• Title/Summary/Keyword: 조정속도

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A Study on the Patient-centered Medical Delivery System -Focusing on EU examples of strengthening primary care- (환자 중심의 의료전달체계 구축에 관한 연구 -일차 의료 강화와 관련된 유럽연합의 예를 중심으로-)

  • Kim, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.3
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    • pp.235-262
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    • 2019
  • While traditionally threatening human infectious diseases are decreasing, chronic diseases such as cancer and diabetes, including cardiovascular diseases, are spreading rapidly. Reflecting the characteristics of chronic diseases that are difficult to treat, the management of risk factors and the preparation of health promotion policies corresponding to them have emerged as important concerns around the world. Providing so-called multi-sector approach such as health promotion and disease prevention policy and solution for community response, The value of primary care is once again highlighted in the changed medical environment. As the existing medical delivery system has become difficult to cope with the people's desire for rapid aging, disease paradigm change, and quality of life improvement, European Union countries have made various efforts to improve the quality of their primary medical system, which provides continuous, com- prehensive and coordinated management. This paper examines the current status and problems of the healthcare delivery system in Korea, draws implications from the European Union examples related to the strengthening of primary care, and discusses the plans for establishing a patient-centered future medical delivery system.

Study on the interrelationship between the PWV and the temperature difference (맥파전달속도(PWV)와 말초체열분포(DITI)와의 관계 연구)

  • Lee, Yoon-Jae;Cho, Jung-Hoon;Lee, Chang-Hoon;Lee, Jin-Moo;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.6 no.1
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    • pp.23-31
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    • 2008
  • Objective: The purpose of this study is to identify relationship between the PWV and the temperature difference. Methods: When it comes to senile patients who suffer from cold limbs, there is need to see whether or not the patient's low temperature of the limbs is do to arteriosclerosis. The Pulse Wave Velocity(PWV) is a non-invasive method measuring the artery's rigidness. And the Digital Infrared Thermal Imaging(D.I.T.I) is a non-invasive method to see the body's thermal change. Research on the interrelationship of the artery's rigidness and body's thermal distribution was done by using these two tests. The subjects of this research were patients between the age 40~65 who have done both the D.I.T.I and PWV in March 2005~ September 2005. They had to have no history of diabetes, coronary illnesses or cerebrovascular diseases which are diseases that can effect the outcome of the PVW, nor history of spondylopathy or dermatosis which can effect the outcome of the D.I.T.I. Results: The results were as follows. 1. There was a significant interrelationship between the right wrist-ankle PWV and the temperature difference of the right wrist-palm. 2. There was a significant interrelationship between the left wrist-ankle PWV and the temperature difference of the left wrist-palm. 3. There was no significant interrelationship between the right wrist-ankle PWV and the temperature difference of the right thigh-dorsum of foot. 4. There was no significant interrelationship between the left wrist-ankle PWV and the temperature difference of the left thigh-dorsum of foot. 5. The right ABI showed no significant interrelationship between the temperature difference of the right wrist-palm and the right thigh-dorsum of foot. 6. The left ABI showed no significant interrelationship between the temperature difference of the left wrist-palm and the left thigh-dorsum of foot. Conclusion: The study shows that there was a significant interrelationship between wrist-ankle PWV and the temperature difference of wrist-palm.

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Vacuum Web-coater with High Speed Surface Modification Equipment for fabrication of 300 mm wide Flexible Copper Clad Laminate (FCCL) (초고속 대면적 표면 처리 장치가 부착된 300 mm 폭 연성 동박적층 필림 제작용 진공 웹 코터)

  • Choi, H.W.;Park, D.H.;Kim, J.H.;Choi, W.K.;Sohn, Y.J.;Song, B.S.;Cho, J.;Kim, Y.S.
    • Journal of the Korean Vacuum Society
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    • v.16 no.2
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    • pp.79-90
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    • 2007
  • Prototype of $800{\ell}$ vacuum web coater (Vic Mama) consisting of ion source with low energy less than 250 eV for high speed surface modification and 4 magnetron sputter cathodes was designed and constructed. Its performance was evaluated through fabricating the adhesiveless flexible copper clad laminate (FCCL). Pumping speed was monitored in both upper noncoating zone pumped down by 2 turbo pumps with 2000 l/sec pumping speed and lower surface modification and sputter zone vacuumed by turbo pumps with 450 1/sec and 1300 1/sec pumping speed respectively. Ion current density, plasma density, and uniformity of ion beam current were measured using Faraday cup and the distribution of magnetic field and erosion efficiency of sputter target were also investigated. With the irradiation of ion beams on polyimide (Kapton-E, $38{\mu}m$) at different fluences, the change of wetting angle of the deionized water to polyimide surface and those of surface chemical bonding were analyzed by wetting anglometer and x-ray photoelectron spectroscopy. After investigating the deposition rate of Ni-Cr tie layer and Cu layer was investigated with the variations of roll speed and input power to sputter cathode. FCCL fabricated by sputter and electrodeposition method and characterized in terms of the peel strength, thermal and chemical stability.

A Path-Tracking Control of Optically Guided AGV Using Neurofuzzy Approach (뉴로퍼지방식 광유도식 무인반송차의 경로추종 제어)

  • Im, Il-Seon;Heo, Uk-Yeol
    • Journal of Institute of Control, Robotics and Systems
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    • v.7 no.9
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    • pp.723-732
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    • 2001
  • In this paper, the neurofuzzy controller of optically guided AGV is proposed to improve the path-tracking performance A differential steered AGV has front-side and rear-side optical sensors, which can identify the guiding path. Due to the discontinuity of measured data in optical sensors, optically guided AGVs break away easily from the guiding path and path-tracking performance is being degraded. Whenever the On/Off signals in the optical sensors are generated discontinuously, the motion errors can be measured and updated. After sensing, the variation of motion errors can be estimated continuously by the dead reckoning method according to left/right wheel angular velocity. We define the estimated contour error as the sum of the measured contour in the sensing error and the estimated variation of contour error after sensing. The neurofuzzy system consists of incorporating fuzzy controller and neural network. The center and width of fuzzy membership functions are adaptively adjusted by back-propagation learning to minimize th estimated contour error. The proposed control system can be compared with the traditional fuzzy control and decision system in their network structure and learning ability. The proposed control strategy is experience through simulated model to check the performance.

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Development of New Manufacturing Process for Changran-Jeotgal 3. Improvement of Seasoning Process and Quality Estimation (창란젓갈 제조의 신기술 개 발 3. 조미공정의 개량 및 품질평가)

  • LEE Won-Dong;LEE Jae-Jin;CHANG Dong-Suck;YOON Ji-Hye;LEE Myung-Suk
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.2
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    • pp.119-124
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    • 2001
  • In Conventional process, sugaring and seasoning step were combined during seasoning process of Changran-Jeotgal. While, in the case of Improved process, sugaring and seasoning step were separated and agitation was employed in order to control moisture content and improve taste. The addition of $20\%$ of corn syrup and agitation with 10 rpm for 4 hours at $20^{\circ}C$ were carried out to optimize the seasoning process in Changran-Jeotgal. From above results, quality estimation of Changran-Jeotgal manufacturing process, such as chemical and microbiological changes, there were little difference for salinity, pH, VBN value, crude fat and crude protein between Improved process and Conventional one, However water activity of Changran-Jeotgal produced by the Improved process was lower with 0.82 than that of Conventional one with 0.90. And the sensory evaluation showed that Improved process produced more favorable products; By regional groups, Seoul residents favored them more than Busan ones and by age, teen-aged like them best.

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PRELIMINARY STUDY ON THE PLATE MOTION IN KOREAN PENINSULA WITH NEW KOREAN VLBI ARRAY (우주측지 VLBI를 이용한 한반도 지각판 운동 예비 연구)

  • Kwak, Young-Hee;Sasao, Tetsuo;Cho, Jung-Ho
    • Journal of Astronomy and Space Sciences
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    • v.23 no.4
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    • pp.345-354
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    • 2006
  • Korean Peninsula has been postulated to be on the Eurasian plate(EU). On the other hand, recent seismological works and GPS researches suggest that it is on a separate plate called the Amurian plate (AM). However, the GPS results we inconsistent with each other beyond the estimated statistical errors. Moreover, the estimated plate motion parameter, which we obtained from the velocity data of six Korean GPS stations, was not well agreeing with any existing results. Therefore, independent measurements are required to distinguish those results. In near future, we will have 4 VLBI stations in Korea. This compact Korean VLBI array is capable of achieving good determination of the plate motion parameters if it is located on stable sites. We estimated the precision of the AM motion parameters with the Korean VLBT array. The results showed that the Korean VLBI array would verify the existence of the AM, as far as the observation precision of 0.2-0.5mm/yr for station velocities is achieved. Therefore, new Korean geodetic VLBI array can contribute to crustal deformation studies in East Asia.

Development of Improved Clustering Harmony Search and its Application to Various Optimization Problems (개선 클러스터링 화음탐색법 개발 및 다양한 최적화문제에 적용)

  • Choi, Jiho;Jung, Donghwi;Kim, Joong Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.630-637
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    • 2018
  • Harmony search (HS) is a recently developed metaheuristic optimization algorithm. HS is inspired by the process of musical improvisation and repeatedly searches for the optimal solution using three operations: random selection, memory recall (or harmony memory consideration), and pitch adjustment. HS has been applied by many researchers in various fields. The increasing complexity of real-world optimization problems has created enormous challenges for the current technique, and improved techniques of optimization algorithms and HS are required. We propose an improved clustering harmony search (ICHS) that uses a clustering technique to group solutions in harmony memory based on their objective function values. The proposed ICHS performs modified harmony memory consideration in which decision variables of solutions in a high-ranked cluster have higher probability of being selected than those in a low-ranked cluster. The ICHS is demonstrated in various optimization problems, including mathematical benchmark functions and water distribution system pipe design problems. The results show that the proposed ICHS outperforms other improved versions of HS.

A Basic Study on Prediction Module Development of Collision Risk based on Ship's Operator's Consciousness (선박운항자 의식 기반 충돌 위험도 예측 모듈 개발에 관한 연구)

  • Park, Young-Soo;Park, Sang-Won;Cho, Ik-Soon
    • Journal of Navigation and Port Research
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    • v.39 no.3
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    • pp.199-207
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    • 2015
  • In ports of Korea, the marine traffic flow is congested due to a large number of vessels coming in and going out. In order to improve the safety and efficiency of these vessels, South Korea is operating with a Vessel Traffic Service System, which is monitoring its waters for 24 hours. However despite these efforts of the VTS (Vessel Traffic Service) officers, collisions are occurring continuously, the risk situation is analyzed that occurs once in about 20 minutes, the risk may be greater. It investigated to reduce these accidents by providing a safety standard for collision danger in a timely manner. Thus, this study has developed a risk prediction module to predict risk in advance. This module can avoid collision risk to adjust the speed and course of ship using a risk evaluation model based on ship operator's risk perspective. Using this module, the ship operators and VTS officers can easily be identified risks in complex traffic situations, so they can take an appropriate action against danger in near future including course and speed change. To verify the effectiveness of this module, this paper predicted the risk of each encounter situation and confirmed to be capable of identifying a risk changes in specific course and speed changes at Busan coastal water.

Flow Characteristics Analysis of the Decontamination Device with Mixing and Diffusion Using Radio-Isotopes Tracer (방사성 동위원소를 이용한 제염제 혼합확산장치의 유동특성분석)

  • Oh, Daemin;Kang, Sungwon;Kim, Youngsug;Jung, Sunghee;Moon, Jinho;Park, Jangguen
    • Journal of Korean Society of Environmental Engineers
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    • v.39 no.5
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    • pp.282-287
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    • 2017
  • The purpose of this study was predicted the effects of mixing and diffusion due to the operation of the apparatus before the development of the mixed diffusion device for the decontamination absorbent to minimize the influence of contaminant inflow due to radiation accident. The tracer used for the flow characteristics was $^{68}Ga$, $^{99m}Tc$, which is a radioactive isotope, and 2 inch NaI radiation detector was used to detect it. The impeller of the decontamination mixed diffusion system applied to this study was made into three types and the mixing diffusion effect was compared. As a result of analyzing the flow characteristics of the radio-isotope with decontamination mixed diffusion device, mixing, diffusion and flow pattern were obtained. The radial mixing type impeller was able to diffuse to the water surface by the upflow flow, and the fin structure was adjusted for finding optimal conditions. The model 3 type consists of a fin guiding part and an auxiliary fin so that the diffusion speed is higher than that of other types of impellers. It also showed a short time to reach complete mixing.

Effect of Salinity Concentration on Aerobic Composting of Food Waste (염분함량이 음식물쓰레기의 호기성 퇴비화에 미치는 영향)

  • Kim, Nam-Chan;Kim, Do-Hee
    • Journal of the Korea Organic Resources Recycling Association
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    • v.8 no.2
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    • pp.124-129
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    • 2000
  • The purpose of this study is to estimate the degradation rate and process efficiency of the composting according to the salinity concentration. The samples of food waste for this study were collected in Pocheon-Gun, Kyungki-Do. The collected samples were adjusted to the optimum range of moisture content, pH and C/N ratio. After that, adding the saline, the samples with 3 different salinity concentrations(1%, 5% and 10%) were made. Then each sample was fed into the reactor with temperature controller. During the aerobic composting process, the change of the physical and chemical properties of the sample as temperature, pH, C/N ratio and $CO_2$ and $O_2$ concentration in the reactor were measured. From the experiment of this study, the result are following. The highest temperatures are $59^{\circ}C$ at RUN 1(1% salinity conc.), $49^{\circ}C$ at RUN 2(5% salinity conc.) and $45^{\circ}C$ at RUN 3(10% salinity conc.). The change of $CO_2$ production and $O_2$ consumption have the positive correlation with the change of the temperature. $CO_2$ production and $O_2$ consumption are peaked at the low salinity concentration. During composting, Run 1, RUN 2 and RUN 3 are increased pH to 8.9, 8.6 and 7.2 and slowly decreased C/N ratio to 18.9, 19.1 and 22.1 and moisture content to 51.1%, 53.7% and 55.0%, respectively. It is supposed that increasing salinity concentration causes the retarding of the microbial degradation activities during the composting. And for the efficient composting, the salinity concentration in the sample hat to be maintained below 5%.

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