• 한국재난정보학회 논문집
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• 제15권2호
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• pp.282-291
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• 2019

연구목적: 최근 모바일 기술은 우리의 일상생활과 경제활동 및 재난안전관리에 이르기까지 4차산업 패러다임의 축으로서 확장되고 있다. 하지만 모바일 기기를 통한 위치정보 서비스 체계가 미흡하여 재난안전 위급상황에서 신속한 대응이 어렵다. 본 연구에서는 사고 및 재난으로 인한 응급상황 발생 시 요구조자의 정확한 위치 파악과 위치체계를 일원화 하여 대국민 재난안전 서비스를 하는데 목적이 있다. 연구방법: 본 연구의 방법은 국가지점번호 NFC 활용 앱 개발을 위하여 기존 문헌 및 안전관련 앱의 조사와 비교 분석을 한다. 또한 요구조자의 필요기능 분석을 통한 시스템 구성과 요소기술을 통한 설계 방법으로 진행하였다. 연구결과: 본 연구의 결과는 모바일에서 긴급상황 시 또는 재난 시 신고를 위하여 위치를 알릴 수 있는 기능과 양방향으로 구현할 수 있도록 설계 및 시스템으로 개발 하였다. 결론: 주소체계를 일원화하고 NFC를 활용한 위치정보전달 통합시스템을 개발하여 위기 시 국민이 쉽게 활용할 수 있는 재난안전 위치서비스를 제공 할 수 있다.

• Advances in nano research
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• 제7권4호
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• pp.249-263
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• 2019

In the current paper, an exact solution method is carried out for analyzing the thermo-mechanical vibration of curved FG nano-beams subjected to uniform thermal environmental conditions, by considering porosity distribution via nonlocal strain gradient beam theory for the first time. Nonlocal strain gradient elasticity theory is adopted to consider the size effects in which the stress for not only the nonlocal stress field but also the strain gradients stress field is considered. It is perceived that during manufacturing of functionally graded materials (FGMs) porosities and micro-voids can be occurred inside the material. Material properties of curved porous FG nanobeam are assumed to be temperature-dependent and are supposed to vary through the thickness direction of beam which modeled via modified power-law rule. Since variation of pores along the thickness direction influences the mechanical and physical properties, porosity play a key role in the mechanical response of curved FG nano-structures. The governing equations and related boundary condition of curved porous FG nanobeam under temperature field are derived via the energy method based on Timoshenko beam theory. An analytical Navier solution procedure is utilized to achieve the natural frequencies of porous FG curved nanobeam supposed to thermal loading. The results for simpler states are confirmed with known data in the literature. The effects of various parameters such as nonlocality parameter, porosity volume fractions, thermal effect, gradient index, opening angle and aspect ratio on the natural frequency of curved FG porous nanobeam are successfully discussed. It is concluded that these parameters play key roles on the dynamic behavior of porous FG curved nanobeam. Presented numerical results can serve as benchmarks for future analyses of curve FG nanobeam with porosity phases.

• Acute and Critical Care
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• 제33권4호
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• pp.222-229
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• 2018

Background: The diagnosis of pediatric acute respiratory distress syndrome (PARDS) is a pragmatic decision based on the degree of hypoxia at the time of onset. We aimed to determine whether reclassification using oxygenation metrics 24 hours after diagnosis could provide prognostic ability for outcomes in PARDS. Methods: Two hundred and eighty-eight pediatric patients admitted between January 1, 2010 and January 30, 2017, who met the inclusion criteria for PARDS were retrospectively analyzed. Reclassification based on data measured 24 hours after diagnosis was compared with the initial classification, and changes in pressure parameters and oxygenation were investigated for their prognostic value with respect to mortality. Results: PARDS severity varied widely in the first 24 hours; 52.4% of patients showed an improvement, 35.4% showed no change, and 12.2% either showed progression of PARDS or died. Multivariate analysis revealed that mortality risk significantly increased for the severe group, based on classification using metrics collected 24 hours after diagnosis (adjusted odds ratio, 26.84; 95% confidence interval [CI], 3.43 to 209.89; P=0.002). Compared to changes in pressure variables (peak inspiratory pressure and driving pressure), changes in oxygenation (arterial partial pressure of oxygen to fraction of inspired oxygen) over the first 24 hours showed statistically better discriminative power for mortality (area under the receiver operating characteristic curve, 0.701; 95% CI, 0.636 to 0.766; P<0.001). Conclusions: Implementation of reclassification based on oxygenation metrics 24 hours after diagnosis effectively stratified outcomes in PARDS. Progress within the first 24 hours was significantly associated with outcomes in PARDS, and oxygenation response was the most discernable surrogate metric for mortality.

• Journal of Gastric Cancer
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• 제21권2호
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• pp.155-168
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• 2021

Purpose: Previous studies have demonstrated the usefulness of the controlling nutritional status (CONUT) score in nutritional assessment and survival prediction of patients with various malignancies. However, its value in advanced gastric cancer (GC) treated with neoadjuvant chemotherapy and curative gastrectomy remains unclear. Materials and Methods: The CONUT score at different time points (pretreatment, preoperative, and postoperative) of 272 patients with advanced GC were retrospectively calculated from August 2004 to October 2015. The χ² test or Mann-Whitney U test was used to estimate the relationships between the CONUT score and clinical characteristics as well as short-term outcomes, while the Cox proportional hazard model was used to estimate long-term outcomes. Survival curves were estimated by using the Kaplan-Meier method and log-rank test. Results: The proportion of moderate or severe malnutrition among all patients was not significantly changed from pretreatment (13.5%) to pre-operation (11.7%) but increased dramatically postoperatively (47.5%). The pretreatment CONUT-high score (≥4) was significantly associated with older age (P=0.010), deeper tumor invasion (P=0.025), and lower pathological complete response rate (CONUT-high vs. CONUT-low: 1.2% vs. 6.6%, P=0.107). Pretreatment CONUT-high score patients had worse progression-free survival (P=0.032) and overall survival (OS) (P=0.026). Adjusted for pathologic node status, the pretreatment CONUT-high score was strongly associated with worse OS in pathologic node-positive patients (P=0.039). Conclusions: The pretreatment CONUT score might be a straightforward index for immune-nutritional status assessment, while being a reliable prognostic indicator in patients with advanced GC receiving neoadjuvant chemotherapy and curative gastrectomy. Moreover, lower pretreatment CONUT scores might indicate better chemotherapy responses.

• Structural Engineering and Mechanics
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• 제78권5호
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• pp.599-610
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• 2021

Early detection of small concrete crack or reinforcement corrosion is necessary for Structural Health Monitoring (SHM). Global vibration based methods are advantageous over local methods because of simple equipment installation and cost efficiency. Among vibration based techniques, FRF based methods are preferred over modal based methods. In this study, a new coupled method using frequency response function (FRF) and proper orthogonal modes (POM) is proposed by using the dynamic characteristic of a damaged beam. For the numerical simulation, wave finite element (WFE), coupled with traditional finite element (FE) method is used for effectively incorporating the damage related information and faster computation. As reported in literature, hybrid combination of wave function based wave finite element method and shape function based finite element method can addresses the mid frequency modelling difficulty as it utilises the advantages of both the methods. It also reduces the dynamic matrix dimension. The algorithms are implemented on a three-dimensional reinforced concrete beam. Damage is modelled and studied for two scenarios, i.e., crack in concrete and rebar corrosion. Single and multiple damage locations with different damage length are also considered. The proposed methodology is found to be very sensitive to both single- and multiple- damage while being computationally efficient at the same time. It is observed that the detection of damage due to corrosion is more challenging than that of concrete crack. The similarity index obtained from the damage parameters shows that it can be a very effective indicator for appropriately indicating initiation of damage in concrete structure in the form of spread corrosion or invisible crack.

• 한국전자통신학회논문지
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• 제16권3호
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• pp.503-510
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• 2021

본 연구는 유리 차수 미분의 수학적인 방법을 시스템의 응답을 제어하는 제어기에 적용하고자 한다. 따라서 제어기로 구성하기 위해서는 유리수 지수에 대한 적분기를 이산시간으로 변환하여 설계한다. IP 제어기는 오차에 대한 적분제어기를 구성하고 비례제어기는 시스템 출력만 적용하는 구조이다. 유리 차수 적분기를 IP 제어기의 적분제어기에 활용함으로 제어기를 설계한다. 먼저 PI 제어기와 IP 제어기의 성능을 비교하고, 설계된 제어기를 전동기의 속도 제어에 적용한다. 그 결과 전동기의 출력상태인 속도가 균일하며 정밀한 제어 성능을 얻을 수 있었다. 정상상태의 속도오차가 0.1 [%] 이내 이고, 오버슈트가 없는 정밀하며 균일한 속도 제어 성능을 가짐을 확인할 수 있었다.

• 반도체디스플레이기술학회지
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• 제21권1호
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• pp.79-84
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• 2022

As various flexible display products are released, the demand for high-performance colorless and transparent polyimide (CPI) film is continuously increasing. The primary purpose of this study is to establish a systematic procedure for optimizing the optical performance of CPI films by applying the response surface method. After selecting three key factors (monomer type, stirring time for varnish synthesis, and maximum temperature of vacuum furnace for film production) affecting optical performance based on experiences and references, CPI films were manufactured according to the experimental sequence designed by the central composite design, and then the yellowness index (YI) and optical transmittance (Tr) of the films were measured. When producing a CPI film by pouring varnish into a petri dish, the change in optical properties according to thickness should be considered, and there was a meaningful linear relationship between YI and Tr. The species of monomer and the maximum temperature were the critical factors that had an influence on YI and Tr, respectively. It is expected that the procedure proposed in this study can serve as a starting point for CPI film optimization studies considering the other factors that were not considered and responses such as thermal properties.

• Journal of Korean Biological Nursing Science
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• 제25권2호
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• pp.105-112
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• 2023

Purpose: This study aimed to understand the general characteristics and biomarkers of inflammation in adult patients who visited the emergency department with fever and to determine whether the severity of clinical symptoms varies according to cancer diagnosis. Methods: Data were collected retrospectively from 4,002 adult patients with fever who visited the emergency department at a tertiary hospital from January 2018 to December 2018 using medical records. Results: On average, cancer patients were older than non-cancer patients (p < .001), and differences were observed between cancer and non-cancer patients in the origin of fever and biomarkers associated with inflammation. A higher proportion of cancer patients than non-cancer patients had a Korean Triage and Acuity Scale level of 1 to 3 (p < .001), and more cancer patients than non-cancer patients met two or more criteria for systemic inflammatory response syndrome (p = .001). More life-saving interventions in the emergency department were required in cancer patients than in non-cancer patients (p < .001), and cancer patients spent more time in the emergency department than non-cancer patients (p < .001). Conclusion: This study showed that the general characteristics and biomarkers of inflammation differed among adult patients with fever depending on cancer diagnosis. Furthermore, among adult patients with fever, cancer patients had more severe clinical symptoms than non-cancer patients. The results of this study are hoped to be helpful as a basis of nursing knowledge for adult patients with fever in the emergency department and as evidence for the classification of severity in patients with fever according to cancer diagnosis.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권2호
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• pp.86-93
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• 2024

Objectives: Orthognathic surgery is a surgical procedure performed by intraoral approach with established and safe techniques; however, excessive blood loss has been reported in rare cases. In response, investigative efforts to identify methods to reduce the amount of blood loss have been made. Among such methods, the administration of tranexamic acid was reported to reduce the amount of intraoperative blood loss. However, few studies to date have reported the effect of tranexamic acid in orthognathic surgery under hypotensive anesthesia. The present study aimed to investigate the effect of the administration of tranexamic acid on intraoperative blood loss in patients undergoing bimaxillary (maxillary and mandibular) orthognathic surgery under hypotensive anesthesia. Patients and Methods: A total of 156 patients (mean age, 27.0±10.8 years) who underwent bimaxillary orthognathic surgery under hypotensive anesthesia performed by the same surgeon between June 2013 and February 2022 were included in this study. The following data were collected from the medical records of each patient: background factors (age, sex, and body mass index), use of tranexamic acid, surgical procedures, previous medical history, duration of surgery, American Society of Anesthesiology physical status findings before surgery, intraoperative blood loss as a primary outcome, in-out balance, and blood test results. Descriptive statistics were calculated for statistical analysis, and a t-test and the chi-squared test were used for between-group comparisons. Group comparisons were performed after 1:1 propensity score matching to adjust for confounding factors. Statistical significance was set at P<0.05. Results: Comparison between the groups based on the use of tranexamic acid revealed a significant difference in operation time. Propensity score matching analysis revealed that intraoperative blood loss was significantly lower in the tranexamic acid group. Conclusion: The administration of tranexamic acid was effective in reducing intraoperative blood loss in patients undergoing bimaxillary orthognathic surgery under hypotensive anesthesia.

• Geomechanics and Engineering
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• 제36권6호
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• pp.589-599
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• 2024

Dispersion occurs when clay soil disperses under specific conditions and is rapidly washed away. While there are numerous methods for rectifying it, they are neither cost nor time-effective. The current study used metakaolin and zeolite to improve heavily dispersive clay soil either separately or in combination at 0%, 2%, 4%, 6%, and 8% of the soil weight. After 7 days of curing, the samples were tested to determine the extent of change in the dispersion potential, as well as the improvement of the geotechnical properties of the soil. The results indicated that the addition of 2% zeolite with 6% to 8% metakaolin decreased the dispersion potential considerably. Double hydrometry test findings revealed that the dispersion potential decreased by almost 70% and entered the non-dispersive group; the crumb test also revealed this. Atterberg limits testing indicated a decrease in the plasticity index which reduced the flexibility of the samples. The greatest decrease in PI (67.5%) was achieved with the addition of 8% zeolite plus 8% metakaolin to the soil. The results of density tests revealed that a decrease in the optimal moisture content increased the maximum dry density of soil. This increase in density was a response to the high reactivity of metakaolin with calcium hydroxide and the formation of calcium hydroxide hydrate gel. This eventually caused an increase in the unconfined compressive strength, the greatest increase in strength of about 1.8-fold was observed with a combination of 2% zeolite and 6% metakaolin compared to the unmodified sample.