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A Case Study on Nosocomial Infection Control Activities in A General Hospital in Pusan (일 병원에서의 병원감염관리활동 사례연구)

  • Bae, Young-Soon
    • Quality Improvement in Health Care
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    • v.2 no.2
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    • pp.156-171
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    • 1996
  • Background: Nosocomial infection control is one of important means to assure the quality of medical care in the hospital, however, it has been neglected by most of the hospital personnels. Of nosocomial infections, urinary tract infection is the highest incidence, which is related to the indwelling catheter. It is, therefore, necessary to pay primary attention to the patients with the indwelling catheter in intensive care unit in order to control nosocomial Infection and to improve the quality of medical care in the hospital. Methods : The subjects of this study were patients with indwelling catheter who were admitted to the ICU of Pusan Paik Hospital from March 1994 to May 1995. The author calculated UTI rate among the subjects through the cultivation of the urine, identified the related factors of the UTI through brain storming of study team and head nurses working at ICU, and analized the effectiveness of the proposed approaches through comparing the infection rates of before and after activities. Results : The major activities carried out by the study team were to conduct in-service education programs for the staffs working at ICU about the importance of the nosocomial infection control in QA, and nursing intervention to reduce the UTI rate among the patients with indwelling catether. 1. The major nursing interventions that the study team had implemented were as follows ; 1) Drainage system was changed from partial open system to completely closed system. 2) Bladder irrigation which was routinely practised in all patients stopped among the noninfected patients. 3) Bladder irrigation set was changed to the disposable one. 4) Catheter was inserted under the anesthesia for patients to be operated. 5) Male patient receiving wrapped with gauze after perineal care was not wrapped. 6) Clamp which had not been before was newly attached to drainage tube. 7) Urine bag which had been packed into a lot of pieces was done into each piece. 8) The interval of change of indwelling catheter had regularly been four weeks, however it was used continously until it worked well. 9) Catheter was attached well at the defined site. 10) Paper towel was used instead of cotton towel. 11) Mats at the entrance were removed and cleansing of wards was enhanced. 2. The UTI rate by month was 34.4% in maximum and 9.8% in minimum during the period of this study, however it had gradually decreased. After 6 months from initiating infection control activities, the trend of rates was relatively stable. It was identified that UTI rate was different by season 12.5% in winter and 27.2% in summer. 3. Utilization rate of indwelling catheter was maintained at under 50%, but it was increased above 57% from April 1995. 4. The number of bladder irrigation sets used per day was 33.3 sets in maximum and 2.8 sets in minimum. The number used per day were also remarkably deceased. Conclusion : It was found that a program to control UTI could contribute to nosocomial infection control, and it was, in turn, a mean to assure the quality of medical care in the hospital. The nursing interventions which this study team had implemented were effective in the reduce of UTI rates.

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Development of a Traffic Signal Controller for the Tri-light Traffic Signal (3구신호등 제어용 교통신호제어기 개발)

  • Han, Won-Sub;Gho, Gwang-Yong;Heo, Nak-Won;Lee, Chul-Kee;Ha, Dong-Ik;Lee, Byung-Cheol
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.9 no.5
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    • pp.49-58
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    • 2010
  • The traffic signal controllers being used in the domestic currently are being manufactured based on the korean national police standard which was developed for controlling the quad-light traffic signal having the red, yellow, left-turn arrow, and green lights. But according to the national policy for the traffic operation, they have to be changed to be able to switch the tri-light signal having red, yellow and green lights. In this study, a new tri-light traffic signal controller was designed and developed by the way improving the Signal Control Unit of the existing quad-light standard traffic controller. The Load Signal Unit(LSU) was improved to output 6 signals which are the two assemblies of three signal indications having the red, yellow, and green lights. To enough traffic signals output to control each directional movements and the various transport modes which are car, bus, bike, and pedestrian etc., the connector bus system was designed to be able to accommodate maximum 96 signals outputs being constructed by 16 LSUs. Flasher device was developed to be able to support maximum 32 red signals. In the software, the communication protocol between traffic control center and the traffic signal controller was improved and new signal map code values were defined for the developed LSU controlling the quad-light traffic signal. A model of the quad-light traffic signal controller developed and was tested three operations, protocol-operation, remote-command and control-mode. The test result operated all of them successfully.

Quality Assessment for Elbow CT scan by positioning and respiratory control (팔꿈치관절 CT검사에서 환자 자세 및 호흡에 따른 화질평가)

  • Lim, Jong-Chun;Park, Sang-Hyun;Lee, In-Jae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.54 no.7
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    • pp.110-114
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    • 2017
  • Because the arm can't be sutured due to fracture during a elbow CT scan, a CT scan is proceeded in a state of abdomen and L-spire are overlapped which beam hardening artifact is done many times, and it often lowers the quality of elbow CT images. So there are many difficulties in reading and due to increase in radiation dose from it, the number of patient's exposure keeps increasing. In this research, it plans to improve the quality of the images by avoiding overlap with abdomen, and increasing the number of photon overlapped with lung field which the line attenuation is relatively small. The way of experiment is based on patient's right elbow and place him as head first position, then place his elbow at L2-3 level in supine position, turn about 30 degrees to the left in non-control breathing and in supine position, and compared with full inspiration after overlapping with lung. After figuring out the average value and standard deviation data using Image J program 5 times each for 16, 128 channels, the evaluation is proceeded by measuring each of CNR, MSR are statistically analyzed using SPSS program. Therefore, through positioning and inspiration during elbow CT scan, the way of inspection minimized the exposure radiation dose, and seems to be meaningful in a way to improve the quality of the images.

Rubblization of Thick Concrete Pavement (두꺼운 콘크리트포장의 원위치파쇄 기층화공법)

  • Lee Seung-Woo;Han Seung-Hwan;Ko Suck-Bum;Kim Ji-Won
    • International Journal of Highway Engineering
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    • v.8 no.3 s.29
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    • pp.105-114
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    • 2006
  • A popular alternative to extend the life of aged pavement is asphalt overlay. However, it has a very serious and inherent shortcoming in deterring a reflection crack. Although joint-rehabilitation and stress-relief techniques have been applied to deter such reflection cracks in aged pavement, the techniques had a limited success only in slowing down the progress of a reflection crack. Rubblization technique rubblizes the concrete pavement slab in situ and uses the rubblized slab as the base material. Then, pavement overlay is applied to finish off the rehabilitation of aged pavement. This rubblization technique has the advantage of solving the problem of reflection cracking completely. When rubblization technique is applied, the upper layer of aged concrete pavement is rubblized between 40mm-70mm in depth. However, the lower layer is typically rubblized more than 100mm in depth. Nevertheless, it is difficult to turn the entire concrete pavement of more than 30cm in depth into rubblized aggregate of appropriate size. Thus, a simulation experiment was carried out to find the appropriate rubblized depth, which avoids the reflection cracking and still maintains the function of subbase, by varying the depth of rubblized depth in loom increments of 0cm, 10cm, and 20cm. The result indicated the optimum rubblized depth was 10cm (Lee, 2006). Additionally, a small rubblizinge equipment was developed in order to derive the rubblization technique appropriate for thick concrete pavement. This equipment was tested out on an experimental pavement, which was constructed with the same standard and specification for the road in actual use, by varying its rubblizing head shape and energy as well as the effective area of rubblization. This experiment led to a prototype equipment for rubblization of thick concrete pavement. The prototype was put into use on a highway, undergoing a test construction and monitoring afterwards. This entire process was necessary for the validation of the proposed rubblization technique.

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The Application Plan for Value Engineering Redesign by Using The Simulation for The Port Facilities Construction Project (항만시설 프로젝트의 시뮬레이션을 활용한 재설계 VE 적용방안)

  • Yoon, Moo-Hee;Ahn, Kyung-Soo
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.19 no.6
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    • pp.533-546
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    • 2007
  • This paper studied the design VE (Value Engineering) process among the various methods to satisfy the requirement of user and cost saving in the overall redesign process for the Turn-key base construction project. This study has been estabilished the rational and practical analysis process with the stepwise by using the design VE process. The efficiency and safety were verified with the adoptian of computer simulation to cope with the problem of initial analysis and verification for design VE process in the large construction project. In the previous design VE process, there is a limitation for the analysis of design VE in the planing stage and the execution time period of the large construction project. The previous application of VE technique was only for the construction of harbor facilities, so there was no contribution of cost saving in the function and construction. However, this paper proposed the selection methodology of VE items and hence the redesign VE process can be efficiently improved. It can be also improved the process of functional analysis rationally and practically. About 4.6 billion won has been saved with applying to the harbor construction project with using the VE method proposed in this paper. The study gives the direction of VE to be accomplished efficiently in the similar project.

A Study of the Personal Ornaments and Make-up of Maroccan (모로코인(人)의 장신구(裝身具)와 화장(化粧)에 관(關)한 연구(硏究))

  • Lee, Soon-Hong
    • Journal of Fashion Business
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    • v.5 no.2
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    • pp.15-34
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    • 2001
  • Ornaments are accessories for the decoration of the body or dress. They aren't unavoidably required one, but serve to make one's dress perfect as decorative industrial art objects. In Morocco, ornaments were initially used as a sign of social position or the class or an incantatory symbol. In effect, they were originally employed to adjust one's dress, not just for decoration, and they were of use for household economy. Gold, silver and handcraft available for exchange were a means of increasing one's property and an indication of social standing and wealth. In particular, the dress and jewelry of a bride was a measure of her family's wealth, regarded as a symbol of her chastity and value. The ornaments symbolically back up people's faith in supernatural power, and their real value is based on implicit form or way of decoration, not the external shape. Specifically, there is a tendency to use the form of animal as a protector, not one to frighten people. In the artistic tradition of Morocco, fish pattern stands for water and rain, and eagle and bird are considered to be related to fate. Scorpion and lizard are depicted as an inquirer of sun, and snake is a symbol of abundance and sexual instinct, being viewed to have an ability to cure disease. Turtle pattern is a symbol of saint because it protects one from the evil. The ornaments are made of gold, silver, amber, clam, garnet, glass, nielle, enamel, glaze, coral or tree, and symbolic patterns are used, including hand(a symbol of five numerals), turtle, lizard, scorpion, eye, triangle, bird and eggs. They are very big and diverse, being categorized into ornaments for the head or the chest, neckless, fibula, earring, bracelet and ring. For Moroccans, make-up is a sort of instinctive behavior to meet aesthetic and sexual desire. They also wear make-up for practical purpose of protection, intentionally inflict a wound on the skin for ceremonial or religious purpose, paint the skin with pigment, or have the part of the body tattooed for incantatory purpose. All this actions are regarded as make-up. The raw material of cosmetics is aker, a vegetable dye. They get the lips or cheeks turn red and paint eyebrows with yellow saffran powder to have a bad devil lose its strength. Tattooing is mainly done by women and viewed as a sign of their value or social organization they belong to. Sometimes that is used to represent a woman's being old enough to marry or getting married already or the frequency of marriage. Besides, tattoo is believed to prevent or remedy loose bowels or cough, depending on its location or pattern, and they often change tattoo according to the change of beauty art.

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Studies on the Embryonic Development of the Oriental Tobacco Budworm, Heliothis assulta Guenee(Lepidoptera: Noctuidae) (담배나방의 배자발생(胚子發生)에 관한 연구)

  • Park, Kye-Chung;Boo, Kyung-Saeng
    • Korean journal of applied entomology
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    • v.24 no.3 s.64
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    • pp.141-149
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    • 1985
  • Embryonic developmental rates of the Oriental tobacco budworm, Heliothis assulta Guenee, were compared at various constant temperatures and 16 hours of light, and detailed embryogenesis was also studied at $25^{\circ}C$. The egg was nearly globular in form and had an average equatorial diameter of 0.53mm. A single micropyle was in the center of the circular area at the anterior pole of the egg. Durations of embryogenesis at 20, 25, 30, and $35^{\circ}C$ were 147, 81, 61, and 67hrs, respectively. Embryonic death was especially higher at $35^{\circ}C$ than any other temperatures investigated. Embryogenesis progressed with changes in color and pattern, which are quite characteristic at each developmental stage of the embryo. At $25^{\circ}C$, organogenesis began in 14hrs after oviposition, formation of gut completed in 44hrs and eclosion occurred in 80hrs. The embryo formed along the long axis at early developmental stage, moved towards the equatorial plane in 24hrs, and made a half-turn on the plane in 36hrs. In 40hrs, head was oriented to the anterior pole of the egg until eclosion.

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Experimental analysis on the channel adjustment processes by weir removal (실내실험에 의한 기능을 상실한 보 철거로 인한 하도의 적응과정 분석)

  • Jang, Chang-Lae;Lee, Kyung Su
    • Journal of Korea Water Resources Association
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    • v.53 no.11
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    • pp.951-960
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    • 2020
  • This study investigates the adjustment processes of the rivers after weir removal through laboratory experiments. Delta upstream eroded rapidly by flow at the initial stage of the experiments and the knickpoint migrates upward. Moreover, the knickpoint moves fast upward on the condition of alternate bars. The head cutting in the bed is developed fast at the initial stage. However, the erosion speed in the bed decreases with time. The well developed alternate bars migrates with keeping their shape downstream, and the bars affect the channel downstream to adjust new environments after weir removal. Maximum scouring depth downstream and the migration speed decrease over time after removing the weir. The scouring depth in the channel without alternate bars migrates with speed. However, the depth in the channel with alternate bars migrates slow downstream. The channel with alternate bars, in turn, is adjusted well to the new equilibrium states. The maximum scouring depth migrates downstream with time, and the scouring depth and its migration speed decreases with time. The dimensionless maximum scouring depth decreases with the migration speed of dimensionless maximum scouring depth because the deeply scoured places capture the sediments from upstream and the migration speed is slow as the places are filled with them. The dimensionless maximum scouring depth is shallow as the dimensionless backfilling speed is high. The dimensionless maximum scouring depth decreases rapidly less than 5 of dimensionless backfilling speed. However, the depth decreases slow more than 5 of it.

Safety Impacts of Red Light Enforcement on Signalized Intersections (교차로 신호위반 단속카메라 설치가 차량사고에 미치는 영향)

  • Lee, Sang Hyuk;Lee, Yong Doo;Do, Myung Sik
    • Journal of Korean Society of Transportation
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    • v.30 no.6
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    • pp.93-102
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    • 2012
  • The frequency and severity of traffic accidents related to signalized intersections in urban areas have been more serious than those in both arterial segments and crosswalks. Especially, traffic accidents involved with injuries and fatalities have caused by traffic signal violations within intersections. Therefore, many countries including Korea have installed the red light enforcement camera (RLE) to reduce traffic accidents associated with the traffic signal violation. Meanwhile, many methodologies have been studied in terms of safety impacts estimation of red light enforcement, which, however, cannot be easy to conduct. In this study, safety impacts was estimated for intersections of Chicago downtown area using SPF models and EB approach. As a result, for all crash types and target traffic accident types such as "angle", "rear end", "sideswipe in the same and other directions", "turn", and "head on", fatal crashes were reduced by 26% and 38%. However, RLE may increase property-demage-only-crashes by 3.23% and 1.16%, respectively.

How Can Non.Chaebol Companies Thrive in the Chaebol Economy? (비재벌공사여하재재벌경제중생존((非财阀公司如何在财阀经济中生存)? ‐공사층면영소전략적분석(公司层面营销战略的分析)‐)

  • Kim, Nam-Kuk;Sengupta, Sanjit;Kim, Dong-Jae
    • Journal of Global Scholars of Marketing Science
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    • v.19 no.3
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    • pp.28-36
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    • 2009
  • While existing literature has focused extensively on the strengths and weaknesses of the Chaebol and their ownership and governance, there have been few studies of Korean non-Chaebol firms. However, Lee, Lee and Pennings (2001) did not specifically investigate the competitive strategies that non-Chaebol firms use to survive against the Chaebol in the domestic Korean market. The motivation of this paper is to document, through four exploratory case studies, the successful competitive strategies of non-Chaebol Korean companies against the Chaebol and then offer some propositions that may be useful to other entrepreneurial firms as well as public policy makers. Competition and cooperation as conceptualized by product similarity and cooperative inter.firm relationship respectively, are major dimensions of firm.level marketing strategy. From these two dimensions, we develop the following $2{\times}2$ matrix, with 4 types of competitive strategies for non-Chaebol companies against the Chaebol (Fig. 1.). The non-Chaebol firm in Cell 1 has a "me-too" product for the low-end market while conceding the high-end market to a Chaebol. In Cell 2, the non-Chaebol firm partners with a Chaebol company, either as a supplier or complementor. In Cell 3, the non-Chaebol firm engages in direct competition with a Chaebol. In Cell 4, the non-Chaebol firm targets an unserved part of the market with an innovative product or service. The four selected cases such as E.Rae Electronics Industry Company (Co-exister), Intops (Supplier), Pantech (Competitor) and Humax (Niche Player) are analyzed to provide each strategy with richer insights. Following propositions are generated based upon our conceptual framework: Proposition 1: Non-Chaebol firms that have a cooperative relationship with a Chaebol will perform better than firms that do not. Proposition 1a; Co-existers will perform better than Competitors. Proposition 1b: Partners (suppliers or complementors) will perform better than Niche players. Proposition 2: Firms that have no product similarity with a Chaebol will perform better than firms that have product similarity. Proposition 2a: Partners (suppliers or complementors) will perform better than Co.existers. Proposition 2b: Niche players will perform better than Competitors. Proposition 3: Niche players should perform better than Co-existers. Proposition 4: Performance can be rank.ordered in descending order as Partners, Niche Players, Co.existers, Competitors. A team of experts was constituted to categorize each of these 216 non-Chaebol companies into one of the 4 cells in our typology. Simple Analysis of Variance (ANOVA) in SPSS statistical software was used to test our propositions. Overall findings are that it is better to have a cooperative relationship with a Chaebol and to offer products or services differentiated from a Chaebol. It is clear that the only profitable strategy, on average, to compete against the Chaebol is to be a partner (supplier or complementor). Competing head on with a Chaebol company is a costly strategy not likely to pay off for a non-Chaebol firm. Strategies to avoid head on competition with the Chaebol by serving niche markets with differentiated products or by serving the low-end of the market ignored by the Chaebol are better survival strategies. This paper illustrates that there are ways in which small and medium Korean non-Chaebol firms can thrive in a Chaebol environment, though not without risks. Using different combinations of competition and cooperation firms may choose particular positions along the product similarity and cooperative relationship dimensions to develop their competitive strategies-co-exister, competitor, partner, niche player. Based on our exploratory case-study analysis, partner seems to be the best strategy for non-Chaebol firms while competitor appears to be the most risky one. Niche players and co-existers have intermediate performance, though the former do better than the latter. It is often the case with managers of small and medium size companies that they tend to view market leaders, typically the Chaebol, with rather simplistic assumptions of either competition or collaboration. Consequently, many non-Chaebol firms turn out to be either passive collaborators or overwhelmed competitors of the Chaebol. In fact, competition and collaboration are not mutually exclusive, and can be pursued at the same time. As suggested in this paper, non-Chaebol firms can actively choose to compete and collaborate, depending on their environment, internal resources and capabilities.

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