• Title/Summary/Keyword: External Q

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병원 밖에서 발생한 심인성 심장정지환자의 생존 관련 요인 7년간 국가심장정지조사사업 자료 활용 (The Factors Influencing Survival of Out-of-hospital Cardiac Arrest with Cardiac Etiology)

  • 정수연;김철웅;홍성옥
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.560-569
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    • 2016
  • 목적 병원 밖에서 발생한 심인성 심장정지 환자의 생존 관련 요인들을 알아보고, 우리나라 응급의료제도의 개선 방향에 대해 제안하고자 본 연구를 진행하였다. 연구방법 2006년부터 2012년까지 7년간 우리나라 119 구급대가 이송한 심장정지 환자 전수 자료 중 심인성 심장정지 환자 90,734명만을 분석 대상으로 하였다. 심장정지 조사 자료는 같은 지역 내 환자의 생존 여부가 상호 관련성이 있는 다층적 구조의 자료이므로, 이를 보정하기 위하여 환자-지역 2단계 다수준 분석을 실시하였다. 결과 본 연구에서 일반인에 의해 심폐소생술(Cardiopulmonary Resuscitation, CPR)이 시행된 경우 그렇지 않은 경우에 비해 생존 퇴원 가능성이 1.40배, 병원 도착전에 제세동을 신속히 시행한 경우 생존퇴원 가능성이 2.98배 높았다. 병원별 응급의학 전문의 수를 5분위로 나누어 분석한 결과, 전문의수가 가장 적은 경우인 1분위를 기준으로 2분위인 경우 1.29배, 3분위인 경우 2.89배, 4분위인 경우 3.39배, 5분위인 경우 4.07배 생존퇴원 가능성이 높아지는 경향성을 나타냈다. 병원별 연평균 심장정지 환자수를 5분위로 나누어 분석한 결과, 심장정지 환자를 가장 적게 보는 병원인 1분위를 기준으로 각각 2분위인 경우 2.06배, 3분위인 경우 3.06배, 4분위인 경우 3.46배, 5분위인 경우 4.36배 생존퇴원 가능성이 높아지는 경향성을 나타냈다. 또 지역박탈지수를 5분위로 나누어 분석한 결과, 지역박탈지수가 가장 낮은 지역인 1분위를 기준으로 2분위인 경우 교차비가 0.96, 3분위인 경우 1.00, 4분위인 경우 0.72, 5분위인 경우 0.64를 보여 지역박탈지수가 높을수록 생존퇴원 가능성이 낮아지는 경향성을 보였다. 결론 일반인에 의해 CPR이 시행된 경우, 병원 도착 전에 제세동을 신속히 시행한 경우 생존 퇴원 가능성이 높아진다. 또 응급의학과 전문의 수가 많은 병원과 심장정지 환자를 많이 보는 병원에서 처치되었을 때, 지역 박탈지수가 낮을수록 생존 가능성이 높아지는 경향성을 나타냈다.

Comparative Molecular Field Analysis of Dioxins and Dioxin-like Compounds

  • Ashek, Ali;Cho, Seung-Joo
    • Molecular & Cellular Toxicology
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    • 제1권3호
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    • pp.157-163
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    • 2005
  • Because of their widespread occurrence and substantial biological activity, halogenated aromatic hydrocarbons are one of the important classes of contaminants in the environment. We have performed comparative molecular field analysis (CoMFA) on structurally diverse ligands of Ah (dioxin) receptor to explore the physico-chemical requirements for binding. All CoMFA models have given $q^{2}$ value of more than 0.5 and $r^{2}$ value of more than 0.83. The predictive ability of the models was validated by an external test set, which gave satisfactory predictive $r^{2}$ values. Best predictions were obtained with CoMFA model of combined modified training set ($q^{2}=0.631,\;r^{2}=0.900$), giving predictive residual value = 0.002 log unit for the test compound. We have suggested a model comprises of four structurally different compounds, which offers a good predictability for various ligands. Our QSAR model is consistent with all previously established QSAR models with less structurally diverse ligands. The implications of the CoMFA/QSAR model presented herein are explored with respect to quantitative hazard identification of potential toxicants.

Optimum Reserves in Vietnam Based on the Approach of Cost-Benefit for Holding Reserves and Sovereign Risk

  • TRAN, Thinh Vuong;LE, Thao Phan Thi Dieu
    • The Journal of Asian Finance, Economics and Business
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    • 제7권3호
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    • pp.157-165
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    • 2020
  • This paper estimates the optimum level of reserves in Vietnam based on the approach of reserves' cost-benefit and sovereign risk which is one of developing countries' characteristics. The cost of reserves is the opportunity cost when holding reserves. The benefit of reserves is the loss due to country's default in case that there is no reserves to finance external debt payment. The optimum reserves is found out by minimizing the total of opportunity cost and loss due to country's default with the probability of default. Through the usage of HP Filter method for calculating the loss due to country's default, ARDL regression for the risk premium model and lending rate of VND as proxy for opportunity cost together with the Vietnamese economic data in the period of 2005 - 2017, the empirical results show that the optimum reserves in Vietnam is almost higher than the actual reserves during the research period except the point of Q3/2008 and the last point of research period - Q4/2017. Therefore, Vietnam should continue to increase reserves for safety but Vietnam does not need pushing quickly the speed of increasing reserves. In addition, controlling Vietnamese optimum reserves is necessary to help the actual reserves become reasonable.

Effect of the Change in Electrode Construction for the Improvement of Ozone Characteristic of a Superposed Discharge Type Ozonizer

  • Rahman, Fayzur
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 1999년도 학술대회논문집-국제 전기방전 및 플라즈마 심포지엄 Proceedings of 1999 KIIEE Annual Conference-International Symposium of Electrical Discharge and Plasma
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    • pp.17-22
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    • 1999
  • In this paper a new discharge type ozonizer comprising the superpose operation of silent and surface discharge is presented. The ozonizer consists of two concentric glass tubes with three type of discharge electrodes : the external electrode(EE), the internal electrode(IE) and the central electrode(CE). By varying the structure of IE and materials of CE, we analyzed the characteristics of ozone related different parameters including $O_{3con}$, $O_{3g}$, and $O_{3Y}$. Using Cu made CE it was found the O3con is higher with Cu tape than that with Cu coil wound IE. At Q = 1[l/ min] the values of O3con were found as 3000[ppm] with Cu tape wound IE and 1898[ppm] with Cu coil wound IE. Then using SUS wire made CE with Cu tape wound IE at Q = 1[ι/ min] the maximum value of O3con was found as 5632[ppm]. It was observed that both $O_{3con}$ and $O_{3y}$ are higher with SUS made CE than that with Cu made CE. The maximum values of $O_{3Y}$ were found as 79[g/kWh] with Cu made CE and 170[g/kWh] with SUS wire made CE.

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(Zr,Sn)$TiO_4$계 세라믹스를 이용한 PCS용 송,수신 대역통과 필터의 설계 및 구현 (Design and implementation of Tx and Rx band pass filter for personal communication services using (Zr,Sn)$TiO_4$ system ceramics)

  • 윤중락;이헌용
    • E2M - 전기 전자와 첨단 소재
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    • 제9권9호
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    • pp.933-941
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    • 1996
  • In this study, the Tx(Transmitting) and Rx(Receiving) band pass filter for personal communication services was constructed and designed using .lambda./4 TEM mode dielectric resonators. Band pass filter was composed of ceramics resonators which has been developed using ($Zr_{0.65}$,$Sn_{0.35}$) $Ti_{1.04}$ $O_{4.04}$ ceramic and Unloaded-Q ( $Q_{o}$) of .lambda./4 TEM mode dielectric resonator with inner hole size 0.9mm and external size 3mm using silver electrode is 354.5 at 1.95GHz. For the band pass filter design and construction, the design theory and simulation results of band pass filter using J-inverter theory have been studied. The parameters which are evaluated by design theory are practically applied to the filter construction and the simulation results are in agreement with the measured results after fine tunnings.s.s.s.s.s.

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학령전기 아동의 비만에 대한 아버지의 인식 유형 (The Typology of Childhood Obesity of Fathers with Preschool Children)

  • 박은아
    • 수산해양교육연구
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    • 제27권3호
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    • pp.614-624
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    • 2015
  • Traditionally, fathers have been a bread earner and responsible for external matters as the head of household. However, the interest of today's fathers in their children has changed from that of the traditional fathers due to the increased employment of female, decreased birth rate and the trend of shared role in parenting. The purpose of this study was to identify the perception type of fathers of preschool children regarding obesity and the characteristics of the type by applying Q-methodology, and to create the basic data for the development of education programs for fathers or policy-making to prevent child obesity. Data were collected by applying 38 Q statements to 24 fathers of preschool children. Collected data were analyzed with the PC QUANL program. Results indicate that fathers' perception of obesity was divided into three types: 'management of physical activity and diet,' 'generous acknowledgment of reality' and 'compromised emphasis on homemade meal.' The 'compromised emphasis on homemade meal' type is those who consider homemade food important, although they sometimes suggest conditions to make their children cooperative for food. It was found that the subject of the study uniformly recognized that processed foods, fast foods or chocolates are harmful to health. The type of fathers' perception of obesity in preschool children was discussed, focusing on the perception type identified in this study.

ISDN 시스템 통합 칩 설계 및 구현 (Design and Implementation of ISDN System On a Chip)

  • 이제일;황대환;소운섭;김진태
    • 한국통신학회논문지
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    • 제26권12C호
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    • pp.273-279
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    • 2001
  • 본 논문은 ISDN(Integrated Services Digital Network)망에서 저가형 멀티미디어 통신 단말에 사용될 ISDN 시스템 통합 칩의 설계 및 구현에 관한 것이다. ISDN 시스템 통합 칩은 32비트 RISC 프로세서를 가진 단말용 ISDN시스템 제어 칩으로서, ISDN S 인터페이스 송수신기를 포함하는 ISDN 통신망 접속기능, G.711 음성 코덱 기능 그리고, 데이터통신을 위한 PC 인터페이스 기능을 포함하는 ISDN 통신 단말에 필요한 모든 하드웨어 기능과 Q.931 호 제어 프로토콜을 포함하는 ISDN 프로토콜 및 인터넷 프로토콜 등을 내장하고 있다. 따라서 외부 부착 소자들을 최소화하여, ISDN 기본 속도 인터페이스(BRI : Basic Rate Interface)에 접속되는 ISDN 단말장치 또는 ISDN 터미널 정합장치의 구성 시 최적의 솔루션을 제공한다.

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Exploring Working Group's Psychological Subjectivity on Public Smart Work Services in a Cloud-based Social Networking

  • Kim, Ki Youn;Song, In Kuk
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제14권12호
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    • pp.4748-4762
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    • 2020
  • Recently, the COVID 19 pandemic has affected on our daily lives and society in many ways. Specifically, it has brought rapid changes in the working environment from office working to smart telecommuting. In addition, cloud computing technology and services not only provided ubiquitous access, but also led to a sharing of information, internal-external communication channels, telework, and innovative smart work for the business process. As a result, smart work services based on social cloud networking have spread to the public sector. However, existing academic research examining smart work merely remains to focus on the theoretical conceptualization or to deal with merely several examples of private views. Best practices of smart work services based on cloud computing technology in the public field rarely exists. Moreover, many studies have been differently measured the values of smart work for private and public sectors depending on organizational singularities. Therefore, the study aims to define new theoretical implications and to explore future business strategies and policy directions based on a technical working group's personal psychological subjectivity. The research applied Q methodology, and selected five public organizations in Korea, that they have adopted or currently plan to adopt some part of smart work services.

Treatment of Eyelid Ptosis due to Kearns-Sayre Syndrome Using Frontalis Suspension

  • Weitgasser, Laurenz;Wechselberger, Gottfried;Ensat, Florian;Kaplan, Rene;Hladik, Michaela
    • Archives of Plastic Surgery
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    • 제42권2호
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    • pp.214-217
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    • 2015
  • Blepharoptosis is a common indication for surgery in plastic surgery units, yet its possible underlying pathology frequently remains unidentified. A 52-year-old man with a 20-year history of progressive bilateral ptosis (right>left) presented with recurrent ptosis of both eyes; he had undergone an operation on the levator aponeurosis 12 years prior. Due to the suspicion of an underlying disease, he was evaluated further. Chronic progressive external ophthalmoplegia in transition to the more severe syndromic variant Kearns-Sayre syndrome, a mitochondrial disorder causing myopathy, was diagnosed. The patient was treated with coenzyme Q10, and he underwent ptosis surgery on both eyes. This case illustrates a potentially multi-systemic disease that was diagnosed by a further evaluation of a common symptom, in this case worsening blepharoptosis. Awareness of myopathic symptoms is necessary to prevent overlooking serious yet improvable conditions.

ENHANCED FUZZY SLIDING MODE CONTROLLER FOR LAUNCH CONTROL OF AMT VEHICLE USING A BRUSHLESS DC MOTOR DRIVE

  • Zhao, Y.S.;Chen, L.P.;Zhang, Y.Q.;Yang, J.
    • International Journal of Automotive Technology
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    • 제8권3호
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    • pp.383-394
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    • 2007
  • Due to the clutch's non-linear dynamics, time-delays, external disturbance and parameter uncertainty, the automated clutch is difficult to control precisely during the launch process or automatic mechanical transmission (AMT) vehicles. In this paper, an enhanced fuzzy sliding mode controller (EFSMC) is proposed to control the automated clutch. The sliding and global stability conditions are formulated and analyzed in terms of the Lyapunov full quadratic form. The chattering phenomenon is handled by using a saturation function to replace the pure sign function and fuzzy logic adaptation system in the control law. To meet the real-time requirement of the automated clutch, the region-wise linear technology s adopted to reduce the fuzzy rules of the EFSMC. The simulation results have shown hat the proposed controller can achieve a higher performance with minimum reaching time and smooth control actions. In addition, our data also show that the controller is effective and robust to the parametric variation and external disturbance.