• Journal of Korean Academy of Nursing
• /
• v.48 no.2
• /
• pp.221-231
• /
• 2018

Purpose: This study aimed to compare the effects of three interventions on pain, blood pressure, and pulse rate during infiltration anesthesia in patients about to undergo gamma knife surgeries. Methods: The three interventions employed in a university-affiliated Hospital in J City, South Korea were as follows: EMLA cream plus Vapocoolant spray (Vapocoolant, n=30), EMLA cream plus 10.0% Lidocaine spray (Lidocaine, n=30), and EMLA cream only (EMLA, n=30). The equivalent control-group pre test - post test study design was used. Pain was assessed subjectively using the numeric rating scale (NRS) and objectively using a Galvanic Skin Response (GSR) tester. NRS scores were assessed after infiltration anesthesia and the GSR was assessed during infiltration anesthesia. Blood pressure and pulse rate were assessed twice: before and after infiltration anesthesia. Data were collected between August 3, 2016 and March 24, 2017. Results: NRS scores after infiltration anesthesia and the GSR during infiltration anesthesia were significantly lower in the Vapocoolant group than in the Lidocaine and EMLA groups (F=13.56, p<.001 and F=14.43, p<.001, respectively). The increase in systolic blood pressure (F=4.77, p=.011) and in pulse rates (F=4.78, p=.011) before and after infiltration anesthesia were significantly smaller in the Vapocoolant group than in the Lidocaine and EMLA groups; however, no significant differences were observed in diastolic blood pressures (F=1.51, p=.227). Conclusion: EMLA cream plus Vapocoolant spray was the most effective intervention to relieve pain and to lower increase in systolic blood pressure and pulse rate caused by infiltration anesthesia for stereotactic frame fixation. Thus, application of Vapocoolant spray in addition to EMLA cream is highly recommended as a nursing intervention for patients undergoing gamma knife surgeries.

• Safety and Health at Work
• /
• v.8 no.1
• /
• pp.49-58
• /
• 2017

Background: This study determined current status of laboratory biosafety in Nigerian veterinary research facilities. Methods: A questionnaire was developed to obtain information from researchers across Nigeria from July 2014 to July 2015. Information regarding demographics, knowledge of laboratory biosafety, availability and proper use of personal protective equipment (PPE), any priority pathogens researched, attitude on and use of standard laboratory practices, and biosafety awareness was obtained using a numeric scoring system. Data were analyzed with descriptive statistics, and univariate and multivariate logistic regression. Results: A total of 74 participants from 19 facilities completed the questionnaire. General knowledge scores ranged from 3 to 28 (out of 28 possible points), with 94.6% of respondents receiving low scores (scores < mean + 1 standard deviation). Very few (17.6%) reported availability or use PPE. Many participants (63.5%) reported no access to biosafety level (BSL)-1-3 facilities. None reported availability of a BSL-4 facility. Knowledge scores pertaining to biosafety management practices ranged from 0 to 14 (out of 14 possible points) with 47.3% of respondents receiving good scores (scores > mean + 1 standard deviation). Only 16.2% of respondents (from four facilities) reported having biosafety officers. Rabies virus was the most researched pathogen (31.1% of respondents). The majority (71.6%) were unaware of laws guiding biosafety. Researchers [odds ratio (OR) = 18.0; 95% confidence interval (CI): 1.63, 198.5; p = 0.023], especially in BSL-2 (OR = 258.5; 95% CI: 12.71, 5256; p < 0.001) facility of research institute (OR = 25.0; 95% CI: 5.18, 120.6; p < 0.001), are more likely to have adequate access to and properly utilize biosafety devices and PPE. Conclusions: Current knowledge of laboratory biosafety is limited except among a few researchers.

• The Transactions of the Korean Institute of Electrical Engineers D
• /
• v.53 no.6
• /
• pp.415-424
• /
• 2004

In this paper, we introduce and investigate a new category of rule-based fuzzy inference system based on Information Granulation(IG). The proposed rule-based fuzzy modeling implements system structure and parameter identification in the efficient form of “If..., then...” statements, and exploits the theory of system optimization and fuzzy implication rules. The form of the fuzzy rules comes with three types of fuzzy inferences: a simplified one that involves conclusions that are fixed numeric values, a linear one where the conclusion part is viewed as a linear function of inputs, and a regression polynomial one as the extended type of the linear one. By the nature of the rule-based fuzzy systems, these fuzzy models are geared toward capturing relationships between information granules. The form of the information granules themselves becomes an important design features of the fuzzy model. Information granulation with the aid of HCM(Hard C-Means) clustering algorithm hell)s determine the initial parameters of rule-based fuzzy model such as the initial apexes of the membership functions and the initial values of polynomial function being used in the Premise and consequence Part of the fuzzy rules. And then the initial Parameters are tuned (adjusted) effectively with the aid of the improved complex method(ICM) and the standard least square method(LSM). In the sequel, the ICM and LSM lead to fine-tuning of the parameters of premise membership functions and consequent polynomial functions in the rules of fuzzy model. An aggregate objective function with a weighting factor is proposed in order to achieve a balance between performance of the fuzzy model. Numerical examples are included to evaluate the performance of the proposed model. They are also contrasted with the performance of the fuzzy models existing in the literature.

• Proceedings of the Korea Institute of Convergence Signal Processing
• /
• 2003.06a
• /
• pp.94-97
• /
• 2003

In this Paper, propose for MLP(multilayer perception) neural network that uses optimization recognition training scheme for the wavelet transform and the numeral image add to noise, and apply this system in Numeral Recognition. As important part of original image information preserves maximum using the wavelet transform, node number of neural network and the loaming convergence time did size of input vector so that decrease. Apply in training vector, examine about change of the recognition rate as optimization recognition training scheme raises noise of data gradually. We used original image and original image added 0, 10, 20, 30, 40, 50㏈ noise (or the increase of numeral recognition rate. In case of test image added 30∼50㏈, numeral recognition rate between the original image and image added noise for training Is a little But, in case of test image added 0∼20㏈ noise, the image added 0, 10, 20, 30, 40 , 50㏈ noise is used training. Then numeral recognition rate improved 9 percent.

• Journal of Acupuncture Research
• /
• v.38 no.3
• /
• pp.227-232
• /
• 2021

Background: The purpose of this study was to statistically analyze the treatment effect and patient satisfaction of traditional Korean medicine, including acupotomy treatment of cervical herniated intervertebral disc. Methods: This was a retrospective study of 22 patients who received traditional Korean medicine including acupotomy treatment amongst all patients diagnosed with cervical herniated intervertebral discs at the Korean Medicine hospital in Daejeon, Korean, from January 01, 2020 to April 30, 2021. The clinical data from patient medical records were statistically analyzed. Results: The Numeric Rating Scale, the European Quality of Life 5 Dimensions, and the European Quality of Life Visual Analogue Scale questionnaire scores were each compared before and after traditional Korean medicine treatment, including acupotomy, showed significantly improved scores after treatment (p < 0.001). Out of a total of 22 patients, 11 rated the treatment "very satisfactory" (50%), 5 "satisfactory" (22.7%), 5 "indifferent" (22.7%), 1 "unsatisfactory" (4.5%), and 0 "very unsatisfactory" (0%). Of the total 22 patients, 17 patients (77.3%) were willing to have further treatment, and 5 patients (22.7%) were not willing. Conclusion: Traditional Korean medicine treatment including acupotomy was an effective treatment for cervical herniated intervertebral discs. To determine the effect of an individual application (e.g., acupotomy) of traditional Korean medicine treatment for cervical herniated intervertebral disc, a prospective, controlled study is needed.

• The Journal of Korean Medicine
• /
• v.40 no.2
• /
• pp.119-132
• /
• 2019

Purpose: This study was conducted to collect and analyze real world data to evaluate the effectiveness and safety of comprehensive traditional Korean Medicine treatment on quality of life, anorexia and cachexia of cancer patients. Methods: We analyzed medical records of 62 cancer patients admitted to O-I Dang Korean Medicine Hospital from February 2018 to February 2019. The primary outcome was a change score in the Anorexia/Cachexia Subscale of Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The secondary outcomes were Functional Assessment of Cancer Therapy-General (FACT-G), Trial Outcome Index(TOI) of FAACT, 11 point Pain Intensity Numeric Rating Score (11 PI-NRS) and Patient Global Impression of Change (PGIC) and adverse event. Results: Cachexia and quality of life in cancer patients assessed by FAACT, increased by $5.59{\pm}14.83$ (p=0.004) after treatment. PI-NRS was reduced by $2.10{\pm}1.81$ (p<0.001) and TOI and FACT-G total scores were increased by $5.17{\pm}11.70$ (p=0.001) and $3.59{\pm}10.94$ (p=0.012), respectively. These results were also clinically meaningful assessed via minimal clinically important difference (MCID). There was no severe adverse event. Conclusion: These findings suggest that comprehensive traditional Korean Medicine treatment might be effective and safe strategy for improving quality of life, anorexia, cachexia and pain of cancer patients. Further advanced studies with controlled group and more participants with rigorous design are needed to ensure these findings.

• Journal of Korean Academy of Nursing
• /
• v.49 no.2
• /
• pp.215-224
• /
• 2019

Purpose: To investigate the differences in postoperative sore throat and hoarseness by adjustment of endotracheal tube cuff pressure (CP) during nitrous oxide ($N_2O$) and air anesthesia. Methods: A one-equivalent control group pretest-posttest design was used. Data were collected from August 8 to October 19, 2017 and analyzed using the independent t-test and repeated measures ANOVA. Eighty-four participants were enrolled and divided into three groups: 28 in the Control Group (CP adjusted every 30 minutes using $N_2O$), 28 in Experimental Group 1 (CP adjusted every 10 minutes using $N_2O$), and 28 in Experimental Group 2 (non-adjusted CP using air), all of whom underwent urologic, gynecologic, and orthopedic surgeries at the G University hospital. Sore throat was assessed using a numeric rating scale; hoarseness was evaluate using the Stout classification at 1, 6, and 24 hours after surgery. Results: Scores for sore throat and hoarseness were significantly different between the groups at each measurement time, and scores were consistently higher in the control group. During subsequent measurements, sore throat and hoarseness scores were significantly lower at 6 hours. Cuff pressure changed significantly using air anesthesia (${\chi}^2=10.41$, p=.015) up to 2 hours after induction. Severe sore throat and hoarseness was observed for up to 6 hours after surgery. Conclusion: Cuff pressure adjustment at short time intervals would be helpful in reducing postoperative sore throat and hoarseness. Nursing intervention focused on prevention of sore throat and hoarseness should be required up to 6 hours postoperatively in patients undergoing endotracheal intubation.

• Journal of the Korea Society of Computer and Information
• /
• v.26 no.12
• /
• pp.255-264
• /
• 2021

In this paper, we propose operations and maintenance (O&M) planning approach for floating offshore wind farm using the mathematical optimization. To be specific, we present a MILP (Mixed Integer Linear Programming that suggests the composition of vessels, technicians, and maintenance works on a weekly basis. We reflect accessibility to wind turbines based on weather data and loss of power generation using the Jensen wake model to identify downtime cost that vary from time to time. This paper also includes a description of two-stage approach for maintenance planning & detailed scheduling and numeric analysis of the number of vessels and technicians on the O&M cost. Finally, the MILP model could be utilized in order to establish the suitable and effective maintenance planning reflecting domestic situation.

• Journal of The Korean Society of Integrative Medicine
• /
• v.11 no.3
• /
• pp.171-183
• /
• 2023

Purpose : This study sought to investigate research trends regarding joint mobilization type among patients with shoulder joint diseases. Methods : A scoping review was conducted according to the five steps outlined by Arskey and O'Malley and PRISMA-ScR. We searched six domestic databases (ScienceOn, DBpia, Riss, Kmbase, Kiss, KCI) and three international databases (CINAHL, Pubmed, Cochrane central) between 2013 and June 2023. The keyword terms used were 'joint mobilization', 'Kaltenborn', 'Maitland', 'Mulligan', and 'shoulder joint'. Results : There were a total of 44 studies that investigated the topic, and these were divided into quantitative analysis and topic analysis. In terms of publication year, the number of studies within the last five years has increased more than compared to the previous five years, with most of them being randomized clinical trials. In shoulder joint diseases, it was found that the majority of joint movement studies focused on adhesive joint cystitis and shoulder collision syndrome. The Mulligan concept was the most commonly studied type of joint motion. The dependent variables used included pain, joint function (disability), and muscle function. The visual analog scale was the most commonly used for the pain variable, followed by the numeric rating scale. For joint function and disability variables, range of motion was the most commonly used, followed by shoulder pain and disability index, and disabilities of the arm, shoulder, and hand. For muscle function, variables such as muscle tone, strength, and activity were used. Conclusion : We believe that findings of this scoping review can serve as valuable mapping data for joint mobilization research on shoulder joint diseases. Further studies including systematic reviews and meta-analyses based on these results are recommended.

• Journal of Creative Information Culture
• /
• v.5 no.3
• /
• pp.345-353
• /
• 2019

Several studies have been proposed to improve storage space efficiency by expressing binary trie data structure as a linear binary bit string. Compact binary tree approach generated using one binary trie increases the key search time significantly as the binary bit string becomes very long as the size of the input key set increases. In order to reduce the key search range, a hierarchical compact binary tree technique that hierarchically expresses several small binary compact trees has been proposed. The search time increases proportionally with the number and length of binary bit streams. In this paper, we generate several binary compact trees represented by full binary tries hierarchically. The search performance is improved by allowing a path for the binary bit string corresponding to the search range to be determined through simple numeric conversion. Through the performance evaluation using the worst time and space complexity calculation, the proposed method showed the highest performance for retrieval and key insertion or deletion. In terms of space usage, the proposed method requires about 67% ~ 68% of space compared to the existing methods, showing the best space efficiency.