• 제목/요약/키워드: mixed outcomes

검색결과 138건 처리시간 0.023초

Effect of palm oil on the basic geotechnical properties of kaolin

  • Sriraam, Anirudh Subramanya;Raghunandan, Mavinakere Eshwaraiah;Ti, Tey Beng;Kodikara, Jayantha
    • Geomechanics and Engineering
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    • 제18권2호
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    • pp.179-188
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    • 2019
  • This paper presents an experimental study to evaluate the effect of palm oil on the selected basic physical-chemical and geotechnical properties of kaolin. The experimental findings are further compared with literature outcomes investigating similar properties of fine grained soils subjected to contamination by different types of oils. To this end, palm oil was mixed with oven dried kaolin samples-aiding oil's interaction (coating) with dry particles first, in anticipation to emphasize the effect of oil on the properties of kaolin, which would be difficult to achieve otherwise. Oil content was limited to 40% by dry weight of kaolin, supplemented at intervals of 10% from clean kaolin samples. Observations highlight physical particle-to-particle bonding resulting in the formation of pseudo-silt sized clusters due to palm oil's interaction as evinced in the particle size distribution and SEM micrographs. These clusters, aided by water repellency property of the oil coating the kaolin particles, was analyzed to show notable variations in kaolin's consistency-measured as liquid and plastic limits. Furthermore, results from compaction tests indicates contribution of oil's viscosity on the compaction behavior of kaolin - showing decrease in the maximum dry unit weight (${\gamma}_{d,max}$) and optimum moisture content ($w_{opt}$) values with increasing oil contents, while their decrease rates were directly and inversely proportional in ${\gamma}_{d,max}$ and $w_{opt}$ values with oil contents respectively. Comparative study in similar terms, also validates this lower and higher decrease rates in ${\gamma}_{d,max}$ and $w_{opt}$ values of the fine grained soils respectively, when subjected to contamination by oil with higher viscosity.

근거기반 정맥주입요법 간호실무지침 실무적용 프로그램 개발 및 평가 - 중소병원을 대상으로 (Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals)

  • 홍인화;은영
    • 대한간호학회지
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    • 제50권6호
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    • pp.863-875
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    • 2020
  • Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

용적실현비(A-FAR)에 영향을 미치는 용도지역별 대지특성에 대한 분석 - 서울시 주거지역 및 상업지역에서 법정용적률(L-FAR) 대비 실현된 용적률(D-FAR)을 중심으로 - (Urban Tissue, Zoning and Achieved Floor Area Ratio (A-FAR) - Focused on Developed Floor Area Ratio (D-FAR) Compared to the Legal Floor Area Ratio (L-FAR) in Residential Area and Commercial Area in Seoul -)

  • 김수현;최창규
    • 국토계획
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    • 제54권2호
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    • pp.33-45
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    • 2019
  • The Legal Floor Area Ratio (L-FAR) has been used as a major urban planning tool for efficient management of land use, landscape, and density. The Developed Floor Area Ratio (D-FAR) in each parcel is realized by such physical and institutional factors as urban tissue, local characteristics, and zoning with the L-FAR. The Achieved Floor Area Ratio (A-FAR), the ratio of the D-FAR to the L-FAR, is the relationship between realized density and the intended/desired outcomes of the regulations. The A-FAR informs the efficiency of L-FAR and its effect on parcels, and is an indicator of the demands of real estate developments under the zoning regulation. This study used detailed data of each parcel's characteristics, including parcel size, road width, and the number of roads bordered by a parcel, to identify the influencing factors on A-FAR. This analysis confirmed that the parcel size has a non-linear negative effect in the residential zone but a linear positive effect on A-FAR in the commercial zone. The width of the parcel's frontage in the commercial zone has a positive effect on the value, while in the residential zone the narrower width has higher A-FAR. In Seoul, the residential zone has higher A-FAR than the commercial zone, which means that the former has a relatively higher development pressure but a lower designated L-FAR. This result reflects that Seoul's residential zone absorbs the demand of commercial uses because of the significant permitting of mixed land use and has high-density residential buildings.

Application of the SCIANTIX fission gas behaviour module to the integral pin performance in sodium fast reactor irradiation conditions

  • Magni, A.;Pizzocri, D.;Luzzi, L.;Lainet, M.;Michel, B.
    • Nuclear Engineering and Technology
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    • 제54권7호
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    • pp.2395-2407
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    • 2022
  • The sodium-cooled fast reactor is among the innovative nuclear technologies selected in the framework of the development of Generation IV concepts, allowing the irradiation of uranium-plutonium mixed oxide fuels (MOX). A fundamental step for the safety assessment of MOX-fuelled pins for fast reactor applications is the evaluation, by means of fuel performance codes, of the integral thermal-mechanical behaviour under irradiation, involving the fission gas behaviour and release in the fuel-cladding gap. This work is dedicated to the performance analysis of an inner-core fuel pin representative of the ASTRID sodium-cooled concept design, selected as case study for the benchmark between the GERMINAL and TRANSURANUS fuel performance codes. The focus is on fission gas-related mechanisms and integral outcomes as predicted by means of the SCIANTIX module (allowing the physics-based treatment of inert gas behaviour and release) coupled to both fuel performance codes. The benchmark activity involves the application of both GERMINAL and TRANSURANUS in their "pre-INSPYRE" versions, i.e., adopting the state-of-the-art recommended correlations available in the codes, compared with the "post-INSPYRE" code results, obtained by implementing novel models for MOX fuel properties and phenomena (SCIANTIX included) developed in the framework of the INSPYRE H2020 Project. The SCIANTIX modelling includes the consideration of burst releases of the fission gas stored at the grain boundaries occurring during power transients of shutdown and start-up, whose effect on a fast reactor fuel concept is analysed. A clear need to further extend and validate the SCIANTIX module for application to fast reactor MOX emerges from this work; nevertheless, the GERMINAL-TRANSURANUS benchmark on the ASTRID case study highlights the achieved code capabilities for fast reactor conditions and paves the way towards the proper application of fuel performance codes to safety evaluations on Generation IV reactor concepts.

학위연계형 일학습병행제 온오프 혼합 교육훈련의 성과분석 - 플립러닝을 중심으로 - (Analysis of Performance on On-Offline Mixed Education and Training of Degree-linked Work-study Parallel System Focusing on Flipped Learning -)

  • 명재규
    • 실천공학교육논문지
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    • 제15권1호
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    • pp.183-192
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    • 2023
  • 본 연구는 학위연계형 일학습병행제에서 진행하는 오프라인 수업방식인 플립러닝의 성과에 대해서 분석한다. 직업능력향상의 일환으로 수행되는 일학습병행제의 훈련은 철저히 오프라인 방식을 견지해 왔으나, COVID-19와 맞물려 이전과는 달리 보다 적극적으로 온라인 방식을 혼용하는 방향으로 바뀌고 있다. 하지만 학위연계형의 운영은 대학의 학사시스템과 교육방식에 적용을 받으며 실질적으로 일반대학교육과 같은 형태이기 때문에 플립러닝과 같은 교육방식은 새로운 것이 아니다. 따라서 최근 학위연계형 일학습병행제에서 확대적용되고 있는 플립러닝의 교육성과와 보완점을 주말에만 수업이 진행되는 본 제도의 특성을 고려하여 분석해 보는 것이 필요하다. 설문에 기반한 통계분석결과 플립러닝의 성과가 일부 확인되었으며, 그 성과를 높이기 위해서 학습독려와 교수자-학생 간의 커뮤니케이션을 확대하는 구체적인 방안을 지속적으로 찾아가는 것이 필요하다.

Estimating the tensile strength of geopolymer concrete using various machine learning algorithms

  • Danial Fakhri;Hamid Reza Nejati;Arsalan Mahmoodzadeh;Hamid Soltanian;Ehsan Taheri
    • Computers and Concrete
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    • 제33권2호
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    • pp.175-193
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    • 2024
  • Researchers have embarked on an active investigation into the feasibility of adopting alternative materials as a solution to the mounting environmental and economic challenges associated with traditional concrete-based construction materials, such as reinforced concrete. The examination of concrete's mechanical properties using laboratory methods is a complex, time-consuming, and costly endeavor. Consequently, the need for models that can overcome these drawbacks is urgent. Fortunately, the ever-increasing availability of data has paved the way for the utilization of machine learning methods, which can provide powerful, efficient, and cost-effective models. This study aims to explore the potential of twelve machine learning algorithms in predicting the tensile strength of geopolymer concrete (GPC) under various curing conditions. To fulfill this objective, 221 datasets, comprising tensile strength test results of GPC with diverse mix ratios and curing conditions, were employed. Additionally, a number of unseen datasets were used to assess the overall performance of the machine learning models. Through a comprehensive analysis of statistical indices and a comparison of the models' behavior with laboratory tests, it was determined that nearly all the models exhibited satisfactory potential in estimating the tensile strength of GPC. Nevertheless, the artificial neural networks and support vector regression models demonstrated the highest robustness. Both the laboratory tests and machine learning outcomes revealed that GPC composed of 30% fly ash and 70% ground granulated blast slag, mixed with 14 mol of NaOH, and cured in an oven at 300°F for 28 days exhibited superior tensile strength.

Collective review of pancreatic carcinosarcoma, a very rare pancreatic malignancy

  • Mirang Lee;Young Jae Cho;Hye-Sol Jung;Won-Gun Yun;Youngmin Han;Wooil Kwon;Jin-Young Jang
    • 한국간담췌외과학회지
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    • 제27권2호
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    • pp.141-150
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    • 2023
  • Pancreatic carcinosarcoma is a very rare malignancy with a poor prognosis. Because of these characteristics, a treatment strategy for it has not been established yet. The aim of this study was to establish a therapeutic strategy for pancreatic carcinosarcoma. We reviewed data of a 65-year-old female patient who was diagnosed with pancreatic carcinosarcoma through endoscopic ultrasound-guided fine needle aspiration biopsy before surgery. For literature review, we searched PubMed using terms of "Pancreatic" or "Pancreas" and "carcinosarcoma" or "carcinosarcomatous". The patient received 11 cycles of neoadjuvant treatment with leucovorin, fluorouracil, irinotecan, oxaliplatin and pembrolizumab because the tumor was borderline resectable. She underwent stereotactic ablative body radiotherapy (SABR) with 35 Gy in 5 fractions, followed by robotic pylorus-preserving pancreaticoduodenectomy. After surgery, the patient received adjuvant chemotherapy in the same regimen as before surgery. She is alive without any recurrence. Among 48 patients within 33 available papers, the median survival time was 15 months. The survival rate of patients who received adjuvant chemotherapy tended to be higher than that of those who did not receive adjuvant chemotherapy, although the difference was not statistically significant (median survival, 47 vs. 15 months; p = 0.485). Three patients who received neoadjuvant chemotherapy had a survival period of 13-23.5 months. Surgery with lymphadenectomy, adjuvant therapy, and neoadjuvant therapy are thought to help improve survival outcomes. Modern treatment approaches for conventional pancreatic ductal adenocarcinoma could be applied to pancreatic carcinosarcoma.

측두하악장애 연구진단기준(RDC/TMD)를 이용한 측두하악장애의 근육성 동통과 관절성 동통 환자군의 비교 (Comparison of Myogenous and Arthrogenous Pain Patients of Temporomandibular Disorders using Research Diagnostic Criteria for Temporomandibular Disorders)

  • 박주선;김동희;정진우
    • Journal of Oral Medicine and Pain
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    • 제37권4호
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    • pp.233-242
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    • 2012
  • 본 연구의 목적은 근육성 동통 및 관절성 동통을 가진 측두하악장애 환자를 대상으로 측두하악장애 연구진단기준(RDC/TMD) axis II 지수 및 관련 요소들을 비교하여 동통과 관련된 장애와 사회심리학적 상태 그리고 치료에 미치는 영향을 알아보는데 있다. 서울대학교 치과병원 구강내과를 내원한 측두하악장애로 진단되어진 252명의 환자들을 대상으로, 측두하악장애 연구진단 기준을 이용하여 근육성 동통군, 관절성 동통군, 근육성 동통과 관절성 동통을 모두 보이는 혼합형 동통군으로 분류한 뒤, 측두하악장애 연구진단기준 설문지를 이용하여 통증의 강도, 동통과 관련된 장애 일수, 만성통증척도, 우울 지수, 신체화 지수, 하악기능과 관련된 기능제한 등을 조사하였으며, 동통의 기간, 치료 기간 및 치료 효과 등 임상적 요소들과의 관계를 분석하여 다음과 같은 결과를 얻었다. 1. 연구대상자의 17.5%가 근육성 동통군, 31.0%에서 관절성 동통군, 51.6%가 혼합형 동통군으로 분류되었다. 성별 분포는 여성이 남성보다 높았으나 세 그룹간의 연령 및 성별은 통계적으로 유의한 차이를 보이지 않았다. 2. 측두하악장애 각 통증군의 사회심리학적 상태는 통계적으로 유의한 차이를 보여주었다(p<0.01). 관절성 동통군에 비해 혼합형 동통군에서 통증의 강도, 동통과 관련된 장애 일수, 만성통증척도가 높게 나타났으며(p<0.01), 우울 지수 및 신체화 지수는 관절성 동통군에 비해 근육성 동통군과 혼합형 동통군에서 유의하게 높게 나타났다(p<0.01). 3. 하악기능과 관련된 기능제한은 각 군간 통계적으로 유의한 차이를 보이지 않았으나 최대 개구량은 근육성 동통군 환자보다 관절성 동통군 환자에서 작게 나타났다(p<0.05). 4. 관절성 동통군 환자들은 다른 동통군의 환자들에 비하여 적은 수에서 만성 동통의 경향을 보였으며 (p<0.01), 혼합형 동통군의 환자들은 다른 동통군의 환자들에 비하여 상대적으로 낮은 치료 효과를 나타내었다(p<0.01). 5. 측두하악장애 환자의 치료 효과는 신체화 지수와 높은 관련성을 나타내었다. (${\beta}$=-0.251, p<0.05)

건물배치변화에 따른 고층건축물의 풍응답 평가 (Evaluating the Wind-induced Response of Tall Building Changed by Arrangements of the Buildings)

  • 조상규;하영철;김종락;김규석
    • 한국강구조학회 논문집
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    • 제16권3호통권70호
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    • pp.305-314
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    • 2004
  • 최근 국내에서 건설되고 있는 주거건물과 주상복합건물은 단일건물보다는 다수의 건물군으로 구성되어 있는 경우가 많다. 단일건물의 경우도 환기 및 채광성을 비롯한 외관상의 문제와 상업성을 고려하여 하층부는 하나의 건물로 이루어지고 중 상층부로 갈수록 두개의 건물로 나누어져 두개의 동이 하나의 건물로 구성되어 있는 건축물이 많이 건설되고 잇는 추세이다. 이와 같이 높고 세장하며 복잡한 건축물은 질량과 감쇠가 낮을 뿐만 아니라 바람에 의한 건물군 사이의 상호작용효과 등에 의해 구조적인 안전성과 사용성은 풍하중에 의해 결정되어진다. 그러나 현재 다수의 건물군으로 이루어진 건축물의 구조설계시 인접한 동사이의 상호작용 효과에 대해 규명되어 있지 못하며 또한 그 상호작용 효과를 예측하기란 어려운 일이다. 따라서 본 연구에서는 현존하거나 현재 건설중에 있는 두 개동을 가진 건축물의 현황을 파악하여 그 패턴을 모델화 한 후, 풍동실험(wind tunnel test)을 통해 두 개의 동 사이의 인동거리에 따른 풍응답 상호작용 효과를 가속도응답을 중심으로 비교분석하였다. 본 연구의 결과로부터 건물군에 대한 풍응답 상호작용효과의 기초적 자료를 제시할 것이며 나아가 좀더 합리적이고 경제적인 구조설계를 위한 자료로 활용될 수 있을 것이다.

기관절개술 환자의 호흡기계 병원감염양상에 관한 연구 (Respiratory Hospital Infections of Patients with a Tracheostomy)

  • 양숙자;최영희;김문실
    • 대한간호학회지
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    • 제19권3호
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    • pp.240-248
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    • 1989
  • The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

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