is under critical review due to high amount of $CO_2$ gas released to the atmosphere. Attempts to increase the utilization of a by-products such as fly ash and ground granulated blast-furnace slag to partially replace the cement in concrete are gathering momentum. Many researchs on alkali-activated concrete that does not need the presence of cement as a binder have been carried out recently. Instead, the sources of material such as fly ash, that are rich in Silicon(Si) and Aluminium(Al), are activated by alkaline liquids to produce the binder. Hence concrete with no cement is effect reduction of $CO_2$ gas. In this study, we investigated the influence of the fluidity, air content and compressive strength of mortar on alkaline activator in order to develop cementless fly ash and ground granulated blast-furnace slag based alkali-activated mortar with superplasticizer. In view of the results, we found out that Pn of fluidity and compressive strength is the best in four type of superplasticizer, and PNS of powder type of fluidity is better than that of liquid type in the case of AA.
Journal of the Institute of Electronics Engineers of Korea SD
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v.41
no.12
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pp.7-12
/
2004
In this paper, CPW wideband distributed amplifier was designed and fabricated using 0.1 $\mum$ InGaAs/InAlAs/GaAs Metamorphic HEMT(High Electron Mobility Transistor). The DC characteristics of MHEMT are 442 mA/mm of drain current density, 409 mS/mm of maximum transconductance. The current gain cut-off frequency(fT) is 140 GHz and the maximum oscillation frequency(fmax) is 447 GHz. The distributed amplifier was designed using 0.1 $\mum$ MHEMT and CPW technology. We designed the structure of CPW curve, tee and cross to analyze the discontinuity characteristics of the CPW line. The MIMIC circuit patterns were optimized electromagnetic field through momentum. The designed distributed amplifier was fabricated using our MIMIC standard process. The measured results show S21 gain of above 6 dB from DC to 45 GHz. Input reflection coefficient S11 of -10 dB, and output reflection coefficient S22 of -7 dB at 45 GHz, respectively. The chip size of the fabricated CPW distributed amplifier is 2.0 mm$\times$l.2 mm.
Journal of the Institute of Electronics Engineers of Korea CI
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v.39
no.3
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pp.18-31
/
2002
In this study, we introduce a concept of advanced neurofuzzy polynomial networks(ANFPN), a hybrid modeling architecture combining neurofuzzy networks(NFN) and polynomial neural networks(PNN). These networks are highly nonlinear rule-based models. The development of the ANFPN dwells on the technologies of Computational Intelligence(Cl), namely fuzzy sets, neural networks and genetic algorithms. NFN contributes to the formation of the premise part of the rule-based structure of the ANFPN. The consequence part of the ANFPN is designed using PNN. At the premise part of the ANFPN, NFN uses both the simplified fuzzy inference and error back-propagation learning rule. The parameters of the membership functions, learning rates and momentum coefficients are adjusted with the use of genetic optimization. As the consequence structure of ANFPN, PNN is a flexible network architecture whose structure(topology) is developed through learning. In particular, the number of layers and nodes of the PNN are not fixed in advance but is generated in a dynamic way. In this study, we introduce two kinds of ANFPN architectures, namely the basic and the modified one. Here the basic and the modified architecture depend on the number of input variables and the order of polynomial in each layer of PNN structure. Owing to the specific features of two combined architectures, it is possible to consider the nonlinear characteristics of process system and to obtain the better output performance with superb predictive ability. The availability and feasibility of the ANFPN are discussed and illustrated with the aid of two representative numerical examples. The results show that the proposed ANFPN can produce the model with higher accuracy and predictive ability than any other method presented previously.
Jayaramayya, Kaavya;Mahalaxmi, Iyer;Subramaniam, Mohana Devi;Raj, Neethu;Dayem, Ahmed Abdal;Lim, Kyung Min;Kim, Se Jong;An, Jong Yub;Lee, Yoonjoo;Choi, Yujin;Kirubhakaran, Arthi;Cho, Ssang-Goo;Vellingiri, Balachandar
BMB Reports
/
v.53
no.8
/
pp.400-412
/
2020
The world has witnessed unimaginable damage from the coronavirus disease-19 (COVID-19) pandemic. Because the pandemic is growing rapidly, it is important to consider diverse treatment options to effectively treat people worldwide. Since the immune system is at the hub of the infection, it is essential to regulate the dynamic balance in order to prevent the overexaggerated immune responses that subsequently result in multiorgan damage. The use of stem cells as treatment options has gained tremendous momentum in the past decade. The revolutionary measures in science have brought to the world mesenchymal stem cells (MSCs) and MSC-derived exosomes (MSC-Exo) as therapeutic opportunities for various diseases. The MSCs and MSC-Exos have immunomodulatory functions; they can be used as therapy to strike a balance in the immune cells of patients with COVID-19. In this review, we discuss the basics of the cytokine storm in COVID-19, MSCs, and MSC-derived exosomes and the potential and stem-cell-based ongoing clinical trials for COVID-19.
Transactions of the Korean Society of Mechanical Engineers B
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v.36
no.2
/
pp.189-196
/
2012
The heavy moderator acts as the ultimate heat-sink in an operating CANDU reactor. HUKINS has been developed to investigate moderator flow patterns. HUKINS consists of a 38.4-mm-thick cylindrical shell with a 0.95 m inner diameter and 88 sus-tubes that produce a total heat of 10 kW. A chemical visualization method was selected to estimate the occurrence of typical moderator flow patterns. Momentum-dominated flow, mixed flow, and buoyancy-dominated flow are detected under conditions of a heat load of 7.7 kW and input mass flow rates of 4, 7, and 11 L/min. The experimental results are similar to the results of a CFD simulation that consisted of approximately 1.9 million grids and was conducted using the k-${\varepsilon}$ turbulence model. Therefore, both the present experiments and simulations using HUKINS, a 1/8-scale model, represent all three important flow patterns expected in the real CANDU6 reference reactor. Thus, it has been demonstrated that HUKINS could be useful in the study of CANDU6 moderator circulation.
Transactions of the Korean Society of Mechanical Engineers A
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v.36
no.10
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pp.1139-1146
/
2012
An alternative approach for topology optimization of steady incompressible Navier-Stokes flow problems is presented by using P1 nonconforming finite elements. This study is the extended research of the earlier application of P1 nonconforming elements to topology optimization of Stokes problems. The advantages of the P1 nonconforming elements for topology optimization of incompressible materials based on locking-free property and linear shape functions are investigated if they are also valid in fluid equations with the inertia term. Compared with a mixed finite element formulation, the number of degrees of freedom of P1 nonconforming elements is reduced by using the discrete divergence-free property; the continuity equation of incompressible flow can be imposed by using the penalty method into the momentum equation. The effect of penalty parameters on the solution accuracy and proper bounds will be investigated. While nodes of most quadrilateral nonconforming elements are located at the midpoints of element edges and higher order shape functions are used, the present P1 nonconforming elements have P1, {1, x, y}, shape functions and vertex-wisely defined degrees of freedom. So its implentation is as simple as in the standard bilinear conforming elements. The effectiveness of the proposed formulation is verified by showing examples with various Reynolds numbers.
International Union of Geodesy and Geophysics Korean Journal of Geophysical Research
/
v.25
no.1
/
pp.57-81
/
1997
Numerical prediction of nocturnal thermal high in summer of the 1995 near Taegu city located in a basin has been carried out by a non-hydrostatic numerical model over complex terrain through one-way double nesting technique in the Z following coordinate system. Under the prevailing westerly winds, vertical turbulent fluxes of momentum and heat over mountains for daytime hours are quite strong with a large magnitude of more than $120W/\textrm{m}^2$, but a small one of $5W/\textrm{m}^2$ at the surface of the basin. Convective boundary layer (CBL) is developed with a thickness of about 600m over the ground in the lee side of Mt. Hyungje, and extends to the edge of inland at the interface of land sea in the east. Sensible heat flux near the surface of the top of the mountain is $50W/\textrm{m}^2$, but its flux in the basin is almost zero. Convergence of sensible heat flux occurs from the ground surface toward the atmosphere in the lower layer, causing the layer over the mountain to be warmed up, but no convergance of the flux over the basin results from the significant mixing of air within the CBL. As horizontal transport of sensible heat flux from the top of the mountain toward over the basin results in the continuous accumulation of heat with time, enhancing air temperature at the surface of the basin, especially Taegu city to be higher than $39.3^{\circ}C$. Since latent heat fluxes are $270W/\textrm{m}^2$ near the top of the mountain and $300W/\textrm{m}^2$ along the slope of the mountain and the basin, evaporation of water vapor from the surface of the basin is much higher than one from the mountain and then, horizontal transport of latent heat flux is from the basin toward the mountain, showing relative humidity of 65 to 75% over the mountain to be much greater than 50% to 55% in the basin. At night, sensible heat fluxes have negative values of $-120W/\textrm{m}^2$ along the slope near the top of the mountain and $-50W/\textrm{m}^2$ at the surface of the basin, which indicate gain of heat from the lower atmosphere. Nighttime radiative cooling produces a shallow nocturnal surface inversion layer with a thickness of about 100m, which is much lower than common surface inversion layer, and lifts extremely heated air masses for daytime hours, namely, a warm pool of $34^{\circ}C$ to be isolated over the ground surface in the basin. As heat transfer from the warm pool in the lower atmosphere toward the ground of the basin occurs, the air near the surface of the basin does not much cool down, resulting in the persistence of high temperature at night, called nocturnal thermal high or tropical night. High relative humidity of 75% is found at the surface of the basin under the moderate wind, while slightly low relative humidity of 60% is along the eastern slope of the high mountain, due to adiabatic heating by the srong downslope wind. Air temperature near the surface of the basin with high moisture in the evening does not get lower than that during the day and the high temperature produces nocturnal warming situation.
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