• Title/Summary/Keyword: Team approach

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Stability Evaluation of Piles under Negative Skin Friction by the LRFD Approach (LRFD 설계법에 의한 부마찰력이 작용하는 말뚝의 안정성 평가)

  • Cho, Chun-Hwan;Kim, Woong-Kyu;Lee, Cheol-Woo;Gang, In-Cheol;Kim, Young-Sik
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.17-24
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    • 2005
  • Recently construction activities increase in reclaimed onshore areas. It is therefore considered an important factor for the design of pile foundation with problems in terms of settlements due to soft grounds. Nevertheless the design of piles for negative skin friction(or downdrag forces) is probably poorly understood by many engineers. It is mainly because the most of design specification give a way to design pile foundation in bearing capacity aspect although the negative skin friction is related to settlement(downdrag). Under LRFD(load resistance factor design) approach it is to separately consider ultimate limit state and serviceability limit state. This paper discusses LRFD approach to the design of piles for negative skin friction and compares this approach to traditional design approach. And also a case history is analyzed in that point of view.

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Impact of a Multidisciplinary Team Approach on Extracorporeal Circulatory Life Support-Bridged Heart Transplantation

  • Lee, Jae Jun;Kim, Young Su;Chung, Suryeun;Jeong, Dong Seop;Yang, Ji-Hyuk;Sung, Kiick;Kim, Wook Sung;Jun, Tae-Gook;Cho, Yang Hyun
    • Journal of Chest Surgery
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    • v.54 no.2
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    • pp.99-105
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    • 2021
  • Background: The number of heart transplantations (HTx) is increasing annually. Due to advances in medical and surgical support, the outcomes of HTx are also improving. Extracorporeal circulatory life support (ECLS) provides patients with decompensated heart failure a chance to undergo HTx. A medical approach involving collaboration among experienced experts in different fields should improve the outcomes and prognosis of ECLS-bridged HTx. Methods: From December 2003 to December 2018, 1,465 patients received ECLS at Samsung Medical Center. We excluded patients who had not undergone HTx or underwent repeated transplantations. Patients younger than 18 years were excluded. We also excluded patients who received an implantable durable left ventricular assist device before HTx. In total, 91 patients were included in this study. A multidisciplinary team approach began in March 2013 at our hospital. We divided the patients into 2 groups depending on whether they were treated before or after implementation of the team approach. Results: The 30-day mortality rate was significantly higher in the pre-ECLS team group than in the post-ECLS team group (n=5, 18.5% vs. n=2, 3.1%; p=0.023). The 1-year survival rate was better in the post-ECLS team group than in the pre-ECLS team group (n=57, 89.1% vs. n=19, 70.4%; p=0.023). Conclusion: We found that implementing a multidisciplinary team approach improved the outcomes of ECLS-bridged HTx. Team-based care should be adapted at HTx centers that perform high-risk HTx.

The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study

  • Sakong, Seungyeob;Lim, Eic Ju;Cho, Jun-Min;Choi, Nak-Jun;Cho, Jae-Woo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • v.34 no.2
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    • pp.105-111
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    • 2021
  • Purpose: Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in polytrauma patients. Methods: This retrospective review included all polytrauma patients with open extremity fractures admitted between March 2009 and December 2019. Patients were divided into two groups according to whether they were treated before or after the implementation of the trauma team approach (March 2014). We analyzed the outcomes in each group with respect to the time interval until the doctor's arrival, total length of stay in the emergency department, the time interval until initial antibiotic treatment and operation, whether the initial operation was performed within 24 hours, and the rate of deep infections. Results: A total of 123 patients met the inclusion criteria. There were no statistically significant differences in demographic characteristics. The time interval until the doctor's arrival (64.12±49.2 minutes vs. 19.82±15.23 minutes; p=0.035) and initial antibiotic treatment (115.47±72.12 minutes vs. 48.78±30.12 minutes; p=0.023) significantly improved after implementing the trauma team approach. The union rate was not significantly different. However, the time interval until initial debridement, opportunity for initial debridement within 24 hours, and the rate of deep infections demonstrated better results. Conclusions: The reduced time interval until initial antibiotic treatment and debridement could be attributed to the positive effect of the trauma team approach on the management of open extremity fractures in polytrauma patients.

Consideration of Detection Range Test Results of Missile Approach Warning Equipment using UAV (UAV를 활용한 미사일접근경보 장비의 탐지거리 시험결과 고찰)

  • Byeongheon Lee;Jaeeon Kwon;Youngil Kim;Sungil Lee;Cheong Lee;Jangwook Hur
    • Journal of the Korea Institute of Military Science and Technology
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    • v.27 no.2
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    • pp.213-221
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    • 2024
  • Aircraft's operational effectiveness is reduced due to threats from enemy anti-aircraft weapons, which is a weak point. In particular, guided missiles, which pose a threat to aircraft, are rapidly developing due to technological advancements in seekers, and are classified as one of the important technologies in weapon systems. Missile approach warning equipment installed to ensure aircraft survivability detects guided missiles and provides relevant information to respond. Tests were conducted domestically to verify the detection level of missile approach warning equipment, and test results were presented under various test conditions.

An Empirical Study on the Impacts of the Team-Based Organization Characteristics on Team Effectiveness in the University Library (대학도서관 팀제 운영방식이 팀 효과성에 미치는 영향)

  • Yoon, Hye-Young
    • Journal of Korean Library and Information Science Society
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    • v.35 no.4
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    • pp.23-40
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    • 2004
  • This study examined the impact of team characteristics(introduction of the team approach team empowerment, leadership of team leaders, open communication director's commitment) on team effectiveness (adaptability to the environments, job satisfaction the positive team culture, cost efficiency) in university libraries. The study used a survey design with a questionnaire to staffs who worked at f academic libraries in South Korea. The major findings from the empirical analysis are as follows. The well-prepared introduction of team approach and director's strong commitment were positively related to the team effectiveness variables such as adaptability to environment, job satisfaction, and cost efficiency.

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Design and Development of Knowledge Management Systems for Broadcasting Stations: Using a Team-based Approach (방송사 지식관리시스템 구축 방안에 관한 연구: 팀 기반 접근)

  • 이란주
    • Journal of Korean Library and Information Science Society
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    • v.35 no.2
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    • pp.415-436
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    • 2004
  • This study addresses two aspects related to knowledge management systems. First, it introduces knowledge management systems for broadcasting stations to develop a specific model. Second it introduces the team-based approach as a methodology for designing and developing knowledge management systems. Beginning with a discussion on the concept of knowledge management, this paper examines the characteristics, current situations and evolved paradigms of broadcasting stations. In addition 6 web sites of broadcasting stations are analyzed. The team-based approach is also presented in some detail on how it can be applied to other organizations. Results of this study show a knowledge management system with five subsystems for broadcasting stations.

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Effects of the Team Approach Rehabilitation Program on Balance, Gait, and Muscle Strength of Lower Extremities for Elderly Patients with Parkinson's Disease (팀 접근 재활프로그램이 노인 파킨슨병 환자의 균형, 보행 및 하지근력에 미치는 효과)

  • Choi, Jin-Young;Jo, Hyun Sook
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.199-206
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    • 2019
  • Purpose: The purpose of this paper was to verify effects of the team approach rehabilitation program on balance, gait, and muscle strength of lower extremities of elderly people with Parkinson's disease. Method: Subjects of this paper were 40 elderly people with Parkinson's disease, 20 control and experimental groups respectively, who could walk independently and were less than the 2.5 Hoehn &Yahr stage. The team approach rehabilitation program was applied to the experimental group for 12 weeks. Results: There was significant decrease in second at timed up &go test (p= .008), but no significant difference in reach length at functional reach test (p= .201) with partial improvement of balance. There was no significant difference in second at 10-meter walk test (p= .070), but showed tendency of improvement of gait. And number of times at 30s-chair stand test, indicating muscle strength on lower extremities, increased significantly (p= .029), Conclusion: The team approach rehabilitation program has demonstrated its effectiveness on improving balance, and muscle strength of lower extremities for the elderly with Parkinson's disease.

A-team Based Approach for Reactive Power/Voltage Control Considering Steady State Security Assessment (정태 안전성 평가를 고려한 무효전력 전압제어를 위한 A-team기반 접근법)

  • Kim, Doo-Hyun
    • Journal of the Korean Society of Safety
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    • v.11 no.2
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    • pp.150-159
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    • 1996
  • In this paper, an A-team(Asynchronous Team ) based approach for Reactive power and volage control considering static security assessment in a power system with infrastructural deficiencies is proposed. Reactive power and voltage control problem is the one of optimally establishing voltage level given several constraints such as reactive generation, voltage magnitude, line flow, and other switchable reactive power sources. It can be formulated as a mixed-integer linear programming(MILP) problem without deteriorating of solution accuracy to a certain extent. The security assessment is to estimate the relative robustness of the system in Its present state through the evaluation of data provided by security monitoring. Deterministic approach based on AC load flow calculations is adopted to assess the system security, especially voltage security. A security metric, as a standard of measurement for power system security, producting a set of discrete values rather than binary values, is employed. In order to analyze the above two problems, reactive power/voltage control problem and static security assessment problem, in an integrated fashion for real-time operations, a new organizational structure, called an A-team, is adopted. An A-team is an organization for agents which ale all autonomeus, work in parallel and communicate asynchronously, which is well-suited to the development of computer-based, multi-agent systems for operations. This A-team based approach, although it is still in the beginning stage, also has potential for handling other difficult power system problems.

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A Structural Approach and Deployment of a Substation Automation System (변전소 자동화 시스템의 구성 및 개발 사례)

  • You, Jeong-Sik;Lee, Kwon-Han;Choi, Dae-Hee;Choi, Yong-Bum;Lee, Hak-Sung
    • Proceedings of the KIEE Conference
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    • 2001.07a
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    • pp.258-260
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    • 2001
  • This paper describes the definition of a substation automation system and presents core components and its layered structure based on the modular approach. Also it introduces the implementation and deployment of our substation automation system which was adopted to the field recently.

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