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Discrepancies between Calculated and Delivered Dose Distributions of Respiratory Gated IMRT Fields according to the Target Motion Ranges for Lung and Liver Cancer Patients (호흡연동방사선치료시 폐암과 간암환자의 병소 움직임 크기에 따른 선량분포 차이 분석)

  • Kim, Youngkuk;Lim, Sangwook;Choi, Ji Hoon;Ma, Sun Young;Jeung, Tae Sig;Ro, Tae Ik
    • Progress in Medical Physics
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    • v.25 no.4
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    • pp.242-247
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    • 2014
  • To see the discrepancies between the calculated and the delivered dose distribution of IMRT fields for respiratory-induced moving target according to the motion ranges. Four IMRT plans in which there are five fields, for lung and liver patients were selected. The gantry angles were set to $0^{\circ}$ for every field and recalculated using TPS (Eclipse Ver 8.1, Varian Medical Systems, Inc., USA). The ion-chamber array detector (MatriXX, IBA Dosimetry, Germany) was placed on the respiratory simulating platform and made it to move with ranges of 1, 2, and 3 cm, respectively. The IMRT fields were delivered to the detector with 30~70% gating windows. The comparison was performed by gamma index with tolerance of 3 mm and 3%. The average pass rate was 98.63% when there's no motion. When 1.0, 2.0, 3.0 cm motion ranges were simulated, the average pass rate were 98.59%, 97.82%, and 95.84%, respectively. Therefore, ITV margin should be increased or gating windows should be decreased for targets with large motion ranges.

Development of Performance Indicators in Public Health Center Based Home Healthcare (방문보건사업 평가지표 개발)

  • Chang, Hyun-Sook;Lee, Tae-Bum;Nam, So-Young;Chin, Young-Ran
    • Health Policy and Management
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    • v.16 no.4
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    • pp.112-127
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    • 2006
  • The purpose of this study is to develop performance indicators for quality of public health center based home healthcare through the study the major factors of registrated weaken poorly residents in the community based home healthcare. Various literature review was conducted to study the performance indicators for quality of public health center based home healthcare of advanced countries and Korea. Mail survey was conducted from national wide PHC(public health centers), sub health centers and primary health care posts. of the surveys mailed, 2,293 centers(67%) were returned within the allotted and we included in the analysis these who completed the questionnaire. Data was analysed by SPSS for windows 12.0. The major results of the research were as follows; Firstly, major factors of registrated weaken poorly residents in the community based home healthcare in the multivariate analysis were jurisdictional families per manpower(OR:0.78, 95%CI:0.64-0.94, P=0.011), weaken poorly families per manpower(OR:0.42, 95%CI:0.35-0.50, P<0.001), business vehicles per manpower(OR:1.13, 95%CI:1.04-1.24, P=0.007) type of public health center(OR:4.42, 95%CI:3.32-5.90, P<0.001), region of public health center(OR:0.53, 95%CI:0.32-0.89, P=0.017). Secondly, performance indicators for quality of public health center based home healthcare were developed as basic investigation, registration, intervention and discharge level. Preparing for Activation of public health center based home healthcare in Korea, the result application as follows is possible. Firstly, we can conclude that the major factors of registrated weaken poorly residents in the community based home healthcare are jurisdictional families per manpower, weaken poorly families per manpower, type of public health center, region of public health center, business vehicles per manpower. Secondly, the new developed performance indicators which are divided into basic investigation, registration, intervention, discharge for public health center based home healthcare could be applied it for improving quality of home healthcare services.

A Human Sensibility Meter for Indoor Environmental Control Using Multiple Sensors (다중 센서를 이용한 실내 환경 제어용 감성 측정기)

  • Lee, Duk-Dong;Park, Kil-Heum;Choi, Doo-Hyun;Han, Dae-Hyun;Baek, Woon-Yi;Lim, Jeong-Ok;Hwang, Tae-Jin
    • Journal of Sensor Science and Technology
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    • v.7 no.5
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    • pp.327-333
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    • 1998
  • A new human sensibility (kansei) meter that can measure human sensibility at the indoor environment is developed in this paper. Four sensors that can measure temperature, humidity, $CO_2$ and $C_4H_{10}$ concentrations are used. Among these sensors, the first three are used to determine the human sensibility. And the last to protect human from the harmful gas. First of all, human sensibilities are defined for each sensor datum, and then those are linearly combined to make a final human sensibility (kansei). The efficiency and usefulness of the meter are verified using a simulator on Windows 95 and a stand-alone system constructed using a microprocessor.

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Development of a Visual Simulation Tool for Object Behavior Chart based on LOTOS Formalism (객체행위챠트를 위한 LOTOS 정형기법 기반 시각적 시뮬레이션 도구의 개발)

  • Lee, Gwang-Yong;O, Yeong-Bae
    • Journal of KIISE:Computing Practices and Letters
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    • v.5 no.5
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    • pp.595-610
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    • 1999
  • This paper presents a visual simulation tool for verification and validation(V&V) of design implications of the Object Behavior Chart developed in accordance with the existing real-time object's behavior design method. This tool can simulates the dynamic interactions using the executable simulation machine, that is EFSM(Extended Finite State Machine) and can detect various logical and temporal errors in the visual object behavior charts before a concrete implementation is made. For this, a LOTOS prototype specification is automatically generated from the visual Object Behavior Chart, and is translated into an EFSM. This system is implemented in Visual C++ version 4.2 and currently runs on PC Windows 95 environment. For simulation purpose, LOTOS was chosen because of it's excellence in specifying communication protocols. Our research contributes to the support tools for seamlessly integrating methodology-based graphical models and formal-based simulation techniques, and also contributes to the automated V&V of the Visual Models.

Effects of non-pharmacological interventions for adults with insomnia in Korea: A meta-analysis (국내 수면장애 성인을 위한 비약물적 중재 효과에 대한 메타분석)

  • Chung, Bok-Yae;Park, Hyeon-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.95-106
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    • 2017
  • The purpose of this study was to identify the effects of non-pharmacological interventions for Korean adults with insomnia. Literature review was performed for articles published between 2000 and 2016 in electronic databases. Sixteen articles met the inclusion criteria. Data were analyzed by R version 3.3.1 for windows. Meta-analysis was performed using the random effects model; the overall effect size of non-pharmacological interventions on sleep was significantly large (Hedges' g=2.36, 95% CI: 1.44~3.28). For heterogeneity, a moderator analysis was performed using the study design, participants, age group, intervention, presence of hospitalization, and sleep measurement. There was a statistically significant difference between the effects of moderator variables, except for the study design and participants. Of the interventions, auricular acupressure reported to have the largest effect size on sleep. The findings in this study indicate that non-pharmacological interventions have a positive effect on sleep, providing objective evidence to improve sleep in adults with insomnia using effective interventions.

Structural Equation Modeling on Case Management Outcomes and Factors Influencing Outcomes in the Community-dwelling Vulnerable Elders (취약계층 재가노인의 사례관리 성과와 영향요인에 관한 구조모형 구축)

  • Moon, Hyunjung;Lee, In-Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.791-800
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    • 2013
  • Purpose: This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders. Methods: Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0. Results: The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect. Conclusion: These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.

Development of a Task Performance Evaluation Instrument for Clinical Nurses (임상간호사의 업무수행 평정도구개발)

  • Paik, Hyun-Ok;Han, Sang-Sook;Lee, Sang-Chul
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.95-103
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    • 2005
  • Purpose: The purpose of this study was to develop an instrument of task performance evaluation for clinical nurses, thus testing the validity and the reliability of the scale. Method: Data was collected from 84 Head Nurses and 255 General Nurses. A conceptual framework, composed of 4 factors of meaning in task performance evaluation, was identified through review of the relevant literature. A total of 78 items were developed and were used on a five-point likert scale. Through factor analysis, items whose factor loading was below 0.50 were deleted, thus 35 items remained. To test the validity and reliability of the instrument, the SPSS 11.0 windows program was used. Result: The results of the factor analysis indicated that 4 factors were classified and the cumulative percent of variance was 67.54%. The results of the reliability test indicated that Cronbach's coefficient of the total 35 items was over 0.9176. The results of the factor analysis indicated that factor loadings of all items was over 0.50. Conclusively, the validity and the reliability of the scale were proven. Conclusion: This study was identified as a tool with a high degree of reliability and validity.

Evaluation of Dietitians' Perception of Importance about HACCP Guidelines in Foodservice Facilities (급식소 HACCP 관리항목에 대한 영양사의 중요성 인지도 평가)

  • Bae, Hyeon-Ju
    • Journal of the Korean Dietetic Association
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    • v.11 no.1
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    • pp.105-113
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    • 2005
  • The purpose of the study was to evaluate the perception of importance about HACCP guidelines of dietitians. A questionnaire was developed to achieve research objectives and sent to random samples of 500 dietitians by a mail ; 418(84%) responses were analyzed. The respondents used three-point-scale to rate their perception of importance about HACCP from 1-"will be necessary" to 3-"very important". All statistical analyses were conducted using SAS package(version 8.12) for Windows. Means and standard deviations were computed for all variables. One-way analysis of variance and Duncan's multiple range test were used to assess differences in the perception of importance about HACCP guidelines among business and industry, health care and school foodservice managers. The study results were summarized as follows. Dietitians especially had lower perception of importance on the contents of Critical Control Points(CCPs), such as; adequate thawing methods and keeping records(1.95) and correct cleaning and sterilizing for raw vegetables and fruits(1.93). The rates of perception of importance about HACCP guidelines were significantly different from 19 of the 37 contents among business and industry, health care and school foodservice(p<.05 or p<.01 or p<.001). Generally, the item related to purchasing and inspection management had the highest perception level score and the item related to pre-preparation management had the lowest perception level score in foodservice production process(p<.001). Results indicate that there is a need for increased education of dietitians about HACCP principles and appropriate practices.

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High Work Function of AZO Fhin Films as Insertion Layer between TCO and p-layer and Its Application of Solar Cells

  • Kang, Junyoung;Park, Hyeongsik;Yi, Junsin
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.426.1-426.1
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    • 2016
  • We report high work function Aluminum doped zinc oxide (AZO) films as insertion layer as a function of O2 flow rate between transparent conducting oxides (TCO) and hydrogenated amorphous silicon oxide (a-SiOx:H) layer to improve open circuit voltage (Voc) and fill factor (FF) for high efficiency thin film solar cell. However, amorphous silicon (a-Si:H) solar cells exhibit poor fill factors due to a Schottky barrier like impedance at the interface between a-SiOx:H windows and TCO. The impedance is caused by an increasing mismatch between the work function of TCO and that of p-type a-SiOx:H. In this study, we report on the silicon thin film solar cell by using as insertion layer of O2 reactive AZO films between TCO and p-type a-SiOx:H. Significant efficiency enhancement was demonstrated by using high work-function layers (4.95 eV at O2=2 sccm) for engineering the work function at the key interfaces to raise FF as well as Voc. Therefore, we can be obtained the conversion efficiency of 7 % at 13mA/cm2 of the current density (Jsc) and 63.35 % of FF.

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VAV Air Conditioning Research for Ship HVAC Efficiency (선박 HVAC 효율 증가를 위한 변풍량 방식 공기조화 연구)

  • Kang, Young-Min;Kim, Min-Wook;Jang, Jae-Hee;Kim, Hui-Mang;Oh, Jeon-Seok
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2016.05a
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    • pp.93-95
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    • 2016
  • In recent years, attention of ship owners for the energy saving of the vessel is being collected due to the volume decline. Ship accommodation consists of watertight type windows and is closed, Ship HVAC is used to promote a comfortable environment for the crew. In addition requirements for comfort of the crew is getting stronger with the improvement of living standards, there is a need for HVAC improvements. In this paper, propose method to save energy and improve HVAC controls by using the HVAC structure of the variable air volume.

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