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Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students

  • Park, Youngmi;Nam, Keumhee;Bae, Joohee
    • Journal of Hospice and Palliative Care
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    • v.24 no.1
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    • pp.36-45
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    • 2021
  • Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies. Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used. Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055). Conclusion: Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.

Analysis of suppressed thermal conductivity using multiple nanoparticle layers (다중층 나노구조체를 통한 열차단 특성 제어)

  • Tae Ho Noh;Ee Le Shim
    • Journal of the Korean institute of surface engineering
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    • v.56 no.4
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    • pp.233-242
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    • 2023
  • In recent years, energy-management studies in buildings have proven useful for energy savings. Typically, during heating and cooling, the energy from a given building is lost through its windows. Generally, to block the entry of ultraviolet (UV) and infrared (IR) rays, thin films of deposited metals or metal oxides are used, and the blocking of UV and IR rays by these thin films depends on the materials deposited on them. Therefore, by controlling the thicknesses and densities of the thin films, improving the transmittance of visible light and the blocking of heat rays such as UV and IR may be possible. Such improvements can be realized not only by changing the two-dimensional thin films but also by altering the zero-dimensional (0-D) nanostructures deposited on the films. In this study, 0-D nanoparticles were synthesized using a sol -gel procedure. The synthesized nanoparticles were deposited as deep coatings on polymer and glass substrates. Through spectral analysis in the UV-visible (vis) region, thin-film layers of deposited zinc oxide nanoparticles blocked >95 % of UV rays. For high transmittance in the visible-light region and low transmittance in the IR and UV regions, hybrid multiple layers of silica nanoparticles, zinc oxide particles, and fluorine-doped tin oxide nanoparticles were formed on glass and polymer substrates. Spectrophotometry in the UV-vis-near-IR regions revealed that the substrates prevented heat loss well. The glass and polymer substrates achieved transmittance values of 80 % in the visible-light region, 50 % to 60 % in the IR region, and 90 % in the UV region.

Malware Detection Using Deep Recurrent Neural Networks with no Random Initialization

  • Amir Namavar Jahromi;Sattar Hashemi
    • International Journal of Computer Science & Network Security
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    • v.23 no.8
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    • pp.177-189
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    • 2023
  • Malware detection is an increasingly important operational focus in cyber security, particularly given the fast pace of such threats (e.g., new malware variants introduced every day). There has been great interest in exploring the use of machine learning techniques in automating and enhancing the effectiveness of malware detection and analysis. In this paper, we present a deep recurrent neural network solution as a stacked Long Short-Term Memory (LSTM) with a pre-training as a regularization method to avoid random network initialization. In our proposal, we use global and short dependencies of the inputs. With pre-training, we avoid random initialization and are able to improve the accuracy and robustness of malware threat hunting. The proposed method speeds up the convergence (in comparison to stacked LSTM) by reducing the length of malware OpCode or bytecode sequences. Hence, the complexity of our final method is reduced. This leads to better accuracy, higher Mattews Correlation Coefficients (MCC), and Area Under the Curve (AUC) in comparison to a standard LSTM with similar detection time. Our proposed method can be applied in real-time malware threat hunting, particularly for safety critical systems such as eHealth or Internet of Military of Things where poor convergence of the model could lead to catastrophic consequences. We evaluate the effectiveness of our proposed method on Windows, Ransomware, Internet of Things (IoT), and Android malware datasets using both static and dynamic analysis. For the IoT malware detection, we also present a comparative summary of the performance on an IoT-specific dataset of our proposed method and the standard stacked LSTM method. More specifically, of our proposed method achieves an accuracy of 99.1% in detecting IoT malware samples, with AUC of 0.985, and MCC of 0.95; thus, outperforming standard LSTM based methods in these key metrics.

A Study on Knowledge on Breast Feeding of College Students by Their General Characteristics (남녀 대학생의 일반적 특성에 따른 모유수유 관련지식에 관한 연구)

  • Song, Byeng-Chun;Cho, Ji-Hyun;Lee, In-Yul;Kim, Mi-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.23 no.2
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    • pp.268-272
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    • 2008
  • The breast feeding habits of 507 college students were evaluated between March 27 to April 26 (2006). Data were collected from self-administered questionnaires and analyzed using SPSS for Windows V.12.0. The study population consisted of 245 (48.3%) male and 262 (51.7%) female college students that answered ‘yes’ when asked whether they had been breast feed. A total of 52.7% of the study population were fed with breast milk (most frequent answer), as opposed to 11.0% that were fed with infant formula (least frequent answer) during their infancy. When asked whether they ever got educated on breast feeding, 78.1% of the college student subjects answered ‘no’. A total of 95.1% of the female college students replied ‘yes’ when asked if they intended to breast feed their child. Moreover, 62.2% of the college student subjects indicated that their parents had an influence on their decision to breast feed. A comparison between male and female college students indicated that female college students had a superior knowledge level of the general characteristics of breast feeding over the male subjects (p<0.05) . Moreover, a comparison of the different levels of college attained suggest that freshman college students had the highest knowledge level, followed by senior, sophomore and junior college students in terms of advantage, BF Tabu (p<0.05). Also, students provided with education on breast feeding had a higher knowledge level than college students with no formal education. In summary, the results suggest that the knowledge on breast feeding in college students were different by general characteristics such as gender, major and school year, and education on breast feeding in advance was appeared to be an important factor, therefore nutritional education course on breast feeding is recommended for the college students.

Development of Computer Program for the Arrangement of the Forest-road Network to Maximize the Investment Effect on the Forest-road Construction (임도개설(林道開設)에 있어서 투자효과(投資效果)를 최대(最大)로 하는 임도배치(林道配置)프로그램 개발(開發))

  • Park, Sang-Jun;Son, Doo-Sik
    • Journal of Korean Society of Forest Science
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    • v.90 no.4
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    • pp.420-430
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    • 2001
  • The object of this study is to develop a computer program for the arrangement of the forest-road network maximizing the investment effect in forest-road construction with factors such as terrains, forest physiognomy, management plan, logging system, cost of forest-road construction, capacity of inputted labour, capacity of timber production and so on. The operating system developed by this study is Korean Windows 95/98 and Microsoft Visual Basic ver. 5.0. User interface was designed as systematic structure, it is presented as a kind of GUI(graphic user interface). The developed program has result of the most suitable forest-road arrangement, has suitable forest-road density calculated with cost of logging, cost of forest-road construction, diversion ratio of forest-road, cost of walking in forest. And the most suitable forest-road arrangement was designed for forest-road arrangement network which maximized investment effect through minimizing the sum of cost of logging and cost of forest-road construction. Input data were divided into map data and control data. Digital terrain model, division of forest-road layout plan, division of forest function and the existing road network are obtained from map data. on the other hand, cost of logging related terrain division, diversion ratio of forest-road and working road, cost of forest-road construction, cost of walking, cost of labor, walking speed, capacity of inputted labor, capacity of timber production and total distance of forest-road are inputted from control data. And map data was designed to be inputted by mesh method for common matrix. This program can be used to construct a new forest-road or vice forest-road which compensate already existing forest-road for the functional forestry.

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Radiation Oncology Digital Image Chart 8nd Digital Radiotherapv Record System at Samsung Medical Center (디지털 화상 병력 시스템과 디지털 방사선치료 기록 시스템의 개발과 사용 경험)

  • Huh Seung Jae;Ahn Yong Chan;Lim Do Hoon;Cho Chung Keun;Kim Dae Yong;Yeo Inhwan;Kim Moon Kyung;Chang Seung Hee;Park Suk Won
    • Radiation Oncology Journal
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    • v.18 no.1
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    • pp.67-72
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    • 2000
  • Background :The authors have developed a Digital image chart(DIC) and digital Radiotherapy Record System (DRRS). We have evaluated the DIC and DRRS for reliability, usefulness, ease of use, and efficiency. Materials and Methods :The basic design of the DIC and DRRS was to build an digital image database of radiation therapy Patient records for a more efficient and timely flow of critical image information throughout the department. This system is a submit of comprehensive radiation oncology management system (C-ROMS) and composed of a picture archiving and communication system (PACS), a radiotherapy information database, and a radiotherapy imaging database. The DIC and DRRS were programmed using Delphi under a Windows 95 environment and is capable of displaying the digital images of patients identification photos, simulation films, radiotherapy setup, diagnostic radiology images, gross lesion Photos, and radiotherapy Planning isodose charts with beam arrangements. Twenty-three clients in the department are connected by Ethernet (10 Mbps) to the central image server (Sun Ultra-sparc 1 workstation). Results :From the introduction of this system in February 1998 through December 1999, we have accumulated a total of 15,732 individual images for 2,556 patients. We can organize radiation therapy in a 'paperless' environment in 120 patients with breast cancer. Using this system, we have succeeded in the prompt, accurate, and simultaneous access to patient care information from multiple locations throughout the department. This coordination has resulted in improved operational efficiency within the department. Conclusion :The authors believe that the DIC and DRRS has contributed to the improvement of radiation oncology department efficacy as well as to time and resource savings by providing necessary visual information throughout the department conveniently and simultaneously. As a result, we can also achieve the 'paperless' and 'filmless' practice of radiation oncology with this system.

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The Design of Single Phase PFC using a DSP (DSP를 이용한 단상 PFC의 설계)

  • Yang, Oh
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.6
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    • pp.57-65
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    • 2007
  • This paper presents the design of single phase PFC(Power Factor Correction) using a DSP(TMS320F2812). In order to realize the proposed boost PFC converter in average current mode control, the DSP requires the A/D sampling values for a line input voltage, a inductor current, and the output voltage of the converter. Because of a FET switching noise, these sampling values contain a high frequency noise and switching ripple. The solution of A/D sampling keeps away from the switching point. Because the PWM duty is changed from 5% to 95%, we can#t decide a fixed sampling time. In this paper, the three A/D converters of the DSP are started using the prediction algorithm for the FET ON/OFF time at every sampling cycle(40 KHz). Implemented A/D sampling algorithm with only one timer of the DSP is very simple and gives the autostart of these A/D converters. From the experimental result, it was shown that the power factor was about 0.99 at wide input voltage, and the output ripple voltage was smaller than 5 Vpp at 80 Vdc output. Finally the parameters and gains of PI controllers are controlled by serial communication with Windows Xp based PC. Also it was shown that the implemented PFC converter can achieve the feasibility and the usefulness.

A study on the thermochromism of $V_{1-x}M_xO_2$thin film ($V_{1-x}M_xO_2$박막의 thermochromism에 대한 연구)

  • Lee, Si-U;Lee, Mun-Hui
    • Korean Journal of Materials Research
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    • v.4 no.6
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    • pp.715-722
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    • 1994
  • Thermochromic $Vo_{2}$ thin films for "smart windows" were prepared by electron beam evaporationmethod on a glass substrate and spectral transmittances were examined by spectrophotometer. Substratetemperature of $300^{\circ}C$ and annealing temperature of $400^{\circ}C$ were found to be effective to give athermochromism on $Vo_{2}$ thin film due to the crystallization of the thin film. Furthermore, annealing of$Vo_{2}$ thin film affected the spectral transmittance and reduced the transmittance significantly at wavelengthbelow 500nm.$V_{0.95}W_{0.05}O_{2}$ thin film doped by 5 atomic percent of W showed semiconductor-metal transition around 0$0^{\circ}V_{0.995}W_{0.005}O_{2}$thin film which contains 0.5 atomic percent Sn showed therrnochrornisrn when it was depositedat substrate temperature of $300^{\circ}C$ and annealed at $450^{\circ}C$ for 5 hours in argon gas. The transitiontemperature of the $V_{0.995}W_{0.005}O_{2}$ thin film was found to be about $25^{\circ}C$ and showed some hysterisis. and showed some hysterisis.

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The Effects of Acupuncture and Bee-venom Acupuncture on Lumbar Hypolordosis (침 및 봉약침이 요추 전만 감소에 미치는 영향)

  • Kim, Dong-Min;Kim, Yong-Suk;Baek, Yong-Hyeon;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.25 no.1
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    • pp.155-167
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    • 2008
  • Objectives : The objective of this study was to observe the positive effects of acupuncture and bee-venom acupuncture treatment on lumbar hypolordosis. Methods : Acupuncture and bee-venom acupuncture were performed twice a week for 30 days to treat patients with low back pain patients showing a Cobb's angle [L1-S1] of less than $35^{\circ}$(treatment group=20, control group=13). Lumbar lordosis(Cobb's angle [L1-S1], Centroid angle [L1-S1]) was measured using an L-spine Lat. X-ray before and after treatment. Pain scales(VAS scale, ODI) were also was measured before and after treatment. SPSS 12K for Windows was used for statistical analysis of the results. Results : 1. VAS and ODI decreased significantly in the treatment group. 2. Lumbar lordosis, presented by Cobb's angle, increased significantly from $25.00{\pm}7.06^{\circ}$ to $30.95{\pm}10.02^{\circ}$ (p = 0.006). The increase of Cobb's angle in the treatment group $5.95{\pm}8.60^{\circ}$, and that of the control group was $-3.08{\pm}8.41^{\circ}$(p = 0.006). The increase of the Centroid angle of the treatment group was $3.85{\pm}8.83^{\circ}$, and that of the control group was $-2.92{\pm}7.63^{\circ}$(p=0.031). 3. Cobb's angle and Vas scale showed a significant correlation coefficient of -0.250(p=0.043). Increase of Cobb's angle and decrease of Vas scale showed a significant correlation coefficient of 0.420(p=0.015). Conclusions : Acupuncture and bee-venom acupuncture were verified to have a positive effect on pain alleviation of lumbar lordosis decreased patients while also affecting lumbar lordosis to be increased as a result of structural changes. It was also shown that lumbar hypolordosis has significant correlation with pain.

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Optimization of $CO_2$ Direct Absorption Method for the Determination of Carbon-14 in Environmental Samples (환경시료중의 방사성탄소 측정을 위한 $CO_2$ 직접흡수법의 최적화 연구)

  • Cho, Soo-Young;Woo, Hyung-Joo;Chun, Sang-Ki
    • Journal of Radiation Protection and Research
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    • v.23 no.4
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    • pp.237-242
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    • 1998
  • The goal of this work was to optimize the liquid scintillation counting techniques for the determination of C-14 in environmental samples such as biological and air samples. Carbon-14 activities in most environmental samples were measured with direct $CO_2$ absorption method. The highest figure of merit was found through the variation of Carbosorb $E^{TM}$ and Permatluor $V^{TM}$ ratio, in the measurement windows. The best condition was 1:1 volume ratio. Average 2.35 g of $CO_2$ was reproducibly absorbed in the 20 ml mixture within 40 min. The counting efficiency determined by repeated analysis of NIST oxalic acid standard and the background count rate were measured to be $58.8{\pm}1.4%$ and $1.88{\pm}0.06\;cpm$, respectively in case of saturated solution. The correction curves of counting efficiency for partially saturated solutions and for saturated solutions with quenching were prepared, respectively. The overall uncertainty of the sample specific activity for near background levels was estimated to be about 7 % for 4 hours counting at 95 % confidence level. The long-term stability of samples has been checked for all the counting techniques over a two week periods, and no apparent change in counting efficiency and background level was found at that time.

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