• Title/Summary/Keyword: TeamTeam Class

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Programmed Follow-up and Quality Control of Treatment Techniques Enhance Chronic Thromboembolic Pulmonary Hypertension Management: Lessons From a Multidisciplinary Team

  • Taek Kyu Park;Sung-A Chang;Jeong Hoon Yang;Woochan Kwon;Min Yeong Kim;Young Seok Cho;Hye Yun Park;Dong Seop Jeong;Hojoong Kim;Duk kyung Kim
    • Korean Circulation Journal
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    • v.54 no.7
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    • pp.409-421
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    • 2024
  • Background and Objectives: The recent developments in chronic thromboembolic pulmonary hypertension (CTEPH) are emphasizing the multidisciplinary team. We report on the changes in clinical practice following the development of a multidisciplinary team, based on our 7 years of experience. Methods: Multidisciplinary team was established in 2015 offering both balloon pulmonary angioplasty (BPA) and pulmonary endarterectomy (PEA) with technical upgrades by internal and external expertise. For operable cases, PEA was recommended as the primary treatment modality, followed by pulmonary angiography and right heart catheterization after 6 months to evaluate treatment effect and identify patients requiring further BPA. For patients with inoperable anatomy or high surgical risk, BPA was recommended as the initial treatment modality. Patient data and clinical outcomes were closely monitored. Results: The number of CTEPH treatments rapidly increased and postoperative survival improved after team development. Before the team, 38 patients were treated by PEA for 18 years; however, 125 patients were treated by PEA or BPA after the team for 7 years. The number of PEA performed was 64 and that of BPA 342 sessions. World Health Organization functional class I or II was achieved in 93% of patients. The patients treated with PEA was younger, male dominant, higher pulmonary artery pressure, and smaller cardiac index, than BPA-only patients. In-hospital death after PEA was only 1 case and none after BPA. Conclusions: The balanced development of BPA and PEA through a multidisciplinary team approach proved synergistic in increasing the number of actively treated CTEPH patients and improving clinical outcomes.

A Study on Ernst May's Cognition of the Working Class and the Rationalization in the Housing of the New Frankfurt Initiative (에른스트 마이의 노동자 계층 인식과 신 프랑크푸르트 운동 주거단지에서 나타나는 합리성 구현 방식에 관한 연구)

  • Kim, Hoon
    • Journal of the Korean housing association
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    • v.26 no.4
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    • pp.83-94
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    • 2015
  • Ernst May and the New Frankfurt Initiative are well known for the urban planning and the Housings in Frankfurt a. M. Their works tend to be underestimated because of some factors such as modest attitude toward modernism design vocabulary, short period that their programs lasts, and modification/recession of project in actual construction. So, This study aims to build up the relations related to Housing, such as situation of post World War I in German Society and Frankfurt, May's cognition on the working class, and realization of rationalization as a major tools of the modernity. Ernst May considered the working class with bipolar standpoint. Ernst May and His team considered working class and those families not only as object of relief but also as potential 'modern citizens' to be disciplined; he sympathize poor conditions of working class while discriminating them by their labor charge. Acceptance of Socially Disadvantaged group in construction were also proceeded in means of recession of cost. Even Ernst May and his team did not achieved the goals that they thought they could, their Siedlung and house designs articulated the sense of modernity, which presented in rationalization with highly practical manner. Those are realized in 3 directions; respectful considerations for existing traditional factors, application of extendable logics of physical/social hygiene, and reflection of issues with standardization and mass production.

An experimental study on the fireproof performance of fire damper according to change of the insulation conditions on the exposed side and unexposed side of the coaming (코밍 노출면 방열 두께 및 비 노출면 방열 길이 변화에 따른 방화 댐퍼의 내화성능에 관한 실험적 연구)

  • Choi, Tai-Jin;Kim, Joung-Sik;Lim, Young-Soo;Lee, Kyung-Hyun;Kang, Ho-Keun;Park, Sung-Ho;Kim, You-Taek
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.1
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    • pp.99-104
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    • 2014
  • In this paper, Fire resistance test was carried out in accordance with the change of the insulation conditions on the exposed side and unexposed side of the coaming to obtain optimal insulation conditions for class H-120 insulation in connection with specimen-1 of the preceding paper for the evaluation of fireproof performance for fire dampers according to hydrocarbon fire conditions. As a test result, specimen-2(88 mm, $171^{\circ}C$) was satisfied class H-120 insulation, but specimen-3(76 mm, $181^{\circ}C$) was exceeded thermal insulation acceptance criteria at 110 minutes, therefor, specimen-2(88 mm) is optimal insulation conditions as possible lightweight than specimen-1. Test result comparison, we concluded that temperature rising of the coaming insulation surface was influenced by conductive heat from the bulkhead, and coaming surface was influenced by radiant heat from blade & coaming.

A Study on the Comprehensive Approach to Health Education: Cooperative Learning (협동학습(Cooperative Learning)을 적용한 보건교육 수업에 관한 연구)

  • 김은주
    • Korean Journal of Health Education and Promotion
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    • v.21 no.3
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    • pp.151-177
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    • 2004
  • Recently, the educational community has attempted to implement the theory of multiple intelligences. In approaching multiple intelligences, teachers have applied the same structural approach which has been so successful with cooperative learning. Cooperative learning is easy to learn and implement, fun for teachers and students, and produce profoundly positive outcomes along a remarkable number of dimensions. Different structures are designed for different outcomes, including enhanced mastery of subject matter, improved thinking skills, team building, class building, development of social character and social skills, communication skills, classroom management, classroom discipline, and development of and engagement of each of the multiple intelligences. Cooperative learning is becoming an increasingly popular teaching strategy. In this study, it is aimed to clarify the application of cooperative learning in health education. Cooperative Learning in health education enhances student learning by: 1) providing a shared cognitive set of information between students, 2) motivating students to learn the material, 3) ensuring that students construct their own health knowledge, 4) providing formative feedback, 5) developing social and health group skills necessary for success outside the classroom, and 6) promoting positive interaction between members of different cultural and socio-economic groups. Cooperative Learning structures and techniques in health education are following. Flash Card, Focused Listing, Structured Problem-solving, Paired Annotations, Structured Learning Team Group Roles, Send-A-Problem, Value Line, Uncommon Commonalities, Team Expectations, Double Entry Journal, Guided Reciprocal Peer Questioning, What if. Because the purpose of health education is the practice, therefore health specialists have to guide powerful and effective teaching method The application of cooperative learning in health education may improve its effectiveness.

Optimal Selection of Fuel Bias and Propellant Residual Analysis of a Liquid Rocket (액체 추진 로켓의 최적 연료 바이어스 산정 및 추진제 잔류량 분석)

  • Song, Eun-Jung;Cho, Sangbum;Roh, Woong-Rae
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.43 no.1
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    • pp.88-95
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    • 2015
  • This paper considers the effects of propellant mixture ratio and loading errors on the performance of a liquid rocket. Propellant residuals generated by error sources are analyzed for a launch vehicle model whose first stage consists of a cluster rocket of four 75-tonf class engines using a statistical Monte-Carlo approach and then the optimal fuel biases minimizing residuals are computed. The results are validated through comparison with analytic method using approximate formula, which have been applied for other space launch vehicles.

A Comparison Study of the Bulbous Bow Shape for LPG Carrier (LPG 선박의 선수 Bulb 형상 비교 Study)

  • Lee Jongki;Park Jaesang;Kim Sungpyo
    • Special Issue of the Society of Naval Architects of Korea
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    • 2005.06a
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    • pp.31-37
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    • 2005
  • An attempt to improve the speed performance through the minimizing in wave resistance has been done by an application of gooseneck and no bulb type to bulbous bow for the DSME 78,500 Class LPG Carrier on the basis of the CFD calculation and comparatives model tests. The hydrodynamic characteristics according to the variation of the shape of Cp-curve, design load water line, frame line and bulbous bow that have an important effect on the wave resistance has been evaluated/calculated by ship-flow code. A wide variety in hull variation have been tried to have a good hull form with three types of fore-body hull forms mainly classified by the shape of bulbous bow. The speed performances for the three final hull forms with different bulbous bows have been evaluated through the model tests.

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The Optimum Offset Range on the Top of T-Bar Stiffener and Bracket (최적 T-Bar Offset(Vertical Stiffener Misalignment) 허용오차 정립)

  • Lee, Kyung-Seok;Yu, Chang-Hwa;Shon, Sang-Yong;Che, Jung-Sin
    • Special Issue of the Society of Naval Architects of Korea
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    • 2008.09a
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    • pp.1-9
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    • 2008
  • This report contains the results of structural analysis for the verification of the optimum offset range on the top of T-Bar with stiffener and BKT using at DSME Offset range as $6.0{\sim}10.0mm$ based on the 3-D FE analysis and experimental results of angie type stiffener as described in Annex 1 has been used as yard standard over ten (10) years under all Classification approval. Recently, Owner and Class have requested the confirmation for the misalignment based on the Yard's Standard so that a couple of locations for LNGC and LPGC has been investigated the structural strength by FE method using the offset ranges from 0.0 to 18.0 mm.

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Interaction of brassinosteroids and cytokinin in modulating light mediated signaling in Arabidopsis

  • Hwang, Indeok;Paudyal, Dilli P.;Cheong, Hyeonsook
    • Journal of Integrative Natural Science
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    • v.1 no.1
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    • pp.24-31
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    • 2008
  • Brassinosteroids (BRs) are a special class of plant steroid hormones that are essential for normal growth and development. Part of confusion is whether BRs are unique to plants, because they have overlapping physiological roles with other better-studied hormones and with physiological responses caused by light. In systems designed to assay for cytokinins, the effects of BRs vary. We measured hypocotyl length for testing the ability of brassinolide (BL) to rescue double mutant between det2 and the photoreceptor null mutant phytochrome B (phyB). PHYB involved in controlling hypocotyl elongation in increased concentration of BL whereas phyBdet2 double mutant just partially rescue to phyB in white and red light indicated the involvement of BRs in PHYB regulated cell elongation. BRs regulated hypocotyl growth was delayed by BAP, a cytokinin treatment but inhibitory effects of BAPs on hypocotyl growth was slightly recovered by BL. The result indicated that the mode of action of BR and cytokinin is independent or sequential in the downstream light-regulated response control on hypocotyl elongation and also light modulated the action of BR and cytokinin in some extent.

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Development of Design Code for Oxidizer-Rich Preburner of Staged Combustion Cycle Engine Using Cantera (Cantera를 이용한 케로신 다단연소사이클 엔진용 산화제 과잉 예연소기 설계코드 개발)

  • Si-Yoon Kang;Seong-Ku Kim;Chulsung Ryu;Insang Moon
    • Journal of the Korean Society of Propulsion Engineers
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    • v.26 no.6
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    • pp.10-20
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    • 2022
  • The present study developed a design code for preburner of staged combustion cycle engines, which calculates preburnt gas at high-pressure oxidizer-rich conditions and predicts conjugate heat transfer and hydraulics of cryogenic fluid flow through cooling passages. It has been written based on the open-source library Cantera, into which this study has incorporated new source codes to predict correctly non-ideal thermodynamics and transport anomalies of the cryogenic fluid. For a preburner of 100 tonf-class booster engine currently under preliminary design, the present code demonstrated predictive capability and usability as a design code by comparing with CFD simulation.

Formative Research on Team-Based Learning Model in a Technical High School Class (공업계 고등학교 수업에서 팀 기반 학습모형 적용에 관한 형성적 연구)

  • Lee, Young-Min;Nam, Jeong-Kwon;Cho, Hyung-Jeong;Lee, Soo-Young
    • 대한공업교육학회지
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    • v.36 no.2
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    • pp.1-23
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    • 2011
  • The purpose of the study was to investigate the generality and applicability of Team-Based Learning model in a technical high school, based on the interviews with students and a teacher. Team-Based Learning model seems to be an effective way in improving the performance of groups as well as the individualized learning and team interaction. We applied a formative research method and identified the strengths of the model including learners' motivation and interests, learner-centered learning, self-efficacy through learning in advance, and concept acquisition from the repetitive learning process. However, we also found the weakness of the model including impracticality of instructional design, a lack of field-oriented problem banks, and needs for identifying learner characteristics and role in instruction. Finally, we analyzed the implications for the Team-Based Learning in the technical high schools in light of team formation, discussion types, active participation, and learners' prior knowledge and attitude, and pre-determined instructional design.