• Title/Summary/Keyword: Replacement measure

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A study on the developments of STCW training of seafarers on ships applying in the IGF Code

  • Han, Se-Hyun;Lee, Young-Chan
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.10
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    • pp.1054-1061
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    • 2015
  • The International Maritime Organization (IMO) has been regulating emissions by making mandatory the compliance with institutions aimed at protecting air quality such as the Energy Efficiency Design Index (EEDI), Ship Energy Efficiency Management Plan (SEEMP) and Tier III. Under the circumstances, one of the response measures considered to be the most feasible is the replacement of existing marine fuel with Liquefied Natural Gas (LNG). The industry has been preemptively building infrastructure and developing and spreading engine technology to enable the use of LNG-fueled ships. The IMO, in turn, recently adopted the International Code of Safety for Ships Using Gases or Other Low-Flash-Point Fuels (IGF Code) as an institutional measure. Thus, it is required to comply with regulations on safety-related design and systems focused on response against potential risk for LNG-fueled ships, in which low-flash-point fuel is handled in the engine room. Especially, the Standards of Training, Certification and Watchkeeping (STCW) Convention was amended accordingly. It has adopted the qualification and training requirements for seafarers who are to provide service aboard ships subject to the IGF Code exemplified by LNG-fueled ships. The expansion in the use of LNG-fueled ships and relevant facilities in fact is expected to increase demand for talents. Thus, the time is ripe to develop methods to set up appropriate STCW training courses for seafarers who board ships subject to the IGF Code. In this study, the STCW Convention and existing STCW training courses applied to seafarers offering service aboard ships subject to the IGF Code are reviewed. The results were reflected to propose ways to design new STCW training courses needed for ships subject to the IGF Code and to identify and improve insufficiencies of the STCW Convention in relation to the IGF Code.

Intermediate-Term Clinical Outcomes after Total Ankle Arthroplasty for End-Stage Rheumatoid Arthritis with Modification of Perioperative Anti-Rheumatic Medication (말기 류마티스성 발목관절염에 대한 인공관절 전치환술 및 항류마티스 약물 조절 후의 중기 추시 임상 결과)

  • Cho, Byung-Ki;Ko, Ban-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.91-99
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    • 2019
  • Purpose: This retrospective study reports the intermediate-term clinical outcomes including the practical function in daily and sports activities after total ankle arthroplasty for end-stage rheumatoid arthritis, as well as the effects of modification of perioperative anti-rheumatic medications. Materials and Methods: Twelve patients were followed for a minimum of 2 years after total ankle replacement for end-stage rheumatoid arthritis. Perioperative anti-rheumatic medications in all patients were modified based on a specific guideline. Clinical evaluations consisted of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. Periodic radiographic evaluation was conducted to detect changes in ankle alignment and postoperative complications. Results: Mean AOFAS, FAOS, and FAAM scores improved significantly from 37.5 to 81.2, 39.1 to 72.4, and 33.8 to 64.0 points at final follow-up, respectively (p<0.001). Functional outcomes in daily and sports activities at final follow-up were found to be 76.5 and 55.8 points for the FAOS and 70.5 and 57.5 points for the FAAM, respectively. As early postoperative complications, there was one case of local wound necrosis, one case of medial malleolar fracture, and one case of deep peroneal nerve injury. Radiological evaluation revealed two cases of asymptomatic heterotopic ossification and one case of progressive arthritis in the talonavicular joint. Reoperation was performed in only one patient (8.3%) with a medial soft tissue impingement at a mean of 35.6 months follow-up. Conclusion: Total ankle arthroplasty appears to be an effective surgical option for end-stage rheumatoid arthritis. Practical functions in daily and sports activities were significantly improved at intermediate-term follow-up. Modification of perioperative anti-rheumatic medications can be one of the solutions to reduce the postoperative complication rate.

Evaluation of Geographic Indices Describing Health Care Utilization

  • Kim, Agnus M.;Park, Jong Heon;Kang, Sungchan;Kim, Yoon
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.1
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    • pp.29-37
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    • 2017
  • Objectives: The accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization. Methods: We measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates. Results: In higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index. Conclusions: Health care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.

An Experimental Study on High Strength Concrete Using the LCD Waste Glass Powder (LCD 폐유리 미분말을 사용한 고강도 콘크리트에 관한 실험적 연구)

  • Kim, Byung-Chul;Cha, Tae-Gweon;Jang, Pan-Ki;Kim, Chan-Woo;Jang, Il-Young
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.3 no.4
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    • pp.335-341
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    • 2015
  • Various display devices has been increasing also using waste LCD glass in accordance with the used developed, because circumstances that are most landfill or incineration, are needed research on recycling measure of the using waste LCD glass. Therefore, in this study, to try to assess the basic mechanical properties of concrete mixed with using waste LCD glass micropowder through the room mixed test. According to the study results, the more replacement rate increases, the characteristics of the concrete showed a tendency to decrease slightly. However, according to the small value, it is expected to improve the advanced experimental values by refining the grain size of the materials used to be processed into spheres.

Liquefaction Prevention and Damage Reduction Effect of Reinforcement by Sheet Pile Using 1-G Shaking Table Test (1-G 진동대 실험을 이용한 시트파일 보강재의 액상화 및 피해 방지 효과)

  • Sim, Sung Hun;Yoon, Jong Chan;Son, Su Won;Kim, Jin Man
    • Journal of the Earthquake Engineering Society of Korea
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    • v.24 no.5
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    • pp.211-217
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    • 2020
  • Earthquake preparedness has become more important with recent increase in the number of earthquakes in Korea, but many existing structures are not prepared for earthquakes. There are various types of liquefaction prevention method that can be applied, such as compaction, replacement, dewatering, and inhibition of shear strain. However, most of the liquefaction prevention methods are applied before construction, and it is important to find optimal methods that can be applied to existing structures and that have few effects on the environment, such as noise, vibration, and changes in underground water level. The purpose of this study is to estimate the correlation between the displacement of a structure and variations of pore water pressure on the ground in accordance with the depth of the sheet file when liquidation occurs. To achieve this, a shaking table test was performed for Joo-Mun-Jin standard sand and an earth pressure, accelerometer, pore water pressure transducer, and LVDT were installed in both the non-liquefiable layer and the liquefiable layer to measure the subsidence and excess pore water pressure in accordance with the time of each embedded depth. Then the results were analyzed. A comparison of the pore water pressure in accordance with Hsp/Hsl was shown to prevent lateral water flow at 1, 0.85 and confirmed that the pore water pressure increased. In addition, the relationship between Hsp/Hsl and subsidence was expressed as a trend line to calculate the expected settlement rate formula for the embedded depth ratio.

A Study on the Performance of Solar Heat, Pump Cycle System for $CH_2F_2$, $CF_3CHF_2$ and $CF_3CH_2F$( I ) ($CH_2F_2-CF_3CH_2F-CF_3CHF_2$계 냉매적용 태양열 열펌프시스템 성능 연구( I ))

  • Lee, Soon-Bok;Jung, Hyun-Chai;Bae, Chun-Woo;Sun, Kyung-Ho
    • Journal of the Korean Solar Energy Society
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    • v.23 no.2
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    • pp.71-79
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    • 2003
  • The goal of this paper is to measure and compare the performance of solar heat pump for refrigerants. To accomplish the goal, solar heat pump with aluminum roll bond type evaporator and indoor heat exchanged(condenser) was built. The test results showed that the COP and heating capacity of HFC-32/125/134a(23/25/52 wt%, $CH_2F_2/CF_3CHF_2/CF_3CH_2F$) were higher than those of HCFC-22$(CHClF_2)$. A study proved that best conditions to use heating system that is about $40m^2$ and $80m^2$. The COP range of the whole system was from 4 to 6 according to the solar collector's area variation. Hydrochlo-rofluorocarbon HCFC-22$(CHClF_2)$ is included in the compound to be controlled. HFC-32/125/134a(23/25/52 wt%, $CH_2F_2/CF_3CHF_2/CF_3CH_2F$) is the most suitable replacement HCFC-22$(CHClF_2)$ in solar heat pump application. The solar heat pump system was designed to show the best efficiency that the room temperature make $18\sim20^{\circ}C$ and $23\sim25^{\circ}C$ in Seoul during the fall season.

The Influence of Software Engineering Levels on Defect Removal Efficiency (소프트웨어공학수준이 결함제거효율성에 미치는 영향)

  • Lee, Jong Moo;Kim, Seung Kwon;Park, Ho In
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.9 no.4
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    • pp.239-249
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    • 2013
  • The role of software process is getting more important to make good quality softwares. One of the measures to improve the software process is Defect Removal Efficiency(DRE). DRE gives a measure of the development team ability to remove defects prior to release. It is calculated as a ratio of defects resolved to total number of defects found. Software Engineering Levels are usually decided by CMMI Model. The model is designed to help organizations improve their software product and service development, acquisition, and maintenance processes. The score of software engineering levels can be calculated by CMMI model. The levels are composed of the three groups(absent, average, and advanced). This study is to find if there is any difference among the three categories in term of the result of software engineering levels on DRE. We propose One way ANOVA to analyze influence of software engineering levels on DRE. Bootstrap method is also used to estimate the sampling distribution of the original sample because the data are not sampled randomly. The method is a statistical method for estimating the sampling distribution of an estimator by sampling with replacement from the original sample. The data were collected in 106 software development projects by the survey. The result of this study tells that there is some difference of DRE among the groups. The higher the software engineering level of a specific company becomes, the better its DRE gets, which means that the companies trying to improve software process can increase their good management performance.

A Study on the Methodology of Acupuncture Clinical Trial on the Postmenopausal and Perimenopausal Hot Flashes (갱년기 안면홍조에 대한 침 임상시험 방법론 연구)

  • Roh, Jin-Ju;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.193-206
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    • 2008
  • Purpose: In spite of many arguments on the result of WHI (Women's Health Initiative) study, no one can deny the necessity for researches on the alternative treatment to HRT (hormone replacement therapy). In this study, the author wanted to investigate the method of precedent acupuncture RCTs (randomized controlled trials) to make out the appropriate acupuncture study design on postmenopausal and perimenopausal hot flashes in Korea. Methods: Precedent studies were investigated using Pubmed search and key-words "acupuncture and hot flash", "acupuncture and menopause", "acupuncture and vasomotor", limited to RCT, from 2000 to 2008 April. Results: As a result. 10 studies were searched. In the hereafter studies, multi-center clinical trials which consist of population group of postmenopausal and perimenopausal women that would be pre-stratified and more than 50 patients per treatment arm seem adequate. Sham control study can make out the proper consequence because many people are get used to acupuncture in Korea. Flexible choice of acupoints addressed an individual's symptoms using standardized algorithm is recommended. Treatment consist of 4 weeks' observation, 11 acupuncture sessions during 7 weeks, follow-up of 3 months or more after treatment and hot flash score as a primary outcome measure seem appropriate. After all, higher level of description according to global standard must be obtained in the study report and publishing. Conclusion: The researchers should develope the methodology of acupuncture clinical trial on the postmenopausal and perimenopausal hot flashes.

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Cell Versus Chemokine Therapy Effects on Cell Mobilization to Chronically Dysfunctional Urinary Sphincters of Nonhuman Primates

  • Williams, J. Koudy;Mariya, Silmi;Suparto, Irma;Lankford, Shannon S.;Andersson, Karl-Erik
    • International Neurourology Journal
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    • v.22 no.4
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    • pp.260-267
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    • 2018
  • Purpose: A major question remaining in approaches to tissue engineering and organ replacement is the role of native mobilized native cells in the regeneration process of damaged tissues and organs. The goal of this study was to compare the cell mobilizing effects of the chemokine CXCL12 and cell therapy on the urinary sphincter of nonhuman primates (NHP) with chronic intrinsic urinary sphincter dysfunction. Methods: Either autologous lenti-M-cherry labeled skeletal muscle precursor cells (skMPCs) or CXCL12 were injected directly into the sphincter complex of female NHPs with or without surgery-induced chronic urinary sphincter dysfunction (n=4/treatment condition). All monkeys had partial bone marrow transplantation with autologous lenti-green fluorescent protein (GFP) bone marrow cells prior to treatment. Labeled cells were identified, characterized and quantified using computer-assisted immunohistochemistry 6 months posttreatment. Results: GFP-labeled bone marrow cells (BMCs) were identified in the bone marrow and both BMCs and skMPCs were found in the urinary sphincter at 6-month postinjection. BMCs and skMPCs were present in the striated muscle, smooth muscle, and lamina propria/urothelium of the sphincter tissue. Sphincter injury increased the sphincter content of BMCs when analyzed 6-month postinjection. CXCL12 treatment, but not skMPCs, increased the number of BMCs in all layers of the sphincter complex (P<0.05). CXCL12 only modestly (P=0.15) increased the number of skMPCs in the sphincter complex. Conclusions: This dual labeling methodology now provides us with the tools to measure the relative number of locally injected cells versus bone marrow transplanted cells. The results of this study suggest that CXCL12 promotes mobilization of cells to the sphincter, which may contribute more to sphincter regeneration than injected cells.

Influence of Fluorine Doping on Hardness and Compressive Stress of the Diamond-Like Carbon Thin Film

  • Sayed Mohammad Adel Aghili;Raheleh Memarzadeh;Reza Bazargan Lari;Akbar Eshaghi
    • Korean Journal of Materials Research
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    • v.33 no.4
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    • pp.124-129
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    • 2023
  • This study assessed the influences of fluorine introduced into DLC films on the structural and mechanical properties of the sample. In addition, the effects of the fluorine incorporation on the compressive stress in DLC films were investigated. For this purpose, fluorinated diamond-like carbon (F-DLC) films were deposited on cobalt-chromium-molybdenum substrates using radio-frequency plasma-enhanced chemical vapor. The coatings were examined by Raman scattering (RS), Attenuated total reflectance Fourier transform infrared spectroscopic analysis (ATR-FTIR), and a combination of elastic recoil detection analysis and Rutherford backscattering (ERDA-RBS). Nano-indentation tests were performed to measure hardness. Also, the residual stress of the films was calculated by the Stony equation. The ATR-FTIR analysis revealed that F was present in the amorphous matrix mainly as C-F and C-F2 groups. Based on Raman spectroscopy results, it was determined that F made the DLC films more graphitic. Additionally, it was shown that adding F into the DLC coating resulted in weaker mechanical properties and the F-DLC coating exhibited lower stress than DLC films. These effects were attributed to the replacement of strong C = C by feebler C-F bonds in the F-DLC films. F-doping decreased the hardness of the DLC from 11.5 to 8.8 GPa. In addition, with F addition, the compressive stress of the DLC sample decreased from 1 to 0.7 GPa.