• 월간양계
• /
• 제40권9호
• /
• pp.108-111
• /
• 2008

본고는 양계산업 발전을 위해 각 도.시.군 등 지자체에서 왕성한 활동을 벌이고있는 축산관련 공무원을 찾아 매월 릴레이 형식으로 탐방을 통해 지자체의 활동은 물론 인물을 소개하고 있다. 이달은 충남 아산의 축산행정을 책임지고 있는 김동영 축산과장을 만나 아산시의 활동상황 및 양계정책 방안을 들어보았다.

• 한국해안·해양공학회논문집
• /
• 제20권2호
• /
• pp.184-193
• /
• 2008

아산호 상류지역의 도시화 진행과 이상 기후 등에 따른 강수량 증가로 아산만 방조제 배수갑문 확장의 필요성이 제기됨에 따라 배수갑문 확장으로 인한 방류량 증가가 아산만 및 주변 해역에 미치는 영향을 수리모형실험과 범용 수치모의 코드인 Delft3D, FLOW-3D를 이용하여 검토하였다. 그 결과 아산만 방조제 배수갑문확장에 의한 영향은 미흡한 것으로 확인되었다.

• 대한신경과학회지
• /
• 제36권4호
• /
• pp.318-321
• /
• 2018

We describe a 44-year-old woman with paresthesia, fatigue, and palpitation, 10 days after human papillomavirus (HPV) vaccination. The quantitative sensory test showed abnormal detection threshold in her foot. Tilt test result indicated postural orthostatic tachycardia syndrome. Symptoms were improved after immunomodulating therapy, pain control drug, and oral beta blocker medication. This is first case report for small fiber neuropathy and autonomic dysfunction after HPV vaccination in Korea.

• 대한신경과학회지
• /
• 제36권4호
• /
• pp.325-328
• /
• 2018

Neovascular glaucoma is a subtype of secondary glaucoma that is characterized by proliferation of fibrovascular tissue in the anterior chamber angle. This condition may be acutely aggravated by carotid revascularization therapies. There have been few previous reports of acute aggravation of neovascular glaucoma following carotid artery stenting. We report the case history of a patient who had acute exacerbation of neovascular glaucoma following carotid artery stenting and required surgical management.

• 안전기술
• /
• 제187호
• /
• pp.19-21
• /
• 2013

현대글로비스는 현대자동차 그룹 계열 종합물류유통기업으로 첨단 정보시스템과 선진 물류기술을 활용해 국내 국제물류, 해상운송, 물류컨설팅 등의 업무를 수행하는 전문업체이다. 또한 최근에는 물류는 물론 유통, 자원개발 및 자원순환을 활용한 친환경 경영 인프라를 구축해나가고 있다. 이번에 소개되는 현대글로비스 아산KD센터는 현대글로비스의 핵심 사업이라 할 수 있는 해외공장 자동차 조립생산용 부품(KD: KNOCK DOWN) 공급사업을 전문으로 하는 사업장이다. 2004년 11월 현대자동차 아산공장 인근 인주지방산업단지 내에 준공된 현대글로비스 아산KD센터는 임직원 50명과 협력사 인원 300명 등 총 350영의 인력을 갖추고 KD사업의 본산지로 자리매김해 나가고 있다. 실제로 이곳 센터는 발주에서 포장, 운송은 물론 현지에서의 내륙운송 및 보관 등 KD물류에 대한 종합서비스를 제공하고 있다. 이처럼 현대글로비스 아산KD센터는 자동차조립생산용 부품을 국내외 협력사로부터 조달해 전 세계로 운송 판매하고 있는 만큼 근로자의 안전보건이 기업경영의 초석이 되고 있다. 여기에 더해 세계 자동차산업의 경쟁력을 좌우하는 부품 물류산업을 선도하는 기업인만큼 이곳의 안전관리는 전국 안전인들의 남다른 관심을 받고 있다. 근로자의 안전보건을 밑바탕으로 글로벌 물류기업으로 비상하고 있는 현대글로비스 아산KD센터 찾아가봤다.

• 임상간호연구
• /
• 제17권3호
• /
• pp.443-454
• /
• 2011

Purpose: The purpose of this study was to investigate the predictors of delirium in patients after orthopedic surgery. Methods: Participants were 121 orthopedic surgery patients from one university affiliated hospital located in Seoul. The instrument of Delirium Observation Screening Scale (DOS) developed by Schuurmans et al. (2003) was utilized. Data were collected from September 1st, 2010 to March 31st, 2011 and analyzed using SPSS 12.0 with descriptive statistics, t-test, chi-square test and logistic regression. Results: The delirium in patients after orthopedic surgery was occurred in 9 (7.4%) out of 121 patients. Several factors were associated with the delirium occurrence age, admission route, preadmission Activity of Daily Living (ADL), preadmission hearing aid use, preadmission walking degree, diagnosis, type of surgery, Intensive Care Unit (ICU) stay after surgery, restraint, drainage tube, time of admission to surgery, preoperative albumin and preoperative sodium. Preadmission ADL, preoperative sodium and time of admission to surgery were the significant predictors of the delirium occurrence. Conclusion: Study results may help nurses predicting and detecting delirium early and providing preventive measures to the patients with high risk of delirium after orthopedic surgery.

• 대한의용생체공학회:의공학회지
• /
• 제40권5호
• /
• pp.197-205
• /
• 2019

The existing Extracorporeal membrane oxygenation(ECMO) and Cardiopulmonary bypass system(CPB) have been developed and applied to various devices according to their respective indications. However, due to the complicated configuration and difficult usage method, it causes inconvenience to users and there is a risk of an accident. Therefore, smart all-in-one cardiopulmonary circulation device is being developed recently. The smart all-in-one cardiopulmonary assist device consists of a blood pump for cardiopulmonary bypass, a blood oxidizer for cardiopulmonary bypass, a blood circuit for cardiopulmonary bypass, and an artificial cardiopulmonary device. It is an integrated cardiopulmonary bypass device that can be used for a variety of purposes such as emergency, intraoperative, post-operative intensive care, and long-term cardiopulmonary assist, combined with CPB used in open heart surgery and ECMO used when patient's cardiopulmonary function does not work normally. The smart all-in-one cardiopulmonary assist device does not exist as a standard and international standard applicable to advanced medical devices. Therefore, in this study, we will refer to the International Standard for Blood Components, the International Standard for Blood, the Guideline for Blood Products, and prepare applicable performance and safety guidelines to help quality control of medical devices, and contribute to the improvement of the health of people. The guideline, which is the result of conducted a survey of the method of safety and performance test, is based on the principle of all-in-one cardiopulmonary aiding device, related domestic foreign standards, the status of domestic and foreign patents, related literature, blood pump(ISO 18242), blood oxygenator (ISO 7199), and blood circuit (ISO 15676) for cardiopulmonary bypass.The items on blood safety are as follows: American Society for Testing and Materials ASTM F1841-97R17), and in the 2010 Food and Drug Administration's Safety Assessment Guidelines for Medical Assisted Circulatory Devices. In addition, after reviewing the guidelines drawn up through expert consultation bodies including manufacturers / importers, testing inspectors, academia, etc. the final guideline was established through revision and supplementation process. Therefore, we propose guidelines for evaluating the safety and performance of smart all-in-one cardiopulmonary assist devices in line with growing technology.

• 대한상부위장관⦁헬리코박터학회지
• /
• 제18권3호
• /
• pp.180-185
• /
• 2018

Background/Aims: We aimed to compare the outcomes of Helicobacter pylori eradication in patients receiving sequential therapy (ST) depending on the use of ecabet sodium (ES). Materials and Methods: Between January to December 2015, 176 patients randomly received either ST alone (n=72) or 10-day ES therapy combined with ST (n=104). After applying the exclusion criteria, 56 patients were finally assigned to the ST-only group and 84 to the ST with ES group. We retrospectively reviewed and analyzed the H. pylori eradication rate and adverse events between the two groups. Results: Among the 140 patients, 121 (86.4%) achieved successful H. pylori eradication and 24 (17.1%) had adverse events. Eradication was achieved in 50 patients (89.3%) in the ST-only group and in 71 patients (84.5%) in the ST with ES group (P=0.420). No significant difference in the incidence of adverse events was found between the ST-only and ST with ES groups (12.5% vs. 20.2%, respectively; P=0.234). However, the ST with ES group tended to have a higher prevalence of nausea or vomiting than the ST-only group (11.9% vs. 1.8%; P=0.050). Conclusions: ST showed a good H. pylori eradication rate without deteriorating the adverse events regardless of adding ES.

• 대한기관윤리심의기구협의회지
• /
• 제5권2호
• /
• pp.51-58
• /
• 2023

Purpose: To validate the effectiveness of obtaining consent education on errors in the consent process and to develop the education program for researchers. Methods: From February 2019 to February 2022, a 30-minute, 1:1 face-to-face consent education developed using the ADDIE model was conducted on 78 nurses as principal investigators. An informed consent audit tool, which includes 6 items developed by Asan Medical Center Human Research Protection Center, was used to analyze errors in obtaining informed consent process. Data analysis was performed using the SPSS ver. 25.0, and the Mann-Whitney U-test and χ²-test were utilized to verify the difference in errors between the experimental and control groups. Results: The participants consisted of 42 in the experimental group and 36 in the control group, with no statistically significant difference between the 2 groups. Both 2 groups showed the highest frequency of documentation errors, followed by format errors, errors related to a suitability of investigator, participant, or participant's legally acceptable representative, witness and confidentiality issues. After education, there was a significant decrease in both format errors (p=0.002) and documentation errors (p<0.001) in the experimental group. The proportion of participants without any errors in all items was higher in the experimental group (35.7%) compared to the control group (5.6%), and this difference was statistically significant (p=0.001). Conclusion: The obtaining consent education program was found to be effective in reducing informed consent errors. This study emphasizes the importance of education, suggesting the need for its expansion and accessibility, as well as the necessity for all researchers conducting clinical studies to receive the obtaining consent education.

• 한국산학기술학회논문지
• /
• 제7권1호
• /
• pp.70-79
• /
• 2006

충남 천안과 아산지역의 공동체적 발전을 위해 지역혁신체계적 접근이 필요하다는 인식하에서, 두 지역의 혁신주체들을 대상으로 공동발전에 관한 설문조사를 실시하였다. 천안-아산지역에 근무하는 지역의 지도층 인사들은 천안-아산지역의 공동발전을 위한 노력이 필요하다는데 공감하고 있으며, 천안시-아산시의 합병과 같은 현실적인 대안을 제시하고 있으나 동시에 천안-아산지역의 접경지역 공동개발과 공동체적인 산업개발 및 육성에도 많은 관심을 나타내고 있다. 천안-아산 지역이 공동발전을 위해 공무원 집단이 가장 큰 역할 해야 할 것으로 주문하고 있으나 그에 따른 실망도 큰 것으로 나타나고 있으며, 시민단체와 교수집단의 역할에 대한 기대가 상대적으로 높게 나타나고 있다. 이러한 설문결과를 바탕으로 본 연구는 인접지역의 공동체적 발전을 위한 공동 지역혁신체계구축을 위한 3단계를 제안하고 있다.