• Title/Summary/Keyword: early-stabilization

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Outcomes for Employment of a Trauma Clinical Nurse Specialist in the Treatment of Trauma Patients (외상환자의 치료에서 외상 전문간호사 도입 결과)

  • Jung, Yooun Joong;Kim, Young Hwan;Kim, Tae Hyun;Keum, Min Ae;Ma, Dae Sung;Kyoung, Kyu Hyouck;Kim, Jung Jae;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.254-260
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    • 2012
  • Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.

A Study on the Apparel Industry and the Clothing Culture of North Korea (북한(北韓)의 의류산업(衣類産業)과 의생활문화(衣生活文化) 연구(硏究))

  • Cho, Kyu-Hwa
    • Journal of Fashion Business
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    • v.5 no.4
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    • pp.158-175
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    • 2001
  • The purpose of this study was to understand and improve the clothing habits and the apparel industry of North Korea in preparation for the reunification of South and North Korea. For this study, literary data, reports, periodicals, interviews and internet data of the two Koreas were reviewed. North Korean clothing habits used to be monotonous and uniform but nowadays people's clothes have become somewhat brighter in color and more diverse in design than before. In particular, liberal and individual dressing habits appeared among the privileged classes. When taking part in national events, women have to wear the traditional Korean costume, Hanbok, while men wear business suits for formal wear. In general, men don't wear Hanbok. Students have to be in uniforms but blue jeans, T-shirts with English logos were popular among them reflecting their sensitivity and openness towards western cultures. The brides usually wear pink Hanboks and the bridegrooms wear black business suits for their wedding. North Koreans also wear Hanbok on national holidays like South Koreans. Clothing is the most important item in the trade of process commission between North and South Korea. Trading items are mid to low end men's clothing for the most part due to less emphasis on fashion in the North. The processing is indirect trade and composed of sample making and contracting, sending out materials and production, carrying in goods and setting accounts. To activate South-North trade, establishment of infrastructure, stabilization of shipping, reducing high costs of distribution, building direct communication system by setting up office in a neutral zone and simplifying procedures in applying for the South and North Korea Economic Cooperation Fund. On the other hand, clothing and textiles education is carried on at art colleges, light industries colleges and commercial colleges in Pyongyang. Clothing institutes which study Hanbok and Western clothes, are installed in each city and province. Graduates who majored in clothing and textiles are posted in institutes or apparel factories. Their job is designing, patternmaking and sewing for their customers. Most of them are women and in good state of economic conditions. The North Korean clothing industry has been the core national industry that has developed based on overseas demand form the mid 1980s. The standard is that of South Korea in the early 1980s. In 1999, trade of North Korean textile products with trade counterparts such as Japan and China was $1.3 million in exports and $1.27 in imports. Of this amount the export takes up 25.4% of the total exports in North Korea. However, fundamentally even in sectors that are irrelevant to politics such as the fashion clothing industry, trust between the South and North should be a prerequisite. Only through this can exchange between North and South and economic cooperation contribute towards the reunification.

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Comparison of Short-term Mechanical Characteristics of Fine-grained Soils Treated with Lime Kiln Dust and Lime (석회노분과 석회로 처리된 세립토의 단기적 역학특성 비교)

  • 김대현;사공명;이용희
    • Journal of the Korean Geotechnical Society
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    • v.20 no.3
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    • pp.75-83
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    • 2004
  • The Indiana Department of Transportation (INDOT) has permitted the use of Lime Kiln Dust (LKD) as a low-cost construction material in creating a workable platform for soil modification (not for soil stabilization) since the early 1990s on selected projects. However, the enhanced strength of soils with LKD has not been accounted for in the subgrade stability calculations in the design process. This study was initiated to evaluate how the lime kiln dust is a comparable material to hydrated lime. A series of laboratory tests were performed to assess the mechanical benefits of lime kiln dust in combination with various predominant fine grained soils encountered in the State of Indiana, such as A-4, A-6 and A-7-6. In the course of this study, several tests such as the Atterberg limits, standard Proctor, unconfined compression, CBR, volume stability, and resilient modulus were performed. As a result, mixtures of fine grained soils with 5% lime or 5% LKD substantially improve unconfined compressive strength up to 60% - 400%. CBR values for treated soils are in the range of 25 to 70 while those for untreated soils range from 3 to 18. In general, significant increase in resilient moduli of the soils treated with lime and LKD was observed. This indicates that lime kiln dust may be a viable, cost effective alternative to hydrated lime in enhancing the strength of fine grained soils.

A Study on Automatic Correction Method of Electronic Compass Deviation Using the Geostationary Satellite Azimuth Information (정지위성 방위각 정보를 활용한 전자 컴퍼스 편차 자동보정기법 연구)

  • Lee, Jae-Won;Lee, Geon-Ho
    • Journal of Navigation and Port Research
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    • v.41 no.4
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    • pp.189-194
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    • 2017
  • The Moving Search Radar System (MSRS) monitors sea areas by moving along the coast. Since the radar is initially aligned to the front of the vehicle, it is important to know the changes in the heading azimuth of the vehicle to quickly acquire the target azimuth from the radar after the MSRS has moved. The heading azimuth can be obtained using the gyro compass, the GPS compass or the electronic compass. The electronic compass is suitable for MSRS requiring fast maneuverability due to its small volume, short stabilization time and low price. However, using a geomagnetic sensor may result in an error due to the surrounding magnetic field. Errors can make early automatic tracking of the satellites difficult and can reduce the radar detection accuracy. Therefore, this paper proposes a method to automatically compensate for the error reflecting the correction value on the radar obtained by comparing the reference azimuth calculated by solving the geodesic inverse problem using two coordinates between the radar and the geostationary satellite with the actually-directed azimuth angle of the satellite antenna. The feasibility and convenience of the proposed method were verified by applying it to the MSRS in the field.

A Study on the Influence of Strategic Leadership, Integration Strategy on Performance after M&A -Focused on the Case of LG Chem's M&A- (M&A시 최고경영자의 전략적 리더십과 인적통합전략이 기업성과에 미치는 영향에 관한 연구 -LG화학의 현대석유화학 인수를 중심으로-)

  • Kim, Sung-Gun
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.263-275
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    • 2013
  • M&A is an important strategic decision made to ensure the competitiveness of companies and cases of M&A have been increasing in recent years. But the success of an M&A is not assured. In order to succeed, there should first be a well managed strategic leadership by the CEO and an integration strategy. Companies need also to overcome the resistance to change among members. A successful example of an M&A is that of LG Chem and Hyundai Petrochemical. By using this M&A as a case study, the influence of the CEO's Strategic Leadership, and the Integration Strategy on Resistance, Acceptance and Performance were assessed. For this study, research was conducted on CEO Strategic Leadership and Integration Strategy before members of LG Chem (DAESAN PLANT) were interviewed on the M&A's implementation by LG Chem's HR staff, management and members. The results show that CEO strategic leadership and the integration strategy are major change drivers and that they are important to the early stabilization of M&A companies. Finally, suggestions are made as to how such success may be replicated for other companies undergoing M&A in the future.

Effects of Grain Size Distribution in Soil on the Strength Characteristics of Lime-Soil Mixtures (흙의 粒度分捕가 石灰混合土의 强度特性에 미치는 影響)

  • Cho, Seong-Jeong;Kang, Yea-Mook
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.27 no.2
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    • pp.57-71
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    • 1985
  • The characteristics of compaction and unconfined compressive strength were investigated by mixing with lime to all soils adjusted by given percentages of two kinds of clays to sand to obtain the most effective distribution of grain size and the optimum lime content for soil stabilization. In addition, unconfined compressive strength and durability tested by adding of sodium metasilicate, sodium sulfate, sodium carbonate, sodium gydroxide and magnesium oxide to lime-soil mixture mixed with 8 percent lime to adjusted soil having the mixing percentage of 60 percent of cohesive black clay and 40 percent of sand by weight to get the effect and the optimum content of chemicals. The results obtained were as follows; 1.With the addition of more lime, the optimum moisture content was increased, and the maximum dry density was decreased, whereas the more the amount of clay and the less was the maximum drt density. 2. In the soil having more fine grain size the unconfined compressive strength was larger in the earlier stage of curing period, in accordance with the longer period, the mixing percentages of sand to clay showing the maximum unconfined compressive strength, on the basis of 28-day strength, were 60% : 40% (black clay) and 40% : 60% (brown clay) respectively. 3. The reason why the soil adjusted with black clay was remarkably bigger in the unconfined compressive strength than ones adjusted with brown clay for all specimen of lime-soil mixture was the difference in the kind of clay, the amount of chemical compositions the value of pH. Black clay was mainly composed of halloysite that reacted with lime satisfactorily, whereas the main composition of brown clay was kaolinite that was less effect in the enhance of unconfined compressive strength. Also the difference of unconfined compressive strength was because black clay was larger in the amount of composition of calcium oxide and magnesium oxide in the value of pH affecting directly on the unconfined compressive strength of lime-soil mixture than brown clay. 4. In the lime-soil mixture mixed with 8 percent of lime to soil that mixing percentage of sand to black clay was 60% : 40%, on the standard of 7-day strength, the effect of chemical was arranged in the order of magnesium oxide, sodium carbonate, sodium sulfate, sodium hydroxide and sodium metasilicate. 5. The optimum amount of chemical being applicable to the maximum unconfined compressive strength of lime-chemical-soil mixture was 1 percent by weight for air dry soil in the case of adding sodium carbonated and 0.75 percent on sodium hydroxide, the unconfined compressive strength was increased continuously with increase of the amount of chemical up to 2 percent of chemical content is the lime-chemical-soil mixture added sodium metasilicate, sodium sulfate and magnesium oxide. 6. It was considered that the chemical played and accelerant role of early revelation of strength because the rate of increase of unconfined compressive strength of all of lime-chemical-soil mixtures was largest on the 7-day cured specimen. 7. The effect of test on freezing and thawing after adding suitable amount of chemical on the lime-soil mixture mixed with 8 percent of lime to soil that mixing percentage of sand to black clay was 60% : 40% was arranged in the order of magnesium oxide, sodium carbonate, sodium sulfate, sodium metasilicate and sodium hydroxide.

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Improvement of Grouting by Short-period Vibration Energy (단주기 진동에너지에 의한 그라우팅 보강효과)

  • Seo, Moonbok;Kwon, Sanghoon;Lee, Bongjik
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.7
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    • pp.35-42
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    • 2015
  • Grouting method has been widely used for the ground improvement and stabilization: mostly to block or control the ground water in the early years and to improve the ground, repair the structure in recent years, ever increasing its use. Despite many advantages so far, the existing grouting method also has some shortcomings including uncertain permeation of grouting with gravity type if the voids between the soil particles are narrow, and problems due to the relaxation of the neighboring ground when injected using injection pressure. As an alternative, a vibration injection method with constant amplitude and frequency has been developed in recent years, with the vibration grouting being reported to have a permeability increasing effect of grout material compared with the positive pressure injection type. Accordingly, the purpose of this study is to investigate the improvement effect of the vibration grouting that applies short-period vibration energy by varying vibration cycle, vibration time and ground conditions to evaluate the strength enhancing effect of grouting materials, expansion effect of grouting body, ground improvement effect of the grouting and the penetration characteristics of the rock joint. The findings of this study show the improved compressive strength of grout, expansion of grouting body and increased penetration rate, according to the vibration compared with non-vibration under the loose soil condition.

Long-term Effects on Forest Biomass under Climate Change Scenarios Using LANDIS-II - A case study on Yoengdong-gun in Chungcheongbuk-do, Korea - (산림경관천이모델(LANDIS-II)를 이용한 기후변화 시나리오에 따른 산림의 생물량 장기변화 추정 연구 -충청북도 영동군 학산면 봉소리 일대 산림을 중심으로 -)

  • Choi, Young-Eun;Choi, Jae-Yong;Kim, Whee-Moon;Kim, Seoung-Yeal;Song, Won-Kyong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.5
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    • pp.27-43
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    • 2019
  • This study applied the LANDIS-II model to the forest vegetation of the study area in Yeongdong-gun, Korea to identify climate effects on ecosystems of forest vegetation. The main purpose of the study is to examine the long-term changes in forest aboveground biomass(AGB) under three different climate change scenarios; The baseline climate scenario is to maintain the current climate condition; the RCP 4.5 scenario is a stabilization scenario to employ of technologies and strategies for reducing greenhouse gas emissions; the RCP 8.5 scenario is increasing greenhouse gas emissions over time representative with 936ppm of $CO_2$ concentration by 2100. The vegetation survey and tree-ring analysis were conducted to work out the initial vegetation maps and data for operation of the LANDIS model. Six types of forest vegetation communities were found including Quercus mongolica - Pinus densiflora community, Quercus mongolica community, Pinus densiflora community, Quercus variabilis-Quercus acutissima community, Larix leptolepis afforestation and Pinus koraiensis afforestation. As for changes in total AGB under three climate change scenarios, it was found that RCP 4.5 scenario featured the highest rate of increase in AGB whereas RCP 8.5 scenario yielded the lowest rate of increase. These results suggest that moderately elevated temperatures and $CO_2$ concentrations helped the biomass flourish as photosynthesis and water use efficiency increased, but huge increase in temperature ($above+4.0^{\circ}C$) has resulted in the increased respiration with increasing temperature. Consequently, Species productivity(Biomass) of trees decrease as the temperature is elevated drastically. It has been confirmed that the dominant species in all scenarios was Quercus mongolica. Like the trends shown in the changes of total AGB, it revealed the biggest increase in the AGB of Quercus mongolica under the RCP 4.5 scenario. AGB of Quercus mongolica and Quercus variabilis decreased in the RCP 4.5 and RCP 8.5 scenarios after 2050 but have much higher growth rates of the AGB starting from 2050 under the baseline scenario. Under all scenarios, the AGB of coniferous species was eventually perished in 2100. In particular they were extinguished in early stages of the RCP 4.5 and RCP 8.5 scenarios. This is because of natural selection of communities by successions and the failure to adapt to climate change. The results of the study could be expected to be effectively utilized to predict changes of the forest ecosystems due to climate change and to be used as basic data for establishing strategies for adaptation climate changes and the management plans for forest vegetation restoration in ecological restoration fields.

The Experiences of the Newly Admitted Elderly Residents in Nursing Home (노인요양시설 거주노인의 입소초기 경험)

  • Goh, Jinkyung;Hwang, Inok;Oh, Heeyoung
    • 한국노년학
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    • v.29 no.2
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    • pp.477-488
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    • 2009
  • Purpose: This study was conducted to investigate newly admitted nursing home resident's experience and adjustment problems in the early stage of institutionalization. Method: In depth interviews was done on 6 elderly residents who were newly admitted. Data from the interview were analyzed using theme analysis method. Results: Results showed that reasons for Institution admission were decreasing physical health and cognitive functioning. Residents reported that difficulties they experienced in institution life were lack of individualized care, loss of autonomy and privacy associated with the demands of group living, and loss of control over activities of daily living. Conclusion: Efforts need to be made to maintain the residents' decision-making and autonomy. Listening intentionally, offering choices, and promoting personal identity might be utilized to reduce relocation stress and enhance adaptation to nursing home living.

Performance Comparison of Machine Learning based Prediction Models for University Students Dropout (머신러닝 기반 대학생 중도 탈락 예측 모델의 성능 비교)

  • Seok-Bong Jeong;Du-Yon Kim
    • Journal of the Korea Society for Simulation
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    • v.32 no.4
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    • pp.19-26
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    • 2023
  • The increase in the dropout rate of college students nationwide has a serious negative impact on universities and society as well as individual students. In order to proactive identify students at risk of dropout, this study built a decision tree, random forest, logistic regression, and deep learning-based dropout prediction model using academic data that can be easily obtained from each university's academic management system. Their performances were subsequently analyzed and compared. The analysis revealed that while the logistic regression-based prediction model exhibited the highest recall rate, its f-1 value and ROC-AUC (Receiver Operating Characteristic - Area Under the Curve) value were comparatively lower. On the other hand, the random forest-based prediction model demonstrated superior performance across all other metrics except recall value. In addition, in order to assess model performance over distinct prediction periods, we divided these periods into short-term (within one semester), medium-term (within two semesters), and long-term (within three semesters). The results underscored that the long-term prediction yielded the highest predictive efficacy. Through this study, each university is expected to be able to identify students who are expected to be dropped out early, reduce the dropout rate through intensive management, and further contribute to the stabilization of university finances.