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Multidisciplinary Intestinal Rehabilitation for Short Bowel Syndrome in Adults: Results in a Korean Intestinal Rehabilitation Team (성인 단장증후군 환자의 다학제 장 재활: 국내 단일 기관 다학제 장재활 클리닉의 경험)

  • Yoon, Sojeong;Lee, Sanghoon;Park, Hyo Jung;Kim, Hyun-Jung;Yoon, Jihye;Min, Ja-Kyung;Seo, Jeong-Meen
    • Journal of Clinical Nutrition
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    • v.10 no.2
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    • pp.45-50
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    • 2018
  • Purpose: Intense multidisciplinary team effort is required for the intestinal rehabilitation of patients afflicted with the short bowel syndrome (SBS). These include enteral and parenteral nutrition (PN) support, monitoring of complications related to treatment, and considering further medical or surgical options for intestinal adaptation. Methods: In the Intestinal Rehabilitation Team (IRT) at the Samsung Medical Center, we have experienced 20 cases of adult SBS requiring multidisciplinary intestinal rehabilitation. This study is a retrospective review of the collected medical records. Results: Of the 20 subjects treated, 12 patients were male and 8 patients were female. At the time of referral to the IRT, the mean age was 51.5 years, and the mean body weight was 50.1 kg, which was 90% of the usual body weight. The diseases or operative managements preceding massive bowel resection were malignancy in 11 cases, cardiac surgery in 2 cases, trauma in 2 cases and one case, each of tuberculosis, corrosive esophagitis, atrial fibrillation, simultaneous pancreas and kidney transplantation, and perforated appendicitis. Of these, there were 14 survivals and 6 mortalities. The fatalities were attributed to progression of disease, intestinal failure-associated liver disease, and sepsis (unrelated to intestinal failure) (2 cases each). Among the 14 surviving patients, 8 patients have been weaned off PN, whereas 6 are still dependent on PN (mean PN dependence 36%). Conclusion: This paper reports the results of multidisciplinary intestinal rehabilitation of adult short bowel patients treated at the Samsung Medical Center. Further studies are required to improve survival and enteral tolerance of these patients.

Development of the Competency Model of Specialized Vocational High School Teachers as Admission Officers (특성화고 미래인재전형 담당교사들의 역량모델 연구)

  • Doo, Min Young;Woo, BeoDle;Shin, Chang Ho
    • Journal of vocational education research
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    • v.37 no.3
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    • pp.47-63
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    • 2018
  • The purpose of this study is to develop the competency model of specialized vocational school teachers as admission officers. Whereas professional admission officers deal with a variety of admission activities in universities, teachers are responsible for admission duties in specialized high schools in Korea. Therefore, it is necessary to identify the core competencies required for teachers responsible for admission duties in specialized high school settings. In order to develop a competency model, factor analysis was completed for the survey results of 191 teachers who teach in specialized vocational high schools in Seoul, Korea. For evaluating validity of the competency model, the responses from those who had high experiences in admission duties and the average teachers were compared. As a result, this study identified a total of 14 competencies in three competency areas. The competencies required for specialized high school teachers include responsibilities for admission officers, ethics for evaluators, communication skills, teamwork, understandings of admissions process for specialized vocational high school, developing evaluation criteria, generating interview questions, increasing interrater reliability, interview skills, simultaneous evaluation of interviewees, quantification of evaluation results, synthesis of evaluation results, and decision making skills.

A Study on the Fine Dust Removal Equipment of Pressurized Water type for the Removal of Exhaust Gas Fine Dust and Volatile Organic Compounds from the Non-industrial combustion plant (비산업 연소 사업장 배출 가스상 미세먼지와 휘발성 유기 화합물 제거를 위한 가압수식 미세먼지 제거 장치 연구)

  • Youn, Jae-Seo;Kim, Sang-Min;Lee, Ye-Ji;Noh, Seong-Yeo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.506-512
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    • 2018
  • The fine dust generated in the home and restaurant business occupies a low ratio of about 4% of the total fine dust emissions. However, at the foodservice business, the rate of change of the pollutant concentration is very high, so that the temporary fine dust concentration can be measured up to 60 times. The pollutants generated from non-industrial combustion plants consist of particulate fine dust and gaseous organic compounds. To remove these pollutants, cleaning dust collection system, which is an effective system for simultaneous removal of gaseous and particulate matter, is applied. This is a method of increasing the probability of diffusion capture of the Brownian motion by pressurized liquid injection method using the atomizing nozzle. The dust removal efficiency of the fine dust collecting system was analyzed by nozzle spraying air pressure condition and angle using the manufactured fine dust removing system. As a result, it was confirmed that the efficiency of removal of fine dust and gaseous organic compounds was more than 90%. The developed system is expected to be highly usable in the future because it can remove particulate dust from the existing plant hood system without any installation cost.

The Impact of Social Identity and Social Alliance on Economic Performance in Social Enterprises (사회적 기업의 사회적 정체성과 사회적 협업 관계가 경제적 성과에 미치는 요인분석)

  • Kang, Hye Young
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.3
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    • pp.47-58
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    • 2019
  • The present study investigates the relationship between social competence and economic performance in social enterprises. Social enterprises simultaneously pursue social value creation and economic value creation, two of which are not easily compatible each other. This study explores the conditions under which these two values can synergize with each other and thereby, positively affect each other's performance. In particular, I examine how two important social competences, that is, social identity and social alliance, influence economic performance of social enterprises. Using the secondary data on social enterprises from Korea Social Enterprise Promotion Agency, I run OLS regression analyses to test hypotheses. I find that investment on social value creation, only when it aligns with social identity, has a statistically significant and positive relationship with economic performance of social enterprises. Further, the study finds evidence that social alliance in and of itself does not affect economic performance of social enterprises. However, social alliance does have a positive influence on social enterprises' economic performance, only when taking into account social alliance partners' organizational attributes and a focal social enterprise's degree of readiness to absorb expected gains from social alliance altogether. The present study improves our understanding on social entrepreneurship research by suggesting how social enterprises can enhance two seemingly incompatible values in a simultaneous manner. I also discuss potentially fruitful future research agenda based on the present paper's findings.

Synthesis and Characterization of Alkoxy and Alkylamino GAP Copolymer for Energetic Thermoplastic Elastomer (ETPE) (에너지화 열가소성 탄성체에 사용될 수 있는 알콕시 계열과 알킬 아민 계열 GAP Copolymer의 합성 및 분석)

  • Lim, Minkyung;Jang, Yoorim;Kim, Hancheul;Rhee, Hakjune;Noh, Sitae
    • Applied Chemistry for Engineering
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    • v.30 no.1
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    • pp.81-87
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    • 2019
  • In this study, synthetic methods and physical properties for a new class of glycidyl azide polymer (GAP) were investigated for energetic thermoplastic elastomers (ETPE). Four kinds of GAP copolymer polyols were synthesized by introducing nucleophiles such as azide, alkoxide and alkyl amine into poly(epichlorohydrin) (PECH). The GAP copolymer synthetic reaction can be evaluated as an environmental benign and efficient synthetic method due to the simultaneous one-step reaction using two kinds of nucleophiles and the complete consumption of sodium azide. The relative stoichiometric substitution ratio analysis and the progress of reaction were checked and monitored by inverse gated decoupled $^{13}C$ NMR and Fourier transform infrared (FT-IR) spectroscopy. The glass transition temperature and molecular weight were measured by differential scanning calorimetry (DSC) and gel permeation chromatography (GPC) analysis. The synthesized poly($GA_{0.8}-butoxide_{0.2}$), poly($GA_{0.7}-n-butylamine_{0.3}$), poly($GA_{0.7}-dipropylamine_{0.3}$) and poly($GA_{0.7}-morpholine_{0.3}$) had a glass transition temperature ranged from -39 to $-26^{\circ}C$.

Model-Based Approach to Flight Test System Development to Cope with Demand for Simultaneous Guided Missile Flight Tests (동시다발적인 유도무기 비행시험 수요에 대응하기 위한 모델기반 비행시험 시스템 개발)

  • Park, Woong;Lee, Jae-Chon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.268-277
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    • 2019
  • Flight test systems should monitor various conditions in real time during flight tests and take safety measures in an emergency. The importance of ensuring test safety increases in more complicated and wider test environments. Also, due to the transition of wartime operational authority, many guided missile systems must be developed simultaneously. Early deployment and budget reduction by shortening the development and T&E periods are also necessary. Consequently, the risk of flight tests under the circumstance of inefficient test resources is increasing. To address this deficiency, a flight test system model using SysML was proposed in this study. The method of designing and verifying the test system is based on the agile shift left testing methodology of advanced T&E labs and utilizing a system reference model in the aerospace field. Through modeling and simulation analysis, early identification and correction of faults resulting from inconsistent test requirements can mitigate the risk of delays during the T&E phase of flight tests. Also, because the flight test system model was constructed using SysML, it can be applied to test various guided missile systems.

CFD Analysis on the Internal Reaction in the SNCR System (SNCR 시스템 내부의 물질 반응에 관한 전산해석적 연구)

  • Koo, Seongmo;Yoo, Kyung-Seun;Chang, Hyuksang
    • Clean Technology
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    • v.25 no.1
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    • pp.63-73
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    • 2019
  • Numerical analysis was done to evaluate the chemical reaction and the reduction rate inside of selective non-catalytic reduction to denitrification in combustion process. The $NO_X$ reduction in selective non-catalytic reduction is converted to not only nitrogen but also nitrous oxide. Simultaneous $NO_X$ reduction and nitrous oxide generation suppressing is required in selective non-catalytic reduction because nitrous oxide influences the global warming as a greenhouse gas. The current study was performed compare the computational analysis in the same temperature and amount of NaOH, and in comparison with the previous research experiments and confirmed the reliability of the computational fluid dynamics. Additionally, controlling the addition amount of NaOH to predict the $NO_X$ reduction efficiency and nitrous oxide production. Numerical analysis was done to check the mass fraction of each material in the measurement point at the end of selective non-catalytic reduction. Experimental Value and simulation value by numerical analysis showed an error of up to 18.9% was confirmed that a generally well predicted. and it was confirmed that the widened temperature range of more than 70% $NO_X$ removal rate is increased when the addition amount of NaOH. So, large and frequent changes of the reaction temperature waste incineration facilities are expected to be effective.

A Numerical Study on the Flow and Heat Transfer Characteristics of Aluminum Pyramidal Truss Core Sandwich (알루미늄 피라미드 트러스 심재 샌드위치의 열유동 특성에 관한 수치해석 연구)

  • Kang, Jong-Su;Kim, Sang-Woo;Lim, Jae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.638-644
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    • 2019
  • In this study, the fluid flow and heat transfer characteristics within sandwich panels are investigated using computational fluid dynamics. Within the sandwich panels having periodic cellular cores, air can freely move inside the core section so that the structure is able to perform multi-functional roles such as simultaneous load bearing and heat dissipation. Thus, there needs to examine the thermal and flow analysis with respect to design variables and various conditions. In this regard, ANSYS Fluent was utilized to explore the flow and heat transfer within the pyramidal truss sandwich structures by varying the truss angle and inlet velocity. Without the entry effect in the first unitcell, the constant rate of pressure and the constant rate of Nusselt number was observed. As a result, it was demonstrated that Nusselt number increases and friction factor decreases as the inlet velocity increases. Moreover, the rate of Nusselt number and friction factor was appreciable in the range of V=1-5m/s due to the transition from laminar to turbulent flow. Regarding the effect of design variable, the variation of truss angle did not significantly influence the characteristics.

Detection of phenobarbital adulteration in dietary supplements: simultaneous analysis of 16 sedative-hypnotics and sleep-inducers by ultra-high-performance liquid chromatography with UV detection (UPLC-UV) and quadruple Orbitrap mass spectrometry (Q-Orbitrap-MS)

  • Lee, Ji Hyun;Choi, Ji Yeon;Park, Hanna;Min, Ah Young;Kim, Nam Sook;Park, Seong Soo;Park, Sung-Kwan;Kang, Ho-il
    • Analytical Science and Technology
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    • v.32 no.1
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    • pp.24-34
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    • 2019
  • The safety of food is occasionally questionable, as there have been some reports of products contaminated with illegal adulterants. In this study, the presence of 16 sedative-hypnotics and sleep inducers in dietary supplements was determined by ultra-high-performance liquid chromatography with UV detection (UPLC-UV) and quadruple Orbitrap mass spectrometry (Q-Orbitrap-MS). The UPLC method was validated, providing a linearity (R2) of more than 0.999, and LODs and LOQs that ranged from 0.2 to 0.5 and 0.6 to $1.5{\mu}g\;mL^{-1}$, respectively. The repeatabilities were 0.2-8.4 % (intra-day) and 0.3-4.5 % (inter-day), and the accuracies were 89.0-117.0 % (intra-day) and 87.8-111.9 % (inter-day). The mean recoveries of the spiked samples ranged from 98.7 to 107.3 %. The relative standard deviation (%RSD) of the stability was less than 2.4 %. Using the developed method, one sedative-hypnotic compound, phenobarbital, was detected in one of the nineteen samples tested. In addition, the major characteristic fragment ions of each target compound were confirmed using Q-Orbitrap-MS for higher accuracy. Monitoring the presence of these 16 sedative-hypnotics and sleep inducers in dietary supplements should be pursued in the interest of human health, and the results of this study confirmed that the developed method has value for this application.

Economic Efficiency of the BAT Standards in a Multi-pollutant Environment (다오염물질 상황에서의 최적가용기법 기준의 경제적 효율성에 관한 연구)

  • Han, Taek-Whan;Lim, Dongsoon
    • Journal of Environmental Impact Assessment
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    • v.28 no.2
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    • pp.141-151
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    • 2019
  • Korea has passed the Act on the Integrated Control of Pollutant-Discharging Facilities in 2015, and the integrated environmental management under the BAT standard is underway. To summarize the nature of integrated environmental management, it is the regulation by the integration of the management of the multi-pollutant source and the technical standard of BATs. In general, in environmental economics, regulation-based on technical standards are known to be inefficient. This paper attempts to evaluate the efficiency of BAT standards from an economic point of view. A simple multi-pollutant model demonstrates that the inefficiency of the environmental tax with imperfect information in a single pollutant situation is amplified under multi-pollutant conditions. The simultaneous introduction of BAT and IPPC can be partially explained by this logic. It is also highlighted by the strengthening of BAT standards by EU, as a countermeasure to the potential deterioration of air quality caused by the change of effective environmental taxes accompanying the fuel and emission price changes.