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Secondary Analysis on Pressure Injury in Intensive Care Units

  • Hyun, Sookyung
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.145-150
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    • 2021
  • Patients with Pressure injuries (PIs) may have pain and discomfort, which results in poorer patient outcomes and additional cost for treatment. This study was a part of larger research project that aimed at prediction modeling using a big data. The purpose of this study were to describe the characteristics of patients with PI in critical care; and to explore comorbidity and diagnostic and interventive procedures that have been done for patients in critical care. This is a secondary data analysis. Data were retrieved from a large clinical database, MIMIC-III Clinical database. The number of unique patients with PI was 2,286 in total. Approximately 60% were male and 68.4% were White. Among the patients, 9.9% were dead. In term of discharge disposition, 56.2% (33.9% Home, 22.3% Home Health Care) where as 32.3% were transferred to another institutions. The rest of them were hospice (0.8%), left against medical advice (0.7%), and others (0.2%). The top three most frequently co-existing kinds of diseases were Hypertension, not otherwise specified (NOS), congestive heart failure NOS, and Acute kidney failure NOS. The number of patients with PI who have one or more procedures was 2,169 (94.9%). The number of unique procedures was 981. The top three most frequent procedures were 'Venous catheterization, not elsewhere classified,' and 'Enteral infusion of concentrated nutritional substances.' Patient with a greater number of comorbid conditions were likely to have longer length of ICU stay (r=.452, p<.001). In addition, patient with a greater number of procedures that were performed during the admission were strongly tend to stay longer in hospital (r=.729, p<.001). Therefore, prospective studies focusing on comorbidity; and diagnostic and preventive procedures are needed in the prediction modeling of pressure injury development in ICU patients.

A study on Strategic Fitness of Digital Transformation and Competitive Strategy (디지털 트랜스포메이션의 경쟁전략과의 적합성에 관한 연구)

  • Noh, Kyoo-Sung
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.257-265
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    • 2021
  • Although researches on digital transformation and competitive strategies are active, but research or alternatives considering fitness between them are still insufficient. Therefore, this study aims to identify the relationship between the types of digital transformation project and the innovation of competitive strategies, and to suggest strategic implications and alternatives for how to utilize digital transformation when establishing a competitive strategy. To this end, this study first derived 14 types of digital transformation in 4 areas through literature research. Then, the relevance of digital transformation and competitive strategy identified through previous studies and case analysis was identified, an effective link between competition strategy and digital transformation, and optimization of fitness between competition strategy and internal resources were presented. This study contributed in that it attempted to advance research on competitive strategies in an academic perspective by approaching them from the perspective of strategic fitness about digital transformation. In addition, in the industrial aspect, it contributed to the fact that it supported the systematic implementation of the competitive strategic response of companies that had to deal with the situation where they wanted to promote digital transformation wisely from the viewpoint of fitness.

A study on ERP implementation strategy in the public enterprise: lessons from KOGAS (공기업의 ERP시스템 구축 전략에 관한 연구: KOGAS 사례를 중심으로)

  • Lim, Sung-Chul;Kim, Ki-Joo;Whang, Jae-Hoon
    • Journal of Korea Society of Industrial Information Systems
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    • v.14 no.5
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    • pp.257-270
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    • 2009
  • In the ways of coping with the rapidly changing environment, the information technology is recognized a critical factor in order to rethink the effectiveness of business management, and enterprise resource planning(ERP) system has emerged as an essential method for strengthening the competitiveness on the strategic level. This empirical study has revealed the following. First, well-organized system management and the strong will and leadership of top management have significantly positive influence on the reduction of cost and time. Second, system management, users' participation, and the strong will and leadership of top management have significantly positive influence on the improvement of management and informational environment. It also proposes the guidelines of how to establish an ERP system successfully in the public enterprises.

A Study on Utilization of Recycled Aggregates as Lateral Drain for Soft Ground Improvemnet (연약지반 개량을 위한 수평배수층 재료로 순환골재의 적용 방안에 대한 연구)

  • Lee, Jong-Yoon;Chun, Hae-Pyo;Jeong, Woo-Chul;Lim, Hae-Sic
    • Journal of the Korean Geotechnical Society
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    • v.24 no.10
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    • pp.5-15
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    • 2008
  • The purpose of this study is to examine the validity of recycled aggregates (RAs) as a substitute for Sand-Mat material for soft ground improvement in the housing site development. To evaluate the possibility of RAs as a substitute for sand mat material, first of all, the criteria and regulations related with the quality of lateral drain layer were collected and checked. Secondly, both of the properties of RAs were compared with the properties of natural sand for the lateral drain layer. The material properties related to coefficient of permeability, pressure at-rest state and so on satisfied most standards. On the basis of the test results, RAs were used to the construction site as lateral drain layer. Accordingly, if the quality of RAs can be managed well, the application of these RAs as lateral drain layer to replace natural sand was highly effective. Also, based on cost analysis of two materials, RAs are proved to be very competitive.

A Study on the development of big data-based AI water meter freeze and burst risk information service (빅데이터 기반 인공지능 동파위험 정보서비스 개발을 위한 연구)

  • Lee, Jinuk;Kim, Sunghoon;Lee, Minjae
    • Korean Journal of Construction Engineering and Management
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    • v.24 no.3
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    • pp.42-51
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    • 2023
  • Freeze and burst water meter in winter causes many social costs, such as meter replacement cost, inability of water use, and secondary damage by freezing water. The government is making efforts to modernize local waterworks, and in particular, is promoting SWM(Smart Water Management) project nationwide. In this study suggests a new freeze risk notification information service based on the temperature by IoT sensor inside the water meter box rather than outside temperature. In addition, in order to overcome the quantitative and regional limitation of IoT temperature sensors installed nationwide, and AI based temperature prediction model was developed that predicts the temperature inside water meter boxes based on data acquired from IoT temperature sensors and other information. Through the prediction model optimization process, a nationwide water meter freezing risk information service was convinced.

A Method of Calculating Baseline Productivity by Reflecting Construction Project Data Characteristics (건설 프로젝트 데이터 특성을 반영한 기준생산성 산정 방법)

  • Kim Eunseo;Kim Junyoung;Joo Seonu;Ahn Changbum;Park Moonseo
    • Korean Journal of Construction Engineering and Management
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    • v.24 no.3
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    • pp.3-11
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    • 2023
  • This research examines the need for a quantitative and objective method of calculating baseline productivity in the construction industry, which is known for its high volatility in performance and productivity. The existing literature's baseline productivity calculation methods rely heavily on subjective criteria, limiting their effectiveness. Additionally, data collection methods such as the "Five-minute Rating" are costly and time-consuming, making it challenging to collect detailed data at construction sites. To address these issues, this study proposes an objective baseline calculation method using unimpacted productivity BP, a work check sheet to systematically record detailed data, and a data collection and utilization process that minimizes cost and time requirements. This paper also suggests using unimpacted productivity BP and comparative analysis to address the objectivity and reliability issues of existing baseline productivity calculation methods.

Pediatricians' perception of factors concerning the clinical application of blockchain technology to pediatric health care: a questionnaire survey

  • Yong Sauk Hau;Min Cheol Chang;Jae Chan Park;Young Joo Lee;Seong Su Kim;Jae Min Lee
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.156-163
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    • 2023
  • Background: Interest in digital medical information has increased because it allows doctors to easily access a patient's medical records and provide appropriate medical care. Blockchain technology ensures data safety, reliability, integrity, and transparency by distributing medical data to all users over a peer-to-peer network. This study attempted to assess pediatricians' thoughts and attitudes toward introducing blockchain technology into the medical field. Methods: This study used a questionnaire survey to examine the thoughts and attitudes of 30- to 60-year-old pediatricians regarding the introduction of blockchain technology into the medical field. Responses to each item were recorded on a scale ranging from 1 (never agree) to 7 (completely agree). Results: The scores for the intentions and expectations of using blockchain technology were 4.0 to 4.6. Pediatricians from tertiary hospitals responded more positively (4.5-4.9) to the idea of using blockchain technology for hospital work relative to the general population (4.3-4.7). However, pediatricians working in primary and secondary hospitals had a slightly negative view of the application of blockchain technology to hospital work (p=0.018). Conclusion: When introducing the medical records of related pediatric and adolescent patients using blockchain technology in the future, it would be better to conduct a pilot project that prioritizes pediatricians in tertiary hospitals. The cost, policy, and market participants' perceptions are essential factors to consider when introducing technology in the medical field.

Competency Level Evaluation for Construction Management in Southeast Asian Countries

  • Kwon, Nahyun;Park, Moonseo;Lee, Hyun-Soo;Son, Bo-Sik;Kim, Junyoung;Kwon, Byung-Gi
    • International conference on construction engineering and project management
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    • 2017.10a
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    • pp.146-152
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    • 2017
  • Recently, countries in the South-east Asia are making efforts to enhance the construction industry system and introduce the construction management system. However, it is challenging to apply construction management in site due to lack of technology and professionals for CM. This can result in frequent safety accidents, cost overrun, schedule delay, etc. Therefore, it is necessary to carry out a clear evaluation of the overall situation regarding the level of technology and required competency. The objective of this research is to investigate on which management skills and items for CM are required to improve the construction management skills in South-east Asian construction industry. As a result of the questionnaire, most of the officials selected that the design phase and the construction phase are important works, and the engineers evaluated activities during the bidding phase, the design phase and the construction phase as important works for construction management. However, in most of the results, it was observed that the current competency of Vietnam construction is insufficient compared to the evaluated importance of the skills. This can be explained by the fact that they are not capable of managing construction projects effectively as compared to the importance. The results can help to realize the inadequate aspects of local construction industry, which will be the basis of improvements. Also, it is expected to be supportive to improve construction management in the countries and also provide indicators related to work stage or technology that should be acknowledged when establishing the advancing strategy for Southeast Asian countries in the future.

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Earthquake hazard and risk assessment of a typical Natural Gas Combined Cycle Power Plant (NGCCPP) control building

  • A. Can Zulfikar;Seyhan Okuyan Akcan;Ali Yesilyurt;Murat Eroz;Tolga Cimili
    • Geomechanics and Engineering
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    • v.35 no.6
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    • pp.581-591
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    • 2023
  • North Anatolian Fault Zone is tectonically active with recent earthquakes (Mw7.6 1999-Kocaeli and Mw7.2 1999-Düzce earthquakes) and it passes through Marmara region, which is highly industrialized, densely populated and economically important part of Turkey. Many power plants, located in Marmara region, are exposed to high seismic hazard. In this study, open source OpenQuake software has been used for the probabilistic earthquake hazard analysis of Marmara region and risk assessment for the specified energy facility. The SHARE project seismic zonation model has been used in the analysis with the regional sources, NGA GMPEs and site model logic trees. The earthquake hazard results have been compared with the former and existing earthquake resistant design regulations in Turkey, TSC 2007 and TBSCD 2018. In the scope of the study, the seismic hazard assessment for a typical natural gas combined cycle power plant located in Marmara region has been achieved. The seismic risk assessment has been accomplished for a typical control building located in the power plant using obtained seismic hazard results. The structural and non-structural fragility functions and a consequence model have been used in the seismic risk assessment. Based on the seismic hazard level with a 2% probability of exceedance in 50 years, considered for especially these type of critical structures, the ratios of structural and non-structural loss to the total building cost were obtained as 8.8% and 45.7%, respectively. The results of the study enable the practical seismic risk assessment of the critical facility located on different regions.

Cloud Security and Privacy: SAAS, PAAS, and IAAS

  • Bokhari Nabil;Jose Javier Martinez Herraiz
    • International Journal of Computer Science & Network Security
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    • v.24 no.3
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    • pp.23-28
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    • 2024
  • The multi-tenancy and high scalability of the cloud have inspired businesses and organizations across various sectors to adopt and deploy cloud computing. Cloud computing provides cost-effective, reliable, and convenient access to pooled resources, including storage, servers, and networking. Cloud service models, SaaS, PaaS, and IaaS, enable organizations, developers, and end users to access resources, develop and deploy applications, and provide access to pooled computing infrastructure. Despite the benefits, cloud service models are vulnerable to multiple security and privacy attacks and threats. The SaaS layer is on top of the PaaS, and the IaaS is the bottom layer of the model. The software is hosted by a platform offered as a service through an infrastructure provided by a cloud computing provider. The Hypertext Transfer Protocol (HTTP) delivers cloud-based apps through a web browser. The stateless nature of HTTP facilitates session hijacking and related attacks. The Open Web Applications Security Project identifies web apps' most critical security risks as SQL injections, cross-site scripting, sensitive data leakage, lack of functional access control, and broken authentication. The systematic literature review reveals that data security, application-level security, and authentication are the primary security threats in the SaaS model. The recommended solutions to enhance security in SaaS include Elliptic-curve cryptography and Identity-based encryption. Integration and security challenges in PaaS and IaaS can be effectively addressed using well-defined APIs, implementing Service Level Agreements (SLAs), and standard syntax for cloud provisioning.