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Introduction of Medical Simulation and the Experience of Computerized Simulation Program Used by $MicroSim^{(R)}$

  • Lee, Sam-Beom;Bang, Jae-Beum;SaKong, Joon
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.148-153
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    • 2007
  • Background : Computer- and web-based simulation methods help students develop problem solving and decision making skills. In addition, they provide reality based learning to the student clinical experience with immediate medical feedback as well as repetitive training, on-site reviews and case closure. Materials and Methods : Seventy-five third-year medical students participated in a two-week simulation program. The students selected four modules from eight modules as follows: airway and breathing 1, cardiac arrest 1, cardiac arrhythmia 1, and chest pain 1, and then selected the first case within each of the modules. After 2 weeks, a pass score was obtained and the data analyzed. The average pass score of over 70% was considered a passing grade for each module. If the student did not pass each module, there was no score (i.e., pass score was zero). In addition, when at least one of the four modules was zero, the student was not included in this study. Results : Seventy-five students participated in the simulation program. Nineteen students were excluded based on their performance. The final number of students studied was 56 students (74.7%). The average scores for each module 1 to 4 were 86.7%, 85.3%, 84.0%, and 84.0%, and the average obtained pass score was 88.6 for the four modules in all 56 students. Conclusion : Medical simulation enabled students to experience realistic patient situations as part of medical learning. However, it has not been incorporated into traditional educational methodology. Here we describe the introduction and the development of various simulation modules and technologies for medical education.

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Seasonal Variations in Soil Solution Chemistry under Larix leptolepis, Pinus Koraiensis, and Quercus mongolica stands (일본잎갈나무, 잣나무, 신갈나무 임분 토양수 성질의 계절적 변이)

  • Ryu, Soung-Ryoul;Son, Yo-Whan;Joo, Yeong-Teuk;Jin, Hyun-O;Oh, Jong-Min;Jung, Duk-Young
    • Korean Journal of Environmental Agriculture
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    • v.19 no.1
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    • pp.75-79
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    • 2000
  • To investigate seasonal variations of soil solution chemistry, samples were collected from zero tension lysimeters in O, A, and B horizons of 26-year-old Larix leptolepis. Pinus koraiensis and Quercus mongolica stands in Kwangju, Kyunggi Province from September, 1996 through June. 1999. Potassium, $Mg^{2+}$, $Cl^-$, and $No_3\;^-$ concentrations increased in October and November concurrent with inputs of fresh litterfall and twigs. Sodium, $Ca^{2+}$, $K^+$, and $Mg^{2+}$ concentrations increased in March and April concurrent with the yellow sand effect. Potassium concentration showed the highest variation among ions, and $Cl^-$ concentration showed positive correlations with $K^+$ and $Mg^{2+}$ concentrations. Soil solution pH decreased while $Al^{3+}$ and $K^+$ concentrations increased during the study period. If our data reflects long term trends. then $Al^{3+}$ concentration in the O horizon will reach the toxic level (0.180 meq/l) within 10-20 years depending on species.

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Cross-Lingual Style-Based Title Generation Using Multiple Adapters (다중 어댑터를 이용한 교차 언어 및 스타일 기반의 제목 생성)

  • Yo-Han Park;Yong-Seok Choi;Kong Joo Lee
    • KIPS Transactions on Software and Data Engineering
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    • v.12 no.8
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    • pp.341-354
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    • 2023
  • The title of a document is the brief summarization of the document. Readers can easily understand a document if we provide them with its title in their preferred styles and the languages. In this research, we propose a cross-lingual and style-based title generation model using multiple adapters. To train the model, we need a parallel corpus in several languages with different styles. It is quite difficult to construct this kind of parallel corpus; however, a monolingual title generation corpus of the same style can be built easily. Therefore, we apply a zero-shot strategy to generate a title in a different language and with a different style for an input document. A baseline model is Transformer consisting of an encoder and a decoder, pre-trained by several languages. The model is then equipped with multiple adapters for translation, languages, and styles. After the model learns a translation task from parallel corpus, it learns a title generation task from monolingual title generation corpus. When training the model with a task, we only activate an adapter that corresponds to the task. When generating a cross-lingual and style-based title, we only activate adapters that correspond to a target language and a target style. An experimental result shows that our proposed model is only as good as a pipeline model that first translates into a target language and then generates a title. There have been significant changes in natural language generation due to the emergence of large-scale language models. However, research to improve the performance of natural language generation using limited resources and limited data needs to continue. In this regard, this study seeks to explore the significance of such research.

A Study on Low-Light Image Enhancement Technique for Improvement of Object Detection Accuracy in Construction Site (건설현장 내 객체검출 정확도 향상을 위한 저조도 영상 강화 기법에 관한 연구)

  • Jong-Ho Na;Jun-Ho Gong;Hyu-Soung Shin;Il-Dong Yun
    • Tunnel and Underground Space
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    • v.34 no.3
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    • pp.208-217
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    • 2024
  • There is so much research effort for developing and implementing deep learning-based surveillance systems to manage health and safety issues in construction sites. Especially, the development of deep learning-based object detection in various environmental changes has been progressing because those affect decreasing searching performance of the model. Among the various environmental variables, the accuracy of the object detection model is significantly dropped under low illuminance, and consistent object detection accuracy cannot be secured even the model is trained using low-light images. Accordingly, there is a need of low-light enhancement to keep the performance under low illuminance. Therefore, this paper conducts a comparative study of various deep learning-based low-light image enhancement models (GLADNet, KinD, LLFlow, Zero-DCE) using the acquired construction site image data. The low-light enhanced image was visually verified, and it was quantitatively analyzed by adopting image quality evaluation metrics such as PSNR, SSIM, Delta-E. As a result of the experiment, the low-light image enhancement performance of GLADNet showed excellent results in quantitative and qualitative evaluation, and it was analyzed to be suitable as a low-light image enhancement model. If the low-light image enhancement technique is applied as an image preprocessing to the deep learning-based object detection model in the future, it is expected to secure consistent object detection performance in a low-light environment.

A cross-sectional study on prevalence rate and contributing factors of fatty liver diagnosed by ultrasonography (초음파로 진단된 지방간의 유병율 조사 및 그 유발인자에 대한 연구)

  • Ahn, Jae-Eog;Ham, Jung-Oh;Hwang, Kyu-Yoon;Kim, Joo-Ja;Lee, Byung-Kook;Nam, Tack-Sung;Kim, Joung-Soon;Kim, Hun
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.2 s.34
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    • pp.195-210
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    • 1991
  • Fatty liver is caused by derangement of fat metabolism and can be reversed by removal of contributing factors. The contributing factors of fatty liver is known to be overweight, chronic alcoholism, diabetes mellitus, malnutrition, and drug abuse such as tetracycline. This study was carried out on 1335 persons who visited 'Soon Chun Hyang Human Dock Center' from March to June 1990. In analysis of the data, prevalence of fatty liver diagnosed by ultrasonogram by age and sex, laboratory finding between fatty liver group and normal group, and odds ratio of known contributing factors, were compared. The results obtained are as following ; 1) The prevalence rate of fatty liver diagnosed by ultrasonogram is 29.6% in male and 11.5% in female. 2) Age groups with high prevalences are $40{\sim}50's$ in male (32.0%) and 50's in female (24.5%). 3) The fatty liver shows significant association with style (p<0.05), whereas not with hepatitis B-virus surface antigen (p>0.05). 4) All laboratory values except alkaline phosphatase and bilirubin are elevated significantly in accordance with the degree of fatty liver (p<0.01). 5) Fatty liver diagnosed by ultrasonogram showed so strong associations with body index, triglycerides and gamma-glutamyl transferase for males, and body index and fasting blood sugar for females that these factors may be used as supplementary data in establishing diagnosis of fatty liver. 6) Odds ratio of contributing factors are as follows ; If the odds ratio of below 29 year of age is 1.0 then that of $30{\sim}39$ is 1.74 (p=0.33), $40{\sim}49$ is 2.47 (p=0.10), $50{\sim}59$ is 2.86 (p=0.0570), over 60 is 1.81 (p=0.34). If the odds ratio of female is 1.0 then that of male is 5.67 (p<0.01). If the odds ratio of body index below zero is 1.0 then that of $0{\sim}9$ is 5.08 (p<0.01), $10{\sim}19$ is 12.37 (p<0.01), $20{\sim}29$ is 29.19 (p<0.01), 30 above is 154.02 (p<0.01). If the odds ratio of below 99 mg/dl FBS is 1.0 then that of $100{\sim}120$ is 106 (p=0.76), over 120 is 1.91 (p=0.02). If the odds ratio of below $29{\mu}/1{\gamma}-GT$ is 1.0 then that of $30{\sim}s59$ is 2.11 (p<0.01), $60{\sim}90$ is 1.87 (p<0.05), 90 above is 1.69 (p=0.15). If the odds ratio of below 149 mg/dl TG is 1.0 then $150{\sim}199$ is 1.49 (p=0.05), $200{\sim}250$ is 1.09 (P=0.77), 250 above is 2.53 (p<0.01). In summary, early diagnosis of fatty liver could be made by ultrasonogram supplemented with body index and nm triglyceride. The fatty liver could be preventive by avoiding contributing factors such as obesity, alcohol intake, high blood sugar appropriately.

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Release Strategy for the Red Fox (Vulpes vulpes) Restoration Project in Korea Based on Population Viability Analysis (개체군 생존력 분석을 이용한 여우복원사업 방사전략)

  • Lee, Hwa-Jin;Lee, Bae-Keun;Kwon, Gu-Hui;Chung, Chul-Un
    • Korean Journal of Environment and Ecology
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    • v.27 no.4
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    • pp.417-428
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    • 2013
  • The red fox (Vulpes vulpes), listed as a Class I endangered species by the Ministry of Environment of Korea, has been considered to be extinct in South Korea since the 1980s, and an intensive restoration project has been underway in Sobaeksan national park. This study was carried out to develop a suitable model for the red fox reintroduction program based on Population viability analysis (PVA) by using the VORTEX program. If 10 animals (5 females and 5 males) were continuously released into the initial zero population every year for 10 years, population growth rate and extinction probability over the next 50 years after the introduction of the population were $0.018{\pm}0.204$ and 0.354, respectively; the maximum population size was 116.34 at the 16th year after the first release, and a reduction rate of 1.22 every year from the 17th year was inferred. We found that additional releases would be needed from the 17th year after the initial release to maintain a positive growth rate and to prevent the extinction of the released red foxes, and releasing more than 12 individuals every year would be needed for the long-term, continuous existence of red foxes. By contrast, if fewer than 6 red fox individuals were released the extinction probability over the next 50 years was more than 80%. To maintain the minimum population growth rate, the release of more than 8 individuals were needed for positive population growth. The population growth rate was more stable when 10 animals in the change of their sex rate every year from the set value were released as the female-to- male sex ratio of 6:4 rather than 1:1. However, if the female-biased sex ratio was increased by more than 7:3, a negative population growth was expected. The occurrence rate of roadkill and poaching are important factors in the red fox restoration project. The extinction probability was decreased to 30% if each factor was decreased to 3% based on the standard baseline; however, if each factor was increased to more than 3%, an extinction rate of about 90% was reached over the next 50 years.

A Method for the Reduction of Skin Marker Artifacts During Walking : Application to the Knee

  • Mun, Joung-Hwan
    • Journal of Mechanical Science and Technology
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    • v.17 no.6
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    • pp.825-835
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    • 2003
  • Previous studies have demonstrated the importance of joint angle errors mainly due to skin artifact and measurement errors during gait analysis. Joint angle errors lead to unreliable kinematics and kinetic analyses in the investigation of human motion. The purpose of this paper is to present the Joint Averaging Coordinate System (JACS) method for human gait analysis. The JACS method is based on the concept of statistical data reduction of anatomically referenced marker data. Since markers are not attached to rigid bodies, different marker combinations lead to slightly different predictions of joint angles. These different combinations can be averaged in order to provide a "best" estimate of joint angle. Results of a gait analysis are presented using clinically meaningful terminology to provide better communication with clinical personal. In order to verify the developed JACS method, a simple three-dimensional knee joint contact model was developed, employing an absolute coordinate system without using any kinematics constraint in which thigh and shank segments can be derived independently. In the experimental data recovery, the separation and penetration distance of the knee joint is supposed to be zero during one gait cycle if there are no errors in the experimental data. Using the JACS method, the separation and penetration error was reduced compared to well-developed existing methods such as ACRS and Spoor & Veldpaus method. The separation and penetration distance ranged up to 15 mm and 12 mm using the Spoor & Veldpaus and ACRS method, respectively, compared to 9 mm using JACS method. Statistical methods like the JACS can be applied in conjunction with existing techniques that reduce systematic errors in marker location, leading to an improved assessment of human gait.

Measurements of Volatile Organics, Newly Designated Offensive Odorants in Korea in 2008 and 2010: a Case Study on Gutter System (2008년과 2010년 지정 VOC 계열 신규악취성분들에 대한 분포특성 조사: 도심 하수환경 중 빗물받이에 대한 연구)

  • Ahn, Ji-Won;Hong, One-Feel;Lee, Eun-Hee;Kim, Ki-Hyun
    • Journal of Korean Society for Atmospheric Environment
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    • v.26 no.3
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    • pp.305-317
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    • 2010
  • In this research, a total of 11 newly designated offensive odorants in Korea in 2008 and 2010 (styrene (S), toluene (T), p-xylene (p-X), methyl ethyl ketone (MEK), methyl isobutyl ketone (MIBK), butyl acetate (BuAc), isobutyl alcohol (i-BuAl), propionic acid (PA), butyric acid (BA), isovaleric acid (IA), and valeric acid (VA)) were selected as target compounds and analyzed from two types of gutter system in the urban environment. Because of the environmental significance of these compounds as offensive odorants, the results are meaningful enough to explore their behavior and distribution in the urban environmental systems. In the course of this study, samples were collected three times a day from two different gutter systems representing the wet (W) and dry (D) conditions. A large fraction of volatile organic compounds (VOCs) data fell into method detection limit (MDL) range with exceptions of toluene, p-xylene, and methyl ethyl ketone. In contrast, the results of organic fatty acids were distinguished by the relative dominance of butyric acid and propionic acid over others. If the concentration data of all odorants were converted into odor intensity (OI), the results of aromatics, ketones, acetate, and alcohol groups approached zero level. However, odor intensity of organic fatty acids was noticeably higher with the value of 2.8 (on average) from both W and D system, suggesting their potent roles as odorants in gutter system.

Behavior of Mooring Line of Silt Protector According to the Change of Sea Level (조위변화에 따른 오탁방지막 계류라인의 거동)

  • 홍남식;김정윤
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.14 no.3
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    • pp.232-239
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    • 2002
  • This paper studies the behavior of mooring line of silt protector according to the change of sea level. It is found from the analysis of the behavior that if the taut cable length has been determined appropriately within the range of safety factor, the tensioned cable has almost constant tension regardless of the water depth. The whole structure, however, becomes unstable due to the loss (zero tension) of the released cable tension. It is also recognized from the investigation for the effect of intial straight line angle on the behavior of mooring line that the design through the conceptually combined consideration of the cable tension, total scope and buoy deflection has to be required in the mooring analysis. Finally, the material of cable is not damaged because the cable tension is reduced by attached shellfish, but the whole structure may be also unstable by the effect on the anchor angle, total scope and buoy deflection.

Study on the Pressure Balance of the Hybrid Safety Injection Tank (피동충수용 혼합형 안전주입탱크의 압력평형에 관한 이론적 해석 및 시험적 연구)

  • Ryu, Sung Uk;Ryu, Hyobong;Byun, Sun-Joon;Jeon, Woo-Jin;Park, Hyun-Sik;Lee, Sung-Jae
    • Journal of Energy Engineering
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    • v.25 no.1
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    • pp.185-191
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    • 2016
  • The Hybrid Safety Injection Tank is a passive safety injection system that enables the safety injection water to be injected into the reactor pressure vessel throughout all operating pressures by connecting the top of the SIT and the pressurizer(PZR). In this study, the condition for balancing the pressure between the Hybrid SIT and PZR was derived theoretically. The pressure balancing condition was set at the point where the velocity of the Hybrid SIT coolant injected into the Direct Vessel Injection(DVI) line was at or above zero. If the condition was derived from a pressure network for the Hybrid SIT, pressurizer, and reactor pressure vessel, the pressure difference between the pressurizer and SIT is less than 0.07 MPa.