• 한국의류산업학회지
• /
• 제10권1호
• /
• pp.92-100
• /
• 2008

When designing protective clothing, there are something to be considered such as physiological feature of human body, acting range not to restrict physical activity, and effectiveness of material. Because the primary objective of protective clothing is to protect human body from danger and it is designed through complex designing process not likely general clothing design. However, current evaluation techniques-such as the ISO, the ASTM and the CEN, and KS-provide only the standard to evaluate the primary feature of material (testing, performance requirements, material specification, selection and application, test and care, and so on). There are no standard to evaluate influence for the human body while protective clothing put on. Especially, in Korea, there is KS to evaluate protective clothing, but it is partially translated version from ISO because of lack of core technology about this field. However, developed countries recognize it is new competitive means in the time of Global Standards and they are competing to make their own standard to global standard for the protective clothing. Therefore, it can be great opportunity for Korean clothing and textile industry to revitalize if focusing on research and development for protective clothing design based on physical activity of human body, fit evaluation technique and sizing which is currently no global standard for it and developing our standard to global standard.

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권7호
• /
• pp.3385-3390
• /
• 2016

Background: Sequential use of circulating prostate cell (CPC) detection has been reported to potentially decrease the number of unnecessary prostate biopsies in men suspected of prostate cancer. In order to determine the real world effectiveness of the test, we present a prospective study of men referred to two hospitals from primary care physicians, one using CPC detection to determine the necessity of prostate biopsy the other not doing so. Materials and Methods: Men with a suspicion of prostate cancer because of elevated PSA >4.0ng/ml or abnormal DRE were referred to Hospitals A or B. In Hospital A all underwent 12 core TRUS biopsy, in Hospital B only men CPC (+), with mononuclear cells obtained by differential gel centrifugation identified using double immunomarking with anti-PSA and anti-P504S, were recommended to undergo TRUS biopsy. Biopsies were classifed as cancer or no-cancer. Diagnostic yields were calculated, including the number of posible biopsies that could be avoided and the number of clinically significant cancers that would be missed. Results: Totals of 649 men attended Hospital A, and 552 men attended Hospital B; there were no significant differences in age or serum PSA levels. In Hospital A, 228 (35.1%) men had prostate cancer detected, CPC detection had a sensitivity of 80.7%, a specificity of 88.6%, and a negative predictive value of 89.5%. Some 39/44 men CPC negative with a positive biopsy had low grade small volume tumors. In Hospital B, 316 (57.2%) underwent biopsy. There were no significant differences between populations in terms of CPC and biopsy results. The reduction in the number of biopsies was 40%. Conclusions: The use of sequential CPC testing in the real world gives a clear decision structure for patient management and can reduce the number of biopsies considerably.

• Nuclear Engineering and Technology
• /
• 제28권3호
• /
• pp.247-256
• /
• 1996

This paper presents a new approach for assessing accident management strategies using containment event trees (CETs) developed during an individual plant examination (IPE) for a reference plant (CE type, 950 MWe PWR). Various accident management strategies to reduce risk have been proposed through IPE. Three strategies for the station blackout sequence are used as an example : 1) reactor cavity flooding only, 2) primary system depressurization only, and 3) doing both. These strategies are assumed to be initiated at about the time of core uncovery. The station blackout (SBO) sequence is selected in this paper since it is identified as one of the most threatening sequences to safety of the reference plant. The effectiveness and adverse effects of each accident management strategy are considered synthetically in the CETs. A best estimate assessment for the developed CETs using data obtained from NUREG-1150, other PRA results, and the MAAP code calculations is performed. The strategies are ranked with respect to minimizing the frequencies of Various containment failure modes. The proposed approach is demonstrated to be very flexible in that it can be applied to any kind of accident management strategy for any sequence.

• Journal of Power Electronics
• /
• 제14권1호
• /
• pp.30-39
• /
• 2014

This paper studies a new three-level pulse-width modulation (PWM) resonant converter for high input voltage and high load current applications. In order to use high frequency power MOSFETs for high input voltage applications, a three-level DC converter with two clamped diodes and a flying capacitor is adopted in the proposed circuit. For high load current applications, the secondary sides of the proposed converter are connected in parallel to reduce the size of the magnetic core and copper windings and to decrease the current rating of the rectifier diodes. In order to share the load current and reduce the switch counts, three resonant converters with the same active switches are adopted in the proposed circuit. Two transformers with a series connection in the primary side and a parallel connection in the secondary side are adopted in each converter to balance the secondary side currents. To overcome the drawback of a wide range of switching frequencies in conventional series resonant converters, the duty cycle control is adopted in the proposed circuit to achieve zero current switching (ZCS) turn-off for the rectifier diodes and zero voltage switching (ZVS) turn-on for the active switches. Finally, experimental results are provided to verify the effectiveness of the proposed converter.

• 사상체질의학회지
• /
• 제33권1호
• /
• pp.90-101
• /
• 2021

Objectives The purpose of this study was to evaluate intervention studies on Sasang Constitutional diet (SCD) through the checks of Participant, Intervention, Comparison, and Outcome (PICO) Methods Randomized controlled trial (RCT) and non-randomized study for intervention (NRSI) about SCD were searched in 4 Korean core databases and other sources, and then PICO was checked. Results 1. Total 10 studies were conducted with 1 RCT and 9 NRSIs. 2. Participants were people with no specific disease, or patients with essential hypertension, hyperlipidemia, obesity, or stroke with diabetes or hyperlipidemia. Most studies were conducted on groups of various Sasang Constitutional types except Taeyangin. 3. Two studies provided participants with meals and exercise. Three studies, instead of providing meals directly, taught participants how to eat SCD on their own. 4. NRSIs have tested the effectiveness of various outcome measures without the presentation of primary outcome, and then concluded that all outcomes were ineffective or some are effective. 5. There was no mention of adverse events. In most studies, a single doctor of Korean medicine diagnosed Sasang Constitution the QSCC II questionnaire. The intervention period ranged from three weeks to three months, and recent studies have conducted interventions for 12 weeks. Conclusions Intervention studies about SCD which were conducted so far have shown problems on the study design of PICO items. The study design and implementation that carefully consider how to maintain similarity between groups, minimize the risk of bias, set primary outcome measure, and control the diet are required.

• 한국압력기기공학회 논문집
• /
• 제20권1호
• /
• pp.1-6
• /
• 2024

Crud is a corrosion deposit that forms in equipments and piping of nuclear reactor's primary systems. When crud circulates through the reactor's primary system coolant and adheres to the surface of the nuclear fuel cladding tube, it can lead to the Axial Offset Anomaly (AOA) phenomenon. This occurrence is known to potentially reduce the output of a nuclear power plant or to necessitate an early shutdown. Consequently, worldwide nuclear power plants have employed ultrasonic cleaning methods since 2000 to mitigate crud deposition, ensuring stable operation and economic efficiency. This paper details the system configuration of ultrasonic nuclear fuel cleaning equipment, outlining the function of each component. The objective is to contribute to the local domestic production of ultrasonic nuclear fuel cleaning equipment. Additionally, the paper introduces a method for accurately measuring the weight of removed crud, a crucial factor in assessing cleaning effectiveness and providing input data for the BOA code used in core safety evaluations. Accurate measurement of highly radioactive filters containing crud is essential, and weighing them underwater is a common practice. However, the buoyancy effect during underwater weighing may lead to an overestimation of the collected crud's weight. To address this issue, the paper proposes a formula correcting for buoyancy errors, enhancing measurement accuracy. This improved weight measurement method, accounting for buoyancy effects in water, is expected to facilitate the quantitative assessment of filter weights generated during chemical decontamination and system operations in nuclear power plants.

• 한국병원경영학회지
• /
• 제11권1호
• /
• pp.54-90
• /
• 2006

Medical clinics are core institutes that cover the primary medical care in Korea. Financial viability of the clinics is essential for them to conduct their roles and functions, and can be improved by increasing their operating profitability. On this ground, this study aimed at finding important factors that affect the operating profitability, and thereby at suggesting strategic alternatives that can contribute to the improvement of the profitability. Operating margin was set as a dependent variable, and such factors as general management conditions, number of visits, medical revenue, marketing activities, input resources, medical cost as independent variables. Nineteen hypotheses related to the variables were established and tested using data collected from 138 sample clinics for the year 2003. The results of the study are as follows : Firstly, such variables as percent ratio of the depreciation plus rent costs to total administration costs, type of clinical department manifested whether medical, surgical, or quasi-surgical, percent ratio of the interior facility investment to total fixed assets, and total number of outpatient visit are important factors that affect, positively or negatively, the medical profitability of the clinics. Secondly, following measures are needed to be established and implemented to improve the medical profitability. (1) Administration costs share 53.2% of the total medical costs, and depreciation plus rent costs 16.3% of the total administration costs. This implies that such measures as reinforcement of marketing activities, establishment of the cooperative utilizing system of the facility and equipment, or group practice are needed to increase cost-effectiveness. (2) Occupancy rate of the clinics with inpatient bed is as low as 45.5%, causing high fixed costs and low medical profitability. For its improvement, the resource input structure should be reorganized. Thirdly, in the future, a study that can increase sample representativeness of the study and explanation power of the variables should be performed for each type of clinical department to find more specific determinant factors and to contribute to the improvement of the medical profitability of the clinics.

• Hip & pelvis
• /
• 제34권1호
• /
• pp.56-61
• /
• 2022

Purpose: Histopathologic analysis of femoral head specimens following total hip arthroplasty (THA) is a routine practice that represents a significant use of health care resources. However, it occasionally results in discovery of undiagnosed hematopoietic malignancy and other discrepant diagnoses such as avascular necrosis. The purpose of this study was to determine the rate of discordant and discrepant diagnoses discovered from routine histopathological evaluation of femoral heads following THA and perform a cost analysis of this practice. Materials and Methods: A review of patients undergoing primary THA between 2004-2017 was conducted. A comparison of the surgeon's preoperative and postoperative diagnosis, and the histopathologic diagnosis was performed. In cases where the clinical and histopathology differed, a review determined whether this resulted in a change in clinical management. Medicare reimbursement and previously published cost data corrected for inflation were utilized for cost calculations. Results: A review of 2,134 procedures was performed. The pathologic diagnosis matched the postoperative diagnosis in 96.0% of cases. Eighty-three cases (4.0%) had a discrepant diagnosis where treatment was not substantially altered. There was one case of discordant diagnosis where lymphoma was diagnosed and subsequently treated. The cost per discrepant diagnosis was $141,880 and per discordant diagnosis was $1,669 when using 100% Medicare reimbursement and Current Procedural Terminology (CPT) code combination 88304+88311. Conclusion: Histopathologic analysis of femoral head specimens in THAs showed an association with high costs given the rarity of discordant diagnoses. Routine use of the practice should be at the discretion of individual hospitals with consideration for cost and utility thresholds.

• 치위생과학회지
• /
• 제21권4호
• /
• pp.199-212
• /
• 2021

Background: Various oral health management programs in Korea affect the oral health improvement in the elderly Several studies have been conducted to date; however, those studies have not shown uniform results due to the differences in research methods or designs. Hence, this study aimed to review the overall research trends of the reported oral health care programs for the elderly in Korea, verify their effects, and clarify them based on the systematic literature review. Methods: The literature search selected intervention studies that applied the oral health care program for the elderly in Korea from 2001 to 2020. Following the COre, Standard, and Ideal (COSI) models presented by the US National Library of Medicine, we selected databases including Korean studies Information Service System (KISS), ScienceOn, Research Information Sharing Service (RISS), DBpia, PubMed, and Google Scholar. Of the 1,335 studies searched using keywords, titles, and abstracts, 21 were finally selected based on primary and secondary exclusion criteria. Results: The most frequent intervention period was 4 weeks, and the number of interventions varied between 2 and 90 times. As for the type of intervention, 14 studies that conducted both theory and practice were the most frequent. Significant differences in the clinical indicators, such as calculus, halitosis, salivation rate, swallowing function, and dry mouth, were found in most oral health care programs. Conclusion: Based on the results of this study, the intervention program needs further verification using multiple indicators in future studies. In addition, a study extending the intervention period and the number of samples is considered necessary for verifying continuous effectiveness of the intervention program.

• Journal of the Korean Wood Science and Technology
• /
• 제23권2호
• /
• pp.55-69
• /
• 1995

The primary objective of this research was to investigate optimum manufacturing condition of thin composite panels composed of sawdust, polyethylene film and polypropylene net. At the study the experiment was designed to make thin board in which sawdust offers effectiveness as core composing material, polyethylene as adhesive with added urea resin, and polypropylene as stiffness and flexibility in the composition panel. 100 types of thin composite panels were manufactured according to press-lam and mat-forming process of various hot pressing conditions(pressure, temperature and time). They were tested and compared with control boards on bending properties(MOR, MOE, SPL, WML), internal bond strength, thickness swelling, linear expansion and water absorption. At the same time the visual inspections of each types of panels were accomplished. The physical and mechanical properties of composite types passed by visual inspection were analyzed by Tukey's studentized range test. From the statistical analysis, the optimum manufacturing condition of thin composite panels were selected. Compared with two manufacturing processes, mat-forming process performed better than press-lam process in all tested properties. The optimum manufacturing conditions resulted from the experiment and statistical analysis were able to determine as following: the press temperature was shown the most good result at 130$^{\circ}C$ in mat forming process and 140$^{\circ}C$ press lam process, the press time 4 min in both processes, but the press pressure was 25-10kg/$cm^2$ in mat forming and 15k/$cm^2$ press lam process.