• Title/Summary/Keyword: Advanced life-support

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A case on the Evaluation of the Effectiveness of Model based Configuration Management System for Small/ Medium-Sized Plant (모델 기반 중소형 플랜트 형상관리 시스템의 효과성 평가 사례)

  • Ha, Ga Yeon;Kim, Jinil;Shin, Junguk;Yeom, Choong Sub
    • Journal of the Korean Society of Systems Engineering
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    • v.17 no.1
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    • pp.107-113
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    • 2021
  • Plant Configuration Management(CM) is an activity to maintain consistency of design requirements, physical configuration, facility configuration information throughout the life cycle of the plant by systematically managing changes that occur during the plant design and operation process. Conformity between information must be ensured not only in the design stage, but also in the case of design changes in the operation and maintenance stages, and thus a computer system capable of efficiently managing them is required. In particular, in consideration of an application to small and medium-sized domestic plants, a computer system that can support configuration management at a low cost is needed. Accordingly, in this study, a configuration management system has been developed to support the management of plant design information and change procedures in the operation stage of small and medium-sized plants. Here, a case for quantitatively evaluating the effectiveness of the developed system is described.

Ball-Bearing Selection Considering Flexibility of Shaft-Bearing System (축-베어링 시스템의 연성 특성을 고려한 볼 베어링의 선정)

  • 윤기찬;최동훈
    • Tribology and Lubricants
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    • v.16 no.1
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    • pp.39-45
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    • 2000
  • In this paper, the effects of shaft and bearing flexibilities are investigated for the accurate modeling of a shaft-bearing system supported by ball bearings. Generally, rolling bearings are modeled by simple rigid pin-joint in the mechanical design. However, they can no longer be modeled by ideal boundary conditions in the advanced applications because the rigid pin-joint model cannot satisfy the current trends of mechanical design decreasing mass and reducing volume. Consequently the flexible support model of ball bearing is investigated using the static analysis module developed by A .B. Jones and T. A. Harris. A simple two-bearing system, supported by two deep groove ball bearings and radially loaded on the shaft midway between the bearings, is utilized to validate the coupled model of shaft-bearing system. Numerical computations using the model indicate that the shaft span length, locating/floating bearing arrangements and applied bearing size are significant factors in determining the mechanical behaviors. The flexible support model of ball bearing can be escaped to over-estimate in the bearing fatigue life. The proposed simple design formulation obtained by numerical simulations can approximately predict a rate of bearing life reduction as a function of shaft span length/shaft diameter (L/d).

Cardiopulmonary Resuscitation: New Concept

  • Lee, Kwang-Ha
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.5
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    • pp.401-408
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    • 2012
  • Cardiopulmonary resuscitation (CPR) is a series of life-saving actions that improve the chances of survival, following cardiac arrest. Successful resuscitation, following cardiac arrest, requires an integrated set of coordinated actions represented by the links in the Chain of Survival. The links include the following: immediate recognition of cardiac arrest and activation of the emergency response system, early CPR with an emphasis on chest compressions, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care. The newest development in the CPR guideline is a change in the basic life support sequence of steps from "A-B-C" (Airway, Breathing, Chest compressions) to "C-A-B" (Chest compressions, Airway, Breathing) for adults. Also, "Hands-Only (compression only) CPR" is emphasized for the untrained lay rescuer. On the basis of the strength of the available evidence, there was unanimous support for continuous emphasis on high-quality CPR with compressions of adequate rate and depth, which allows for complete chest recoil, minimizing interruptions in chest compressions and avoiding excessive ventilation. High-quality CPR is the cornerstone of a system of care that can optimize outcomes beyond return of spontaneous circulation (ROSC). There is an increased emphasis on physiologic monitoring to optimize CPR quality, and to detect ROSC. A comprehensive, structured, integrated, multidisciplinary system of care should be implemented in a consistent manner for the treatment of post-cardiac arrest care patients. The return to a prior quality and functional state of health is the ultimate goal of a resuscitation system of care.

Effect of Simulation-based Advanced Cardiopulmonary Life Support Education for Nursing Students Hospitals (간호학생을 대상으로 한 시뮬레이션기반 전문심장소생술 교육의 효과)

  • Jung, Hyo-Ju;Chae, Min-Jeong
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.127-143
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    • 2015
  • Objectives : This study is a quasi-experiment with a pre-post design and a nonequivalent control group performed from May 1 to June 2, 2013 to verify the effects of a simulation based education program on nursing students' self-confidence, and clinical performance ability. Methods : The subjects of the study were a total of 60 students in their fourth year of a nursing program at a university located in G city and they were assigned to an experimental group of 30 students and a control group of 30 students by convenience sampling. Results : After being offered education, self-confidence, and clinical performance ability were significantly more improved than before in each group. In the comparison of the two groups, the self-confidence (t=3.00, p=.004) and clinical performance ability(t=3.14, p=.003) of the experiment group were significantly higher than those of the control group. Conclusions : The results indicated that instructional methods using a simulation-based emergency care program should be adopted maximize the effects of advanced cardiopulmonary life support education.

Development of Web-based Learning Program on Cardiopulmonary Emergency Care Focused on Clinical Scenarios (웹기반 사례중심 심폐응급간호 학습 프로그램 개발)

  • Kim, Eun-Jung;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.70-79
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    • 2010
  • Purpose: This study was conducted to develop a Web-based learning program on cardiopulmonary emergency care for clinical nurses and to evaluate learners' responses. Methods: Based on the assessment of learning needs of clinical nurses, a total of three self-directed learning modules were developed according to the procedure of the ADDIE (assessment, design, development, implementation, & evaluation) model. Results: Each learning module included the emergency treatments and drugs used in the real patients' situations with cardiopulmonary crisis, which had been adopted from the emergency department of a C University hospital located in G-city. Real video clips for endotracheal intubation and ACLS (advanced cardiac life support) were developed with the help of the staff of the department of emergency medicine using a human simulator, $SimMan^{(R)}$. The program published on the Web was evaluated by 20 clinical nurses who are working in the emergency department and wards of a C-University hospital. About 80% of the respondents were satisfied with the program contents, design, and learning strategy. Conclusions: Web-based learning programs on cardiopulmonary emergency care are needed for clinical nurses as educational material for staff education to increase their knowledge for making immediate clinical decisions and in giving skilled care in emergency situations.

A phenomenological study on pre-hospital care of 119 EMT (119구급대원의 현장 및 이송 중 응급처치 경험에 대한 현상학적 연구)

  • Hye-ji, Kwon;Young-jeon, Shin
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.71-91
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    • 2022
  • Purpose: This study aimed to provide baseline data for implementing advanced life-support for 119EMTs. This is done with an in-depth examination of the emergency care experiences of the 119EMTs on-site and during transportation. Methods: Interviews were conducted with twelve 119EMTs, and the data were analyzed using the phenomenological method. Results: The 34 topics had 19 sub-components and were analyzed according to seven categories: 'A work environment where you cannot focus only on emergency care on-site and during transportation', '119EMTs struggling with manpower shortage', 'Current status of education blocking the upward standardization of 119EMT', 'Implementation of professional emergency care was held back due to the limited legal scope of 119EMT', 'Medical oversight makes it difficult to implement emergency care due to low flexibility', '119EMTs who cannot choose hospital selection and find it difficult to receive help', 'An evaluation system not reflecting reality at all that only leaves high scores'. Conclusion: This study was undertaken to implement specialized emergency care for 119EMTs; not only the necessity of reviewing the expansion of the work scope of 119EMTs but also the necessity of effective 'Medical Oversight system' reorganization raised as well.

Life cycle cost analysis and smart operation mode of ground source heat pump system

  • Yoon, Seok;Lee, Seung-Rae
    • Smart Structures and Systems
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    • v.16 no.4
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    • pp.743-758
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    • 2015
  • This paper presents an advanced life cycle cost (LCC) analysis of a ground source heat pump (GSHP) system and suggests a smart operation mode with a thermal performance test (TPT) and an energy pile system constructed on the site of the Incheon International Airport (IIA). First, an economic analysis of the GSHP system was conducted for the second passenger terminal of the IIA considering actual influencing factors such as government support and the residual value of the equipment. The analysis results showed that the economic efficiency of the GSHP system could be increased owing to several influential factors. Second, a multiple regression analysis was conducted using different independent variables in order to analyze the influence indices with regard to the LCC results. Every independent index, in this case the initial construction cost, lifespan of the equipment, discount rate and the amount of price inflation can affect the LCC results. Third, a GSHP system using an energy pile was installed on the site of the construction laboratory institute of the IIA. TPTs of W-shape and spiral-coil-type GHEs were conducted in continuous and intermittent operation modes, respectively, prior to system operation of the energy pile. A cooling GSHP system in the energy pile was operated in both the continuous and intermittent modes, and the LCC was calculated. Furthermore, the smart operation mode and LCC were analyzed considering the application of a thermal storage tank.

An Exploration of Factors Influencing College Students' Academic and Social Adjustment

  • Lee, Jee Young
    • International Journal of Advanced Culture Technology
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    • v.4 no.4
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    • pp.13-22
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    • 2016
  • The purpose of this study is to identify the characteristics of school life and to examine the influencing factors of academic adjustment and social adjustment in university students. This cross-sectional descriptive study by using secondary data from 2,064 subjects who responded to a self-rated student adjustment test. Descriptive, t-test, ANOVA, Pearson correlation and multiple regression analyses were conducted. Satisfaction with college selection, expectation for college, satisfaction with college service, emotional stability, and relationships with faculty were significantly higher among male students, whereas confidence in major, support from others were significantly higher among the female students. There was a significant positive relationship between academic adjustment and confidence in major, and between social adjustment and expectation for college. Confidence in major, relationships with faculty, emotional stability, expectation for college, satisfaction with college selection, and commitment to college life accounted for 31.8% of the variance in academic adjustment. In addition expectation for college, emotional stability, support from others, gender, commitment to college life, and satisfaction with college services accounted for 44.7% of the variance in social adjustment for university students. Overall, the results of this study suggest that understanding the levels of expectation for college, commitment to college life, and levels of emotional stability may be important for facilitating their transition and adjustment to university life.

Constructing Mock-up House and Evaluating Field Application for Development of Standard Long-Life Housing Model (장수명 공동주택 표준모델 개발을 위한 실험주택 건립과 현장적용성 평가)

  • Chin, Ju-Won;Jang, Han-Doo;Choi, Kyoung-Lyoul;Park, Joon-Young
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.11a
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    • pp.167-172
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    • 2008
  • The ultimate objective of this research is to develop the technologies for the construction of 100-year housing as the first task for improving housing environments. The technological development of 100-year housing makes it possible to advance construction technologies and part development, to develop long-life housing with durability and Flexibility responding to customers' needs for future living space. At first, for this purpose, the applications according to the types of the Standard Model of Long-life Housing are proposed to respond to the life-cycle of near-future demographic and social structure, and the construction of the Mock-up House execute based on the location selected during the 2nd year and the basic plan. Then the Standard Model of Long-life Housing are advanced and proposed through evaluating the field applicability of the Mock-Up House.

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A Study on the SociodemographicCharacteristics and Life Satisfaction of Family Caregivers

  • Lim, Ahn-Na;Park, Young-Suk
    • International journal of advanced smart convergence
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    • v.7 no.3
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    • pp.140-145
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    • 2018
  • This study is based on the National Pension Research Institute's 2013 Korean Retirement and Income Study(KReIS) 5 Data for Parents and Children Care over 50 years old and analyzed the satisfaction level of life according to the characteristics of 226 people in society. The results showed that women were more satisfied with their lives than men, and when the age was lower, when they had spouses, and when they had independent economic power. As for the grandchildren caring provider, the higher the education levels, the higher the satisfaction with life. And across all areas, the grandchildren care provider showed greater satisfaction with life than the parents care provider. These results show that the burden of the parents' carers is as great as that. Suggestions based on these results are as follows. First, It is necessary to develop a health care program that can be easily accessed by family carers. Second, Direct economic support is needed, with the primary focus being on family carers. Third, services targeting parents care providers are needed. It is also necessary to form a network that can share the difficulties of parental care.