• Sleep Medicine and Psychophysiology
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• v.13 no.2
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• pp.52-58
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• 2006

Objectives: Continuous positive airway pressure (CPAP) is effective in the treatment of obstructive sleep apnea syndrome (OSAS), but the major limitation of CPAP may be poor compliance. The aims of the study were to investigate the compliance and side effects of CPAP, and to evaluate the efficacy of CPAP in patients with OSAS. Methods: This study enrolled 106 patients with OSAS who took the CPAP treatment. The severity of daytime sleepiness was measured using Epworth Sleepiness Scale (ESS), and sleep quality and depressive symptoms were assessed by Pittsburgh Sleep Quality Index (PSQI) and Beck Depression Inventory (BDI), respectively. Results: During 29 months of the study period, 41.5% of patients were using CPAP and 38.7% of patients stopped using it. Compared to non-compliant patients, compliant patients had a higher PSQI score and obstructive apnea index. Among non-compliant patients, 51.2% of them stopped using CPAP within 1months. 85.7% of non-compliant patients were discomforted by the CPAP, but much more nasopharyngeal symptoms were reported in the compliant group. ESS (p<0.01), PSQI (p<0.01) and BMI (p<0.01) were reduced significantly after CPAP treatment but not BDI (p=0.86). Conclusions: We concluded that CPAP can reduce the daytime sleepiness, nocturnal sleep disturbance, and body mass index. To increase the compliance of CPAP, we suggest that some education and support are needed at the early stage of the CPAP treatment.

• Journal of agricultural medicine and community health
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• v.40 no.1
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• pp.9-20
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• 2015

Objectives: This study aimed to explore the persistence and adherence to secondary preventive medication of stroke patients after discharge and to assess the reasons for persistence and nonadherence. Methods: Four hundred twenty-nine patients with stroke were surveyed to determine their behaviors from discharge. Reasons for stopping medications were ascertained. Persistence was defined as continuation of all secondary preventive medications prescribed at hospital discharge, and adherence as continuation of prescribed medications according to health care provider instructions. Results: Of the 429 patients, 86.5% were treatment persistent and 41.2%(non-intentional nonadherence=39.4%, intentional nonadherence=19.4%) were adherent. Independent predictors of persistence included having experience about health education. Independent predictors of non-intentional nonadherence were modified Rankin Scale(mRS) (Exp(B)=2.858, p=0.001) and health education experience (Exp(B)=0.472, p=0.032), and independent predictors of intentional nonadherence were mRS (Exp(B)=2.533, p=0.006), depressive symptoms (Exp(B)=1.113, p=0.016), beliefs about medications questionnaire(necessity, Exp(B)=0.879, p=0.011, concern, Exp(B)=1.098, p=0.019). Conclusions: Although up to one-ninth of stroke patients continued secondary prevention medications, nonadherence is common. Several potentially modifiable patient, provider, and system-level factors associated with persistence and adherence may be targets for future interventions. Specially, interventions to improve adherence should target patients' beliefs about their medication.

• Korean Journal of Cognitive Science
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• v.21 no.1
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• pp.1-24
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• 2010

The stationary image appears to move after we view a moving stimulus for a long time. The motion aftereffect(MAE) can spread to an adjacent region if there is no contrast discontinuity between two regions. In this study, it is investigated whether a phenomenon of MAE spreading to an adjacent non adapting area is affected by the depth discontinuity defined by binocular disparity. In the first experiment a disparity defined slanted pattern was presented in an unadapted region, and in the second experiment, a disparity defined pattern with a different depth was presented on the fronto-parallel plane. Although MAE duration in the condition with slanted pattern was not different from that in the non-slanted pattern condition, MAE durations in the pattern presented on pronto-parallel plane was vividly reduced, but not completely disappeared. These results suggest that a phenomenon of MAE spreading might be affected by depth discontinuity, and could be occurred after binocular information converges.

• The Korean Nurse
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• v.31 no.1
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• pp.57-67
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• 1992

• Transactions of the Korean Society of Mechanical Engineers A
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• v.36 no.10
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• pp.1139-1146
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• 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.

• Korean Journal of Community Nutrition
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• v.27 no.2
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• pp.121-131
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• 2022

Objectives: This study aimed to examine the effectiveness of the intervention of the nutrition support team (NST) on the nutritional status of critically ill patients. Methods: The medical records of 176 adult patients who were admitted to the intensive care unit and received enteral or parenteral nutrition for more than 7 days were retrospectively analyzed. The patients were classified into the NST and non-NST groups according to whether they were referred to the NST or not. The NST group was further classified into the compliance and non-compliance groups depending on their compliance with the NST recommendations. Results: The NST referral rate was 56.8%, and the rate of compliance with the NST recommendations was 47.0%. Significantly higher energy and protein were provided to the NST and the compliance groups than to the non-NST and the non-compliance groups. The proportion of patients who reached the target calories after the initiation of enteral nutrition was significantly higher in the NST and the compliance groups than in the non-NST and the non-compliance groups. The serum albumin and hemoglobin levels significantly decreased in every group, but the changes were significantly lower in the compliance group. The nutritional status at discharge from the intensive care unit compared to the status at admission was significantly worse in the NST, non-NST, and non-compliance groups. However, the status was maintained in the compliance group. The length of stay in the intensive care unit was significantly shorter in the compliance group. Conclusions: Compliance with the NST recommendations was found to provide more calories and protein and prevent the deterioration of the nutritional status of critically ill patients. Therefore, effective communication between medical staff and the NST from the early stages of admission to the intensive care unit is needed to improve referrals to the NST and compliance with the recommendations.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2011.06a
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• pp.269-271
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• 2011

우리나라에서 사용하고 있는 표준형 부표류 중 스파부이는 등부표에 비하여 이출거리가 적고 항만 입출항로 및 협수로에서의 항로표시 기능은 좋은 편이나 강조류나 조차가 큰 해역등에서는 설치운영이 곤란한 실정이다. 이러한 스파부이의 장점을 유지하면서 단점을 보완하는 조위 순응형 스파부이의 개발이 절실한 시점이며, 이러한 항로표지의 요구를 만족하기 위하여 본 연구에서는 조위 순응형 스파부이를 개발하기 위한 전 해역의 환경조건을 검토하여 실제 해역에 적용가능한 스파부이의 구조형식을 제안하였다.

• Communications of the Korean Mathematical Society
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• v.16 no.4
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• pp.543-566
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• 2001

이차원 선형 탄성방정식을 소개하고 약한 형식 타원성을 보여준다(P-1)순응 유한요소를 사용할 때 나타나는 잠김현상을 설명하고 그 해결책으로서 비순응 유한요소법과 penalty 항을 가진 혼합문제, 일계 최소자승법 등을 소개한다.

• Journal of Convergence for Information Technology
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• v.8 no.4
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• pp.9-14
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• 2018

The purpose of this study was to analyse the relationship between the characteristics of the patients who received oral antihyperglycemic drugs and their medical adherence in Korea. The study method was a cross-sectional study using the patient sample data of the Health Insurance Review and Assessment Service for 2016, and it was analyzed with 109 major components of diabetes drug. The medical adherence was slightly higher in male than female. The patriots & veterans(free) type had the highest medication adherence because they have low self burden to access medical institutions compared to other insurance types. It is expect that this study result will be used as a basic data to understand the burden of outpatients with health insurance and establish a policy to reduce of the self outpatients' burden with chronic diseases such as type 2 diabetes.

• Journal of the Institute of Electronics Engineers of Korea SP
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• v.42 no.5 s.305
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• pp.19-28
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• 2005

Real surround viewing conditions in watching the color display devices such as TV and PC monitor are quite different from the standard viewing conditions. Human visual system is adapted chromatically under the different viewing conditions in luminance levels and chromaticity of illuminants. Accordingly, the reproduced colors of the same chromaticity will appear as quite different color. Therefore, it is necessary that the displayed colors are reproduced to be appeared as the original colors in the standard viewing conditions. In this paper, we propose a chromatic adaptation model for the variations of the surround illuminants' chromaticity under the same luminance conditions. In proposed chromatic adaptation model, we calculate each gain of L, M, and S as nonlinear functions according to the chromaticity of the surround illuminants. And the optimal coefficients are obtained from the corresponding colors data of the Breneman's experiments. The proposed chromatic adaptation model is compared with the conventional chromatic adaptation models. In the experimental results, the proposed model has very good performance in the whole range of luminance levels. We also experimentally confirmed that the reproduced corresponding colors using the proposed chromatic adaptation are appeared as the original colors when the real surround viewing conditions are different from the standard viewing conditions.