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Correct Use of Inhalers in Patients with Obstructive Pulmonary Disease (폐쇄성 폐질환자의 흡입기 사용 정확성 정도)

  • Lee, Jong-Kyung;Yang, Young-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.111-120
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    • 2010
  • Purpose: The purpose of this study was to evaluate the correct use of inhalers and to examine the patients characteristics affecting correct use of inhalers in patients with obstructive pulmonary disease. Method: Subjects were 280 patients with obstructive pulmonary disease who visited the internal pulmonary outpatient departments in 2 university hospitals in Korea. Inhaler use of each patient was assessed using a checklist recommended by the National Asthma Education and Prevention Program Expert Panel. Result: Most subjects used a DPI or MDI. The overall mean score of correct use was 72.09. Most subjects responded they knew well how to use their inhalers. Most frequent error was 'not fully exhaling before inhalation'. A younger age, higher educational level, living with family, and awareness of inhaler use were significantly associated with correct use of inhalers. Conclusion: The findings of this study showed that most of patients were unable to use inhalers correctly even though they had prior educational experiences. Regular assessing of inhaler use and adequate inhaler education considering patients characteristics by nurses are needed.

An Experimental Study on Temperature Measurement Bias using Thermocouple in Simulated Thermal Environments of Fire (모사된 화재의 열적환경에서 열전대를 이용한 온도 측정오차에 관한 실험적 연구)

  • Han, Ho-Sik;Yun, Hong-Seok;Hwang, Cheol-Hong;Kim, Sung-Chan
    • Journal of the Korean Society of Safety
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    • v.32 no.2
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    • pp.7-13
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    • 2017
  • An experimental study was conducted to identify the quantitative measurement bias for the bare-bead thermocouple (TC), which was widely used for measuring temperature in fire experiments. To this end, an apparatus could be controlled individually gas flow rate, preheating temperature and incident radiative heat flux was developed to simulate the thermal environments of fire. A relative measurement bias of bare-bead TC was evaluated with the comparison of double-shield aspirated TC. As a result, the relative measurement bias of bare-bead TC was gradually increased with the increase in radiative heat flux with constant gas temperature. The relative bias was also significantly increased with the decrease in gas temperature. Quantitatively, at the gas temperature of $20^{\circ}C$, the bare-bead TC had the relative bias of approximately 400% with the radiative heat flux of $20kW/m^2$ corresponding to thermal radiation level of the flashover. The present study was intend to provide fire researchers with methodologies for the reanalyses of temperature measured using bare-bead TC, radiation corrections, and validation of fire modeling.

Structural analysis and optimization of large cooling tower subjected to wind loads based on the iteration of pressure

  • Li, Gang;Cao, Wen-Bin
    • Structural Engineering and Mechanics
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    • v.46 no.5
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    • pp.735-753
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    • 2013
  • The wind load is always the dominant load of cooling tower due to its large size, complex geometry and thin-wall structure. At present, when computing the wind-induced response of the large-scale cooling tower, the wind pressure distribution is obtained based on code regulations, wind tunnel test or computational fluid dynamic (CFD) analysis, and then is imposed on the tower structure. However, such method fails to consider the change of the wind load with the deformation of cooling tower, which may result in error of the wind load. In this paper, the analysis of the large cooling tower based on the iterative method for wind pressure is studied, in which the advantages of CFD and finite element method (FEM) are combined in order to improve the accuracy. The comparative study of the results obtained from the code regulations and iterative method is conducted. The results show that with the increase of the mean wind speed, the difference between the methods becomes bigger. On the other hand, based on the design of experiment (DOE), an approximate model is built for the optimal design of the large-scale cooling tower by a two-level optimization strategy, which makes use of code-based design method and the proposed iterative method. The results of the numerical example demonstrate the feasibility and efficiency of the proposed method.

Alternative numerical method for identification of flutter on free vibration

  • Chun, Nakhyun;Moon, Jiho;Lee, Hak-Eun
    • Wind and Structures
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    • v.24 no.4
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    • pp.351-365
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    • 2017
  • The minimization method is widely used to predict the dynamic characteristics of a system. Generally, data recorded by experiment (for example displacement) tends to contain noise, and the error in the properties of the system is proportional to the noise level (NL). In addition, the accuracy of the results depends on various factors such as the signal character, filtering method or cut off frequency. In particular, coupled terms in multimode systems show larger differences compared to the true value when measured in an environment with a high NL. The iterative least square (ILS) method was proposed to reduce these errors that occur under a high NL, and has been verified in previous research. However, the ILS method might be sensitive to the signal processing, including the determination of cutoff frequency. This paper focused on improving the accuracy of the ILS method, and proposed the modified ILS (MILS) method, which differs from the ILS method by the addition of a new calculation process based on correlation coefficients for each degree of freedom. Comparing the results of these systems with those of a numerical simulation revealed that both ILS and the proposed MILS method provided good prediction of the dynamic properties of the system under investigation (in this case, the damping ratio and damped frequency). Moreover, the proposed MILS method provided even better prediction results for the coupling terms of stiffness and damping coefficient matrix.

Benchmark Results on the Linearized Equations of Motion of an Uncontrolled Bicycle

  • Schwab A. L.;Meijaard J. P.;Papadopoulos J. M.
    • Journal of Mechanical Science and Technology
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    • v.19 no.spc1
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    • pp.292-304
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    • 2005
  • In this paper we present the linearized equations of motion for a bicycle as a benchmark. The results obtained by pencil-and-paper and two programs are compared. The bicycle model we consider here consists of four rigid bodies, viz. a rear frame, a front frame being the front fork and handlebar assembly, a rear wheel and a front wheel, which are connected by revolute joints. The contact between the knife-edge wheels and the flat level surface is modelled by holonomic constraints in the normal direction and by non-holonomic constraints in the longitudinal and lateral direction. The rider is rigidly attached to the rear frame with hands free from the handlebar. This system has three degrees of freedom, the roll, the steer, and the forward speed. For the benchmark we consider the linearized equations for small perturbations of the upright steady forward motion. The entries of the matrices of these equations form the basis for comparison. Three diffrent kinds of methods to obtain the results are compared : pencil-and-paper, the numeric multibody dynamics program SPACAR, and the symbolic software system Auto Sim. Because the results of the three methods are the same within the machine round-off error, we assume that the results are correct and can be used as a bicycle dynamics benchmark.

Accuracy Analysis of Precise Point Positioning Using Predicted GPS Satellite Orbits (GPS 예측궤도력을 이용한 정밀단독측위 정확도 분석)

  • Ha, Ji-Hyun;Heo, Moon-Beom;Nam, Gi-Wook
    • Journal of Advanced Navigation Technology
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    • v.16 no.5
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    • pp.752-759
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    • 2012
  • In this paper, near-real-time positioning accuracies of precise point positioning technique were analyzed using IGS predicted orbits. As a result, we could get the mean errors of 1~1.6 cm, standard deviation of 1~1.3cm from one year of GPS data. This results were similar level to positioning accuracy using the IGS rapid orbits. Positioning errors of >10cm showed 44% of observed days of orbital anomalies. When the orbital anomalies of the predicted orbits were shown, maximum error was 1.7 km, and maximum of mean errors was 308 m. From this study, we conclude that check and consideration were necessary before using the IGS predicted orbits.

Performance Improvement of Azimuth Estimation in Low Cost MEMS IMU based INS/GPS Integrated Navigation System (저가형 MEMS 관성측정장치 기반 INS/GPS 통합 항법 장치에서 방위각 추정 성능 향상)

  • Chun, Se-Bum;Heo, Moon-Beom
    • Journal of Advanced Navigation Technology
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    • v.16 no.5
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    • pp.738-743
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    • 2012
  • Kalman filter is generally used in INS/GPS integrated navigation filter. However, the INS with low performance inertia sensor can not find accurate azimuth in initial alignment stage because sensor noise level is too large compare to Earth rotation rate, therefore the performance and stability of Kalman filter can not be guaranteed. In this paper, the extended Kalman filter and particle filter combined filter structure which can be overcome large initial azimuth error is proposed.

Synthetic Aperture Processing in Beamspace Using Twin-line Array (이중 선 배열을 이용한 빔 영역 합성 처리)

  • 양인식;김기만;윤대희;오원천;도경철
    • The Journal of the Acoustical Society of Korea
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    • v.20 no.6
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    • pp.82-86
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    • 2001
  • In this Paper, we Propose synthetic aperture technique for twin-line may. Sin91e-line way is required long aperture size in order to achieve high SNR and angular resolution in shallow water Ultra low frequency signal from far-field has left-right ambiguity at sing1e-line array. To resolve these Problems, we'd like to adopt the synthetic aperture technique to twin-line array. The synthetic aperture method adopts coherent processing of sub-aperture signals at successive tine intervals in the beam domain. The proposed method shows low nile error and improved angular resolution. In simulation result, average sidelobe level is reduced about 7〔dB〕when the array Peformed 5-synthesis.

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Experience and Perception on Patient Safety Culture of Employees in Hospitals (환자안전 문화에 대한 의료 종사자의 인식과 경험)

  • Kim, Eun-Kyung;Kim, Hui-Jeong;Kang, Min-Ah
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.321-334
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    • 2007
  • Purpose: The objectives of this study were to understand and compare perception and experience between clinical staffs(nurses and pharmacists) and Quality Improvement managers. Method: A qualitative study was conducted with 14 clinical staffs and QI managers who are working at tertiary hospitals in Korea. Interviews were recorded and transcribed for systematic analyses of qualitative data. Results: Most critically, while QI managers acknowledged that establishment of the patient safety culture and reduction of medical errors are urgent tasks for QI effort, clinical staffs don't seem to share such perceptions. All participants agree that staff shortage and no compliance to safety procedures were major reasons for medical error occurrences. Many suggested that an organizational culture where errors were perceived as a systematic problems rather than individual failures or carelessness should be formed to promote voluntary reporting of medical errors. Conclusion: A more systematic effort and attention at the hospital leadership and public policy level should be promoted to constitute societal consensus on the urgence of promoting patient safety culture and more specific approaches to tackle the patient safety problems.

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Realization for EMG Signal Sensing and Vertical Control System of Robotizing Arm (EMG신호 센싱과 로봇팔의 수직제어시스템 구현)

  • Han, Sang-Il;Ryu, Kwang-Ryol;Hur, Chang-Wu
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.10a
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    • pp.161-164
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    • 2008
  • A realization for EMG signal sensing and vertical control system of robotizing arm is presented in this paper. The system is realized that a fine EMG bio-signals of humans' arm muscle are detected by surface electrode sensor, making a high performance amplifier and filtering, converting analog into digital signal and driving a servomotor for robotizing arm. The system is experimented by monitoring multiple step vertical control angles of robotizing arm corresponding to EMG signals in moving arm muscles. The experimental result are that the vertical control level is measured to around 2 degrees and mean error is 5% approximately.

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