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Comparative Study of Hospital Architecture Design Guidelines and Frameworks for the Patient Safety - Focused on the US and UK (환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로)

  • Kim, Youngaee;Lee, Hyunjin;Song, Sanghoon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.3
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    • pp.27-37
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    • 2021
  • Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

Static and Fatigue Flexural Tests of Ductile High-performance Fiber Reinforced Cementitious Composites (고인성 섬유보강 콘크리트의 정적 및 피로 휨시험)

  • Shin, Kyung-Joon;Lee, Do-Keun;Lee, Kyoung-Chan;Kim, Sung-Il
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.9 no.4
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    • pp.602-608
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    • 2021
  • Recently, research and development has been conducted to impart high performance and functionality to concrete materials by mixing various reinforcing materials into the matrix. Ductile fiber reinforced concrete using a large amount of fibers shows a distributed multiple cracking behavior, and various studies are being conducted on this material. However, research is focused on static behavioral analysis but studies on cyclic behaviors are not sufficient. In this study, beams were made of ductile fiber reinforced concrete with various fiber contents, and static and fatigue flexural tests were performed. As a result, the effect of fiber content on the flexural behavior was analyzed. Also, the applied load level and fatigue life relationship of ductile fiber reinforced concrete was proposed. Concrete with high ductile property could be achieved with a fiber content of 2%. When 0.5% fiber was more added, the maximum flexural strength was similar, but the flexural toughness is nearly doubled. On the other hand, there was no significant difference in the fatigue life of these two mixtures.

Molecular Characterization of Granule-Bound Starch Synthase (GBSSI) gene of Waxy Locus Mutants in Japonica Rice (Oryza sativa L.)

  • Sohn, Seong-Han;Rhee, Yong;Hwang, Duk-Ju;Lee, Sok-Young;Lee, Jung-Ro;Lee, Yeon-Hee;Shin, Young-Seop;Jeung, Ji-Ung;Kim, Myung-Ki
    • Korean Journal of Breeding Science
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    • v.42 no.1
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    • pp.1-10
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    • 2010
  • Five mutants were investigated at the molecular level to determine the factors responsible for mutated endosperm types. They were classified as high (HA) or low amylose (LA) phenotypes based on the amylose content in endosperm. The five were previously produced from Ilpum and Shindongjin cultivar treated with N-methyl-N-nitrosourea and gamma-ray irradiation, respectively. Analysis of the genomic structure and expression of Granule-bounded Starch Synthase I (GBSSI) genes revealed that mutants generally showed a higher incidence of nucleotide transition than transversion, and the $A:T{\rightarrow}G:C$ transition was particularly prevalent. The rates of nucleotide substitution in HA mutants were generally higher than those in the LA mutants, leading to higher substitutions of amino acid in the HA mutants. Neither nucleotide substitutions interfering with intron splicing or causing early termination of protein translation were found, nor any large-sized deletions or additions were found in all the mutants. In principle, amylose content can be regulated by three factors: internal alterations of GBSSI protein, the strength of gene expression, and other unknown external factors. Our results indicate that the endosperm mutants from Shindongjin arose from internal alterations of GBSSI proteins, which may be the result of amino acid substitutions. On the other hand, the Ilpum mutants might be principally caused by the alteration of gene expression level. Analysis of another three glutinous cultivars revealed that the major factor leading to glutinous phenotypes is the 23-bp duplicative motif (5'-ACGGGTTCCAGGGCCTCAAGCCC-3') commonly found in exon 2, which results in the premature termination of protein translation leading to the production of a non-functional GBSSI enzyme.

Effect of Natural Additives on In Vitro Growth Medium of Strawberry 'Seolhyang' (배지내 천연유기물 첨가가 딸기 "설향" 배양묘 기내 생육에 미치는 영향)

  • Kwon, Young Hee;Lee, Joung Kwan;Kim, Hee Kyu;Kim, Kyung Ok;Park, Jae Seong;Huh, Yoon Sun
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.55-55
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    • 2019
  • Strawberry which is the genus Fragaria under family Rosaceae is one of the most important fruit plants for both fresh consumption and food processing in the temperate and subtropical countries. Propagation of strawberry is achieved either through runners or by in vitro micropropagation. Meristem tips, generally obtained from runners of virus-free plants, are commonly used to establish in vitro cultures, which are employed for mass propagation or as a source of plant material for regeneration and transformation experiments. This study was conducted to determine the optimal natural additives strength to improve sprouting shoot rate of apical meristem of strawberry 'Seolhyang'. Strawberry apical meristem at size (0.2 mm to 0.3 mm) with leaf primordials were cultured on the 1/3MS(Murashige & Skoog) medium supplemented with five natural additives such as coconut milk, maple sap, banana powder and peptone. The sprouting ratio and growth characteristics were evaluated after eight weeks after in vitro culture. Shoot ratio of 'Seolhyang' apical meristem was 72.9% in 1/3MS medium supplemented with maple sap. On the other hand, the low shoot ratio was observed 47.7% in 1/3MS medium supplemented with banana powder. Shoot length was different as natural additives but numbers of leaf was not significantiy different among the natural additives. As a result, the sprouting ratio and plant growth were enhanced effectively in 1/3MS medium with maple sap compared to the others.

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Analysis on Health Factors Affecting Physical Activity Level among First-year Students in a University (대학 신입생의 신체활동수준에 영향을 미치는 건강 특성 분석)

  • Kim, Young-Bok
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.3
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    • pp.109-121
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    • 2018
  • Background & objectives: Life style modification reduces the health risks of young people and improves their health status. Physical activity is known the effective factor to reduce health risks and health problems. This study performed to analyze health promotion behaviors related to physical activity among first-year students of university. Methods: To examine the association with physical activity and health promotion practices, health survey was conducted with 3,806 students who were first-year students in a university by self-reported questionnaire from February 26 to March 10, 2015. Multiple logistic regression analysis was performed to identify the difference of health promotion behaviors by physical activities. Results: 51.4% of the first-year student was regular exercisers who had practiced on regular walking exercise or regular strength exercise or regular aerobic exercise for a week. 87.8% of students exercised one or more times within the last one week. On the other hand, 12.2% of them did not exercise. In multiple logistic regression models, it remained significantly the difference of regular exercise by gender, subjective health status, sleeping time per one day, BMI, drinking behavior, and eating habit (p<0.05, p<0.01, p<0.001). Also it remained significantly the difference by physical activity type, such as walking, strengthen, and aerobic exercise (p<0.05, p<0.01, p<0.001). Conclusion: To help the achievement of academic goal, it should build physical activity policies and comprehensive health promotion programs to reduce health risk factors of university students. Comprehensive university health services and customized program for university students could help to make the best of their health. In future, to enhance physical activity practice, it needs to develop various tailed messages and smart healthcare service using health information technology (IT) on campus.

A Study on the Evaluation Method for Penetration Test Method and Procedures (모의 침투 테스트 방법 및 절차의 평가 방법에 관한 연구)

  • Kang, Yong-Suk;Choe, Guk-Hyeon;Shin, Yong-Tae;Kim, Jong-Hee;Kim, Jong-Bae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.230-233
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    • 2014
  • Latest Inforamtion security threats and risks change very rapidly, and there to strengthen the security level of the major companies and organizations are diversified attack to respond to a penetration test conducted. Penetration test(PenTest) is safer for the purpose of looking for vulnerabilities in computer systems by taking advantage of vulnerabilities discovered in the same way as a hacker attack. How to make a security vulnerability could be exploited by attempting to attack show. On the other hand, many security companies are testing in a variety of ways to be penetrated. However, penetration testing to evaluate the strength and reliability has not performed yet. Therefore, in this study, Penetration testing to validate and present a reliable method of evaluation. In this study, penetration testing, assessment information to provide the evaluation results are more reliable. And, as a result, efficient penetration test is expected to be possible.

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Consumer recognition and mechanical property comparison of wetsuit material for diving (다이빙용 웨트수트(wetsuit) 소재에 대한 소비자 인식조사와 물성 비교)

  • Sang, Jeong Seon;Oh, Kyung Wha
    • Journal of the Korea Fashion and Costume Design Association
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    • v.20 no.4
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    • pp.163-174
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    • 2018
  • Consumer and property evaluation of wetsuit materials were conducted to obtain useful data for developing competitive products that meet consumer expectations and improving industrial competitiveness. Data were collected through online surveys of 213 domestic consumers who have experienced wearing wetsuit among marine leisure activities. Five types of commercial wet suit materials by brand and four types of commercial wet suit materials with the same quality by thickness were collected. Then, their physical properties, salt water resistance and thermal insulation rate were evaluated and compared. As a result, the most commonly used wetsuit material is 3 to 5 mm thick, and the basic jersey material is bonded on both sides. As a processing for imparting functionality, processing for improving warmth and reducing surface resistance are most frequently used. Consumers often feel uncomfortable when wearing a wetsuit, such as wearing comfort, weight, ease of movement, stretchability, and clothing pressure, which are different from those of casual wear. Also, mechanical strength and warmth were considered to be the most important criteria for selection of wetsuit material for purchase or rental. The mechanical properties of brand A and B were better than those of brand C, D, and E. Resilience and thermal shrinkage were better in brand C, D, and E. On the other hand, there was no significant difference in the physical properties due to the difference in thickness of the material at the same quality. Also, it was found that the thicker the material, the more stable it is in the heat. Brand A and B had superior salt water resistance than brand C, D, and E. In the thermal insulation test, brand A and B showed better insulation characteristics than brand C, D, and E, but the types of bonded fabric and surface finishing of materials were thought to have affected. In comparison of the thickness, the thicker the materials, the better the salt resistance and the thermal insulation.

Analysis of Environmental Factors Associated with Cyanobacteria Dominance in Baekje Weir and Juksan Weir (백제보와 죽산보에서 남조류 우점 환경요인 분석)

  • Kim, Sung-Jin;Chung, Se-Woong;Park, Hyung-Seok;Cho, Young-Cheol;Lee, Hee-Suk;Park, Yeon-Jeong
    • Journal of Korean Society on Water Environment
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    • v.35 no.3
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    • pp.257-270
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    • 2019
  • Followingthe Four Rivers Project, cyanobacterial blooms have been frequently observed in the upstream of the installed weirs. The aim of this study was to characterize the major environmental factors that are associated with the cyanobacteria dominance in Baekje Weir (Geum River) and Juksan Weir (Youngsan River) based on intensive experiments and systematic data mining methods. The factors related to the cyanobacteria dominance include7-days cumulative rainfall (APRCP7), 7-days averaged flow (Q7day), water temperature (Temp), stratification strength (${\Delta}T$), electronic conductivity (EC), DO, pH, $NO_3-N$, $NH_3-N$, TN, TP, $PO_4-P$, Chl-a, Fe, BOD, COD, TOC, and $SiO_2$. The most highly correlatedfactors to the dominant cyanobacteria were found to be EC, Temp, Q7day, $PO_4-P$ in theBaekje Weir. On the other hand, those dominant in the Juksan Weir were ${\Delta}T$, TOC, Temp, EC and TN. The EC showed a strong correlation with cyanobacteria dominance in both weirs because a high EC represents a persisted low flow condition. The cyanobacteria dominance was as high as 56 % when the EC was equal or greater than $418{\mu}S/cm$ in Baekje Weir. It was as high as 63% when the ${\Delta}T{\geq}2.1^{\circ}C$ in the Juksan Weir. However, nutrients showed a minor correlation with cyanobacteria dominance in both weirs. The results suggest that the cyanobacteria dominate in astate where the water flow rate is low, water temperature is high and thermal stratification is strengthened. Therefore, the improvement of flow regimes is the most important to prevent persistent thermal stratification and formation of cyanobacteria bloom in theBaekje and JuksanWeirs.

Efficient parameters to predict the nonlinear behavior of FRP retrofitted RC columns

  • Mahdavi, Navideh;Ahmadi, Hamid Reza;Bayat, Mahmoud
    • Structural Engineering and Mechanics
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    • v.70 no.6
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    • pp.703-710
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    • 2019
  • While fiber-reinforced plastic (FRP) materials have been largely used in the retrofitting of concrete buildings, its application has been limited because of some problems such as de-bonding of FRP layers from the concrete surface. This paper is the part of a wide experimental and analytical investigation about flexural retrofitting of reinforced concrete (RC) columns using FRP and mechanical fasteners (MF). A new generation of MF is proposed, which is applicable for retrofitting of RC columns. Furthermore, generally, to evaluate a retrofitted structure the nonlinear static and dynamic analyses are the most accurate methods to estimate the performance of a structure. In the nonlinear analysis of a structure, accurate modeling of structural elements is necessary for estimation the reasonable results. So for nonlinear analysis of a structure, modeling parameters for beams, columns, and beam-column joints are essential. According to the concentrated hinge method, which is one of the most popular nonlinear modeling methods, structural members shall be modeled using concentrated or distributed plastic hinge models using modeling parameters. The nonlinear models of members should be capable of representing the inelastic response of the component. On the other hand, in performance based design to make a decision about a structure or design a new one, numerical acceptance should be determined. Modeling parameters and numerical acceptance criteria are different for buildings of different types and for different performance levels. In this paper, a new method was proposed for FRP retrofitted columns to avoid FRP debonding. For this purpose, mechanical fasteners were used to achieve the composite behavior of FRP and concrete columns. The experimental results showed that the use of the new method proposed in this paper increased the flexural strength and lateral load capacity of the columns significantly, and a good composition of FRP and RC column was achieved. Moreover, the modeling parameters and acceptance criteria were presented, which were derived from the experimental study in order to use in nonlinear analysis and performance-based design approach.

Screening Sarcopenia in Rural Community-Dwelling Older Adults in Korea

  • KIM, Mi-Kyoung;LEE, Ji-Yeon;GIL, Cho-Rong;KIM, Bo-Ram;CHANG, Hee-Kyung
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.64-76
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    • 2020
  • Purpose: Several screening tools have been developed to identify sarcopenia in rural community-dwelling older adults. We aimed to compare the diagnostic accuracy of two such tools, namely the SARC-F and SARC-CalF assessments. Methods: This cross-sectional study on 388 community-dwelling older adults comprised 254 women and 134 men with a mean age of 77.8 ± 6.26 year in Korea. We assessed muscle mass, muscle strength, and physical performance using a bioimpedance analysis device, hydraulic hand dynamometer, and 4 m gait speed test, respectively. Three widely-used diagnostic criteria [the Asian Working Group for Sarcopenia (AWGS), European Working Group on Sarcopenia in Older People, and the International Working Group on Sarcopenia] were applied. Sensitivity and specificity analyses were performed on the SARC-CalF and SARC-F tests. We used receiver-operating characteristic curves and the area under the curves (AUCs) to compare the diagnostic accuracy of the assessments with regard to sarcopenia. Results: An analysis using four sets of diagnostic criteria showed that the prevalence of sarcopenia was 27.6% to 41.0%. Using the AWGS 2019 criteria as a reference standard, the SARC-CalF had a sensitivity of 83.02% and a specificity of 53.71% in the entire study population, whereas the SARC-F had a sensitivity of 79.87% and a specificity of 41.92%. The AUCs for the SARC-CalF and SARC-F tests were 0.725 (95% confidence interval 0.678-0.769) and 0.645 (95% confidence interval 0.595-0.693), respectively (p<001). In the analyses using the other three diagnostic criteria, similarity was also confirmed. Conclusion: SARC-CalF showed better sensitivity than did SARC-F when diagnosing sarcopenia in rural community-dwelling older adults. Further studies are needed to verify this finding in different populations.