Cardiac catheterization is a diagnostic procedure which is intrusive and anxiety provoking. Patient education and information offer have been suggested as effective nursing interventions to reduce patients' anxiety and stress. Main objectives of this study are : 1) to develop concrete objective information for patients undergoing cardiac catheterization : 2) to analyze the types of information included in the newly developed concrete objective information. The subjects of this study are 11 patients who were admitted to the CCU of a general hospital in Seoul. The subjects were provided with preparatory information about cardiac catheterization by using interview and a booklet. After the procedure, the subjects were asked to describe additional information which they suggest to be added into the booklet and the physical sensations felt during the procedure. The results of the study are summarized as follows : Most subjects were satisfied with the preparatory information that was provided by interview and the booklet before the procedure. But patients suggested several problems related to the content of the booklet. First, they reported difficulty to differentiate the terms -coronary angio gram and cardiac catheterization. Also, some patients expressed that they feared after reading the information about the incision of inguinal area. Subjects responded that the information about the direct process of the test did not reduce their anxiety and the information was not detail enough. Next, most subjects would want to know about the monitor and the sound from monitor. They said that they could not hear instructions from doctor or nurse during the procedure due to tension. Considering above response results, the need for more effective way to provide information, like visual and auditory information through video tape for giving information is suggested. Sensations related to the procedure were the smell coming from sterilization of inguinal area, stinging pain in groin when the doctor inserts a needle into artery, and the sensation of pressure and moving of vessels surrounding neck when the catheter was inserted and visualized on fluoroscopy. Besides, subject reported hot sensation and burning feeling in face and chest area, and nausea when dye is injected by hand. In the analysis of information content, there was 79% agreement on the actual units of analysis that were coded. In the analysis of type of information, procedural information was 60.4%. Concrete objective information was 28.1%. and other information was 11.5%. Agreement of the coders in categorizing the units of information was determined by using Cohen's kappa which corrects for chance agreement. Cohen's kappa was .84.
Journal of the Korean Society for Aeronautical & Space Sciences
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v.43
no.6
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pp.548-556
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2015
The highly maneuverable fighter aircraft such as F-22, F-16 and F-15have the high maneuverability to maximize the combat performance, whereas the high maneuver characteristics might degrade the pilot's mission efficiency due to fatigue's increase by exposing him to the high gravity and, in the worst case, the pilot could face GLOC (Gravity-induced Loss Of Consciousness). The advanced aerospace company has applied the various technologies to improve the pilot's tolerance to the gravity acceleration, in order to prevent the pilot from entering the situation of the loss of consciousness. Especially, the Anti-G Suit(AGS) equipment to protect the pilot against the high gravity in flight could improve the mission success rate by decreasing the pilot's fatigue in the combat maneuver as well as prevent the pilot from facing GLOC. In this paper, a control algorithm is developed and verified to provide an optimal air pressure to AGS according to the gravity increase during the high performance maneuver. This result is expected, as the key technology, to contribute to the KF-X(Korean Fighter eXperimental), project in the near future.
Since 2000, as importance of sourcing energy emphasized caused by instability of international oil price, interests toward Caspian countries as an alternative markets has increased. Especially, Azerbaijan, as middle Asian emerging exporting country, has performed drastic economic boom because of massive amount of foreign capital flowed in and construction of BTC pipeline. However, despite this economic surge, there are unbalanced economy which is merely focusing on energy industry and pressure from increase in real exchange rate and inflation. In order to analyze the sustainability of Azerbaijan economy, the total sample time period of this paper is from January 2001 to December 2007 and the term is divided into before and after BTC line construction. Vector Error-Correction Model has been applied to analysis confirming short-term and long-term effect. As a result, Azerbaijan now face the symptoms of the recession during the time period and this is due to high oil price and increase in export influenced by BTC oil pipeline resulting in decrease in real interest rate. This conclusion is to affect competitiveness of manufacturing industry, base industry for economic proliferation, in a negative way.
Journal of Korean Tunnelling and Underground Space Association
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v.19
no.6
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pp.1029-1044
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2017
The Discrete Element Method (DEM) is one of the useful numerical methods to analyze the behavior of the ground formation by computing the motion and interaction using particles. The DEM has not been applied in civil engineering but also a wide range of industrial fields, such as chemical engineering, pharmacy, material science, food engineering, etc. In this study, to review a performance of the spoke-type earth pressure balance (EPB) shield TBM (Tunnel Boring Machine), the commercial software based on the DEM technology was used. An analysis of the TBM during excavation was conducted according to two pre-defined excavation conditions with the different rotation speed of a cutterhead. During the analysis, the resistant torque at the face of the cutterhead, the compressive force at the cutterhead and shield surface, the muck discharge at the screw auger were measured and compared. Upon the two kinds of excavation conditions, the applicability of the DEM analysis was reviewed as a modelling method for the TBM.
In 2006, the share of energy in Korea amounted to 28% from the total import, 97% from overseas dependency, and 83% for the national Greenhouse Gas (GHG) emission in 2004. Thus, from the aspects of economical and environmental policies, an energy analysis is very important, for the industry to cope with the imminent pressure for climate change. However, the estimation of GHG gas emissions due to an energy use is still done in a primitive way, whereby each industry's usage is multiplied by coefficients recommended from international organizations in Korea. At this level, it is impossible to formulate the prevailing logic and policies in face of a new paradigm that seeks to force participation of developing countries through so called post-Kyoto Protocol. In this study, a hybrid energy input-output (E-IO) analysis is conducted on the basis of the input-output(IO) table of 2000 issued by the Bank of Korea in 2003. Furthermore, according to economic sectors, emission of the GHG relative to an energy use is characterized. The analysis is accomplished from four points of view as follows: 1) estimating the GHG emission intensity by 96 sectors, 2) measuring the contribution ratio to GHG emissions by 14 energy sources, 3) calculating the emission factor of 3 GHG compounds, and 4) estimating the total amount of national GHG emission. The total amount estimated in this study is compared with a national official statistical number. The approach could be an appropriate model for the recently spreading concept of a Life Cycle Analysis as it analyzes not only a direct GHG emission from a direct energy use but also an associated emission from an indirect use. We expect this model can provide a form for the basis of a future GHG reduction policy making.
Kim, Yang-Soo;Chun, Keyoung-Jin;Hong, Jae-Soo;Chung, Dong-Teak
Journal of the Korean Society for Precision Engineering
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v.25
no.6
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pp.108-115
/
2008
The wear on engine valve and seat insert is one of the most important factors affecting engine performance. The engine valve and seat insert must be able to withstand the severe environment that is created by: high temperature exhaust gases generated while the engine is running, rapid movement of the valve spring, high pressure generated in the explosive process. In order to study such problems, a simulator has been developed to generate and control high temperatures and various speeds during motion. The wear simulator is considered to be a valid simulation of the engine valve and seat insert wear process with various speeds during engine activity. This work focused on the test of various degrees of wear on four different exhaust valve materials such as HRV40, HRV40-FNV (face nitrided valve), STL #32, STL #6,. Throughout all tests performed in this study, the outer surface temperature of the seat insert was controlled at $350^{\circ}C$, the cycle number was $4.0{\times}10^6$, the test load was 6860 N, the fuel was LPG the test speed was 20 Hz (2400 RPM) and the seat insert material was HVS1-2. The mean (standard deviation) maximum roughness of the exhaust valve and seat insert was $25.44\;(3.16)\;{\mu}m$ and $27.53\;(3.60)\;{\mu}m$ at the HRV40, $21.58\;(2.38)\;{\mu}m$ and $25.94\;(3.07)\;{\mu}m$ at the HRV40-FNV, $36.73\;(8.98)\;{\mu}m$ and $61.38\;(7.84)\;{\mu}m$ at the STL #32, $73.64\;(23.80)\;{\mu}m$ and $60.80\;(13.49)\;{\mu}m$ at the STL #6, respectively. It was discovered that the maximum roughness of exhaust valve was lower as the high temperature hardness of the valve material was higher under the same test conditions such as temperature, test speed, cycle number, test load and seat insert material. The set of the HRV40-FNV exhaust valve and the HVS1-2 seat insert showed the best wear resistance.
Background: Woman kidney donors face obstetric complication risks after kidney donation, such as gestational hypertension and preeclampsia. Studies on childbirth-related complications among Asian women donors are scarce. Methods: This retrospective cohort study included woman donors aged 45 years or younger at the time of kidney donation in a single tertiary hospital between 1985 and 2014. Pregnancy associated complications were investigated using medical records and telephone questionnaires for 426 pregnancies among 225 donors. Matched non-donor controls were selected by propensity score and the maternal and fetal outcomes were compared with those of donors. Primary outcomes were differences in maternal complications, and secondary outcomes were fetal outcomes in pregnancies of the donor and control groups. Results: A total of 56 cases had post-donation pregnancies. The post-donation pregnancies group was younger at the time of donation and older at the time of delivery than the pre-donation pregnancies group, and there were no differences in primary outcomes between the groups except the proportion receiving cesarean section. Comparison of the complication risk between post-donation pregnancies and non-donor matched controls showed no significant differences in gestational hypertension, preeclampsia, or composite outcomes after propensity score matching including age at delivery, era at pregnancy, systolic blood pressure, body weight, and estimated glomerular filtration ratio (odds ratio, 0.63; 95% confidence interval, 0.19-2.14; P = 0.724). Conclusion: This study revealed that maternal and fetal outcomes between woman kidney donors and non-donor matched controls were comparable. Studies with general population pregnancy controls are warranted to compare pregnancy outcomes for donors.
Proceedings of the Korea Water Resources Association Conference
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2019.05a
/
pp.232-232
/
2019
The persistence of drought periods and water scarcity is a growing public concern, as climate change projections indicate a more critical scenario in the future. The sustainability of water resources for the increasing population, and to ensuring crop production will unarguably be a daunting task for the water resources managers, with a projected 9.8 billion people by 2050 as well as the need to increase food production by 70 to 100%. Consequently, there is a need for significant irrigation water use for more crop production in the face of stiff competition among water users. However, the available natural resources are already over-constrained, and the allocation of more resources for food production is not feasible. Currently, about two-thirds of global water withdrawer is used by the agricultural sector while 48% of water resources in Korea is used for agricultural production. Despite the apparent ecological deficit and unfavorable conditions of resources utilization, a staggering amount of food waste occurs in the country. Moreover, wastage of food translates to waste of all the resources involved in the food production including water resources. Food waste can also be considered a serious potential for economic and environmental problems. Hence, exploring an alternative approach to efficient resources utilization in a more sustainable way can ensure considerable resources conservation. We hypothesized that reducing food waste will decline the demand for food production and consequently reduce the pressure on water resources. We investigated the food wastage across the food supply chain using the top-down datasets based on the FAO mass balance model. Furthermore, the water footprint of the estimated food wastage was assessed using the representative of selected food crops. The study revealed that the average annual food wastage across the food supply chain is 9.05 million tonnes, signifying 0.51 kg/capita/day and 48% of domestic food production. Similarly, an average of 6.29 Gm3 per annum of water resources was lost to food wastage, which translates to 40% of the total allotted water resources for agriculture in the country. These considerable resources could have been conserved or efficiently used for other purposes. This study demonstrated that zero food waste generation would significantly reduce the impact on freshwater resources and ensure its conservation. There is a need for further investigation on the food waste study using the bottom-up approach, specifically at the consumer food waste, since the top-down approach is based on estimations and many assumptions were made.
Proceedings of the Korea Water Resources Association Conference
/
2019.05a
/
pp.408-408
/
2019
The persistence of drought periods and water scarcity is a growing public concern, as climate change projections indicate a more critical scenario in the future. The sustainability of water resources for the increasing population, and to ensuring crop production will unarguably be a daunting task for the water resources managers, with a projected 9.8 billion people by 2050 as well as the need to increase food production by 70 to 100%. Consequently, there is a need for significant irrigation water use for more crop production in the face of stiff competition among water users. However, the available natural resources are already over-constrained, and the allocation of more resources for food production is not feasible. Currently, about two-thirds of global water withdrawer is used by the agricultural sector while 48% of water resources in Korea is used for agricultural production. Despite the apparent ecological deficit and unfavorable conditions of resources utilization, a staggering amount of food waste occurs in the country. Moreover, wastage of food translates to waste of all the resources involved in the food production including water resources. Food waste can also be considered a serious potential for economic and environmental problems. Hence, exploring an alternative approach to efficient resources utilization in a more sustainable way can ensure considerable resources conservation. We hypothesized that reducing food waste will decline the demand for food production and consequently reduce the pressure on water resources. We investigated the food wastage across the food supply chain using the top-down datasets based on the FAO mass balance model. Furthermore, the water footprint of the estimated food wastage was assessed using the representative of selected food crops. The study revealed that the average annual food wastage across the food supply chain is 9.05 million tonnes, signifying 0.51 kg/capita/day and 48% of domestic food production. Similarly, an average of $6.29Gm^3$ per annum of water resources was lost to food wastage, which translates to 40% of the total allotted water resources for agriculture in the country. These considerable resources could have been conserved or efficiently used for other purposes. This study demonstrated that zero food waste generation would significantly reduce the impact on freshwater resources and ensure its conservation. There is a need for further investigation on the food waste study using the bottom-up approach, specifically at the consumer food waste, since the top-down approach is based on estimations and many assumptions were made.
Kim, Young-Min;Kim, Sang-Chul;Park, Kwan-Jin;Lee, Seok-Woo;Lee, Ji-Han;Kim, Hoon
Journal of The Korean Society of Clinical Toxicology
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v.17
no.2
/
pp.102-107
/
2019
Purpose: Acute carbon monoxide (CO) poisoning is one of the most common types of poisoning and a major health problem worldwide. Treatment options are limited to normobaric oxygen therapy, administered using a non-rebreather face mask or hyperbaric oxygen. Compared to conventional oxygen therapy, high-flow nasal cannula oxygen (HFNC) creates a positive pressure effect through high-flow rates. The purpose of this human pilot study is to determine the effects of HFNC on the rate of CO clearance from the blood, in patients with mild to moderate CO poisoning. Methods: CO-poisoned patients were administered 100% oxygen from HFNC (flow of 60 L/min). The fraction of COHb (fCOHb) was measured at 30-min intervals until it decreased to under 10%, and the half-life time of fCOHb (fCOHb t1/2) was subsequently determined. Results: At the time of ED arrival, a total of 10 patients had fCOHb levels ≥10%, with 4 patients ranging between 10% and 50%. The mean rate of fCOHb elimination patterns exhibits logarithmic growth curves that initially increase quickly with time (HFNC equation, Y=0.3388*X+11.67). The mean fCOHbt1/2 in the HFNC group was determined to be 48.5±12.4 minutes. Conclusion: In patients with mild to moderate CO poisoning, oxygen delivered via high flow nasal cannula is a safe and comfortable method to treat acute CO toxicity, and is effective in reducing the COHb half-life. Our results indicate HFNC to be a promising alternative method of delivering oxygen for CO toxicity. Validating the effectiveness of this method will require larger studies with clinical outcomes.
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