• Title/Summary/Keyword: Functional Status

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Development and Evaluation of Comprehensive Health Care Program for Infectious Disease Management in Child Care Centers by Doctor of Korean Medicine (보육시설 아동의 감염성 질환 예방 관리를 위한 한의사 주치의 프로그램 개발 및 평가)

  • Park, Jimin;Park, Minjung;Cho, Byonghee
    • Korean Journal of Health Education and Promotion
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    • v.30 no.1
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    • pp.65-81
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    • 2013
  • Objectives: The present study was carried out to develop and evaluate comprehensive health care program to prevent infectious disease and promote health in child-care centers by Doctor of Korean medicine. Methods: A nonequivalent control group pretest-posttest design study was conducted on 568 children and 85 child care teacher at 12 child care facilities for 12 weeks from July to October 2012. The program was consist of management, education, screening under concepts of traditional preventive medicine, Yangsaeng and Chimibyeong. Children's medical utilization due to infectious disease and attendance means functional status were measured by reports from parents. The Difference in difference(DID) estimator was applied data analysis, and added Zero-inflated negative binomial regression model. Also, attitudes on the infection of teacher was measured and analyzed through t-test. Results: After the intervention, the total medical utilization due to infectious disease decreased, but not significantly. Total absence, early leave and lateness decreased significantly. But, Attitude on the infection of child care teacher was not changed. The parent's satisfaction showed positive overall. Conclusions: The intervention program may be effective in preventing infectious disease and managing health in child-care center partially. To measure long-term effect, long-term study improved is requested.

A study on the ${NO}_{2}$ gas detection characteristics of the organic ultra-thin films (CuTBP, ${Li}_{2}Pc$, ${C}_{22}$Py(TCNQ), PAAS LB Films) (유기 초박막 (CuTBP, ${Li}_{2}Pc$, ${C}_{22}$Py(TCNQ), PAAS LB막)의 ${NO}_{2}$ 가스 탐지 특성에 관한 연구)

  • 김형석;유병호;조형근;한영재;김태완;김정수
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.44 no.4
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    • pp.496-501
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    • 1995
  • The N $O_{2}$ gas-detection characteristics were investigated using the functional organic Langmuir-Blodgett (LB) films of Copper-tetra-tert-butylphthalocyanine (CuTBP), Dilithium phthalocyanine (Li$_{2}$Pc), N-docosylpyridinium TCNQ(C$_{22}$Py(TCNQ)), Polyamic acid alkylamine salts (PAAS). The optimum conditions for a film deposition were obtained through a study of .pi.-.ALPHA. isotherms and the deposited film status was confirmed by electrical and optical methods such as UV/visible absortion spectra, thickness measurements by ellipsometry, and electrical capacitances. A response of the LB films to the N $O_{2}$ gas was measured by a change of the electrical conductivities when the film is exposed to the gases. The CuTBP LB film shows the biggest change of the electrical conductivities when it is exposed to the N $O_{2}$ gases. And the order of gas-detection performance is the following;Li$_{2}$Pc, $C_{22}$Py(TCNQ), and PAAS LB films. Especially, the CuTBP and Li$_{2}$Pc LB films not only show the bigger change in the electircal conductivities when exposed to the gas, but return to the original state when the gas is desorbed.d.

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A Study on the Functional Space Configuration and Area Distribution of Rural Public Health Center (농어촌 보건소의 기능별 공간구성 및 면적배분에 관한 연구)

  • Cho, Heeyoung;Yoon, Sohee;Kim, Suktae
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.1
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    • pp.51-61
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    • 2016
  • Purpose: To improve and establish functions for public health centers in rural public, an analysis will be done on arrangement plan and area by function for public health centers in farming and fishing villages. After finding out this relationship and architectural characteristics, spatial organization and area ratio for providing efficient medical service and the relationship between the two will be examined. Methods: 8 of them were selected and site visit and interview with the person in charge were conducted to investigate the current status. The drawings collected for analysis were input as CAD data and schematized. The relationship between the arrangement type and area for the public health centers in farming and fishing villages was analyzed and based on this, an analysis was done on agricultural scale and characteristics, and putting these analyzed results together, an appropriate method of improvement was proposed for spatial organization by function for public health centers in farming and fishing villages and to provide efficient service. Results: Firstly, the Plan types found in the public health centers in farming and fishing villages could be classified into three including single-type, multiple-type and radial-type. Secondly, according to an analysis of areas by function, in the case of treatment function, there was a difference in the area ration for selective treatment. This ratio is considered to be greatly influenced by the project each public health center focuses on. Thirdly, I could become aware of the relationship between spatial organization and area ratio based on the analysis of arrangement and area derived above. Implication: As the data to refer to in future research on spatial organization for public health centers, if the object of analysis becomes more expanded and investigated, it will be utilized in detail for spatial planning of public health centers, thereby being expected to contribute to more efficient and qualitatively enhanced medical service provided by public health centers.

Design and Simulation of a Flow Mobility Scheme Based on Proxy Mobile IPv6

  • Choi, Hyon-Young;Min, Sung-Gi;Han, Youn-Hee;Koodli, Rajeev
    • Journal of Information Processing Systems
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    • v.8 no.4
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    • pp.603-620
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    • 2012
  • Proxy Mobile IPv6 (PMIPv6) is a network-based mobility support protocol and it does not require Mobile Nodes (MNs) to be involved in the mobility support signaling. In the case when multiple interfaces are active in an MN simultaneously, each data flow can be dynamically allocated to and redirected between different access networks to adapt to the dynamically changing network status and to balance the workload. Such a flow redistribution control is called "flow mobility". In the existing PMIPv6-based flow mobility support, although the MN's logical interface can solve the well-known problems of flow mobility in a heterogeneous network, some missing procedures, such as an MN-derived flow handover, make PMIPv6-based flow mobility incomplete. In this paper, an enhanced flow mobility support is proposed for actualizing the flow mobility support in PMIPv6. The proposed scheme is also based on the MN's logical interface, which hides the physical interfaces from the network layer and above. As new functional modules, the flow interface manager is placed at the MN's logical interface and the flow binding manager in the Local Mobility Anchor (LMA) is paired with the MN's flow interface manager. They manage the flow bindings, and select the proper access technology to send packets. In this paper, we provide the complete flow mobility procedures which begin with the following three different triggering cases: the MN's new connection/disconnection, the LMA's decision, and the MN's request. Simulation using the ns-3 network simulator is performed to verify the proposed procedures and we show the network throughput variation caused by the network offload using the proposed procedures.

Comparison of treatment outcomes in lumbar central stenosis patients treated with epidural steroid injections: interlaminar versus bilateral transforaminal approach

  • Sencan, Savas;Edipoglu, Ipek Saadet;Celenlioglu, Alp Eren;Yolcu, Gunay;Gunduz, Osman Hakan
    • The Korean Journal of Pain
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    • v.33 no.3
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    • pp.226-233
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    • 2020
  • Background: We aimed to compare interlaminar epidural steroid injections (ILESI) and bilateral transforaminal epidural steroid injections (TFESI) on pain intensity, functional status, depression, walking distance, and the neuropathic component in patients with lumbar central spinal stenosis (LCSS). Methods: The patients were divided into either the ILESI or the bilateral TFESI groups. Prime outcome measures include the numerical rating scale (NRS), Oswestry disability index (ODI), Beck depression inventory (BDI), and pain-free walking distance. The douleur neuropathique en 4 questions score was used as a secondary outcome measure. Results: A total of 72 patients were finally included. NRS, ODI, and BDI scores showed a significant decline in both groups in all follow-ups. Third-month NRS scores were significantly lower in the ILESI group (P = 0.047). The percentages of decrease in the ODI and BDI scores between the baseline and the third week and third month were significantly higher in the ILESI group (P = 0.017, P = 0.001 and P = 0.048, P = 0.030, respectively). Pain-free walking distance percentages from the baseline to the third week and third month were significantly higher in the ILESI group (P = 0.036, P < 0.001). The proportion of patients with neuropathic pain in the bilateral TFESI group significantly decreased in the third week compared to the baseline (P = 0.020). Conclusions: Both ILESI and TFESI are reliable treatment options for LCSS. ILESI might be preferred because of easier application and more effectiveness. However, TFESI might be a better option in patients with more prominent neuropathic pain.

Performance Test of Paylad Data Receiving Equipment for STSAT-2 (과학기술위성 2호 탑재체데이터 수신시스템의 성능 시험)

  • Lee, Jong-Ju;Seo, In-Ho;Lee, Chol;Oh, Chi-Wook;Kim, Kyung-Hee;Park, Sung-Ok
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.35 no.4
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    • pp.347-352
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    • 2007
  • This paper describes the design and implementation of PFM(Proto Flight Model, PFM) of DRE(Data Receiving Equipment, DRE) for Science and Technology Satellite 2(STSAT-2) and the results of integration performance test. DRE components are X-band receiver, DCE(Data Combine Equipment, DCE) and RAC(Receiving and Archiving Computer, RAC). DCE consists of I&Q data combiner and ECL signal distributor. RAC consists of DRC(Data Receiving Card) and ST2RAS(STSAT-2 Receiving and Archinving Software). X-band receiver receives 10Mbps QPSK I, Q satellite data and sends the data to DCE. DRC stores the I&Q combine data from DCE to RAID. The pre-processing program sorts and stores to satellite status data and payload data. The performance of DRE in the functional and space environments test satisfies the requirements of STSAT-2.

The Usability of Perforator-based Fasciocutaneous Flap for Trochanteric Pressure Sore (대전자부 압박궤양에서 천공지를 이용한 근막피부피판술의 유용성)

  • Yoo, Jung Seok;Lim, Jun Kyu;Yoon, In Mo;Lee, Dong Lark;Ahn, Tae Hwang
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.203-208
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    • 2007
  • Purpose: Myocutaneous flap was widely used for trochanteric pressure sore but it had many drawbacks such as donor site morbidity, dog-ear deformity and functional muscle sacrifice. We have performed fasciocutaneous flap based on perforating vessels and succeeded in overcoming its drawbacks. Methods: We experienced 11 cases of perforator-based fasciocutaneous flap for the coverage of trochanteric pressure sore in 9 patients, 2 cases of which were bilateral. The ambulatory status of patient group is as follows: 6 of them used a wheelchair, 2 of them are free walking, 1 of them use a wheelchair or crutches. Flap was supplied by cutaneous perforating vessel of descending branch of the lateral circumflex femoral artery and the third perforating artery of the deep femoral artery. The size of wounds were from $4{\times}6.5cm$ to $10{\times}13cm$. Results: We did not find any flap loss or congestion except 2 partial wound dehiscences and 1 wound infection. Donor site morbidity was not found. We observed no recurrence of the pressure sore during the 2.5 year follow-up period. Conclusion: We considered that perforator-based fasciocutaneous flap could overcome the traditional drawbacks of the conventional myocutaneous flap and its modified flap for trochanteric pressure sore. And this flap has many advantages for covering trochanteric pressure sore without any donor site deformity and morbidity, which would greatly improve the aesthetic result.

Predictors of Intensive Care Unit Morbidity and Midterm Follow-up after Primary Repair of Tetralogy of Fallot

  • Egbe, Alexander C.;Nguyen, Khanh;Mittnacht, Alexander J.C.;Joashi, Umesh
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.211-219
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    • 2014
  • Background: Our objectives were to review our institutional early and midterm experience with primary tetralogy of Fallot (TOF) repair, and identify predictors of intensive care unit (ICU) morbidity. Methods: We analyzed perioperative and midterm follow-up data for all cases of primary TOF repair from 2001 to 2012. The primary endpoint was early mortality and morbidity, and the secondary endpoint was survival and functional status at follow-up. Results: Ninety-seven patients underwent primary repair. The median age was 4.9 months (range, 1 to 9 months), and the median weight was 5.3 kg (range, 3.1 to 9.8 kg). There was no early surgical mortality. The incidence of junctional ectopic tachycardia and persistent complete heart block was 2% and 1%, respectively. The median length of ICU stay was 6 days (range, 2 to 21 days), and the median duration of mechanical ventilation was 19 hours (range, 0 to 136 hours). By multiple regression analysis, age and weight were independent predictors of the length of ICU stay, while the surgical era was an independent predictor of the duration of mechanical ventilation. At the 8-year follow-up, freedom from death and re-intervention was 97% and 90%, respectively. Conclusion: Primary TOF repair is a safe procedure with low mortality and morbidity in a medium-sized program with outcomes comparable to national standards. Age and weight at the time of surgery remain significant predictors of morbidity.

Current status on the development of GM plants based on the published articles and patents in Korea (논문 및 특허의 분석을 통한 국내 GM식물의 개발 현황)

  • Lee, Shin-Woo
    • Journal of Plant Biotechnology
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    • v.37 no.4
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    • pp.394-399
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    • 2010
  • During the last three years (2007 to 2009), 1,212 articles of SCI journals, 451 articles of non-SCI journals, and 348 items of registered patents were reported by the research scientists involved in the BioGreen 21 Project, Rural Development Administration and Crop Functional Genomics Center (CFGC), The 21st century Frontier Program, in Korea. Out of these, the percentages of articles or patents directly related to the development of GM plants were 6.0% (SCI), 10.2% (non-SCI) and 12.6% (patents) from BioGreen 21 Project while 15.7% (SCI), 21.1% (non-SCI) and 81.6% (patents) from CFGC, respectively. It was observed that rice and pepper were major host crops for genetic modification mainly to provide the resistance or tolerance activities against to biotic as well as abiotic stresses. Very low cases were reported for the field test of GM plants regarding to the commercialization (less than 15 articles). These observations indicates that more research grants needs to be invested for the risk assessment of GM plants under early developmental stage to commercialize in Korea.

Control Variables of Remote Joint Analysis Realization on the M2M Case

  • Lim, Sung-Ryel;Choi, Bo-Yun;Lee, Hong-Chul
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.6 no.1
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    • pp.98-115
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    • 2012
  • New trend called ubiquitous leads the recent business by standardization and integration. It should be the main issue how to guarantee the integration and accountability on each business, especially in mission critical system which is mainly supported by M2M (Machine to Machine) control mechanism. This study is from the analysis of digital forensics case study that is from the M2M Sensing Control Mechanism problem of the "Imjin River" case in 2009, where a group of family is swept away to death by water due to M2M control error. The ubiquitous surroundings bring the changes in the field of criminal investigation to real time controls such as M2M systems. The needs of digital forensics on M2M control are increasing on every crime scene but we suffer from the lack of control metrics to get this done efficiently. The court asks for more accurately analyzed results accounting high quality product development design. Investigators in the crime scene need real-time analysis against the crime caused by poor quality of mission critical systems. It seems to be every need of Real-Time-Enterprise, so called ubiquitous society on the case. We try to find the efficiency and productivity in discovering non-functional design defects in M2M convergence products focusing on three metrics in study model with quick implementation. Digital forensics system in present status depends on know-how of each investigator and is hard to expect professional analysis on every field. This study set up a hypothesis "Co-working of professional investigators on each field will qualify Performance and Integrity" especially in mission critical system such as M2M and suggests "Online co-work analysis model" to efficiently detect and prevent mission critical errors in advance. At the conclusion, this study proved the statistical research that was surveyed by digital forensics specialists around M2M crime scene cases with quick implementation of dash board.