• 제목/요약/키워드: External problems

검색결과 1,048건 처리시간 0.025초

병원 간호사들의 근거활용 경험 및 장애요소와 촉진요소에 대한 탐색 (Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice)

  • 황지인
    • 간호행정학회지
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    • 제19권2호
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    • pp.292-303
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    • 2013
  • Purpose: The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals. Methods: Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology. Results: Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'. Conclusion: The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

스트레인게이지를 활용한 발전소 터빈 및 주증기 배관의 열팽창 측정 (Thermal Expansion Measurement of Turbine and Main Steam Piping by Using Strain Gages in Power Plants)

  • 나상수;정재원;봉석근;전동기;김윤석
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 춘계학술대회논문집B
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    • pp.886-891
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    • 2000
  • One of the domestic co-generation plants have undergone excessive vibration problems of turbine attributed to external force for years. The root cause of turbine vibration may be shan alignment problem which sometimes is changed by thermal expansion and external farce, even if turbine technicians perfectly performed it. To evaluate the alignment condition from plant start-up to full load, a strain measurement of turbine and main steam piping subjected to thermal loading is monitored by using strain gages. The strain gages are bonded on both bearing housing adjusting bolts and pipe stoppers which. installed in the x-direction of left-side main steam piping near the turbine inlet in order to monitor closely the effect of turbine under thermal deformation of turbine casing and main steam piping during plant full load. Also in situ load of constant support hangers in main steam piping system is measured by strain gages and its results are used to rebalance the hanger rod load. Consequently, the experimental stress analysis by using strain gages turns out to be very useful tool to diagnose the trouble and failures of not only to stationary components but to rotating machinery in power plants.

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반회신경분지의 단단문합에 의한 개의 후두이식 (Laryngeal Transplantation in the Canine by End-to-end Anastomosis of the Recurrent Laryngeal Nerve Branches)

  • 최홍식;김영호;조정일;김세헌;김상균;김광문;홍원표
    • 대한후두음성언어의학회지
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    • 제9권1호
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    • pp.59-65
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    • 1998
  • Instead of brilliant advancement of the organ transplantation in the medical fields, laryngeal transplantation still has couple of problems to be solved before trial on human. Among them functional restoration of the implanted larynx is the most important point. Recent advancement in animal model studies showed possibility of solving the main problem. Eighteen cases of canine laryngeal transplantation in mongrel dogs were done in this department. One cranial artery and two external jugular veins were connected. External and internal branches of the superior layngeal nerve and anterior and posterior branches of the recurrent laryngeal nerve were connected individually. Only two dogs have lived longer than 4 weeks(4weeks, and 10 1/2weeks) and they died unfortunately due to asphixia caused by obstruction of the cannula. Thirteen dogs only lived five days through 15 days. The main causes of the failure were obstruction of the connecting vein, pharyngocutaneous fistula and the wound infection. Although the result was not good enough to evaluate the functional restoration of the implanted larynx, the implanted larynges from the two dogs lived longer than minimum criteria of long term survival(4 weeks) were relatively good in shape at the time of autopsy. This program will be continued after renovation of the animal lab. facilities.

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랩스케일 정삼투실험을 통한 정삼투막의 수투과도 평가 (Evaluation of water permeability of forward osmosis membranes using osmotically driven membrane test)

  • 이준서;김수한
    • 상하수도학회지
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    • 제30권4호
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    • pp.417-425
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    • 2016
  • Desalination is a key technology to overcome water shortage problem in a near future. High energy consumption is an Achilles' heel in desalination technology. Osmotically driven membrane processes like forward osmosis(FO) was introduced to address this energy issue. Characterizing membrane properties such as water permeability(A), salt permeability(B), and the resistance to salt diffusion within the support layer($K_{ICP}$) are very important to predict the performance of scaled-up FO processes. Currently, most of researches reported that the water permeability of FO membrane was measured by reverse osmosis(RO) type test. Permeating direction of RO and FO are different and RO test needs hydraulic pressure so that several problems can be occurred(i.e. membrane deformation, compaction and effect of concentration polarization). This study focuses on measuring water permeability of FO membrane by FO type test results in various experimental conditions. A statistical approach was developed to evaluate the three FO membrane properties(A, B, and $K_{ICP}$) and it predicted test result by the internal and external concentration polarization model.

Virtual Flutter Plight Test of a Full Configuration Aircraft with Pylon/External Stores

  • Kim, Dong-Hyun;Kwon, Hyuk-Jun;Lee, In;Paek, Seung-Kil
    • International Journal of Aeronautical and Space Sciences
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    • 제4권1호
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    • pp.34-44
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    • 2003
  • An advanced aeroelastic analysis using a computational structural dynamics (CSD), finite element method (FEM) and computational fluid dynamics (CFD) is presented in this Paper. A general aeroelastic analysis system is originally developed and applied to realistic design problems in the transonic flow region, where strong shock wave interactions exist. The present computational approach is based on the modal-based coupled nonlinear analysis with the matched-point concept and adopts the high-speed parallel processing technique on the low-cost network based PC-clustered machines. It can give very accurate and useful engineering data on the structural dynamic design of advanced flight vehicles. For the nonlinear unsteady aerodynamics in high transonic flow region, Euler equations using the unstructured grid system have been applied to easily consider complex configurations. It is typically shown that the advanced numerical approach can give very realistic and practical results for design engineers and safe flight tests. One can find that the present study conducts a virtual flutter flight test which are usually very dangerous in reality.

환경오염으로 인한 동굴생태환경의 변화와 환경오염물질 분석에 관한 연구 (A Study on the change of Ecological Environment in Cave cause by the Pollution of Cave Environment and Analysis of Environmental Pollutants in Cave)

  • 이경호
    • 동굴
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    • 제61호
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    • pp.5-16
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    • 2000
  • Recently many environmental researcher are concerned about the ecological environment and the issue of environmental pollution in cave. In this paper we discuss about air pollution, water pollution, state of water quality, ecological environment and situation of environmental public damage in cave The concerning of air pollution in cave is mainly to the type of secondary contamination, which much is developed in various fields recently. The natural water in the most of cave is no problems but ground water has slitting with natural water during much raining period. The state of water quality is gradually contaminated with artificial environmental pollution, that is, the contents of kinds of Aluminum, Nickel, Copper, Zinc and Calcium are higher than before. On the other hand it is very important things to keep the control of constant temperature, darkness and humidity in cave. The contamination by lamp flora and even black colored contamination are appeared nowadays. The ecological environment in cave destructed by growing of mi coorganism. In fact the internal of cave is shielded with the state of climate of cave external but the environment of internal cave is contaminated, because blowing from external climate state. In addition to environmental pollution caused by carbon dioxide and body temperature of tourists. By the way eco-examination of cave is black color public damage, green color one and white color one has been discovered, so we need to have the situation of demand of environmental reservation alternatives.

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270 MHz Full HD H.264/AVC High Profile Encoder with Shared Multibank Memory-Based Fast Motion Estimation

  • Lee, Suk-Ho;Park, Seong-Mo;Park, Jong-Won
    • ETRI Journal
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    • 제31권6호
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    • pp.784-794
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    • 2009
  • We present a full HD (1080p) H.264/AVC High Profile hardware encoder based on fast motion estimation (ME). Most processing cycles are occupied with ME and use external memory access to fetch samples, which degrades the performance of the encoder. A novel approach to fast ME which uses shared multibank memory can solve these problems. The proposed pixel subsampling ME algorithm is suitable for fast motion vector searches for high-quality resolution images. The proposed algorithm achieves an 87.5% reduction of computational complexity compared with the full search algorithm in the JM reference software, while sustaining the video quality without any conspicuous PSNR loss. The usage amount of shared multibank memory between the coarse ME and fine ME blocks is 93.6%, which saves external memory access cycles and speeds up ME. It is feasible to perform the algorithm at a 270 MHz clock speed for 30 frame/s real-time full HD encoding. Its total gate count is 872k, and internal SRAM size is 41.8 kB.

전두부피판과 이개복합조직이식술을 이용한 외비의 재건 치험례 (A CASE REPORT OF THE EXTERNAL NOSE RECONSTRUCTION USING FOREHEAD FLAP AND AURICULAR COMPOSITE GRAFTS)

  • 박봉욱;변준호
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권4호
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    • pp.350-355
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    • 2005
  • There are various surgical methods for reconstruction of the nasal defect. Among them, there is some difference in the choosing the proper reconstruction method according to defect size and position. When the defect involved the tip, the columella, and the alar, the local flaps may be preferred, because they can provide sufficient amount of tissue. However, the composite grafts from the ear have been effectively used in reconstructions of smaller sized defects of the columella and ala. We excised total external nose because of squamous cell carcinoma on the nasal tip, columella, and nasal septum. We reconstructed the nasal tip, both alae, and columella with forehead flap. After division of the regional flap, we found partial necrosis of the columella and narrowness of the nostril. So, we used chondrocutaneous auricular composite grafts for reconstruction of the columella and both nostrils. We used the file-folder designed auricular composite graft for reconstruction of columella and the wedge shaped ear helical composite grafts for widening of nostrils. 6 months later, there were no significant problems, except some mismatched dark color in the grafted alar tissues. Here, we report a successful reconstruction of large nasal defect using combined two different reconstructive methods.

Hemifacial Transplantation Model in Rats

  • Lim, Jong Woo;Eun, Seok Chan
    • 대한두개안면성형외과학회지
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    • 제15권2호
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    • pp.89-93
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    • 2014
  • Background: To refine facial transplantation techniques and achieve sound results, it is essential to develop a suitable animal model. Rat is a small animal and has many advantages over other animals that have been used as transplantation models. The purpose of this study was to describe a rat hemifacial transplantation model and to verify its convenience and reproducibility. Methods: Animals used in this study were Lewis rats (recipients) and Lewis-Brown Norway rats (donors). Nine transplantations were performed, requiring 18 animals. The hemifacial flap that included the ipsilateral ear was harvested based on the unilateral common carotid artery and external jugular vein and was transferred as a single unit. Cyclosporine A therapy was initiated 24 hours after transplantation and lasted for 2 weeks. Signs of rejection responses were evaluated daily. Results: The mean transplantation time was 1 hour 20 minutes. The anatomy of common carotid artery and external jugular vein was consistent, and the vessel size was appropriate for anastomosis. Six of nine allografts remained good viable without vascular problems at the conclusion of study (postoperative 2 weeks). Conclusion: The rat hemifacial transplantation model is suitable as a standard transplantation training model.

핀 휠 기반 거스 기어의 접촉 피로수명 평가 (Estimation of Contact Fatigue Life of a Girth Gear Based on Pinwheel)

  • 권순만;신흥철
    • 한국생산제조학회지
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    • 제25권4호
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    • pp.245-252
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    • 2016
  • Girth gears are applied in the mining, cement, and mineral processing industries and used in various types of horizontal mills, rotary dryers and kilns, and other heavy-gear ring applications. The large ring gears are normally fitted outside mills or kilns to provide the primary rotational drive. Recently, an external pinwheel gear set (e-PGS) was introduced to overcome manufacturing problems associated with girth gears. e-PGS is also suitable for low-speed, heavy-duty mechanical transmission and dusty and poor-lubrication conditions. This paper first presents a new profile modification of root relief for the e-PGS cam pinion. We then investigate load-stress factors to estimate the surface fatigue life by varying the shape design parameters. The results show that the contact fatigue life of an e-PGS can be extended significantly by increasing the profile shift coefficient. However, support bearing life of the pinwheel depends more on the contact force distribution than the profile shift coefficient.