• Korean Journal of Radiology
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• v.23 no.9
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• pp.878-888
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• 2022

Objective: To investigate the clinical impact of a quality improvement program including dedicated emergency radiology personnel (QIP-DERP) on the management of emergency surgical patients in the emergency department (ED). Materials and Methods: This retrospective study identified all adult patients (n = 3667) who underwent preoperative body CT, for which written radiology reports were generated, and who subsequently underwent non-elective surgery between 2007 and 2018 in the ED of a single urban academic tertiary medical institution. The study cohort was divided into periods before and after the initiation of QIP-DERP. We matched the control group patients (i.e., before QIP-DERP) to the QIP-DERP group patients using propensity score (PS), with a 1:2 matching ratio for the main analysis and a 1:1 ratio for sub-analyses separately for daytime (8:00 AM to 5:00 PM on weekdays) and after-hours. The primary outcome was timing of emergency surgery (TES), which was defined as the time from ED arrival to surgical intervention. The secondary outcomes included ED length of stay (LOS) and intensive care unit (ICU) admission rate. Results: According to the PS-matched analysis, compared with the control group, QIP-DERP significantly decreased the median TES from 16.7 hours (interquartile range, 9.4-27.5 hours) to 11.6 hours (6.6-21.9 hours) (p < 0.001) and the ICU admission rate from 33.3% (205/616) to 23.9% (295/1232) (p < 0.001). During after-hours, the QIP-DERP significantly reduced median TES from 19.9 hours (12.5-30.1 hours) to 9.6 hours (5.7-19.1 hours) (p < 0.001), median ED LOS from 9.1 hours (5.6-16.5 hours) to 6.7 hours (4.9-11.3 hours) (p < 0.001), and ICU admission rate from 35.5% (108/304) to 22.0% (67/304) (p < 0.001). Conclusion: QIP-DERP implementation improved the quality of emergency surgical management in the ED by reducing TES, ED LOS, and ICU admission rate, particularly during after-hours.

• Journal of Distribution Science
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• v.14 no.5
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• pp.39-50
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• 2016

Purpose - The purpose of this study was to substantiate the relationship between on-the-job training (OJT) characteristic factors and OJT outcomes and the moderating effect of the tie strength between a trainer and a trainee on the relationship. OJT characteristic factors were composed of a unit of work to be learned, trainee's motivation, trainer's ability, OJT design, and OJT support. OJT outcomes included job satisfaction and organizational commitment in the research. The tie strength means a sense of intimacy with a trainer. All of the OJT characteristic factors, OJT outcomes, and the tie strength were defined operationally as the perceived ones by a trainee. Research design, data, and methodology - This study analyzed the data of 302 employees in a domestic travel agency as early career for seven years or less. The main methods for the analysis were multiple linear regression analysis and moderating effect analysis. The whole process of the data analysis was conducted using the SPSS 21.0 for windows. Results - The results of the study are as follows: First, every five element of OJT, including unit of work to be learned, trainee's motivation, trainer's ability, OJT design, and OJT support, showed positive influence on OJT outcomes - job satisfaction and organizational commitment. Second, the tie strength between a trainer and a trainee was positively related with OJT outcomes. Finally, the strength of ties between the trainer and the trainee was found positively to moderate the relationship of a unit of work to be learned, OJT design, or OJT support, with OJT outcomes. However, the moderating effect of the tie strength was not significant statistically between the trainee's motivation or the trainer's ability, and OJT outcomes. Conclusion - In the study, it was demonstrated that every OJT characteristic factors have a positive contribution to job satisfaction and organizational commitment for early career employees. In addition, the study showed the need to pay attention to improve the quality of relationships between trainers and trainees, in order to increase the impact of a unit of work to be learned, OJT design, and OJT support. These findings suggest the implications in the three factors as external factors that constitute OJT. The three factors are made by HRD practitioners who are involved in design and operation of the program as well as their interventions to improve the quality of the relationship between trainers and trainees. On the other hand, it was demonstrated in the research that trainee's motivation and trainer's ability, regardless of their tie strength, have a direct impact on OJT outcomes by itself. Moreover, the trainee's motivation and trainer's ability are intrinsic characteristics, rather than external factors that constitute OJT. Therefore, they are unlikely to be changed by HRD practitioners' interventions. In conclusion, it was argued in the research that the trainee's motivation and trainer's ability should be a consideration in selecting and matching partners in OJT participants before starting OJT.

• Journal of Chest Surgery
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• v.53 no.1
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• pp.8-15
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• 2020

Background: We aimed to investigate the associations of critical care provided in a cardiac surgical intensive care unit (CSICU) staffed by an attending intensivist with improvements in intensive care unit (ICU) quality and reductions in postoperative complications. Methods: Patients who underwent elective isolated coronary artery bypass grafting (CABG) between January 2007 and December 2012 (the control group) were propensity-matched (1:1) to CABG patients between January 2013 and June 2018 (the intensivist group). Results: Using propensity score matching, 302 patients were extracted from each group. The proportion of patients with at least 1 postoperative complication was significantly lower in the intensivist group than in the control group (17.2% vs. 28.5%, p=0.001). In the intensivist group, the duration of mechanical ventilation (6.4±13.7 hours vs. 13.7±49.3 hours, p=0.013) and length of ICU stay (28.7±33.9 hours vs. 41.7±90.4 hours, p=0.018) were significantly shorter than in the control group. The proportions of patients with prolonged mechanical ventilation (2.3% vs. 7.6%, p=0.006), delirium (1.3% vs. 6.3%, p=0.003) and acute kidney injury (1.3% vs. 5.3%, p=0.012) were significantly lower in the intensivist group than in the control group. Conclusion: A transition from an open ICU model with trainee coverage to a closed ICU model with attending intensivist coverage can be expected to yield improvements in CSICU quality and reductions in postoperative complications.

• The Journal of the Acoustical Society of Korea
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• v.26 no.4
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• pp.159-165
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• 2007

In this paper, we propose a new pre-selection of candidate units that is suitable for the unit selection based Japanese TTS system. General pre-selection method performed by calculating a context-dependent cost within IP (Intonation Phrase). Different from other languages, however. Japanese has an accent represented as the height of a relative pitch, and several words form a single accentual phrase. Also. the prosody in Japanese changes in accentual phrase units. By reflecting such prosodic change in pre-selection. the qualify of synthesized speech can be improved. Furthermore, by calculating a context-dependent cost within accentual phrase, synthesis speed can be improved than calculating within intonation phrase. The proposed method defines AP. analyzes AP in context and performs pre-selection using accentual phrase matching which calculates CCL (connected context length) of the Phoneme's candidates that should be synthesized in each accentual phrase. The baseline system used in the proposed method is VoiceText, which is a synthesizer of Voiceware. Evaluations were made on perceptual error (intonation error, concatenation mismatch error) and synthesis time. Experimental result showed that the proposed method improved the qualify of synthesized speech. as well as shortened the synthesis time.

• Journal of Advanced Navigation Technology
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• v.16 no.3
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• pp.433-439
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• 2012

In this paper, we proposed the triplexer using unit-cell of CRLH transmission line which has a bandpass characteristic to reduce adjacent channel interference. The input impedance of triplexer with each channel filter is operated open-circuit at the resonance frequencies of other channels. Such property is due to the combination a series and parallel resonance circuits of CRLH-TL unit-cell. The measured triplexer results are showed a measured insertion loss of each channel, less than 1.5 dB, matching at each port, less than 15dB and isolation between channel, better than 25 dB. Also, to validate the triplexer, a small signal amplifier with triple-band is designed and tested. the measured amplifier results show good agreements with prediction.

• Korean Journal of Optics and Photonics
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• v.19 no.2
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• pp.122-126
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• 2008

Dual backlight unit incorporating a single light source integrated with a beam splitting reflector was demonstrated, providing a surface light beam for both the keypad and the display section simultaneously. The reflector was realized by aligning a groove substrate with a matching cover, and a light guiding module comprising a stack of light guide panels and prism/diffuser sheets was attached to both sides of the reflector. A light emanating from the light source-placed in the middle of the substrate-undergoes a series of reflections through the reflector to reach the input of the light guiding module. Then it is transformed into a surface light beam, which is used to irradiate the keypad and display sections simultaneously. As for the accomplished dual surface light sources, the measured average luminance and the spatial luminance uniformity were respectively about $420\;cd/m^2$ and 69% for the keypad section, and $640\;cd/m^2$ and 79% for the display section.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.11
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• pp.7855-7862
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• 2015

Cadastral map information is created by registering parcel information such as location, lot number, land category and boundary through the cadastral survey. However, with regard to boundary point coordinate, computerized cadastral information data was registered to either two decimal places (unit in centimeter) or three decimal places (unit in millimeter) so that a confusion in cadastral administration and cadastral survey has been caused. Therefore, the purpose of this study is to look for a method of matching two different coordinate systems through the consideration of registration of cadastral information data and area calculation. In conclusion, the result of the investigation not only shows that areal change and the creation of minute polygons resulted from land alteration could be solved by changing boundary point coordinate from two decimal places to three decimal places, but also suggests that the related laws and regulations to register boundary point coordinate to three decimal places should be institutionally corrected and applied.

• Journal of Chest Surgery
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• v.49 no.5
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• pp.366-373
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• 2016

Background: The aim of the study was to test the hypothesis that in patients with chronic complex sternum dehiscence, the use of muscle flap repair minimizes the occurrence of paradoxical motion of the chest wall (CWPM) when compared to sternal rewiring, eventually leading to better respiratory function and clinical outcomes during follow-up. Methods: In a propensity score matching analysis, out of 94 patients who underwent sternal reconstruction, 20 patients were selected: 10 patients underwent sternal reconstruction with bilateral pectoralis muscle flaps (group 1) and 10 underwent sternal rewiring (group 2). Eligibility criteria included the presence of hemisternum diastases associated with multiple (${\geq}$3) bone fractures and radiologic evidence of synchronous chest wall motion (CWSM). We compared radiologically assessed (volumetric computed tomography) ventilatory mechanic indices such as single lung and global vital capacity (VC), diaphragm excursion, synchronous and paradoxical chest wall motion. Results: Follow-up was 100% complete (mean $85{\pm}24months$). CWPM was inversely correlated with single lung VC (Spearman R=-0.72, p=0.0003), global VC (R=-0.51, p=0.02) and diaphragm excursion (R=-0.80, p=0.0003), whereas it proved directly correlated with dyspnea grade (Spearman R=0.51, p=0.02) and pain (R=0.59, p=0.005). Mean CWPM and single lung VC were both better in group 1, whereas there was no difference in CWSM, diaphragm excursion and global VC. Conclusion: Our study suggests that in patients with complex chronic sternal dehiscence, pectoralis muscle flap reconstruction guarantees lower CWPM and greater single-lung VC when compared with sternal rewiring and it is associated with better clinical outcomes with less pain and dyspnea.

• Nuclear Engineering and Technology
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• v.56 no.2
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• pp.451-462
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• 2024

In order to optimize the operational safety and reliability of the upper launcher for the CFETR ECRH system, a design of the launcher based on the remote steering concept is currently being carried out for comparison with the front steering equivalent. This paper presents the remote steering system's conceptual design and simulation analysis. A Square Corrugated Waveguide (SCW) of 65 × 65 mm has been designed with an optimized length of 9.35 m. By changing the relative length of the waveguide, the transmission efficiency of the SCW is optimized within the range of steering angles ±12°. Different error factors are investigated in detail, and corresponding acceptable error ranges are provided. Considering these error factors and ignoring ohmic losses and thermal effects, the relative transmission efficiency of the SCW is estimated to be >98 % within the steering angle range. A matching steering unit for the SCW is designed, which consists of an ellipsoidal focusing mirror and a steerable flat mirror. The detailed design of the steerable mirror motion trajectory is presented. Also, the influence of the possible beam incident errors caused by the steering unit on the transmission efficiency is analyzed in detail.

• Proceedings of the KSR Conference
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• 2011.10a
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• pp.3226-3236
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• 2011

In this paper, with the background features on which measuring the transverse left-right and up -down vibration of wheel, bogie and body by wireless measurement system, performance evaluation systems which can assess the running behavior of high speed trains based on UIC code 518-OR and evaluate the ride comfort of them based on ISO code 2631 and UIC code 513 were developed. The characteristics of dynamic vibration are generally analyzed by an acceleration of a car body of high speed train and the acceleration can be applied to evaluation of running safety. In this paper, also matching system of distance from tachometer and vibration from accelerometer was programmed in development software, and the SD card embedded system which prevent to loss of data in wireless measurement was mounted on this system. Finally the software perform to analysis with filtering and statistical post-process in the unit sections and zones and focus on developing the capability monitoring in the main control center. For the verification of this system, the running behavior and safety factor were analyzed based on field measured data of the Cheonjun-gunnum-sun turn out point in the new KTX railway.