• International Journal of Advanced Culture Technology
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• v.6 no.3
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• pp.211-215
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• 2018

Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.

• Journal of Trauma and Injury
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• v.29 no.1
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• pp.33-36
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• 2016

Traffic accidents involving agricultural machinery have been decreasing, but mortality is still high due to a lack of safety devices such as seat belts. Furthermore, secondary damage, such as abdominal impalement injury caused by loaded materials, is more likely to occur, and this type of injury leads to a poor prognosis. Impalement with pipes is often more fatal than other penetrating injuries because the diameter of the pipe is usually larger in size than other loaded materials. We report a case of a 72-year-old man with secondary abdominal impalement injury caused by a scaffolding pipe following a traffic accident.

• International Journal of High-Rise Buildings
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• v.1 no.1
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• pp.1-13
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• 2012

The importance of appropriate use of damping evaluation techniques and points to note for accurate evaluation of damping are first discussed. Then, the variation of damping ratio with amplitude is discussed, especially in the amplitude range relevant to wind-resistant design of buildings, i.e. within the elastic limit. The general belief is that damping increases with amplitude, but it is emphasized that there is no evidence of increasing damping ratio in the very high amplitude range within the elastic limit of main frames, unless there is damage to secondary members or architectural finishings. The damping ratio rather decreases with amplitude from a certain tip drift ratio defined as "critical tip drift ratio," after all friction surfaces between primary/structural and secondary/non-structural members have been mobilized.

• Proceedings of the Korea Information Assurance Society Conference
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• 2004.05a
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• pp.145-151
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• 2004

School Networks environment is implemented in many schools to support educational activities for networking resources required in teaching-teaming activities with government initiative. On the other hand, the open system in school which are used in internet in internet do considerable damage committed by intruder and cracker to the preservation of computer data and system due to second schools security state. Therefore this study is to present assortment in information resources of schools, security items and problem. finally, we give the effective and systematic metrics of estimates for security of secondary schools in information resources parts.

• Journal of Environmental Science International
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• v.12 no.1
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• pp.15-22
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• 2003

Fifteen major naturally populated habitats around the Mt. Halla, Jeju province for wild Cornus kousa are mostly located on the southeast side of the mountains at 850-1,550m in altitude at sea level and are in half sunney areas. More than 40.0% of the naturally populated area of Cornus kousa are edge of forest areas and 53.3% populate on the steep slope of the mountain in 0-5℃. The direction of the slop for about 40.0% of total populated areas is southeast. In the naturally populated areas, total of 64 taxa dividing into 42 families, 59 genera 56 species and 8 varieties have been shown, mostly Hydrangea petiolaris, Rubus oldhamii, Ilex crenata, Sasa quelpaertensis, Ligustrum obtusifolium. It is suggested that these areas are secondary forest in a typical deciduous forest in Mt. Halla where the second transition had been progressed after forest damage or environmental stress. The index of species diversity of plant groups in these areas is 1.286-4.238 based on the Shannon-Wiener's method.

• Journal of Applied Reliability
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• v.13 no.2
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• pp.129-140
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• 2013

As a fundamental experimental study for reliability improvement of lithium ion secondary battery, degradation mechanism was investigated by microscopic observation and acoustic emission monitoring. Microstructural observation of the decomposed battery after cycle test revealed mechanical and chemical damages such as interface delamination, microcrack of the electrodes, and solid electrolyte interphase (SEI). Acoustic emission (AE) signal was detected during charge and discharge of lithium ion battery to investigate relationships among cumulative count, discharge capacity, and microdamages. With increasing number of cycle, discharge capacity was decreased and AE cumulative count was observed to increase. Observed damages were attributed to sources of the detected AE signals.

• Proceedings of the KIEE Conference
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• 1998.07a
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• pp.28-30
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• 1998

In the case of long secondary (applied in long distance), as it is established horizontal, the defects of droop arises resulting damage of entire system. Actually, it is difficult to expect reasonable characteristics and desirable operating in that case. This paper is about numerical analysis of secondary droop, non-symmetric and position displacement problems. In the base of this paper, the correction of mechanical difficulties in practical manufacturing and optimal design of TLIM considering these aspects can be progressed successively.

• Corrosion Science and Technology
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• v.15 no.1
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• pp.6-12
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• 2016

Flow-Accelerated Corrosion (FAC) is a well-known degradation mechanism that attacks the secondary piping in nuclear power plants. Since the Surry Unit 2 event in 1986, most nuclear power plants have implemented management programs to deal with damages in carbon and low-alloy steel piping. Despite the utmost efforts, damage induced by FAC still occurs in power plants around the world. In order to predict FAC wear, some computer programs were developed such as CHECWORKS, CICERO, and COMSY. Various data need to be input to these programs; the chemical composition of secondary piping, flow operating conditions and piping geometries. CHECWORKS, developed by the Electric Power Research Institute (EPRI), uses a geometry code to calculate geometry effects. Such a relatively simple geometry code is limited in acquiring the accuracy of FAC prediction. Recently, EPRI revisited the geometry code with the intention of updating it. In this study, numerical simulations were performed for two adjacent $90^{\circ}$ elbows and the results were analysed in terms of the proximity effect between the two adjacent elbows.

• Korean Journal of Biological Psychiatry
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• v.3 no.2
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• pp.302-308
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• 1996

A case of rapid cycling mania secondary to gamma-knife radiosurgery for the treatment of refractory epilepsy was reported. A 21-year old woman who had a gamma-knife radiosurgical operation for the treatment of refractory seizure two years ago was admitted because of manic episodes. Although seizure was relieved, manic symptoms like decreased need for sleep, elated mood, unprovoked laughing, grandiose delusion and bizarre behaviors were developed 11 months after the operation. These symptoms recurred lour rimes for eight months. There were no past personal and family history of mood disorders. Laboratory examinations including electroencephalogram ana endocrinological study did not show any abnormal findings. The rapid cycling secondary manic was relieved by lithium. She was then discharged after 5 months. Mood change was not significant during follow-up while hypomania emerged by dose reduction. The secondary mania seemed to be caused or triggered by the right temporal lobe damage induced by gamma-knife radiosurgery.

• Journal of the Korean Society of Industry Convergence
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• v.27 no.1
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• pp.207-212
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• 2024

Recently, with the strengthening of environmental regulations, there has been an increasing interest in eco-friendly energy sources, leading to a trend of the increasing scale of Cargo Containment Systems (CCS) for Liquefied Natural Gas (LNG) carriers. Among these systems, membrane tanks have gained popularity in LNG transport vessels due to their superior spatial utilization and competitiveness. However, due to high initial investment costs and the difficulty in repair in case of damage, a safety layer, the secondary barrier, must be installed without fail. In this study, in order to apply a new secondary barrier to the existing membrane-type LNG CCS, tests were conducted on the fiberglass layer previously used in the Triplex-Flexible Secondary Barrier (FSB), substituting it with basalt fiber. Tensile and vertical tensile tests were performed to assess the newly applied material. Environmental tests were conducted at room temperature (25℃) and extremely low temperatures (-170℃), considering the temperatures to which substances may be exposed during LNG vessel operations. The basalt-FSB produced in this study demonstrated superior results compared to the specifications of the existing product, confirming its potential applicability for implementation.