• 제목/요약/키워드: teaching methods of patterns

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노인환자의 복약순응도 현황 및 영향인자 분석 (Predictive Factors for Medication Adherence in a Geriatric Assessment Program in Korea)

  • 김민소;최나예;서예원;박진영;이정화;이은숙;김은경;김선욱;김광일;김철호
    • 병원약사회지
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    • 제35권4호
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    • pp.418-429
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    • 2018
  • Background : To improve medication adherence in elderly patients, the role of pharmacists in teambased services has been highlighted in the literature. However, not much is known about the role and the service elements involved in comprehensive geriatric programs in South Korea. This study was designed to describe the current status of medication adherence in geriatric patients based on the comprehensive geriatric assessment program and analyze the predictive factors for medication adherence in a tertiary teaching hospital. Methods : A retrospective cohort study was performed using electronic medical records of 247 patients from March 1st, 2015 to August 31st, 2015. Medication adherence and the types of non-adherence were also collected. Predictive factors for adherence were evaluated by including factors related to demographics, medications, illness, and patterns of medical usage. Results : The mean age of the study population was 81.2 years (range 65~98 years) and they were taking 9.7 drugs on an average (SD 5.0 drugs). The overall rate of non-adherence was 34%. About 48% of the patients had any forms of assistance in the medication administration. The most common type of non-adherence was "self-adjustment". The multivariate analyses revealed that age (adjusted odds ratio, 0.87 [95% CI, 0.80-0.96]; p 0.05) and the number of inappropriate medications (adjusted odds ratio, 0.59 [95% CI, 0.40-0.89]; p 0.05) were strong predictors for non-adherence. Conclusions : These results indicate that strategic considerations of the predictors of non-adherence should be improved in medication counseling services targeting elderly patients.

뉴스 빅데이터를 통해 검토한 대학교육의 토픽 분석 (A Topic Analysis of College Education Using Big Data of News Articles)

  • 양지연;구정호
    • 디지털융복합연구
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    • 제19권12호
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    • pp.11-20
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    • 2021
  • 본 연구는 신문기사 빅데이터를 통해 대학교육 관련 보도의 토픽을 추출하고, 토픽별 특징 및 신문사별 보도양상을 분석한다. 2016년-2021년 상반기 주요 중앙지와 지역지의 기사를 빅카인즈를 통해 추출하였고, 잠재디리슐레할당을 이용하여 총 9개의 토픽을 발견하였다. 토픽1과 토픽3은 교육에 대한 대학지원사업에 관련된 것이나 토픽3은 지역대학에 초점이 맞추어져 있다. 토픽2는 코로나19 이후 대학교육, 토픽4는 교수-학습법, 토픽5는 정부정책, 토픽6은 고교교육기여대학 지원사업, 토픽7은 대학교육 비전, 토픽8은 국제화, 토픽9는 입시 등을 논하고 있다. 조선일보, 경향신문, 한겨레는 코로나19 이후 강의, 정부정책 관련, 대학교육에 대한 기사와 논평을 많이 보도한 반면 동아일보, 중앙일보, 한라일보, 부산일보, 대전일보, 경인일보는 대학지원사업, 고교교육기여대학 지원사업 등 광고·홍보성 기사가 상대적으로 많았다. 2016년부터의 관련기사를 신문사별 뿐 아니라, COVID-19 발생 전후로도 분석하여 관련 보도의 토픽 차이를 살펴볼 수 있었다. 사회적으로 주요 관심 사항인 대학교육이 언론에 어떻게 보도되고 있는지 확인함으로써 미래의 대학교육 정책 방향과 미디어의 순기능과 역기능 등 언론의 역할에 대해 고찰할 필요가 있음을 시사한다.

A hybrid algorithm for the synthesis of computer-generated holograms

  • Nguyen The Anh;An Jun Won;Choe Jae Gwang;Kim Nam
    • 한국광학회:학술대회논문집
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    • 한국광학회 2003년도 하계학술발표회
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    • pp.60-61
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    • 2003
  • A new approach to reduce the computation time of genetic algorithm (GA) for making binary phase holograms is described. Synthesized holograms having diffraction efficiency of 75.8% and uniformity of 5.8% are proven in computer simulation and experimentally demonstrated. Recently, computer-generated holograms (CGHs) having high diffraction efficiency and flexibility of design have been widely developed in many applications such as optical information processing, optical computing, optical interconnection, etc. Among proposed optimization methods, GA has become popular due to its capability of reaching nearly global. However, there exits a drawback to consider when we use the genetic algorithm. It is the large amount of computation time to construct desired holograms. One of the major reasons that the GA' s operation may be time intensive results from the expense of computing the cost function that must Fourier transform the parameters encoded on the hologram into the fitness value. In trying to remedy this drawback, Artificial Neural Network (ANN) has been put forward, allowing CGHs to be created easily and quickly (1), but the quality of reconstructed images is not high enough to use in applications of high preciseness. For that, we are in attempt to find a new approach of combiningthe good properties and performance of both the GA and ANN to make CGHs of high diffraction efficiency in a short time. The optimization of CGH using the genetic algorithm is merely a process of iteration, including selection, crossover, and mutation operators [2]. It is worth noting that the evaluation of the cost function with the aim of selecting better holograms plays an important role in the implementation of the GA. However, this evaluation process wastes much time for Fourier transforming the encoded parameters on the hologram into the value to be solved. Depending on the speed of computer, this process can even last up to ten minutes. It will be more effective if instead of merely generating random holograms in the initial process, a set of approximately desired holograms is employed. By doing so, the initial population will contain less trial holograms equivalent to the reduction of the computation time of GA's. Accordingly, a hybrid algorithm that utilizes a trained neural network to initiate the GA's procedure is proposed. Consequently, the initial population contains less random holograms and is compensated by approximately desired holograms. Figure 1 is the flowchart of the hybrid algorithm in comparison with the classical GA. The procedure of synthesizing a hologram on computer is divided into two steps. First the simulation of holograms based on ANN method [1] to acquire approximately desired holograms is carried. With a teaching data set of 9 characters obtained from the classical GA, the number of layer is 3, the number of hidden node is 100, learning rate is 0.3, and momentum is 0.5, the artificial neural network trained enables us to attain the approximately desired holograms, which are fairly good agreement with what we suggested in the theory. The second step, effect of several parameters on the operation of the hybrid algorithm is investigated. In principle, the operation of the hybrid algorithm and GA are the same except the modification of the initial step. Hence, the verified results in Ref [2] of the parameters such as the probability of crossover and mutation, the tournament size, and the crossover block size are remained unchanged, beside of the reduced population size. The reconstructed image of 76.4% diffraction efficiency and 5.4% uniformity is achieved when the population size is 30, the iteration number is 2000, the probability of crossover is 0.75, and the probability of mutation is 0.001. A comparison between the hybrid algorithm and GA in term of diffraction efficiency and computation time is also evaluated as shown in Fig. 2. With a 66.7% reduction in computation time and a 2% increase in diffraction efficiency compared to the GA method, the hybrid algorithm demonstrates its efficient performance. In the optical experiment, the phase holograms were displayed on a programmable phase modulator (model XGA). Figures 3 are pictures of diffracted patterns of the letter "0" from the holograms generated using the hybrid algorithm. Diffraction efficiency of 75.8% and uniformity of 5.8% are measured. We see that the simulation and experiment results are fairly good agreement with each other. In this paper, Genetic Algorithm and Neural Network have been successfully combined in designing CGHs. This method gives a significant reduction in computation time compared to the GA method while still allowing holograms of high diffraction efficiency and uniformity to be achieved. This work was supported by No.mOl-2001-000-00324-0 (2002)) from the Korea Science & Engineering Foundation.

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