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Inappropriateness in Completing a Death Certificate (사망진단서 작성에 있어서 부적절성)

  • Lee, Hyun-Ji;Lee, Sang-Han
    • Journal of forensic and investigative science
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    • v.3 no.1
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    • pp.43-49
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    • 2008
  • This study was conducted to analyze the current problems in completing death certificates and to identify the correct method for completing death certificates. Total 298 death certificates in A hospital from January to December in 2005 were reviewed. There was only 88 death certificates (29.5%) without an error. The frequency of the major errors were 8.7% in 'mechanism of death listed instead of cause of death', 9.4% in 'competing causes', and 11.4% in 'improper sequencing'. The frequency of minor errors were 99.3% in 'absence of time intervals', 19.5% in 'repetition of same cause', 18.8% in "more than 2 causes listed in same space". Errors were common in the completion of death certificates in the middle sized hospital setting. It is very important to complete death certificate accurately in practice. Education in undergraduate course and persistent training in internship and residency program will be needed.

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All-port Broadcasting Algorithms on Wormhole Routed Star Graph Networks (웜홀 라우팅을 지원하는 스타그래프 네트워크에서 전 포트 브로드캐스팅 알고리즘)

  • Kim, Cha-Young;Lee, Sang-Kyu;Lee, Ju-Young
    • Journal of KIISE:Computer Systems and Theory
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    • v.29 no.2
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    • pp.65-74
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    • 2002
  • Recently star networks are considered as attractive alternatives to the widely used hypercube for interconnection networks in parallel processing systems by many researchers. One of the fundamental communication problems on star graph networks is broadcasing In this paper we consider the broadcasting problems in star graph networks using wormhole routing. In wormhole routed system minimizing link contention is more critical for the system performance than the distance between two communicating nodes. We use Hamiltonian paths in star graph to set up link-disjoint communication paths We present a broadcast algorithm in n-dimensional star graph of N(=n!) nodes such that the total completion time is no larger than $([long_n n!]+1)$ steps where $([long_n n!]+1)$ is the lower bound This result is significant improvement over the previous n-1 step broadcasting algorithm.

Fermentation characteristics of cider from late harvest Fuji apples by a sugar tolerant yeast, Saccharomyces cerevisiae SS89 (내당성 효모 Saccharomyces cerevisiae SS89에 의한 늦수확 후지 사과의 사과주 발효 특성)

  • Kim, Dong-Hyun;Lee, Sae-Byuk;Park, Heui-Dong
    • Food Science and Preservation
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    • v.21 no.6
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    • pp.917-924
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    • 2014
  • Normal- and late-harvested Fuji apples were fermented using the rapid-fermenting yeast strain Saccharomyces cerevisiae SS89. The late-harvest apples showed a slightly higher soluble-solid content with a lower level of total-acid and moisture (p<0.05) contents as well as hardness (p<0.05) than the normal-harvest apples. During the fermentation, the apples had similar changes in the pH and total-acid content regardless of the harvest time, but the increases in the alcohol content and yeast viable count with the decrease of the soluble-solid content were more rapid in the late-harvest apples than in the normal-harvest apples. After the completion of the fermentation, the soluble-solid and alcohol contents became very similar. The late-harvest cider showed a high total phenolic-compound content and a high DPPH radical scavenging effect, although these were slightly lower than those of the normal-harvest cider. It also showed a higher malic-acid content and higher hue color (p<0.05), Hunter's L, and b (p<0.05) values than the normal-harvest cider. In the sensory evaluation, the late-harvest cider obtained a higher score in taste and a lower score in color compared to the normal-harvest cider.

Design of an Efficient Control System for Harbor Terminal based on the Commercial Network (상용망 기반의 항만터미널 효율적인 관제시스템 설계)

  • Kim, Yong-Ho;Ju, YoungKwan;Mun, Hyung-Jin
    • Journal of Industrial Convergence
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    • v.16 no.1
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    • pp.21-26
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    • 2018
  • The Seaborne Trade Volume accounts for 97% of the total. This means that the port operation management system can improve port efficiency, reducing operating costs, and the manager who manages all operations at the port needs to check and respond quickly when delays of work and equipment support is needed. Based on the real-time location information confirmation of yard automation equipment used the existing system GPS, the real-time location information confirmation system is a GPS system of the tablet, rather than a port operation system that monitors location information for the entered information, depending on the completion of the task or the start of the task. Network configurations also reduce container processing delays by using commercial LTE services that do not have shading due to containers in the yard also reduce container processing delays. Trough introduction of smart devices using Android or IOS and container processing scheduling utilizing artificial intelligence, we will build a minimum delay system with Smart Device usage of container processing applications and optimization of container processing schedule. The adoption of smart devices and the minimization of container processing delays utilizing artificial intelligence are expected to improve the quality of port services by confirming the processing containers in real time to consumers who are container information demanders.

Effect Analysis for Frequency Recovery of 524 MW Energy Storage System for Frequency Regulation by Simulator

  • Lim, Geon-Pyo;Choi, Yo-Han;Park, Chan-Wook;Kim, Soo-Yeol;Chang, Byung-Hoon;Labios, Remund
    • KEPCO Journal on Electric Power and Energy
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    • v.2 no.2
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    • pp.227-232
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    • 2016
  • To test the effectiveness of using an energy storage system for frequency regulation, the Energy New Business Laboratory at KEPCO Research Institute installed a 4 MW energy storage system (ESS) demonstration facility at the Jocheon Substation on Jeju Island. And after the successful completion of demonstration operations, a total of 52 MW ESS for frequency regulation was installed in Seo-Anseong (28 MW, governor-free control) and in Shin-Yongin (24 MW, automatic generation control). The control system used in these two sites was based on the control system developed for the 4 MW ESS demonstration facility. KEPCO recently finished the construction of 184 MW ESS for frequency regulation in 8 locations, (e.g. Shin-Gimjae substation, Shin-Gaeryong substation, etc.) and they are currently being tested for automatic operation. KEPCO plans to construct additional ESS facilities (up to a total of about 500 MW for frequency regulation by 2017), thus, various operational tests would first have to be conducted. The high-speed characteristic of ESS can negatively impact the power system in case the 500 MW ESS is not properly operated. At this stage we need to verify how effectively the 500 MW ESS can regulate frequency. In this paper, the effect of using ESS for frequency regulation on the power system of Korea was studied. Simulations were conducted to determine the effect of using a 524 MW ESS for frequency regulation. Models of the power grid and the ESS were developed to verify the performance of the operation system and its control system. When a high capacity power plant is tripped, a 24 MW ESS supplies power automatically and 4 units of 125MW ESS supply power manually. This study only focuses on transient state analysis. It was verified that 500 MW ESS can regulate system frequency faster and more effectively than conventional power plants. Also, it was verified that time-delayed high speed operations of multiple ESS facilities do not negatively impact power system operations. It is recommended that further testing be conducted for a fleet of multiple ESSs with different capacities distributed over multiple substations (e.g. 16, 24, 28, and 48 MW ESS distributed across 20 substations) because each ESS measures frequency individually. The operation of one ESS facility will differ from the other ESSs within the fleet, and may negatively impact the performance of the others. The following are also recommended: (a) studies wherein all ESSs should be operated in automatic mode; (b) studies on the improvement of individual ESS control; and (c) studies on the reapportionment of all ESS energies within the fleet.

Studies on Oleoresin Product from Spices 2. Quality Stability of Red Pepper Oleoresin (향신재료를 이용한 Oleoresin제조에 관한 연구 2. 고추 Oleoresin의 품질안정성)

  • 배태진;최옥수;박재림;김무남;한봉호
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.20 no.6
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    • pp.609-614
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    • 1991
  • Thermal stability and quality change during storage of red pepper oleoresin were studied. Upon heat treatment, carotenoids in oleoresin from red pepper were more stable under nitrogen than air. In the thermal stabilities, the presence of air at $100^{\circ}C$ for 3 hours and 10 hours were 69.1% and 42.3%, respectively ; whereas, in the presence of nitrogen, 95.4% and 92.3%, respectively. In contrast, capsaicin was comparatively stable upon heat treatment in the presence of air. The retentions of capsaicin at $100^{\circ}C$ for 3 hours and 10 hours were 84.7% and 81.3% with air, those were 90.7% and 87.5% with nitrogen, respectively. Color appearance showed close relation to the stability of total carotenoids during 60 days storage at varying temperatures ; $5^{\circ}C,\;25^{\circ}C\;and\;40^{\circ}C$ were 69.4%, 48.0% and 35.1%, respectively. The degradation of total carotenoids during storage could be interpreted as a first order reaction. The activation energy obtained from the Arrhenius plot was 5.03 kcal/mole. Conversely, capsaicin was very stable under storage temperatures. More than 90% of capsaicin was remained upon completion of storage. In the mean time, pH of oleoresin was increased slightly as increasing storage temperatures.

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Result of Radiation Therapy for the Lung Cancer (폐암의 방사선치료 결과)

  • Kim Joo-Young;Choi Myung-Sun;Suh Won-Hyck
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.213-225
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    • 1989
  • An analysis has been made of two hundred seven patients who were treated at the department of Radiation Oncology of Korea University Hospital for lung cancer from January 1981 through December 1986. There were 137 patients of nonsmall cell carcinoma (137/207, 66%), 26 patients of small cell carcinoma (26/207, 12.5%) and 44 patients of unproven histology. By aims of treatment, there were 104 patients (104/207, 50%) treated for cure, 89 patients (89/207, 42.9%) for palliation and 14 patients treated postoperatively. In 22 out of 207 patients, chemotherapy was done with radiotherapy, 12 of which were patients with small cell carcinoma. Stage II patients were 49 (49/207, 23.6%), stage III patients were 157 (157/207, 75.8%) and one patient had an occult cancer The tumor was initial Iy measured by CAT scan and chest X-rays in the 165 (165/207, 79.7%) patients, among which 117 patients had tumor diameter more than 5cm and 48 patients less than 5cm. Radiation therapy was given with Cobalt 60 teletherapy unit and the treatment volume encompassed primary tumor and the mediastinum. For curative aim, daily tumor dose of 180 cGy was given up to the range of 5,400~6,120cGy/30~34F/6~7 week period and for palliative aim, daily tumor dose of 300 cGy was given up to the range of 3,600~4,500 cGy/12~15F/2~3 week period. Postoperatively, mediastinum was treated for total dose of 5,040 cGy/28F/5.5 week period. 123 patients (123/207, 59%) were followed up after completion of radiotherapy for 14 months to 7 years. Local tumor response to the irradiation was measured by chest X-ray taken at one month follow up and was evaluated for response rate, if they were regressed more than 50% or less than 50% of the initial tumor size. The treatment results were as follows; 1. The median survival time was 8.5 months and survival rates for 1 year, 2 year and 5 year was 25%, 3.5% and 1% of nonsmall cell lung ca of 74 evaluable patients. 2. More than 50% of local tumor response rate was obtained in about half of overall cases; 90.5% for small cell ca, 50% for squamous cell ca, 25% for adenoca and 57% for large cell ca. 3. Response rate more than 50% was seen in the 50% of the patient group with tumor diameter more than 5cm and in the 55% of those with tumor diameter less than 5cm. 4. By total raidation dose given, patient group which was given 5,400~6,120 cGy equivalent dose or higher showed tumor response rate more than 50% in 53% of the patients, whereas the group with dose less than 5,400cGy equivalent, in 25% of the patients. 5. Survival rate for 6 month, 1 year and 2 year was compared between the group of local tumor response rate more than 50% vs. group with response rate less than 50%; 74% vs. 43%, 33% vs, 23%, 10% vs. 1%, respectively. 6. Local failure was seen in 21%(44/207) of the patients, which occured mostly within 15 months after completion of radiation therapy. Distant metastases were seen in 49.7%(103/207) of the patients, of which 43 cases were found before initiation of radiotherapy. The most common metastatic sites were bone and brain. In this sutdy, 1 year,2 year and S year survival rates were somewhat poor compared to the other studies. It mainly seems to be due to the poor general status of the patients and the far-advanced stage of the disease. In nonsmall cell cancer patients who had limited local disease and had small primary tumor size, we observed better local response. In addition, dose higher than 6,000 cGy group showed better tumor control than lower dose group. Survival rate was better for the local control group. For imporvement of local control of the lung cancer and hence, the survival of the patients with lung cancer, proper radical radiotherapy with high dose for localized disease is needed. New modality of treatment such as high LET beam in radiation therapy or drugs for the advanced disease as well as early diagnosis is also needed.

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Analysis of Treatment Failures in Early Uterine Cervical Cancer (조기 자궁경부 악성종양의 치료실패에 대한 분석)

  • Kim Joo-Young;Lee Kyu-Chan;Choi Hyung-Sun
    • Radiation Oncology Journal
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    • v.9 no.2
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    • pp.285-291
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    • 1991
  • One hundred and twenty six patients with early uterine cervical cancer who had been treated at Departmen of Radiation Oncology of Korea University Hospital from Jan.1981 to Dec.1988 were analysed retrospectively by the treatment result and pattern of of failures. All patients had stage Ia to IIa disease and were grouped whether they had combination of operation and postop irradiation or radiation therapy alone. 1) Sixty six patients belonged to the combination treatment group and 60 patients to the radiation alone group. 2) Combination group consisted of $18.1\%$(12/66) stage Ia, $71.2\%$(47/66) stage Ib and $10.6\%$ (7/66) stage IIa patients. There were no stage Ia, 18.8$\%$(l1/60) stage Ib and 81.6$\%$(49/60) stage IIa patients for RT alone gronp. 3) There were total 23$\%$(29/126) treatment failures,13 patients in combination group and 16 patients in RT alone group. In 66 patients of combination group, they were found to have 5 locoregional failures, 7 distant failures and 1 at both sites. In 60 patients of RT alone group, 9 locoreginal failure and 7 distant failures occured. Eighty six percent (25/29) of total failures appeared within 18 month after completion of treatment. About 60$\%$ of the patients with regional recurrences which were located at pelvic side wall or pelvic lymph nodes paesented their recurrent disease after 1 year of completion of treatment, whereas same percent of distant failures appeared within 6 month. 5) In RT alone group, the first sites of distant failure were mostly para-aortic lymph node and/or left supraclavicular lymph node (71.4$\%$,5/7). In combination group, various sites such as inguinal lymph node, mediastinal lymph node, liver, lung and bone appeared first or at the same time with para-aortic and supraclavicular lymph node metastasis. 6) Logistic regression analysis was done for multivariate analysis of the factors contributing to locoregional and distant failures. In combination group, adequacy of the resection margin and the presence of positive pelvic node were found to be the most significant factors (p=0.0423 & 0.0060 respectively). In RT alone group, less than complete regression of the tumor at the end of treatment was the only significant contributing factor for the treatment failures (p=0.0013) with good liklihood ratio.

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The Evaluation of Radiation Therapy and Combined-modality Therapy for Non-small-cell Lung Cancer in Elderly (고령의 비소세포성폐암 환자의 방사선 및 병용치료에 대한 효과 평가)

  • Yoon, Won-Sup;Yang, Dae-Sik;Kim, Chul-Yong
    • Radiation Oncology Journal
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    • v.25 no.2
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    • pp.101-108
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    • 2007
  • [ $\underline{Purpose}$ ]: To compare radiation therapy alone to combined modality therapy about survival rate and tolerance of elderly patients ($70=or{\geq}$) with non-small-cell lung cancer (NSCLC). $\underline{Materials\;and\;Methods}$: Between 1998 and 2002, 57 patients given radiation therapy due to NSCLC (Stage III) were analysed retrospectively. Radiation therapy alone (RT), concurrent chemoradiation (CRT), and sequential chemoradiation (SCRT) was done to 33, 16 and 8 patients, respectively. Patients' median age was 74 (range $70{\sim}85$). Male and female are 51 patients and 6 patients, respectively. 23 patients were stage IIIa and 34 were stage IIIb. Patients' characteristic distribution of RT and CRT was not significantly different except mass size that RT has a bigger than CRT. The fraction size of radiation therapy was 1.8 Gy in CRT and $1.8{\sim}3\;Gy$ in other groups. Total radiation dose was $51{\sim}63\;Gy$ according to the fraction size. If the prescribed total radiation dose was successfully irradiated, we stated that it was completion of radiation therapy. $\underline{Results}$: 52 patients were dead. Median period of radiation therapy was as follow: RT, 35 days, CRT, 60.5 days and SCRT, 35 days. Overall median survival time (MST) was 10.1 months. The 1 yr- and 2 yr-overall survival rate was 39.8% and 17.6%, respectively. MST of RT, CRT and SCRT was 8.9, 8.2 and 11.7 months, respectively. The 1 yr survival rate of RT, CRT and SCRT was 38.4%, 37.5% and 50% (not significant). Patients given incomplete radiation therapy were 12 (RT, 5 CRT, 6 SCRT, 1). N stage (p=0.081) and the difference of treatment methods (p=0.079) were the factors affecting incompletion of radiation therapy, but it was not significant. In case of combined-agents chemotherapy, 4 of 8 ceased radiation therapy. T stage ($T{\geq}3$), mass size (${\geq}5\;cm$), Karnofsky performance scale (${\leq}70$) and completion of radiation therapy were the prognostic factors in uni- and multi-variate analysis. $\underline{Conclusion}$: In elderly patients with NSCLC, radiation therapy alone was a treatment method with similar survival period compared with other methods. Generally, patients given radiation therapy alone was tolerable to a treatment. Before planning concurrent chemoirradiation in elderly patients with NSCLC, physicians pay attention to a selection of patients and chemotherapy agents considering general condition and toxicity.

Effects of Operating Conditions on Adsorption and Desorption of Benzene in TSA Process Using Activated Carbon and Zeolite 13X (활성탄과 제올라이트 13X 충진탑을 사용한 TSA 공정에서 조업조건이 벤젠의 흡착 및 탈착에 미치는 영향)

  • Jung, Min-Young;Suh, Sung-Sup
    • Applied Chemistry for Engineering
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    • v.29 no.5
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    • pp.594-603
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    • 2018
  • The effects of operating conditions such as benzene concentration, nitrogen flow rate, steam flow rate, and bed temperature on TSA process were experimentally investigated as a potential VOC removal technology using two kinds of beds packed with activated carbon and zeolite 13X. The TSA cycle studied was composed of the adsorption step, steam desorption step, and drying and cooling step. At 2% benzene concentration, the total adsorption amounts of zeolite 13X and activated carbon were 4.44 g and 3.65 g, respectively. Since the zeolite 13X has a larger packing density than that of the activated carbon, the larger benzene amount could be adsorbed in a single cycle. Increasing the water vapor flow rate to 75 g/hr at 2% benzene concentration reduced the desorption time from 1 hr to a maximum of 33 min. If the desorption time is shortened, the drying and cooling step period can be relatively increased. Accordingly, the steam removal and bed cooling could be sufficiently performed. The desorption amounts increased with the increase of the bed temperature. However, the energy consumption increased while the desorption amount was almost constant above $150^{\circ}C$. In the continuous cycle process, when the amount of remained benzene at the completion of the regeneration step increased, it might cause a decrease in the working capacity of the adsorbent. The continuous cycle process experiment for zeolite 13X showed that the amount of remained benzene at the end of regeneration step maintained a constant value after the fourth cycle.