• Title/Summary/Keyword: Closure

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Perception of Good Death among Nursing Students (간호대학생의 좋은 죽음 인식)

  • Il-hoon Yun;Weon-Hee Moon;Su-Jeong Park
    • Journal of Advanced Technology Convergence
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    • v.2 no.2
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    • pp.23-30
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    • 2023
  • This study is a descriptive research study conducted to find out the level of perception of the good death among nursing students and compare sub-factors among the perceptions of a good death. As for the research method, 102 people who explained the purpose of the study and agreed to participate were conveniently recruited. As a research tool, 'Measure of concept of a Good Death' by Schwartz et al. (2003) was translated by Lee (2017), and the research was conducted through online. For data analysis, statistical techniques such as descriptive statistics, frequency analysis, t-test, and one-way ANOVA of the IBM SPSS Statistics 26 program were used. Factors showing average differences in scores for each of the three sub-factors of good death awareness were derived from the experience of clinical practice. The mean of good death (3.13±0.36 points) of nursing students who experienced clinical practice was statistically significantly higher than that of students without clinical practice experience (2.90±0.31 points) (t=3.156, p=.002). In particular, the mean of good death for 'closure' was statistically significantly higher for those with experience in clinical practice (3.46±0.39 points) than those without experience (3.16±0.37 points) (t=3.476, p=.001). Through this study, it was confirmed that nursing students' perception of a good death differed depending on whether or not they were in clinical practice. The results of this study are expected to provide basic data for the establishment of effective educational strategies for the perception of good death in nursing students.

Characteristics of Water Level and Velocity Changes due to the Propagation of Bore (단파의 전파에 따른 수위 및 유속변화의 특성에 관한 연구)

  • Lee, Kwang Ho;Kim, Do Sam;Yeh, Harry
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.5B
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    • pp.575-589
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    • 2008
  • In the present work, we investigate the hydrodynamic behavior of a turbulent bore, such as tsunami bore and tidal bore, generated by the removal of a gate with water impounded on one side. The bore generation system is similar to that used in a general dam-break problem. In order to the numerical simulation of the formation and propagation of a bore, we consider the incompressible flows of two immiscible fluids, liquid and gas, governed by the Navier-Stokes equations. The interface tracking between two fluids is achieved by the volume-of-fluid (VOF) technique and the M-type cubic interpolated propagation (MCIP) scheme is used to solve the Navier-Stokes equations. The MCIP method is a low diffusive and stable scheme and is generally extended the original one-dimensional CIP to higher dimensions, using a fractional step technique. Further, large eddy simulation (LES) closure scheme, a cost-effective approach to turbulence simulation, is used to predict the evolution of quantities associated with turbulence. In order to verify the applicability of the developed numerical model to the bore simulation, laboratory experiments are performed in a wave tank. Comparisons are made between the numerical results by the present model and the experimental data and good agreement is achieved.

Numerical Investigations of Vorticity Generation in Fully Vegetated Open-Channel Flows (수치모의를 이용한 전단면 식생 수로에서의 와도 생성 분석)

  • Kang, Hyeongsik
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.2B
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    • pp.179-189
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    • 2010
  • This paper presents a numerical investigation of vorticity generation in fully vegetated open-channel flows. The Reynolds stress model is used for the turbulence closure. Open-channel flows with rough bed-smooth sidewalls and smooth bed-rough sidewalls are simulated. The computed vectors show that in channel flows with rough bed and rough sidewalls, the free-surface secondary currents become relatively smaller and larger, respectively, compared with that of plain channel flows. Also, open-channel flows over vegetation are simulated. The computed bottom vortex occupies the entire water depth, while the free-surface vortex is reduced. The contours of turbulent anisotropy and Reynolds stress are presented with different density of vegetation. The budget analysis of vorticity equation is carried out to investigate the generation mechanism of secondary currents. The results of the budget analysis show that in plain open-channel flow, the production by anisotropy is important in the vicinity of the wall and free-surface boundaries, and the production by Reynolds stress is important in the region away from the boundaries. However, this rule is not effective in vegetated channel flows. Also, in plain channel flows, the vorticity is generated mainly in the vicinity of the free-surface and the bottom, while in vegetated channel flows, the regions of the bottom and vegetation height are important to generate the vorticity.

A Real Situation Experimental Study on The Thermal Protection Performance of Firefighter Clothes and Gloves (소방방화복 및 소방장갑의 열 보호 성능에 대한 실제 화재 실험 연구)

  • Lee, Won Jae;Kang, Gu Hyun;Jang, Yong Soo;Kim, Wonhee;Choi, Hyun Young;Kim, Jae Guk;Kim, MinJi;Seo, Kyo;kim, Do hee;Lee, Joo-young;Choi, Jung Yoon
    • Journal of the Korean Burn Society
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    • v.21 no.1
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    • pp.17-21
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    • 2018
  • Purpose: This study aimed to evaluate the thermal protective function of firefighter clothes and gloves through real scale fire simulations. Methods: Firstly, the fire simulation by real scale flame was performed for firefighter clothes. A manikin equipped with firefighter clothes was directly exposed to flames which energy average is 84 Kw/m2. for 22 seconds. Heat flux gauges attached on the body measured surface temperature elevation. Secondly, we also performed the other fire simulation by hot plate exposure to firefighter gloves. Firefighter gloves with heat flux gauges exposed hot plate which temperature is 300℃ in both dry and moist conditions. Primary outcome was surface temperature change of manikin body (first simulation) and hand (second simulation) over times. Results: In the first flame simulation, the surface temperature of face and shoulders elevated more rapidly comparing with the other body surface area when initial period of flame shutter open. After 18sec of shutter open, the surface temperature of upper trunk elevated rapildy. After shutter closure, high surface temperature kept continuously on right side of face and left shoulder. In the second hot plate simulation, fingers and palms showed higher surface temperature than the other areas of hands in the both dry and wet conditions. Conclusion: This study suggests that the real scale flame enables firefighter clothes to lose their heat protective function suddenly after 18 seconds. Additionally, the protective function of firefighter gloves were relatively weaker in the palmar side of fingers than the other parts of hand. There should be additional study for evaluate thermal protection performance of firefighter clothes. And, further effort for reinforce palmar side of fingers of firefighter gloves should be done.

Applications of the Fast Grain Boundary Model to Cosmochemistry (빠른 입계 확산 수치 모델의 우주화학에의 적용)

  • Changkun Park
    • Korean Journal of Mineralogy and Petrology
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    • v.36 no.3
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    • pp.199-212
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    • 2023
  • Diffusion is a powerful tool to understand geological processes recorded in terrestrial rocks as well as extraterrestrial materials. Since the diffusive exchange of elements or isotopes may have occurred differently in the solar nebula (high temperature and rapid cooling) and on the parent bodies (fluid-assisted thermal metamorphism at relatively low temperature), it is particularly important to model elemental or isotopic diffusion profiles within the mineral grains to better understand the evolution of the early solar system. A numerical model with the finite difference method for the fast grain boundary diffusion was established for the exchange of elements or isotopes between constituent minerals in a closed system. The fast grain boundary diffusion numerical model was applied to 1) 26Mg variation in plagioclase of an amoeboid olivine aggregate (AOA) from a CH chondrite and 2) Fe-Mg interdiffusion between chondrules, AOA, and matrix minerals in a CO chondrite. Equilibrium isotopic fractionation and equilibrium partitioning were also included in the numerical model, based on the assumption that equilibrium can be reached at the interfaces of mineral crystals. The numerical model showed that diffusion profiles observed in chondrite samples likely resulted from the diffusive exchange of elements or isotopes between the constituent minerals. This study also showed that the closure temperature is determined not only by the mineral with the slowest diffusivity in the system, but also strongly depends on the constituent mineral abundances.

Management and Outcome of Intracranial Dural Arteriovenous Fistulas That Have Caused a Hemorrhage in the Posterior Fossa : A Clinical Study

  • Rifat Akdag;Ugur Soylu;Ergun Daglioglu;Ilkay Akmangit;Vedat Acik;Ahmet Deniz Belen
    • Journal of Korean Neurosurgical Society
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    • v.66 no.6
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    • pp.672-680
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    • 2023
  • Objective : We evaluated the diagnosis, treatment, and long-term results of patients with dural arteriovenous fistula (dAVF), which is a very rare cause of posterior fossa hemorrhage. Methods : This study included 15 patients who underwent endovascular, surgical, combined, or Gamma Knife treatments between 2012 and 2020. Demographics and clinical features, angiographic features, treatment modalities, and outcomes were analyzed. Results : The mean age of the patients was 40±17 years (range, 17-68), and 68% were men (11/15). Seven of the patients (46.6%) were in the age group of 50 years and older. While the mean Glasgow coma scale was 11.5±3.9 (range, 4-15), 46.3% presented with headache and 53.7% had stupor/coma. Four patients (26.6%) had only cerebellar hematoma and headache. All dAVFs had cortical venous drainage. In 11 patients (73.3%), the fistula was located in the tentorium and was the most common localization. Three patients (20%) had transverse and sigmoid sinus localizations, while one patient (6.7%) had dAVF located in the foramen magnum. Eighteen sessions were performed on the patients during endovascular treatment. Sixteen sessions (88.8%) were performed with the transarterial (TA) route, one session (5.5%) with the transvenous (TV) route, and one session (5.5%) with the TA+TV route. Surgery was performed in two patients (14.2%). One patient (7.1%) passed away. While there were nine patients (64.2%) with a Rankin score between 0 and 2, the total closure rate was 69.2% in the first year of control angiograms. Conclusion : In the differential diagnosis of posterior fossa hemorrhages, the differential diagnosis of dAVFs, which is a very rare entity, should be considered, even in the middle and elderly age groups, in patients presenting with good clinical status and pure hematoma. The treatment of such patients can be done safely and effectively in a multidisciplinary manner with a good understanding of pathological vascular anatomy and appropriate endovascular treatment approaches.

Comparison of mean airflow rate before and after treatment in patients with sulcus vocalis according to aerodynamic analysis methods (성대구증 환자의 공기역학적 검사 방법에 따른 치료 전과 후의 평균호기류율 비교)

  • Seung Yeon Lee;Hong-Shik Choi;Jaeock Kim
    • Phonetics and Speech Sciences
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    • v.15 no.4
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    • pp.61-69
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    • 2023
  • Sulcus vocalis is characterized by incomplete closure of the vocal folds, with a high mean airflow rate (MFR) as a distinctive feature. The MFR is measured using two aerodynamic analysis methods [the maximum sustained phonation protocol (MXPH) and voicing efficiency protocol (VOEF)] of the phonatory aerodynamic system (PAS), and the results may vary depending on the method. This study compared the differences in MFR before and after treatment (microsurgery and voice therapy) according to the MXPH and VOEF of the PAS in 30 patients with sulcus vocalis. Additionally, we examined whether there were differences in the subjective voice evaluation (voice handicap index, VHI), perceptual voice evaluation (GRBS), and fundamental frequency (F0) before and after treatment. The results showed significant differences between the two methods, both before and after treatment, in patients with sulcus vocalis. However, there were no significant differences by methods in the changes before and after treatment. The VHI and GRBS scores significantly decreased after treatment; however, F0 showed no significant differences before and after treatment. This study indicates that when evaluating MFR changes in patients with sulcus vocalis, it is acceptable to use either aerodynamic analysis (MXPH or VOEF).

Comparative Analysis for Survival Period of Innovative SMEs and General SMEs (혁신형 중소기업과 일반 중소기업의 생존기간 비교분석)

  • Lee, Jun-won
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.18 no.1
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    • pp.225-236
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    • 2023
  • Policy implications were derived by comparing/analyzing innovative SMEs and general SMEs that obtained innovation certification from 2015 to 2021 in terms of survival period. Work experience, scale (employment, capital and debt size, sales and operating profit) Korean standard industry classification (2 digit) was used to select general SMEs similar to innovative SMEs. Survival period was calculated by defining suspension, closure and overdue equivalent to default as events. As a result of the survival analysis, innovative SMEs showed a 9.8% reduction in the risk of delinquency compared to general SMEs, indicating that the survival period of innovative SMEs was significantly longer. In addition, it was found that the work experience and size (employment, capital) of SMEs had a positive effect on the survival period, but debt had a negative effect on the survival period. This means that the innovation certification system centered on innovation capabilities and future growth potential is a significant indicator in terms of survival period. As a result, it was concluded that the benefits and support policies provided by the innovation certification system need to be more systematic and sophisticated by reflecting the work experience and industry for the actual growth and survival of SMEs.

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The Effect of Technology Orientation and Market Orientation on Managerial Performance of Technology Start-Up: Focusing on the Moderating Effect of Location Environment (기술창업기업의 기술지향성과 시장지향성이 경영성과에 미치는 영향: 입지환경 조절효과를 중심으로)

  • Yoon, Jae-Man;Choi, Jong-In
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.18 no.2
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    • pp.95-111
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    • 2023
  • Korea has achieved a high startup rate by promoting government-led startup policies for national economic and industrial development. However, as high as the startup rate is, the closure rate of startup companies can be judged to be insufficient for the qualitative growth of the domestic startup ecosystem. This study aims to investigate how to improve the survival rate of startups by overcoming the valley of death from a location environment perspective. It analyzes the effects of technology orientation and market orientation of start-ups on management performance and the moderating effects of economic, accessibility, and network factors that constitute the location environment. To achieve the research objectives, the empirical analysis was conducted on start-up companies that received corporate support projects from innovation intermediary organizations. The results show that R&D capability of technology orientation has a significant effect on management performance, and market information generation and market information response of market orientation have a significant effect on management performance. As for the moderating effect, accessibility, a sub-factor of the location environment, has a positive moderating effect on the relationship between technological innovation and managerial performance, and the location environment (economy, accessibility, and network) has a positive moderating effect on the relationship between market information generation and managerial performance. This study compared and analyzed previous studies on the success and failure of start-ups and identified common factors. In addition, this study provides policy implications for the sustainable growth of startups through empirical analysis and interview with stakeholders. For future research, it is necessary to compare and analyze start-ups in metropolitan areas and non-metropolitan areas. In addition, it is necessary to study startups that have moved out of the region and into the metropolitan area to find ways to develop the regional startup ecosystem.

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Correct Closure of the Left Atrial Appendage Reduces Stagnant Blood Flow and the Risk of Thrombus Formation: A Proof-of-Concept Experimental Study Using 4D Flow Magnetic Resonance Imaging

  • Min Jae Cha;Don-Gwan An;Minsoo Kang;Hyue Mee Kim;Sang-Wook Kim;Iksung Cho;Joonhwa Hong;Hyewon Choi;Jee-Hyun Cho;Seung Yong Shin;Simon Song
    • Korean Journal of Radiology
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    • v.24 no.7
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    • pp.647-659
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    • 2023
  • Objective: The study was conducted to investigate the effect of correct occlusion of the left atrial appendage (LAA) on intracardiac blood flow and thrombus formation in patients with atrial fibrillation (AF) using four-dimensional (4D) flow magnetic resonance imaging (MRI) and three-dimensional (3D)-printed phantoms. Materials and Methods: Three life-sized 3D-printed left atrium (LA) phantoms, including a pre-occlusion (i.e., before the occlusion procedure) model and correctly and incorrectly occluded post-procedural models, were constructed based on cardiac computed tomography images from an 86-year-old male with long-standing persistent AF. A custom-made closed-loop flow circuit was set up, and pulsatile simulated pulmonary venous flow was delivered by a pump. 4D flow MRI was performed using a 3T scanner, and the images were analyzed using MATLAB-based software (R2020b; Mathworks). Flow metrics associated with blood stasis and thrombogenicity, such as the volume of stasis defined by the velocity threshold ($\left|\vec{V}\right|$ < 3 cm/s), surface-and-time-averaged wall shear stress (WSS), and endothelial cell activation potential (ECAP), were analyzed and compared among the three LA phantom models. Results: Different spatial distributions, orientations, and magnitudes of LA flow were directly visualized within the three LA phantoms using 4D flow MRI. The time-averaged volume and its ratio to the corresponding entire volume of LA flow stasis were consistently reduced in the correctly occluded model (70.82 mL and 39.0%, respectively), followed by the incorrectly occluded (73.17 mL and 39.0%, respectively) and pre-occlusion (79.11 mL and 39.7%, respectively) models. The surfaceand-time-averaged WSS and ECAP were also lowest in the correctly occluded model (0.048 Pa and 4.004 Pa-1, respectively), followed by the incorrectly occluded (0.059 Pa and 4.792 Pa-1, respectively) and pre-occlusion (0.072 Pa and 5.861 Pa-1, respectively) models. Conclusion: These findings suggest that a correctly occluded LAA leads to the greatest reduction in LA flow stasis and thrombogenicity, presenting a tentative procedural goal to maximize clinical benefits in patients with AF.