• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.3
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• pp.37-45
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• 2015

Purpose: The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement. Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews. Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses' stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues. Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.36 no.9
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• pp.929-937
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• 2008

A GPS receiver system utilized on satellite launch vehicles should operate normally under harsh environments as well as high-dynamic conditions. The GPS receiver system to use for range safety of KSLV(Korea Space Launch Vehicle)-I that is the first satellite launch vehicle developed by KARI(Korea Aerospace Research Institute) has been confirmed to survive under the environment of the launcher through extensive terrestrial tests including humidity, high and low temperatures, vacuum, sinusoidal and random vibrations, shocks, acceleration, EMI/EMC(Electromagnetic Interference/ Electromagnetic Compatibility), etc. Several performance tests have been also carried out in order to evaluate tracking capability and accuracy of the GPS receiver under high-dynamic conditions using a GPS signal simulator. Some lessons-learned during development of the GPS receiver system and its special characteristics compared with COTS(Commercial-Off-The-Shelf) GPS receiver systems are described in this paper.

• Journal of Engineering Education Research
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• v.9 no.2
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• pp.52-70
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• 2006

Systems Engineering(SE), as a special discipline evolved from multidisciplinary and interdisciplinary design knowledges and practical lessons learned from development practices, is required to develop today's ever-growing large complex systems. As computer speed and analytic sophistication accelerate their applications, modern society's needs have become increasingly varied and complex. Rapid advances in Systems Engineering and its education programs among the developed countries demonstrate their needs as an alternative to what is lacking from traditional disciplinary engineering to meet new challenges of our changing social environments. Systems Engineering is an interdisciplinary approach that includes both management and technical processes. Its processes, methods, and tools are used to evolve, define, and verify an integrated, life-cycle balanced set of system solution that satisfy customer needs and requirements. The process methodology offers a top-down comprehensive, iterative and recursive problem solving process which includes the stating the problems, investigating the alternatives, architecting and modeling the system, integrating and operating the system, assessing and re-evaluating the system performances. The purpose of this paper is to research the cases of SE educational programs for both domestic and other developed countries and to propose recommendations for the domestic SE educational programs in the future.

• Geomechanics and Engineering
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• v.3 no.4
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• pp.291-321
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• 2011

The paper describes a simple numerical FLAC model that was developed to simulate the dynamic response of two instrumented reduced-scale model reinforced soil walls constructed on a 1-g shaking table. The models were 1 m high by 1.4 m wide by 2.4 m long and were constructed with a uniform size sand backfill, a polymeric geogrid reinforcement material with appropriately scaled stiffness, and a structural full-height rigid panel facing. The wall toe was constructed to simulate a perfectly hinged toe (i.e. toe allowed to rotate only) in one model and an idealized sliding toe (i.e. toe allowed to rotate and slide horizontally) in the other. Physical and numerical models were subjected to the same stepped amplitude sinusoidal base acceleration record. The material properties of the component materials (e.g. backfill and reinforcement) were determined from independent laboratory testing (reinforcement) and by back-fitting results of a numerical FLAC model for direct shear box testing to the corresponding physical test results. A simple elastic-plastic model with Mohr-Coulomb failure criterion for the sand was judged to give satisfactory agreement with measured wall results. The numerical results are also compared to closed-form solutions for reinforcement loads. In most cases predicted and closed-form solutions fall within the accuracy of measured loads based on ${\pm}1$ standard deviation applied to physical measurements. The paper summarizes important lessons learned and implications to the seismic design and performance of geosynthetic reinforced soil walls.

• Nutrition Research and Practice
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• v.1 no.1
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• pp.46-51
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• 2007

The study objectives were to increase both the stage of readiness to eat fruit and vegetables as well as the intakes of women who participated in the Expanded Food and Nutrition Education Program (EFNEP) for families with limited incomes. The intervention was to enhance the currently used curriculum, Eating Right Is Basic III (ERIB3), with stage-specific processes based on the Trans-Theoretical Model of readiness to change. Trained EFNEP community workers taught the enhanced curriculum to 90 mothers in the experimental county and to 53 mothers in the control county. Pre- and post-intervention measures included stages of readiness to eat fruit and vegetables and to intake as assessed by 24-hour dietary recalls and staging questions. Most women recruited into EFNEP were in Action and Preparation Stages (53.5%). Fruit and vegetable intakes showed a linear trend along with the Stage of Change for fruit and vegetable. After intervention, some combination of the ERIB3 and the fruit and vegetables-enhanced ERIB3 resulted in a reported 1/2 servings/day increase in fruits and vegetables in both the control and the experimental counties, although changes were not significant. EFNEP women also moved along the Stage of Change Continuum for fruits and vegetables in both counties. The percentage of people who ate 5 or more servings of fruit and vegetables was significant, however, only in the experimental group. We encourage health professionals to apply lessons learned from this intervention and to continue to pursue theoretically based interventions to change dietary behaviors.

• Journal of Korean Neurosurgical Society
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• v.42 no.4
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• pp.276-280
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• 2007

Objective : The purpose of this study was to review the characteristics of falcine meningioma retrospectively and to identify the parameters associated with tumor recurrence. Methods : The analysis included; age, sex, extent of resection, and radiologic and pathologic findings. Falcine meningiomas were classified by location as anterior, middle, or posterior as described for parasagittal meningiomas. Results : Of the 795 meningioma patients treated between 1990 and 2004 at the authors' institution, 68 patients with meningiomas arising from the falx underwent craniotomies. There were 22 male and 46 female patients (1:2.1). Mean age was 55 years and ranged from 14 to 77 years. Locations of falcine meningioma were; the anterior third in 33 cases, middle in 20, and posterior in 15. Mean tumor volume was 42 cc and ranged from 4 to 140 cc. In 58 of the 68 patients tumors were totally removed. Additional surgery for recurrence was performed in 6 patients over 15 years. Of these 6 patients, only two patients underwent gross total tumor resection at first operation; the other four underwent subtotal tumor resection. Based on pathologic reports, the largest tumor subtype was transitional. There were four patients with a high grade tumor-three atypical and one anaplastic meningioma. Of the 68 patients, 59 achieved a good outcome (no neurological deficit or recurrence), six had temporary complications, two suffered new permanent postoperative deficits, and the remaining one died due to severe brain swelling despite postoperative intensive care. Extent of surgical resection was found to be significantly related to tumor recurrence. Conclusion : Falcine meningioma accounted for 8.5% of intracranial meningiomas and the transitional meningioma was the most common subtype of falcine meningioma. Gross total resection of tumor was the single most important predictor of an improved surgical outcome.

• Journal of the Korean Society of Safety
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• v.35 no.4
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• pp.84-91
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• 2020

The Korean nuclear industry developed the SPACE (Safety and Performance Analysis Code for nuclear power plants) code and this code adpots two-phase flows, two-fluid, three-field models which are comprised of gas, continuous liquid and droplet fields and has a capability to simulate three-dimensional model. According to the revised law by the Nuclear Safety and Security Commission (NSSC) in Korea, the multiple failure accidents that must be considered for accident management plan of nuclear power plant was determined based on the lessons learned from the Fukushima accident. Generally, to improve the reliability of the calculation results of a safety analysis code, verification work for separate and integral effect experiments is required. In this reason, the goal of this work is to verify calculation capability of SPACE code for multiple failure accident. For this purpose, it was selected the experiment which was conducted to simulate a Multiple Steam Generator Tube Rupture(MSGTR) accident with Passive Auxiliary Feedwater System(PAFS) operation by Korea Atomic Energy Research Institute (KAERI) and focused that the comparison between the experiment results and code calculation results to verify the performance of the SPACE code. The MSGR accident has a unique feature of the penetration of the barrier between the Reactor Coolant System (RCS) and the secondary system resulting from multiple failure of steam generator U-tubes. The PAFS is one of the advanced safety features with passive cooling system to replace a conventional active auxiliary feedwater system. This system is passively capable of condensing steam generated in steam generator and feeding the condensed water to the steam generator by gravity. As the results of overall system transient response using SPACE code showed similar trends with the experimental results such as the system pressure, mass flow rate, and collapsed water level in component. In conclusion, it could be concluded that the SPACE code has sufficient capability to simulate a MSGTR accident.

• Journal of the Korean Society for information Management
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• v.34 no.1
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• pp.111-134
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• 2017

This study aims to identify factors to the effectiveness of librarians' continuing education, which is regarded as learning transfer, and to examine the relationship between the effectiveness and the factors identified. Learning transfer is defined as an intention to apply the lessons learned in the education to the learner's practice. For this purpose, a questionnaire survey was conducted to investigate continuing education experiences of university librarians. Findings indicate that characteristics of individual librarians, educational program, and organizational environment have to be taken into consideration to manage librarians' continuing education effectively. Therefore, it is suggested that the university library as an organization should control pre- and post-activities of continuing librarians' education at the library in order to maximize the learning transfer as the effectiveness of the education. Suggestions are developed with factors to the learning transfer to improve the effectiveness.

• Korean Journal of Health Education and Promotion
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• v.31 no.4
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• pp.63-72
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• 2014

Objectives: The current study reviews the implementation and evaluation of the Chronic Disease Self-Management Program (CDSMP) in the United States (U.S.) to illustrate the program's potential contribution to improving health among Korean adults with chronic conditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essential elements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation of CDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skills necessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achieving the Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize the importance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMP more sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. More concerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify its effectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.

• Journal of the Korea Institute of Building Construction
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• v.12 no.3
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• pp.347-357
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• 2012

While it is generally possible to install curved panels manufactured in a factory within the permitted error range on an irregular surface frame of concrete or steel, it is difficult and expensive. Freeform architecture is thus designed and constructed differently from formal buildings. In order to more easily and inexpensively actualize freeform architecture, Building Information Modeling (hereinafter referred to as BIM) has recently been applied in the construction industry. However, the related research and case analyses are not sufficient to identify the implications and contributions of freeform buildings in future similar projects. Therefore, this research will study design and construction methods for freeform surfaces, particular the concrete surface frame of freeform buildings based on BIM, focused on the Tri-Bowl project. This study attempts to analyze the pros and cons of each method for the concrete surface frame of the Tri-Bowl, and then presents the lessons learned and implications related to the design and construction process of the freeform architecture. Several implications for design and construction of concrete surface frame of the freeform building, the Tri-Bowl, are found. The first is that manufacturing and installation of a curved concrete frame is precisely performed based on the exact numerical values of materials and installation made using BIM 3D technologies, such as CATIA and Rhino. The second is that close and continuous collaboration among the different participants in the construction of the Tri-Bowl allowed them to cope with virtual conditions. The third is that design and construction processes have changed, and high quality of the surface frame of a freeform building is required.