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Effects of Mindfulness Based Stress Reduction Program on Depression, Anxiety and Stress in Patients with Aneurysmal Subarachnoid Hemorrhage

  • Joo, Hye-Myung;Lee, Sung-Jae;Chung, Yong-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
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    • v.47 no.5
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    • pp.345-351
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    • 2010
  • Objective : In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods : The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were : 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory : the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV) : the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results : The BDI value was decreased from 18.5 ${\pm}$ 10.9 to 9.5 ${\pm}$ 7.1 (p = 0.013) : it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ${\pm}$ 13.9 to 42.3 ${\pm}$ 15.2; the trait anxiety was reduced from 50.9 ${\pm}$ 12.3 to 41.3 ${\pm}$ 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion : The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.

Development of 2.5D Photon Dose Calculation Algorithm (2.5D 광자선 선량계산 알고리즘 개발)

  • 조병철;오도훈;배훈식
    • Progress in Medical Physics
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    • v.10 no.2
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    • pp.103-114
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    • 1999
  • In this study, as a preliminary study for developing a full 3D photon dose calculation algorithm, We developed 2.5D photon dose calculation algorithm by extending 2D calculation algorithm to allow non-coplanar configurations of photon beams. For this purpose, we defined the 3d patient coordinate system and the 3d beam coordinate system, which are appropriate to 3d treatment planning and dose calculation. and then, calculate a transformation matrix between them. For dose calculation, we extended 2d "Clarkson-Cunningham" model to 3d one, which can calculate wedge fields as well as regular and irregular fields on arbitrary plane. The simple Batho's power-law method was implemented as an inhomogeneity correction. We evaluated the accuracy of our dose model following procedures of AAPM TG#23; radiation treatment planning dosimetry verifications for 4MV of Varian Clinac-4. As results, PDDs (percent depth dose) of cubic fields, the accuracy of calculation are within 1% except buildup region, and $\pm$3% for irregular fields and wedge fields. And for 45$^{\circ}$ oblique incident beam, the deviations between measurements and calculations are within $\pm$4%. In the case of inhomogeneity correction, the calculation underestimate 7% at the lung/water boundary and overestimate 3% at the bone/water boundary. At the conclusions, we found out our model can predict dose with 5% accuracy at the general condition. we expect our model can be used as a tool for educational and research purpose.. purpose..

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Roles of B-dot Controller and Failure Analysis for Dawn-dusk LEO Satellite (6시 저궤도 위성에서 B-dot 제어기 역할과 고장분석)

  • Rhee, Seung-Wu;Kim, Hong-Joong;Son, Jun-Won
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.41 no.3
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    • pp.200-209
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    • 2013
  • In this paper, the types of B-dot controller and the review results of B-dot controller stability are summarized. Also, it is confirmed that B-dot controller is very useful and essential tool when a dawn-dusk low earth orbit(LEO) large satellite has especially to capture the Sun for a required power supply in a reliable way after anomaly and that its algorithm is very simple for on-board implementation. New physical interpretation of B-dot controller is presented as a result of extensive theoretical investigation introducing the concept of transient control torque and steady state control torque. Also, the failure effect analysis results of magnetic torquers as well as a simulation verification are included. And the design recommendation for optimal design is provided to cope with the failure of magnetic torquer. Nonlinear simulation results are included to justify its capability as well as its performance for an application to a dawn-dusk LEO large satellite.

Nonlinear Dynamic Analysis in EEG of Alzheimer's Dementia - A Preliminary Report Using Correlation Dimension - (알츠하이머형 치매 환자 뇌파의 비선형 역동 분석 - 상관차원을 이용한 예비적 연구 -)

  • Chae, Jeong-Ho;Kim, Dai-Jin;Jeong, Jaeseung;Kim, Soo Yong;Go, Hyo Jin;Paik, In-Ho
    • Korean Journal of Biological Psychiatry
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    • v.4 no.1
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    • pp.67-73
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    • 1997
  • The changes of electroencephalogram(EEG) in patients with dementia are most commonly studied by analyzing power or magnitude in certain traditionally defined frequency bands. However because of the absence of an identified metric which quantifies the complex amount of information, there are many limitations in using such a linear method. According to chaos theory, irregular signals of EEG can also result from low dimensional deterministic chaos. Chaotic nonlinear dynamics in the EEG can be studied by calculating the correlation dimension. The authors have analyzed EEG epochs from three patients with dementia of Alzheimer type and three matched control subjects. The multichannel correlation dimension is calculated from EEG epochs consisting of 15 channels with 16,384 data points per channel. The results showed that patients with dementia of Alzheimer type had significantly lower correlation dimension than non-demented controls on 12 channels. Topographic analysis showed that the correlation dimensions were significantly lower in patients with Alzheimer's disease on frontal, temporal, central, and occipital head regions. These results show that brains of patients with dementia of Alzheimer type have a decreased complexity of electrophysiological behavior. We conclude that the nonlinear analysis such as calculating correlation dimension can be a promising tool for detecting relative changes in the complexity of brain dynamics.

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Polarization Analysis of Ultra Low Frequency (ULF) Geomagnetic Data for Monitoring Earthquake-precusory Phenomenon in Korea (지진 전조현상 모니터링을 위한 ULF 대역 지자기장의 분극 분석)

  • Yang, Jun-Mo;Lee, Heui-Soon;Lee, Young-Gyun
    • Geophysics and Geophysical Exploration
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    • v.13 no.3
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    • pp.249-255
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    • 2010
  • Since the 1990's, a number of ULF geomagnetic disturbance associated with earthquake occurrences have actively been reported, and polarization analysis of geomagnetic fields becomes one of potential candidates to be capable of predicting short-term earthquake. This study develops the modified polarization analysis method based on the previous studies, and analyzes three-component geomagnetic fields obtained at Cheongyang geomagnetic observatory using the developed method. A daily polarization value (the ratio of spectral power of horizontal and vertical geomagnetic field) is calculated with a focus on the 0.01 Hz band, which is known to be the most sensitive to seismogenic ULF radiation. We analyze a total of 10 months of geomagnetic data obtained at Cheongyang observatory, and compare the polarization values with the Kp index and the earthquake occurred in the analysis period. The results show that there is little correlation between the temporal variations of polarization values and Kp index, but remarkable increases in polarization values are identified which are associated with two earthquakes. Comparison the polarization values obtained at Cheongyang and Kanoya observatory indicates that the increases of polarization values at Cheongyang might be due to not global geomagnetic induction but the locally occurred earthquakes. Furthermore, these features are clearly shown in normalized polarization values, which take account in the statistical characteristics of each geomagnetic field. On the basis of these results, polarization analysis can be used as promising tool for monitoring the earthquake-precursory phenomenon.

A Study of Statistical Learning as a CRM s Classifier Functions (CRM의 기능 분류를 위한 통계적 학습에 관한 연구)

  • Jang, Geun;Lee, Jung-Bae;Lee, Byung-Soo
    • The KIPS Transactions:PartB
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    • v.11B no.1
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    • pp.71-76
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    • 2004
  • The recent ERP and CRM is mostly focused on the conventional function performances. However, the recent business environment has brought the change in market due to the rapid progress of internet and e-commerce. It is mostly becoming e-business and spreading out as development of the relationship with other cooperating companies, the rapid progress of the relationship with customers, and intensification competitive power through the development of business progress in the organization. CRM(custom relationship management) is a kind of the marketing progress which forms, manages, and intensifies the relationship between the customers and companies to manage the acquired customers and increase the worth of customers for the company. It needs the system base which analyzes the information of customers since it functions on the basis of various information about customers and is linked to the business category such as producing, marketing, and decision making. Since ERP is extending its function to SCM, CRM, and SEM(strategic Enterprise Management), the 21 century s ERP develop as the strategy tool of e-business and, as the mediation for this, will subdivide the functions of CRM effectively by the analogic study of data. Also, to accomplish classification work of the file which in existing becomes accomplished with possibility work with an automatic movement with the user will be able to accomplish a more efficiently work the agent which in order leads the machine studying law, it is one thing with system feature.

A Study on Enhancement Method of Hosting Capacity for PV System Based on Primary Feeder Reconfiguration (배전선로 절체에 의한 태양광전원의 수용성 향상방안에 관한 연구)

  • Lee, Myung-Geun;Lee, Hu-Dong;Ferreira, Marito;Park, Ji-Hyun;Tae, Dong-Hyun;Rho, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.239-249
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    • 2019
  • Recently, the Korean government has implemented a policy to expand renewable energy sources. Large-scale PV systems are being actively interconnected with the distribution system. On the other hand, when a large-scale PV system is installed and operated, the customer voltages could violate the allowable voltage limit due to reverse power flow of the PV system. To overcome these problems, an enhancement method for hosting the capacity of the PV system in a distribution system is being actively conducted. Therefore, to improve the hosting capacity of the PV system, this paper proposes a model of a reconfiguration of the distribution system, which is composed of three sections and three connections based on PSCAD/EMTDC S/W, and proposes an evaluation algorithm for the feeder reconfiguration to maximize an adaption of the PV system. In addition, this paper presents the optimal method of the feeder reconfiguration section to evaluate the maximum capacity of the PV system to keep customer voltages within the allowable voltage limits based on various operation scenarios, such as the capacity of a PV system and section of feeder reconfiguration. From the simulation results based on the PSCAD/EMTDC modeling and evaluation algorithm, it was confirmed that they are a useful and practical tool to enhance hosting the capacity of a PV system in a distribution system.

A Clinical Usefulness of Korean Version of Strengths and Difficulties Questionnaire (강점.난점설문지의(SDQ-Kr)의 임상 활용도)

  • Shin, Jong-Soo;Ahn, Joung-Sook;Choi, Young-Hun;Kim, Hae-Ji
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.2
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    • pp.75-81
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    • 2009
  • Objectives : This study aimed to evaluate the clinical usefulness of Korean version of Strengths and Difficulties Questionnaire(SDQ-Kr) by comparing with Korean version of Childhood Behavior Checklist (K-CBCL). Methods : The parent version of SDQ-Kr and K-CBCL were administered to parents of 313 children in psychiatric clinic, 91 children referred for psychiatric consultation from pediatric clinic and 93 control children in pediatric clinic. All children aged 4-11 years old. Children in psychiatric clinic were diagnosed with one of followings;ADHD, emotional disorders and oppositional/conduct disorder. Mean scores were compared among three groups by gender. Coefficients were calculated for corresponding problem scales and total scores of both questionnaires. ROC analysis was performed for discriminant validity to distinguish psychiatry and pediatrics samples, and also to distinguish diagnostic groups of psychiatry sample. Results : The psychiatry sample showed highest means of problem scales and total scores, followed by consultation and control sample of pediatrics. SDQ-Kr and K-CBCL were significantly correlated, and equally able to distinguish those samples with SDQ-Kr showing better results. Within the psychiatry sample, SDQ-Kr had higher predictive power for all diagnostic groups. Conclusion : This study supports clinical usefulness of SDQ-Kr. We suggest that SDQ-Kr could be used not only as a diagnostic tool for children in psychiatric clinic but also as an effective and efficient screening instrument for children in need for psychiatric evaluation in pediatric clinic.

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A semiological analysis on the relationship between popular music and fashion style exposed in Subculture (하위문화에 나타난 대중음악과 패션의 기호적 해석)

  • Kim, Shin-Woo;Jeon, Jong-Chan;Kim, Young-In
    • Archives of design research
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    • v.18 no.1 s.59
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    • pp.233-244
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    • 2005
  • Fashion is one of the characteristics which represents the comtemporary sociocultural signifiant. A style that a certain stream of fashion brings is not just limited in fragmentary tendencies and fads. That can be a code to communicate and function as a medium in itself. Music has been displaying it's power to fashion while fashion has been exercising it's influence over the music. There is an inseparable relationship between music and fashion in terms of expressing our images of the world: fashion delivers them through visuality and music does it by sound. Both fashion and music are reflecting our society as well as they are influencing on sociocultural aspects generally. Whenever music has been changed new youth culture has been made and this culture has been expanded with forming some distinct fashion trends. The study focuses on identifying the relations between pop music and fashion styles which are occupying positions firmly on the bases of youth culture through analysing the relations between the fashion styles and music genres which are used in sub-culture groups to express their own identities and consciousness from a point of semiotics. In conclusion, subculture is the exit of their escaping from the compelling inconsistency cause by the condition of people's life and the way for them to solve through cultural sublimating for themselves. People come up with distinctive style of music and fashion to express their resistant signifie in their symbolic way. In addition, a particular music trend has much to do with a contemporary fashion style. In the relationship between music and fashion, there have been the subtle mechanism to boost and influence and some crucial similarity each other to signify inner values of the times. This study lets us realize that fashion is not only a popular style of clothes, hair, etc. at a particular time or place but also a medium to communicate and to guarantee polysemous identity by functioning as a flexible tool to exchange contemporary sociocultural meanings.

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Studies on North Korean Documentary Films: Structures as to How Meanings of Film Literature are Made (북한 기록영화 연구: 영화문헌의 의미생성 구조)

  • Kim, Seung
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.82-89
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    • 2017
  • This paper intends to examine how North Korea has incited and persuaded its people by figuring out the structure regarding the meaning creation of its documentary film "Kim Jong-un, the Respected Comrade Supreme Commander, Giving On-site Guidance on the Grand Project of the People's Army" produced in 2015, which was North Korea's politically important year. The analysis results show that its narrative structure of the film took the form of an introduction, body, and conclusion to substantiate it obviously given theme. Its imaging techniques are geared towards uplifting the public's combat mentality and its sound contributes to achieving their adherence. In this regard, its film literature has the following meaning structure: first, the film takes the form of both film annals and the structure for the public to easily comprehend; second, the film clearly demonstrates its deep-rooted theme asking for the public to follow in the footsteps of the party's late father for its leadership; and third, the film also aims to establish the images of an always awake working leader by implanting and arranging the leader's diligence about his revolutionary activities in the documentary film. North Korea's documentary films serve as a weapon used for instigating revolution and construction. Given this, the producers of all documentary films have made sure to turn film literatures into the film literatures of the great leader. It was identified that under the social vision that the Kim Jong-un regime is a "socialist civilized country", he has tightened his grip on power in North Korea through the propaganda tool of film literatures.