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      • SCOPUSKCI등재

        Design of Regional Coverage Low Earth Orbit (LEO) Constellation with Optimal Inclination

        Shin, Jinyoung,Park, Sang-Young,Son, Jihae,Song, Sung-Chan The Korean Space Science Society 2021 Journal of Astronomy and Space Sciences Vol.38 No.4

        In this study, we describe an analytical process for designing a low Earth orbit constellation for discontinuous regional coverage, to be used for a surveillance and reconnaissance space mission. The objective of this study was to configure a satellite constellation that targeted multiple areas near the Korean Peninsula. The constellation design forms part of a discontinuous regional coverage problem with a minimum revisit time. We first introduced an optimal inclination search algorithm to calculate the orbital inclination that maximizes the geometrical coverage of single or multiple ground targets. The common ground track (CGT) constellation pattern with a repeating period of one nodal day was then used to construct the rest of the orbital elements of the constellation. Combining these results, we present an analytical design process that users can directly apply to their own situation. For Seoul, for example, 39.0° was determined as the optimal orbital inclination, and the maximum and average revisit times were 58.1 min and 27.9 min for a 20-satellite constellation, and 42.5 min and 19.7 min for a 30-satellite CGT constellation, respectively. This study also compares the revisit times of the proposed method with those of a traditional Walker-Delta constellation under three inclination conditions: optimal inclination, restricted inclination by launch trajectories from the Korean Peninsula, and inclination for the sun-synchronous orbit. A comparison showed that the CGT constellation had the shortest revisit times with a non-optimal inclination condition. The results of this analysis can serve as a reference for determining the appropriate constellation pattern for a given inclination condition.

      • KCI등재

        Importance of Geriatric Syndrome Screening within 48 Hours of Hospitalization for Identifying Readmission Risk: A Retrospective Study in an Acute-Care Hospital

        Jinyoung Shin,Seol-Heui Han,Jaekyung Choi,Yoon-Sook Kim,Jongmin Lee 대한노인병학회 2020 Annals of geriatric medicine and research Vol.24 No.2

        Background: Given the association between geriatric syndrome and hospital readmission, we evaluated the suitability of geriatric syndrome screening for care (GSC) in identifying readmission risk and suggested the appropriate time for GSC. Methods: GSC considering cognitive impairment, depression, polypharmacy (five or more medications), functional mobility, dysphagia, malnutrition, pain, and incontinence was performed among 2,663 general ward inpatients aged 65 years or older within 48 hours after admission and again before discharge between November 2016 and October 2017. Each patient’s history of falls, pressure ulcers, potentially inappropriate medication use, and delirium was assessed at admission. Patients were divided into two groups on the basis of readmission within 1 year after the first admission. According to the screening period (at admission and before discharge) and in-hospital decline, we applied receiver operating characteristic curve analysis to compare the prevalence of clinical concerns between the readmission and no-readmission groups. We also used multiple logistic regression analysis to evaluate the risk of readmission according to the presence of geriatric syndrome and clinical outcomes. Results: The 782 readmitted patients (29.4%) showed a higher rate of poor GSC than those who were not readmitted. Polypharmacy at admission was significantly correlated with readmission risk (area under the receiver operating characteristic curve=0.602). Fall history (odds ratio [OR]=4.36; 95% confidence interval [CI], 2.36–8.05), urinary incontinence (OR=4.21; 95% CI, 3.28–5.39), and depressive mood (OR=3.88; 95% CI, 2.69–5.59) at admission were risk factors for readmission. Conclusion: GSC at admission was associated with readmission risk compared with GSC before discharge or monitoring for in-hospital decline.

      • A Herbal Medicine, <i> Gongjindan</i> , in Subjects with Chronic Dizziness (GOODNESS Study): Study Protocol for a Prospective, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Clinical Trial for Effectiveness, Safety, and Cost-E

        Shin, Seungwon,Kim, Jinyoung,Yu, Ami,Seo, Hyung-Sik,Shin, Mi-Ran,Cho, Jae-Heung,Yi, Gilhee,Hong, Seung-Ug,Lee, Euiju Hindawi 2017 Evidence-based Complementary and Alternative Medic Vol.2017 No.-

        <P>This study protocol aims to explore the effectiveness, safety, and cost-effectiveness of a herbal medication,<I> Gongjindan</I> (GJD), in patients with chronic dizziness. This will be a prospective, multicenter, randomized, double-blind, placebo-controlled, parallel-group, clinical trial. Seventy-eight patients diagnosed with Meniere's disease, psychogenic dizziness, or dizziness of unknown cause will be randomized and allocated to either a GJD or a placebo group in a 1 : 1 ratio. Participants will be orally given 3.75 g GJD or placebo in pill form once a day for 56 days. The primary outcome measure will be the Dizziness Handicap Inventory score. Secondary outcome measures will be as follows: severity (mean vertigo scale and visual analogue scale) and frequency of dizziness, balance function (Berg Balance Scale), fatigue (Fatigue Severity Scale) and deficiency pattern/syndrome (qi blood yin yang-deficiency questionnaire) levels, and depression (Korean version of Beck's Depression Inventory) and anxiety (State-Trait Anxiety Inventory) levels. To assess safety, adverse events, including laboratory test results, will be monitored. Further, the incremental cost-effectiveness ratio will be calculated based on quality-adjusted life years (from the EuroQoL five dimensions' questionnaire) and medical expenses. Data will be statistically analyzed at a significance level of 0.05 (two-sided). This trial is registered with ClinicalTrials.gov NCT03219515, in July 2017.</P>

      • Design of Regional Coverage Low Earth Orbit (LEO) Constellation with Optimal Inclination

        Shin, Jinyoung,Park, Sang-Young,Son, Jihae,Song, Sung-Chan The Korean Space Science Society 2021 Journal of astronomy and space sciences Vol.38 No.4

        In this study, we describe an analytical process for designing a low Earth orbit constellation for discontinuous regional coverage, to be used for a surveillance and reconnaissance space mission. The objective of this study was to configure a satellite constellation that targeted multiple areas near the Korean Peninsula. The constellation design forms part of a discontinuous regional coverage problem with a minimum revisit time. We first introduced an optimal inclination search algorithm to calculate the orbital inclination that maximizes the geometrical coverage of single or multiple ground targets. The common ground track (CGT) constellation pattern with a repeating period of one nodal day was then used to construct the rest of the orbital elements of the constellation. Combining these results, we present an analytical design process that users can directly apply to their own situation. For Seoul, for example, 39.0° was determined as the optimal orbital inclination, and the maximum and average revisit times were 58.1 min and 27.9 min for a 20-satellite constellation, and 42.5 min and 19.7 min for a 30-satellite CGT constellation, respectively. This study also compares the revisit times of the proposed method with those of a traditional Walker-Delta constellation under three inclination conditions: optimal inclination, restricted inclination by launch trajectories from the Korean Peninsula, and inclination for the sun-synchronous orbit. A comparison showed that the CGT constellation had the shortest revisit times with a non-optimal inclination condition. The results of this analysis can serve as a reference for determining the appropriate constellation pattern for a given inclination condition.

      • SCIESCOPUS

        Association between mammographic density and tumor marker-defined breast cancer subtypes: a case–control study

        Shin, Jinyoung,Lee, Jeong Eon,Ko, Hyeon Young,Nguyen, Tuong Linh,Nam, Seok Jin,Hopper, John Llewelyn,Song, Yun-Mi Lippincott Williams & Wilkins 2018 EUROPEAN JOURNAL OF CANCER PREVENTION Vol.27 No.3

        High mammographic density (MD) is the most important risk factor for breast cancer. This study aimed to clarify the relationship between MD and breast cancer subtypes defined by tumor markers. We enrolled 642 women with breast cancer (69% premenopausal) and 1241 controls matched for age and menopausal status. Absolute mammographic dense area (ADA), percent mammographic dense area (PDA), and nondense area were assessed using a computer-assisted thresholding technique. We classified breast cancer cases into four subtypes using information on tumor marker expression such as estrogen receptor (ER), progesterone receptor (PR), and Cerb2 receptor (HER2); luminal A (ER+ and/or PR+, HER2−), luminal B (ER+ and/or PR+, HER2+), HER2-overexpressing (ER−, PR−, and HER2+), and triple-negative (ER−, PR−, and HER2−). Analysis was carried out using a conditional logistic regression model with adjustment for covariates. ADA and PDA were associated positively with the risk of breast cancer overall. Both ADA and PDA tended to have a positive association with breast cancer with any ER, any PR, or HER2−, but not for HER2+. The risk of luminal A breast cancer increased significantly 1.11 times (95% confidence interval: 1.01–1.23) for ADA and 1.12 times (95% confidence interval: 1.01–1.24) for PDA, estimated per 1 SD of the age and BMI-adjusted MD. However, the risk of breast cancer with luminal B, HER2-overexpressing, and triple-negative subtypes did not differ (P>0.10). Differential associations between MD measures and breast cancer by tumor marker status or tumor marker-defined subtypes were not detected. These findings suggested that the association between MD and breast cancer subtype may be because of other causal pathways.

      • KCI등재

        Clinical Practice Guideline for Care in the Last Days of Life

        Jinyoung Shin,Yoon Jung Chang,So-Jung Park,Jin Young Choi,Sun-Hyun Kim,최윤선,Nam Hee Kim,Ho-Kee Yum,남은미,박명희,Nayeon Moon,Jee Youn Moon,강희택,강정훈,박재민,Chung-Woo Lee,김선영,이은정,고수진,Yonghwan Kim,Myongjin Agnes Ch 한국호스피스완화의료학회 2020 한국호스피스.완화의료학회지 Vol.23 No.3

        A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients’ physical and mental symptoms, psychological support, appropriate decision- making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea.

      • KCI등재

        The Experience of Providing Older Adult Patients with Transitional Care from an Acute Care Hospital to Home in Cooperation with a Public Health Center

        Shin Jinyoung,Han Seol-Heui,Choi Jaekyung,Kim Yoon-Sook,이종민 대한의학회 2020 Journal of Korean medical science Vol.35 No.39

        Background: This study aimed to describe the experience of providing older adult patients with transitional care from an acute care hospital to home in cooperation with a public health center, in order to present the barriers to that care and suggest better organizational methods. Methods: This was a cross-sectional study to show the results of the Geriatric Screening for Care-10 (GSC-10) and outcomes of transitional care. Among 659 hospitalized patients aged 65 years or above who lived in an administrative district, forty-five subjects were enrolled between June 24, 2019 and January 23, 2020. Within 48 hours of admission, using the 10 areas of GSC-10, they were assessed for cognitive impairment, depression, polypharmacy (5 or more medications), functional mobility, dysphagia, malnutrition, pain, and incontinence, and were reassessed before discharge. The transitional care plan (containing the treatment summary, the results of the GSC-10 assessment, and the post-discharge plan) was forwarded to a representative of the public health center, who provided continued disease management and various health care services, such as chronic disease and frailty care, and physical rehabilitation. Results: Of all the participants, 64.4% had more than 1 GSC-10 concern. The most prevalent concerns were functional immobility (35.6%) and polypharmacy (22.2%). About 15.6% of the participants were readmitted to a nursing home or hospital. A total of 38 participants received the transitional care intervention. They received an average of 2.7 administered interventions. However, the rate of rejection was high (30.1%) and patients were visited an average of 16.5 days after discharge. Conclusion: Through our experience of providing transitional care from an acute care hospital to home in cooperation with a public health center, we expect that the transitional care suitable for the Korean medical situation could be established and successful.

      • Can a Traditional Korean Manual Therapy Be a Complementary and Alternative Strategy for Cervicogenic Dizziness? A Study Protocol for a Randomized Controlled Trial

        Shin, Seungwon,Kim, Jinyoung,Yu, Ami,Seo, Hyung-Sik,Shin, Mi-Ran,Hong, Seung-Ug,Jung, Chan Yung,Kim, Koh-Woon,Cho, Jae-Heung,Lee, Euiju Hindawi 2018 Evidence-based Complementary and Alternative Medic Vol.2018 No.-

        <P>Cervicogenic dizziness is dizziness triggered by movement or positioning of the cervical spine and is often accompanied by neck pain or stiffness. This is a prospective, pragmatic, assessor-blind, randomized controlled trial aimed at testing the efficacy and safety of adjuvant Chuna Manual Therapy (CMT) in patients with cervicogenic dizziness under usual care treatments. Fifty patients with cervicogenic dizziness will be randomly allocated to CMT or usual care (UC) groups in a 1 : 1 ratio. Extensive screening procedures, including examinations for central nervous system problems and nystagmus, will be applied to exclude other dizziness-inducing disorders. The eligible participants will receive 12 sessions of CMT plus UC or only UC over 6 weeks. CMT includes mandatory and discretionary techniques, whereas UC includes electrotherapy, thermotherapy, and patient education. The efficacy will be evaluated primarily as Dizziness Handicap Inventory score. The severity and frequency of dizziness, the level of neck pain or stiffness, and the cervical range of motion will also be evaluated. Safety will be assessed by adverse events. The data will be statistically analyzed at <I>p</I> < 0.05.<I> Trial Registration</I>. This trial was registered with Clinical Research Information Service (CRIS) in Korea, KCT0002565, on 29 November 2017, https://cris.nih.go.kr/cris/search/search_result_st01_kren.jsp?seq=9610&ltype=&rtype=.</P>

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