• Title/Summary/Keyword: Significant Events

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Acupuncture Treatment of Adhesive Capsulitis of the Shoulder: A Randomized Controlled Pilot Trial

  • Kim, Jung-Eun;Kim, Sung-Phil;Kim, Ae-Ran;Park, Hyo-Ju;Kwon, Ojin;Jung, So-Young;Cho, Jung-Hyo;Kim, Joo-Hee;Choi, Sun-Mi
    • Journal of Acupuncture Research
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    • v.35 no.3
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    • pp.120-128
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    • 2018
  • Background: Adhesive capsulitis (AC) is a common condition that includes shoulder pain and limited movement. Despite more than 100 years of AC treatment, the most efficacious treatment remains unclear. The aim of this study was to evaluate the feasibility of a randomized controlled trial (RCT) using acupuncture for AC. Methods: Thirty participants with AC were randomly assigned to acupuncture (A) or sham acupuncture (SA) groups. The participants received 15 acupuncture sessions over 6 weeks, and follow-up occurred for an additional 4 weeks thereafter. The primary clinical outcome was the numeric rating scale (NRS) for shoulder pain 6 weeks from the baseline. Secondary outcomes included range of motion (ROM) in the shoulder, the shoulder pain and disability index (SPADI), the EuroQol-5 dimensions (EQ-5D), the Pittsburgh sleep quality index (PSQI), and the patient global impression of change (PGIC). Results: Thirty participants were enrolled out of 37 screened individuals. Recruitment was conducted between August 2014 until May 2015. A total of 28 participants (93%) completed the 6-week intervention, and 26 participants (87%) completed the study. NRS, ROM, SPADI, EQ-5D, PSQI, and PGIC scores improved in both the experimental group and the sham group after 6 weeks, but the difference between the groups was not statistically significant. Adverse events were reported by 12 participants, although these events were not associated with acupuncture. Conclusion: A future RCT for AC may be feasible with some modifications to the recruitment plan and the secondary outcome measurement methods.

El Niño-Southern Oscillation, Indian Ocean Dipole Mode, a Relationship between the Two Phenomena, and Their Impact on the Climate over the Korean Peninsula (엘니뇨-남방진동, 인도양 쌍극자 모드, 두 현상의 관련성, 그리고 한반도 기후에 대한 영향)

  • Cha, Eun-Jeong
    • Journal of the Korean earth science society
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    • v.28 no.1
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    • pp.35-44
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    • 2007
  • This paper investigated the relationship between El $Ni\widetilde{n}o-Southern$ Oscillation (ENSO) and Indian Ocean Dipole (IOD) mode events and the impacts of these two phenomena on the climate, temperature and precipitation, of the Korean Peninsula. Data gathered from 1954 to 2004 were used for analysis, which included NINO 3 index, IOD index, and monthly mean precipitation and temperature at eleven locations in Korea. Statistical results showed that the IOD and ENSO were significantly correlated in Spring and Fall. It was clearly shown that the distribution of the sea surface temperature in the Indian Ocean has seen the Southern and Northern Oscillation in El $Ni\widetilde{n}o$ year, and Eastern and Western in IOD year. On the other hand, in El $Ni\widetilde{n}o$ you, the mean temperature of the Korea Peninsula was lower than normal in Summer and higher in Winter and its precipitation was more than normal in both Summer and Winter. However, significant correlation was not found in IOD year. In addition, the global atmospheric circulations during the major IOD years are less influential, unlike those of El $Ni\widetilde{n}o$ events.

The Architectural Characteristics of Piazza Navona, Rome and its Ecological Function and Role in Urban Environments (로마 나보나 광장의 건축적 특성과 도시 생태적 기능 및 역할)

  • Kwon, Gyoung Nam
    • KIEAE Journal
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    • v.16 no.6
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    • pp.83-94
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    • 2016
  • Purpose: A city is regarded as an organic living thing that generates, changes, and fades away in relationship with many components of city. Therefore, a city has its own identity based on its historical trace. Among these elements composing a city, it is a square that makes a city more active and dynamic. Piazza Navona in Rome, Italy has played its role as significant core in the city and has distinctive function from other squares in urban ecological environments. In this study, the distinguishing function and role of Piazza Navona will be defined. Another purpose of study is to figure out what factors of Piazza Navona attracts a lot of diverse people and activities. Method: First, general understanding of function, type, and history of piazza; Second, the historical background of Piazza Navona; Third, site analysis related to surrounding environments; Fourth, architectural characteristic of Piazza Navona in terms of plan and elevation; Fifth, comparing with other representative squares in Rome such as Piazza San Pietro, Piazza del Popolo, and Piazza del Campidoglio in aspects of urban function. Result: Piazza Navona provides both citizen and visitors with an inviting place to embrace all kinds of activities including assembly, annual festival, and daily events. Its functions in the urban environments also involve a tourist attractor as landmark, place for social and cultural interaction, market, and place for meeting and leisure. It is attributed to following factors; historical background as the city center since the first century AD; its location in the center of Rome; enough size and flexibility to accommodate many people and various events; open space enclosed by surrounding buildings; historical baroque structures and sculptures of fountains; synergy effect with commercial and other tourist attractors around Piazza Navona; and comfortable accessibility.

Autobiographical Memory in Patients with Bipolar Disorder (양극성 장애 환자의 자서전적 기억)

  • Sun, Ja-Yeun;Ha, Ra-Yeon;Lee, Su-Jin;Ryu, Vin;Ha, Kyoo-Seob;Cho, Hyun-Sang
    • Korean Journal of Biological Psychiatry
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    • v.19 no.1
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    • pp.53-59
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    • 2012
  • Objectives : Autobiographical memory (ABM) is a special type of episodic memory, containing events that have occurred in a personal life. Overgeneral tendency of ABM refers to the retrieval of memory with only general and categorical descriptions rather than specific events. ABM specificity in depression and posttraumatic stress disorder is a robust finding with relation to cognitive vulnerability, affect regulation, problem-solving ability. It is also implicated in bipolar disorder with frequent relapses. In this study, we investigated whether ABM specificity was related to manic or euthymic mood states in patients with bipolar disorder. Methods : Forty bipolar patients with manic and euthymic episodes and 25 healthy controls participated in this study. Prompted by 5 positively and 5 negatively valenced emotional cue words, each participant was instructed to recall positive or negative memories and describe them in detail. The One-way ANOVA was used to compare ABM scores and post-hoc analyses were done. Results : Comapred to the healthy persons, the bipolar patients reported significantly more general than specific negative memories in both manic and euthymic episodes (p = 0.003). However, there was no significant difference between manic and euthymic patients (p = 0.074). Conclusions : These results suggest that overgeneral tendency of negative ABM may be a trait abnormality in bipolar disorder. Moreover, this phenomenon might be related to underlying cognitive deficits or affect regulation irrespective of the mood state.

The Accuracy of Satellite-composite GHRSST and Model-reanalysis Sea Surface Temperature Data at the Seas Adjacent to the Korean Peninsula (한반도 연안 위성합성 및 수치모델 재분석 해수면온도 자료의 정확도)

  • Baek, You-Hyun;Moon, Il-Ju
    • Ocean and Polar Research
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    • v.41 no.4
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    • pp.213-232
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    • 2019
  • This study evaluates the accuracy of four satellite-composite (OSTIA, AVHRR, G1SST, FNMONC-S) and three model-reanalysis (HYCOM, JCOPE2, FNMOC-M) daily sea surface temperature (SST) data around the Korean Peninsula (KP) using ocean buoy data from 2011-2016. The results reveal that OSTIA has the lowest root mean square error (RMSE; 0.68℃) and FNMOC-S/M has the highest correction coefficients (r = 0.993) compared with observations, while G1SST, JCOPE2, and AVHRR have relatively larger RMSEs and smaller correlations. The large RMSEs were found in the western coastal regions of the KP where water depth is shallow and tides are strong, such as Chilbaldo and Deokjeokdo, while low RMSEs were found in the East Sea and open oceans where water depth is relatively deep such as Donghae, Ulleungdo, and Marado. We found that the main sources of the large RMSEs, sometimes reaching up to 5℃, in SST data around the KP, can be attributed to rapid SST changes during events of strong tidal mixing, upwelling, and typhoon-induced mixing. The errors in the background SST fields which are used in data assimilations and satellite composites and the missing in-situ observations are also potential sources of large SST errors. These results suggest that both satellite and reanalysis SST data, which are believed to be true observation-based data, sometimes, can have significant inherent errors in specific regions around the KP and thus the use of such SST products should proceed with caution particularly when the aforementioned events occur.

RELIABILITY DATA UPDATE USING CONDITION MONITORING AND PROGNOSTICS IN PROBABILISTIC SAFETY ASSESSMENT

  • KIM, HYEONMIN;LEE, SANG-HWAN;PARK, JUN-SEOK;KIM, HYUNGDAE;CHANG, YOON-SUK;HEO, GYUNYOUNG
    • Nuclear Engineering and Technology
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    • v.47 no.2
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    • pp.204-211
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    • 2015
  • Probabilistic safety assessment (PSA) has had a significant role in quantitative decision-making by finding design and operational vulnerabilities and evaluating cost-benefit in improving such weak points. In particular, it has been widely used as the core methodology for risk-informed applications (RIAs). Even though the nature of PSA seeks realistic results, there are still "conservative" aspects. One of the sources for the conservatism is the assumptions of safety analysis and the estimation of failure frequency. Surveillance, diagnosis, and prognosis (SDP), utilizing massive databases and information technology, is worth highlighting in terms of its capability for alleviating the conservatism in conventional PSA. This article provides enabling techniques to solidify a method to provide time- and condition-dependent risks by integrating a conventional PSA model with condition monitoring and prognostics techniques. We will discuss how to integrate the results with frequency of initiating events (IEs) and probability of basic events (BEs). Two illustrative examples will be introduced: (1) how the failure probability of a passive system can be evaluated under different plant conditions and (2) how the IE frequency for a steam generator tube rupture (SGTR) can be updated in terms of operating time. We expect that the proposed model can take a role of annunciator to show the variation of core damage frequency (CDF) depending on operational conditions.

Hypothermia and Related Factors in High-Risk Infants (고위험신생아의 저체온증 현황 및 관련요인)

  • Ahn, Youngmee;Sohn, Min;Kim, Namhee;Kang, Narae;Kang, Seungyeon;Jung, Eunmi
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.505-514
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    • 2017
  • Purpose: Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of highrisk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia. Methods: A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth. Results: A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia. Conclusion: Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.

Hematologic Toxicity in Patients Undergoing Radical Anti-cancer Therapy: A Cross-Sectional Analysis of Patients in an Oncology Ward in India

  • Roy, Soumyajit;Mallick, Supriya;Raza, Md. Waseem;Haresh, Kunhi Parambath;Gupta, Subhash;Sharma, Daya Nand;Julka, Pramod Kumar;Rath, Goura Kisore
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3587-3592
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    • 2014
  • Burden of cancer is progressively increasing in developing countries like India which has also led to a steep rise in toxicity due to anti-cancer therapy. A cross-sectional analysis was here conducted for patients with different malignancies (except leukaemia) who while undergoing radical anti-cancer therapy were admitted to our oncology ward from January-July 2013. In a total of 280 patients, the total number of toxicity events was 473. Nine patients expired over this time period. Among the events, grade 2 anaemia the most common (n=189) while the most common grades of neutropenia and thrombocytopenia were grade 4 (n=114) and grade 2 (n=48), respectively. Among the tracable microbial etiologies, gram negative bacteria were the most commonly found pathogens. Treatment interruptions took place in 240 patients (median duration=8.8 days). Prolonged hospital admission, intensive care and artificial ventilation support was needed to be given in 48, 7 and 13 patients respectively. Advanced NSCLC, KPS <70, pancytopenia and artificial ventilation requirement were found to have a significant impact on death. Such studies show the prevailing practice from institutes of our country and may guide us formulating a guideline for managing such toxicities for this part of the world.

Neural network design for Ambulatory monitoring of elderly

  • Sharma, Annapurna;Lee, Hun-Jae;Chung, Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.10a
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    • pp.265-269
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    • 2008
  • Home health care with compact wearable units sounds to be a convenient solution for the elderly people living independently. This paper presents a method to detect fall from the other activities of daily living and also to classify those activities. This kind of ambulatory monitoring enables them to get an emergency help in the case of the fatal fall event and can provide their general health status by observing the activities being performed in daily life. A tri-axial accelerometer sensor is used to get the acceleration anomalies associated with the user's movements. The three axis acceleration data are transferred to the base station sensor node via an IEEE 802.15.4 compliant zigbee module. The base station sensor node sends the data to base station PC for an offline processing. This work shows the feature set preparation using the principal component analysis (PCA) for the designing of neural network. The work includes the most common activities of daily living (ADL) like Rest, Walk and Run along with the detection of fall events from ADL. The angle from the vertical is found to be the most significant feature parameter for classification of fall while mean, standard deviation and FFT coefficients were used as the feature parameter for classifying the other activities under consideration. The accuracy for detection of fall events is 86%. The overall accuracy for ADL and fall is 94%.

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Hydrologic Scenarios for Sustained Drought in Han River (한강수계 장기 가뭄 수문시나리오 개발)

  • Lee, Gwang-Man;Cha, Hyung-Sun;Lee, Seung-Yoon
    • Journal of Korea Water Resources Association
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    • v.41 no.6
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    • pp.629-641
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    • 2008
  • Many studies on sustained droughts have often been limited to the analysis of historic flow series. A major disadvantage in this approach can be described as the lack of long historic flow records needed to obtain a significant number of drought events for the analysis. To overcome this difficulty, one of the present study idea is to use synthetically generated hydrologic series. A methodology is presented to develop flow series based on the probabilistic analysis of the stochastic properties of the observed flows. The method can be utilized to generate a flow series of desired length so as to include many multiyear drought events within the process. In this paper, a concept of creating multiyear drought scenarios is introduced, and its development procedure is illustrated by a case study of the water supply system in Han River Basin. Also, it was found that the generated flow series can be reliably used to predict the long drought duration and sustained drought hydrologic scenarios within a given return period.