• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권1호
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• pp.1-27
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• 2019

The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: 1) definition and diagnosis of overweight and obesity in children and adolescents; 2) principles of treatment of pediatric obesity; 3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; 4) pharmacotherapy; and 5) bariatric surgery.

• Korean Circulation Journal
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• 제53권9호
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• pp.635-644
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• 2023

Background and Objectives: The History, Electrocardiography, Age, Risk factors, and Troponin (HEART) pathway was developed to identify patients at low risk of a major adverse cardiac event (MACE) among patients presenting with chest pain to the emergency department. Methods: We modified the HEART pathway by replacing the Korean cut-off of 25 kg/m² with the conventional threshold of 30 kg/m² in the definition of obesity among risk factors. The primary outcome was a MACE within 30 days, which included acute myocardial infarction, primary coronary intervention, coronary artery bypass grafting, and all-cause death. Results: Of the 1,304 patients prospectively enrolled, MACE occurred in 320 (24.5%). The modified HEART pathway identified 37.3% of patients as low-risk compared with 38.3% using the HEART pathway. Of the 500 patients classified as low-risk with HEART pathway, 8 (1.6%) experienced MACE, and of the 486 low-risk patients with modified HEART pathway, 4 (0.8%) experienced MACE. The modified HEART pathway had a sensitivity of 98.8%, a negative predictive value (NPV) of 99.2%, a specificity of 49.0%, and a positive predictive value (PPV) of 38.6%, compared with the original HEART pathway, with a sensitivity of 97.5%, a NPV of 98.4%, a specificity of 50.0%, and a PPV of 38.8%. Conclusions: When applied to Korean population, modified HEART pathway could identify patients safe for early discharge more accurately by using body mass index cut-off levels suggested for Koreans.

• 한국조경학회지
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• 제31권2호
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• pp.36-47
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• 2003

The purpose of this study is to examine the present problems relating to the legislation and execution of adornment of buildings in the provinces, and to explore ways to improve the role and function of adornment of buildings in terms of public art. In order to do that, the related national law and enforcement decree and the local regulations and rules were analysed. In addition the catalogues on the adornments of buildings that are managed by 31 cities and counties of Gyeonggi-Province were also compared and analysed. As a result of our survey, it has been determined that the reform of the adornments of buildings must be executed on the national and local levels. On the local level, the revision of regulations must occur simultaneously with the changes of national law and enforcement decrees. In many local self-governing bodies, there are quite a lot of discrepancies between their regulations and the upper law. Therefore, people can be confused regarding the sensitive problems such as the types of buildings that are required to display adornments and the proportion of the cost to the construction cost. In addition the effects of the improvements to national laws are often delayed. For example, the updated national law requires committee members to be appointed on the basis of merit, the announcement of the deliberation results, and the establishment of provisions regarding the management of existing structures. Unfortunately, improvements to the national law are not followed through on a local level. Concerning national legislation, the following improvements are necessary to minimize these problems. First, the western concept of‘public art’must be imported to Korea and applied to future legislation regarding adornment of buildings. Second, the perception of the purpose of adornment of buildings must be changed from‘art promotion’to‘improvement of the urban environment’Third, it is impractical to require private citizens to fund public worts of In. Korea requires an organized federal funding system for the commission of public art, which is to be controlled by committee. Finally, the definition of public artwork must be enlarged to include a more broad range of art, such as landscape architecture. In addition, continuing care of existing public worts of art must be managed systematically and strengthened.

• Journal of Electrical Engineering and Technology
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• 제10권5호
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• pp.1921-1929
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• 2015

The smart substation is the heart of a transmission system, which is particularly emphasized as the most significant composition of smart grids in China. In order to assess the functionality performance of substation technologies, this paper presents methods used to identify the most promising solutions for smart substation design and to evaluate the technical levels of available technologies. The multi-index optimization model is presented to address the issue of smart substation planning. A mathematical model of the planning decision problem is established with multiple objectives consisting of economic, reliability, and green key indices, and many kinds of concerns including physical and environmentally friendly operations are formulated as a set of constraints. With respect to the assessment of the technical level regarding integration of advanced technologies into a substation, a modified grey whitenization weight function is adopted to structure a novel grey clustering method. The proposed grey clustering approach is used to overcome the difficulty of insufficient quantitative assessment capacity for traditional methods. The evaluation of technical effects provides the classification definition for the development phase and the maturity level of the smart substation. The effectiveness of the proposed approaches in planning decision-making and evaluation of construction efforts is demonstrated with case studies involving the actual smart substation projects of Wenchongkou substation in China Southern Power Grid (CSG) and Mengzi substation in State Grid Corporation of China (SGCC).

• 대한한의학회지
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• 제15권2호
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• pp.306-320
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• 1994

An account book of medical treatment is a form of collection materials for diagnostic standardization, and it is a basis of standardization, standardization of medical records is a preconsideration of each standardization. But an account book of medical treatment is only a kind of form for recording medical treatment, therefore standardization of medical treatment eventually holds the key to the standardization of recording charts. However until now we have gradually reformed medical records in accordance with individual characters of medical treatment, and didn't have even standard sheme of medical records, also medical terms for medical records had an inconsistency of redescription and reiterative representation for an identical terms in all parts of the East learning, medical terms for medical records didn't unity. To make better this realities, standardization study used orginated system in the process of existing study, it can get ready the basis of discussion between O.M.D and O.M.D. it can make analysis of diagnostic course and can clearly understand usable information by diagnostic course. for that reason we hope that the basis of standardization is accomplished. And in advance of study for this standardization we have to analysis the course of medical treatment with demonstration of roof, first of all we have to study term definition by diagnostic course and prepare basis by diagnostic course. because this study have limits of indivisual study, it needs to long and synthetic investigation in Association levels. Although we cann't completely alternate with methods of measurement which relyed on individual mastery, if we exclude erroes of individual measurement through mechanization and verify results of diagnosis through keynotes, we can realize standardization of medical treatment with demonstration of proof and in this process we can use medical records as a tool collecting exact data, also we can realize standardization of drawing up medical records.

• 한국해안·해양공학회논문집
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• 제25권2호
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• pp.52-62
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• 2013

경사제 피복재의 시간에 따른 파괴확률을 산정할 수 있는 추계학적 Markov 확률모형을 개발하였다. 하중발생에 대한 CP/RP 해석과 누적피해사건에 대한 DP 해석을 결합하여 수학적 모형을 수립하고 경사제 피복재에 적용하였다. 피복재의 피해수준에 대한 정의와 MCS 기법을 이용하여 이행확률을 산정하고 분석하였다. 산정된 이행확률들은 확률적으로나 물리적으로 만족해야하는 제약조건들을 잘 충족한다. 또한 경사제 피복재의 설계와 관련하여 중요한 변수로 생각되는 재현기간 및 안전율의 변화에 따른 시간 의존 파괴확률을 산정하여 그 거동 특성을 자세히 비교 분석하였다. 특히 시간 의존 파괴확률이 이전단계의 피해수준에 의해 어떻게 달라지는지를 정량적으로 해석할 수 있었다. 마지막으로 유지관리에서 가장 중요한 보수보강 시점을 결정할 수 있는 두 가지 접근방법을 제시하고 경제성 분석을 포함한 다양한 해석이 수행되었다.

• 대한원격탐사학회:학술대회논문집
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• 대한원격탐사학회 2005년도 Proceedings of ISRS 2005
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• pp.237-240
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• 2005

Calibration and Validation are major element of any space borne Earth Observation Mission. These activities are the major objective of the commissioning phases but routine activities shall be maintained during the whole mission in order to maintain the quality of the product delivered to the users or at least to fully characterise the evolution with time of the product quality. With the launch of ERS-l in 1991, the European Space Agency decided to put in place a group dedicated to these activities, along with the daily monitoring of the product quality for anomaly detection and algorithm evolution. These four elements are all strongly linked together. Today this group is fully responsible for the monitoring of two ESA missions, ERS-2 and Envisat, for a total of 12 instruments of various types, preparing itself for the Earth Explorer series of five. other satellites (Cryosat, Goce, SMOS, ADM-Aeolus, Swarm) and at various levels in past and future Third Party Missions such as Landsat, J-ERS, ALOS and KOMPSAT. The Joint proposal by the European Union and the European Space Agency for a 'Global Monitoring for Environment and Security' project (GMES), triggers a review of the scope of these activities in a much wider framework than the handling of single missions with specific tools, methods and activities. Because of the global objective of this proposal, it is necessary to put in place Multi-Mission Calibration and Validation systems and procedures. GMES Calibration and Validation activities will rely on multi source data access, interoperability, long-term data preservation, and definition standards to facilitate the above objectives. The scope of this presentation is to give an overview of the current Calibration and Validation activities at ESA, and the planned evolution in the context of GMES.

• 지역사회간호학회지
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• 제7권1호
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• pp.38-51
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• 1996

There is a increasingly growing emphasis on health promotion, disease prevention and optimum functioning for peaple including the chronically ill and disabled. According as the purpose of the nursing is the promotion of health, the value and belief of heal th within the nursing paradigm need to be defined in every culture. The paradigm components must be explored for meaning given by the aged in their traditional thought and philosophy, The problem addressed by this qualitative study was how the aged recognize value and belief of health, which contribute to the development of Korean nursing theory. Theoretical support for the study was from Leininger's cultural care theory and Korean philosophy and traditional oriented thought. Literature review refers to literature on the aged, health of the aged, and definition and meaning of general health concept. Grounded theory methodology guied the research methodology and analysis to build a substantive theory. The informants were 119 from a variety of social levels and family patterns; traditionally the aged are responsible for the health. The concentrated interviewing period was from may to june, 1995 ; the interviews were done by the researcher with two supporter and most were recorded on audio tape. Result from analysis of base datas follows; The value and belief of health that emerged from the categories and properties were the physical stability, the stability of mind, the stability of mind and body, the smoothness (harmony) of body function, the family concord, and the perfection of self. These values and beliefs of health are affected by the cosmic dual forces thought is based on the Great Absolute, family principle of confucian scholar, and Buddism. Among the values and beliefs of health, family concord is found out Korean culture peculiarities. These values and beliefs are all integrated into the idea of health. The study provided implications for nursing theory research, education, and practice change and development.

• Journal of the korean society of oceanography
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• 제39권1호
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• pp.26-34
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• 2004

The evolution of intricate and striking patterns of suspended sediments (SS), which are created by certain physical dynamics in the East China and Yellow Seas, has been investigated using satellite ocean color imageries and vertical profiles of particle attenuation and backscattering coefficients. The structure of these patterns can reveal a great deal about the process underlying their formation. Sea surface temperature (SST) analyzed from the Advanced Very High Resolution Radiometer (AVHRR) thermal infrared data were used to elucidate the physical factors responsible for the evolution of suspended sediment patterns in the East China Sea. The concomitant patterns of suspended sediments were tracked from the Sea-viewing Wide Field-of-view Sensor (SeaWiFS) ocean color data. The detailed examination about these patterns gave birth to the definition of the evolution of suspended sediments (SS) into four stages: (1) Youth or Infant stage, (2) Younger stage, (3) Mature stage, and (4) Old stage. We describe about the three directional forces of the tidal currents, ocean warm currents and estuarine circulations that lead to occurrence of various stages of the evolution of suspended sediments that increase turbidity at high levels through out the water column of the inner and outer shelf areas during September to April. The occurrence of these four stages could be repeatedly observed. In contrast, vertical profiles of the particle attenuation ($c_{p}$) and backscattering ($b_{bp}$) coefficients displayed obvious patterns of the propagation of suspended sediment plume from the southwestern coastal sea that leads to eventual collision with the massive sediment plume originating from the Yangtze banks of the East China Sea.

• 아동학회지
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• 제33권6호
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• pp.187-205
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• 2012

In this study, 150 previous studies of young children's challenging behavior, conducted over the past 10 years, from 2003 to 2012, were selected. These studies were in relation to young children both with and without disabilities, and they were thus used for the purposes of comparative analysis. The major findings are as follows. First, research on challenging behavior not only of young children with disabilities but also of those without disabilities has been an increasing trend from 2008. While most studies of those without disabilities were based on observations by parents or teachers using a variety of tools, studies regarding those with disabilities mainly used single-subject research methods using an operational definition. Second, the bulk of the studies of young children without disabilities were focused on interaction between various children's internal variables and a variety of parent-related variables related to the occurrence of challenging behavior. In comparison, studies of young children with disabilities were focused excessively on direct intervention after the occurrence of problems. Regarding those without disabilities, the interaction between children's temperament, internal variables, and their mothers' parenting behavior, external variables were the main areas of interest for these researchers. There is clearly a growing need for more active research aimed at the prevention of challenging behavior. Challenging behavior in early childhood has an influence not only on each child's present and future academic achievement levels and their quality of life but also on the quality of instruction in classroom available to all children.