• Title/Summary/Keyword: 중재의 장점

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On Statistical Inference of Stratified Population Mean with Bootstrap (층화모집단 평균에 대한 붓스트랩 추론)

  • Heo, Tae-Young;Lee, Doo-Ri;Cho, Joong-Jae
    • Communications for Statistical Applications and Methods
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    • v.19 no.3
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    • pp.405-414
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    • 2012
  • In a stratified sample, the sampling frame is divided into non-overlapping groups or strata (e.g. geographical areas, age-groups, and genders). A sample is taken from each stratum, if this sample is a simple random sample it is referred to as stratified random sampling. In this paper, we study the bootstrap inference (including confidence interval) and test for a stratified population mean. We also introduce the bootstrap consistency based on limiting distribution related to the plug-in estimator of the population mean. We suggest three bootstrap confidence intervals such as standard bootstrap method, percentile bootstrap method and studentized bootstrap method. We also suggest a bootstrap test method computing the $ASL_{boot}$(Achieved Significance Level). The results of estimation are verified using simulation.

Aortic Arch Aneurysm Repair using a Prosthetic Graft with a Pre-mounted Distal Stent (Frozen Elephant Trunk) (원위부에 스텐트가 포함된 인조혈관 (Frozen Elephant Trunk)을 이용한 대동맥궁 동맥류 수술)

  • Chang, Hyoung-Woo;Chung, Eui-Suk;Choi, Jin-Ho;Lim, Cheong;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.375-379
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    • 2009
  • Difficulty in exposing anastomotic sites is a frequently encountered problem during surgical repair of a distal aortic arch aneurysm via median sternotomy or lateral thoracotomy. Endovascular repair has th limitation that it usually requires surgical rerouting of some of the brachiocephalic branches in order to get sufficient length for proximal fixation of the stent-graft. To take advantage of each approach, we fixed the distal end of the prosthetic graft by means of a pre-mounted metallic stent instead of performing conventional surgical anastomosis during the repair of distal arch aneurysms with using median sternotomy and hypothermic circulatory arrest. We report here on our experience with such 3 patients.

Effects of Kinesio Taping on Craniovertebral Angle and Balance Ability in Subject with Forward Head Posture

  • Jeon, Yong-Jin;Kim, Gyoung-Mo
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.8
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    • pp.145-150
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    • 2020
  • Forward head posture is one of the most recognized types of poor head and neck alignment. Poor head and neck alignment posture is a major contributor to compromised balance and neck pain, due to abnormal joint position sense and proprioception. Kinesio taping is an intervention method used clinically for the management of pain. Kinesio taping may produce its effects through pain reduction, stimulation of blood circulation, induction of muscle relaxation which provides correction of joint position, and providing stability to the muscles and joints without limiting the range of motion. Many studies have proved that kinesio taping has positive effects on the reduction of pain and improves alignment, on the other hand, some studies have not found. Kinesio taping may provide immediate pain relief and improved alignment following the application, but there is insufficient evidence to support sustained relief beyond that time and they recommended future studies to examine the benefits of kinesio taping as this would have a greater value in clinical practice. Therefore, this study is to investigate the effects of kinesio taping on the alignment of head posture and dynamic balance ability in people with forward head posture.

A Review of Self-Monitoring of Blood Pressure for Self-Management of Hypertension (고혈압 환자의 혈압자가측정에 관한 문헌고찰)

  • Park, Young-Lm;L.Cunningham, Susanna
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.95-104
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    • 2007
  • 연구목적: 고혈압환자의 효과적인 자가관리 간호중재를 개발하는데 필요한 기초자료로 혈압자가측정(self-monitoring of blood pressure)에 대한 특성, 장점, 범위 및 제한점을 파악한다. 연구방법: 1996년부터 2005년까지 PubMed에 수록된 고혈압환자의 자가관리 방법중 혈압자가측정방법이 포함된 외국의 연구를 중심으로 체계적인 고찰을 실시하였다. 전체 69개 자가관리방법을 적용한 논문 중에서 혈압자가측정이나 가정에서의 혈압측정(home monitoring)에 대한 45개 논문을 선정하여 분석하였다. 연구결과 전반적으로 혈압자가측정 방법은 고혈압환자의 혈압조절을 향상시키는 효과가 유의한 것으로 나타났다. 환자가 혈압을 자가측정한 방법에서 평균 혈압, 수축기 혈압, 맥압이 유의하게 감소한 것으로 보고되었다. 장기적 프로그램에서 혈압조절율이 향상되거나, 이완기혈압의 감소효과도 보고되었다. 혈압자가측정의 기준치는 연구마다 일치하지는 않았지만 135/85mmHg 수준이 정상혈압의 상한수준으로 제시되었다. 일부 연구에서는 가정 내 혈압측정이 24시간혈압측정을 대체하는 방법으로 추천되었다. 보다 정확한 혈압자가측정을 위해서 신뢰성 있는 혈압측정기구의 사용과 정확한 측정방법이 환자들에게 교육될 필요가 있다. 결론: 혈압자가측정은 고혈압환자의 혈압조절에 유용한 방법으로 고찰되었다. 또한 고혈압의 진단, 혈압치료와 고혈압 약물복용 행위를 향상시키는 교육적 효과도 긍정적으로 나타났다. 따라서 고혈압환자를 위한 효과적인 자기조절프로그램에 혈압자가측정법을 포함하는 것이 추천되며, 추후 한국에서 시도된 관련 연구에 관한 문헌고찰의 비교연구가 필요하다.

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Decentralized TDM-PON MAC Protocol Based on Power Detection (파워검출 기반의 분산형 TDM-PON MAC 프로토콜)

  • Lee, Sung-Kuen;Kim, Eal-Lae;Lee, Yong-Won;Lee, Sang-Rok;Jung, Dae-Kwang;Hwang, Seong-Taek;Oh, Yun-Je;Park, Jin-Woo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.2B
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    • pp.83-89
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    • 2007
  • In this paper, we have proposed the power detection (PD)-based TDM-PON architecture, which is implemented with a hardware-based decentralized DBA (Dynamic Bandwidth Allocation) algorithm among ONUs, without OLT's intervention. Of particular importance in the proposed approach is that the hardware-based power detection scheme is used to manage the distributed MAC algorithm without any complex, time-consuming and costly software-processing elements for DBA in ONUs and OLT. We evaluate the performance of average packet end-to-end delay in a statistical analysis and numerical analysis. In addition, through simulations with various traffic models, we verified the superior performance of the proposed approach by comparing with the results of other E-PONs.

A Target Manager for Remote Developments of Q+ Embedded Applications (내장형 소프트웨어의 원격 개발을 위한 Q+용 타겟관리자의 개발)

  • Lim, Chae-Deok;Lee, Woo-Jin;Son, Seung-Woo;Kim, Heung-Nam
    • Proceedings of the Korea Information Processing Society Conference
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    • 2000.04a
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    • pp.835-841
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    • 2000
  • 호스트와 타겟 간의 통신 부담과 타겟 자원이 제한적이라는 문제를 해결하기 위해서, 호스트 중심 원격 개발 환경(Remote Development Environment: RDE)을 구성하였다. 이 원격 개발 환경은 여러 개발 도구로 구성되어 있는데, 이들 도구가 타겟시스템에 접속하여 내장형 응용를 개발하는데 있어서 공통 기능, 공통 데이터가 존재한다. 그런데 이들을 각각 유지시키는 것은 타겟시스템에 부담을 줄 뿐만 아니라, 개발 도구를 추가/구현하는 것도 매우 어렵게 한다. 이 문제를 해결하기 위해 원격 개발 도구들의 공통 요소들을 모아 도구와 타겟시스템 사이에 중개자 역할을 하는 타겟관리자를 둔다. 타겟관리자는 미들웨어로서 호스트와 타겟 간의 통신 채널을 하나로 유지하면서 도구와 타겟 간의 통신을 중재하고, 도구들이 심볼 테이블을 공유할 수 있도록 심볼 테이블을 관리한다. 또한, 타겟에 있는 도구 전용 메모리를 관리하며, 호스트 상에서 개발한 내장형 소프트웨어를 타겟에 로딩하는 일을 처리한다. 이러한 타겟관리자를 사용하는 원격 개발 환경은 도구들에게 공통 인터페이스를 제공하여, 통신 방식 등의 하부 구조에 상관없이 서비스를 받을 수 있고, 새로운 도구를 추가하는 것도 용이하게 할 수 있다는 장점을 갖게 된다. 본 논문에서는 ETRI 에서 개발 중인 실시간 운영 체제인 Q+용 타겟관리자를 설계하고 구현한다. 또한, 타겟관리자가 동작하게 될 내장형 실시간 응용 개발 환경에 대하여 소개하고, 구현 결과를 도구들과 연계하여 보여주며, 타겟 관리자를 둔 원격 개발 환경이 타겟 관리자를 두지 않은 경우에 비해 호스트와 타겟 간의 통신 횟수가 얼마나 감소하는지 시험 결과를 통해 보여준다. 현재 타겟 관리자의 프로토타입을 개발하여 도구들과 통합 시험을 하였는데 기본 기능들이 성공적으로 수행됨을 확인하였다.

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Initial Experience of the Emergency Bypass System ($EBS^{(R)}$) for the Patients with Cardiogenic Shock due to an Acute Myocardial Infarction (급성 심근경색으로 인한 심인성 쇼크 환자에 대한 경피적 순환 보조장치($EBS^{(R)}$) 적용의 초기경험)

  • Ryu, Kyoung-Min;Kim, Sam-Hyun;Seo, Pil-Won;Ryu, Jae-Wook;Kim, Seok-Kon;Kim, Young-Hwa;Park, Seong-Sik
    • Journal of Chest Surgery
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    • v.41 no.3
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    • pp.329-334
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    • 2008
  • Background: Percutaneous cardiopulmonary support. (PCPS) has the potential to rescue patients in cardiogenic shock who might otherwise die. PCPS has been a therapeutic option in a variety of the clinical settings such as for patients with myocardial Infarction, high-risk coronary intervention and postcardiotomy cardiogenic shock, and the PCPS device is easy to install. We report our early experience with PCPS as a life saving procedure in cardiogenic shock patients due to acute myocardial infarction. Material and Method: From January 2005 to December 2006, eight patients in cardiogenic shock with acute myocardial infarction underwent PCPS using the CAPIOX emergency bypass system($EBS^{(R)}$, Terumo, Tokyo, Japan). Uptake cannulae were inserted deep into the femoral vein up to the right atrium and return cannulae were inserted into the femoral artery with Seldinger techniques using 20 and 16-French cannulae, respectively. Simultaneously, autopriming was performed at the $EBS^{(R)}$ circuit. The $EBS^{(R)}$ flow rate was maintained between $2.5{\sim}3.0L/min/m^2$ and anticoagulation was performed using intravenous heparin with an ACT level above 200 seconds. Result: The mean age of patients was $61.1{\pm}14.2$ years (range, 39 to 77 years). Three patients were under control of the $EBS^{(R)}$ before percutaneous coronary intervention (PCI), three patients were under control of the $EBS^{(R)}$ during PCI, one patient was under control of the $EBS^{(R)}$ after PCI, and one patient was under control of the $EBS^{(R)}$ after coronary bypass surgery. The mean support time was $47.5{\pm}27.9$ hours (range, 8 to 76 hours). Five patients (62.5%) could be weaned from the $EBS^{(R)}$ after $53.6{\pm}27.2$ hours. (range, 12 to 68 hours) of support. All of the patients who could successfully be weaned from support were discharged from the hospital. There were three complications: one case of gastrointestinal bleeding and two cases of acute renal failure. Two of the three mortality cases were under cardiac arrest before $EBS^{(R)}$ support, and one patient had an intractable ventricular arrhythmia during the support. All of the discharged patients are still surviving at $16.8{\pm}3.1$ months (range, 12 to 20 months) of follow-up. Conclusion: The use of $EBS^{(R)}$ for cardiogenic shock caused by an acute myocardial infarction could rescue patients who might otherwise have died. Successfully recovered patients after $EBS^{(R)}$ treatment have survived without severe complications. More experience and additional clinical investigations are necessary to elucidate the proper installation timing and management protocol of the $EBS^{(R)}$ in the future.

Development of 3D Printed Snack-dish for the Elderly with Dementia (3D 프린팅 기술을 활용한 치매노인 전용 영양(수분)보충 식품섭취용기 개발)

  • Lee, Ji-Yeon;Kim, Cheol-Ho;Kim, Kug-Weon;Lee, Kyong-Ae;Koh, Kwangoh;Kim, Hee-Seon
    • Korean Journal of Community Nutrition
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    • v.26 no.5
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    • pp.327-336
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    • 2021
  • Objectives: This study was conducted to create a 3D printable snack dish model for the elderly with low food or fluid intake along with barriers towards eating. Methods: The decision was made by the hybrid-brainstorming method for creating the 3D model. Experts were assigned based on their professional areas such as clinical nutrition, food hygiene and chemical safety for the creation process. After serial feedback processes, the grape shape was suggested as the final model. After various concept sketching and making clay models, 3D-printing technology was applied to produce a prototype. Results: 3D design modeling process was conducted by SolidWorks program. After considering Dietary reference intakes for Koreans (KDRIs) and other survey data, appropriate supplementary water serving volume was decided as 285 mL which meets 30% of Adequate intake. To consider printing output conditions, this model has six grapes in one bunch with a safety lid. The FDM printer and PLA filaments were used for food hygiene and safety. To stimulate cognitive functions and interests of eating, numbers one to six was engraved on the lid of the final 3D model. Conclusions: The newly-developed 3D model was designed to increase intakes of nutrients and water in the elderly with dementia during snack time. Since dementia patients often forget to eat, engraving numbers on the grapes was conducted to stimulate cognitive function related to the swallowing and chewing process. We suggest that investigations on the types of foods or fluids are needed in the developed 3D model snack dish for future studies.

Accessibility Information Element & a PNC Selection Method in the High Rate WPAN (WPAN에서 통신가능성 정보 요소와 PNC 선택 방법)

  • Jeong, Heon-Ju;Cho, Moo-Ho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.30 no.10B
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    • pp.639-647
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    • 2005
  • When a DEV associates with an existing WPAN, the PNC checks the capabilities of the new DEV to see if it is more capable to be the PNC of the piconet based on the criteria defined in the IEEE Std 802.15. If the new DEV is more capable and the current security policies allow it, then the PNC has the option of handing over control of the piconet to the DEV that has just joined. And, If the PNC is shutting down or wants to leave the WPAN, it also uses the handover process to give control to another DEV in the piconet. However, IEEE 802.15.3 checks only DEV capability information for more PNC capable. For PNC selection, it should consider the radio coverage of new PNC capable DEVs. So, we propose the method of PNC selection with accessibility check. This method manages PNC candidate list in the current piconet. In this paper, we analyze accessibility problems for PNC selection in section 2. In section 3, we explain CI(Configuration Inquiry) process which is proposed by Sony Corporation and propose PCI(PNC Candidate Inquiry) process. Also, we perform numerical analysis to compare PCI process with CI process in section 4. Finally, we conclude in section 5.

Effects of Laughter Therapy on Joint Pain, Functional Status of Knee Joint and Depression in Elderly with Degenerative Knee Arthritis (웃음요법이 퇴행성 슬관절염 노인의 관절통증, 관절기능상태, 우울에 미치는 효과)

  • Lee, Yim Sun;Park, Hyo Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.440-449
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    • 2020
  • This study examined the effects of laughter therapy in the elderly with degenerative arthritis who had joint pain, joint dysfunction, and depression. Through a single-blind, randomized assignment, an experimental group of 26 subjects and a control group of 26 subjects were recruited among the elderly with degenerative knee arthritis, who were over 65 years of age. From January 8 to March 11 of 2019, a total of 16 laughter therapies were administered two times a week, 60 minutes per session, in eight weeks. The pain threshold (p=.012) and joint function status (p<.001), which represents the pain, joint stiffness, and physical function, and depression (p<.001), in the experimental group improved after the eight weeks laughter therapy compared to the control group. Laughter therapy is a therapeutic intervention that can be delivered through physical or intellectual activities. This therapy is a non-invasive procedure and has the advantage that nurses can practice easily with a little training. It can be used as an intervention within community and clinical settings to relieve pain and improve depression in the elderly with arthritis.