• 대한영양사협회학술지
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• 제16권2호
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• pp.122-132
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• 2010

Elderly people comprise an increasing proportion of the population, and nutritional impairments may contribute to health problems among this group. This study was conducted to evaluate the nutritional status by Mini-Nutritional Assessment (MNA) and to identify relationships among anthropometric measurements, biochemical indicators, bone Mineral Density (BMD) and MNA results among older adults (${\geq}$65 yrs, n=98, 66.7${\pm}$2.5 yrs; M=52, F=46, BMI 24.5${\pm}$2.8 $kg/m^2$) at a Health Care Center. A dietitian administered MNA and collected anthropometric measurements (weight, height, waist circumference), biochemical indicators (albumin, hemoglobin, hematocrit, TLC, glucose, lipids) and the BMD (spine, femur, F=46). Subjects were grouped into a normal nutrition group (0~2 risk factors of malnutrition) and a high risk of malnutrition group (>=3 risk factors of malnutrition) based on their risk factor status for malnutrition. The risk factors for malnutrition include age ${\geq}$65 years, PIBW <90%, albumin <3.5 g/dl, TLC <1,500%, Hgb <14 g/dl (men), Hgb <10 g/dl (women), loss of appetite and weight loss 1~3 kg/last 3 months. In addition, subjects were grouped into a normal, osteopenia and osteoporosis group by BMD. We found that 12% of the subjects were at risk of malnutrition (MNA score, 21.4${\pm}$2.1) and that 88% were well nourished (27.3${\pm}$1.5) according to the MNA. Full-MNA scores were positively and significantly (p<0.05) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), albumin and hemoglobin, respectively. The full-MNA score of the high risk of malnutrition group (23.0${\pm}$3.8) was lower than that of the normal nutrition group (27.0${\pm}$2.1) (p<0.05). In addition, the Full-MNA score was negatively associated with the risk factor of malnutrition (r=－0.35, p=0.0004). We found that 39.1% of the subjects had osteoporosis, 45.7% had osteopenia and 15.2% were normal according to their BMD. The MNA score of osteoporosis group (24.58${\pm}$3.3) was lower than that of the normal (27.4${\pm}$1.1) and osteopenia group (26.9${\pm}$1.5) (p<0.05). These results suggested that MNA can be useful as a nutritional screening tool of older adults in Health Care Centers.

• 한국해양학회지:바다
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• 제9권3호
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• pp.93-105
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• 2004

인천 동춘동 척전 갯벌에 서식하는 대형 저서동물의 중요 우점종에 대한 시ㆍ공간적인 분포 패턴을 알아보기 위하여 1990년 9월부터 1992년 7월까지 2개년 동안 격월별로 현장조사를 실시하였다. 조사 기간 중, 총 111종, 25,491 개체가 채집되었고, Le Bris Index에 근거한 상위 15위의 우점종은 19,072개체의 밀도를 나타내 74.8％를 점유하였다. 백금갯지렁이과(Nephtyidae)의 다모류 3종과 칠게아과(Macrophthalminae)의 갑각류 2종은 동일한 속(genus)이 면서 조위와 퇴적상에 따라 뚜렷이 구분되는 서식처를 갖는 것으로 나타났다. 척전 갯벌의 중요 우점종은 다모류의 Heteromastus filiformis, 이매패류의 동죽(Mactra veneriformis), 맛조개(Solen strictus), 극피동물 해삼류의 가시닻해 삼(protankyra bidentata), 갑각류의 칠게(Macrophthalmus japonicus)등이었다. 5종의 중요 우점종에 대하여 공간에 따른 개체밀도를 비교한 결과, H. filiformis와 동죽은 통계적으로 유의한 차이가 없었으나(P>0.05), 맛조개, 칠게와 가시닻해삼은 유의한 차이가 있었다(p<0.001). 이것은 중요 우점종이 조위와 퇴적상에 따라 출현 개체밀도에서 공간적인 차이가 있음을 의미한다. H. flzyomis와 동죽은 조위와 퇴적상에 무관하게 갯벌의 전역에서 높은 밀도로 출현하였다. 그러나, 칠게는 펄이 많은 상부에서 밀도가 높았고, 맛조개, 가시닻해삼은 갯벌의 중ㆍ하부인 모래펄에서 우세한 밀도로 출현하여 이를 반영하고 있다.

• Structural Engineering and Mechanics
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• 제58권2호
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• pp.277-300
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• 2016

Cold-formed steel (CFS) sections are becoming an increasingly popular solution for constructing floors in residential, healthcare and education buildings. Their reduced weight, however, makes them prone to excessive vibrations, increasing the need for accurate prediction of CFS floor modal properties. By combining experimental modal analysis of a full-scale CFS framed building and its floors and their numerical finite element (FE) modelling this paper demonstrates that the existing methods (based on the best engineering judgement) for predicting CFS floor modal properties are unreliable. They can yield over 40% difference between the predicted and measured natural frequencies for important modes of vibration. This is because the methods were adopted from other floor types (e.g., timber or standard steel-concrete composite floors) and do not take into account specific features of CFS floors. Using the adjusted and then updated FE model, featuring semi-rigid connections led to markedly improved results. The first four measured and calculated CFS floor natural frequencies matched exactly and all relevant modal assurance criterion (MAC) values were above 90%. The introduction of flexible supports and more realistic modelling of the floor boundary conditions, as well as non-structural $fa{\c{c}}ade$ walls, proved to be crucial in the development of the new more successful modelling strategy. The process used to develop 10 identified and experimentally verified FE modelling parameters is based on published information and parameter adjustment resulting from FE model updating. This can be utilised for future design of similar lightweight steel floors in prefabricated buildings when checking their vibration serviceability, likely to be their governing design criterion.

• 한국통신학회논문지
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• 제37권1B호
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• pp.1-8
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• 2012

차량 사용이 증가함에 따라 교통안전에 관한 문제가 심각해지고 있다. 이러한 문제점을 해결하기 위해 근래에는 차량에 통신 기술을 접목한 ITS (Intelligent Transportation System)기술로 차량의 안전성을 강화하려는 연구가 진행되고 있다. 차량 안전 네트워크 규격인 WAVE는 방송형 멀티홉으로 전송하고 다중접속방법으로 CSMA/CA를 사용하므로 차량 수가 증가하면 빈번한 전송 시도로 인해 성능이 급격히 저하되는 특징이 있다. 본 연구에서는 이러한 문제를 해결하기 위해 메시지 전송차량과 수신차량의 위치관계를 이용하여 불필요한 메시지 전송을 줄이는 양방향 묵시적 수신확인 방안(TWIA: Two-Way Implicit Acknowledgement)을 제안한다. 제안한 TWIA는 전방과 후방의 차량으로부터 같은 메시지를 받으면 메시지 전달이 성공적인 것으로 간주하여 더 이상 재전송하지 않으므로 불필요한 메시지 전송을 줄인다. 실험을 통해 기존의 위험 경고 메시지 전송방안과 성능비교를 하였으며, 100대 차량을 기준으로 맨 뒤 차량까지의 전송 지연은 9%의 성능 개선이 되었고, 일정 구간 내에 모든 차량의 메시지 수신 성능은 0.7초 이내 수신 성공률이 12%가 개선되었다.

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.169-174
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• 2023

Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

• 성인간호학회지
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• 제20권3호
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• pp.395-405
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• 2008

Purpose: The purpose of this study was to develop a Web-based flash content for fighting spirit promotion and to test its effect on cancer patients' fighting spirit. Methods: The 15-minute long Web-based flash content was developed using the following 5 process: analysis, planning, development, program operation and evaluation stages and utilized the multiple edition and revision processes from December 2005 to August 2006. The evaluation was done by one group pretest-posttest design. Study subjects were 17 cancer patients undergoing chemotherapy. The group were received a 2-week intervention, a day weekly, and measured the variables at baseline, 4 weeks later. The study was performed from August 2006 to February 2007 at a cancer center in Korea. Fighting spirit was measured by Mini-MAC(Mental Adjustment to Cancer). Data was analysed by descriptive statistics and paired t-test using SAS 9.13 program. Results: On the Web-based flash content, there are 4 menu bars that consisted of cancer diagnosis, symptom management, stress management, and cancer survivorship. The study group revealed significantly more fighting spirit than pre-test(t=-3.04, p=.008). Conclusion: This Web-based flash content can be utilized in psychosocial interventions for promoting fighting spirit in patients with cancer.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권1호
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• pp.78-101
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• 2017

High-quality industrial control is critical to ensuring production quality, reducing production costs, improving management levels and stabilizing equipment and long-term operations. WiFi-based Long Distance (WiLD) networks have been used as remote industrial control networks. Real-time performance is essential to industrial control. However, the original mechanism of WiLD networks does not minimize end-to-end delay and restricts improvement of real-time performance. In this paper, we propose two algorithms to obtain the transmitting/receiving phase cycle length for each node such that real time constraints can be satisfied and phase switching overhead can be minimized. The first algorithm is based on the branch and bound method, which identifies an optimal solution. The second is a fast heuristic algorithm. The experimental results show that the execution time of the algorithm based on branch and bound is less than that of the heuristic algorithm when the network is complex and that the performance of the heuristic algorithm is close to the optimal solution.

• Journal of Cardiovascular Imaging
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• 제31권1호
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• pp.18-23
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• 2023

BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

• IMMUNE NETWORK
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• 제24권2호
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• pp.17.1-17.16
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• 2024

We have reported that anterior cruciate ligament (ACL) injury leads to the differential dysregulation of the complement system in the synovium as compared to meniscus tear (MT) and proposed this as a mechanism for a greater post-injury prevalence of post traumatic osteoarthritis (PTOA). To explore additional roles of complement proteins and regulators, we determined the presence of decay-accelerating factor (DAF), C5b, and membrane attack complexes (MACs, C5b-9) in discarded surgical synovial tissue (DSST) collected during arthroscopic ACL reconstructive surgery, MT-related meniscectomy, osteoarthritis (OA)-related knee replacement surgery and normal controls. Multiplexed immunohistochemistry was used to detect and quantify complement proteins. To explore the involvement of body mass index (BMI), after these 2 injuries, we examined correlations among DAF, C5b, MAC and BMI. Using these approaches, we found that synovial cells after ACL injury expressed a significantly lower level of DAF as compared to MT (p<0.049). In contrast, C5b staining synovial cells were significantly higher after ACL injury (p<0.0009) and in OA DSST (p<0.039) compared to MT. Interestingly, there were significantly positive correlations between DAF & C5b (r=0.75, p<0.018) and DAF & C5b (r=0.64 p<0.022) after ACL injury and MT, respectively. The data support that DAF, which should normally dampen C5b deposition due to its regulatory activities on C3/C5 convertases, does not appear to exhibit that function in inflamed synovia following either ACL injury or MT. Ineffective DAF regulation may be an additional mechanism by which relatively uncontrolled complement activation damages tissue in these injury states.

• Structural Engineering and Mechanics
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• 제37권4호
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• pp.385-399
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• 2011

The aim of this research is to model the behaviour of recently developed high force to volume (HF2V) passive energy dissipation devices using a simple finite element (FE) model. Thus, the end result will be suitable for use in a standard FE code to enable computationally fast and efficient analysis and design. Two models are developed. First, a detailed axial model that models an experimental setup is created to validate the approach versus experimental results. Second, a computationally and geometrically simpler equivalent rotational hinge element model is presented. Both models are created in ABAQUS, a standard nonlinear FE code. The elastic, plastic and damping properties of the elements used to model the HF2V devices are based on results from a series of quasi-static force-displacement loops and velocity based tests of these HF2V devices. Comparison of the FE model results with the experimental results from a half scale steel beam-column sub-assembly are within 10% error. The rotational model matches the output of the more complex and computationally expensive axial element model. The simpler model will allow computationally efficient non-linear analysis of large structures with many degrees of freedom, while the more complex and physically accurate axial model will allow detailed analysis of joint connection architecture. Their high correlation to experimental results helps better guarantee the fidelity of the results of such investigations.