• 한국컴퓨터정보학회논문지
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• 제29권5호
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• pp.123-129
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• 2024

구급대원에게 심폐소생술은 매우 중요하나 이동하는 주들것에서 수행하는 가슴압박은 정확도가 떨어진다. 이 연구의 목적은 이동 중 주들것에서 수행하는 심폐소생술 효과를 높이기 위하여 C-step을 이용하여 주들것의 측면에서 가슴압박을 수행하는 것과 환자의 복부 위에 위치하여 가슴 압박을 수행하는 것에 대하여 차이를 알아보고자 수행되었다. 연구는 C-step 군 20명과 복부 위군 20명을 대상으로 이동 중 주들것에서 2분간 연속된 가슴압박을 수행하였다. 연구결과 C-step을 적용한 군에서 적정한 깊이(t=4.132, p=.000)와 속도(t=7.177, p=.000)를 나타내었으며 정확도가 더 높은 것으로 나타났다(t=6.774, p=.000). 또한 C-step을 적용한 군에서 위치불량(t=-5.197, p=.008)과 너무 얕은 오류가 적은 것으로 나타났다. 결론적으로 C-step을 장착한 주들것에서의 가슴압박은 심폐소생술의 질을 높이고 병원 전 환자의 생존율을 높이는데 도움을 줄 것으로 판단된다.

• 지질공학
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• 제29권3호
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• pp.237-249
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• 2019

본 연구에서는 지하수의 이동에 영향을 주는 암반의 균열에 대해서 고온하에서의 다단계 압력실험을 통해 균열면의 거칠기 변화에 대한 분석을 실시하였다. 연구에 사용된 시료는 지표에서 지하 500 m 구간에서 획득한 조립질 화성암과 세립질 화성암 시료 중 심도 약 40 m와 270 m의 시료를 실험에 사용하였다. 압력은 최대 120 MPa 까지 가압을 하였으며, 단계적으로 10 MPa씩 증가하면서 실험을 수행하였다. 각 단계에서의 표면 변화를 관측하기 위해서 고분해능 3차원 다초점 레이저 스캔 현미경(Confocal Laser Scanning Microscope, CLSM)을 사용하였으며, 이를 통해서 미세한 표면의 거칠기를 확인할 수 있었다. 거칠기의 변화에 대해서는 거칠기 인자값을 기준으로 변화된 양을 계산하였다. 본 실험에 사용된 시료는 $20{\times}40{\times}5mm$ 크기를 가지고 있으며, 가압장치는 나사방식으로 압력을 가할 수 있도록 제작한 챔버를 활용하여 실험을 수행하였다. 실험결과 단계적으로 압력이 가해지는 조건에서 압력에 따른 균열면의 거칠기는 입자의 크기에 따라 다른 변화를 보이는 것으로 확인되었으며, 이러한 자료는 추후 암석의 균열면을 따라 이동할 수 있는 지하수의 흐름에 대한 예측을 위한 기초자료로 활용 될 수 있을 것으로 기대한다.

• 한국응급구조학회지
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• 제25권3호
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• pp.81-92
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• 2021

Purpose: The aim of the study is to measure the quality of cardiopulmonary resuscitation (CPR) and the fatigue of rescuers wearing PPE (Level D) during a CPR session and to ultimately provide suggestions of safety standards for rescuers. Methods: 36 subjects were enrolled in the study. The subjects were divided randomly into three groups of two-members, three-members, and four-members. Each group performed CPR for 30 minutes. Blood lactate concentration, heart rate, rating of perceived exertion, chest compression depth and rate were measured before experiment and after each cycle. Results: There was a difference in the blood lactate concentration during CPR cycle by member of shifts (p=.014). The blood lactate concentration increased during CPR (p=.000). Subjective fatigue was a significant difference of chest compression in cycles 3, 4, and 5 for the member of shifts during CPR (p=.049, p=.009, p=.015). Depth and rate of chest compression were not different for the member of shifts during CPR. Conclusion: It is necessary to establish standards for the member of shifts during CPR, to reduce the fatigue of rescuers.

• 한국컴퓨터정보학회논문지
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• 제28권12호
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• pp.175-182
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• 2023

본 연구는 세 집단의 심폐소생술 결과와 근피로도를 비교 분석하였다. 마네킹의 가슴압박을 할 때 큰 소리를 내어서 숫자를 세는 집단(A그룹), 숫자를 세지 않으며 자율호흡을 하는 집단(B그룹), 숫자를 세지 않으며 복식호흡을 하는 집단(C그룹)이다. 각 그룹에 12명씩의 인원을 배정하였고 5분간의 가슴압박을 시행한 후 심폐소생술 결과를 마네킹과 연결된 프로그램으로 분석하고 시행자의 근피로도를 무선근전도로 분석하였다. 가장 효율적인 방법은 B그룹으로 나타났다. 정상 범위 내에서 압박의 속도와 깊이만을 본다면 C그룹이 더 효율적일 것이나 B그룹이 근피로도가 현저히 낮게 나타났으며 A그룹은 흉부압박의 깊이에서 정상범위에 미치지 못했고 근피로도는 가장 높게 나타났다. 손의 위치 정확도 또한 B그룹이 가장 정확한 것으로 나타나 흉부압박에 대한 집중력을 유지하는 것에도 가장 효율적인 것으로 나타났다.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
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• pp.472-481
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• 2009

Cementation phenomenon has a huge influence on geotechnical stiffness and strength under low confining pressure. The goal of this study is to evaluate the characteristics of stiffness according to the depth. The piezo disk elements are installed at each layer of the cell for the detection of the compressional waves. The change of compressional wave velocity is classified by three stages. The compressional wave velocities are shown different according to the depth. The compressional wave velocity is especially influenced by cementation, effective stress, and coordinate number. Furthermore, the electrical conductivity and cone tip resistance are measured according to the depth. The electrical conductivity and the cone tip resistance show the similar trend with the compressional wave velocity. This study shows that the cementation by salt is affected by the depth on the granular materials.

• 설비공학논문집
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• 제27권9호
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• pp.491-496
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• 2015

Generally, the phase of the refrigerants that circulate in air-conditioning systems is repeatedly changed from liquid to gas and from gas to liquid. In vapor-compression refrigeration, the refrigerant at the inlet of the evaporator is in a gas-liquid two-phase state; therefore, to enhance the heat-transfer performance of the evaporator, the even distribution of the refrigerant across multiple passages of the evaporator is essential. Unlike the distribution of a single-phase refrigerant, multi-phase distribution requires further considerations. It is known that the multi-phase distribution at the outlet of the distributor is affected by factors such as the operating condition, the distributor's shape, and the insertion depth of the outlet pipes; here, the insertion depth of the outlet pipes is especially significant. In this study, for a cylindrical distributor with a 90-degree bend entrance and three outlet pipes, the flow uniformity at the outlet pipes was numerically tested in relation to variations of the insertion depth of the outlet pipes.

• Earthquakes and Structures
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• 제23권3호
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• pp.271-282
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• 2022

Seismic resisting self-centering bridge piers with high energy dissipation and negligible residual displacement after an earthquake event are focus topics of current structural engineering. The energy dissipation components of typical bridge piers are often relatively single; and exhibit a certain level of damage under earthquakes, leading to large residual displacements and low cumulative energy dissipation. In this paper, a novel socket self-centering bridge pier with a hybrid energy dissipation system is proposed. The seismic resilience of bridge piers can be improved through the rational design of annular grooves and rubber cushions. The seismic response was evaluated through the finite element method. The effects of rubber cushion thickness, annular groove depth, axial compression ratio, and lateral strength contribution ratio of rubber cushion on the seismic behavior of bridge piers are systematically studied. The results show that the annular groove depth has the greatest influence on the seismic performance of the bridge pier. Especially, the lateral strength contribution ratio of the rubber cushion mainly depends on the depth of the annular groove. The axial compression ratio has a significant effect on the ultimate bearing capacity. Finally, the seismic design method is proposed according to the influence of the above research parameters on the seismic performance of bridge piers, and the method is validated by an example. It is suggested that the range of lateral strength contribution ratio of rubber cushion is 0.028 ~ 0.053.

• 한국응급구조학회지
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• 제15권2호
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• pp.101-108
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• 2011

Purpose: Cardiopulmonary resuscitation (CPR) prevents tissue necrosis of the brain and cardiac muscle in the cardiac arrest patient and requires exact skills in order to increase survival rate. Through comparison of the training effects of feedback manikin and non-feedback manikin, this study present the effective CPR device to CPR instructors. Method: This CPR course for 80 students by using Resusci Anne $SkillReporter^{TM}$ (RASR; Laerdal Medical, Stavanger, Norway) and Actar 911 $Squadron^{TM}$ (A911; Vital Signs, New Jersey, USA) held on December 22, 2009. Thirty seven students and two assistants were placed in one laboratory, there were five RASR manikins which provide the LED performance indicator, not the metronome. Forty two students and two assistants were placed in the other laboratory, there were 20 A911 manikins which don't provide any feedback indicator. Chest compression scores and ventilation compression scores obtaining from two groups were analysed statistically by using independent t-test. Results: Chest compression scores, average depth (mm) was 37.5 in RASR and 41.80 A911 (p=.004), too depth (#) was 2.8 in RASR and 19.4 A911 (p=.005), average number per min (#/min) was 64.4 in RASR and 68.2 A911 (p=.038), wrong hand position (#/min) was 10.9 in RASR and 30.8 A911 (p=.040). Four items that showed better scores in group RASR had statistically significant difference. Ventilation compression scores, percent correct (%) was 40.6 in RASR and 20.6 A911 (p<.001), number correct (#) was 4.7 in RASR and 2.1 A911 (p=.002), too fast (#) was 0.9 in RASR and 2.9 A911 (p=.003), average volume (ml) was 536.5 in RASR and 707.1 A911 (p=.011). Also, three items that showed better scores in group RASR had statistically significant difference. Conclusions: Regarding the positive effect of CPR training feedback, comparison between the real-time visual feedback manikin (RASR) and the non-feedback manikin (A911) showed that RASR had better results than A911 in chest compression except average number per min (it means that we need harder chest manikin) and ventilation. Verification of the training effect in the real world such as CPR outcomes is also necessary. A proper application of manikin in training circumstances and research on retention of CPR skills will be needed.

• 한국학교보건학회지
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• 제27권3호
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• pp.130-139
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• 2014

Purpose: The object of this study was to compare the educational effect about self-efficacy and the quality of chest compressions of Hands-only CPR and Basic CPR. Methods: It's a nonequivalent control group pre-post repeated quasi-experiment study conducted with entire fifth grade students belong to one school in H city. The study participants are 68 persons, and data were collected from December 2, 2013 to February 7, 2014. Self-efficacy was measured by 10 items, and the quality of chest compressions was measured by 5 variables which are average compression depth(mm), average rate (n/min), average count per minutes (n), abnormal placement (n), compression accuracy (%). Results: Self-efficacy of the experimental group and control group showed no significant difference but showed significant difference over time and was the highest at posttest 1 (immediately after education), the lowest at pretest (before education), middle at posttest 2 (8weeks after education) (p<.001). Experimental group was significantly higher than control group in average rate per minute. At posttest 1, experimental group was $130.0{\pm}9.38$ times, control group was $95.1{\pm}11.82$ times. At posttest2, experimental group was $124.0{\pm}14.89$ times, control group was $90.8{\pm}14.89$ times.(p<.001). Average rate (n/min) was significantly declined at control group in the quality of chest compressions over time (t=-2.400, p=.022). Average count per minute and compression accuracy were declined significantly so it were not maintained to posttest2. Conclusion: We need continuous CPR education because self-efficacy of CPR getting lower significantly over time. Hands-only CPR can't be seen as a way to increase the CPR ability of elementary school students having difficulty to perform artificial breathing. And, because the effect of education is not maintained 8wks after training, the technique centered repeated training is needed and a method which can increase compression accuracy is also needed.

• 한국지반환경공학회 논문집
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• 제13권5호
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• pp.41-49
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• 2012

경기 서해안 지역인 인천 청라지구 및 송도지구, 경기 안산 시화지구 연약지반의 공학적 특성을 파악하고 각 지역에서 수행된 실내시험, 현장베인전단시험과 피에조콘 관입시험 결과를 분석하여 압축지수의 상관식, 피에조콘계수 산정 등의 결과를 도출하였다. 액성한계, 소성지수, 함수비, 간극비, 압축지수는 지반심도에 따라 분포경향이 유사하게 나타나므로 이러한 인자들은 상호 관련이 있으며 지역적 특성을 평가할 수 있다. 따라서 본 연구 지역에서 실시된 실내시험으로부터 각 지역 연약점토의 공학적 특성을 규명하고자 물리적 특성과 압축지수의 상관성을 분석하여 각각 상관관계식을 제안하였다. 그리고 현장베인전단시험과 삼축 압축시험에 의한 비배수전단강도를 기준강도로 하여 경험적 방법에 의해 산정한 피에조콘계수를 비교한 결과 모든 지역에서 상관관계가 높은 피에조콘계수인 $N_{kT}$를 연구지역의 콘계수를 제안하였다.