• Journal of Trauma and Injury
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• 제37권1호
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• pp.67-73
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• 2024

Purpose: Posttraumatic stress disorder (PTSD) is prevalent and is associated with protracted recovery and worse outcomes after injury. This study compared PTSD prevalence using the PTSD Checklist for DSM-5 (PCL-5) with the prevalence of PTSD risk using the Injured Trauma Survivor Screen (ITSS). Methods: Adult trauma patients at a level I trauma center were screened with the PCL-5 (sample 1) at follow-up visits or using the ITSS as inpatients (sample 2). Results: Sample 1 (n=285) had significantly fewer patients with gunshot wounds than sample 2 (n=45) (8.1% vs. 22.2%, P=0.003), nonsignificantly fewer patients with a fall from a height (17.2% vs. 28.9%, P=0.06), and similar numbers of patients with motor vehicle collision (40.7% vs. 37.8%, P=0.07). Screening was performed at a mean of 154 days following injury for sample 1 versus 7.1 days in sample 2. The mean age of the patients in sample 1 was 45.4 years, and the mean age of those in sample 2 was 46.1 years. The two samples had similar proportions of female patients (38.2% vs. 40.0%, P=0.80). The positive screening rate was 18.9% in sample 1 and 40.0% in sample 2 (P=0.001). For specific mechanisms, the positive rates were as follows: motor vehicle collisions, 17.2% in sample 1 and 17.6% in sample 2 (P>0.999); fall from height, 12.2% in sample 1 and 30.8% in sample 2 (P=0.20); and gunshot wounds, 39.1% in sample 1 and 80.0% in sample 2 (P=0.06). Conclusions: The ITSS was obtained earlier than PCL-5 and may identify PTSD in more orthopedic trauma patients. Differences in the frequency of PTSD may also be related to the screening tool itself, or underlying patient risk factors, such as mechanism of injury, or mental or social health.

• International Journal of Reliability and Applications
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• 제4권1호
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• pp.13-26
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• 2003

This paper presents a comparative study of a few commonly used maintenance scheduling methods for small utilities that consists solely of thermal generating plants. Two deterministic methods and a stochastic method are examined. The deterministic methods employ the leveling of reserve capacity criterion, of which one uses a heuristic rule to level the deterministic equivalent load obtained by using the product of the unit capacity and its corresponding forced outage rate. The stochastic method simulates the leveling of risk criterion by using the peak load carry capacity of available units. The results indicate that for the size and type of the maintenance scheduling problem described In this study, the stochastic method does not produce a schedule which is significantly better than the deterministic methods.

• Communications for Statistical Applications and Methods
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• 제24권3호
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• pp.211-226
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• 2017

The chain-ladder method, for which run-off data is employed is popularly used in the rate-adjustment and loss-reserving practices of non-life-insurance and health-insurance companies. The method is applicable when the underlying assumption of a consistent development pattern is in regards to a cumulative loss payment after the occurrence of an insurance event. In this study, a modified chain-ladder algorithm is proposed for when the assumption is considered to be only partially appropriate for the given run-off data. The concept of a structural-change point in the run-off data and its reflection in the estimation of unpaid loss amounts are discussed with numerical illustrations. Experience data from private health insurance coverage in Korea were analyzed based on the suggested method. The performance in estimation of loss reserve was also compared with traditional approaches. We present evidence in this paper that shows that a reflection of a structural-change point in the chain-ladder method can improve the risk management of the relevant insurance products. The suggested method is expected to be utilized easily in actuarial practice as the algorithm is straightforward.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2008년도 제39회 하계학술대회
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• pp.103-104
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• 2008

This paper proposes an alternative methodology for deciding an optimum deterministic reliability level (IRR; Installed Reserve Rate) by using probabilistic reliability criterion (LOLE; Loss of Load Expectation). Additionally, case studies using the proposed method induce the characteristics of relationship between the probabilistic reliability index (LOLE) and deterministic reliability index (IRR) for 2008 year in Korea power system. The case study presents a possibility that an optimum IRR level in Korea can be assessed using the proposed method. Korea power system has been using the LOLE criterion to determine the adequacy of installed capacity (ICAP) requirement. The criterion in Korea is that the loss of load expectation shall not exceed the available capacity more than five day in ten years (=0.5[days/year]). The probabilistic reliability evaluation and production cost simulation program which is called PRASim is used in order to evaluate the relationship and optimum IRR in this paper.

• KIEE International Transactions on Power Engineering
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• 제5A권1호
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• pp.62-69
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• 2005

The optimal design of transmission system expansion planning is an important part of the overall planning task of electric power system under competitive electricity market environments. One of main keys of the successful grid expansion planning comes from optimal reliability level/criteria decision, which should be given for constraint in the optimal expansion problem. However, it's very difficult to decide logically the optimal reliability criteria of a transmission system as well as generation system expansion planning in a society. This paper approaches a methodology for deciding the optimal reliability criteria for an optimal transmission system expansion planning. A deterministic reliability criteria, BRR (Bus Reserve Rate) is used in this study. The optimal reliability criteria, BRR/sup */, is decided at minimum cost point of total cost curve which is the sum of the utility cost associated with construction cost and the customer outage cost associated with supply interruptions for load considering bus reserve rate at load buses in long term forecasting. The characteristics and effectiveness of this methodology are illustrated by the case study using IEEE-RTS.

• 운동영양학회지
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• 제23권1호
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• pp.21-27
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• 2019

[Purpose] In the present pilot study, we aimed to investigate the effects of the Silverrobics exercise program, which is similar to aerobic dance, on the factors related to glucose metabolism and liver enzymes. [Methods] Eight elderly women with obesity and impaired fasting glucose participated in the Silverrobics exercise program (60 minutes per session for five times a week for 8 weeks). The program was conducted at 50-60% of the heart rate reserve at 1 to 2 weeks and at 60-80% of the heart rate reserve at 3 to 8 weeks. To verify the effect of this 8-week exercise program on glucose metabolism and liver enzymes, blood analysis at pre- and post-training was performed. [Results] After the Silverrobics exercise program, there were significant decreases in the glucose (p<0.05), glycated hemoglobin A1c (p<0.05), 1,5-anhydroglucitol (p<0.05), and insulin levels (p<0.01) and homeostatic model assessment of insulin resistance score (p<0.05). However, there were no significant effects on the liver enzymes, except for alkaline phosphatase. The alkaline phosphatase level increased after the Silverrobics exercise program (p<0.05). [Conclusion] Although the Silverrobics exercise program had no beneficial effects on the liver enzymes, it may play an important role in preventing liver diseases considering the effects on glucose metabolism.

• The Journal of Korean Physical Therapy
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• 제30권5호
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• pp.181-186
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• 2018

Purpose: This study investigated the effects of home-based exercise intensity on the aerobic capacity and 1 year re-hospitalization rate in patients with chronic heart failure (CHF). Methods: Forty seven patients with CHF (males 33, females 14, age $61.3{\pm}9.8years$) participated in this study. The patients were allocated randomly to 3 groups in accordance with home-based exercise intensity: no home based exercise (NHE, 40%, n=19), moderate intensity home-based exercise (MIHE, 43%, n=20), and high intensity home based exercise (HIHE, 17%, n=8). All patients completed the symptom-limited cardiopulmonary exercise (CPX) test safely at the cardiac rehabilitation hospital. Results: The NHE group significantly showed lower peak $VO_2$ and a higher $VE/VCO_2$ slope than the MIHE (p<0.05) and HIHE (p<0.01) groups. On the other hand, the NHE group did not show significant differences in the other hemodynamic responses, such as heart rate (HR) max, HR reserve, maximal systolic blood pressure (SBP), and SBP reserve. Nine out of 19 NHE patients (47%) were re-hospitalized related to heart disease and two out of 20 MIHE (10%) patients were re-hospitalized, but nobody in the HIHE group were re-hospitalized within 1 year from the CPX test. Conclusion: In patients with CHF, home-based self-exercise is one of the important factors for reducing the re-hospitalization rate. In addition, improved aerobic capacity is strongly associated with a lower re-hospitalization rate. In particular, re-hospitalized CHF patients showed significant differences in respiratory parameters and hemodynamic parameters compared to the non-re-hospitalized patients.

• 한국산림과학회지
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• 제97권3호
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• pp.305-315
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• 2008

본 연구의 목적은 최근 새로운 환경보전 정책수단으로 부상하고 있는 환경서비스 지불제의 개념과 유형을 소개하고, 산림유전자원보호림을 대상으로 국내 적용 가능한 생물다양성서비스 지불제를 설계하는 동시에 제도의 정착과 효율적 운영을 위한 정책방안 및 향후과제를 도출하는 데 있다. 환경서비스 지불제는 자발적 계약을 기반으로 서비스 이용자가 공급자에게 사용의 대가를 지불하는 것을 골자로 하고 있으며 효율적인 보호지역 관리로의 유도라는 목적을 가지고 있다. 지불제는 2006년 현재 지정되어 있는 산림유전자원보호림 중 지정수종이 소나무인 경우(943ha)를 대상으로 설계하였다. 계약에 참여한 산주는 계약서에 명시된 대로 건강한 산림생태계 유지를 위한 관리사업을 이행하여야 하며 관리에 소요된 비용을 지급받는다. 지불액은 보상에 기반하여 보호림 관리의 실질비용(관리 및 모니터링 비용)과 행위제한으로 인한 기회비용에 근거하여 산정하였으며, 총지불액은 1,140,378원/년/ha으로 산출되었다. 한편 장기적인 제도의 정착을 위해서는 산림생물다양성과 관리사업간의 상관관계, 산림생물다양성 서비스의 경제적 가치 등에 대한 기초연구가 뒷받침 되어야 하며, 이해당사자를 중심으로 한 인식제고 등이 지속적으로 추진되어야 할 것으로 보인다.

• 융합보안논문지
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• 제22권1호
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• pp.141-148
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• 2022

한국의 ROTC 제도는 유능한 초급장교 충원과 평시부터 예비전력 확보를 위해 1961년에 미국으로부터 도입되었다. 하지만 2000년대 접어들어 저출산에 따른 학령인구 및 병역자원의 감소, 병 복무기간까지 단축되는 획득환경의 변화로 지원율이 점점 하락하는 심각한 위기에 직면하게 되었다. 따라서 본 연구는 이러한 획득환경의 변화와 그에 따른 지원율 감소의 원인을 분석하여 조직편성 및 운영체계를 중심으로 ROTC 제도 개선방안을 제시하고자 하였다. 연구방법은 국내‧외 문헌연구를 통해 미국과 한국의 ROTC 제도에 관한 사례 간 비교기법을 적용하였다. 이론적 측면에서는 지식기반사회에서 조직의 성과달성과 비교경쟁우위 확보를 위해 기업경영에 적용하고 있는 전략적 인적자원관리를 이론적 준거로 삼았다.

• 한국임상수의학회지
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• 제40권6호
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• pp.464-467
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• 2023

The autonomic regulation of heart rate (HR) is an indicator of the body's ability to adapt to an exercise stimulus. However, there are no reports on this topic in relation to Jeju horses used for racing. The aim of this study was to analyze the HR responses of Jeju horses during race trials and to investigate the correlation between HR and performance in these horses. HR data were collected from 17 healthy 2- to 7-year-old Jeju horses wearing HR monitors during race trials. Pearson correlation coefficients was used to determine the significance of the association between the race trial time and HR. A significant inverse correlation was observed between the race trial time (performance) and both the maximal HR (HRmax, r = -0.69, p < 0.01) and HR reserve (HRR) (HRmax - average HR during the warm-up period, r = -0.63, p < 0.01) and between the HRR and HRmax (r = 0.73, p < 0.01). Horses with a lower average HR during the warm-up period and higher heart rates during the trial achieved faster race trial times. This study reports the first HR measurements in Jeju horses during race trials, providing new insights into the HR response of this breed to exercise. The use of a noninvasive remote HR monitor system allowed assessment of exercise responses in the field, and the results suggest that both the HRR during warm-up period and HRmax may be useful performance indicators in Jeju horses.