• Title/Summary/Keyword: Secondary productivity

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Measurement of the Nursing Workload by Patient Classification System in a Secondary Hospital;As a Preliminary Step for Computerization of Nursing Staffing and Scheduling (환자분류에 의한 일개 2차 의료기관의 간호업무량 조사;전산화를 위한 기초작업으로서)

  • Park, Jung-Ho;Joe, Hyon;Park, Hyeoun-Ae;Han, Hye-Rah
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.1
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    • pp.132-146
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    • 1995
  • Even though Korean medical law stipulates that number of patients attended by a nurse is 2.5 for hospitalization and 30 for ambulatory care, the number of patients cared by a nurse per day is much greater than the standard prescribed by the medical law. Current productivity of nurses is not desirable unless the quality of care is considered. And nursing manpower staffing based on neither current nurses' productivity nor standard of medical law cannot respond properly to dynamic situation of the medical services. Under this background, the necessity of more efficient management of nursing manpower occupying 1/3 of total hospital workers has been recognized by many nursing administrators. Many nursing researchers have studied to foretell the nursing manpower objectively on the basis of measured nursing workload according to patient classification as well. Most of These researches, however, have been conducted in the tertiary hospitals, so it is imperative to conduct other researches to predict necessary nursing manpower in the secondary and the primary hospitals. The study was performed to measure nursing workload and predict pertinent nursing manpower to a secondary hospital with 400beds. Nursing workload was surveyed using measuring tool for direct and indirect care hours in a surgical unit and a medical unit. Survey was conducted from Sep.10 to Sep.16 and from Oct.5 to Oct.11, 1994 respectively by two skilled nurses, Subjects were patients, patients' family members and nursing personnels. Results are follows : 1. Patient classification distributed as 22% of class I (mildly ill patient), 57% of class II (moderately ill patient), and 21% of class III (acutely ill patient) in the medical nursing unit, while 23% of class I, 29% of class II, 12% of class III, and 36% of classIV (critically ill patient) in the surgical nursing unit. There was no difference of inpatient number between weekday and weekend. Bed circulation rate was 89% in both units and average patients number per day was 37.4 (total 42beds) in the medical nursing unit, 32.9 (total 37beds) in the medical nursing unit. 2. Direct care hours per day measured as 2.8hrs for class I, 3.3hrs for class II, and 3.5hrs for class III in the medical nursing unit, while 3.1hrs for class I, 3hrs for class II, 2.7hrs for class III, and 2.2hrs for classIV in the surgical nursing unit. Meanwhile, hours for nursing assistant activities per patient by patients' family members were 11mins and 200mins respectively. Direct care hour rate by shift was day 36%, evening 25%, and night 39% in the medical nursing unit, while 40%, 29%, and and 31% respectively in the surgical nursing unit. 3. Measurement and observation activity held 44.2% of direct care activities of nurses and medication 36.7%, communication 11.7%, exercise 1.8%, treatment 1.3%, hygiene 1.3%, elimination and irrigation 1.1%, suction 1%, nutrition 0.5%, thermotherapy 0.3%, oxygen therapy 0.1% in order. 4. Indirect care hours per day were 294.2mins in the medical nursing unit, and 273.9mins in the surgical nursing unit. By shift, evening was the highest in both units. Indirect care hours for each patient were 44.5mins in the medical nursing unit and 46mins in the surgical nursing unit. 5. checking activities including doctor's order, medication, and delivering patients to the next shift occupied 39.7% of indirect care activities, and preparation 26%, recording 23.8%, communication and conference 6.7%, managing equipments 2.1%, messenger activity 1.7% in order. 6. On the ground of these results, nursing manpower needed in a secondary hospital was estimated ; 27 nursing personnels for the medical nursing unit of 37beds, and 20 nursing personnels for the surgical nursing unit of 33beds.

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Fermentation Studies on Pseudomonas aeruginosa Producing Antifungal Secondary Metabolite, PAFS. (항진균물질을 생합성하는 Pseudomonas aeruginosa의 배양생리적 특성 연구)

  • 송성기;윤권상;정용섭;전계택
    • Microbiology and Biotechnology Letters
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    • v.32 no.1
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    • pp.52-59
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    • 2004
  • When both fructose and galactose were added to a production medium as carbon sources, the productivity of PAFS (Psedomonas Antifungal Substance) biosynthesized by Pseudomonas aeruginosa was observed to be reduced significantly due to the well-known phenomenon of catabolite repression. In order to overcome this phenomenon by use of fermentation bioprocess, fed-batch cultivation method was examined. In addition, a high producer mutant strain, AP-20 obtained by a rational screening method was tested for its productivity of PAFS in both batch and fed-batch fermentation processes. Notably fed-batch operation showed approximately 4 fold higher PAFS productivity than traditional batch operation process. It was appeared that galactose was utilized principally for the cell growth of Pseudomonas aeruginosa whereas large portion of fructose was used for the biosynthesis of PAFS. Furthermore it was observed that composition and feeding rate of production media should be optimized even in the fed-batch fermentation bioprocess. As an example, very slow feeding of carbon sources gave rather negative effect on the production of PAFS due to significant limitation of carbon and energy sources available for the producer microorganism.

A Study on the Application Methodology of Set-based Design Approach of Outrigger System based on Lean Process (린 프로세스 기반 아웃리거 시스템의 Set-based Design 적용 방안에 관한 연구)

  • Lee, Seung-Il;Cho, Young-Sang
    • Korean Journal of Construction Engineering and Management
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    • v.12 no.4
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    • pp.50-58
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    • 2011
  • Lean concept is management philosophy that defines a customer's value and eliminates wasteful and impeditive factors. Management philosophy of Lean in the construction industry is referred to as "Lean Construction". Now this concept has expanded to achieve effective productivity during the design phase. Currently the norm of the domestic design process has been Point-based Design(PBD). It involves selecting a single structurally-feasible design option early and then refining that single design as more information becomes available throughout the design process. This single design is then re-worked until a solution is found that is feasible for all parties. On the contrary, Set-based Design(SBD) is based on lean processes to eliminate waste and improve project productivity. It focuses on keeping the design space as open as long as possible, to allow "subdesign" to advance and not labeling them as secondary in importance. Preserving the maximum number of feasible designs as long as possible reduces the likelihood that rework will be necessary and allows all project participants to utilize their unique expertise to make the project successful. This study proposes that the design methodology of minimizing waste and increasing productivity through SBD of AHP, one of the decision making process so as to compare PBD with SBD and tries to find decision making process and then suggest that application methodology through performs case study of SBD process.

Enhancing the Reliability of MODIS Gross Primary Productivity (GPP) by Improving Input Data (입력자료 개선에 의한 MODIS 총일차생산성의 신뢰도 향상)

  • Kim, Young-Il;Kang, Sin-Kyu;Kim, Joon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.9 no.2
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    • pp.132-139
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    • 2007
  • The Moderate Resolution Imaging Spectroradiometer (MODIS) regularly provides the eight-day gross primary productivity (GPP) at 1 km resolution. In this study, we evaluated the uncertainties of MODIS GPP caused by errors associated with the Data Assimilation Office (DAO) meteorology and a biophysical variable (fraction of absorbed photosynthetically active radiation, FPAR). In order to recalculate the improved GPP estimate, we employed ground weather station data and reconstructed cloud-free FPAR. The official MODIS GPP was evaluated as +17% higher than the improved GPP. The error associated with DAO meteorology was identified as the primary and the error from the cloud-contaminated FPAR as the secondary constituent in the integrative uncertainty. Among various biome types, the highest relative error of the official MODIS GPP to the improved GPP was found in the mixed forest biome with RE of 20% and the smallest errors were shown in crop land cover at 11%. Our results indicated that the uncertainty embedded in the official MODIS GPP product was considerable, indicating that the MODIS GPP needs to be reconstructed with the improved input data of daily surface meteorology and cloud-free FPAR in order to accurately monitor vegetation productivity in Korea.

Marked effect of Cuscuta on puerarin accumulation in cell cultures of Pueraria tuberosa grown in shake flasks and a bioreactor

  • Goyal, Shaily;Sharma, Varsha;Ramawat, Kishan G.
    • Plant Biotechnology Reports
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    • v.5 no.2
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    • pp.121-126
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    • 2011
  • Isoflavonoid production in cell cultures of Pueraria tuberosa as influenced by an angiospermic parasite, Cuscuta reflexa, was studied. During the time course, maximum isoflavonoid content was recorded when Cuscuta elicitor was added on day 15 of culture. Among various concentrations of elicitor tried, $1g\;l^{-1}$ of Cuscuta elicitor was found to be the most effective. The optimized elicitation conditions were used in vessels of varying capacity where maximum yield of ${\sim}91mg\;l^{-1}$ of isoflavonoid was recorded in a 2-l bioreactor which was about 19% higher than the control cultures. In this case, puerarin content increased up to $11mg\;l^{-1}$ which was 580% higher that the value recorded in the control cultures. In the bioreactor, 8 days of elicitation was optimal for the high accumulation of isoflavonoid, giving productivity of ${\sim}4mg\;l^{-1}\;day^{-1}$. The study showed persistent high isoflavonoid yield even during scale-up. Use of a preparation of Cuscuta reflexa as an elicitor is reported for the first time. The increase in isoflavonoid content was elicitor dose-dependent and can be explored to trigger high yields of isoflavonoid/secondary metabolites in production.

Long Term Outcomes after Pediatric Liver Transplantation

  • Yazigi, Nada A.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.207-218
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    • 2013
  • Long term outcomes after liver transplantation are major determinants of quality of life and of the value of this heroic treatment. As short term outcomes are excellent, our community is turning to take a harder look at long term outcomes. The purpose of this paper is to review these outcomes, and highlight proposed treatments, as well as pressing topics needing to be studied. A systemic review of the English literature was carried in PubMed, covering all papers addressing long term outcomes in pediatric liver transplant from 2000-2013. Late outcomes after pediatric liver transplant affect the liver graft in the form of chronic liver dysfunction. The causes include rejection particularly humoral rejection, but also de novo autoimmune hepatitis, and recurrent disease. The metabolic syndrome is a major factor in long term cardiovascular complication risk. Secondary infections, kidney dysfunction and malignancy remain a reality of those patients. There is growing evidence of late cognitive and executive function delays affecting daily life productivity as well as likely adherence. Finally, despite a good health status, quality of life measures are comparable to those of children with chronic diseases. Long term outcomes are the new frontier in pediatric liver transplantation. Much is needed to improve graft survival, but also to avoid systemic morbidities from long term immunosuppression. Quality of life is a new inclusive measure that will require interventions and innovative approaches respectful not only on the patients but also of their social circle.

Fundamental Study on the Development of a New Incremental Roll Forming Process for Structural Pipe Manufacturing (구조용 파이프 생산을 위한 새로운 점진적 롤 성형 공정 개발에 관한 기초 연구)

  • Son, Jong Youn;Yoon, Hee Seok;Park, Won Kyun;Shim, Do Sik
    • Journal of the Korean Society for Precision Engineering
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    • v.34 no.3
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    • pp.217-224
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    • 2017
  • Structural pipe frames are usually manufactured by complex processes, in which a straight pipe with an arbitrary cross-section is prepared via a roll-forming process and then fabricated into three-dimensional shapes by a secondary process. These conventional processes have low productivity. Recently, the inefficiency of the conventional processes has created the need to develop new forming technologies. In this study, a new incremental roll-forming process is proposed. The study is aimed at verifying the feasibility of the proposed process and investigating the fundamental process parameters using finite-element simulations. The result of the simulation demonstrates that the proposed process can be used effectively for cold fabrication of various shapes of structural pipes. In addition, the result of the investigation of parameters shows that the forming amount, number of roll sets, and distance between roll sets are significant factors to be considered in resolving dimensional errors of the product and improving its quality.

Bacterial Cellulose 생산균 KJ-1으로 부터 uv와 NTG mutant들의 cellulose 생산수율의 증가

  • Kim, Hye-Eun;Son, Chang-Jin;Jeong, Seon-Yong;Kim, Seong-Jun
    • 한국생물공학회:학술대회논문집
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    • 2001.11a
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    • pp.723-726
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    • 2001
  • This study was performed to improve the yield of bacterial cellulose(BC) by UV and NTG mutagenesis of strain KJ-1 which produced largely BC. some mutants showed high BC productivity with twice elevation compared to that the wild strain KJ-1. A difference was found in production and bioconversion phase of synthesized organic acid, such as gluconic acid, 2-keto gluconic acid, and 5-keto gluconic acid between mutants and strain KJ-1 in the static culture. The organic acid produced in secondary metabolism phase, were more rapidly consumed in the culture with the mutants than that the parent strain after glucose in the broth was conversed to a limiting substrate. Therefore, we suggested the reason for increasing of BC production that the mutant strain consumed more efficiently synthesized acids as substrates than that of the parent strain.

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Using ICT for Mongolia's sustainable development in energy industry

  • Tungalag, Azjargal;Kim, Yun Seon
    • Asia Pacific Journal of Business Review
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    • v.2 no.1
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    • pp.21-52
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    • 2017
  • Nowadays every technology is becoming smarter. Consequently, intensive use of ICT in the whole industries and cities enables a sustainable approach to meet enormous productivity, efficiency, transparency and conservation of natural recourses. Likewise, the role of ICT in terms of controlling, monitoring in the energy industry allows integrating potential renewables, bulk energy conservation and reliable optimized operation in the entire system. In this paper outlines challenging issues in renewable energy integration in Mongolia and proposes potential recommendations and conclusions. The author investigated the main technologies used in energy industry mainly smart grid, challenges and policy aspect in Mongolian energy sector by using the primary and secondary approach with case studies and literature based methodologies. Based on the policy aspect and current implementation of smart grid, the paper tries to address the readiness for the main application and future potential ICT driven applications. Furthermore, it concluded that ICT convergence is demanded to overcome the current vulnerabilities and significant momentum to leave behind by using its potential energy recourses and favorable geographical state. Policymakers may find this study useful, as it answers the question of whether ICT investment can ultimately reduce energy consumption and may aid in future planning. Even tough, in order to develop a smart grid and integrating renewables firstly set an appropriate market structure, ICT will key enabler to make energy system more profitable and sustainable. Regarding the result of this study, ICT deployment contribution is a huge demand for future opportunities energy in Mongolia.

A technical study on mold construction development for junction improvement and productivity improvement of Double-Injection molding (이중사출의 접합성 개선 및 생산성향상을 위한 금형구조 개발기술연구)

  • Kim, O.R.;Lee, S.Y.;Kim, Y.K.;Woo, C.K.;Han, I.Y.
    • Design & Manufacturing
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    • v.2 no.6
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    • pp.49-55
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    • 2008
  • Double-injection molding can inject two different materials or two colors in the same mold and process. If this injection process use, product has ability because the base part maintain strength and specified part can inject soft-material. It makes the cost down by single operation automatically for saving wages. In this paper, we designed double-injection mold for automobile remote control to inject secondary using this part as insert after inject external appearance of product. CAE analysis was progressed gate location and runner size as variable and analysis result is reflected in mold design process. As a result, it could solved badness that is generated at the conventional mold. Additionally, cost is downed by reducing loss of runner as well as could omit painting process because surface of finished product is improved through new mold.

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