• 한국의료질향상학회지
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• 제7권1호
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• pp.60-70
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• 2000

Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

• 한국물환경학회지
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• 제29권2호
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• pp.259-269
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• 2013

This study aims to show the feasibility of wastewater reuse through hydrological analysis and propose a framework for planning using multi-criteria decision making technique. Ten alternatives of wastewater reuse (BOD: 3.0 mg/L & 4.7 mg/L) and two references in the urban watershed were considered and analyzed by using Hydrological Simulation Program in Fortran (HSPF). Though wastewater reuse has a positive effect on water quantity, it may degrade the water quality due to the high discharge concentration. This study showed that wastewater reuse can be a great alternative for the rehabilitation of distorted water cycle, if the quality is improved up to the natural streamflow and the quantity is increased up to the instreamflow requirement. In addition, to determine the project priority, three criteria were compared: 1) impacts on water quantity and water quality, respectively, 2) consideration of present hydrologic vulnerabilities on water quantity and quality and not, and 3) social and economic considerations and not. From the performance values to all criteria, the specific ranking can be derived and the feasibility of each wastewater reuse project can be checked with the comparison of the existing facilities. As a result, DJ and DR were derived to become effective in any evaluation conditions while SS and WG were improper alternatives if various criteria were considered. The decision making for project prioritization must be careful with the consideration of various impacts of wastewater reuse because the evaluation of wastewater reuse alternative showed very different priorities for each criteria.

• 자원환경지질
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• 제27권3호
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• pp.295-311
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• 1994

A comprehensive in-situ tests are performed to define the hydrogeologic and hydrodispersive characteristics such as hydraulic conductivities, longitudinal dispersivity, and average linear velocities as well as conducting flow-net analysis at the study area. The results show that the study area is very heterogeneous so that hydraulic conductivities range from $6.45{\times}10^{-7}$ to $1.15{\times}10^{-5}m/s$ with average linear velocities of 0.34~0.62m/day. Whole groundwater in upper-most aquifer is discharging into the sea with specific discharge rate of $7.2{\times}10^{-3}$ to $1.3{\times}10^{-2}m/day$. The longitudinal dispersivity of the aquifer is estimated about 4.8m through In-situ injection phase test. The area is highly vulnerable to potential contaminant sources due to it's high value of DRASTIC index ranging from 139 to 155 and also under water table condition with very shallow groundwater level. To delineate contaminant plumes of toxic NaOH and carcinogenic benzene when these substances are assumed to be leaked through existing TSDF at the study area by unexpected accidents or spill, Aquifer Simulation Model (ASM) including Flow and Transport Model is used. Te simulated results reveal that the size of NaOH plume after 5 years continuous leak is about $250{\times}100m$ and benzene after 10 years, $490{\times}100m$. When the groundwater is abstracted about 50 days, which is maximum continuously sustained no-precipitation period during 30 years, with pumping rate of $100m^3/day$, THWELL program shows that the groundwater is adversly affected by sea water intrusion.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.44-51
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• 2002

Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

• 대한전기학회논문지:전기물성ㆍ응용부문C
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• 제54권6호
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• pp.255-261
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• 2005

Recently, the RF inductive discharge or inductively coupled plasma continues to attract growing attention as an effective plasma source in many industrial applications, the best known of which are plasma processing and lighting technology. To the point of lighting sources, the ring-shaped electrodeless fluorescent lamps utilizing an inductively coupled plasma have been objects of interest and research during the last decades, mainly because of their potential for extremely long life, high lamp efficacies, rapid power switching response. In this paper, maxwell 3D finite element analysis program (Ansoft) was used to obtain electromagnetic properties associated with the coil and nearby structures. The electromagnetic emitting properties were presented by 3D simulation software operated at 250 kHz and some specific conditions. The electromagnetic field in the ferrite core was shown to be high and symmetric. An LS-100 luminance meter and a Darsa-2000 spectrum analyzer were used in the experiment. According to data on the lamp tested using high magnetic field ferrite, the optical and thermal wave fields were shown to be high around the ring-shaped electrodeless fluorescent lamp. The optical or light field was high at the center of the bulb rather than around the ferrite core. The light conditions of the bulb were assumed to be complex, depending on the condition of the filler gas, the volume of the bulb, and the frequency of the inverter. Our results have shown coupling between the gas plasma and the field of the light emitted to be nonlinear.

• 기본간호학회지
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• 제7권1호
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• pp.122-136
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• 2000

Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

• 한국수자원학회논문집
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• 제44권6호
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• pp.439-447
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• 2011

This study aims to test the feasibility of combined use of EFDC (Environmental Fluid Dynamics Code) hydrodynamic model and WASP7.3 (Water Quality Analysis Program) model to improve accuracy of water quality predictions of the Yongdam Lake, Korea. The orthogonal curvilinear grid system was used for EFDC model to represent riverine shape of the study area. Relationship between volume, surface and elevation results were checked to verify if the grid system represents morphology of the lake properly. Monthly average boundary water quality conditions were estimated using the monthly monitored water quality data from Korean Ministry of Environment DB system. Monthly tributary flow rates were back-routed using dam discharge data and allocated in proportion to each basin area as direct measurements were not available. The optimum number of grid system was determined to be 372 horizontal cells and 10 vertical layers of the site for 1 year simulation of hydrodynamics and water quality out of iterative trials. Monthly observed BOD, TN, TP and Chl-a concentrations inside the lake were used for calibration of WASP7.3 model. This study shows that EFDC and WASP can be used in series successfully to improve accuracy in water quality modeling. However, it was observed that the amount of data to develop inflow water quality and flow rate boundary conditions and water quality data inside lake for calibration were not enough for accurate modeling. It is suggested that object-oriented data collection systems would be necessary to ensure accuracy of EFDC-WASP model application and thus for efficient lake water quality management strategy development.

• Journal of Trauma and Injury
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• 제35권4호
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• pp.248-254
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• 2022

Purpose: To analyze the data of trauma patients with undetected injuries at the time of initial resuscitation during the primary and secondary surveys. Methods: We retrospectively reviewed the medical records of 807 patients who were hospitalized at the National Trauma Center, Seoul, Korea from June 1, 2019 to June 30, 2021. Results: In trauma patients with an Injury Severity Score ≥16 accounted for 27.5% in the non-missed injury group (non-MIG), but this rate was considerably higher at 71.2% in MIG. The mean hospitalization longer in MIG (50.90±39.56) than in non-MIG (24.74±26.11). The proportion of patients with missed injuries detected through tertiary trauma survey (TTS) was 28 patients (23.5%) within 24 hours, 90 patients (75.6%) after 24 hours to before discharge. The majority of missed injuries were fractures (82.4%) and ligament tears (8.4%), which required consultation with the orthopedic department. The final diagnoses of missed injuries were confirmed by computed tomography (44.5%), magnetic resonance imaging (19.3%), X-ray (19.3%), bone scan (11.8%), and physical examination (5.0%). Conclusions: TTS is considered a useful process for detecting missed injuries that were not identified at the time of initial resuscitation in the primary and secondary surveys. In the future, to detect missed injuries quickly, it is necessary to develop a suitable TTS program for each trauma center. In addition, further research is needed to verify the effectiveness of the protocolized TTS and survey chart to improve the effectiveness of TTS.

• 대한기계학회논문집B
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• 제39권5호
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• pp.455-461
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• 2015

고압연료펌프는 GDI 엔진의 핵심 구성요소로써, 엔진출력 및 연료 효율을 향상시키기 위해서는 고압연료펌프의 유동특성을 연구하는 것이 필요하다. 본 연구에서는 유압해석툴인 AMEsim을 이용하여 고압연료펌프의 통합 모델을 생성하여 유동해석을 수행하였다. 하지만, AMEsim은 시스템 해석을 위한 1차원 모델이므로 복잡한 유동현상이 발생하는 부근에서의 해석 결과는 정확하지 않은 단점이 있으므로 본 연구에서는 전산해석프로그램인 Fluent를 이용하여 난류유동이 발생하는 체크밸브의 흡입부와 토출부에서 유량과 알짜힘을 계산하였다. 다양한 압력조건과 밸브 간극변화에 따른 CFD 해석 결과는 AMEsim모델에 대한 룩업테이블로 사용되어 AMEsim의 결과를 보완함으로써 고압연료펌프에 대한 성능 분석결과의 정확성을 향상시키는 결과를 얻을 수 있었다.

• 항공우주시스템공학회지
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• 제12권4호
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• pp.49-56
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• 2018

본 논문에서는 소형 압전유압펌프 브레이크 시스템의 성능해석 및 실험을 수행하였다. 먼저 브레이크 시스템의 구성을 위해 브레이크 부하 구성품의 3-D 모델링을 수행하였고, 상용 프로그램인 AMESim을 이용한 모델링을 진행하였다. 브레이크 시스템 모델링에는 플로팅 타입의 캘리퍼를 부하로 활용하였다. AMESim 시뮬레이션을 통해, 부하 압력과 체크밸브 변위 및 무부하 상태에서의 유량을 계산하였으며 브레이크 부하의 추가에 따른 성능해석 및 동특성 변화를 확인하였다. 브레이크 시스템의 성능 실험을 위해 부하를 고정시키는 치구를 제작하였고, 무부하 상태에서의 유량 및 부하 압력 형성 실험을 수행하고 시뮬레이션 결과와 비교하였다. 실험 결과, 최대 부하압력은 130Hz에서 약 73bar, 최대 유량 발생은 145Hz에서 약 203cc/min로, 중소형 무인기 브레이크 시스템에 적용가능성을 확인하였다. 또한 시뮬레이션 결과와 실험결과의 오차는 부하 압력과 토출 유량에서 각각 6%, 5% 정도이며, 모델링이 브레이크 성능해석에 효과적으로 활용될 것으로 판단된다.