• Title/Summary/Keyword: Critical Line

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Critical Pathway Development for the Hysterectomy Patients and its applied Effect (자궁적출술 환자를 위한 critical pathway 개발과 적용효과)

  • Noh, Gi-Ok;Park, Kyung-Sook
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.234-257
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    • 2000
  • At present in the medical care, the study and effort for producing health service to consider efficiency, effectiveness, and quality are urgently called for because of the difficulty in the keen competition according to the inter- nationalization and opening, the operation in the medical institution service testing system, the change in the medical policy of KDRGs, and the lack of the health care cost increasing rate. As an alternative, the case management for the new management system is introduced in the U.S., and the Critical Pathway that is the method designing the contents of activity and its result has been developed and applied in order to anticipate and manage the patient-outcome for the realization of the cost-effective case-management. Thus, this study intended to analyze the effectiveness to obtain by developing the Critical Pathway presented as the method to improve the quality-betterment and cost effectiveness through the continuous and consistent patient management for the hysterectomy patient and applying it to the real practice. As a study method, this author formed a conceptual framework through considering five Critical Pathway used in the current U.S. and three Critical Pathway presented in the literature to develop the Critical Pathway for the hysterectomy patient, and made out the preliminary Critical Pathway through reviewing the old chart. This author made the verified the validity of the expert group about the developed Critical Pathway, and to confirm the possibility of practice application, completed and settled the final Critical Pathway after using the Critical Pathway to the hysterectomy patient from March 1st to 15th, 1997. Finally, to analyze the application-effect of the developed Critical Pathway, this author offered health care service applying the Critical Pathway to the hysterectomy patient from April 15th to August 31th, 1997. The guide for the Critical Pathway was carried out in advance by outpatient setting nurse for outpatient setting visit before the operation, and after hospitalization the primary nurse monitored the execution degree on the every duty. After discharge this author surveyed the complication through phone visiting, and one month after discharge surveyed the patient's reaction about the offered service when outpatient setting visit and analyzed the result. The source for health care cost was obtained by the statistics about the hospital charge which was offered by the General Business Department. The results were as follows. 1. It was decided that the vertical line of the Critical Pathway was made up of eight items such as monitoring/assessment, treatment, line/drains, activity, medication, lab test, diet, patient teaching, and the horizontal line of the Critical Pathway was made up of from hospitalization to discharge. 2. After the analysis of service contents through reviewing the old chart, it was decided that the horizontal line of the preliminary Critical Pathway was made up of from hopitalization to fourth postoperative day, and the vertical line of it was divided into eight items which were the contents to occur with the time frame of the horizontal line. 3. After the verifying the validity of the expert group about the preliminary Critical Pathway, the horizontal line was amended from hopitalization to third postoperative day, and taking their consensus, some contents of the horizontal line was amended and deleted. 4. From March 1st to 15th, 1997, to confirm the clinical suitability, this author offered eight hysterectomy patients the medical service through the Critical Pathway. The result was that three of them could be discharged at the expected discharge day, and the others later than that day. Supplementing the preliminary Critical Pathway through analyzing the cause of that delay- case, this author developed the final Critical Pathway. 5. There were no significant differences between the experimental and the control group in the incidence of complication(P > 0.05). 6. The 92.4% of experimental group was satisfied with the Critical Pathway service. 7. The length of hospital stay of the experimental group offered with the Critical Pathway service was 4.6 days and there was a significant difference that it was 1.3 days shorter than that of the control group(t=-29.514, P=0.000). 8. There wsa a significant difference that the mean medical charge per one patient of the experimental group offered the Critical Pathway service was cheaper \124,150 than that of the control group(t=-9.826, P=0.000). 9. The result that the author assumed and analyzed hospital income with the rate of turning bed was assumed that the increase of hospital income was \63,245,072 for that study, and the income increase was expected with \68,704,864 for a year. The result that this author applied the Critical Pathway to the hysterectomy patient have no differences in the incidence of complication, high satisfaction with that service, and the length of hospital stay decreased in the experimental group, and the mean hospital charge per one patient decreased, but hospital income increased. Suggestions for further study and nursing practice are as follows. 1. The study to apply the Critical Pathway for a year, verify the validity, and measure the effect repeatedly is needed. 2. To apply and manage the Critical Pathway effectively, the study to computerize it is needed. 3. The study to develop hospital-based Critical Pathway about other diseases or procedure, and measure the effect is needed.

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Evolution of the Vortex Melting Line with Irradiation Induced Defects

  • Kwok, Wai-Kwong;L. M. Paulius;Christophe Marcenat;R. J. Olsson;G. Karapetrov
    • Progress in Superconductivity
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    • v.3 no.1
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    • pp.5-12
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    • 2001
  • Our experimental research focuses on manipulating pinning deflects to alter the phase diagram of vortex matter, creating new vortex phases. Vortex matter offers a unique opportunity for creating and studying these novel phase transitions through precise control of thermal, pinning and elastic energies. The vortex melting transition in untwinned YB $a_2$C $u_3$ $O_{7-}$ $\delta$/ crystals is investigated in the presence of disorder induced by particle irradiation. We focus on the low disorder regime, where a glassy state and a lattice state can be realized in the same phase diagram. We follow the evolution of the first order vortex melting transition line into a continuous transition line as disorder is increased by irradiation. The transformation is marked by an upward shift in the lower critical point on the melting line. With columnar deflects induced by heavy ion irradiation, we find a second order Bose glass transition line separating the vortex liquid from a Bose glass below the lower critical point. Furthermore, we find an upper threshold of columnar defect concentration beyond which the lower critical point and the first order melting line disappear together. With point deflect clusters induced by proton irradiation, we find evidence for a continuous thermodynamic transition below the lower critical point..

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The critical angle of seismic incidence of transmission tower-line system based on wavelet energy method

  • Tian, Li;Dong, Xu;Pan, Haiyang;He, Xiaoyu
    • Earthquakes and Structures
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    • v.17 no.4
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    • pp.387-398
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    • 2019
  • On the basis that ground motions may arrive at a structure from any horizontal direction and that different directions of seismic incidence would result in different structural dynamic responses, this paper focuses on orienting the crucial seismic incidence of transmission tower-line systems based on the wavelet energy method. A typical transmission tower-line system is chosen as the case study, and two finite element (FE) models are established in ABAQUS, with and without consideration of the interaction between the transmission towers and the transmission lines. The mode combination frequency is defined by considering the influence of the higher-order modes of the structure. Subsequently, wavelet transformation is performed to obtain the total effective energy input and the effective energy input rate corresponding to the mode combination frequency to further judge the critical angle of seismic incidence by comparing these two performance indexes under different seismic incidence angles. To validate this approach, finite element history analysis (FEHA) is imposed on both FE models to generate comparative data, and good agreement is found. The results demonstrate that the wavelet energy method can forecast the critical angle of seismic incidence of a transmission tower-line system with adequate accuracy, avoiding time-consuming and cumbersome computer analysis. The proposed approach can be used in future seismic design of transmission tower-line systems.

The development of the critical pathway for hysterectomy patients and its effect (자궁절제술 환자의 표준진료지침(Critical pathway) 개발과 적용효과)

  • Kim, Kyung-Hee;Seo, Young-Seung;Tae, Young-Sook;Lee, Hwa-Ja;Jeon, Sung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.123-134
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    • 2000
  • This study intended to analyze the effectiveness to obtain by developing the critical pathway presented as the method to improve the quality-betterment and cost effectiveness the through the continuous and consistent patient management for the hysterectomy patient and applying it to the real practice. This study was designed to develop and effect the critical pathway for hysterectomy patients in the way to be possible the intergrated in patient management. It was adopted the process of seven phase to develop a critical pathway. To analyze the application effect of the developed critical pathway, this author offered health care service applying the critical pathway to the hysterectomy patient from July. 20 to Oct. 19. 1999. The study method had been done by investigating the experimental group and control group through the questionnaire on 40 patients who had been inpatient hysterectomy. Dependent variables were measured by modified from satisfaction, and cost and length of hospital stay. The data anlyzed by frequency, x2-test, t-test. The results of this study was as follows; 1. It was decided that the vertical line of the critical pathway was made up of eight items such as monitoring/assessment, treatment, activity, medication, consult. Lab test, diet, patient teaching and horizontal line was 7days from admission to discharge. 2. After the verifying the validity of the expert group about the critical pathway, the horizontal line was amended from hospitalization to five postoperative days and taking their consensus, some contents of the horizontal line was amended and deleted. 3. There was no significant differences in the experimental group and control group in the satisfaction, and significant differences in the cost, the length of hospital stay.

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Uniformity of $YBa_2$$Cu_3$$O_7$ Step-edge Josephson Junctions (Y$Ba_2$$Cu_3$$O_7$ 모서리 죠셉슨 접합의 균일성)

  • Lee, S.G.;Hwang, Y.;Kim, J.T.
    • Progress in Superconductivity
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    • v.2 no.2
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    • pp.81-85
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    • 2001
  • Uniformity of critical currents of YBa$_2$Cu$_3$O$_{7}$ step-edge Josephson junctions on SrTiO$_3$(100) substrates have been studied at various step-line angles. 15 identical junctions were made in series on each substrate that has a long straight step-edge line. Step-line angles studied were 0$^{\circ}$, 15$^{\circ}$, 30$^{\circ}$, and 45$^{\circ}$with respect to the crystal major axes of the substrate. Scattering of junction critical currents among the junctions on the same substrate increased with the step-line angle. Current-voltage curves showed standard resistively-shunted-junction (RSJ) characteristics in most of the 0$^{\circ}$junctions. However, the number of junctions showing RSJ behavior decreased with increasing step-line angle. Variations of detailed microstructure of the step-edge among junctions, which are coupled with the d-wave symmetry of YBa$_2$Cu$_3$O$_{7}$, are believed to be the main cause for the nonuniformity in the critical current.ent.

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Critical seismic incidence angle of transmission tower based on shaking table tests

  • Tian, Li;Dong, Xu;Pan, Haiyang;Gao, Guodong;Xin, Aiqiang
    • Structural Engineering and Mechanics
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    • v.76 no.2
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    • pp.251-267
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    • 2020
  • Transmission tower-line systems have come to represent one of the most important infrastructures in today's society. Recent strong earthquakes revealed that transmission tower-line systems are vulnerable to earthquake excitations, and that ground motions may arrive at such structures from any direction during an earthquake event. Considering these premises, this paper presents experimental and numerical studies on the dynamic responses of a 1000 kV ultrahigh-voltage (UHV) transmission tower-line system under different seismic incidence angles. Specifically, a 1:25 reduced-scale experimental prototype model is designed and manufactured, and a series of shaking table tests are carried out. The influence of the seismic incidence angle on the dynamic structural response is discussed based on the experimental data. Additionally, the incidence angles corresponding to the maximum peak displacement of the top of the tower relative to the ground (referred to herein as the critical seismic incidence angles) are summarized. The experimental results demonstrate that seismic incidence angle has a significant influence on the dynamic responses of transmission tower-line systems. Subsequently, an approximation method is employed to orient the critical seismic incidence angle, and a corresponding finite element (FE) analysis is carried out. The angles obtained from the approximation method are compared with those acquired from the numerical simulation and shaking table tests, and good agreement is observed. The results demonstrate that the approximation method can properly predict the critical seismic incidence angles of transmission tower-line systems. This research enriches the available experimental data and provides a simple and convenient method to assess the seismic performance of UHV transmission systems.

A Study on Single-Stage High-Power-Factor Electronic Ballast for Discharge Lamps Operating in Critical Conduction Mode (임계모드에서 동작하는 단일 전력단 고역률 방전등용 전자식 안정기에 관한 연구)

  • Seo Cheol-Sik;Park Jae-Wook;Sim Kwang-Yeal;Kim Hae-Jun;Won Jae-Sun;Kim Dong-Hee
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.54 no.12
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    • pp.601-608
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    • 2005
  • This paper presents a novel single-stage high-power-factor electronic ballast for fluorescent lamps operating in critical conduction mode. The proposed topology is based on integration of boost converter as power factor corrector(PFC) and a half-bridge high frequency parallel resonant inverter into a single stage. The input stage of the boost converter is operating in critical conduction mode for positive and negative half cycle voltage respectively at line frequency(60Hz). So that a boost converter makes the line current follow naturally the sinusoidal line voltage waveform. The simulated and experimental results for 100W fluorescent lamps operating at 42kHz switching frequency and 220V line voltage have been obtained. This proposed inverter will be able to be practically used as a power supply in various fields as induction heating applications, fluorescent lamp and DC-DC converter etc.

[ N2H+ ] OBSERVATIONS OF MOLECULAR CLOUD CORES IN TAURUS

  • TATEMATSU KEN'ICHI
    • Journal of The Korean Astronomical Society
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    • v.38 no.2
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    • pp.279-282
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    • 2005
  • We report the millimeter-wave radio observations of molecular cloud cores in Taurus. The observed line is the $N_2H^+$ emission at 93 GHz, which is known to be less affected by molecular depletion. We have compared starless (IRAS-less) cores with star-forming cores. We found that there is no large difference between starless and star-forming cores, in core radius, linewidth, core mass, and radial intensity profile. Our result is in contrast with the result obtained by using a popular molecular line, in which starless cores are larger and less condensed. We suggest that different results mainly come from whether the employed molecular line is affected by depletion or not. We made a virial analysis, and found that both starless and star-forming cores are not far from the critical equilibrium state, in Taurus. Together with the fact that Taurus cores are almost thermally supported, we conclude that starless Taurus cores evolve to star formation without dissipating turbulence. The critical equilibrium state in the virial analysis corresponds to the critical Bonnor-Ebert sphere in the Bonnor-Ebert analysis (Nakano 1998). It is suggested that the initial condition of the molecular cloud cores/globules for star formation is close to the critical equilibrium state/critical Bonnor-Ebert sphere, in the low-mass star forming region.

A Study on the Critical Failure Factors against B2B e-Marketplace Performance (B2B 중개기업의 성과 저해요인에 관한 연구)

  • Kwon, Suhn-Beom;Byun, Seong-Soo;Bae, Jun-Bum
    • Journal of Information Technology Services
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    • v.4 no.1
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    • pp.1-13
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    • 2005
  • Many buying and selling companies have participated in B2B electronic commerce in order to boost sales and cut down purchase prices respectively. There are some studies on buying and selling companies performances of using B2B e-marketplaces which provide electronic B2B transaction services such as finding transaction partners, providing on-line transaction process like auctioneering, etc. This study investigates the critical failure factors against B2B e-marketplace in other words B2B market-maker or B2B intermediary. We proposed 4 hypotheses asserting that 4 critical failure factors make reverse effects on B2B intermediary performances. We adopt the Balanced Score Card (BSC) framework to evaluate B2B intermediary performance. Data were collected from 46 respondents of B2B intermediaries in Korea. Analyses showed that traditional off-line B2B practices like refunding to buyer or transactions without legal documents and low quality of product information and catalog are critical failure factors against B2B intermediary performance.

On-Line Calculation of the Critical Point of Voltage Collapse Based on Multiple Load Flow Solutions (다중조류계산을 이용한 전압붕괴 임계점의 On-Line 계산)

  • Nam, Hae-Kon;Kim, Dong-Jun
    • Proceedings of the KIEE Conference
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    • 1993.07a
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    • pp.134-136
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    • 1993
  • This paper presents a novel and efficient method to calculate the critical point of voltage collapse. Conjugate gradient and modified Newton-Raphson methods are employed to calculate two pairs of multiple load flow solutions for two operating conditions, i.e., both +mode and -mode voltages for two loading conditions respectively. Then these four voltage magnitude-load data sets of the bus which is most susceptible to voltage collapse, are fitted to third order polynomial using Lagrangian interpolation in order to represent approximate nose curve (P-V curve). This nose curve locates first estimate of the critical point of voltage collapse. The procedure described above is repeated near the critical point and the new estimate will be very close to the critical point. The proposed method is tested for the eleven bus Klos-Kerner system, with good accuracy and fast computation time.

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