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Factors associated with Pediatric Delirium in the Pediatric Intensive Care Unit (소아중환자실 입원 아동의 섬망 발생 관련 요인)

  • Kim, Hyo Jin;Kim, Dong Hee
    • Child Health Nursing Research
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    • v.25 no.2
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    • pp.103-111
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    • 2019
  • Purpose: This study aimed to investigate incidence of delirium in the pediatric intensive care unit (PICU) and to analyze associated risk factors. Methods: The participants were 95 patients, newborn to 18 years, who were admitted to the PICU. The instruments used were the Richmond Agitation Sedation Scale (RASS), and the Cornell Assessment of Pediatric Delirium. Data analysis was performed using the descriptive, $x^2$ test, t-test, and logistic regression analyses. Results: The incidence of delirium in children admitted to the PICU was 42.1%. There were significant differences according to age ($x^2=14.10$, p=.007), admission type ($x^2=7.40$, p=.007), use of physical restraints ($x^2=26.11$, p<.001), RASS score ($x^2=14.80$, p=.001), need for oxygen ($x^2=5.31$, p=.021), use of a mechanical device ($x^2=9.97$, p=.041), feeding ($x^2=7.85$, p=.005), and the presence of familiar objects ($x^2=29.21$, p<.001). Factors associated with the diagnosis of delirium were the use of physical restraint (odds ratio [OR]=13.82, 95% confidence interval [CI]=4.16~45.95, p<.001) and the presence of familiar objects (OR=0.09, 95% CI=0.03~0.30, p=.002). Conclusion: Periodic delirium assessments and intervention should be actively performed. The use of restraints should be minimized if possible. The caregiver should surround the child with familiar objects and ensure a friendly hospital environment that is appropriate for the child.

An Explorative Case Study of Flipped College General English Class (대학 일반영어 플립드 러닝 수업 방식의 탐색적 사례연구)

  • Kim, Young-hee
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.259-271
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    • 2019
  • The purpose of this study is to examine the potential of flip learning in Korea and to explore the possibilities of university English education. To this end, participants are sought for classes wherein general English class is taught and the researcher is in charge of teaching. 25 students of media-English class is chosen for the study. Instruments for the study include class evaluation and feedbacks, mid-term and final exams, group performative evaluation, on-line class views and participations. The findings of the study are: As students progress in flipped learning classes, their exam results significantly improved, and their performative evaluation results also improved significant across different groups. The effects are more eminent among higher levels of students, but students with mid and low level of English still improved significantly once they engage themselves in preview activity on a regular basis and self-directedly.

Cognitive-based Intervention for the Older Adults with Mild Cognitive Impairment: A Literature Review (경도인지장애 노인에게 적용된 인지기반 중재연구의 분석적 고찰)

  • Lim, Se-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.327-336
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    • 2021
  • It is important to prevent progression of mild cognitive impairment (MCI) to Alzheimer's disease or other dementia. This study was conducted to investigate cognitive-based intervention and its effectiveness for the older patients with MCI through systematic review. Data search was conducted in September 2020, using the Korea Research Information Service (Riss) and KoreaMed. After selection of literatures according to the predefined inclusion criteria, a total of 12 articles were included. It is revealed that the cognitive-based intervention for the older adults with MCI was found to have a positive effect on the various factors including cognitive function, depression, physical health status, quality of life, and communication. However, it is difficult to draw a definite conclusion due to the various intervention strategies and instruments used. Thus, based on the results of this study, we suggest more studies to verify the effectiveness of such programs.

A Model of Vital Signs Analysis based on Big Data using OCL (OCL을 이용한 빅데이터 기반의 생체신호 분석 모델)

  • Kim, Tae-Woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1485-1491
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    • 2019
  • As the type and size of vital signs become extensive at the moment lately, a research is actively progressing to define vital signs as big data and analyze it. We generally use a similar method of processing big data on social network as a way to treat vital signs as big data. Vital Sign Big Data should be extracted as feature data, stored separately, and analyzed with various analytical instruments. In other words, it should ensure interoperability and compatability of data, and the index expression in analytical tools should be concise. For this end, I defined the vital sign as the standard meta-model base of HL7 in this dissertation, and I propose a model for analyzing vital signs using OCL, the OMG's standard mathematical specification language. In addition, the proposed model can be confirmed the applicability by figuring out the consumption of calories using ECG data.

A comprehensive review of the Fenton-based approaches focusing on landfill leachate treatment

  • Hussain, Mujtaba;Mahtab, Mohd Salim;Farooqi, Izharul Haq
    • Advances in environmental research
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    • v.10 no.1
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    • pp.59-86
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    • 2021
  • Landfilling is the most commonly adopted method for a large quantity of waste disposal. But, the main concern related to landfills is the generation of leachate. The leachate is high strength wastewater that is usually characterized by the presence of high molecular recalcitrant organics. Several conventional methods are adopted for leachate treatment. However, these methods are only suitable for young leachate, having high biodegradability and low toxicity levels. The mature and stabilized leachate needs advanced technologies for its effective treatment. Advanced oxidation processes (AOPs) are very suitable for such complex wastewater treatment as reported in the literature. After going through the literature survey, it can be concluded that Fenton-based approaches are effective for the treatment of various high/low strength wastewaters treatment. The applications of the Fenton-based approaches are widely adopted and well recognized due to their simplicity, cost-effectiveness, and reliability for the reduction of high chemical oxygen demand (COD) as reported in several studies. Besides, the process is relatively economical due to fewer chemical, non-sophisticated instruments, and low energy requirements. In this review, the conventional and advanced Fenton's approaches are explained with their detailed reaction mechanisms and applications for landfill leachate treatment. The effect of influencing factors like pH, the dosage of chemicals, nature of reaction matrix, and reagent ratio on the treatment efficiencies are also emphasized. Furthermore, the discussion regarding the reduction of chemical oxygen demand (COD) and color, increase in biodegradability, removal of humic acids from leachate, combined processes, and the pre/post-treatment options are highlighted. The scope of future studies is summarized to attain sustainable solutions for restrictions associated with these methods for effective leachate treatment.

Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis (치매 환자의 가족 돌봄 제공자가 인식하는 사회적지지: 개념 분석)

  • Kim, Aeri;Kim, Jeongyeon;Woo, Kyungmi
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.540-554
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    • 2021
  • Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.

Research on the Application of Rap Music and Music Expression of Popular Songs in the 2020 Melon Chart (2020년 멜론차트 내 대중가요의 랩 음악 적용 현황과 음악표현 연구)

  • Shim, In-Sup
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.4
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    • pp.101-111
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    • 2021
  • This paper is a study that analyzes the use and techniques of rap in music that entered Melon Chart, one of the major music sites in Korea, during 2020. Among the songs that entered the chart, reflecting the public's preference, the trend of rap music, an important element of hip-hop music, is analyzed and musical features such as representative artists or frequently used rhythm patterns are analyzed. Through this paper, characteristics of rap music favored by the public and artists in recent popular music have been organized and formalized, and based on this, the elements of etude development for technical polishing are summarized. Through this, it is hoped that just like the long-time analyzed and structured performance techniques such as vocals and instruments, various styles of rap music can develop into a systematic and step-by-step technique system for students who want to learn and practice it.

The Effect of Alternative Medicine on Quality-of-Life Outcomes for Dementia Patients: A Systematic Review and Meta-Analysis

  • So Young, Lee;In Chul, Jung;Eun, Cho
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.401-424
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    • 2022
  • Objectives: As effective treatments for dementia are lacking in Western medicine, complementary and alternative medicine (CAM) is considered a useful option. While the quality of life (QoL) is a vital outcome for patients with dementia, the QoL of patients receiving CAM for dementia remains ambiguous. This study aimed to determine the effect of CAM on QoL outcomes in dementia patients. Methods: A search was performed using the keywords "dementia," "Alzheimer's," "cognitive impairment," "Chinese," "Korean," "oriental," "herbal," "acupuncture," and "quality of life". All quantitative data were synthesized using R version 4.1.1. Results: Twenty-five randomized controlled trials (RCTs), 16 pre-post trials, and two cohort studies were selected for the systematic review. QoL in Alzheimer's disease (QOL-AD) (n=11, 25.6%) and geriatric QoL in dementia (GQOL-D, n=9, 20.9%) were the most utilized QoL instruments. Significant benefits in QoL were observed after receiving mind, body, combined mind and body, nursing, oriental medicine, and acupuncture therapies. In the meta-analysis, the combined effect was shown to significantly increase QOL-AD compared to before CAM interventions (standardized mean difference, SMD: 0.507; 95% confidence interval (CI), 0.191~0.824; p<0.01). The overall synthesized estimates in the GQOL-D showed a significantly improved QoL (SMD: 0.537, 95% CI: 0.238~0.837 p<0.01; one group; SMD: 1.465, 95% CI: 0.934~1.996, p<0.01). The seven studies assessing the cost-effectiveness of CAM reported uncertain outcomes. Conclusions: This study showed that CAM interventions benefited patients with dementia by improving their QoL. While additional standardized research is required, CAMs are suggested as effective clinical management for patients with dementia. They are also suggested as complementing therapies for these patients.

A Study on the Dataset Construction and Model Application for Detecting Surgical Gauze in C-Arm Imaging Using Artificial Intelligence (인공지능을 활용한 C-Arm에서 수술용 거즈 검출을 위한 데이터셋 구축 및 검출모델 적용에 관한 연구)

  • Kim, Jin Yeop;Hwang, Ho Seong;Lee, Joo Byung;Choi, Yong Jin;Lee, Kang Seok;Kim, Ho Chul
    • Journal of Biomedical Engineering Research
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    • v.43 no.4
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    • pp.290-297
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    • 2022
  • During surgery, Surgical instruments are often left behind due to accidents. Most of these are surgical gauze, so radioactive non-permeable gauze (X-ray gauze) is used for preventing of accidents which gauze is left in the body. This gauze is divided into wire and pad type. If it is confirmed that the gauze remains in the body, gauze must be detected by radiologist's reading by imaging using a mobile X-ray device. But most of operating rooms are not equipped with a mobile X-ray device, but equipped C-Arm equipment, which is of poorer quality than mobile X-ray equipment and furthermore it takes time to read them. In this study, Use C-Arm equipment to acquire gauze image for detection and Build dataset using artificial intelligence and select a detection model to Assist with the relatively low image quality and the reading of radiology specialists. mAP@50 and detection time are used as indicators for performance evaluation. The result is that two-class gauze detection dataset is more accurate and YOLOv5 model mAP@50 is 93.4% and detection time is 11.7 ms.

Derivation of Surface Temperature from KOMPSAT-3A Mid-wave Infrared Data Using a Radiative Transfer Model

  • Kim, Yongseung
    • Korean Journal of Remote Sensing
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    • v.38 no.4
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    • pp.343-353
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    • 2022
  • An attempt to derive the surface temperature from the Korea Multi-purpose Satellite (KOMPSAT)-3A mid-wave infrared (MWIR) data acquired over the southern California on Nov. 14, 2015 has been made using the MODerate resolution atmospheric TRANsmission (MODTRAN) radiative transfer model. Since after the successful launch on March 25, 2015, the KOMPSAT-3A spacecraft and its two payload instruments - the high-resolution multispectral optical sensor and the scanner infrared imaging system (SIIS) - continue to operate properly. SIIS uses the MWIR spectral band of 3.3-5.2 ㎛ for data acquisition. As input data for the realistic simulation of the KOMPSAT-3A SIIS imaging conditions in the MODTRAN model, we used the National Centers for Environmental Prediction (NCEP) atmospheric profiles, the KOMPSAT-3Asensor response function, the solar and line-of-sight geometry, and the University of Wisconsin emissivity database. The land cover type of the study area includes water,sand, and agricultural (vegetated) land located in the southern California. Results of surface temperature showed the reasonable geographical pattern over water, sand, and agricultural land. It is however worthwhile to note that the surface temperature pattern does not resemble the top-of-atmosphere (TOA) radiance counterpart. This is because MWIR TOA radiances consist of both shortwave (0.2-5 ㎛) and longwave (5-50 ㎛) components and the surface temperature depends solely upon the surface emitted radiance of longwave components. We found in our case that the shortwave surface reflection primarily causes the difference of geographical pattern between surface temperature and TOA radiance. Validation of the surface temperature for this study is practically difficult to perform due to the lack of ground truth data. We therefore made simple comparisons with two datasets over Salton Sea: National Aeronautics and Space Administration (NASA) Jet Propulsion Laboratory (JPL) field data and Salton Sea data. The current estimate differs with these datasets by 2.2 K and 1.4 K, respectively, though it seems not possible to quantify factors causing such differences.