• Title/Summary/Keyword: Poor cooperation

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Dyssynergic Defecation in Chronically Constipated Children in Korea

  • Sun Hwan Bae
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.26 no.2
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    • pp.127-133
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    • 2023
  • Purpose: Dyssynergic defecation (DSD) is one of the important causes of chronic constipation in children. We aimed to analyze the clinical features, diagnostic test results, and treatments for DSD in children. Methods: Children diagnosed with DSD using fluoroscopic defecography were enrolled in this study. Clinical data, including the results of colon transit time (CTT) test and biofeedback (BF) therapy, were collected from medical records retrospectively. Results: Nineteen children were enrolled. The median age was 9 years (6-18 years), the median frequency of bowel movement was 1/7 days (1-10 days), the median duration of constipation was 7.0 years (2-18 years), the median age of onset of constipation was 2.5 years (1-11 years). In the CTT test, outlet obstruction type was noted in 10/18 (55.6%), slow transit type in 5/18 (27.8%), and normal transit in 1/18 (5.6%). The median CTT was 52 hours (40-142 hours). Initial medical therapy was performed with the polyethylene glycol 4000, and the response was good in 9/19 (47.4%), fair in 9/19 (47.4%), and poor in 1/19 (5.0%). BF was performed in 8/19, with good results in 6/8 (75.0%) children and failure in 2/8 (25.0%) children. After long-term medical therapy (11/19), 3/5 showed good response with medication alone, 6/8 showed good response with BF and medication combined. Conclusion: DSD should be considered as a cause of chronic constipation in children, especially in those with abnormal CTT test results. BF combined with medical therapy is effective even with age-limited cooperation.

TOWARDS A RELATIONAL CONTRACTING FRAMEWORK IN THE AUSTRALIAN CONSTRUCTION INDUSTRY: AN INITIAL FRAMEWORK

  • Melissa Chan;Bambang Trigunarsyah;Vaughan Coffey
    • International conference on construction engineering and project management
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    • 2011.02a
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    • pp.117-123
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    • 2011
  • The Australian construction industry is characterized as being a competitive and risky business environment due to lack of cooperation, insufficient trust, ineffective communication and adversarial relationships which are likely lead to poor project performance. Relational contracting (RC) is advocated by literature as an innovative approach to improve the procurement process in the construction industry. Various studies have collectively added to the current knowledge of known RC norms, but there seem to be little effort on investigating the determinants of RC and its impact on project outcomes. In such circumstances, there is lack of evidence and explanation on the manner on how these issues lead to different performance. Simultaneously, the New Engineering Contract (NEC) that embraced the concept of RC is seen as a modern way of contracting and also considered as one of the best approaches to the perennial problem of improving adversarial relationships within the industry. The reality of practice of RC in Australia is investigated through the lens of the NEC. A synthesis of literature views on the concept, processes and tools of RC is first conducted to develop the framework of RC. A case study approach is proposed for an in-depth analysis to explore the critical issues addressed by RC in relation to project performance. Understanding the realities of RC will assist stakeholders in the construction industry with their investment in RC.

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Concept Analysis of Tae-um in Nurses (간호사의 태움 개념분석)

  • Jeong, Sun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.482-491
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    • 2018
  • This study was conducted to identify the conceptual definition and attributes of nurses' Tae-um based on the conceptual analysis method of Walker and Avant. The attributes of nurses' Tae-um were derived from the organizational culture, inexperienced new nurses that are victims, senior nurses that are perpetrators, alteration of teaching, verbal and physical violence experiences, and psychological and physical symptoms. The antecedents were due to excessive work, high work intensity, job stress, lack of workforce, poor working environment, lack of job ability of new nurses, organizational hierarchy, and power imbalance. Moreover, the consequences were physical and psychological symptoms, decreased efficiency, increased distrust, increased turnover intention, and decreased quality of patient care. Improvements of working conditions and social supports for expanding nursing staff and building a culture in which communication and mutual cooperation are used to solve the antecedents of Tae-um among nurses is necessary. This study suggests the need for more qualitative research on Tae-um in nurses, the development of tools that reflect the attributes of Tae-um in nurses, and the development of a program to improve the culture of Tae-um in nurses. This study is significant in that it provides a rationale for development of an adaptation program for new nurses by suggesting the antecedents of Tae-um and solutions for it.

A Study on the Establishment for Promoting the Academic-Industrial Knowledge Transfer System in the Regional Innovation System -The Case of Chungnam Province- (지역혁신체제에서의 산학 간 기술이전촉진체제 구축방안 연구 -충남지역을 사례로-)

  • Ko, Kyung-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.599-610
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    • 2017
  • This study aims at establishing a knowledge transfer system between academics and industries in the Chungnam Region. We analyze the difficulties encountered by the technology licensing offices of universities in the Chungnam Region through a practical analysis of the current situation regarding the transfer of the knowledge developed in the universities. The problems found included the poor circumstances of the TLO of the universities, very limited number of requests for knowledge transfer by the companies, distrust of university technologies and the absence of related networks and platforms. Especially, there is insufficient concern and recognition of the regional actors in the knowledge transfer system. Therefore, in order to improve the regional competitiveness, these problems should be fixed by enacting suitable government policies.

Production of Fluorosilicic Acid from Phosphoric Acid Slurry of a Fertilizer Manufacturing Plant (비료공장의 인산 슬러리로부터 규불산 제조)

  • Kim, Se-Won;Moon, Woo-Kyun;Park, Hung-Suck
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.926-933
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    • 2012
  • Phosphoric acid used for the production of phosphate fertilizers is synthesized by the reaction of phosphate rock and sulfuric acid. As the reaction is exothermic, yield of phosphoric acid is poor at elevated temperature. Therefore, enhancement in its yield requires the process temperature be maintained by releasing the vapor ($80^{\circ}C$) containing HF and SiF4 through a vacuum cooler. However, these valuable resources; Fand Si, which can be utilized for the manufacture of refrigerant and polysilicon, respectively, are being wasted in the treatment process. We performed lab-scale experiments to estimate the amount of recoverable H2SiF6, a by-product of phosphoric acid manufacturing process. The experimental results showed a decrease of fluorine concentration by 0.12wt% in the liquid phase. Preliminary estimation showed a possible recovery of 5,509 ton/yr of fluorine considering the scale of the fertilizer manufacturing plant. Furthermore, field-scale experiment showed that H2SiF6 could be enriched in liquid phase from 0.35wt% to 7.33wt% and the vapor flow-rate from vacuum cooler was estimated at $51,000m^3/hr$. Anew, the efficiency of fluorine recovery in the pilot-scale experiment was found to be 76.74% and the production of H2SiF6 was estimated at 5,340 ton/yr.

A Study on the Hood Performance Improvement of Pickling Tank using CFD (전산유체역학을 이용한 산세조 후드 성능 개선에 관한 연구)

  • Jung, Yu-Jin;Park, Ki-Woo;Shon, Byung-Hyun;Jung, Jong-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.593-601
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    • 2014
  • In this study, we investigated the methods of improving the capturing ability of acid fume by assessing the performance of slot-type external hood installed on both sides of an open surface tank for acid washing process. A field survey and the results of computational fluid dynamics revealed that capturing performance of existing hoods is very poor. To solve such problem, 'push-pull hood' that pushes from one side of an open surface tank and pulls on the other side was suggested. The initial prediction was that if a push-pull hood is used, the acid fume of an acid-washing tank surface could be moved towards the hood through the push flow. However, this study has confirmed that if the push flow velocity becomes too high, it could spread to other areas due to flooding from the hood. Therefore, if the push air supply is maintained at around 25 $m^3/min$(push 10 m/s), proper control flow is formed on the surface of a tank and acid fume that stayed at the upper part of the tank is smoothly captured toward the hood, significantly enhancing the capturing performance.

Development of Mold for Coupling Parts for Drum Washing Machine (드럼세탁기용 커플링 부품 다이캐스팅 금형개발)

  • Park, Jong-Nam;Noh, Seung-Hee;Lee, Dong-Gil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.482-489
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    • 2020
  • This study conducted a prototype development and evaluation by performing die-casting mold design, mold manufacturing, and injection condition optimization based on flow and solidification analysis to meet the needs of the coupling parts produced by die casting. Through flow analysis, the injection conditions suitable for 100% filling in the cavity were found to be a molten metal temperature of 670 ℃, injection speed of 1.164 m/s, and filling pressure of 6.324~18.77 MPa. In addition, solidification close to 100 % occurred in all four cavities when the solidification rate was 69.47 %. A defect inspection on the surface and inside the product revealed defects, such as poor molding and pores. In addition, the dimensions of the injected product were within the target tolerance and showed good results. Through the feedback of the results of flow and solidification analysis, it was possible to optimize the mold design, and the injection optimization conditions were confirmed to be a total cycle time of approximately 6.5 seconds. Good quality carrier parts with an average surface hardness of approximately 45 mm from the gate measured at 97.48(Hv) could be produced.

An Analysis on Support Facilities Which Consider User's Characteristics in High-tech Industrial Estate in Urban Area (도시내 첨단 산업단지 이용자 특성을 고려한 지원시설 분석 연구)

  • Choi, Hyung-Ku;Kim, Won-Pil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.291-299
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    • 2016
  • Recently, the knowledge industry center has played a role as a facility that creates economic added value because of the high-tech companies related to the knowledge industry, information, and communication. On the other hand, support facilities that are provided in the knowledge industry center are meant to support the company in the center and improve the working conditions of laborers. On the other hand, the support policy established by the government applies to some companies, and none of the support policy is carried out in supporting facilities in the knowledge industry center. In this study, multiple analysis was performed, focusing on the support facilities in the knowledge industry center that aims to improve the working environment of laborers. This study suggests the introduction of guidelines to secure adequate area, depending on the type of supporting facilities in the Knowledge Industrial Center. The sharing of facilities, such as cultural and commercial use for Knowledge Industrial Center, corresponding to poor provision, is recommended. Because the analysis of IPA indicates that the area of commercial support facilities are higher than others and cultural facilities are more important and preferred, it is necessary to compose support facilities that consider the user's individual characteristics. Facilities impacting the working environment need to be planned carefully through a district unit plan at the initial stages of development, thus assisting the production activity of workers.

Study on Rheological Properties of HBA/HNA Thermotropic Liquid Crystalline Polymer (HBA/HNA계 열방성 액정고분자의 유변학적 특성에 관한 연구)

  • Son, Young-Gon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.12
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    • pp.5216-5220
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    • 2010
  • Rheological measurement of a thermotropic liquid crystalline poymer (TLCP) is not an easy task since their rheological responses are strongly influenced by a thermal history during a processing and thus the reproducibility of the measurement is poor. In order to find out a cause for the strong influence of the thermal history, rheological measurements and DSC observations of the TLCP having various thermal histories were carried out. It was observed that the TLCP used in this study shows liquid-like behavior at a temperature above a crystal-nematic transition temperature ($280^{\circ}C$), but at the same time crystallization can occur at this temperature range and as a consequence the viscosity of the polymer continuously increases. When the samples are heated beyond the $320^{\circ}C$, all crystals thus formed and the thermal histories were observed to disappear. Crystallization rate of the samples annealed above $320^{\circ}C$ was very low at even the lowed temperature ($280^{\circ}C\;{\sim}\;320^{\circ}C$). Therefore, it is concluded that rheological measurements of TLCP used in this study must be performed after annealed above the nematic-isotropic transition temperature for better reproducibility.

The effect of smoking behavior on sleep quality in university students (대학생의 흡연행태가 수면의 질에 미치는 영향)

  • Kim, Myung-Gwan;Kim, Seung-Dae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.346-352
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    • 2018
  • This study was conducted to investigate the quality of sleep of university students according to smoking behavior and to generate basic data for use in development of smoking prevention and smoking policies for university students and young adults in their 20s. The quality of sleep of 291 college students was measured based on smoking behavior and the Pittsburgh Sleep Quality Index (PSQI) questionnaire from May 29, 2017 to June 3, 2017. Multiple logistic regression analysis with step-wise analysis revealed that the quality of OR increased from 2.542 to 2.820 times as the grade increased, and that OR was 3.126 times higher than that of non-smokers and stop-smokers. The quality of sleep worsened with OR=12.388 times. Among general smokers, 72.4% of the students had poor sleep quality, but 82.6% of the students who did not have good sleep quality of electronic-cigarette or tobacco smokers had electronic-cigarette or tobacco worse than regular tobacco.Based on these findings, quitting smoking is essential to improve quality of sleep, but this can be difficult. Therefore, it is necessary to develop legal regulations and policies at the national level. Moreover, a system or service that can manage phased smoking cessation is needed.