• Title/Summary/Keyword: secondary control

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Effects of Home Care Services Use by Older Adults on Family Caregiver Distress (재가 장기요양 서비스 이용과 노인 가족돌봄제공자의 돌봄 스트레스: 방문간호 서비스의 영향)

  • Kim, Jiyeon;Kim, Hongsoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.836-847
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    • 2016
  • Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

External Validation of Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Model in a Medium Sized Hospital (중규모 종합병원 대상 카바페넴 내성 장내세균속균종(Carbapenem-resistant Enterobacteriaceae) 획득위험 예측모형의 외적타당도 평가)

  • Seo, Su Min;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.621-630
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    • 2020
  • Purpose: This study was aimed to evaluate the external validity of a carbapenem-resistant Enterobacteriaceae (CRE) acquisition risk prediction model (the CREP-model) in a medium-sized hospital. Methods: This retrospective cohort study included 613 patients (CRE group: 69, no-CRE group: 544) admitted to the intensive care units of a 453-beds secondary referral general hospital from March 1, 2017 to September 30, 2019 in South Korea. The performance of the CREP-model was analyzed with calibration, discrimination, and clinical usefulness. Results: The results showed that those higher in age had lower presence of multidrug resistant organisms (MDROs), cephalosporin use ≥ 15 days, Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 21 points, and lower CRE acquisition rates than those of CREP-model development subjects. The calibration-in-the-large was 0.12 (95% CI: - 0.16~0.39), while the calibration slope was 0.87 (95% CI: 0.63~1.12), and the concordance statistic was .71 (95% CI: .63~.78). At the predicted risk of .10, the sensitivity, specificity, and correct classification rates were 43.5%, 84.2%, and 79.6%, respectively. The net true positive according to the CREP-model were 3 per 100 subjects. After adjusting the predictors' cutting points, the concordance statistic increased to .84 (95% CI: .79~.89), and the sensitivity and net true positive was improved to 75.4%. and 6 per 100 subjects, respectively. Conclusion: The CREP-model's discrimination and clinical usefulness are low in a medium sized general hospital but are improved after adjusting for the predictors. Therefore, we suggest that institutions should only use the CREP-model after assessing the distribution of the predictors and adjusting their cutting points.

System Design of SIGMA(KHUSAT-3) CubeSat Mission

  • Lee, Seongwhan;Lee, Junkyu;Kum, Kanghoon;Lee, Hyojeong;Seo, Junwon;Shin, Youra;Jeong, Seonyoung;Shin, Jehyuck;Cheon, Junghoon;Kim, Hanjun;Jin, Ho;Nam, Uk-Won;Kim, Sunghwan;Lee, Regina;Lessard, Marc R.
    • The Bulletin of The Korean Astronomical Society
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    • v.39 no.1
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    • pp.54.1-54.1
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    • 2014
  • Kyung Hee University has been developing a CubeSat for the space science mission called SIGMA (Scientific cubesat with Instrument for Global Magnetic field and rAdiation), which includes TEPC (Tissue Equivalent Proportional Counter) and a magnetometer. SIGMA has a 3-unit CubeSat, and the weight is about 3.2 kg. The main payload is TEPC which can measure the Linear Energy Transfer (LET) spectrum and calculate the equivalent dose for the complicated radiation field in the space. The magnetometer is a secondary payload using a miniaturized fluxgate magnetometer. We expect it to have a 1 nT resolution in the dynamic range of ${\pm}65535$ nT. An Attitude Control System (ACS) spins the SIGMA spacecraft 4 rpm with the spin axis perpendicular to the ecliptic plane. Full duplex communication is consists of VHF uplink and S-band and UHF downlink. In this paper, we introduce the system design and the scientific purpose of the SIGMA CubeSat mission.

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The Realiztion Methods of IEC 61850 Based 154[kV] Substation Automation System in KEPCO System (IEC 61850 기반 154[kV] 변전자동화 시스템의 실계통 구축)

  • Kim, Yong-Hak;Han, Jeong-Yeol;Lee, Nam-Ho;Kim, Byeong-Heon;Park, Nae-Ho;Hong, Jung-Woo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.24 no.5
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    • pp.86-93
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    • 2010
  • This paper presents the guideline for enhancing the reliability and availability of SAS with IEC 61850 based IEDs in real power system. The IEC 61850 standard communication networks and systems allow utilities to consider new designs for substations applicable both new substation and refurbishments. The existing solutions are based on hardwired interface between the primary substation equipment and the secondary protection, monitoring, control and recording devices. All over the world, lots of projects at different stages of realization have been reported during the last year leading to a rapid maturation of the associated technologies. At present, IEC 61850 is becoming a popular communication standard for the substation automation system.

Studies on the Application of Unit-inverter Parallel Operation to Sea-water Lift Pump in Power Plant (단위 인버터 병렬운전에 의한 발전소 해수펌크 적용)

  • 김수열;류홍우
    • The Transactions of the Korean Institute of Power Electronics
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    • v.3 no.1
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    • pp.1-7
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    • 1998
  • Due to the increase in capacity of auxiliary machinery in power plant, the importance of energy saving has been greatly emphasized. If the speed of fans or pumps is controlled in accordance with the variation of load, large electric energy can be saved. Large capacity inverter, 2MVA GTO inverter, has been developed by operating two of 1MVA unit inverters in parallel. The parallel operation of the unit inverter is accomplished through two output transformers of which the secondary windings are connected in series. The system is composed of one control cubicle, one rectifier cubicle and 2 unit inverter cubicles. This inverter system was applied to the sea water lift pump(SLP) driven by a 6.6KV 1500KW induction motor in Seo-Inchon power plant to save the electric energy. The parallel operation of inverters by 180 degrees apart in switching frequency helps to reduce the harmonic components.

Microstructure of Aluminum Can Body Alloys produced by Recycled UBC and Virgin Aluminum (폐알루미늄캔과 신지금으로 제조된 캔용 알루미늄 합금의 미세조직)

  • Lim Cha-Yang;Kang Seuk-Bong
    • Resources Recycling
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    • v.11 no.6
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    • pp.31-37
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    • 2002
  • Microstructure of aluminum alloys produced by the different mixing ratio of secondary ingot made by aluminum UBC (used beverage can) and virgin aluminum was investigated. The phase transitions of casted ingot by heat treatment were also studied. The alloys were melted at the electric resistance furnace, then casted using ceramic filter. Homogenization heat treatment was conducted at $615^{\circ}C$ for 10hrs to control cast microstructure. There were several kinds of phases, in as-cast condition, such as $\alpha$($Al_{12}$ $((Fe,Mn)_3$Si), $\beta$($Al_{6}$ (Fe,Mn)), and fine $Mg_2$Si phases. Especially, the amount of $\beta$-phase which was harmful in forming process was large. The $\beta$-Phase formed was transformed to u-phase by heat treatment. The fine $Mg_2$Si in the aluminum matix was also transformed to $\alpha$-phase by this heat treatment. Impurities filtered during casting process were identified as intermetallic compounds of Fe, Cu, Si.

Experimental Study on Heat Release in a Lean Premixed Dump Combustor Using OH Chemiluminescence Images (희박 예혼합 덤프 연소기에서 OH 자발광을 이용한 열 방출에 관한 실험적 연구)

  • Moon, Gun-Feel;Lee, Jong-Ho;Jeon, Chung-Hwan;Chang, Young-June
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.28 no.11
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    • pp.1368-1375
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    • 2004
  • Measurements of OH chemiluminescence in an atmospheric pressure, laboratory-scale dump combustor at equivalence ratios ranging from 0.63 to 0.89 were reported. The signal from the first electronically excited state of OH to ground state was detected through a band-pass filter with an ICCD. The objectives of this study are two: One is to see the effects of equivalence ratio on global heat release rate and local Rayleigh index distribution. To get the local Rayleigh index distribution, the line-of-sight images were inverted by tomographic method, such as Abel do-convolution. Another aim is to investigate the validity of using OH chemiluminescence acquired with an ICCD as a qualitative measure of local heat release. For constant inlet velocity and temperature, the overall intensities of OH emission acquired at different equivalence ratio showed periodic and higher value at high equivalence ratio. OH intensity averaged over one period of pressure increased exponentially with equivalence ratio. Local Rayleigh index distribution clearly showed the region of amplifying or damping the combustion instability as equivalence ratio increased. It could provide an information/insights on active control such as secondary fuel injection. Finally, local heat release rate derived from reconstructed OH images were presented fur typical locations.

Study on Flow Structure of Turbulent Boundary Layer Over Semi-Circular Riblets (반원형 리블렛 상부 난류경계층의 유동 구조 연구)

  • Lee, Sang Hyun;Lee, Sang Joon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.23 no.7
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    • pp.937-944
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    • 1999
  • The near-wall flow structures of turbulent boundary layer over riblets having semi-circular grooves were investigated experimentally for the drag decreasing ($s^+=25.2$) and drag increasing ($s^+=40.6$) cases. The field of view used for tho velocity field measurement was $6.75{\times}6.75mm^2$ in physical dimension, containing two grooves. One thousand instantaneous velocity fields over the riblets were extracted for each case of drag increase and decrease. For comparison, five hundreds instantaneous velocity fields over a smooth flat plate were also obtained under the same flow conditions. To see the global flow structure qualitatively, the flow visualization was also performed using the synchronized smoke-wire technique. For the drag decreasing case ($s^+=25.2$), most of the streamwise vortices stay above the riblets, interacting with the riblet tips. The high-speed in-rush flow toward the riblet surface rarely influences the flow inside tho riblet valleys submerged in the viscous sublayer. The riblet tips seem to impede the spanwise movement of the longitudinal vortices and induce secondary vortices. The turbulent kinetic energy in the riblet valley is sufficiently small to compensate the increased wetted area of the riblets. In addition, in the logarithmic region, the turbulent kinetic energy are small or almost equal to that of a smooth flat plato. For the drag increasing case ($s^+=40.6$), however, the streamwise vortices move into the riblet valley freely, interacting directly with the riblet inner surface. The penetration of the high-speed in-rush flow on the riblets increases tho skin-friction. The turbulent kinetic energy is increased in the riblet valleys and even in the outer region compared to that over a flat plate.

Verification experiment of a ground source multi-heat pump at cooling mode (지열원 시스템 히트펌프의 냉방 성능 특성에 관한 실증 연구)

  • Lim, Hyo-Jae;Kang, Shin-Hyung;Choi, Jae-Ho;Choi, Jong-Min;Moon, Je-Myung;Kwon, Young-Seok;Kwon, Hyung-Jin;Kim, Rock-Hee
    • Proceedings of the SAREK Conference
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    • 2008.11a
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    • pp.21-26
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    • 2008
  • Recently, small and medium-sized buildings have employed a multi-heat pump. The major benefits of the multi-heat pump over a conventional system are that it is easier system to maintain along with a diversification of facility use, and high comfortability. The performance of multi-heat pump systems can be enhanced by using geothermal energy instead of air source energy. This paper describes the multi-heat pumps applied in an ground source heat pump system for an actual building. The performance of a ground source multi-heat pump installed in the field was investigated in cooling mode. The maximum COP of the systems with single U-tube and double tube ground loop heat exchangers were 6.6 and 6.0, respectively. It is suggested that the new algorithms to control the flow rate of secondary fluid for ground loop heat exchanger have to be developed in order to enhance the performance of the system.

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Leaf-specific pathogenesis-related 10 homolog, PgPR-10.3, shows in silico binding affinity with several biologically important molecules

  • Han, Jin Haeng;Lee, Jin Hee;Lee, Ok Ran
    • Journal of Ginseng Research
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    • v.39 no.4
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    • pp.406-413
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    • 2015
  • Background: Pathogenesis-related 10 (PR-10) proteins are small, cytosolic proteins with a similar three-dimensional structure. Crystal structures for several PR-10 homologs have similar overall folding patterns, with an unusually large internal cavity that is a binding site for biologically important molecules. Although structural information on PR-10 proteins is substantial, understanding of their biological function remains limited. Here, we showed that one of the PgPR-10 homologs, PgPR-10.3, shares binding properties with flavonoids, kinetin, emodin, deoxycholic acid, and ginsenoside Re (1 of the steroid glycosides). Methods: Gene expression patterns of PgPR-10.3 were analyzed by quantitative real-time PCR. The three-dimensional structure of PgPR-10 proteins was visualized by homology modeling, and docking to retrieve biologically active molecules was performed using AutoDock4 program. Results: Transcript levels of PgPR-10.3 expressed in leaves, stems, and roots of 3-wk-old ginseng plantlets were on average 86-fold lower than those of PgPR-10.2. In mature 2-yr-old ginseng plants, the mRNA of PgPR-10.3 is restricted to leaves. Ginsenoside Re production is especially prominent in leaves of Panax ginseng Meyer, and the binding property of PgPR-10.3 with ginsenoside Re suggests that this protein has an important role in the control of secondary metabolism. Conclusion: Although ginseng PR-10.3 gene is expressed in all organs of 3-wk-old plantlets, its expression is restricted to leaves in mature 2-yr-old ginseng plants. The putative binding property of PgPR-10.3 with Re is intriguing. Further verification of binding affinity with other biologically important molecules in the large hydrophobic cavity of PgPR-10.3 may provide an insight into the biological features of PR-10 proteins.