• Title/Summary/Keyword: pressure for success

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Evaluation of Predictability of Global/Regional Integrated Model System (GRIMs) for the Winter Precipitation Systems over Korea (한반도 겨울철 강수 유형에 따른 전지구 수치모델(GRIMs) 예측성능 검증)

  • Yeon, Sang-Hoon;Suh, Myoung-Suk;Lee, Juwon;Lee, Eun-Hee
    • Atmosphere
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    • v.32 no.4
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    • pp.353-365
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    • 2022
  • This paper evaluates precipitation forecast skill of Global/Regional Integrated Model system (GRIMs) over South Korea in a boreal winter from December 2013 to February 2014. Three types of precipitation are classified based on development mechanism: 1) convection type (C type), 2) low pressure type (L type), and 3) orographic type (O type), in which their frequencies are 44.4%, 25.0%, and 30.6%, respectively. It appears that the model significantly overestimates precipitation occurrence (0.1 mm d-1) for all types of winter precipitation. Objective measured skill scores of GRIMs are comparably high for L type and O type. Except for precipitation occurrence, the model shows high predictability for L type precipitation with the most unbiased prediction. It is noted that Equitable Threat Score (ETS) is inappropriate for measuring rare events due to its high dependency on the sample size, as in the case of Critical Success Index as well. The Symmetric Extreme Dependency Score (SEDS) demonstrates less sensitivity on the number of samples. Thus, SEDS is used for the evaluation of prediction skill to supplement the limit of ETS. The evaluation via SEDS shows that the prediction skill score for L type is the highest in the range of 5.0, 10.0 mm d-1 and the score for O type is the highest in the range of 1.0, 20.0 mm d-1. C type has the lowest scores in overall range. The difference in precipitation forecast skill by precipitation type can be explained by the spatial distribution and intensity of precipitation in each representative case.

Human-Technology Integration for Implementing Electronic Approval System in a Hospital (의료기관 전자결제시스템 도입을 위한 Human-Technology Integration에 관한 연구)

  • Park, Jae-Sung;Park, Ki-Soo
    • Korea Journal of Hospital Management
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    • v.7 no.3
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    • pp.102-120
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    • 2002
  • The purpose of study is to understand human-technology integration mechanism by using the study model that takes the core concept and motivation assumptions of technology acceptance model(TAM) into account. This study identifies three motivation mechanisms in adopting or using computer mediated communication(CMC) tool for work. The mechanism comprises with extrinsic, extrinsic motivation, and subjective norm pressure. One hospital with 430 beds and 367 human power was identified and we administered the questionnaire during their work hours. There is 32.4% response rate. The fitting index of the study model surpass the acceptable level, GFI = .980 for none-users, GFI =.986 for users, NNFI = .973 for none-users, and NNFI = .989 for users. In the case of none-users, perceived ease of use determines perceived usefulness that explains behavioral intention to use. As a result, adotpers' usage motivation is based on extrinsic motivation that does not consider their affective factor, attitude, in use of CMC. Users considers their attitudes as the mediating factor of all behavioral beliefs for using CMC continually. Thus, users are likely to depend their adoption behaviors on their affective factor. Moreover, users' behavioral intention is subject to pressures of use from other persons who are important to them, such as supervisor, director, or boss. Achieving human-technology integration in a hospital may cause cost saving and work efficiency. However, the success of information system should base on a profound understanding of employees' adoption behaviors in rejecting, adopting, using, continually using of IT, and organization culture in using IT.

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A study on the engineering optimization for the commercial scale coal gasification plant (상용급 석탄가스화플랜트 최적설계에 관한 연구)

  • Kim, Byeong-Hyeon;Min, Jong-Sun;Kim, Jae-Hwan
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.11a
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    • pp.131.1-131.1
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    • 2010
  • This study was conducted for engineering optimization for the gasification process which is the key factor for success of Taean IGCC gasification plant which has been driven forward under the government support in order to expand to supply new and renewable energy and diminish the burden of the responsibility for the reduction of the green house gas emission. The gasification process consists of coal milling and drying, pressurization and feeding, gasification, quenching and HP syngas cooling, slag removal system, dry flyash removal system, wet scrubbing system, and primary water treatment system. The configuration optimization is essential for the high efficiency and the cost saving. For this purpose, it was designed to have syngas cooler to recover the sensible heat as much as possible from the hot syngas produced from the gasifier which is the dry-feeding and entrained bed slagging type and also applied with the oxygen combustion and the first stage cylindrical upward gas flow. The pressure condition inside of the gasifier is around 40~45Mpg and the temperature condition is up to $1500{\sim}1700^{\circ}C$. It was designed for about 70% out of fly ash to be drained out throughout the quenching water in the bottom part of the gasifier as a type of molten slag flowing down on the membrane wall and finally become a byproduct over the slag removal system. The flyash removal system to capture solid particulates is applied with HPHT ceramic candle filter to stand up against the high pressure and temperature. When it comes to the residual tiny particles after the flyash removal system, wet scurbbing system is applied to finally clean up the solids. The washed-up syngas through the wet scrubber will keep around $130{\sim}135^{\circ}C$, 40~42Mpg and 250 ppmv of hydrochloric acid(HCl) and hydrofluoric acid(HF) at maximum and it is turned over to the gas treatment system for removing toxic gases out of the syngas to comply with the conditions requested from the gas turbine. The result of this study will be utilized to the detailed engineering, procurement and manufacturing of equipments, and construction for the Taean IGCC plant and furthermore it is the baseline technology applicable for the poly-generation such as coal gasification(SNG) and liquefaction(CTL) to reinforce national energy security and create new business models.

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Study of Determination in Measurement System for Safely Managing Debris-Flow (안전한 토석류 관리를 위한 계측기 선정에 관한 연구)

  • Min, Dae-Hong;Yoon, Hyung-Koo
    • Journal of the Korean Society of Safety
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    • v.32 no.3
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    • pp.41-47
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    • 2017
  • Recent studies have shown that there are various systems which can be used to monitor hazardous area in a debris flow location, but lack of methodological research on the exact location where each instrument should be installed has hindered the success of this systems. The objective of this study is to suggest the measurement system for monitoring debris-flow and propose the effective method to determine location of measurement system. Previously studied, from 1991 to 2015, were referred and the applied ratio of every instrument was investigated. The measurement information was divided into 8 categories including rainfall, debris-flow velocity, displacement, fluid pore pressure, ground vibration, image processing, impact force and peak flow depth. The result of this study revealed that the most applied instruments to be rain gauge and geophone for measuring average rainfall and ground vibration respectively. The Analytic Hierarchical Process (AHP) method was selected to determine installation location of instrument and the weighting factors were estimated through fine content, soil thickness, porosity, shear strength, elastic modulus, hydraulic conductivity and saturation. The soil thickness shows highest weights and the fine content relatively demonstrates lowest weights. The score of each position can be calculated through the weighting factors and the lowest score position can be judged as the weak point. The weak point denotes the easily affecting area and thus, the point is suitable for installing the measurement system. This study suggests a better method for safely managing the debris-flow through a precise location for installing measurement system.

Development of a Screw-Crane System for Pre-Lifting the Sternal Depression in Pectus Excavatum Repair: A Test of Mechanical Properties for the Feasibility of a New Concept

  • Park, Hyung Joo;Rim, Gongmin
    • Journal of Chest Surgery
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    • v.54 no.3
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    • pp.186-190
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    • 2021
  • Background: Pre-lifting of the sternum marked a major turning point in pectus excavatum repair. The author developed the crane technique in 2002 and successfully applied it to more than 2,000 cases using sternal wire stitching. However, blind sternal suturing limited the use of the wire-stitch crane. We propose a novel screw for sternal lifting as a new tool for the crane technique. Methods: We developed a screw system strong enough to withstand the pressure needed for sternum lifting. The screw was designed to have a broader thread to hold the bony tissue securely. The screw's sustaining power was tested using the torsion, driving torque, and axial pull-out tests in a polyurethane block and ex-vivo porcine sternum. Results: The screws were easily driven into the sternum, and the head of the screw was connectable to the table-mounted retractor. In the torsion test, the 2° offset torsional yield was 4.53 N·m (reference value, 1 N·m). In the polyurethane block driving torque test, the maximum torque was 0.98 N·m (reference value, 0.70 N·m). The axial pull-out test was 446 N (reference value, 100 N). The maximum pull-out resistance in the ex-vivo porcine sternum model was 1,516 N. Conclusion: The screw crane was strong enough to sustain the chest wall weight to be lifted. Thus, the screws could effectively replace the sternal wire stitching in crane pre-lifting of the sternum. We expect that application of the screw-crane will be easy and that it will improve the safety and success rate of pectus repair surgery.

Long-term outcomes of carotid artery stenting in patients with carotid artery stenosis: A single-center 14-year retrospective analysis

  • Beom Mo Kang;Seok Mann Yoon;Jae Sang Oh;Hyuk Jin Oh;Jae Min Ahn;Gi Yong Yun
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.2
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    • pp.160-174
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    • 2023
  • Objective: Carotid artery stenting (CAS) is currently widely used for the treatment of carotid artery stenosis. The objective of this study was to analyze the outcomes of CAS performed in a single institution. Methods: We retrospectively analyzed 313 CAS cases from January 2007 to December 2020, including 206 (66%) symptomatic and 107 (34%) asymptomatic cases. Procedure-related morbidity and mortality were assessed. Rates of periprocedural (≤30 days after CAS) and postprocedural ipsilateral strokes (>30 days after CAS) were also assessed. Logistic regression analysis was used to identify risk factors for the periprocedural complication, in-stent restenosis (ISR), and ipsilateral stroke. Results: The success rate of CAS was 98%. Among 313 cases, 1 patient died due to hyperperfusion-related intracerebral hemorrhage (ICH). The CAS-related mortality rate was 0.31%. The overall incidence of periprocedural complications is 5.1%. A risk factor for periprocedural complication was a symptomatic carotid artery stenosis (7.3% vs. 0.9%, p=0.016). Twenty cases of ISR occurred during 63.7±42.1 months of follow-up. The overall incidence of ISR was 10.2% (20/196). A risk factors for ISR were diabetes mellitus (17.6% vs. 5.7%, p=0.008) and patients who used Open-cell stents (19.6% vs. 6.9%, p=0.010). The overall incidence of ipsilateral stroke is 5.6%. A risk factors for ipsilateral stroke was ISR (95% CI, p=0.002). Conclusions: CAS is a safe and effective procedure for carotid artery stenosis. Although the incidence of complications is low, fatal complication such as hyperperfusion-related ICH can occur. To prevent hyperperfusion-related ICH, several methods such as strict blood pressure (BP) control, intentional less widening of stenotic segment should be used. To prevent ISR or stroke occurrence, special attention should be paid to patients who have ISR or ipsilateral stroke risk factors.

Tracheoesophageal Shunt Voice in Total Laryngectomee (후두 전 절제 환자에서 음성재활을 위한 기관식도발성)

  • Wang, Soo-Geun;Jang, Sun-Mi
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.21-27
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    • 2008
  • Total laryngectomy is the most useful procedure tor advanced laryngopharyngeal cancer, but it remains the major problem such as loss of voice. Voice restoration is essential for every patients who undergo a total laryngectomy. Ideal voice rehabilitation methods can resolve three factors. First, every laryngectomee can produce voice sufficient for communication, second every patient should be allowed to use both hands freely during phonation, and last, the voice restoration methods should be easy and safe without complication during and after treatment. Among various voice rehabilitation procedures during or after total laryngectomy, it can be divided electronic and pneumatic methods. In pneumatic methods, there are also divided both pulmonary air and non-pulmonary air methods. The non-pulmonary air methods include esophageal speech, buccal speech, and pharyngeal speech. Pulmonary air methods are divided into surgical and non-surgical such as pneumatic speech aid. In the surgical methods, there are neoglottic operation, tracheopharyngeal shunt, and tracheopharyngeal shunt operations. Recently, tracheoesophageal shunt with or without prosthesis are being recognized the most effective method. Blom-Singer low pressure prosthesis, Panje button, and Provox are well known types of prosthesis in the tracheoesophageal shunt operation. Amatsu method is a kind of famous tracheoesophageal shunt method without using prosthesis. Authors tried to review the published articles for evaluation of effectiveness and problems of tracheoesophageal shunt operation with or without prosthesis. In conclusion, indwelling type of prosthesis and pharyngeal myotomy and plexus neurectomy are recommended for higher success rate during tracheoesophageal puncture procedure. More over, Amatsu method is also one of the recommended voice rehabilitation procedure during total laryngectomy. In this situation, pharyngeal myotomy and plexus neurectomy may be helpful for better fluent communication.

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Under the Pressure of the Topic Selection and Representation Rules of the Mass Media over the Slow Political Process Time - For Example the Televised Debate to Elections to the Federal Assembly in Germany (미디어 생산시간이 미디어 정치에 미치는 영향에 관한 연구 - 독일총선의 TV토론을 중심으로)

  • Shim, Young-Sub
    • Korean journal of communication and information
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    • v.45
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    • pp.187-219
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    • 2009
  • Under the pressure of the selection of topics and the presentation rules of mass media, politics in media society increasingly resort to professionalized forms of theatrical staging as a means of self-portrayal. Although these staging methods are not contradictory to what is actually going on in politics, they strongly advantage the tendency to focus exclusively on the staging of an event. Through their competition for public attention, politicians have been developing sophistication regarding placement and staging of events as well as regarding factual information. In the process of this transformation, politics that are issue-related and based on binding decisions are being gradually transformed into symbolic politics. Moreover, through their appearance on TV, politicians first of all need to possess presentational skills which are not necessarily related to their political achievements. Still, presentational skills decide over the success in politics of those politicians. The reason is that a politician who possesses presentational skills is still being perceived as being successful even if his political achievements notedly lag behind. On the other hand, political achievements are being underrated if a politician lacks the talent to present himself in front of the media. “The staging of politics, “politainment”, on the stage of mass media is evolving into a key structure which is responsible for a new coinage of politics in all different kinds of dimensions: the selection of staff, the role of action programs and their impact for the legitimation of political acting, even in relation to therole of pivotal political institutions such as parties and parliaments in the political process. The TV debates during the Bundestag elections of the year 2002 and 2005 are being analyzed and judged as “staging of politics”(politainment). Self-dramatization in media society concerning media discourses about politics and political self-portrayal has become a basic principle of political communication. Self-dramatization is a vital challenge for adequate political communication and content-based orientation in our present media democracies.

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A Study on Combustion and Exhaust Emission in Direct Injection Diesel Engine (직접분사식 디젤기관의 연소 및 배기에 관한 연구)

  • Kim, Du-Beom;Kim, Gi-Bok;Kim, Chi-Won;Han, Sung-Hyun
    • Journal of the Korean Society of Industry Convergence
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    • v.20 no.2
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    • pp.105-113
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    • 2017
  • Recently the direct injection diesel engine is the most efficient one available for road vehicles, so this fundamental advantage suggests the compression injection diesel engine are a wise choice for future development efforts. The compression ignition diesel engine, with its bigger compression ratios if compared to the SI engine, offers a higher thermodynamic efficiency, also additionally the diesel engine with its less pumping losses due to the throttled intake charge as in a SI engine has higher fuel economy. But the largest obstacle to the success of this engine is meeting emission standards for Nitric oxides and particulate matter while maintain fuel consumption advantage over currently available engines. Thus its use should be largely promoted, however, diesel engine emits more Nitric oxides and particulate matter than other competing one. There has been a trade-off between PM and NOx, so efforts to reduce NOx have increased PM and vice versa, but trap change this situation and better possibility emerge for treating NOx emission with engine related means, such as injection timing, equivalence ratio, charge composition, and engine speed. The common rail direct injection system is able to adjust the fuel injection timing in a compression ignition engine, so this electronically controlled injection system can reduce the formation of NOx gas without increase in soot. In this study it is designed and used the engine test bed which is installed with turbocharge and intercooler. In addition to equipped using CRDI by controlling injection timing with mapping modulator, it has been tested and analyzed the engine performance, combustion characteristics, and exhaust emission as operating parameters.

Feasibility and Clinical Outcomes of Resuscitative Endovascular Balloon Occlusion of the Aorta in Patients with Traumatic Shock: A Single-Center 5-Year Experience

  • Gyeongho Lee;Dong Hun Kim;Dae Sung Ma;Seok Won Lee;Yoonjung Heo;Hancheol Jo;Sung Wook Chang
    • Journal of Chest Surgery
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    • v.56 no.2
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    • pp.108-116
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    • 2023
  • Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as an adjunct to resuscitation of patients with traumatic shock. However, the effectiveness of REBOA is still debated because of inconsistent indications across centers and the lack of medical records. The purpose of this study was to investigate the effectiveness and feasibility of REBOA by analyzing clinical results from a single center. Methods: This study included 96 patients who underwent REBOA between August 2016 and September 2021 at a regional trauma center according to the center's treatment algorithm for traumatic shock. Medical records, including the time of the decision to conduct the REBOA procedure, time of operation, type of aortic occlusion, and clinical outcomes, were collected prospectively and analyzed retrospectively. Patients were classified by REBOA protocol (group 1, 2, or 3) and survival status (survivor or non-survivor) for analysis. Results: The overall success rate of the procedure was 97.9%, and the survival rate was 32.6%. In survivors, blood pressure was higher than in non-survivors both before the REBOA procedure (p=0.002) and after aortic occlusion (p=0.03). The total aortic occlusion time was significantly shorter (p=0.001) and the proportion of partial aortic occlusion was significantly higher (p=0.014) among the survivors. The non-survivors had more acidosis (p<0.001) and higher lactate concentrations (p<0.001) than the survivors. Conclusion: REBOA may be a feasible bridge therapy for resuscitation of patients with traumatic shock. Prompt and accurate decision-making to perform REBOA followed by damage control surgery could improve survival rates and clinical outcomes.