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Factors Affecting Treatment Adherence of Kidney Transplantation Recipients (신장이식 환자의 치료지시이행에 영향을 미치는 요인)

  • Lee, Jung A;Kim, Young A;Cho Chung, Hyang-In
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.619-628
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    • 2019
  • This study is an explanatory research conducted to analyze the influencing factors of treatment adherence in kidney transplant recipients. The subjects were 132 renal transplant recipients who visited the outpatient department in a university hospital. Data were collected from July 17, 2017, to August 22, 2017, and analyzed using SPSS WIN 24.0. Frequency, percentage, mean and standard deviation, variance analysis, correlation, and regression analysis were performed. The results of the study showed that there was a significant difference in the treatment adherence based on the age, religion, and the time passed since kidney transplantation. The study also found that the treatment adherence had significant positive correlations with social support (r=.54, p<.001), family support (r=.43, p<.001), health provider's support (r=.57, p<.001), and self-care knowledge (r=.21, p=.015). The factors influencing the treatment adherence were health provider's support, the time passed since kidney transplantation, spouse, and religion. The final explanatory power of the model was 41.9%. In conclusion, intervention strategies should be introduced to promote the support of healthcare providers in order to improve the adherence of the kidney transplantation patients.

Factors affecting the final adult height in survivors of childhood brain tumors (소아 뇌종양 환자의 최종 성인키에 영향을 미치는 인자)

  • Yun, Kyong-Ah;Lee, Young Ah;Shin, Choong Ho;Yang, Sei Won;Shin, Hee Young;Ahn, Hyo Seop;Kim, Il Han
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.65-73
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    • 2007
  • Purpose : Short stature is an important complication that impairs the quality of life in survivors of childhood brain tumors. We studied their final adult height (FAH) to evaluate risk factors for short stature. Methods : We reviewed the medical data of 95 survivors of childhood brain tumors (64 males and 31 females) who had been followed up from 1982 to 2006, reached FAH, and had a more than five year-disease-free survival. Results : Final adult height standard deviation score (FAHTSDS: $mean{\pm}SD$) of the patients was lower than those of general population ($-1.15{\pm}1.72$), HTSDS at diagnosis ($-0.13{\pm}1.57$), and target HTSDS ($-0.49{\pm}0.69$). FAHTSDS of craniopharyngioma patients did not decrease ($0.57{\pm}1.17$), but those of germ cell tumor and medulloblastoma patients were significantly reduced ($-1.20{\pm}1.45$, $-2.70{\pm}1.46$; P<0.05). The patients treated with craniospinal radiation or chemotherapy had lower FAHTSDS ($-1.93{\pm}1.58$, $-2.27{\pm}1.44$; P<0.01). In the spinal irradiation group, the younger the age at diagnosis was, the more the loss of FAH (r=0.442, P<0.01). Growth hormone replacement (GHR) didn't improve FAHTSDS, but starting GHR under 12 years was an independent factor for improving FAH once treatment methods were taken into account (P=0.01). Conclusion : The younger age at diagnosis, spinal radiation and chemotherapy were all important risk factors of height loss, and height gain was expected in patients who received GHR under the age of 12 years. Therefore, regular check-ups of growth and early intervention with growth hormones are needed for high risk groups to improve FAH.

A study of Establishment on Radiomap that Utilizes the Mobile device Indoor Positioning DB based on Wi-Fi (Wi-Fi 기반 모바일 디바이스 실내측위 DB를 활용한 라디오맵 구축에 관한 연구)

  • Jeong, In Hun;Kim, Chong Mun;Choi, Yun Soo;Kim, Sang Bong;Lee, Yun
    • Journal of Korean Society for Geospatial Information Science
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    • v.22 no.3
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    • pp.57-69
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    • 2014
  • As of 2013, Korean population density is 505 persons per $1km^2$ and is ranked 3rd place in the most densely populated countries exception of city-states. It shows clearly the population is concentrated in the city area. To fulfil this urban concentration population demand, the enlargement and complexation of buildings, subway and other underground spaces connection tendency has been intensified, and it is need to construct the indoor spatial information DB as well as the accurate indoor surveying DB to promote people's safety and social welfare. In this study, Sadang station and Incheon National Airport were aimed for the construction of Wi-Fi AP location DB and RadioMap DB by collecting the indoor AP raw datas by using mobile device and those collected results were ran through the process of verification, supplementation, and analyzation. To evaluate the performance of constructed DB, 10 points in Incheon Airport- 3rd flr in block A, and 9 points in Sadang station-B1 were selected and calculated the estimated points and ran evaluation experiment using survey positioning error, which is distance between real position and the estimated position. The result shows that Incheon international airport's average and standard deviation was separately 17.81m, 17.79m and Sadang station's average and standard deviation was separately 22.64m, 23.74m. In Sadang station's case, the areas near the exit has low performance of surveying position due to fewer visible AP points than other areas. As total datas were examined except those position, it was verified that the user's location was mapping close position in surveying positioning by using constructed DB. It means that constructed DB contains correct Wi-Fi AP locations and radio wave patterns in object region, so it is considered that the indoor spatial information service based on constructed DB would be available.

Assessment of Nutrient Intakes of Lunch Meals for the Aged Customers at the Elderly Care Facilities Through Measuring Cooking Yield Factor and the Weighed Plate Waste (조리 중량 변화 계수 및 잔반계측법을 이용한 노인복지시설 이용자의 점심식사 영양섭취평가)

  • Chang, Hye-Ja;Yi, Na-Young;Kim, Tae-Hee
    • Journal of Nutrition and Health
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    • v.42 no.7
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    • pp.650-663
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    • 2009
  • The purposes of this study were to investigate one portion size of menus served and to evaluate nutrient intake of lunch at three elderly care facility food services located in Seoul. A weighed plate method was employed to measure plate wastes and consumption of the menus served. Yield factors were calculated from cooking experiments based on standardized recipes, and were used to evaluate nutrient intake. One hundred elderly participated in this study for measuring plate waste and were asked to complete questionnaire. Nutrient analyses for the served and consumed meal were performed using CAN program. The yield factors of rice dishes after cooking are 2.4 regardless of rice dish types, 1.58 for thick soups, 0.60 to 0.70 for meat dishes, and 1.0 to 1.25 branched vegetable. Average consumption quantity of dishes were 235.97 g for rice, 248.53 g for soup, 72.83 g for meat dishes, 39.80 g for vegetables and 28.36 g for Kimchi. On average the food waste rate is 14.0%, indicating the second highest plate waste percentage of Kimchi (26.2%), and meat/fish dish (17.3%). The evaluation results of NAR (Nutrition Adequacy Ratio) showed that iron (0.12), calcium (0.64), riboflavin (0.80), and folic acid (0.97) were less than 1.0 in both male and female elderly groups, indicating significant differences of NAR among three facilities. Compared to the 1/3 Dietary Reference Intake (DRIs) for the elderly groups, nutrient intake analysis demonstrated that calcium (100%) and iron (100%), followed by riboflavin, vitamin A, and Vitamin B6 did not met of the 1/3 EAR (Estimated Average Requirement). For the nutritious meal management, a professional dietitian should be placed at the elderly care center to develop standardized recipes in consideration of yield factors and the elderly's health and nutrition status.

Long-term prediction of streamflow for water resource management in Geumho River watershed (중장기 하천유량 관리를 위한 금호강 유역의 유출량 예측)

  • Kim, Han Na;Park, Jung Eun;Kang, Shin Uk;Lee, Eul Rae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2015.05a
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    • pp.416-416
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    • 2015
  • 기후변화는 미래 강수량 변동을 야기하여 하천유량 관리에 큰 영향을 미칠 것으로 예상하고 있다. 이에 본 연구에서는 기후변화에 따른 중장기 하천유량 관리를 위하여 금호강 유역을 대상으로 SWAT 모형을 이용하여 중장기 하천유량을 예측하였다. 임하댐 상류지역의 2008~2012년 유량자료에 대하여 보정 완료된 SWAT 모형을 기반으로, 지역기후모형(RCM)인 HadGEM3-RA모형을 활용한 IPCC 제5차 보고서 RCP 4.5, RCP 8.5 시나리오를 적용하였다. 금호강 표준유역별 기후변화에 의한 영향을 모의하기 위하여 편이보정(Bias Correction)방법을 적용하였으며, 금호강 유역 내 과거 30년(1975~2005년, Baseline) 기상자료와 비교하여 통계적인 유사성을 가지도록 보정을 실시하였다. 기후변화 시나리오 적용결과는 S1(2011~2040년), S2(2041~2070년), S3(2071~2099년)으로 분할하여 월별, 계절별, 연도별 미래 강수량과 기온을 분석하였다. 분석 결과, RCP 4.5 시나리오의 경우 봄철(3~5월)의 강수량은 기준년도에 비해 약 57%가 증가하였으나, 가을철(6~8월)에는 7.9% 감소하였으며, 첨두 강수시기는 8~9월에서 6~7월로 이동하였다. 평균기온은 각 구분 시기별 $0.2^{\circ}C$, $1.1^{\circ}C$, $1.8^{\circ}C$ 정도 상승할 것으로 예측되었다. RCP 8.5 시나리오에서는 기준년도 대비 강우량은 봄철에 61% 증가, 가을철에는 14.9% 감소하는 것으로 모의되었다. 평균기온은 약 $0.4^{\circ}C$, $2.1^{\circ}C$, $4.2^{\circ}C$ 정도 상승하는 것으로 나타났다. 기후변화에 따른 유출량 결과 비교는 2001~2010년을 기준으로 하였으며, RCP 4.5 시나리오에서는 S1, S2, S3 시기별 각각 -10.9%, -7%, -3.6% 감소하였으며, RCP 8.5 시나리오에서는 약 -12.3%, 4.9%, -1.2% 변동하는 것으로 나타냈다. 금호강 유역 전반에 걸쳐 유출량이 감소하는 추세를 보였으며, 특히 본류에 비해 지류유역의 건천화가 심해지는 양상을 보였다. 또한 현재에 비해 여름철 유출패턴 시기가 앞당겨져 봄철 유량이 증가하고 겨울철에 감소하는 경향을 보이고 있다. 기후변화로 인한 수문패턴의 변화로 현재 하천유량관리의 변화가 필요할 것으로 판단되며, 향후 본 연구결과를 바탕으로 물수지 분석을 추가하여 유지유량 만족을 위한 해당유역의 이수기 유량관리 방안 연구를 수행할 예정이다.

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A Study on the Development of a GIS Master Plan based on the Analysis of the Information Master Plan for a Municipality (지역정보화 추진과 연계된 GIS기본계획의 수립방안에 관한 연구 (천안시를 중심으로))

  • Kim, Seong Hoon
    • Journal of Korean Society for Geospatial Information Science
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    • v.9 no.1 s.17
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    • pp.49-57
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    • 2001
  • One of the biggest problems found from the results of the various GIS-related projects which have been fulfilled by many local self-governing bodies is as follows. Many GIS projects have been undertaken without the proper review on National Standards on GIS, the information master plans for the development of the municipalities, and the GIS master plans which should be followed by the former ones with the relatively detailed implementation planning. Because these projects were to be done at most with little considerations of the formerly mentioned materials such as vision, goals, strategies, and the implementation planning, it is quite doubtful that a GIS project could play a proper role as an element in the integrated information system. As an effort to solve this problem, this paper first analyzes the types of the GIS projects done by many municipalities, proposes a recommended procedure for a life cycle of a GIS project and for a GIS master plan based on the information master plan for a municipality.

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Developing Standardized Indices of Staffing Needs for Elementary School Foodservices in Urban Areas (도시형 국민학교 급식에서의 표준노동시간 및 적정인력 산출)

  • Yang, Il-Sun;Yu, Il-Gun;Lee, Won-Jae;Cha, Jin-Ah
    • Journal of the Korean Society of Food Culture
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    • v.8 no.1
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    • pp.55-62
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    • 1993
  • These studies were conducted to: a) investigate work patterns and productivity indices, b) rate performance levels of employees and c) determine the suggested levels of personnel and labor hours for the effective labor control in school foodservice. Eighteen elementary school foodservices in Seoul were selected in order to analyze work patterns by the work sampling methodology. Allowance time and performance rating by VTR observation was done to determine the standardized labor hours. The results were as follows. The average percentage of each work function of the total work functions such as direct work function, indirect work function and delay were 65.57%, 8.12%, 26.31% respectively. The productivity index is 0.92 min/meal. The average working and delay hours per week of the foodservice director, foodservice employees and supply person were 33.64 hours, 23.25 hours, 38.52 hours respectively. The percentage of delay hours of total labor hours for foodservice employees and supply person were 42.27% and 24.0%. The standardized work hours and the appropriate levels of foodservice employees of 17 elementary school foodservices were examined: The average rating of the foodservice employees work was 1.19 and British Insulated Calendarer Cables (BICC) allowance rate was 19.40% on the average. The total work hours of foodservice employees were 172.64 hours per week and levels of personnel were 4.53 persons. BICC allowance rate was applied: The standardized work hours per week was 180.95 hours and appropriate levels of personnel were 4.11 persons based on legal 44 working hours.

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A Hybrid Method of Storing XML Data Using RDBMS (RDBMS를 이용한 XML 데이터의 혼합형 저장 기법)

  • Jeon, Chan-Hoon;Kang, Hyun-Chul
    • The Journal of Society for e-Business Studies
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    • v.14 no.1
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    • pp.57-79
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    • 2009
  • As the Web-based e-Business prevails, the volume of XML data on the Web is getting larger than ever. Although much research has been done on decomposing and storing XML data in RDB, which is now the most popular storage for XML, and on processing XML queries through their SQL counterparts, little attention was paid to how to alleviate the burden of storing massive volume of XML data. In this paper, we propose a hybrid method of storing XML data in RDB, whereby the unit of storage could be an XML subtree as well as an XML node. The part of XML data whose nodes were separately stored could be reformed into an XML subtree for storing when it gets rarely queried or less valuable for reference as time goes by. With this method, we designed and implemented a hybrid XML storage and query processing system, comparing it with the conventional system where an XML node is the only unit of storage. Through experiments, we compared storage efficiency and query processing performance, validating the effectiveness of our proposed system.

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A Selective Feedback LNA Using Notch Filter in $0.18{\mu}m$ CMOS (노치필터를 이용한 CMOS Selective 피드백 저잡음 증폭기)

  • Seo, Mi-Kyung;Yun, Ji-Sook;Han, Jung-Won;Tak, Ji-Young;Kim, Hye-Won;Park, Sung-Min
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.46 no.11
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    • pp.77-83
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    • 2009
  • In this paper, a selective feedback low-noise amplifier (LNA) has been realized in a $0.18{\mu}m$ CMOS technology to cover a number of wireless multi-standards. By exploiting notch filter, the SF-LNA demonstrates the measured results of the power gain (S21) of 11.5~13dB and the broadband input/output impedance matching of less than -10dB within the frequency bands of 820~960MHz and 1.5~2.5GHz, respectively. The chip dissipates 15mW from a single 1.8V supply, and occupies the area of $1.17\times1.0mm^2$.

Protein Qualify of Noodles Supplemented with Fish Protein Concentrate (농축(濃縮) 생선단백질(生鮮蛋白質)로 보충(補充)된 국수의 단백질(蛋白質)의 질(質)에 대(對)한 연구(硏究))

  • Choi, Hay-Mie
    • Journal of Nutrition and Health
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    • v.9 no.1
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    • pp.99-103
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    • 1976
  • 농축생선단백질(Fish Protein Concentrate, FPC)로 보충된 국수의 영양가를 연구하기 위하여 25일된 쥐를 사용하여 4주 동안 동물 실험을 하였다. 각각 10마리씩 네 group으로 나누어 0, 10, 15% FPC와 표준 casein diets를 주고 매일 섭취량을 기록하고, 매주 동물의 체중을 재서 Protein Efficiency Ratio (PER)를 계산함으로써 단백질의 질(質)을 평가하였다. 4주 후에 동물의 간을 취하여 수분과 지방의 양을 측정하였다. 또한 농축생선 단백질로 보충된 국수가 음식으로서의 적응도를 측정하기 위하여 어른 10명과 아이들 5명에게 관능 검사를 실시하였다. FPC 15% diet group의 체중은 4주 동안에 157.2g이 증가했고, FPC 10%는 135.7g, casein은 103.0g, FPC 0%(plain noodle)은 25.8g 밖에 되지 않았다. 이것들의 PER은 FPC 15% diet group 이 3.83으로 제일 높았고, 다음이 FPC 10%로 3.35였고, casein은 이보다 낮은 3.31이였다. 간의 지방양은 FPC 15% diet group이 2.94%로 제일 낮았으며, FPC 10%가 3.98%, casein이 5.57%의 순서였다. 지방의 양이 적을수록 단백질의 질(質)이 높다는 것을 말하며, 5%정도가 보통이다. PER, 동물의 체중과 지방의 양으로 단백질의 질(質)을 측정한 결과 FPC 15% 국수가 질(質)이 제일 좋다는 것이 판명되었다. 관능검사 결과 전체적 계수는 FPC 15% 국수가 제일 낮은 2.7 (1.0에서 5.0까지 사용)이고 다음이 FPC 10% 국수로 3.5였으나 plain noodle만 못하였다. 특히 색갈(color)에 많은 차이를 보였기 때문이며, 맛(flavor)과 질(texture)에는 별 차이가 없었다. FPC 15% 국수는 색갈이 plain noodle에 비해 검은 편이였으나 모밀국수 보다는 색갈이 희므로 그렇게 문제가 될것 같지는 않다. 어린 아이들에게는 닭 국물에 국수를 넣어 주였더니 라면과 맛이 비슷해 아주 좋아했다.

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