• Journal of Trauma and Injury
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• 제36권1호
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• pp.3-7
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• 2023

Purpose: As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the impact of training on clinical practice. Therefore, this study is aimed to evaluate the effects of the course on procedural performance during resuscitation and on clinical outcomes. Methods: Patients who were managed at a regional trauma center in Dankook University Hospital from August 2016 to February 2018 were included and were grouped as precourse (August 2016-August 2017, n=9) and postcourse (September 2017- February 2018, n=9). Variables regarding injury, parameters regarding REBOA procedure, morbidity, and mortality were prospectively collected and reviewed for comparison between the groups. Results: Demographics and REBOA variables did not differ between groups. The time required from arterial puncture to balloon inflation was significantly shortened from 9.0 to 5.0 minutes (P=0.003). There were no complications associated with REBOA after the course. Mortality did not show any statistical difference before and after the course. Conclusions: The endovascular training for REBOA pilot course, which uses a modified form of flipped learning, realistic simulation of ultrasound-guided catheter insertion and balloon manipulation, and competence assessment, significantly improved procedural performance during resuscitation of trauma patients.

• Geomechanics and Engineering
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• 제29권4호
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• pp.435-449
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• 2022

In this paper, unreinforced and geogrid-reinforced soil foundations were modeled by discrete element method and this performed under surface strip footing loads. The effects of horizontal position of geogrid, vertical position, thickness, number, confining pressure have been investigated on the footing settlement and propagation of tensile force along the geogrids. Also, interaction between rectangular tunnel and strip footing with and without presence of geogrid layer has been analyzed. Experimental results of the literature were used to validation of relationships between the numerically achieved footing pressure-settlement for foundations of reinforced and unreinforced soil. Models and micro input parameters which used in the numerical modelling of reinforced and unreinforced soil tunnel were similar to parameters which were used in soil foundations. Model dimension was 1000 mm* 600 mm. Normal and shear stiffness of soils were 5*10⁵ and 2.5 *10⁵ N/m, respectively. Normal and shear stiffness of geogrid were 1*10⁹ and 1*10⁹ N/m, respectively. Loading rate was 0.001 mm/sec. Micro input parameters used in numerical simulation gain by try and error. In addition of the quantitative tensile force propagation along the geogrids, the footing settlements were visualized. Due to collaboration of three layers of geogrid reinforcements the bearing capacity of the reinforced soil tunnel was greatly improved. In such practical reinforced soil formations, the qualitative displacement propagations of soil particles in the soil tunnel and the quantitative vertical displacement propagations along the soil layers/geogrids represented the geogrid reinforcing impacts too.

• Earthquakes and Structures
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• 제25권2호
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• pp.135-148
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• 2023

The structure-soil-structure interaction (SSSI) effect in adjacent structures may affect the liquefaction-induced damage of shallow foundation structures. The existing studies only analysed the independent effects on the structural dynamic response but ignored the coupling effect of height difference and distance of adjacent structures (F) on liquefied foundations on the dynamic response. Therefore, this paper adopts finite element and finite difference coupled dynamic analysis method to discuss the effect of the F on the seismic response of shallow foundation structures. The results show that the effect of the short structure on the acceleration response of the tall structure can be neglected as F increases when the height difference reaches 2 times the height of the short structure. The beneficial effect of SSSI on short structures is weakened under strong seismic excitations, and the effect of the increase of F on the settlement ratio gradually decreases, which causes a larger rotation hazard. When the distance is smaller than the foundation width, the short structure will exceed the rotation critical value and cause structural damage. When the distance is larger than the foundation width, the rotation angle is within the safe range (0.02 rad).

• Educational Technology International
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• 제16권2호
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• pp.141-166
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• 2015

The purpose of this study was to examine the effects of using visual stimulation and gesture, namely embodied language learning, on learning achievement and learner's course interest in the EFL classroom. To investigate the effectiveness of the proposed purpose, thirty two third-grade elementary school students participated and were assigned into four English learning class conditions (i.e., using animated graphic and gestures condition, using only animated graphic condition, using still pictures and gesture condition, and control condition). The research questions for this study are addressed below: (1) What differences are there in post and delayed learning achievement between imitating gesture group and non-imitating one and between animated graphic group and still picture one? (2) What differences are there in course interest between imitating gesture group and non-imitating one and between animated graphic group and still picture one? The Embodiment-based English learning system for this study was designed by using Microsoft's Kinect sensing devices. The results of this study revealed that students of imitating gesture group memorized and retained better words and sentence structure than those of the other groups. As for learner's course interest measurement, imitating gesture group showed a highly positive response to attention, relevance, and satisfaction for curriculum and using animated graphic influenced satisfaction as well. This finding can be attributed to the embodied cognition, which proposes that the body and the mind are inseparable in the constitution of cognition and thus students using visual simulation and imitating related gesture regard the embodied language learning approach more satisfactory and acceptable than the conventional ones.

• Steel and Composite Structures
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• 제49권1호
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• pp.65-79
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• 2023

This paper presents a development of empirical evaluations, which can be used to evaluate the damage of fiber-reinforced concrete composites (FRC) wall subjected to close-in blast loads. For this development, a combined application of numerical simulation and machine learning approaches are employed. First, finite element modeling of FRC wall under blast loading is developed and verified using experimental data. Numerical analyses are then carried out to investigate the dynamic behavior of the FRC wall under blast loading. In addition, a data set of 384 samples on the damage of FRC wall due to blast loads is then produced in order to develop machine learning models. Second, three robust machine learning models of Random Forest (RF), Support Vector Machine (SVM), and Extreme Gradient Boosting (XGBoost) are employed to propose empirical evaluations for predicting the damage of FRC wall. The proposed empirical evaluations are very useful for practical evaluation and design of FRC wall subjected to blast loads.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제17권10호
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• pp.2883-2902
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• 2023

Since the existing anti-jamming methods, including intelligent methods, have difficulty against high-speed reactive jamming, we studied a new methodology for jamming utilization instead of avoiding jamming. Different from the existing jamming utilization techniques that harvest energy from the jamming signal as a power supply, our proposed method can take the jamming signal as a favorable factor for frequency detection. Specifically, we design an intelligent differential frequency hopping communication framework (IDFH), which contains two stages of training and communication. We first adopt supervised learning to get the jamming rule during the training stage when the synchronizing sequence is sent. And then, we utilize the jamming rule to improve the frequency detection during the communication stage when the real payload is sent. Simulation results show that the proposed method successfully combated high-speed reactive jamming with different parameters. And the communication performance increases as the power of the jamming signal increase, hence the jamming signal can help users communicate in a low signal-to-noise ratio (SNR) environment.

• 대한간호학회지
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• 제53권6호
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• pp.610-621
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• 2023

Purpose: The purpose of this study was to understand the experiences of final-year undergraduate nursing students in observing the use of physical restraints on patients in the course of clinical practice. Methods: Three focus group interviews were conducted with 12 Korean nursing students who could provide sufficient information about their observation of physical restraints. The collected data was analyzed through conventional content analysis. Results: The data were classified into four theme clusters, and nine themes. The four theme clusters included 'recognized as an unavoidable means,' 'experienced problems with the use of physical restraints,' 'realized the importance of the nurse's role and efforts,' and 'aspire to learn about correct use of physical restraints.' While nursing students recognized the necessities and problems of using physical restraints in clinical practice, and the importance of nurses' role and effort, the results found that education related to the use of physical restraints should be more systematic within the nursing curriculum. Conclusion: This study highlights the necessity of educating nursing students to ensure they acquire accurate knowledge and awareness regarding the use of physical restraints, and suggests the inclusion of systematic guidelines through simulation or extracurricular activities.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제18권4호
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• pp.881-902
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• 2024

Fast decision support systems and accurate diagnosis have become significant in the rapidly growing healthcare sector. As the number of disparate medical IoT devices connected to the human body rises, fast and interrelated healthcare data retrieval gets harder and harder. One of the most important requirements for the Healthcare Internet of Things (HIoT) is semantic interoperability. The state-of-the-art HIoT systems have problems with bandwidth and latency. An extension of cloud computing called fog computing not only solves the latency problem but also provides other benefits including resource mobility and on-demand scalability. The recommended approach helps to lower latency and network bandwidth consumption in a system that provides semantic interoperability in healthcare organizations. To evaluate the system's language processing performance, we simulated it in three different contexts. 1. Polysemy resolution system 2. System for hyponymy-hypernymy resolution with polysemy 3. System for resolving polysemy, hypernymy, hyponymy, meronymy, and holonymy. In comparison to the other two systems, the third system has lower latency and network usage. The proposed framework can reduce the computation overhead of heterogeneous healthcare data. The simulation results show that fog computing can reduce delay, network usage, and energy consumption.

• 한국산학기술학회논문지
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• 제18권9호
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• pp.436-443
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• 2017

최근, 지구온난화 등의 문제로 인해 새로운 에너지 기술의 개발이 화제가 되고 있다. 중규모 이상의 출력을 얻도록 최적화된 태양광 및 태양열, 풍력 발전과 같은 신재생에너지 기술과 다르게 에너지 하베스팅기술은 출력전력이 매우 작아 크게 주목받지 못하고 있다. 하지만 최근 모바일 산업이 활성화 되면서 에너지 하베스팅기술의 활용가치가 재평가 받고 있다. 또한, 최대전력점 추적방식기술 역시 활발히 연구가 이루어지고 있다. 본 논문에서는 일정한 저항부하를 위한 열전모듈의 새로운 최대전력점추적 제어방식을 제안한다. 열전 모듈(이하 TEM: Thermoelectric Module)의 V-I곡선특성과 내부저항을 분석하고. 기존의 MPPT제어방식을 비교하였다. P&O(Perturbation and Observation)제어방식은 전압, 전류를 측정하기위한 센서 2개를 사용해야하기 때문에 CV제어방식보다 경제성이 떨어지지만 보다 정확히 MPP를 찾는다는 장점을 가진다. CV(Constant Voltage)제어방식은 전압센서 1개만 사용하기 때문에 경제적인 측면에서는 P&O제어방식보다 뛰어나지만, MPP가 정확히 못하다는 단점을 가지고 있다. 본 논문에서는 두 제어방식의 장점만을 가지고 TEM의 최대전력점(MPP)을 추적하도록 설계하였다. 제안된 MPPT 제어 방식은 PSIM 프로그램을 이용한 모의실험으로 확인하였으며, 하드웨어제작을 통해 제안된 MPPT제어 방식을 검증하였다.

• 과학교육연구지
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• 제39권3호
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• pp.343-357
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• 2015

본 연구는 과학 교과서의 '생명의 진화'와 '인류의 건강과 과학기술' 영역에서 STS 내용의 포함정도를 분석하여 2009 개정 교육과정의 목표에 잘 부합하는지 여부를 규명하는 것을 연구 목적으로 하였다. 7종의 교과서를 STS 주제 영역을 기준으로 분석한 결과, 비율로 보면, 적게는 16.67%를, 많게는 58.33%를 포함하고 있는 것으로 나타났다. 그러나 STS와 관련된 주제 중, '우주개발과 국방'과 '환경문제'는 표현되지 않았다. STS 활동 영역에서는 '구조화된 토론', '자료 해석', '조사 연구' 영역에서 많은 활동 횟수를 보이고 있음을 알 수 있었다. 반면 '현장 활동', '문제 해결과 의사 결정', '역할 놀이', '모의 실험', '사례 연구', '연구 고안'의 STS 활동 영역은 그 횟수가 적게 나타났다. 그러나 2009 개정 과학 교과서에서는 STS 활동 영역이 다양하게 포함하고 있음을 알 수 있었다. 각 영역별 STS 내용 포함률을 분석한 결과, '과학의 응용성'에 해당하는 내용이 67.57%로 최대 내용을 구성하고 있었지만, '과학과 관련된 직업에 대한 인식'은 1.63%로 그 빈도의 차이가 켰다. '과학의 응용성' 이외의 7가지 내용 준거는 10%를 조금 넘거나, 대부분 10%가 채 되지 않는 비율로 각각의 내용을 포함하고 있었다. 7종의 고등학교 융합형 '과학' 교과서 생명과학 영역에 포함된 STS 내용은 평균 20.75%로, 교과서별 최소 12.35%에서부터 많게는 26.90%를 포함하고 있었다.