• Title/Summary/Keyword: Post process

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Evolution of Process and Outcome Measures during an Enhanced Recovery after Thoracic Surgery Program

  • Lee, Alex;Seyednejad, Nazgol;Lawati, Yaseen Al;Mattice, Amanda;Anstee, Caitlin;Legacy, Mark;Gilbert, Sebastien;Maziak, Donna E.;Sundaresan, Ramanadhan S.;Villeneuve, Patrick J.;Thompson, Calvin;Seely, Andrew J.E.
    • Journal of Chest Surgery
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    • v.55 no.2
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    • pp.118-125
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    • 2022
  • Background: A time course analysis was undertaken to evaluate how perioperative process-of-care and outcome measures evolved after implementation of an enhanced recovery after thoracic surgery (ERATS) program. Methods: Outcome and process-of-care measures were compared between patients undergoing major elective thoracic surgery during a 9-month pre-ERATS implementation period to those at 1-3, 4-6, and 7-9 months post-ERATS implementation. Outcome measures included length of stay, the 30-day readmission rate, 30-day emergency department visits, and minor and major adverse events. Process measures included first time to activity, out-of-bed, ambulation, fluid diet, diet as tolerated, as well as removal of the first and last chest tube, epidural, patient-controlled analgesia, and Foley and intravenous catheters. Results: In total, 704 patients (352 pre-ERATS, 352 post-ERATS) were included. Mobilization-related process measures, including time to first activity (16.5 vs. 6.8 hours, p<0.001), out-of-bed (17.6 vs. 8.9 hours, p<0.001), and ambulation (32.4 vs. 25.4 hours, p=0.04) saw statistically significant improvements by 1-3 months post-ERATS implementation compared to pre-ERATS. Time to Foley removal improved by 4-6 months post-ERATS (19.5 vs. 18.2 hours, p=0.003). Outcome measures, including the 30-day readmission rate and emergency department visits, steadily decreased post-ERATS. By 7-9 months post-ERATS, both minor (18.2% vs. 7.9%, p=0.009) and major (13.6% vs. 4.4%, p=0.007) adverse events demonstrated statistically significant improvements. Length of stay trended towards improvement from 6.2 days pre-ERATS to 4.8 days by 7-9 months post-ERATS (p=0.06). Conclusion: The adoption of ERATS led to improvements in multiple process-of-care measures, which may collectively and gradually achieve optimization of clinical outcomes.

Reduced Post-Chlorine Dosage Required for Disinfection: Improvement with Ozonation and GAC Process (오존 및 입상활성탄 도입시 후염소 주입량 저감효과 분석)

  • Baek, Young-Ae;Joe, Woo-Hyeun;Kim, Jong-Moon;Choi, Young-Jun
    • Journal of Korean Society of Water and Wastewater
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    • v.21 no.4
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    • pp.445-452
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    • 2007
  • This study was carried out to examine effect of post-chlorine dosage reduction by ozonation and GAC process in the field plant for 3years in the "G" water purification plant in Seoul. And it is to compare GAC with BAC process in removal effects of TOC, THMs, THMFP, $UV_{254}$. As a result, chlorine dosage of ozonation and GAC(=BAC) is less demand than GAC. Seasonal reduction of chlorine demand is from about 37% to 59% with BAC, and from 24 to 46% with GAC. Higher reduction in BAC could be achieved. The efficiency of chlorine demand reduction with ozonation was depending on the organic carbon removal. $UV_{254}$ concentration is less about 0.13~0.74L/mg.m in BAC than GAC. Therefore, the combination of ozonation and GAC was more effective in reducing post-chlorine than the single GAC. TOC was also monitored, and results show that a linear relationship between TOC and chlorine demand is appropriate under each treatment process. It means that removal of organic matter(TOC) from finished water is necessary to reduce post-chlorine dosage in clear well and to minimize order of chlorine in distribution systems.

Analysis on the Optical Properties and Fabrication of Textured AZO Thin Films for Increasing the Efficiency of LED (LED 효율 향상을 위한 Texture구조 AZO 박막의 제조와 광학적 특성분석)

  • Kim Kyeong-Min;Jin Eun-Mi;Park Choon-Bae
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.19 no.10
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    • pp.901-906
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    • 2006
  • The transparent conductive oxide(TCO) has been used in necessity as front electrode for increasing efficiency of LED. In our paper, aluminium-doped zinc oxide films(AZO), which has transparent conducting were prepared with RF magnetron sputtering system on glass substrate(corning 1737) and annealed at $400^{\circ}C$ for 2 hr in vacuum ambient and $600^{\circ}C$ for 2hr with $O_2$ ambient respectively. The smooth AZO films were etched in diluted HCL(0.5 %) to examine the surface properties, which in ambient post-annealing process. We confirmed that the electric, structural and optical properties of textured AZO thin films, which implemented using the methods of XRD, FWHM, AFM and Hall measurement. The properties of textured AZO thin films especially depended on the ambient post-annealing process. We presumed that the change of transmittances as R G B LED and the ambient post-annealing process will be increasing the efficiency of LED.

The variation of C-V characteristics of thermal oxide grown on SiC wafer with the electrode formation condition (SiC 열산화막의 Electrode형성조건에 따른 C-V특성 변화)

  • Kang, M.J.;Bahng, W.;Song, G.H.;Kim, N.K.;Kim, S.C.;Seo, K.S.;Kim, H.W.;Kim, E.D.
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2002.07a
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    • pp.354-357
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    • 2002
  • Thermally grown gate oxide on 4H-SiC wafer was investigated. The oxide layers were grown at l150$^{\circ}C$ varying the carrier gas and post activation annealing conditions. Capacitance-Voltage(C-V) characteristic curves were obtained and compared using various gate electrode such as Al, Ni and poly-Si. The interface trap density can be reduced by using post oxidation annealing process in Ar atmosphere. All of the samples which were not performed a post oxidation annealing process show negative oxide effective charge. The negative oxide effective charges may come from oxygen radical. After the post oxidation annealing, the oxygen radicals fixed and the effective oxide charge become positive. The effective oxide charge is negative even in the annealed sample when we use poly silicon gate. Poly silicon layer was dope by POCl$_3$ process. The oxide layer may be affected by P ions in poly silicon layer due to the high temperature of the POCl$_3$ doping process.

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The Effect of The Heat Treatment Condition and the Oxidation Process on the Microstructure of Ag-CdO Contact Materials (Ag-CdO계 전기접점재료의 미세조직에 미치는 열처리 조건과 산화 공정의 영향)

  • Kwon, Gi-Bong;Nam, Tae-Woon
    • Journal of Korea Foundry Society
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    • v.25 no.6
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    • pp.226-232
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    • 2005
  • Contact material is widely used in the field of electrical parts. Ag-CdO material has a good wear resistance and stable contact resistance. In order to establish optimizing heat treatment condition, rolling temperature and oxidation process, we studied the microstructure of Ag-CdO material with various conditions. The experimental procedure were melting using high frequency induction, heat treatment, rolling and internal oxidation. And we experimented on difference process, Post-oxidaion. In this study, we obtained the optimizing heat treatment condition was $700^{\circ}C$ for 15 min. and the optimizing rolling temperature was $730^{\circ}C$. In investigation of the microstructure of oxidized material, coarse oxide and depleted oxidation layer existed. The hardness was average Hv 70. When we used Post-oxidation, oxides were finer than prior process and depleted oxidation layer did not exist. The hardness of Post-oxidation material was average Hv 80. And the optimizing rolling temperature was $800^{\circ}C$.

A Study on Edge Bridge Minimization of Fine Blanking Process (Fine Blanking의 가장자리 Bridge 최소화 방법에 관한 연구)

  • Kim, Gi-Tea
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.4
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    • pp.108-113
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    • 2013
  • Industrialization and modernization of the beginning of the IT industry is growing very fast. Since telecommunications industry was developed rapidly, technologies about miniaturization and high-precision of parts have been actively developed to lead information revolution. generally, the entire shear surface of the product applying fine blanking technology must be very precise. Fine blanking is used to save cost by avoiding post-processing of the product. When using press blanking, it spends a lot of money on the production by using many post-processing. Fine blanking typically used in 0.5~18 mm thick steel plate. Because a lot of post-processing cost can be used to process, except for fine blanking. In order to develop components "CHANCE CONTENTS" in the fine blanking process, the purpose of this study is to minimize the edge of the bridge, secured 95% of the material thickness of the shear surface using the 1.6 mm thickness of the material SPCC. Blanking process by introducing after changing thickness through forging process, due to change in vee-rring force and counter force, the experimental amount of depressions and flatness and the shear surface were analyzed.

A Process Planning System for Machining of Dies for Auto-Body Production(II)-Operation Planning and NC Code Post-Processing (자동차 차체금형 가공용 공정계획 시스템(II)-작업 계획과 NC 코드 후처리)

  • Sin, Dong-Mok;Lee, Chang-Ho;Choi, Jae-Jin;Noh, Sang-Do;Lee, Ki-Woo
    • Journal of the Korean Society for Precision Engineering
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    • v.18 no.1
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    • pp.63-73
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    • 2001
  • This paper presents a process and operation planning system with an NC code post-processor for effective machining of press dies for production of cars. Based on the machining features, major parts of press dies are categorized into 15 groups and a standard process plan is defined for each group. The standard process plan consists of a series of processes where a process is defined as a group of operations that can be done with one setup. Details such as cutting tools, cutting conditions, and tool paths are decided at the operation planning stage. At the final stage of process and operation planning, the NC code post-processor we developed adjusts feedrates along the tool path to reduce machining time. The adjustment rule is selected based on the metal removal rate estimated by virtually machining with virtual cutting tool.

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A Effect of the Oxidation Process on the Lifetime Properties of Ag-CdO Contact Materials (산화 방식이 Ag-CdO계 전기접점재료의 수명 특성에 미치는 영향)

  • Kwon, Gi-Bong;Nam, Tae-Woon
    • Journal of Korea Foundry Society
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    • v.25 no.6
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    • pp.233-239
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    • 2005
  • Contact material is widely used in the field of electrical parts. Ag-CdO has a good wear resistance and stable contact resistance. We studied a lifetime of Ag-CdO material because of getting better properties of Ag-CdO using Post-oxidation. The experimental procedure were melting using high frequency induction, heat treatment, rolling and internal oxidation. And we experimented on difference process, Post-oxidaion. Then we tested a lifetime and analysed. We obtained the optimizing oxidation temperature was $750^{\circ}C$. Using Pre-oxidation, coarse oxide and depleted oxidation layer existed but finer oxides were existed and depleted oxidation layer was not using Post-oxidation. In Post-oxidation, The density was 10 $g/cm^{3}$, the hardness was Hv 80 and the adhesive strength was 9000N. The specimen of Post-oxidation had better lifetime properties than that of Pre-oxidation. We predicted that the lifetime of Post-oxidation specimen is more longer twice than that of Pre-oxidation one.

Post Annealing Effects on Iron Oxide Nanoparticles Synthesized by Novel Hydrothermal Process

  • Kim, Ki-Chul;Kim, Young-Sung
    • Journal of Magnetics
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    • v.15 no.4
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    • pp.179-184
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    • 2010
  • We have investigated the effects of post annealing on iron oxide nanoparticles synthesized by the novel hydrothermal synthesis method with the $FeSO_4{\cdot}7H_2O$. To investigate the post annealing effect, the as-synthesized iron oxide nanoparticles were annealed at different temperatures in a vacuum chamber. The morphological, structural and magnetic properties of the iron oxide nanoparticles were investigated with high resolution X-ray powder diffraction (XRD), high resolution transmission electron microscopy (HRTEM), Mossbauer spectroscopy, and vibrating sample magnetometer analysis. According to the XRD and HRTEM analysis results, as-synthesized iron oxide nanoparticles were only magnetite ($Fe_3O_4$) phase with face-centered cubic structure but post annealed iron oxide nanoparticles at $700^{\circ}C$ were mainly magnetite phase with trivial maghemite ($\gamma-Fe_2O_3$) phase which was induced in the post annealing treatment. The crystallinity of the iron oxide nanoparticles is enhanced by the post annealing treatment. The particle size of the as-synthesized iron oxide nanoparticles was about 5 nm and the particle shape was almost spherical. But the particle size of the post annealed iron oxide nanoparticles at $700^{\circ}C$ was around 25 nm and the particle shape was spherical and irregular. The as-synthesized iron oxide nanoparticles showed superparamagnetic behavior, but post annealed iron oxide nanoparticles at $700^{\circ}C$ did not show superparamagnetic behavior due to the increase of particle size by post annealing treatment. The saturation of magnetization of the as-synthesized nanoparticles, post annealed nanoparticles at $500^{\circ}C$, and post annealed nanoparticles at $700^{\circ}C$ was found to be 3.7 emu/g, 6.1 emu/g, and 7.5 emu/g, respectively. The much smaller saturation magnetization value than one of bulk magnetite can be attributed to spin disorder and/or spin canting, spin pinning at the nanoparticle surface.

Mediation of Consumer Satisfaction in the Relationship between Outdoor Wear Purchase Decision-Making Process and Repurchase Intention (구매의사결정 단계와 재구매 의도 관계에서 고객 만족의 매개효과 분석 - 아웃도어 웨어를 대상으로 -)

  • Yoo, Hwa-Sook
    • Fashion & Textile Research Journal
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    • v.19 no.1
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    • pp.19-29
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    • 2017
  • This study identified the purchase decision-making process of outdoor wear consumers and examined the hypothesis that consumer satisfaction mediates the relationship between purchase decision-making process and repurchase intention. Data were acquired from a survey and analyzed with descriptive, factor analysis, reliability analysis and multiple regression analysis. Respondents were 454 adults who have purchased outdoor wear. The results are as follows. First, the purchase decision-making processes of outdoor wear consumers consisted of a series of steps: need recognition & passive information search, active information search, evaluation of alternatives with practical attributes, evaluation of alternatives with unpractical attributes, purchase decision, and post-purchase evaluation. Second, four purchase decision-making processes (except for need recognition & passive information search and active information search) had significantly positive effects on consumer satisfaction. Third, the need recognition & passive information search, the evaluation of alternatives with unpractical attributes and post-purchase evaluation had significantly positive effects on repurchase intention. Lastly, the partial mediation of consumer satisfaction in the relationship between two purchase decision-making processes (evaluation of alternatives with unpractical attributes and post-purchase evaluation) and repurchase intention were indicated. This academic study will help to understand the purchase decision-making processes of outdoor wear and allow companies to obtain information (from the industrial aspect) about which process to invest in and how to manage the process.