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Factors Related to Long-term Hospital Length of Stay and Opinions on Discharge-related Community-based Medical and Welfare Service on Elderly Patients with Chronic Diseases in Korean Veterans Hospitals

  • Yoon, Young Mi;Park, Jin Hee;Hwang, Moon Sook
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.357-371
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    • 2022
  • Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

Suppression of stray electrons in the negative ion accelerator of CRAFT NNBI test facility

  • Yuwen Yang ;Jianglong Wei ;Junwei Xie ;Yuming Gu;Yahong Xie ;Chundong Hu
    • Nuclear Engineering and Technology
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    • v.55 no.3
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    • pp.939-946
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    • 2023
  • Comprehensive Research Facility for Fusion Technology (CRAFT) is an integration of different demonstrating or testing facilities, which aim to develop the critical technology or composition system towards the fusion reactor. Due to the importance and challenge of the negative ion based neutral beam injection (NNBI), a NNBI test facility is included in the framework of CRAFT. The initial object of CRAFT NNBI test facility is to obtain a H0 beam power of 2 MW at the energy of 200-400 keV for the pulse duration of 100 s. Inside the negative ion accelerator of NNBI system, the interactions of the negative ions with the background gas and electrodes can generate abundant stray electrons. The stray electrons can be further accelerated and dumped on the electrodes or eject from the accelerator. The stray electrons, including the ejecting electrons, cause the unwanted particle and heat flux onto the electrodes and the inner components of beamline (especially the temperature sensitive cryopump). The suppression of the stray electrons from the CRAFT accelerator is carried out via a series of design and simulation works. The paper focuses the influence of different magnetic field configurations on the stray electrons and the character of the ejecting electrons.

Real-time wireless marine radioactivity monitoring system using a SiPM-based mobile gamma spectroscopy mounted on an unmanned marine vehicle

  • Min Sun Lee;Soo Mee Kim;Mee Jang;Hyemi Cha;Jung-Min Seo;Seungjae Baek;Jong-Myoung Lim
    • Nuclear Engineering and Technology
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    • v.55 no.6
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    • pp.2158-2165
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    • 2023
  • Marine radioactivity monitoring is critical for taking immediate action in case of unexpected nuclear accidents at nuclear facilities located near coastal areas. Especially when the level of contamination is not predictable, mobile monitoring systems will be useful for wide-area ocean radiation survey and for determination of the level of radioactivity. Here, we used a silicon photomultiplier and a high-efficiency GAGG crystal to fabricate a compact, battery-powered gamma spectroscopy that can be used in an ocean environment. The developed spectroscopy has compact dimensions of 6.5 × 6.5× 8 cm3 and weighs 560 g. We used LoRa, a low-power wireless protocol for communication. Successful data transmission was achieved within 1.4 m water depth. The developed gamma spectroscopy was able to detect radioactivity from a 137Cs point source (3.7 kBq) at a distance of 20 cm in water. Moreover, we demonstrated an unmanned radioactivity monitoring system in a real sea by combining unmanned surface vehicle with the developed gamma spectroscopy. A hidden 137Cs source (3.07 MBq) was detected by the unmanned system at a distance of 3 m. After successfully testing the developed mobile spectroscopy in an ocean environment, we believe that our proposed system will be an effective solution for mobile real-time marine radioactivity monitoring.

LEU+ loaded APR1400 using accident tolerant fuel cladding for 24-month two-batch fuel management scheme

  • Husam Khalefih;Taesuk Oh;Yunseok Jeong;Yonghee Kim
    • Nuclear Engineering and Technology
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    • v.55 no.7
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    • pp.2578-2590
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    • 2023
  • In this work, a 24-month two-batch fuel management strategy for the APR1400 using LEU + has been investigated, where enrichments of 5.9 and 5.2 w/o are utilized in lieu of the conventional 4-5 w/o UO2 fuel. In addition, an Accident Tolerant Fuel (ATF) clad based on the swaging technology is applied to APR1400 fuel assemblies. In this special ATF clad design, both outer and inner SS316 layers protect the conventional zircaloy clad. Erbia (Er2O3) is introduced as a burnable absorber with two-fold goals to lower the critical boron concentration in the long-cycle LEU + loaded core as well as to handle the LEU + fuel in the existing front-end fuel facilities without renewing the license. Two types of fuel assemblies with different loading of gadolinia (Gd2O3) are considered to control both the reactivity and the core radial power distribution. The erbia burnable absorber is uniformly admixed with UO2 in all fuel pins except for the gadolinia-bearing ones. In this study, two core designs were devised with different erbia loading, and core performance and safety parameters were evaluated for each case in comparison with a core design without any burnable absorbers. The core analysis was done using the two-step method. First, cross-sections are generated by the SERPENT 2 Monte Carlo code, and the 3-D neutronic analysis is performed with an in-house multi-physics nodal code KANT.

Research on Clothing Origin Certification Systems in Major Overseas Countries (해외 주요국가의 의류 원산지 인증제도 연구)

  • Sieun Lim;Sowon Hahn
    • Journal of Fashion Business
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    • v.27 no.3
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    • pp.63-74
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    • 2023
  • As "Made in Korea" has high branding power in the fashion industry, domestic clothing manufacturers also need to consider branding the country of origin. Therefore, the purpose of this study was to reconsider the need for a domestic certification system and suggest a direction by analyzing apparel origin certification systems operating overseas. The results of this study could be used for planning certification standards and operating methods suitable for regional characteristics and industrial environments when establishing a certification system for clothing produced in Korea. The case study subjects were Japan's J∞ Quality, USA's Made in New York, Italy's 100% Made in Italy, and France's Origin France Guarantee has been classified as certification criteria related to the country of origin include items related to the production process rate in the region and the production area for each production process/stream. Manufacturing technology and design are used for quality standards, safety, hygiene compliance, production facilities, and quality control and are applied to working environment standards. The certification system selects and operates standards according to each country's industrial environment, certification subject, and purpose. Therefore, when designing a domestic apparel certification system, a feasible promotion plan should be established that considers the current state of the domestic industry, which will serve as a driving force for the growth of the apparel manufacturing industry and an opportunity to increase the trust of global fashion consumers.

Particle Analysis of Uranium Bearing Materials Using Ultra High-resolution Isotope Microscope System (초고분해능 동위원소현미경 시스템을 활용한 우라늄 핵종 입자 분석 기술)

  • Jeongmin Kim;Yuyoung Lee;Jung Youn Choi;Haneol Lee;Hyunju Kim
    • Economic and Environmental Geology
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    • v.56 no.5
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    • pp.557-564
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    • 2023
  • Nuclear materials such as uranium are used as fuel for nuclear power generation, but there is a high possibility that they will be used for non-peaceful purposes, so international inspections and regulations are being conducted. Isotope analysis data of fine particulate obtained from nuclear facilities can provide important information on the origin and concentration method of nuclear material, so it is widely used in the field of nuclear safety and nuclear forensics. In this study we describe the analytical method that can directly identify nuclear particles and measure their isotopic ratios for fine samples using a large-geometry secondary ion mass spectrometer and introduce its preliminary results. Using the U-200 standard material, the location of fine particles was identified and the results consistent with the standard value were obtained through microbeam analysis.

Energy Use Prediction Model in Digital Twin

  • Wang, Jihwan;Jin, Chengquan;Lee, Yeongchan;Lee, Sanghoon;Hyun, Changtaek
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.1256-1263
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    • 2022
  • With the advent of the Fourth Industrial Revolution, the amount of energy used in buildings has been increasing due to changes in the energy use structure caused by the massive spread of information-oriented equipment, climate change and greenhouse gas emissions. For the efficient use of energy, it is necessary to have a plan that can predict and reduce the amount of energy use according to the type of energy source and the use of buildings. To address such issues, this study presents a model embedded in a digital twin that predicts energy use in buildings. The digital twin is a system that can support a solution of urban problems through the process of simulations and analyses based on the data collected via sensors in real-time. To develop the energy use prediction model, energy-related data such as actual room use, power use and gas use were collected. Factors that significantly affect energy use were identified through a correlation analysis and multiple regression analysis based on the collected data. The proof-of-concept prototype was developed with an exhibition facility for performance evaluation and validation. The test results confirm that the error rate of the energy consumption prediction model decreases, and the prediction performance improves as the data is accumulated by comparing the error rates of the model. The energy use prediction model thus predicts future energy use and supports formulating a systematic energy management plan in consideration of characteristics of building spaces such as the purpose and the occupancy time of each room. It is suggested to collect and analyze data from other facilities in the future to develop a general-purpose energy use prediction model.

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Study on Energy Efficiency Improvement in Manufacturing Core Processes through Energy Process Innovation (에너지 프로세스 혁신을 통한 제조 핵심 공정의 에너지 효율화 방안 연구)

  • Sang-Joon Cho;Hyun-Mu Lee;Jin-Soo Lee
    • Journal of Advanced Technology Convergence
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    • v.2 no.4
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    • pp.43-48
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    • 2023
  • Globally, there is a collaborative effort to achieve global carbon neutrality in response to climate change. In the case of South Korea, greenhouse gas emissions are rapidly increasing, presenting an urgent situation that requires resolution. In this context, this study developed a thermal energy collection device named a 'steam trap' and created an AI model capable of predicting future electricity usage by collecting energy usage data through steam traps. The average accuracy of electricity usage prediction with this AI model was 96.7%, demonstrating high precision. Consequently, the AI model enables the prediction and management of days with high electricity consumption and identifies which facilities contribute to elevated power usage. Future research aims to optimize energy consumption efficiency through efficient equipment operation using anomaly detection in steam traps and standardizing energy management systems, with the ultimate goal of reducing greenhouse gas emissions.

Evaluating the Airtightness of Medium- and Low-Intermediate-Level Radioactive Waste Packaging Container through Finite Element Analysis (유한요소 해석을 통한 중·저준위 방사성폐기물 포장용기의 밀폐성 평가)

  • Jeong In Lee;Sang Wook Park;Dong-Yul Kim;Chang Young Choi;Yong Jae Cho;Dae Cheol Ko;Jin Seok Jang
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.29 no.3
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    • pp.203-209
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    • 2023
  • The increasing saturation challenges in storage facilities for Low- and Intermediate-Level Radioactive Waste call for a more efficient storage approach. Consequently, we have developed a square-structured container that features a storage capacity approximately 20% greater than that of conventional drum-type containers. Considering the need to contain various radioactive wastes from nuclear power usage securely until they no longer pose a threat to human health or the environment, this study focuses on evaluating the sealing efficacy of the newly designed rectangular container using finite element analysis. Since radioactive waste containers typically do not experience external forces except under special circumstances, our analysis simulated the impact of an external force, assuming a fall scenario. After fastening the bolts, we examined the vertical stress distribution on the container by applying the calculated external force. The analysis confirms the container's stable seal.

A Study on the Effectiveness of Virtual and Real Experience Type Safety Education at Construction Sites (건설현장에 접목한 가상체험·실물체험 안전교육의 효과성 연구)

  • Cho Choonhwan
    • Journal of the Korea Institute of Construction Safety
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    • v.6 no.1
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    • pp.1-6
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    • 2024
  • Existing safety education delivered to construction workers has limitations in concentration and immersion, so delivery power and interest are low. In order to improve the unstable behavior of construction workers and prevent safety accidents through education, a paradigm shift to hands-on education is necessary. Experiential safety education aims to contribute to the prevention of safety accidents and induce safe behavior by construction workers to recognize risks faster, select safe working methods suitable for the working environment, and improve emergency response and proactive response. Experiential education facilities have a follow-up learning effect in case of danger. The experience facility, which consists of the same working environment as the actual construction site, is designed to experience falls, equipment contraction, fire, and electric shock. In order to achieve the results of safety education that has invested a lot of time, construction workers must have motivation to participate, and "experiential safety education" through playful, deviant, and aesthetic experiences reduces serious accidents.