• 제목/요약/키워드: Review Timing

검색결과 201건 처리시간 0.112초

신설대학병원에서 1년간의 정신과 자문 (Psychiatric Consultation at a Newly Opened University Hospital)

  • 독고향;배재남;강민회
    • 정신신체의학
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    • 제6권1호
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    • pp.46-58
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    • 1998
  • Objectives : This study was performed to evaluate the status of psychiatric consultation at a newly opened university hospital, to explore problems related to psychiatric consultation and to contribute for future consultation to be more systematic and more efficient. Methods: The subjects of this study were 284 patients hospitalized at Inha University Hospital between September 1, 1996 and August 31, 1997, who were referred for psychiatric consultation during hospitalization. This study was evaluated demographical characteristics of referred patients, resons for referral, recommendations by psychiatric consultant, clinical diagnoses, psychiatric diagnoses, relationship between referral time and hospitalization following the day of consultation and consultation referral types based upon psychiatrists' reports and patients' medical charts. Results : Most common patients referred to consultation were females aged 20s who visited at the department of internal medicine and related to the risk of suicidal attempts. Mood disorder was the most frequent psychiatric diagnosis, and the most common recommendations were to use psychopharmacological treatment along with outpatient visits. The 30% of subjects were referred to consultation within a day after hospitalization. In the case of consultation referral timing within two days and after three days, there was significant difference between early consultation and shorter hospitalization following the day of consultation. Most frequent type of consultation(29.6%) was categorized as IIIa type(physical complication type as a "Mending" request type). Conclusion : In review of consultation referral timing and consultation referral type of the subjects, who were referred for psychiatric consultation for one year at a newly opened University Hospital, referrals were found to be made within two days after their admission to hospital(50.7%), which was observed to be early request. We found that there was significant association between early consultation and shorter hospitalization following the day of consultation. The physical complication type(29.6%) which belongs to "Mending" request type was found to be the most frequent consultation referral type. This result indicates that more systematic psychiatric consultation is needed for the future.

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A cost model for determining optimal audit timing with related considerations for accounting data quality enhancement

  • Kim, Kisu
    • 경영과학
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    • 제12권2호
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    • pp.129-146
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    • 1995
  • As society's relience on computerized information systems to support a wide range of activities proliferates, the long recognized importance for adequate data quality becomes imperative. Furthermore, current trends in information systems such as dispersal of the data resource together with its management have increased the difficulty of maintaining suitable levels of data integrity. Especially, the importance of adequate accounting (transaction) data quality has been long recognized and many procedures (extensive and often elaborate checks and controls) to prevent errors in accounting systems have been introduced and developed. Nevertheless, over time, even in the best maintained systems, deficiencies in stored data will develop. In order to maintain the accuracy and reliability of accounting data at certain level, periodic internal checks and error corrections (internal audits) are required as a part of internal control system. In this paper we develop a general data quality degradation (error accumulation ) and cost model for an account in which we have both error occurrences and error amounts and provide a closed form of optimal audit timing in terms of the number of transactions that should occur before an internal audit should be initiated. This paper also considers the cost- effectiveness of various audit types and different error prevention efforts and suggests how to select the most economical audit type and error prevention method.

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모터부하를 고려한 상정사고 발생 시 저전압 부하차단 적용 방안에 대한 연구 (A Study on the Application of Under Voltage Load Shedding Scheme in Line Contingency considering Motor Load)

  • 이윤환
    • 전기학회논문지P
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    • 제66권1호
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    • pp.21-26
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    • 2017
  • Failure of high-voltage transmission line, which is responsible for large-scale power transmission, can be reason for system voltage instability. There are many methods to prevent voltage instability like adjustment of equipment, the generator voltage setting, and load shedding. Among them, the load shedding, have a problem of economic loss and cascading effect to power system. Therefore, the execution of load shedding, amount and timing is very important. Conventionally, the load shedding setting is decided by the preformed simulation. Now, it is possible to monitor the power system in real time by the appearance of PMU(Phasor Measurement Unit). By this reason, some of research is performed about decentralized load shedding. The characteristics of the load can impact to amount and timing of decentralized load shedding. Especially, it is necessary to consider the influence of the induction motor loads. This paper review recent topic about under voltage load shedding and compare with decentralized load shedding scheme with conventional load shedding scheme. And simulations show the effectiveness of proposed method in resolving the delayed voltage recovery in the Korean Power System.

Loss of Coolant Accident Analysis During Shutdown Operation of YGN Units 3/4

  • Bang, Young-Seok;Kim, Kap;Seul, Kwang-Won;Kim, Hho-Jung
    • Nuclear Engineering and Technology
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    • 제31권1호
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    • pp.17-28
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    • 1999
  • A thermal-hydraulic analysis is conducted on the loss-of-coolant-accident (LOCA) during shutdown operation of YGN Units 3/4. Based on the review of plant-specific characteristics of YGN Units 3/4 in design and operation, a set of analysis cases is determined, and predicted by the RELAP5/MOD3.2 code during LOCA in the hot-standby mode. The evaluated thermal-hydraulic phenomena are blowdown, break flow, inventory distribution, natural circulation, and core thermal response. The difference in thermal-hydraulic behavior of LOCA at shutolown condition from that of LOCA at full power is identified as depressurization rate, the delay in peak natural circulation timing and the loop seal clearing (LSC) timing. In addition, the effect of high pressure safety injection (HPSI) on plant response is also evaluated. The break spectrum analysis shows that the critical break size can be between 1% to 2% of cold leg area, and that the available operator action time for the Sl actuation and the margin in the peak clad temperature (PCT) could be reduced when considering uncertainties of the present RELAP5 calculation.

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IP 역추적 설계 및 보안감사 자료생성에 관한 연구 (A Study regarding IP Traceback designs and security audit data generation.)

  • 이인희;박대우
    • 한국컴퓨터정보학회지
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    • 제15권1호
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    • pp.53-64
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    • 2007
  • 본 논문에서는 최근의 해킹사고에서 침입자는 피해시스템에서 자신의 IP주소 노출을 피하기 위하여 피해 시스템을 직접 공격하지 않고 Stepping stone(경유지)을 이용하여 우회 공격을 수행한다. 본 논문에서는 로그기반에서는 네트워크 감사 정책을 이용하고, TCP 기반에서는 CIS, AIAA 기법과 네트워크 기반에서는 Thumbprints Algorithm, Timing based Algorithm, TCP Sequence number를 이용한 알고리즘, Sleep Watermark Tracking 기법을 이용하여 역추적 시스템을 제시하였으며, 현 인터넷 망의 구성의 물리적 또는 논리적 복잡성이 크다는 단점을 보완하기 위해, 날로 발전하고 빠른 기술 개발 속도를 갖는 침입 기술에 대응하기위해 하나의 시스템에 하나의 모듈이 아닌 기존의 알고리즘을 이용해 효과적인 역추적 시스템을 제시 하려 한다.

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Evidence-Based Physical Therapy for Anterior Cruciate Ligament Injury: Literature Review

  • Lim, Hyoung won
    • The Journal of Korean Physical Therapy
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    • 제31권4호
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    • pp.161-168
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    • 2019
  • Most athletes with anterior cruciate ligament (ACL) ruptures undergo a surgical ACL reconstruction (ACLR) and rehabilitation. On the other hand, controversy still exists because neither a reconstruction nor rehabilitation have been proven to be superior in the management of ACL injury. This study reviewed the success rates of interventions to provide recommendations for the optimal management after an ACL injury. One of the most important considerations after an ACL injury is the timing and type of intervention. At the early stages, which involve the loss of volume and strength of quadriceps femoral muscle, weight bearing (closed kinetic chain) exercises with pain management followed by high velocity resistance exercises in an open kinetic chain environment are recommended to improve the quadriceps function. After that, it is important to apply intensive isokinetic exercise with a lower extension rate. In this case, it is important to apply overload to the muscles and to simultaneously lead the co-contraction of the hamstrings. Standards are essential because the timing and type of interventions are crucial to prevent re-injury and complications, such as osteoarthritis, as well as to confirm the successful outcome of the treatment. Different interventions recommended for ACL damage have yet to reach consensus. Further studies will be needed to observe the effects of the intervention through multidisciplinary approaches.

A Review on the Usage of RTKLIB for Precise Navigation of Unmanned Vehicles

  • Lim, Cheolsoon;Lee, Yongjun;Cho, Am;Park, Byungwoon
    • Journal of Positioning, Navigation, and Timing
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    • 제10권4호
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    • pp.243-251
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    • 2021
  • Real-Time Kinematic (RTK) is a phase-based differential GNSS technique and uses additional observations from permanent reference stations to mitigate or eliminate effects like atmospheric delays or satellite clocks and orbit errors. In particular, as the position accuracy required in the fields of autonomous vehicles and drones is gradually increasing, the demand for RTK-based precise navigation that can provide cm-level position is increasing. Recently, with the rapid growth of the open-source software market, the use of open-source software for building navigation system of unmanned vehicles, which is difficult to mount an expensive GNSS receivers, is gradually increasing. RTKLIB is an open-source software package that can perform RTK positioning and is widely used for research and education purposes. However, since the performance and stability of RTK algorithm of RTKLIB is inevitably inferior to that of commercial GNSS receivers, users need to verify whether RTKLIB can satisfy the navigation performance requirements of unmanned vehicles. Therefore, in this paper, the performance evaluation of the RTK positioning algorithm of RTKLIB was performed using GNSS observation data acquired in a dynamic environment. Therefore, in this paper, the RTK positioning performance of RTKLIB was evaluated using GNSS observation data acquired in a dynamic environment. Our results show that the current RTK algorithm of RTKLIB is not suitable for precise navigation of unmanned vehicles.

Effects of hippotherapy on children with cerebral palsy: systematic review and meta-analysis

  • Kim, Kwon-Hoi;Lee, Suk-Min
    • Physical Therapy Rehabilitation Science
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    • 제9권1호
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    • pp.55-65
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    • 2020
  • Objective: The most important goal of hippotherapy is to improve function, gait, and balance. The purpose of this study was to investigate the effects of hippotherapy on function, gait, and balance of children with cerebral palsy (CP). Design: A systematic review and meta-analysis. Methods: We've searched the PubMed, EMBASE, and Cochrane Library CENTRAL databases for English experimental studies published up until September 2018. To analyze the effects of hippotherapy on the function, gait, and balance of children with cerebral palsy, the systematic review and meta-analysis were performed on Patient/Participants/Population Problem, Intervention, Comparison, Outcome with Timing, Setting Study Design. Papers retrieved from the database were removed from the literature management database. Methodological quality evaluation was evaluated using Cochrane's risk of bias. Data was analyzed using the Revman 5.3 program of the Cochrane library. Results: In this study, we found that the effect size of hippotherapy, denoted as d, was -3.82, and that hippotherapy had the most effect on gait, but no statistical significant difference was observed. We also found no significant difference in function and balance after hippotherapy. It was found from the funnel plot that there was no publication bias as the plot was symmetrically distributed around the dotted line. Conclusions: There are many unclear studies and a lack of randomized controlled trials (RCTs) in this research area. More RCTs on the effects of hippotherapy on children with CP should be conducted in the future.

The Actual Conditions of Visiting Rehabilitation in Japan Identified through Japanese Government Reports

  • Lee, Minyoung
    • The Journal of Korean Physical Therapy
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    • 제34권5호
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    • pp.224-233
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    • 2022
  • Purpose: In Japan, the Long-Term Care Insurance Act has stipulated visiting rehabilitation since 2000. This study aimed to identify the actual conditions of visiting rehabilitation in Japan through a literature review of reports published by the Japanese government. Methods: This literature review was conducted on eight articles among various government reports on the topic of the actual conditions of visiting rehabilitation. These reports were published by the Ministry of Health, Labor and Welfare of Japan based on their own investigations or reports from an external agency entrusted with the task, and were issued between 2000 and 2021. Results: The characteristics of the visiting rehabilitation offices, their number, manpower allocation, the number of users, and their visits to each office were identified. Also, the characteristics of the users, number of users, age and required degree of long-term care, causative disease, and required medical care were identified. To evaluate the actual status of the visiting rehabilitation service, the service use time, frequency, period of use, intervention by doctors and the degree of such intervention, therapist's service content, visitors' address before the use of the service, reason, and timing of the service introduction, evaluation of the service effectiveness, combination of services and transfer destination after termination, and status after service termination were checked. Conclusion: Based on the Japanese experience where visiting rehabilitation was introduced and applied to long-term care insurance, it would be meaningful to review the factors that required benchmarking among the Japanese service models while designing a similar model in Korea.

Long-term management of Graves disease: a narrative review

  • Hyo-Jeong Kim
    • Journal of Yeungnam Medical Science
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    • 제40권1호
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    • pp.12-22
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    • 2023
  • Graves disease (GD) is the most common cause of hyperthyroidism, accounting for more than 90% of cases in Korea. Patients with GD are treated with any of the following: antithyroid drugs (ATDs), radioactive iodine (RAI) therapy, or thyroidectomy. Most patients begin treatment with ATDs, and clinical guidelines suggest that the appropriate treatment period is 12 to 18 months. While RAI treatment and surgery manage thyrotoxicosis by destroying or removing thyroid tissue, ATDs control thyrotoxicosis by inhibiting thyroid hormone synthesis and preserving the thyroid gland. Although ATDs efficiently control thyrotoxicosis symptoms, they do not correct the main etiology of GD; therefore, frequent relapses can follow. Recently, a large amount of data has been collected on long-term ATDs for GD, and low-dose methimazole (MMZ) is expected to be a good option for remission. For the long-term management of recurrent GD, it is important to induce remission by evaluating the patient's drug response, stopping ATDs at an appropriate time, and actively switching to surgery or RAI therapy, if indicated. Continuing drug treatment for an extended time is now encouraged in patients with a high possibility of remission with low-dose MMZ. It is also important to pay attention to the quality of life of the patients. This review aimed to summarize the appropriate treatment methods and timing of treatment transition in patients who relapsed several times while receiving treatment for GD.