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Reliability, Validity, and Conversion Index of the Workload Management System for Critical Care Nurses(WMSCN) (중환자 분류도구(WMSCN)의 신뢰도, 타당도 및 환산지수 검증)

  • Yoo, Cheong-Suk;Kwon, Eun-Ok;Kim, Soon-Hee;Cho, Yong-Ae
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.48-57
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    • 2009
  • Purpose: The purpose of this study is to establish reliability and validity and to identify the conversion index. Method: The WMSCN for ICU was revised from Workload Management System for Nurses(WMSN) of Walter Reed Army Hospital. Reliability of the WMSCN was evaluated interrater reliability between head nurses and staff nurses at 124 patients in April 2008. Validity through the correlation between direct nursing care hours and WMSCN score was conducted at 20 ICUs of 10 hospitals. Finally the conversion index was identified by total nursing hours and it divided by WMSCN score. Results: The scores by nurses were highly correlated with head nurses’(p=.967), and also scores of the WMSCN were highly correlated with the direct nursing care hours(p<.001). The distribution of patient classification ranks into class V(61.3%), class IV(24.2%) and class VI(11.3%). The scores of the WMSCN were no differences between MICU and SICU. Finally, the conversion index was 8.2 minutes. Conclusion: WMSCN is available to classify the nursing workload for critical care patients. The repeated evaluation of validity and reliability are requisite to use WMSCN effectively. And the conversion index should be adjusted to estimate the appropriate staffing in Korea.

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The Effect of Military Crisis Management Communication on a Social Network Service :Focusing on the effect of message form on the crisis perception of soldiers (SNS를 통한 군(軍)의 위기관리 커뮤니케이션 전략 :메시지 형태가 장병의 위기 인식에 미치는 영향을 중심으로)

  • Kim, Tae Woong;Yang, Jong Hoon;Lee, Sang Eun
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.102-110
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    • 2019
  • The military respond well to external publics in the event of a crisis int that they are operated based on the trust of the people. Unlike other organizations, however, the Korean military has the distinctiveness that soldiers experience military life as internal publics for a certain period of time and after serving in the army, they become those who evaluate the military as external publics. Therefore, it is important to examine what would be effective crisis management strategies in terms of communicating with active-duty soldiers. Given that active-duty soldiers are accustomed to using SNS these days, this study investigated whether message forms (digital image vs. text) affect the perception of the military in crisis, acceptance of the given message, and attitude toward the military. Our empirical findings suggest that image-based messages are more likely to increase levels of message acceptance than text-based messages. Based on the results, we discussed practical implications on communication strategies for managing the military in crisis.

Study on the soil contamination characteristics according to the functions of the returned U.S. military base (반환미군기지 기능별 토양오염특성에 관한 연구)

  • Oh, Chang-Gyu
    • Journal of Environmental Impact Assessment
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    • v.22 no.5
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    • pp.481-489
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    • 2013
  • There are U.S. troops with a force about 290,000 strong stationed all around the world, approximately 150 countries. Among the troops, USFK has performed principal part with its stationing for 50 years against the military threat of North Korea. However, as a result of an investigation made into environmental contamination of several bases which were restituted from US to ROK by the Land Partnership Plan in the process of relocation of USFK, it was found that the area was contaminated by not only TPH and BTEX caused by diesel fuel and JP-8 but also various heavy metal over the standard level according to the operations of corps. Among these bases, 4 corps, each of which has different duties and function, were chosen to be analyzed for the characteristics and degrees of soil contamination. Fisrt of all, in armored camp the soil was contaminated by TPH and heavy metal (Zn, Ni, Pb) due to the repairing activities of tracked vehicles and shooting exercises. In army aviation camp, the soil was contaminated by TPH, BTEX and heavy metal (Zn, Cd) due to repairing activities of aircrafts. Also, in engineer camp there was contaminated area polluted by TPH and heavy metal (Zn, Pb) caused by open-air storage of various construction materials and TPH, BTEX and heavy metal (Zn, Pb, Cu) contamination of aircraft shooting area in shooting range camp were detected. Managing environment will be more effective when we identify the contaminative characteristics and take necessary measures in advance.

Simulation of Rollover Crashes and Passenger Injury Assessment for a Wheeled Armored Vehicle (차륜형 전투차량 전복 시 승무원 안전성 확보를 위한 시뮬레이션 연구)

  • Lee, Gyung-Soo;Jung, Ui-Jin;Park, Gyung-Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.4
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    • pp.385-391
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    • 2014
  • A wheeled armored vehicle is a military vehicle that has been developed to enhance combat capabilities and mobility for the army. The wheeled armored vehicle has a high center of gravity, and it operates on unpaved and sloped roads. Therefore, this vehicle has a high risk of rollover crashes. To design the interior of the military vehicle, the crew's safety during rollover crashes is an important factor. However, actual vehicle tests for design are extremely expensive. In this paper, nonlinear dynamic analysis is performed to simulate the rollover crashes and the passenger injury is assessed for a wheeled armored vehicle. The scope of this research is the rollover condition, FE modeling of the wheeled armored vehicle and the dummy, arrangement of dummies, assessment of passenger injuries, and simulation model for rollover crashes.

The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit

  • Prasetyono, Theddeus O.H.;Adianto, Senja
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.505-509
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    • 2013
  • Background The aim of this study was to collect important data on the time of oxygen saturation change in relation to skin flap color alteration using non-invasive pulse oximetry to evaluate its ability to provide continuous monitoring of skin flap perfusion. Methods An experimental study on the monitoring of blood perfusion of 20 tube-island groin flaps of 10 male New Zealand rabbits was performed using pulse oximetry. The animals were randomly assigned to one of two groups representing a blockage of either arterial or venous blood flow. The oxygen saturation change and clinical color alteration were monitored from the beginning of vessel clamping until the saturation became undetectable. The result was analyzed by the t-test using SSPS ver. 10.0. Results The mean times from the vessel clamping until the saturation became undetectable were $20.19{\pm}2.13$ seconds and $74.91{\pm}10.57$ seconds for the artery and vein clamping groups, respectively. The mean time of the clinical alteration from the beginning of vein clamping was $34.5{\pm}11.72$ minutes, while the alteration in flaps with artery clamping could not be detected until 2.5 hours after clamping. Conclusions The use of neonate-type reusable flex sensor-pulse oximetry is objective and effective in early detection of arterial and vein blockage. It provides real-time data on vessel occlusion, which in turn will allow for early salvaging. The detection periods of both arterial occlusion and venous congestion are much earlier than the color alteration one may encounter clinically.

Divide and conquer kernel quantile regression for massive dataset (대용량 자료의 분석을 위한 분할정복 커널 분위수 회귀모형)

  • Bang, Sungwan;Kim, Jaeoh
    • The Korean Journal of Applied Statistics
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    • v.33 no.5
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    • pp.569-578
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    • 2020
  • By estimating conditional quantile functions of the response, quantile regression (QR) can provide comprehensive information of the relationship between the response and the predictors. In addition, kernel quantile regression (KQR) estimates a nonlinear conditional quantile function in reproducing kernel Hilbert spaces generated by a positive definite kernel function. However, it is infeasible to use the KQR in analysing a massive data due to the limitations of computer primary memory. We propose a divide and conquer based KQR (DC-KQR) method to overcome such a limitation. The proposed DC-KQR divides the entire data into a few subsets, then applies the KQR onto each subsets and derives a final estimator by aggregating all results from subsets. Simulation studies are presented to demonstrate the satisfactory performance of the proposed method.

A Forgotten Surgical Gauze atter Surgery that Mimicked Aspergilloma - A case report - (아스페르질루스종으로 오진된 수술 후 남겨진 폐내 거즈 - 1예 보고 -)

  • Oh, Jae-Yun;Won, Yong-Soon;Lee, Jae-Wook;Yang, Jin-Sung;Shin, Hwa-Kyun
    • Journal of Chest Surgery
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    • v.40 no.8
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    • pp.590-592
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    • 2007
  • A 55-year-old male presented with intermittent cough and blood-tinged sputum. 35 years earlier in the Army Armed Forces, he had undergone lung surgery of the right upper lobe because of tuberculosis. Chest CT showed a mass-like lesion with an internal air-meniscus sign in the right lung. The mass was $5{\times}7\;cm$ in the right upper lobe and it was a well marginated lesion. The resected mass contained a foreign body, that is, a retained surgical gauge. Herein we report on a rare case of retained gauze after surgery that mimicked aspergilloma.

A Study on the Improvement of the Military Studies Curriculum at the Civilian Universities (일반대학 군사학 교육과정 개선에 관한 연구)

  • Kim, Jong Ryul
    • Convergence Security Journal
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    • v.13 no.2
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    • pp.121-131
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    • 2013
  • It has been almost 10 years since the department of military studies was opened at the civilian universities. One of the important elements for the success of these new departments would be the curriculum. This paper tries to give an realistic answer to the question of curriculum. The factors influencing the design of curriculum of military studies are analyzed, such as the curricular of the military institutes that confer the B.S. in military studies, the domain of military studies and research areas, documentation classification of military studies and military engineering, scientific knowledge versus vocational capabilities in university education, relations between the B.S. courses and the master or doctorate courses, requirements asked by the Army, and moral education needed for the military officers. As a result of the analysis, the mandatory core courses should be total of 19, including 5 general courses and 14 major courses.

Research on Applying Contracting Systems for repair parts (부속품의 계약제도 적용방안에 관한 연구)

  • Kim, Young Joo;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.373-379
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    • 2015
  • Supply units in each command are multi-tiered and each supply unit keeps a supply level independently, which can cause excess stock, leading false reports to the Logistics Command and increasing difficulties in managing user needs. This causes excess assets and the excess then causes deformation in demand. therefore, the supply support systems of our armed forces have become high-cost/low-efficiency and are insufficient to meet the needs of users in combat units. Civilian corporations and the US Department of Defense are downsizing the aforementioned multi-tiered supply systems thus revolutionizing efficient and effective logistics by adopting Supply Chain Management(SCM), and Prime Vendor policies. Prime Vendor policy is a logistics support method that allows users to directly request and receive supply items from suppliers, based on supply contracts between suppliers and central maintenance organizations like KDA. In other words, it is a system that allows for users to make orders to suppliers directly and suppliers to deliver goods to the users directly, cutting out the middle stage, thus allowing an efficient supply. This is a way forward in finance that cuts costs in net supplies and allows an efficient utilization of civilian assets. which is also known to fasten the speed of logistical support and stripping down the logistical structure. therefore, this report will explore Prime Vendor policies adopted in certain number of units for medical supplies that were taken in consideration of improvements in stock management in civilian organizations and the US Army, and aims to apply such policies for repair parts.

Simultaneous treatment of Cr(VI) and EDCs using flat type photocatalytic reactor under solar irradiation (평판형 태양광반응기를 이용한 복합오염물질의 동시처리 연구)

  • Kim, Saewon;Cho, Hyekyung;Joo, Hyunku;Her, Namguk;Yi, Kwangbok;Kim, Jong Oh;Yoon, Jaekyung
    • Journal of Korean Society of Water and Wastewater
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    • v.30 no.5
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    • pp.501-509
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    • 2016
  • In this study, a flat-type photocatalytic reactor is applied under solar irradiation for simultaneous treatment of target pollutants: reduction of Cr(VI) to Cr(III) and oxidation of EDCs (BPA, EE2, E2). An immobilized type of photocatalyst was fabricated to have self-grown nanotubes on its surface in order to overcome limitations of powdery photocatalyst. Moreover, Ti mesh form was chosen as substrate and modified to have both larger surface area and photocatalyst content. Ti mesh was anodized at 50V and $25^{\circ}C$ for 30min in the mixed electrolytes ($NH_4F-H_2O-C_2H_6O_2$) and annealed at $450^{\circ}C$ for 2 hours in ambient oxygen to have anatase structure. Surface characterization was done with SEM and XRD methodologies. Fabricated NTT was applied to water treatment, and coexisting Cr(VI) and organics (EDCs) enhanced each other's reactions by scavenging holes and electrons and thus impeding recombination. Also, several experiments were conducted outdoor under direct sunlight and it was observed that both solar-tracking and applying modified photocatalyst were proven to enhance reaction efficiency.