• Title/Summary/Keyword: 활력도 분석

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Clinical Characteristics of Oncologic Patients with DNR Decision at a Tertiary Hospital (심폐소생술금지 결정 시점에서의 임상적 특성: 일개 종합병원 종양내과 사망한 암환자를 대상으로)

  • Kang, Na Young;Park, Jeong Yun
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.26-33
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    • 2016
  • Purpose: This study was conducted to identify clinical characteristics of oncologic patients at a point when they signed their do-not-resuscitate (DNR) orders. Methods: From January through December 2014, we retrospectively analyzed the records of 197 patients who passed away after agreeing to a DNR order in the hemato-oncology department of a tertiary hospital. Results: Of all, 121 patients (61.4%) were male and 76 (38.6%) were female, and their average age was 58.7 years. Ninety-four patients (47.7%) had gastrointestinal cancer. The ECOG performance status at admission was grade 3 in 76 patients (36.5%) and grade 4 in 11 (5.6%). The patients' mean hospital stay was 20 days. The mean duration from the admission to DNR decision was 13 days, and the mean duration from DNR decision to death was seven days. Conclusion: Study results indicate that a decision on signing or refusing a DNR order was made by medical staff mostly based on the opinions of patients' guardians rather than the patients themselves. This suggests that patients' own wishes are not well respected. Thus, it is urgent to establish institutional devices to enhance cancer patients' autonomy regarding DNR and to define an adequate timing for withdrawal of treatments.

An Adaptive Polling Algorithm for IEEE 802.15.6 MAC Protocols (IEEE 802.15.6 맥 프로토콜을 위한 적응형 폴링 알고리즘 연구)

  • Jeong, Hong-Kyu
    • Journal of Korea Multimedia Society
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    • v.15 no.5
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    • pp.587-594
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    • 2012
  • IEEE 802.15.6 standard technology is proposed for low-power wireless communication in, on and around body, where vital signs such as pulse, blood pressure, ECG, and EEG signals are transmitted as a type of data packet. Especially, these vital signs should be delivered in real time, so that the latency from slave node to hub node can be one of the pivotal performance requirements. However, in the case of IEEE 802.15.6 technology data retransmission caused by transmission failure can be done in the next superframe. In order to overcome this limitation, we propose an adaptive polling algorithm for IEEE 802.15.6 technology. The proposing algorithm makes the hub to look for an appropriate time period in order to make data retransmission within the superframe. Through the performance evaluation, the proposing algorithm achieves a 61% and a 73% latency reduction compared to those of IEEE 802.15.6 technology in the environment of 70% traffic offered load with 10ms and 100ms superframe period. In addition, the proposing algorithm prevents bursty traffic transmission condition caused by mixing retransmission traffic with the traffic reserved for transmission. Through the proposing adaptive polling algorithm, it will be possible to transmit time-sensitive vital signs without severe traffic delay.

Short-Term Effects of an Self-Management Support Intervention on Patient Activation, Joint Flexibiltiy and Health-related Quality of Life among Korean Medical Aid Beneficiaries with Osteoarthritis (지역사회기반의 자기관리지지중재가 골관절염 의료급여수급자의 환자활력, 관절유연성 및 건강 관련 삶의 질에 미치는 단기효과)

  • Ahn, Yang Heui;Hur, Jae Bock;Choi, Eun Hee
    • 한국노년학
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    • v.36 no.3
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    • pp.595-609
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    • 2016
  • The purpose of this study was to test the effectiveness of an eight session self-management support program for improvement of patient activation, joint flexibility and health-related quality of life among medical aid beneficiaries with osteoarthritis. This study was part of a randomized and controlled research of a self-management support intervention. Participants were 60 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=30) or control group (n=30). The 8-session and tailored program led by a trained case manager with the patient-centered approaches and cognitive-emotional-behavioral skills. Analysis included change in scores, ${\chi}^2-test$, Fisher's exact test, t-test and ANCOVA. The results showed significant increase in patient activation, joint flexibility (shoulder and right knee) except health-related quality of life in the experimental group compared to the control group. The self-management support program indicated an effect on patient activation and joint flexibility. Further research is needed to examine the outcome in the long term(9 and 12-month follow up).

Effect of Exogenous Metalaxyl Seed-Soaking on Root Initiation and Elongation of Young Rice Seedling (벼 어린모 뿌리의 분화 및 신장에 미치는 Metalaxyl의 종자침청처리 효과)

  • Kim, Je-Kyu;Park, Kwng-Ho;Lee, Moon-Hee;Oh, Yun-Jin
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.38 no.6
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    • pp.545-553
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    • 1993
  • The metalaxyl seed-soaking treatment markedly increased the root-mat formation of the young rice seedling(8- to l0-day-old) for machine transplanting. This experiment was conducted to find out a possible rooting mechanism of the young rice seedling in relation to the exogenous metalaxyl seed-soaking treatment. The rice seeds of Hwaseongbyeo variety were soaked in the solution of metalaxyl for 24 hours at room temperature. Metalaxyl(25% wettable powder), a fungicide, was used at the concentration of 200ppm as a promoting substance on the root-mat formation of the young rice seedling. Seeding rate of the young rice seedling was 220g per seed tray(30${\times}$60${\times}$depth 3cm). Metalaxyl seed treatment was highly effective in root initiation and elongation of the young rice seedling in terms of root activity, the number and length of root, and amino acid content of roots. The exogenous metalaxyl application would also increase the chlorophyll content and photosynthetic rate in the young rice seedling. Those factors resulted in vigorous root-mat formation of the young rice seedling. In particular, alanine is a lead compound of metalaxyl which biochemically plays an important role in energy intermediate of the rice plant. Alanine conjugation with a glucose (N-${\beta}$-glucoside) is probably the mechanism in enhancement of initiation and elongation of rice roots of young rice seedling.

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Application of Terrestrial LiDAR to Monitor Unstable Blocks in Rock Slope (암반사면 위험블록 모니터링을 위한 지상 LiDAR의 활용)

  • Song, Young-Suk;Lee, Choon-Oh;Oh, Hyun-Joo;Pak, Jun-Hou
    • The Journal of Engineering Geology
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    • v.29 no.3
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    • pp.251-264
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    • 2019
  • The displacement monitoring of unstable block at the rock slope located in the Cheonbuldong valley of Seoraksan National Park was carried out using Terrestrial LiDAR. The rock slopes around Guimyeonam and Oryeon waterfall where rockfall has occurred or is expected to occur are selected as the monitoring section. The displacement monitoring of unstable block at the rock slope in the selected area was performed 5 times for about 7 months using Terrestrial LiDAR. As a result of analyzing the displacement based on the Terrestrial LiDAR scanning, the error of displacement was highly influenced by the interpolation of the obstruction section and the difference of plants growth. To minimize the external influences causing the error, the displacement of unstable block should be detected at the real scanning point. As the result of analyzing the displacement of unstable rock at the rock slope using the Terrestrial LiDAR data, the amount of displacement was very small. Because the amount of displacement was less than the range of error, it was difficult to judge the actual displacement occurred. Meanwhile, it is important to select a section without vegetation to monitor the precise displacement of unstable rock at the rock slope using Terrestrial LiDAR. Also, the PointCloud removal and the mesh model analysis in a vegetation section were the most important work to secure reliability of data.

Detection of Landslide-damaged Areas Using Sentinel-2 Image and ISODATA (Sentinel-2 영상과 자기조직화 분류기법을 활용한 산사태 피해지 탐지 - 2020년 곡성 산사태를 사례로 -)

  • KIM, Dae-Sun;LEE, Yang-Won
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.4
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    • pp.253-265
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    • 2020
  • As the risk of landslide is recently increasing due to the typhoons and localized heavy rains, effective techniques for the landslide damage detection are required to support the establishment of the recovery planning. This study describes the analysis of landslide-damaged areas using ISODATA(Iterative Self-Organizing Data Analysis Technique Algorithm) with Sentinel-2 image, regarding the case of Gokseong in August 7, 2020. A total of 4.75 ha of landslide-damaged areas was detected from the Sentinel-2 image using spectral characteristics of red, NIR(Near Infrared), and SWIR(Shortwave Infrared) bands. We made sure that the satellite remote sensing is an effective method to detect the landslide-damaged areas and support the establishment of the recovery planning, followed by the field surveys that require a lot of manpower and time. Also, this study can be used as a reference for the landslide management for the CAS500-1/2(Compact Advanced Satellite) scheduled to launch in 2021 and the Korean Medium Satellite for Agriculture and Forestry scheduled to launch in 2024.

Assessment of soil moisture-vegetation-carbon flux relationship for agricultural drought using optical multispectral sensor (다중분광광학센서를 활용한 농업가뭄의 토양수분-식생-이산화탄소 플럭스 관계 분석)

  • Sur, Chanyang;Nam, Won-Hob
    • Journal of Korea Water Resources Association
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    • v.56 no.11
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    • pp.721-728
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    • 2023
  • Agricultural drought is triggered by a depletion of moisture content in the soil, which hinders photosynthesis and thus increases carbon dioxide (CO2) concentrations in the atmosphere. The aim of this study is to analyze the relationship between soil moisture (SM) and vegetation activity toward quantifying CO2 concentration in the atmosphere. To this end, the MODerate resolution imaging spectroradiometer (MODIS), an optical multispectral sensor, was used to evaluate two regions in South Korea for validation. Vegetation activity was analyzed through MOD13A1 vegetation indices products, and MODIS gross primary productivity (GPP) product was used to calculate the CO2 flux based on its relationship with respiration. In the case of SM, it was calculated through the method of applying apparent thermal inertia (ATI) in combination with land surface temperature and albedo. To validate the SM and CO2 flux, flux tower data was used which are the observed measurement values for the extreme drought period of 2014 and 2015 in South Korea. These two variables were analyzed for temporal variation on flux tower data as daily time scale, and the relationship with vegetation index (VI) was synthesized and analyzed on a monthly scale. The highest correlation between SM and VI (correlation coefficient (r) = 0.82) was observed at a time lag of one month, and that between VI and CO2 (r = 0.81) at half month. This regional study suggests a potential capability of MODIS-based SM, VI, and CO2 flux, which can be applied to an assessment of the global view of the agricultural drought by using available satellite remote sensing products.

Convergence study on Effects of Music Therapy in Patients Undergoing Prostatectomy with Spinal Anesthesia (척추마취 전립선절제술환자의 음악요법효과에 대한 융합연구)

  • Lee, Young-Eun;Kim, Ju-Sung
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.97-106
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    • 2017
  • The purpose of this convergence study was to identify the effects of favorite music therapy on anxiety, fatigue, and vital signs of patients undergoing prostatectomy with spinal anesthesia. This study used a nonequivalent control group design. A sample of 45 patients was included. The experimental group was given music therapy during operation. The data were collected using a structured questionnaire and monitoring at 30 min before operation, at 20 min and 40min undergoing operation, and at arrival recovery room after operation. Data were analyzed using descriptive statistics, ${\chi}^2-test$, Fisher's exact test, t-test, repeated measures ANOVA. The experimental group reported significantly lower anxiety and lower fatigue than the control group(p=.001; p=.020). However there were no significant differences in the systolic blood pressure, diastolic blood pressure and pulse rate between groups(p=.821; p=.473; p=.782). This findings indicate that the tailored favorite music therapy can be an effective nursing intervention for patient undergoing prostatectomy with spinal anesthesia to reduce anxiety and fatigue related to operation.

Characterization of Extracellular Proteolytic Enzyme of Isolated Psychrotrophic Bacteria from Cheddar Cheese (체다치즈에서 분리한 내냉성미생물의 단백질분해효소의 특성)

  • Kim, Eun-Ah;Lee, Kyung-Wook;Boo, Won-Back;Lee, Hyung-Hoan;Kwak, Hae-Soo
    • Korean Journal of Food Science and Technology
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    • v.23 no.4
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    • pp.452-458
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    • 1991
  • Psychrotrophs producing protease were isolated during ripening periods of Cheddar cheese and one of them containing the highest protease activity was identified as Pseudomonas fluorescens 65. The extracelluar proteolytic enzyme was partially purified from P. fluorescens 65 through the Sephadex G-100 gel filtration. The protease was eluted between 190 ml and 230 ml of elution volume of sodium phosphate buffer. The purified protease showed a single band in SDS-PAGE and its molecular weight was 47,000. The composition of amino acid for the protease was determined and the most abundant amino acids were glutamic acid (14.96%) and serine (13.86%). The optimum temperature and pH for the activity was $45{\sim}50^{\circ}C$ and 6.0, respectively.

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A Study on the Literary Therapeutic Functions of Ancient Sijo that Ends without a Predicate (서술어가 생략된 고시조의 문학치료 기능 연구)

  • Park, In-Kwa
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.225-230
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    • 2017
  • The Sijo provides dynamic rated therapeutic activities in our life. This study aims to search for the literary therapeutic function secreted from the Sijo that ends with a noun. As a result, the noun used at the final sentence secretes a predicative function. This kind of Sijo functions as twelve sound steps, even though it is condensed of just eleven sound steps with one sound step omitted. This functional secretion of Sijo is therapeutic predicate concerned with encoding of literary therapy. Thus it become possible to activate the therapeutic encoding in Sijo or a language by uttering only noun, instead of the predicate. That's because the noun in the last sentence of Sijo permeated in the human body and is done subject, and neuron of the body becomes a predicate, so that the Sijo's subject and the neuron's predicate are fused into a sentence. During the course the human body seems to recognize that the neuron's nucleus analyzes the information of the noun and makes a new sentence. This recognition might also be regarded as a process of encoding that has therapeutic functions secreted from the human body.