Background Patients have anxiety and fear of complications due to general anesthesia. Through new instruments and local anesthetic drugs, a variety of anesthetic methods have been introduced. These methods keep hospital costs down and save time for patients. In particular, the target-controlled infusion (TCI) system maintains a relatively accurate level of plasma concentration, so the depth of anesthesia can be adjusted more easily. We conducted this study to examine whether intravenous anesthesia using the TCI system with propofol and remifentanil would be an effective method of anesthesia in breast augmentation. Methods This study recruited 100 patients who underwent breast augmentation surgery from February to August 2011. Intravenous anesthesia was performed with 10 mg/mL propofol and 50 ${\mu}g/mL$ remifentanil simultaneously administered using two separate modules of a continuous computer-assisted TCI system. The average target concentration was set at 2 ${\mu}g/mL$ and 2 ng/mL for propofol and remifentanil, respectively, and titrated against clinical effect and vital signs. Oxygen saturation, electrocardiography, and respiratory status were continuously measured during surgery. Blood pressure was measured at 5-minute intervals. Information collected includes total duration of surgery, dose of drugs administered during surgery, memory about surgery, and side effects. Results Intraoperatively, there was transient hypotension in two cases and hypoxia in three cases. However, there were no serious complications due to anesthesia such as respiratory difficulty, deep vein thrombosis, or malignant hypertension, for which an endotracheal intubation or reversal agent would have been needed. All the patients were discharged on the day of surgery and able to ambulate normally. Conclusions Our results indicate that anesthetic methods, where the TCI of propofol and remifentanil is used, might replace general anesthesia with endotracheal intubation in breast augmentation surgery.
The purpose of this study is to construct user satisfaction model using factor analysis and regression analysis through survey on various factors which decide users' satisfaction index of OK-SUNG Recreation Forest located in Gumi-city, Kyungbuk (newly opened on Dec, 26, 2007) and to suggest the right operation plans referring to the studies on existing recreation forests. The research results are as follows; The using behavior of recreation forests reported similar pattern to existing researches such as companion pattern, duration of status, ages and costs. The result of construction regression model after dividing of using behavior of recreation forests into two sections, which are physical sector and mental sector, showed that recreation environmental factor and inner recreation factor influenced more highly on satisfaction index. This result showed that the recreation factor, which is for obtaining mental satisfaction and friendship among companions, nature friendly factor and environmental factor more highly influence on the satisfaction index and the existing studies also support this result. Therefore, in order to offer higher standard recreation opportunities to the users, there needs consideration not only concerning experience facilities, walks and paths up a mountain, but also concerning the harmony between nature and facilities. In addition, in order to offer comfort and stableness in body and mind to users, it is necessary to educate and train the staff to offer better service and to maintain the facilities of recreation forest peaceful and calm.
Korean Journal of Construction Engineering and Management
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v.22
no.1
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pp.36-46
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2021
With an increasing trend toward high-rise modular construction, the simultaneous use of tower cranes at a modular construction site has recently been observed. Tower crane layout planning (TCLP) has a significant effect on cost, duration, safety and productivity of a project. In a modular construction project, particularly, poor decision about the layout of tower cranes is likely to have negative effects like additional employment of cranes and redesign, which will lead to additional costs and possible delays. It is, therefore, crucial to conduct thorough inspection of field conditions, lifting materials, tower crane capacity to make decisions on the layout of tower cranes. However, several challenges exist in planning for a multi-crane construction site in terms of safety and collaboration, which makes planning with experience and intuition complicated. This paper suggests a multi-objective optimization model for selection of the number of tower cranes, their models and locations, which minimizes cost and conflict. The proposed model contributes to the body of knowledge by showing the feasibility of using multi-objective optimization for TCLP decision-making process with consideration of trade-offs between cost and conflict.
Dong, Wen;Liu, Xiguang;Zhu, Shunfang;Lu, Di;Cai, Kaican;Cai, Ruijun;Li, Qing;Zeng, Jingjing;Li, Mei
Nutrition Research and Practice
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v.14
no.1
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pp.20-24
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2020
BACKGROUND/OBJECTIVES: Malnutrition has multiple impacts on surgical success, postoperative complications, duration of hospital stay, and costs, particularly for cancer patients. There are various nutrition risk screening tools available for clinical use. Herein, we aim to determine the most appropriate nutritional risk screening system for esophageal cancer (EC) patients in China. SUBJECTS/METHODS: In total, 138 EC patients were enrolled in this study and evaluated by experienced nurses using three different nutritional screening tools, the Nutrition Risk Screening 2002 tool (NRS2002), the Patient-generated Subjective Globe Assessment (PG-SGA), and the Nutrition Risk Index (NRI).We compared sensitivity, specificity, positive and negative likelihood ratios, and Youden index generated by each of the three screening tools. Finally, cut-off points for all three tools were re-defined to optimize and validate the best nutritional risk screening tool for assessing EC patients. RESULTS: Our data suggested that all three screening tools were 100% sensitive for EC patients, while the specificities were 44.4%, 2.96%, and 59.26% for NRS 2002, PG-SGA, and NRI, respectively. NRI had a higher positive likelihood ratio as well as a higher area under the receiver operating characteristic curve compared to those of NRS 2002 and PG-SGA; although, all three tools had null negative likelihood ratios. After adjusting the cut-off points, the specificity and accuracy for all tools were significantly improved, however, the NRI remained the most appropriate nutritional risk screening system for EC patients. CONCLUSIONS: The NRI is the most suitable (highest sensitivity and accuracy) nutritional risk screening tool for EC patients. The performance of the NRI can be significantly improved if the cut-off point is modified according to the results obtained using MedCalc software.
This study aimed in onion production by evaluating cost and labor efficiencies of onion storage methods using either a ton-bag or a wire-steel pallet. New methods using ton-bag and wire-steel pallets were developed and applied to postharvest tasks, such as harvest packaging, transportation, and storage. The storage parameters evaluated for their effect on the logistics of onion production were: working duration, working hours, and cost expenditure. The longitudinal tensile strength of the ton-bag developed in this study was 16% higher than that of the conventional ton-bag. The wire-steel pallet developed in this study had 10% more storage capacity in a low-temperature storage room, and its truck loading capacity was more than doubled compared to that of the conventional steel pallet. There was no difference in the wasting rate during bulk storage between the newly developed wire-steel pallet and the conventional steel pallet, for 500 kg of onions. However, the bulk storage of 1,000 kg of onions using the wire-steel pallet was not found to be suitable, because the wasting rate of onions stored using the wire-pallet was 3.7% higher than that of onions stored using a conventional steel pallet. The time and the total investing costs for the bulk method decreased by 50.1% and 46.1%, respectively, compared to those for conventional harvest. In the bulk storage using the wire-steel pallet, the total storage cost decreased by 28.8%. Thus, it is estimated that we could have saved 18.3 billion won if the wire-steel pallet method about 30% of the total onion production (1,298,749 M/T) in 2016.
Korean Journal of Construction Engineering and Management
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v.19
no.1
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pp.21-31
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2018
The rapid increase of the elderly living alone is a critical issue in worldwide as it leads to a rapid increase of a social support costs (e.g., medical expenses) for the elderly. In early stages of dementia, the activities of daily living (ADL) including self-care tasks can be affected by abnormal patterns or behaviors and used as an evidence for the early diagnosis. However, extracting activities using non-intrusive approach is still quite challenging and the existing methods are not fully visualized to understand the behavior pattern or routine. To address these issues, this research suggests a model to extract the activities from coarse-grained data (spatio-temporal data log) and visualize the behavioral context information. Our approach shows the process of extracting and visualizing the subject's spaceactivity map presenting the context of each activity (time, room, duration, sequence, frequency). This research contributes to show a possibility of detecting subject's activities and behavioral patterns using coarse-grained data (limited to spatio-temporal information) with little infringement of personal privacy.
Kim, Seon-Hyung;Choi, Eun-Gyu;Kim, Sun-Kuk;Lee, Sung-Ho
Journal of the Korea Institute of Building Construction
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v.10
no.6
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pp.127-135
/
2010
As logistics facilities have a high ceiling height, simple structure, and the need for a quick return on investment, it is usually essential to advance the construction schedule of such facilities. Accordingly, PC structures, which require less labor, cost and schedule, can be more competitive than RC structures. However, most construction companies in Korea are familiar with RC structure design, have negative perceptions regarding PC structures, and do not sufficiently adopt new construction techniques. The structure that this research features has 110 columns that are 14 m high and are built to the same specification, and applying an RC design to the structure will lead to issues related to constructibility, economic viability, project duration and safety. Therefore, this study intends to feature PC design as an alternative to the RC warehouse design, and perform a comparative analysis of the reduction in labor, cost and construction schedule to highlight benefits. The research outcomes herein will provide inputs to subsequent studies on new construction strategies to advance the construction schedule, improve quality and constructibility, enhance safety and save costs.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.8
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pp.312-321
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2018
The Korean DR market proposes suppression of peak demand under reliability crisis caused a natural disaster or unexpected power plant accidents as well as saving power plant construction costs and expanding amount of reserve as utility's perspective. End-user is notified a DR event signal DR execution before one hour, and executes DR based on requested amount of load reduction. This paper proposes a DR energy management algorithm that can be scheduled the optimal operations of chiller system and ESS in the next day considering the TOU tariff and DR scheme. In this DR algorithm is divided into two scheduling's; day-ahead operation scheduling with temperature forecasting error and operation rescheduling on DR operation. In day-ahead operation scheduling, the operations of DR resources are scheduled based on the finite number of ambient temperature scenarios, which have been generated based on the historical ambient temperature data. As well as, the uncertainties in DR event including requested amount of load reduction and specified DR duration are also considered as scenarios. Also, operation rescheduling on DR operation day is proposed to ensure thermal comfort and the benefit of a COB owner. The proposed method minimizes the expected energy cost by a mixed integer linear programming (MILP).
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.3
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pp.437-446
/
2017
70 percent of Korea's territory is covered with mountains, whose difficult conditions can cause damage to facilities. Recently, the demand for facilities related to outdoor activities including monorails has been on the rise, and such facilities are much more likely to become damaged. For this reason, a monitoring system applying IoT to mountainous areas was developed and its applicability is evaluated in this study. The current status of the existing mountainous facilities and monitoring systems were reviewed, and the current wired monitoring technology was analyzed. A scenario for IoT-based monitoring was developed, and then sensor nodes were developed, which include an RF-communication module and interface, power-supply and solar-cell. A testbed was set up at K University. The same data was collected by the wireless system as had been collected by the wired one. The study findings are as follows. Firstly, by using the wireless system, it is estimated that the construction duration can be reduced by about 25 percent, while the construction costs can be reduced by about 3~52 percent. Secondly, the safety of the construction workers can be improved by making the working conditions less dangerous, such as by eliminating the need to transport cables.
As the popularity of logistics service outsourcing has been continuously growing, one of the most frequently addressed issues is how to estimate the effect of cost reduction for users and profit gains from outsourcing contract for providers. Many manufacturing companies agree that logistics outsourcing helps to reduce their operating costs, but some other companies still do not achieve the cost saving or do not trust logistics service providers, so they keep up in-house logistics operations. On the other hand, logistics service providers have low profitability from domestic business activities since they should meet the requirements for highly customized and diverse services from customers and unstable market situation. This study provided the status report dealing with logistics service contracts in Korea. From the focused group interview with logistics professionals, we found out that service scope, scale and cost structure are the most influential factors affecting logistics service contracts. Also, logistics service providers are more sensitive than users regarding value-added logistics service, contract duration and process. Moreover, this study also proposed the standard clauses for logistics service contract and types of logistics contract applied in current logistics fields. As a result, it is expected that these achievements from this study can be utilized to improve the satisfaction of logistics outsourcing in upgrading service quality and customer service level.
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