• Title/Summary/Keyword: 이탈도

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Weaning Following a 30 Minutes Spontaneous Breathing Trial (30분 자가호흡관찰에 의한 기계적 호흡치료로부터의 이탈)

  • Shin, Jin;Koh, Young-Min;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1326-1331
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    • 1997
  • Background : Weaning is the process of switching a patient from mechanical ventilator to spontaneous breathing. A number of different weaning techniques can be employed. At recent study, conventional spontaneous breathing trial was superior to other techniques, such as intermittent mandatory ventilation(IMV) or pressure support ventilation(PSV). But adequate observation time of the spontaneous breathing trial was not determined. We reported the effectiveness of weaning and extubation following a 60 minutes spontaneous breathing trial with simple oxygen supply through the endotrachial tube. In this study, we tried to shorten the spontaneous breathing time from 60 minutes to 30 minutes. If weaning success was predicted after 30 minutes spontaneous breathing, extubation was done without reconnection with ventilator. Methodes : Subjects consisted of 42 mechanically ventilated patients from August 1994 to July 1995. The weaning trial was done when the patients recovered sufficiently from respiratory failure that originally required ventilatory assistance, the patients became alert and showed stable vital sign, and arterial $O_2$ tension was adequated($PaO_2$ > 55 mmHg) with less than 40% of inspired oxygen fraction. We conducted a careful physical examination when the patients was breathing spontaneously through the endobronchial tube for 30 minutes. We terminated the trial if a patients was any of following signs of distress; cyanosis, diaphoresis, tachypnea(above 30 breaths per minute), and extreme tachycardia. Patients who had none of this features during spontaneous breathing for 30 minutes were extubated promptly. Result : 17 weaning trials of 15 patients were done in 42 mechanically ventilated patients. Successful weaning and extubation was possible in 14 trials of total 17 trials. In this 14 patients, 8 patients were extubated after 30 minutes spontaneous breathing, 3 patients were extubated after 60 minutes spontaneous breathing, and 3 patients needed over 3 hours for extubation from weaning. We found similar overall success rate compared with weaning following a 60 minutes spontaneous breathing trial. Conclusion : From the result of present study, we believe that weaning and extubation from mechanical ventilation following a 30 minutes spontaneous breathing with $O_2$ supply through the endotracheal tube is a simple and effective method.

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담백한 맛 이탈리아 빵 & 케이크

  • Korean Bakers Association
    • 베이커리
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    • no.8 s.445
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    • pp.82-89
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    • 2005
  • 웰빙(Well-being)바람을 타고 올리브 오일을 사용한 이탈리아 빵, 케이크에 대한 관심이 부쩍 높아졌다. 전통 이탈리아 제품부터 찹쌀, 올리브, 야채, 과일 , 초콜릿 등을 이용해 색다른 맛을 내는 응용제품까지 제과점에서 선보일 수 있는 제품을 폭넓게 소개한다.

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Influence of North Korean Defectors' self-enhancement bias to their psychological adaptation in South Korea (북한이탈주민의 자기고양 편파가 남한 내 심리적 적응에 미치는 영향)

  • Jung-Min Chae;Seong-Yeul Han
    • Korean Journal of Culture and Social Issue
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    • v.9 no.2
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    • pp.101-126
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    • 2003
  • The purpose of present study is to investigate what is the most important factor among personality, social relation perception, and cultural influence on North Korean Defectors' self-enhancement bias, and how their self-enhancement bias influences on their psychological adaptation in South Korea. To implement this, we compared the self-enhancement bias of South Korean undergraduates and North Korean Defector undergraduates, and social desirability, too. However, there was no significant result. Based on this outcome, we focused on 121 North Korean Defectors' self-enhancement bias mechanism. We found that personality and social relation perception factors influenced significantly on their self- enhancement bias and furthermore their self-enhancement bias affected on their psychological adaptation. In addition to this, we identified sex difference at this mechanism. That is, women showed the same pattern with the existing findings in the study of self-enhancement bias mechanism, but men showed somewhat different pattern.

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Evaluation of Effective Jamming/Deception Area of Active Decoy against Ground Tracking Radars on Dynamic Combat Scenarios (동적 교전 시나리오에서 지상 추적 레이다에 대한 이탈방사체의 효과적 재밍/기만 영역 분석)

  • Rim, Jae-Won;Lee, Sangyeob;Koh, Il-Suek;Baek, Chung;Lee, Seungsoo
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.28 no.4
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    • pp.269-278
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    • 2017
  • We analyze the jamming/deception performance of an active decoy against ground tracking radars on dynamic combat scenarios. Based on the movement and the interference flow of an airborne platform, the trajectories of the active decoy is accurately calculated by solving 6-degree of freedom equations of motion. On realistic combat scenarios, numerical simulations are examined to analyze the jamming performance of the decoy for various movements of the platform and RF specifications of the active decoy. Effective jamming/deception area against the ground tracking radars is estimated from the simulation.

A Physical-based Particle Method for Small Scale Feature in Multi-phase Fluid Simulation (다상 유체 시뮬레이션에서 격자 크기 이하의 미세한 특징 표현을 위한 물리기반 입자 기법)

  • Lee, Ho-Young;Hong, Jeong-Mo;Kim, Chang-Hun
    • Journal of Korea Multimedia Society
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    • v.12 no.3
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    • pp.445-450
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    • 2009
  • This paper presents a multi-phase fluid simulation that realistically represents small scale details. We achieve this by creating escaped particles based on physical methods. Escaped particles are the remained particles after correcting levelset. Generation of escaped particles in this paper differs from previous works; this fluid simulation is extended by adding lift force and drag force to positive escaped particles. And negative escaped particles represent droplet or splash effect; when they are merged into the negative levelset value, they affect the nodes' velocity (two-way coupling). This simulation that uses positive and negative escaped particles deals with detailed fluid motions dynamically in small scale.

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A study on the Hospital dropout of Discharged patients Using Data Mining (데이터마이닝 기법을 이용한 퇴원환자 이탈연구)

  • Ham, S.W.;Kim, E.Y.
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.405-406
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    • 2009
  • Introduction : 최근 의료기관 내 진료비 정산으로 인한 전산화사업이 적극 추진되면서 각 의료기관은 생성된 자료의 목적과는 무관하게 대량의 자료를 지니고 있으면서도 병원경영과 관련하게 자료를 활용하고 있지 못하다.Objectives : 병원 입원환자의 데이터를 분석하여 입원환자의 이탈요인을 파악하여 이탈을 방지하고 지속적인 의료서비스를 제공할 수 있도록 하고자 한다. Method : 본 연구는 일개병원을 퇴원환자를 대상으로 2006년 1월 1일~2007년 12월 31일 동안의 퇴원환자 데이터를 기반으로 연구되었다. 퇴원환자 38,359명의 병원데이터 베이스를 기반으로 동일 연구기간 외래 누적데이터 375,659건의 외래환자 데이터와 비교하여 퇴원환자 중 재입원 예약 및 외래진료 예약 부도여부를 비교하는 후향적 연구를 수행하였다. 2008년 1월 1일 기준 재입원 예약 및 외래진료 예약부도 발생여부를 기준으로 계속진료환자 그릅과 이탈환자그룹을 생성하였다. 중복을 제거한 총 대상은 3,503명이였다. Discussion :본 연구에서 얻어진 결과를 기초로 퇴원환자의 이탈률이 높은 환자그룹을 집중 관리하여 이탈을 방지하고 관심을 갖고 향후 잠재적 이탈 고객을 다시 유입할 수 있는 많은 방안들이 마련되어야 할 것이다.

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Comparison of North & South Korea Using Anthropometric Measurements of North Korea Detectors - North Korean Detectors at an Educational Institute(Hanawon) in South Korea (북한 이탈 주민의 신체 계측치를 이용한 남북한 비교 연구-하나원 훈련생들을 중심으로)

  • Mun, Ok-Ryun;Baek, Ji-Eun;Kim, Dong-Sik;Lee, Cheol-Hyeong
    • Journal of Korea Association of Health Promotion
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    • v.2 no.2
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    • pp.127-136
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    • 2004
  • 본 연구에서는 2003년 6월~2003년 12월 사이에 탈북적응훈련 교육원에 입소한 854명의 북한 이탈주민들의 신체 계측치를 이용하여 북한 이탈주민들의 체질량지수(BMI)를 파악함으로써 북한 주민들의 건강상태를 간접적으로 유추하였다. 연구결과 신장은 전 연령에서 남한이 북한보다 컸으며, 남한주민의 체중이 북한보다 많았다. 또한, 20세 이상 남북한 주민의 BMI 분포를 연령별로 보면 북한 이탈 남성의 경우 55세 이상 연령집단에서과체중 현상을 보였으나, 남한의 남성은거의 모든 연령집단에서 과체중인 것으로 나타났다. 북한 이탈 여성의 경우 45-54세와 70-74세에서 과체중 및 1단계 비만을 보였지만, 남한 여성의 경우 40-44세, 50-74세는 과체중, 45-49세는 1단계비만으로 나타났다. 최근의 북한 이탈주민들일수록 신장, 체중 모두 작았다. 본 연구결과에 따르면 북한 이탈주민들은 식량부족사태가 있기 이전부터 이미 남한과 신체 계측치에서 차이를 보였으며,1980년 말부터 시작된 식량난과 1990년대 중반에 지속적으로 일어난 자연재해 등으로 인해 북한 주민들은 더 왜소화되고 만성적 영양결핍상태가 더욱 만연해지고 있음을 알 수 있다.

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The Factor Influencing to the Effectiveness of Prevention Policies of the Criminal Victimization of North Korean Defectors (북한이탈주민 범죄피해 예방정책의 효과성에의 영향요인)

  • Lim, Chang-Ho;Kim, Yun-Young
    • Korean Security Journal
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    • no.51
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    • pp.223-249
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    • 2017
  • The purpose of this study is to analyze the actual situation of crime victimization by North Korean defectors and to examine whether any of the protection and support systems for defectors has a statistically significant effect on the perceived effectiveness for preventing the criminal victimization of North Korean Defectors. The subjects of this study were 107 police officers from the 17 provincial police departments. Independent variables were (1) social adaptation education in Hanawon, (2) protection officer system, (3) legal support system, (4) private participation system, (5) support for family life, (6) community participation activity. And the dependent variable is the crime prevention effectiveness for the defectors. As a result of multiple regression analysis, it was found that the independent variables that have a significant effect on the effectiveness of prevention of crime victimization were protection officer system and support for family life. First, in order to prevent the crime victimization of North Korean defectors in advance, three kinds of protection officer system that will be received after the transfer of the residence should play the role successfully. Second, the efforts of the government and municipalities alone are insufficient for the early settlement of North Korean defectors. Therefore, it is necessary to diversify the support and protection programs for North Korean refugees through cooperation with civic organizations. Third, it is necessary to expand the legal education time so that North Korean defectors do not suffer crime because of lack of legal knowledge. Fourth, in order to prevent North Korean defectors from being victimized by various kinds of crime, it is necessary to actively support them so that family life can be stabilized.

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이탈리아 미래 방위세부계획

  • Korea Defense Industry Association
    • Defense and Technology
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    • no.7 s.125
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    • pp.46-55
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    • 1989
  • 이탈리아 국방전략연구센터는 초강대국 사이의 협상 전망과 INF협상이 국방정세에 미칠 결과에 대해 심도있는 연구를 하였다. 이 연구결과를 기초로 하여 앞으로 10년동안 수행될 주요단계를 다룬 이탈리아 국방현대화계획을 수립하였다. 주요 관심분야는 대공 방위, 이탈리아 남부지방의 해상방위, 육군의 기동력 증강 그리고 모든 분야에 걸친 하부 조직의 개선이다. 소요기금은 국가 지출의 논리적 한계를 참작하여 수립한 계획표에 의해 조달될 것이다

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반도체 생산 기준정보 테이블을 이용한 이탈처리 분석시스템

  • Kim Tae-Jin;Han Yeong-Sin;Lee Chil-Gi
    • Proceedings of the Korean Society Of Semiconductor Equipment Technology
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    • 2006.05a
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    • pp.121-126
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    • 2006
  • 본 연구는 반도체 산업의 공정에서 자동화를 위한 Solution 개발에 초점을 두었다. Spec-out(불량)이 발생하였을 경우에 엔지니어가 원인을 분석하고 조치를 취하던 이전의 방식을 탈피하여 Expert Knowledge Base System의 On-Line방식으로 전환하고자 한다. 이러한 시스템을 구축하기 위해 공정과 계측간에 발생하는 파라메터들의 상관관계를 수학적으로 도출하였으며, 상관관계들을 이용하여 이탈 발생시 처리를 하기 위한 Rule을 구성하였다. 그리고 이 Rule들을 바탕으로 이탈발생의 원인을 분석하는 추론 시스템을 구성하여 즉각적이고 신속하게 처리를 하기 위한 이탈처리 분석 시스템을 구성하는 방법을 연구하였다.

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