• Title/Summary/Keyword: critical means

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The Effects and Variances of the Critical Pathway of Laparoscopic Colon Resection in Colon Cancer Patients (일 병원의 대장절제술 환자를 위한 표준진료지침의 임상적용 효과와 변이분석)

  • Jung, Hye-Jeong;Choi, Mo-Na;Kim, So-Sun;Kim, Nam-Kyu;Lee, Kang-Young
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.204-212
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    • 2012
  • Purpose: To investigate the effectiveness and variance of a critical pathway (CP) for laparoscopic colon resection in colon cancer patients, and nurses'satisfaction with the CP. Methods: A CP for laparoscopic colon resection was applied to the CP-group that included 50 patients, who underwent elective colon resection between March and May, 2011. The non-CP group included 51 patients who had the same operation without the CP applied from March to May, 2010. Results: The means of length of hospital stay were 11.7 and 7.3 days (p<.001) and the lengths of postoperative hospital stay were 8.6 and 5.1 days (p<.001) in the non-CP group and CP group, respectively. There was no significant difference between two groups for total healthcare costs, pain score, complications, or emergency room visits within 30 days after discharge. By examining variances of the CP, there were 162 variances and the most frequent cause was patient's condition. Nurses'satisfaction with the use of CP was favorable and the mean score of satisfaction was 3.76 on the 5 point Likert scale. Conclusion: There are clear benefits to use of CP, resulting in standardized and effective patient care. In conclusion, analysis of variance data can assist in evaluating and revising CP for optimal care and reducing variances.

Rotordynamic Model Development and Critical Speed Estimation Through Modal Testing for the Rotor-Bearing System of a MW Class Large-Capacity Induction Motor (MW급 대용량 유도전동기 축계의 모드실험 기반 회전체 동역학 해석모델 수립 및 위험속도 예측)

  • Park, Jisu;Choi, Jae-Hak;Kim, Dong-Jun;Sim, Kyuho
    • Tribology and Lubricants
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    • v.36 no.5
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    • pp.279-289
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    • 2020
  • In this paper, a method is proposed for establishing an approximate prediction model of rotor-dynamics through modal testing. In particular, the proposed method is applicable to systems that cannot be established according to conventional methods owing to the absence of information regarding the dimensions and material of the rotor-bearing system. The proposed method is demonstrated by employing a motor dynamometer driven by a 1 MW class induction motor without dimension and material information. The proposed method comprises a total of seven steps, wherein an initial model is established by incorporating approximate dimensions and material information, and the model is improved on the basis of the natural frequency characteristics of the system. During model improvement, the modification factor is introduced for adjusting the elastic modulus and shear modulus of the system. Analysis of critical speed and imbalance response indicates that the separation margin is 67% and the maximum vibration amplitude is less than the amplitude limit of 0.032 mm under the API 611 standard, which means that the motor dynamometer can stably operate at a rated speed of 1800 rpm. Hence, the obtained results validate the feasibility of the proposed method. Furthermore, for broad usage, it is necessary to accordingly apply and validate the proposed method for various rotor-bearing systems.

ERP System Education/Training and Other Related Factors Which Have Critical Influence On ERP Implementation Success (ERP 시스템 성공을 위한 ERP 시스템 교육/훈련 및 관련 요인 분석)

  • Kim, Yeong-Real
    • Journal of Korea Society of Industrial Information Systems
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    • v.13 no.3
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    • pp.100-109
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    • 2008
  • In the 1990s and 2000s there was considerable growth in implementation of Enterprise Resource Planning(ERP) Systems. It is estimated that the ERP market will grow to about $65 billion by 2009. Companies expect these systems to support many of the day to day business transactions. However, the implementation projects of ERP are big, strategic and complex projects which involve lots of time, scope and costs. Because of that, companies have to create conditions, in which they can implement chosen solution in expected time, scope and budgeted costs. This means that companies should be aware of what most critical factors for success of ERP implementations are. This study will first investigate the ERP implementation CSFs by studying prior published researches on the field of ERP implementation. Then, this study will discuss in depth some important factors of ERP implementation and represent preliminary results CSFs of ERP implementation empirical survey.

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$MgB_2$ Thin Films on SiC Buffer Layers with Enhanced Critical Current Density at High Magnetic Fields

  • Putri, W.B.K.;Tran, D.H.;Kang, B.;Lee, N.H.;Kang, W.N.
    • Progress in Superconductivity
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    • v.14 no.1
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    • pp.30-33
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    • 2012
  • We have grown $MgB_2$ superconducting thin films on the SiC buffer layers by means of hybrid physical-chemical vapor deposition (HPCVD) technique. Prior to that, SiC was first deposited on $Al_2O_3$ substrates at various temperatures from room temperature to $600^{\circ}C$ by using the pulsed laser deposition (PLD) method in a vacuum atmosphere of ${\sim}10^{-6}$ Torr pressure. All samples showed a high transition temperature of ~40 K. The grain boundaries of $MgB_2$ samples with SiC layer are greater in amount, compare to that of the pure $MgB_2$ samples. $MgB_2$ with SiC buffer layer samples show interesting change in the critical current density ($J_c$) values. Generally, at both 5 K and 20 K measurements, at lower magnetic field, all $MgB_2$ films deposited on SiC buffer layers have low $J_c$ values, but when they reach higher magnetic fields of nearly 3.5 Tesla, $J_c$ values are enhanced. $MgB_2$ film with SiC grown at $600^{\circ}C$ has the highest $J_c$ enhancement at higher magnetic fields, while all SiC buffer layer samples exhibit higher $J_c$ values than that of the pure $MgB_2$ films. A change in the grain boundary morphologies of $MgB_2$ films due to SiC buffer layer seems to be responsible for $J_c$ enhancements at high magnetic fields.

A Study on Communication Competency Analysis and Development Plan of Educational Content for Engineering Undergraduates (이공계 대학생의 커뮤니케이션 역량 분석 및 교육콘텐츠 개발 방안 연구)

  • Kim, Kyung-Hwa
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.529-539
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    • 2017
  • The purpose of this study is to categorize and analyze the communication competency of engineering undergraduates and to develop educational content in order to improve that. In this study, communication competency of engineering undergraduates was categorized into three areas: critical thinking, scientific communication, and media literacy. As a means to improve communication competency, the experience with and perception of writing were investigated. The communication competency of undergraduates needs to be improved overall. There is a high need for writing programs that enhance critical thinking oriented around practice. It suggests flipped learning based on smart education, E-community, problem-solving programs based on action learning, cooperative learning programs, reflection journals & portfolio, and collaborative writing programs as educational content. The results of this study can be used as basic data to design competency-based communication curriculum and practical applications for engineering undergraduates.

Stability analysis of steel cable-stayed bridges

  • Tang, Chia-Chih;Shu, Hung-Shan;Wang, Yang-Cheng
    • Structural Engineering and Mechanics
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    • v.11 no.1
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    • pp.35-48
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    • 2001
  • The objective of this study is to investigate the stability behavior of steel cable-stayed bridges by comparing the buckling loads obtained by means of finite element methods with eigen-solver. In recent days, cable-stayed bridges dramatically attract engineers' attention due to their structural characteristics and aesthetics. They require a number of design parameters and present a high degree of static indetermination, especially for long span bridges. Cable-stayed bridges exhibit several nonlinear behaviors concurrently under normal design loads due to the individual nonlinearity of substructures such as the pylons, stay cables, and bridge deck, and their interactions. The geometric nonlinearities arise mainly from large displacements of cables. Strong axial and lateral forces acting on the bridge deck and pylons cause structural nonlinear behaviors. The interaction is among the substructures. In this paper, a typical three-span steel cable-stayed bridge with a variety of design parameters has been investigated. The numerical results indicate that the design parameters such as the ratio of $L_1/L$ and $I_p/I_b$ are important for the structural behavior, where $L_1$ is the main span length, L is the total span length of the bridge, $I_p$ is the moment of inertia of the pylon, and $I_b$ is the moment of inertia of the bridge deck. When the ratio $I_p/I_b$ increases, the critical load decreases due to the lack of interaction among substructures. Cable arrangements and the height of pylon are another important factors for this type of bridge in buckling analysis. According to numerical results, the bridges supported by a pylon with harp-type cable arrangement have higher critical loads than the bridges supported by a pylon with fan-type cable arrangement. On contrary, the shape of the pylon does not significantly affect the critical load of this type of bridge. All numerical results have been non-dimensionalized and presented in both tabular and graphical forms.

The Nurse Staffing in Intensive Care Units based on Nursing Care Needs: A Multicenter Study (중환자 간호요구도에 근거한 중환자실 간호사 배치수준 산정 : 다기관 연구)

  • Park, Miok;Yang, Eunjin;Lee, Mimi;Cho, Sung-Hyun;Shim, Miyoung;Lee, Soon Haeng
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.1-11
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    • 2021
  • Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients' nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN). Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients' WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients' nursing care needs were calculated. Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48. Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients' nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.

Critical Discourse Analysis on Drug Addiction (마약 중독에 대한 비판적 담론 분석)

  • Shin, Seon-Hee
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.712-726
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    • 2022
  • The purpose of this study is to find out what discourse the newspaper's articles produce and distribute about 'drug addiction' and to reveal the topography and meaning of the discourse. Data were collected by searching 'drug' 'drug addiction' as keywords for news articles in four daily newspapers in Korea. As a result of analyzing using Norman Fairclough's critical discourse analysis, first, the 'crime-punishment' discourse was dominant in textual analysis. Drug addiction is a social evil and a serious crime such as sex crimes, child crimes, and violence, so it should be strictly punished. Second, in the discourse practice analysis, drug addiction is a mental disease that needs treatment, so systematic management by the state is required. Third, in the socio-cultural practice analysis, drug addiction is a means of making money for economic benefit, is related to corruption of political power, and is an object that should be strongly controlled to prevent drug crimes from threatening the foundation of the state. Culturally, drug addiction stems from the motivation of pleasure seeking, and is the result of moral degradation. Through this analysis, the conversion to the 'disease-treatment' discourse and drug policies centered on treatment and rehabilitation were suggested as alternatives.

A Critical Path Search and The Project Activities Scheduling (임계경로 탐색과 프로젝트 활동 일정 수립)

  • Lee, Sang-Un
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.1
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    • pp.141-150
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    • 2012
  • This paper suggests a critical path search algorithm that can easily draw PERT/GANTT chart which manages and plans a project schedule. In order to evaluate a critical path that determines the project schedule, Critical Path Method (CPM) is generally utilized. However, CPM undergoes 5 stages to calculate the critical path for a network diagram that is previously designed according to correlative relationship and execution period of project execution activities. And it may not correctly evaluate $T_E$ (The Earliest Time), since it does not suggest the way how to determine the sequence of the nodes activities that calculate the $T_E$. Also, the sequence of the network diagram activities obtained from CPM cannot be visually represented, and hence Lucko suggested an algorithm which undergoes 9 stages. On the other hand, the suggested algorithm, first of all, decides the sequence in advance, by reallocating the nodes into levels after Breadth-First Search of the network diagram that is previously designed. Next, it randomly chooses nodes of each level and immediately determines the critical path only after calculation of $T_E$. Finally, it enables the representation of the execution sequence of the project activity to be seen precisely visual by means of a small movement of $T_E$ of the nodes that are not belonging to the critical path, on basis of the $T_E$ of the nodes which belong to the critical path. The suggested algorithm has been proved its applicability to 10 real project data. It is able to get the critical path from all the projects, and precisely and visually represented the execution sequence of the activities. Also, this has advantages of, firstly, reducing 5 stages of CPM into 1, simplifying Lucko's 9 stages into 2 stages that are used to clearly express the execution sequence of the activities, and directly converting the representation into PERT/GANTT chart.

Strategies for Continuous Transactions with Customers for B2B Software Retailers: Case Study (B2B 소프트웨어 유통 중소기업을 위한 고객과의 지속거래 유지 전략: 사례 연구)

  • Choi, Yong-Jun;Kim, Wan-Ki
    • Journal of Distribution Science
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    • v.16 no.12
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    • pp.81-93
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    • 2018
  • Purpose - The purpose of this study was to propose a specific and empirical continuous transaction strategy through service quality of improvement to small and medium Korean companies whose main business is B2B distribution and sale of general-purpose SW. Research design, data, and methodology - The research procedure is largely divided into two phases. In the first phase, the service quality, the customer satisfaction, and the continuous transaction research hypothesis and the verification are carried out. Experimental data were collected from 450 companies, CEO companies of SMEs innovation institutes, and 510 companies from medium and large enterprises. From September 15 to October 5, 2015, 215 questionnaires were used. And research hypothesis and test were conducted by SPSS SW Ver. 20. Results - The results of the study confirm that service quality has a positive effect on customer satisfaction and continuous transaction: as the detailed items for improving the service quality, 'responsiveness', 'assurance' and 'empathy' have been adopted. Therefore, there are critical factors of a company's survival through continuous transaction. Conclusions - Through this study, we confirmed that the survival of small businesses require continuous improvement in service quality. Among the factors improving service quality, empathy means service satisfaction of customers; so, it is necessary to continuously improve it by evaluating customer satisfaction. Responsiveness means rapid response to customer needs and reliability; it is necessary to enhance customer responsiveness by continuous job training and service training. Finally, assurance is the same as sales product or after service. This means that it is necessary to not only issue the "supply contract," but also improve the reliability of the sales product by securing the competence of the consulting professional. However, because the service quality measurement factors selected in this study are the measurement factors that are mainly applied to large companies or those in the service industries, it is important to consider the type of sales of software distribution companies.