• Earthquakes and Structures
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• 제18권2호
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• pp.249-261
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• 2020

Seismic loss estimation studies require fragility curves which are usually derived using ground motion datasets. Ground motion records can be either in the form of recorded or simulated time histories compatible with regional seismicity. The main purpose of this study is to investigate the use of alternative ground motion datasets (simulated and real) on the fragility curves. Simulated dataset is prepared considering regional seismicity parameters corresponding to Erzincan using the stochastic finite-fault technique. In addition, regionally compatible records are chosen from the NGA-West2 ground motion database to form the real dataset. The paper additionally studies the effects of hazard variability and two different fragility curve derivation approaches on the generated fragility curves. As the final step for verification purposes, damage states estimated for the fragility curves derived using alternative approaches are compared with the observed damage levels from the 1992 Erzincan (Turkey) earthquake (Mw=6.6). In order to accomplish all these steps, a set of representative masonry buildings from Erzincan region are analyzed using simplified structural models. The results reveal that regionally simulated ground motions can be used alternatively in fragility analyses and damage estimation studies.

• 한국전문물리치료학회지
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• 제19권2호
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• pp.59-68
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• 2012

This meta-analysis investigated the effects on arm motor impairment, arm motor function and disability, and psychological aspects of constraint-induced movement therapy (CIMT) for upper extremity hemiparesis following stroke, based on Korean studies. A comprehensive search of the complete Korean studies information service system (KISS), Research Information Sharing Service (RISS), Korea National Library, and the Korean Medical Database to September 2011 was conducted. Eleven eligible controlled clinical trials compared CIMT to a control group or an alternative treatment. All outcome measures of arm motor impairment, arm motor function and disability, and psychological aspects were pooled for calculating effect size. The overall effect size of CIMT was .700 (95% confidence interval=.482~.918). The CIMT programs showed large effect on the aspect of arm motor function and disability (the effect size is .920) and the psychological aspect (the effect size is .946). The effect of CIMT on arm motor impairment was moderate (the effect size is .588). These results show that CIMT may improve upper extremity motor impairment, function and disability, and psychological aspects following stroke. However, these results were based on a small number of studies, and not all of them were randomized control trials. Additional research is needed to include larger well-designed trials to resolve these uncertainties.

• Clinical Endoscopy
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• 제55권5호
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• pp.615-625
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• 2022

Background/Aims: Mucosal incision-assisted biopsy (MIAB) for tissue acquisition (TA) from subepithelial lesions (SELs) is emerging as an alternative to endoscopic ultrasound (EUS)-guided TA. Only a limited number of studies compared the diagnostic utility of MIAB and EUS for upper gastrointestinal (GI) SELs; therefore, we conducted this systematic review and meta-analysis. Methods: A comprehensive literature search from January 2020 to January 2022 was performed to compare the diagnostic accuracy and safety of MIAB and EUS-guided TA for upper GI SELs. Results: Seven studies were included in this meta-analysis. The pooled technical success rate (risk ratio [RR], 0.96; 95% confidence interval [CI], 0.89-1.04) and procedural time (mean difference=-4.53 seconds; 95% CI, -22.38 to 13.31] were comparable between both the groups. The overall chance of obtaining a positive diagnostic yield was lower with EUS than with MIAB for all lesions (RR, 0.83; 95% CI, 0.71-0.98) but comparable when using a fine-needle biopsy needle (RR, 0.93; 95% CI, 0.83-1.04). The positive diagnostic yield of MIAB was higher for lesions <20 mm (RR, 0.75; 95% CI, 0.63-0.89). Six studies reported no adverse events. Conclusions: MIAB can be considered an effective alternative to EUS-guided TA for upper GI SELs without an increased risk of adverse events.

• 대한중풍순환신경학회지
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• 제12권1호
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• pp.1-7
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• 2011

Objectives : The purpose is to discuss the clinical applications of Orungsan(Goreisan: 五苓散) as an alternative management for increased intracranial pressure in the field of neurosurgery in Japan. Methods and Results : Attention has focused on Kampo medicine(traditional Japanese medicine) for some cerebral disease including chronic subdural hematoma(CSDH) and cerebral infarction in Japan. Orungsan and one of its classes, Sirungtang(Saireto: 柴苓湯) are well known their effects on brain edema. After some studies of Orungsan has the anti-edemic effects by the inhibition of aquaporin, this herbal medicine has been used widely in the neurosurgery field in Japan. It is high time to think about where we are and we go ahead for the progress and the integration in medicine. We have reviewed the studies using Orungsan or Sirungtang, that was reported at the 20th annual meeting of 'the Japan society for Kampo medicine and neurological surgery' was held on November 5, 2011 in Tokyo. Fifteen studies related with Orungsan or Sirungtang were reported among all 32 studies at the meeting. Orungsan in ten, and Sirungtang in five among 14 studies contained specific clinical case. In the aspects of disease, thirteen papers were related with SDH, including CSDH(11), SSDH(1), aneurism clipping for SDH prevention(1), and one was acute cerebral infarction and one was multiple metastatic brain tumor. In the report style, case control study was 7(mostly retrospective), and the case report was 8. Conclusions : Orungsan may be plausible to be an alternative method to reduce brain edema after SDH and other brain injury in the field of neurosurgery.

• Asian Journal of Atmospheric Environment
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• 제8권1호
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• pp.59-68
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• 2014

The Fukushima nuclear accident in 2011 had an extensive impact on the national electricity plans. This paper outlines alternative electricity scenarios that meet the goals of nuclear phase-out and greenhouse gas (GHG) emission reduction. This paper also analyzes the results of each scenario in respect to the electricity mix, GHG emissions, costs and employment effects. The Long-range Energy Alternatives Planning system (LEAP) model was used to simulate the annual electricity demand and supply system from 2011 to 2030. The reference year was 2009. Scenarios are reference (where existing plans are continued), A1, A2, B1, B2, and C2 (where the levels of demand management and nuclear phase-out are different). The share of renewable energy in the electricity mix in 2030 for each scenario will be increased from about 1% in 2009 to 8% in the reference scenario and from 11% to 31% in five alternative scenarios. Total cumulative cost increases up to 14% more than the reference scenario by replacing nuclear power plants with renewable energy in alternative scenarios could be affordable. Deploying enough renewable energy to meet such targets requires a roadmap for electricity price realization, expansion of research, development and deployment for renewable energy technologies, establishment of an organization dedicated to renewable energy, and ambitious targets for renewable energy.

• 한국지역사회생활과학회지
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• 제25권3호
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• pp.289-301
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• 2014

Recent years have witnessed an increasing number of alternative school students in Korea. However, few studies have empirically examined these students' school adjustment and peer relationship skills. To address this gap in the literature, this study examines the effects of individual characteristics, family characteristics and peer relationship skills on these students' school adjustment. Four aspects of school adjustment were measured as dependent variables. These four aspects included peer relationship adjustment, relationships with teachers, school environment adjustment, and schoolwork attitude adjustment. The peer relationship skills included three components, namely initiative, mutual closeness, and order awareness. Data were collected from 323 alternative middle and high school students through a structured questionnaire. The statistical analysis methods included descriptive statistics and a hierarchical regression analysis using SPSS WIN 19.0. According to the results, peer relationship skills as well as family background characteristics, including the age of the father, the education level of the father, the family economic level, and the number of close family members, had significant effects on school adjustment. The results highlight the importance of peer relationship skills for these students' successful school adjustment and have important policy and theoretical implications.

• 성인간호학회지
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• 제15권1호
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• pp.116-125
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• 2003

Purpose: This study was to evaluate the importance of liver cancer patient's diet and to provide guideline materials for proper nursing intervention. Method: The hermeneutic phenomenological method of van Manen was applied for the in-depth interview of liver cancer patients and the cultural background studies including linguistic, literary and art works to enhance the insight and understanding, from which the meaning of the cognition and lesson of the experiences were extracted. The participants for this study were five male patients, who had been diagnosed with liver cancer, 5-15 years ago and had been treated with Transcatheter Arterial Embolization without chemotherapy. The repeated interview and close observation were carried out for nine months starting from January 2001 in Seoul, Korea. Result: Eight essential themes were emerged ; (1) confliction(frustration) with hospital treatment (2) trial of every possible remedies (3) liking unpolluted natural foods(4) faithful tolerance (5) experiencing diet effectiveness (6) discovering personal control methods (7) deepen their faith in God (8) searching for healthy new life. Conclusion: The alternative diet therapy influenced their life beyond the physical overcoming of cancer toward psychological and spiritual healing. The study evidenced the necessity for scientific research and education on the effectiveness and application of complementary and alternative diet therapy for the treatment of cancer in hospital practices.

• 디지털콘텐츠학회 논문지
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• 제10권3호
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• pp.469-477
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• 2009

사회적 취약계층을 위한 보완 대체 기술적 연구가 활발하게 연구되어지고 있다. 특히, 의사소통 분야에서는 비장애인과 장애인이 자연스럽게 의사를 주고받기 위해 여러 가지 방법과 장치가 나왔지만, 아직까지 비장애인과 같이 완벽한 의사소통을 하기에는 기술적인 보완과 지속적인 연구가 필요한 시점이다. 따라서, 본 논문은 중증장애 및 의사소통에 어려움을 가지고 있는 장애인들이 보다 쉽고 빠르게 의사를 전달하여, 생활함에 있어 도움을 주는데 목적이 있다. 중증장애인의 의사소통을 원활하게 이루어 질수 있도록 도와주는 Smart Workflow AAC(Augmentative and Alternative Communication) 기능과 장애인의 상황별 편리하게 서비스를 제공해 주는 IR센서 기반의 상황 인지 기능을 개발하였다. 제한된 시스템은 실험을 통하여, 개개인의 장애 상황별 스케줄을 관리 및 장애인의 의사소통에 있어서 보다 직관적으로 전달하는데 효율적인 것이 증명 되었다.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.3-10
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• 2022

An estimated investment gap of $176 billion needs to be filled over the next ten years to improve America's inland waterway transportation systems. Many of these infrastructure systems are now beyond their original 50-year design life and are often behind in maintenance due to funding constraints. Therefore, long-term maintenance strategies (i.e., asset management (AM) strategies) are needed to optimize investments across these waterway systems to improve their condition. Two common AM strategies include policy-driven maintenance and performance-driven maintenance. Currently, limited research exists on selecting the optimal AM approach for managing inland waterway transportation assets. Therefore, the goal of this study is to provide a decision model that can be used to select the optimal alternative between the two AM approaches by considering key uncertainties such as asset condition, asset test results, and asset failure. We achieve this goal by addressing the decision problem as a single-criterion problem, which calculates each alternative's expected value and certain equivalence using allocated monetary values to determine the recommended alternative for optimally maintaining navigable waterways. The decision model considers estimated and predicted values based on the current state of the infrastructure. This research concludes that the performance-based approach is the optimal alternative based on the expected value obtained from the analysis. This research sets the stage for further studies on fiscal constraints that will effectively optimize these assets condition.

• 아동학회지
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• 제31권5호
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• pp.131-149
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• 2010

The purpose of this study was to examine research trends in articles of preschooler peer relationships carried in domestic academic journals. This was done in an attempt to suggest alternative directions for peer relationship studies in the early childhood education sector and lay the foundation for future studies. 131 articles that appeared in seven domestic academic journals related to early childhood education were selected and analyzed in order to better understand the general trends in the filed and the specific trends in terms of their content and methods. Our results indicate that the observation method was most common in the quantitative studies, and participant observation was most prevailent among qualitative studies. As for instrumentation, international instruments were most widely utilized, and the most dominant analysis method was descriptive statistics. In terms of reliability, internal consistency was checked most often, however, the majority of the studies failed to provide any information on validity and post-hoc analysis.