• Journal of Korean Society for Atmospheric Environment
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• 제7권1호
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• pp.31-40
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• 1991

This study shows the correlation between $NO_x$ emission in the exhaust gas and various operation factors of dual fuel engine for Co-generation system. General tendency was shown that the thermal efficiency was lowered by the change of operation factors. However these were not confirmed on this experiment. Increasing T4 temperature (exhaust gas temperature at turbo-charger inlet) reduces $NO_x$ emission rate. The higher T4 temperature requires lower excess air as the excess air ratio is controlled by T4 temperature on gas mode operation. Another tendency was that $NO_x$ emission rate is reduced in case of increasing boost air temperature, quantity of pilot oil or bypassing flue gas through the exhaust gas boiler. The diameter of the fuel injection nozzle was changed smaller than design value and the injection timing was readjusted. Thus $NO_x$ emission rate could be reduced as retarding injection timing and changing hole diameter of fuel injection nozzle, however maxium engine out-put was decreased by changing fuel nozzle on the diesel mode operation.

• Proceedings of the Korea Committee for Ocean Resources and Engineering Conference
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• 한국해양공학회 2003년도 춘계학술대회 논문집
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• pp.203-207
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• 2003

As the upending is one of the critical steps in the installation of offshore structure, datail procedure of upending operation is studied in the paper. For larger offshore structure installation, launching method is often applied. However after launching, the upending process is to be followed. To ensure successful upending operation, datail process is analysed considering various factors affecting on the operation including reserved buoyancy, free flotation position, seabed clearance, ballast and hook load. To investigate the influence of each factor on the procedure, twelve numerical jacket models with various dimensions are simulated and studied. From the study, it is revealed that the increase of buoyance and decrease of self weight generate a large seabed clearance. The law seabed clearance during flooding creates higher hook load and height. The paper also introduces a guideline for the related structure design and construction with the effects of contribution factors in the upending operation.

• Journal of the Korea Institute of Building Construction
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• 제11권1호
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• pp.19-27
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• 2011

The capital of investment of SOC projects is too large to be taken charge of a country. The government introduces the private investment like a BTL project because of the limited national resources. However, even the company which wants order constructions, do not consider the fundamentals such as accurate estimation, capability of construction company and construction period. The purpose of the research is to suggest the basic influential factors for obtaining a BTL project and offers the concludes for the successful operation after the contract. The result of the research is followed. 54 effect successful factors are compressed into 11 principle factors by analysis on those 54 factors, CSFs of BTL business are constructed. Regression analysis is induced by variable of primary success factors and success degree, and derives the influence degree of effect successful factors in business. Regression analysis that is mentioned above showed considerable issues from importance of primary factors, prime cost fluctuation factors and comparison of management-level. So this study could suggest the effective operate plan of BTL business.

• Journal of Korean Neurosurgical Society
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• 제51권3호
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• pp.127-134
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• 2012

Objective: To analyze the prognostic factors thought to be related with survival time after a spinal metastasis operation. Methods: We retrospectively analyzed 217 patients who underwent spinal metastasis operations in our hospital from 2001 to 2009. Hematological malignancies, such as multiple myeloma and lymphoma, were excluded. The factors thought to be related with postoperative survival time were gender, age (below 55, above 56), primary tumor growth rate (slow, moderate, rapid group), spinal location (cervical, thoracic, and lumbo-sacral spine), the timing of radiation therapy (preoperative, postoperative, no radiation), operation type (decompressive laminectomy with or without posterior fixation, corpectomy with anterior fusion, corpectomy with posterior fixation), preoperative systemic condition (below 5 points, above 6 points classified by Tomita scoring), pre- and postoperative ambulatory function (ambulatory, non-ambulatory), number of spinal metastases (single, multiple), time to spinal metastasis from the primary cancer diagnosis (below 21 months, above 22 months), and postoperative complication. Results: The study cohort mean age at the time of surgery was 55.5 years. The median survival time after spinal operation and spinal metastasis diagnosis were 6.0 and 9.0 months. In univariate analysis, factors such as gender, primary tumor growth rate, preoperative systemic condition, and preoperative and postoperative ambulatory status were shown to be related to postoperative survival. In multivariate analysis, statistically significant factors were preoperative systemic condition (p=0.048) and postoperative ambulatory status (p<0.001). The other factors had no statistical significance. Conclusion: The factors predictive for postoperative survival time should be considered in the surgery of spinal metastasis patients.

• Journal of Trauma and Injury
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• 제32권1호
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• pp.32-39
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• 2019

Purpose: The aim of this study was to determine which factors contribute to the surgical treatment outcomes of acetabular fractures. Simultaneously, we aim to report on the treatment results after our hospital was designated as the focused training center for trauma. Methods: We conducted a retrospective review of all patients who experienced acetabular fractures from January 1, 2014 to May 1, 2017 and visited our hospital. Patients who had associated pelvic ring fractures or were lost to the one-year follow-up were excluded; a total of 37 fractures were evaluated. We evaluated the clinical results using the scoring system of Merle $d^{\prime}Aubign\acute{e}$ (MDA) and grade of Brooker for heterotopic ossification. Results: Thirty-seven patients (31 men and 6 women) were identified. The mean injury severity score (ISS) was 8.7, with 32.4% of patients having a score >15. The average blood transfusion in the first 24 hours was 0.54 pints. Falling was the most common injury mechanism (32.4%). Chest injury was the most common associated injury (16.2%), followed by head injury (13.5%). The posterior wall and both column fracture were the most common (37.8%) fracture patterns. Excellent and good clinical grades of MDA included 28 patients (75.6%) and fair and poor grades included nine (24.3%), respectively. Four patients were diagnosed with a post-operative infection (10.8%); one out of four patients who had co-morbidity died (2.7%), and another patient underwent a replacement surgery (2.7%). Multivariate analysis showed that age and operation time were associated with MDA. In addition, operation time and ISS were significant co-factors of the Brooker grade. Conclusions: Korea University Guro Hospital showed similar treatment results of acetabular fractures compared to other publications. The age and operation time were co-factors of the clinical outcome of this fracture. Additionally, increased operation time and injury severity score were suggested to increase the Brooker grade.

• Journal of Korean Foot and Ankle Society
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• 제5권2호
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• pp.112-119
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• 2001

Purpose: The purpose of this study is to analyze the clinical prognostic factors which may affect the postoperative clinical results of the unstable ankle fractures. Materials and Methods: This study is based on 62 unstable ankle fractures treated by open reduction and internal fixation from May 1994 to June 2000, with a minimum follow-up period of 12 months(range: 13 months-7 years 3 months). The 62 patients were average 39.1 years old with male: female ratio of 41:21. Based on Lauge-Hansen classification, the supination-external rotation type was the most common with 36 (58.1%) cases. The clinical results was assessed by American Orthopaedic Foot and Ankle Society(AOFAS) functional scale. The sex, age, body weight, trauma-operation interval, operation time, cause of injury, fracture type were statistically analyzed as the possible postoperative clinical prognostic factors. Results: Postoperative AOFAS functional scale was average 82.1 points with 22(35.5 %) cases excellent, 12(19.4%) good. 16(25.8%) fair and 12(19.4%) cases poor results. The age and the operation time were found to be statistically significant factors affecting the prognosis(p<0.001). The sex, weight, trauma-operation interval factors did not significantly affect the clinical results. The pronation-external rotation type showed better clinical tendency among the fracture types, but without the statistical significance. Conclusion: The surgically treated unstable ankle fractures in patients whose age was above 41 years old or operation time exceeding 90 minutes showed significantly poor clinical results.

• Smart Structures and Systems
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• 제16권4호
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• pp.743-758
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• 2015

This paper presents an advanced life cycle cost (LCC) analysis of a ground source heat pump (GSHP) system and suggests a smart operation mode with a thermal performance test (TPT) and an energy pile system constructed on the site of the Incheon International Airport (IIA). First, an economic analysis of the GSHP system was conducted for the second passenger terminal of the IIA considering actual influencing factors such as government support and the residual value of the equipment. The analysis results showed that the economic efficiency of the GSHP system could be increased owing to several influential factors. Second, a multiple regression analysis was conducted using different independent variables in order to analyze the influence indices with regard to the LCC results. Every independent index, in this case the initial construction cost, lifespan of the equipment, discount rate and the amount of price inflation can affect the LCC results. Third, a GSHP system using an energy pile was installed on the site of the construction laboratory institute of the IIA. TPTs of W-shape and spiral-coil-type GHEs were conducted in continuous and intermittent operation modes, respectively, prior to system operation of the energy pile. A cooling GSHP system in the energy pile was operated in both the continuous and intermittent modes, and the LCC was calculated. Furthermore, the smart operation mode and LCC were analyzed considering the application of a thermal storage tank.

• Journal of Korean Academy of Fundamentals of Nursing
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• 제12권1호
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• pp.113-120
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• 2005

Purpose: To identify risk factors for surgical site infections in patients undergoing general surgery, to analyze the prolonged hospital stay and extra cost for antibiotics, and to provide basic data for control of surgical site infections. Method: Surgical site infection was defined using the definition of the CDC and the data were analyzed by $x^2$-test and unpaired t-test. Results: The prevalence of surgical site infections was 9.7%, and it was related to wound class, duration of operation, number of operations, whether the operation was an emergency, trauma, drains, preoperative stays, presence of remote infection during operative period, and previous history of recent surgery. The mean duration for post-operative stay when a surgical site infection occurred was 9.5 days and in 56.9 % of the patients the surgical site infection appeared 7 days after the operation. Post-operative stays for infected patients were 20.3 days longer than that of uninfected patients. The mean cost of antibiotics for infected patients was higher than that for uninfected patients by 561,067 won per person. Conclusion: Surgical site infection results in an increased length of stay and extra-cost, thus, hospitals need to create strategies to reduce nosocomial infections through effective infection surveillance and by considering factors related to surgical site infections.

• Korean Journal of Veterinary Research
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• 제45권3호
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• pp.405-410
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• 2005

To analyze and identify selected risk factors for infectious bronchitis virus (IBV) infection in the growing and laying period of laying-hen flocks, a longitudinal field study was conducted with 27 commercial flocks reared in three provinces of Korea during the period from May 2003 to April 2004. Using monitored data for IBV infection status among study flocks we computed the multivariate odds ratios (ORs) and their corresponding confidence intervals (CIs), and population attributable risks (PARs). Multivariate logistic regression showed significant risk increments for: continuous entry of chick (OR=1.9, 95% CI, 0.7-69.1) and operation years of the layer house greater than or equal to 5 years (OR=3.2, 95%CI, 1.6-389.9). No significant interaction was found between variables. The PAR suggested that continuous entry of chick (PAR=32%) and ${\geq}5years$ of house operation (PAR=84%) had the highest impacts on IB presence in laying-hen flocks under study. Of the two significant factors, however, operation year of the layer house lacks an easy applicability in preventing IB control strategies, and the possibility of confounder cannot be ruled out.

• Journal of Korean Academy of Fundamentals of Nursing
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• 제20권2호
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• pp.108-117
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• 2013

Purpose: The purpose of this study was to identify the factors that affect body temperature in elderly operation patients using a warming method and to examine differences in post operative body temperature by characteristics of the patients. Methods: Data were collected from 200 patients, aged 65 years or more undergoing surgery with a warming method. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test and multiple regression with the SPSS 18.0 Program. Results: The mean score for body temperature of elderly operation patients using a warming method after surgery was $36.1{\pm}0.6^{\circ}C$ including 74 patients with hypothermia and 126 patients with normal body temperature. The body temperature according to general characteristics differed by age and whether the surgery was emergency surgery or not. The body temperature according to surgery-related factors differed by anesthesia type, length of operation, anesthesia time, magnitude of surgical procedure, amount of fluid, transfusion requirements, and preoperative body temperature. Factors influencing body temperature were age, BMI, transfusion requirements and preoperative body temperature. Conclusion: The results indicate that age, BMI, transfusion requirements and preoperative body temperature significantly influenced on body temperature after surgery. Thus preoperative body temperature needs to be maintained through pre-warming as a nursing intervention.