• Journal of Chest Surgery
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• v.45 no.5
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• pp.295-300
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• 2012

Background: With growing attention to the aortopathy associated with aortic valve diseases, the number of candidates for accompanying ascending aorta and/or root replacement is increasing among the patients who require aortic valve replacement (AVR). However, such procedures have been considered more risky than AVR alone. This study aimed to compare the surgical outcome of isolated AVR and AVR combined with aortic procedures. Materials and Methods: A total of 86 patients who underwent elective AVR between 2004 and June 2010 were divided into two groups: complex AVR (n=50, AVR with ascending aorta replacement in 24 and the Bentall procedure in 26) and simple AVR (n=36). Preoperative characteristics, surgical data, intra- and postoperative allogenic blood transfusion requirement, the postoperative clinical course, and major complications were retrospectively reviewed and compared. Results: The preoperative mean logistic European System for Cardiac Operative Risk Evaluation (%) did not differ between the groups: $11.0{\pm}7.8%$ in the complex AVR group and $12.3{\pm}8.0%$ in the simple AVR group. Although complex AVR required longer cardiopulmonary bypass ($152.4{\pm}52.6$ minutes vs. $109.7{\pm}22.7$ minutes, p=0.001), the quantity of allogenic blood products did not differ ($13.4{\pm}14.7$ units vs. $13.9{\pm}11.2$ units). There was no mortality, mechanical circulatory support, stroke, or renal failure requiring hemodialysis/filtration. No difference was found in the incidence of bleeding (40% vs. 33.3%) which was defined as red blood cell transfusion ${\geq}5$ units, reoperation, or intentional delayed closure. The incidence of mediastinitis (2.0% vs. 0%), ventilator ${\geq}24$ hours (4.0% vs. 2.8%), atrial fibrillation (18.0% vs. 25.0%), mean intensive care unit stay (34.5 hours vs. 38.8 hours), and median hospital stay (8 days vs. 7 days) did not differ, either. Conclusion: AVR combined with additional aortic or root replacement showed an excellent outcome and recovery course equivalent to that after isolated AVR.

• Journal of Trauma and Injury
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• v.21 no.2
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• pp.115-119
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• 2008

Purpose: Abrupt abstinence from alcohol in cause of chronic alcohol addiction can trigger alcohol withdrawal syndrome. The authors studied the effect of post-operative alcohol withdrawal syndrome in patients who require intensive care due to trauma. Methods: For the study group, we selected 70 patients who had undergone emergency surgery from May 2003 to March 2007 due to trauma and who had been treated with prophylactic thiamine. Data was collected retrospectively. We excluded those who extended their hospital stay for other than traumatic causes, those who died within 3 days of surgery after trauma, those who transferred to other institutions, and those who received a psychiatric diagnosis. Patient groups were determined by the existence or the non-existence of withdrawal syndrome. Age, sex, injury mechanism, mortality, complications, durations of hospital stay and intensive care, use of mechanical ventilator, and sedative use were investigated. A Chi-square test and The Mann-Whitney method were used for statistical analysis in this study. Results: Twenty-four (24) patients from the 58 who had an ISS of 16 or more showed alcohol withdrawal syndrome, and men were shown to be affected with the syndrome significantly more than women. Although ISS was higher in the group with alcohol withdrawal syndrome, statistically, the difference was not significant (P<0.08). The total hospital stay in the patient group with alcohol withdrawal syndrome was on average 10 days longer. However, the difference was not significant (P<0.054). The duration of intensive care in the patient group with alcohol withdrawal syndrome was significantly longer (P<0.029). The patients with alcohol withdrawal syndrome showed no significant difference in the duration of mechanical ventilator use (P<0.783), or in the duration of sedative use (P<0.284). Respiratory distress, pneumonia, upper airway infection, sepsis, acute renal failure, and mortality in the alcohol withdrawal syndrome group were investigated, but no statistically significant difference were noted. Conclusion: We found that the duration of intensive care in chronic alcohol abusers was longer due to the development of alcohol withdrawal syndrome. We also discovered that, when the patients overcame the symptoms of alcohol withdrawal syndrome after intensive care, no difference was found in the frequency of developing complications, the morbidity, and the mortality. Therefore, we conclude that intensive care in trauma patients who are chronic alcohol abusers decreases the incidence of complications found in patients with post-operative alcohol withdrawal syndrome and does not adversely impact the prognoses for those patients.

• Fire Science and Engineering
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• v.18 no.2
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• pp.57-67
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• 2004

The results of the risk assessing on general buses, consisting mainly of diesel-fueled buses, show that the frequency of the instantaneous release is 1.4${\times}$10$^{-3}$ /bus/year, from which the probability of the formation of fireball as a sub event becomes 1.7${\times}$104, and show that the leakage from the CNG-fueled buses is 0.002 event/year. Also, the frequency of gradual release due to a crack is estimated at 3.7${\times}$10$^{-3}$ /buses/year, and a subsequent probability at which this could lead to a jet flame as a sub event is 1.2${\times}$10$^{-3}$ This corresponds to 0.04event/year for the CNG-fueled buses. Dividing all the fired casualties by the running distance of diesel-fueled buses, the risk is 0.091 fire fatalities per 100-million miles. And the total fire risk fur CNG buses is approximately 0.17 per 100-million miles of travel. This means that CNG buses is twice or more dangerous than diesel buses. After all CNG buses are more susceptible to the major fires. In the aspect of the reliability of this study, generic models and the failure data used in assessing the risks of CNG buses are appropriate. However, more accurate physics-based models and databases should be supplemented with this study to provide the better results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.9
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• pp.724-731
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• 2016

As the structural damage caused by earthquakes has been gradually increasing, estimating the seismic fragility of structures has become essential for earthquake preparation. Seismic fragility curves are widely used as a probabilistic indicator of structural safety against earthquakes, and many researchers have made efforts to develop them in a more accurate and effective manner. However, most of the previous research studies used simplified 2D analytical models when deriving fragility curves, mainly to reduce the numerical simulation time; however, in many cases 2D models are inadequate to accurately evaluate the seismic behavior of a structure and its seismic vulnerability. Thus, this study provides a way to derive more accurate, but still effective, seismic fragility curves by using 3D analytical models. In this method, the reliability analysis software, FERUM, is integrated with the structural analysis software, ZEUS-NL, enabling the automatic exchange of data between these two software packages, and the first order reliability method (FORM), which is not a sampling-based method, is utilized to calculate the structural failure probabilities. These tools make it possible to conduct structural reliability analyses effectively even with 3D models. By using the proposed method, this study conducted a seismic vulnerability assessment of RC frame structures with their 3D analytical models.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.10
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• pp.520-526
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• 2016

This study aims to develop a distress prediction model, in order to evaluate the distress prediction power for first-class hotels and to calculate the average financial ratio in the Seoul area by using the financial ratios of hotels in 2015. The sample data was collected from 19 first-class hotels in Seoul and the financial ratios extracted from 14 of these 19 hotels. The results show firstly that the seven financial ratios, viz. the current ratio, total borrowings and bonds payable to total assets, interest coverage ratio to operating income, operating income to sales, net income to stockholders' equity, ratio of cash flows from operating activities to sales and total assets turnover, enable the top-level corporations to be discriminated from the failed corporations and, secondly, by using these seven financial ratios, a discriminant function which classifies the corporations into top-level and failed ones is estimated by linear multiple discriminant analysis. The accuracy of prediction of this discriminant capability turned out to be 87.9%. The accuracy of the estimates obtained by discriminant analysis indicates that the distress prediction model's distress prediction power is 78.95%. According to the analysis results, hotel management groups which administrate low level corporations need to focus on the classification of these seven financial ratios. Furthermore, hotel corporations have very different financial structures and failure prediction indicators from other industries. In accordance with this finding, for the development of credit evaluation systems for such hotel corporations, there is a need for systems to be developed that reflect hotel corporations' financial features.

• Journal of Korean Society of Forest Science
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• v.78 no.2
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• pp.228-241
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• 1989

The objectives of this study are to identify flood disasters resulted from heavy rainstorm including earth and stone-debris avalanches and also to develope the scientific data to be needed for establishing the landslide-related disaster prevention countermeasures. For this study, 5 Gun (district) regions including Booyeo, Seochun, Gongju, Boryung, and Chungyang in Chungchongnam-do of the central part of Korea, in which severe landslide damages have been triggered during 3 days from July 21 to July 23, 1987, were investigated. Mostly, landslides having death of human lives triggered from 6 a.m, to 8 a,m. on July 22, and the principal factor was proved to be the continuous heavy rain ; the continuous rainfall of internal region for 3 days measured about 300-673 mm. The structural measures for slope failure prevention countermeasures at the hollow part of upper hillslope should be required. Natural drainage network on slopes should not be disturbed in case of land use alteration, such as a chestnut planting work on hillslopes behind the houses particularly. There are so many problems in recognition of landslide disaster prevention countermeasures including evacuation exercises. More actual education of countermeasures for control of flood and landslide should be put to practice through "civil defense education" and "inhabitants' meeting." In this context, existing Erosion Control Stations of 13 regions established in each Province should not be reduced. The designation criterion and surveying processes of "Landslide Prone Site" published by Forest Administration should also be improved scientifically.

• Journal of Korean Clinical Nursing Research
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• v.26 no.1
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• pp.47-58
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• 2020

Purpose: The aim of this study was to develop a simulation-based High Flow Nasal Cannula Oxygen Therapy training program based on NLN/ISF to identify the effect on knowledge, clinical performance, and educational satisfaction compared to a group who had traditional High Flow Nasal Cannula Oxygen Therapy training after applying it to clinical nurses. Methods: 31 experimental groups and 33 control groups were conducted from August 2019 to September 2019 for inexperienced nurses over 4 months to 5 years with no experience using high-flow oxygen therapy. Educational programs were developed in scenarios according to Airvo2 and Optiflow, such as facilitator, participant, educational condition, design, characteristics, and educational outcomes. The education application was conducted in advanced for knowledge and clinical performance ability after watching therapy video. Since then, a total of 90 minutes have been conducted for respiratory failure theory training, airvo2 and optiflow simulation training, and debriefing. After applying the education, the medical institution measured nurses' knowledge, clinical performance, and education satisfaction. Data were analyzed using descriptive statistics, with the SPSS/WIN 22.0 program. Results: Both knowledge and educational satisfaction were higher in the experimental group than in the control group (t=-14.09, p<.001), (t=-12.99, p<.001). The clinical performance for both use of Optiflow and Airvo2 were higher in the experimental group than in the control group (t=-11.39, p<.001), (t=-11.38, p<.001). Conclusion: Results showed that the simulation-based High Flow Nasal Cannula Oxygen Therapy training was effective with the experimental group having increased scores for every area of this study.

• Journal of Aerospace System Engineering
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• v.12 no.1
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• pp.57-67
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• 2018

The APD (Antenna Pointing Driver) is an electronic equipment tool that is used to drive the two-axis gimbal-type antenna for the image data transmission of CAS (Compact Advanced Satellite). In this study, a heat dissipation of EEE (Electrical, Electronic and Electromechanical) is reviewed, to identify the parts that directly affected its efficiency, lifetime as well as the reliability of the structure. This event eventually incurs a failure of the EEE part itself, or even the entire satellite system as noted in experiments in this case. To guarantee reliability of electronic equipment during the mission, the junction temperature of EEE parts is considered a significant and important design factor, and subsequently must be secured within the allowable range. Therefore, the notation of the thermal analysis considering the derating is indispensable, and a proper thermal mathematical model should be constructed for this case. In this study, the thermal design and thermal analysis are performed to confirm the temperature requirement of the APD. In addition, we noted that the validity of the thermal model, according to each of the identified modeling methods, was therefore compared through the thermal analysis utilized in this case.

• Journal of Korea Trade
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• v.25 no.2
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• pp.152-177
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• 2021

Purpose - This study analyses the excepted requirement and burden of proof of the carrier due to unseaworthiness through comparison between the marine transport contract and marine insurance contract. Design/methodology - This study uses the legal analytical normative approach. The juridical approach involves reviewing and examining theories, concepts, legal doctrines and legislation that are related to the problems. In this study a literature analysis using academic literature and internet data is conducted. Findings - The burden of proof in case of seaworthiness should be based on presumed fault, not proved fault. The burden of proving unseaworthiness/seaworthiness should shift to the carrier, and should be exercised before seeking the protections of the law or carriage contract. In other words, the insurer cannot escape coverage for unfitness of a vessel which arises while the vessel is at sea, which the assured could not have prevented in the exercise of due diligence. The insurer bears the burden of proving unseaworthiness. The warranty of seaworthiness is implied in hull, but not protection and indemnity policies. The 2015 Act repeals ss. 33(3) and 34 of MIA 1906. Otherwise the provisions of the MIA 1906 remain in force, including the definition of a promissory warranty and the recognition of implied warranties. There is less clarity about the position when the source of the loss occurs before the breach of warranty but the actual loss is suffered after the breach. Nonetheless, by s.10(2) of the 2015 Act the insurer appears not to be liable for any loss occurring after the breach of warranty and before there has been a remedy. Originality/value - When unseaworthiness is identified after the sailing of the vessel, mere acceptance of the ship does not mean the party waives any claims for damages or the right to terminate the contract, provided that failure to comply with the contractual obligations is of critical importance. The burden of proof with regards to loss of damage to a cargo caused by unseaworthiness is regulated by the applicable law. For instance, under the common law, if the cargo claimant alleges that the loss or damage has been caused by unseaworthiness, then he has the burden of proof to establish the followings: (i) that the vessel was unseaworthy at the beginning of the voyage; and that, (ii) that the loss or damage has been caused by such unseaworthiness. In other words, if the warranty of seaworthiness at the inception of the voyage is breached, the breach voids the policy if the ship owner had prior knowledge of the unseaworthy condition. By contrast, knowingly permitting the vessel to break ground in an unseaworthy condition denies liability only for loss or damage proximately caused by the unseaworthiness. Such a breach does not, therefore, void the entire policy, but only serves to exonerate the insurer for loss or damage proximately caused by the unseaworthy condition.

• The Journal of Korean Institute of Next Generation Computing
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• v.15 no.3
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• pp.7-15
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• 2019

Cloud computing markets are rapidly growing as cost savings and business innovation are being carried out through ICT worldwide. In line with this paradigm, the nation is striving to introduce cloud computing in various areas, including the public sector and defense sector, through various research. In the defense sector, DIDC was established in 2015 by integrating military, naval, air and military computing centers, and it provides cloud services in the form of IaaS to some systems in the center. In DIDC and various future cloud defense systems, It is an important issue to ensure availability in cloud defense systems in the defense sector because system failures such as network delays and system resource failures are directly linked to the results of battlefields. However, ensuring the highest levels of availability for all systems in the defense cloud can be inefficient, and the efficiency that can be gained from deploying a cloud system can be reduced. In this paper, we classify and define the level of availability of defense cloud systems step by step, and propose the strategy of introducing Erasure coding and failure acceptance systems, and disaster recovery system technology according to each level of availability acquisition.