• Title/Summary/Keyword: performance objective

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A Case Report of Metastatic Breast Cancer Patient Treated with Integrative Cancer Treatment (전이성 유방암 환자의 통합 암 치료에 대한 증례보고)

  • Ha, Su-jeong;Lee, Sung-cheol;Park, So-jung;Jeon, Hyung-joon;Lee, Yeon-Weol;Cho, Chong-kwan;Yoo, Hwa-seung
    • Journal of Korean Traditional Oncology
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    • v.24 no.1
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    • pp.19-28
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    • 2019
  • Objective : The purpose of this study is to report and observe effects of Integrative Cancer Treatment (ICT) on metastatic breast cancer patient. Method : A left breast cancer patient diagnosed with recurrence on liver and bones April 2018. The patient had received paclitaxel chemotherapy for two months and discontinued it because of tumor progression and side effects. The patient has been treated with ICT since March 2018 and has been taking capecitabine since October 2018. The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (CEA, CA15-3). The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (CEA, CA15-3), liver function test (AST, ALT), Eastern Cooperative Oncology Group performance status (ECOG PS), and numeric rating scales (NRS). Results : After the ICT, tumor size was partially decreased accompanying by reducing the levels of tumor markers. Major clinical symptoms induced by paclitaxel chemotherapy were improved. There were no severe adverse events induced by ICT based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. Conclusion : This case suggests that ICT may have synergistic effect for the treatment of metastatic breast cancer patient in conjunction with capecitabine.

A full path assessment approach for vibration serviceability and vibration control of footbridges

  • Zhu, Qiankun;Hui, Xiaoli;Du, Yongfeng;Zhang, Qiong
    • Structural Engineering and Mechanics
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    • v.70 no.6
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    • pp.765-779
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    • 2019
  • Most of the existing evaluation criteria of vibration serviceability rely on the peak acceleration of the structure rather than that of the people keeping their own body unmoved on the structure who is the real receiver of structural vibrations. In order to accurately assess the vibration serviceability, therefore, a full path assessment approach of vibration serviceability based on vibration source, path and receiver is not only tentatively proposed in this paper, taking the peak acceleration of receiver into account, but also introduce a probability procedure to provide more instructive information instead of a single value. In fact, semi-rigid supported on both sides of the structure is more consistent with the actual situation than simply supported or clamped due to the application of the prefabricated footbridge structures. So, the footbridge is regarded as a beam with semi-rigid supported on both sides in this paper. The differential quadrature-integral quadrature coupled method is not only to handle different type of boundary conditions, but also after being further modified via the introduction of an approximation procedure in this work, the time-varying system problem caused by human-structure interaction can be solved well. The analytical results of numerical simulations demonstrate that the modified differential quadrature-integral quadrature coupled method has higher reliability and accuracy compared with the mode superposition method. What's more, both of the two different passive control measures, the tuned mass damper and semi-rigid supported, have good performance for reducing vibrations. Most importantly, semi-rigid supported is easier to achieve the objective of reducing vibration compared with tuned mass damper in design stage of structure.

Implementation of Nuclear Medicine Dynamic Cardiac Phantom for Clinical Application (임상적용을 위한 핵의학 동적 심장팬텀의 구현)

  • Lee, Joo-Young;Park, Hoon-Hee
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.53-59
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    • 2019
  • In the field of nuclear medicine, the various static phantoms of international standards are used to assess the performance of the nuclear medicine equipment. However, we only reproduced a fixed situation in spite of the movement of the cardiac, and the demands for dynamic situations have been continuously raised. More research is necessary to address these challenges. This study used flexible materials to design the dynamic cardiac phantom, taking into account the various clinical situations. It also intended to reproduce the images through dynamic cardiac flow to confirm the usefulness of the proposed technique. The frame of dynamic cardiac phantom was produced based on the international standard phantom. A nuclear medicine dynamic cardiac phantom was produced rubber material and silicone implemented by 3D printing technique to reproduce endocardium and epicardium movement. Therefore we compared and evaluated the image of a cardiac phantom made of rubber material and a cardiac phantom made of silicone material by 3D printing technique. According to the results of this study, the analysis of the Summed Rest Score(SRS) showed abnormalities in the image of a cardiac phantom made of rubber material at 10, 20, and 30 stroke rates, but the image of a cardiac phantom made of silicone material by 3D printing technique showed normal levels. And the analysis of the Total Perfusion Deficit(TPD) showed that TPD in the image of a cardiac phantom made of rubber material was higher than that of the image of a cardiac phantom made of silicone material by 3D printing technique at 10, 20, and 30 stroke rates. The potential for clinical application of the proposed method was confirmed in the dynamic cardiac phantom implemented with 3D printing technique. It is believed that the objective information secures the reliability of inspection equipment and it contributes to improve the diagnostic value of nuclear medicine.

Optimization of 1D 1H Quantitative NMR (Nuclear Magnetic Resonance) Conditions for Polar Metabolites in Meat

  • Kim, Hyun Cheol;Ko, Yoon-Joo;Kim, Minsu;Choe, Juhui;Yong, Hae In;Jo, Cheorun
    • Food Science of Animal Resources
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    • v.39 no.1
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    • pp.1-12
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    • 2019
  • The objective of this study was to establish an optimized 1D $^1H$ quantitative nuclear magnetic resonance (qNMR) analytical method for analyzing polar metabolites in meat. Three extraction solutions [0.6 M perchloric acid, 10 mM phosphate buffer, water/methanol (1:1)], three reconstitution buffers [20 mM 3-morpholinopropane-1-sulfonic acid, 2-[4-(2-hydroxyethyl)piperazin-1-yl]ethanesulfonic acid, phosphate buffer], and two pulse programs (zg30, noesypr1d) were evaluated. Extraction with 0.6 M perchloric acid and 20 mM phosphate resulted in a stable baseline and no additional overlap for quantifying polar metabolites in chicken breast. In qNMR analysis, zg30 pulse program (without water-suppression) showed smaller relative standard deviation (RSD) and faster running time than noesypr1d (water-suppression). High-performance liquid chromatography was compared with qNMR analyses to validate accuracy. The zg30 pulse program showed good accuracy and lower RSD. The optimized qNMR method was able to apply for beef and pork samples. Thus, an optimized 1D $^1H$ qNMR method for meat metabolomics was established.

Evaluation of Mechanical and Vibration Characteristics of Laminated Damping Aluminum Panel for Automobile Components (자동차 부품용 알루미늄 접합 제진 패널의 기계적 특성 및 진동 특성 평가)

  • Bae, Sung-Youl;Bae, Ki-Man;Kim, Yun-Hae
    • Composites Research
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    • v.32 no.2
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    • pp.113-119
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    • 2019
  • The objective of this research is to study the mechanical and vibration characteristics of vibration damping aluminum panels for automotive parts. For this purpose, the test and simulation results of aluminum-resin hybrid materials and aluminum sheet materials were compared. Tensile strength and elastic modulus of the hybrid material were approximately 10% lower than aluminum sheet. Also, it was showed that the hybrid material have lower natural frequency than aluminum sheet, and it was confirmed that loss factor increases as the thickness of resin increases. Finally, it is confirmed that the test results and the analysis results are similar with each other and the performance prediction of the materials are possible by FEA.

How Do Medical Students Prepare for Examinations: Pre-assessment Cognitive and Meta-cognitive Activities (의과대학생은 시험을 준비하기 위해 어떻게 공부하는가: 평가 전 인지 및 메타인지 활동)

  • Yune, So-Jung;Lee, Sang-Yeoup;Im, Sunju
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.51-58
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    • 2019
  • Although 'assessment for learning' rather than 'assessment of learning' has been emphasized recently, student learning before examinations is still unclear. The purpose of this study was to investigate pre-assessment learning activities (PALA) and to find mechanism factors (MF) that influence those activities. Moreover, we compared the PALA and MF of written exams with those of the clinical performance examination/objective structured clinical examination (CPX/OSCE) in third-year (N=121) and fourth-year (N=108) medical students. Through literature review and discussion, questionnaires with a 5-point Likert scale were developed to measure PALA and MF. PALA had the constructs of cognitive and meta-cognitive activities, and MF had sub-components of personal, interpersonal, and environmental factors. Cronbach's ${\alpha}$ coefficient was used to calculate survey reliability, while the Pearson correlation coefficient and multiple regression analysis were used to investigate the influence of MF on PALA. A paired t-test was applied to compare the PALA and MF of written exams with those of CPX/OSCE in third and fourth year students. The Pearson correlation coefficients between PALA and MF were 0.479 for written exams and 0.508 for CPX/OSCE. MF explained 24.1% of the PALA in written exams and 25.9% of PALA in CPX/OSCE. Both PALA and MF showed significant differences between written exams and CPX/OSCE in third-year students, whereas those in fourth-year students showed no differences. Educators need to consider MFs that influence the PALA to encourage 'assessment for learning'.

Application of Species Distribution Model for Predicting Areas at Risk of Highly Pathogenic Avian Influenza in the Republic of Korea (종 분포 모형을 이용한 국내 고병원성 조류인플루엔자 발생 위험지역 추정)

  • Kim, Euttm;Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.36 no.1
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    • pp.23-29
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    • 2019
  • While research findings suggest that the highly pathogenic avian influenza (HPAI) is the leading cause of economic loss in Korean poultry industry with an estimated cumulative impact of $909 million since 2003, identifying the environmental and anthropogenic risk factors involved remains a challenge. The objective of this study was to identify areas at high risk for potential HPAI outbreaks according to the likelihood of HPAI virus detection in wild birds. This study integrates spatial information regarding HPAI surveillance with relevant demographic and environmental factors collected between 2003 and 2018. The Maximum Entropy (Maxent) species distribution modeling with presence-only data was used to model the spatial risk of HPAI virus. We used historical data on HPAI occurrence in wild birds during the period 2003-2018, collected by the National Quarantine Inspection Agency of Korea. The database contains a total of 1,065 HPAI cases (farms) tied to 168 unique locations for wild birds. Among the environmental variables, the most effective predictors of the potential distribution of HPAI in wild birds were (in order of importance) altitude, number of HPAI outbreaks at farm-level, daily amount of manure processed and number of wild birds migrated into Korea. The area under the receiver operating characteristic curve for the 10 Maxent replicate runs of the model with twelve variables was 0.855 with a standard deviation of 0.012 which indicates that the model performance was excellent. Results revealed that geographic area at risk of HPAI is heterogeneously distributed throughout the country with higher likelihood in the west and coastal areas. The results may help biosecurity authority to design risk-based surveillance and implementation of control interventions optimized for the areas at highest risk of HPAI outbreak potentials.

A Case Report of Primary Peritoneal Carcinoma Patient Treated with Paclitaxel/Carboplain Regimen Combined with Traditional Korean Medicine on the Improvement of Quality of Life (Paclitaxel/Carboplain과 한의 치료를 병행한 원발성 복막암종 환자의 삶의 질 개선에 대한 증례보고)

  • Song, Si-yeon;Ha, Su-jeong;Park, So-jung;Jeon, Hyung-joon;Lee, Yeon-weol;Cho, Chong-kwan;Yoo, Hwa-seung
    • Journal of Korean Traditional Oncology
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    • v.23 no.2
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    • pp.27-33
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    • 2018
  • Objective: The purpose of this study is to report the therapeutic possibility of a primary peritoneal carcinoma (PPC) patient with Traditional Korean Medicine (TKM). Methods: A 37 years old female patient diagnosed with PPC suffered from operation site pain, neck pain, nausea, headache and fatigue after undergoing operation and chemotherapy (Paclitaxel/Carboplain). The patient was treated with acupuncture, pharmacoacupuncture, moxibution and herbal medicine. Laboratory study and National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0 were used to evaluate the safety and adverse events of treatments. The performance status was measured by Eastern Cooperative Oncology Group (ECOG) scale. Results: After treatments, cancer did not show any progression. Related symptoms such as postoperative pain, nausea, fatigue and quality of life have improved. Conclusion: This case study implies that TKM may have therapeutic possibility in treating PPC patient.

Comparison of reference evapotranspiration estimation methods with limited data in South Korea

  • Jeon, Min-Gi;Nam, Won-Ho;Hong, Eun-Mi;Hwang, Seonah;Ok, Junghun;Cho, Heerae;Han, Kyung-Hwa;Jung, Kang-Ho;Zhang, Yong-Seon;Hong, Suk-Young
    • Korean Journal of Agricultural Science
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    • v.46 no.1
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    • pp.137-149
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    • 2019
  • Accurate estimation of reference evapotranspiration (RET) is important to quantify crop evapotranspiration for sustainable water resource management in hydrological, agricultural, and environmental fields. It is estimated by different methods from direct measurements with lysimeters, or by many empirical equations suggested by numerous modeling using local climatic variables. The potential to use some such equations depends on the availability of the necessary meteorological parameters for calculating the RET in specific climatic conditions. The objective of this study was to determine the proper RET equations using limited climatic data and to analyze the temporal and spatial trends of the RET in South Korea. We evaluated the FAO-56 Penman-Monteith equation (FAO-56 PM) by comparing several simple RET equations and observed small fan evaporation. In this study, the modified Penman equation, Hargreaves equation, and FAO Penman-Monteith equation with missing solar radiation (PM-Rs) data were tested to estimate the RET. Nine weather stations were considered with limited climatic data across South Korea from 1973 - 2017, and the RET equations were calculated for each weather station as well as the analysis of the mean error (ME), mean absolute error (MAE), and root mean square error (RMSE). The FAO-56 PM recommended by the Food Agriculture Organization (FAO) showed good performance even though missing solar radiation, relative humidity, and wind speed data and could still be adapted to the limited data conditions. As a result, the RET was increased, and the evapotranspiration rate was increased more in coastal areas than inland.

Speech Perception and Language Outcome in Congenitally Deaf Children Receiving Cochlear Implants in the First Year of Life (생후 12개월 이전에 인공와우이식을 받은 선천성 농 아동의 말지각과 언어능력)

  • Jeong, Sung Wook;Seo, Ji-Won;Boo, Sung-Hyun;Kim, Lee-Suk
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.12
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    • pp.644-649
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    • 2018
  • Background and Objectives The objective of this study was to examine the effect of early cochlear implantation (CI) performed in infants less than 12 months of age. Subjects and Method Twenty-five children who received their first CI before 12 months of age were included in this study (infant group). The speech perception and language outcomes of these children were compared with those of 14 children who received their first CI between 13 and 24 months of age (older group). All children received sequential bilateral CI with the inter-stage interval of less than 2 years. Speech perception was measured using Categories of Auditory Performance, monosyllabic word test and sentence test, and language ability was measured using Sequenced Language Scale for Infants, Preschool Receptive-Expressive Language Scale, or Receptive & Expressive Vocavulary Test, depending on the age at the time of testing. Results There were no significant differences in speech perception abilities between the infant group and the older group. The mean expressive language score of infant group was higher than that of the older group, but the difference was not statistically significant. However, the receptive language score of infant group was significantly higher than that of the older group. Conclusion Children who received CI before 12 months of age achieved better receptive language ability than those who received it after 12 months of age. Thus CI should be performed as early as before 12 months of age to achieve better language ability.