• Title/Summary/Keyword: Fluid-bed

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Determination the nursing student's clinical competency based on new nurses' job analysis (신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정)

  • Kang, Ik-Wha;Lee, Eun-Ja;Lee, Kyu-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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A Tie-Over Dressing Using a Silicone Tube to Graft Deep Wounds

  • Bektas, Cem Inan;Kankaya, Yuksel;Ozer, Kadri;Baris, Ruser;Aslan, Ozlem Colak;Kocer, Ugur
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.711-714
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    • 2013
  • Background The most common cause of skin graft failure is the collection of blood or serous fluid underneath the graft. In our study, we describe the use of silicone tube for tie-over dressing to secure the skin graft margins with the aim of decreasing loss of the skin graft, particularly in grafting of deep wounds. Methods Between March 2008 and July 2011, we used this technique in 17 patients with skin defects with depths ranging from 3.5 to 8 mm (mean, 5.5 mm). First, the skin graft was sutured with 3/0 silk suture material from its corners. Then, a silicone round drain tube was sutured with 3/0 absorbable polyglactin 910 over the margins of the graft. Finally, long silk threads were tied over the bolus dressing, and the tie-over dressing was completed in the usual fashion. Results The mean follow-up was 7 months (range, 2-10 months) in the outpatient clinic. Graft loss on the graft margins due to hematoma or seroma was not developed. The results of adhesion between the graft and wound bed peripherally was excellent. Conclusions In our study, we suggest that use of a silicone tube for additional pressure on the edges of skin grafts in case of reconstruction of deep skin defects.

Nursing Interventions Classification(NIC) Use in Korea : Oriental Medicine Hospitals and General Hospitals (간호중재분류(NIC)에 근거한 간호중재수행분석 II -한방병동과 일반병동 간호사를 중심으로-)

  • 염영희;김성실;김인숙;박원숙;김은주
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.802-816
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    • 1999
  • The purposes of this research were to identify nursing interventions performed by Korean nurses and to compare the interventions performed by nurses working in the oriental medicine hospitals and with those performed by nurses working in the general hospitals. The samples consisted of 144 Korean nurses working in three hospitals, 70 nurses working in the oriental medicine hospitals and 74 nurses working in the general hospitals. The Nursing Interventions Classification (NIC) Use Questionnaire developed by the Iowa Intervention Project team was translated to Korean and verified using the method of back-translation. The questionnaire consists of 433 intervention labels and definition. Thirteen interventions were used at least daily by nurses working in the oriental medicine hospitals, while twenty-one interventions were used at least daily by nurses working in the general hospitals. The most frequently used interventions by nurses working in the oriental medicine hospitals were Documentation, Shift Report Vital Signs Monitoring, Pressure Ulcer Prevention, Positioning, Fall Prevention, Exercise Promotion, Intravenous (IV) Therapy, Pressure Ulcer care, and Bed Rest Care in that crder. For nurses working in the general hospitals the most frequent intervention was Analgesic Administration, followed by the interventions of Medication Administration : Parenteral and Intravenous Therapy (IV) Therapy, Documentation, Intravenous(IV) Insertion, Shift Report, Fall Prevention, Vital Signs Monitoring, Medication Adnninistraction : and, Fluid Monitoring, and Medication Maragement in that order. The interventions performed least often by nurses working in the oriental medicine hospitals were Hemodialysis Therapy and Bleeding Reduction : Antepartum Uterus, while the interventions performed least often by nurses working in the general hospitals were Rape Trauma Treatment and Contact Lens Care. The nurses working in the oriental medicine hospitals performed the interventions in the Physiological : Complex domain significantly more often than the nurses working in the general hospitals, while the nurses working in the general hospitals performed the intervention in the Behavior domain significantly more often than the nurses working in the oriental medicine hospitals. This study suggests that further study will be needed to developed and validate more interventions sensitive to Korean culture.

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Analysis of the Hydraulic Behaviour in the Nearshore Zone by a Numerical Model (수치모형에 의한 연안해역 해수운동의 분석)

  • Lee, Hee-Young;Jeoung, Sun-Kil
    • Water for future
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    • v.27 no.2
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    • pp.73-83
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    • 1994
  • The unproper development of the nearshore zone can enhance the diffusion of pollutant in the nearshore zone resulting in unbalanced sediment budget of beach which causes alteration of beach topography. Therefore, it is required to predict the effects of the envirnmental change quantitatively. In this paper, the depth-averaged and time-averaged energy balance equation is selected to acount for the wave transformation such as refraction, shoaling effect, the surf zone energy disipation, wave breaking index and bore, due to wave breaking in the shore region.(Numerical solutions are obtained by a finite difference method, ADI and Upwind. For the calculation of the wave-induced current, the unsteady nonlinear depth-averaged and time-averaged governing equation is derived based on the continuity and momentum equation for imcompressible fluid.) Numerical solutions are obtained by finite difference method considering influences of factors such as lateral mixing coefficient, bed shear stress, wave direction angle, wave steepness, wave period and bottom slope. The model is applied to the computation of wave transformation, wave-induced current and variation of mean water leel on a uniformly sloping beach.

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Simulation study of DAF flotation basin using CFD (전산유체해석기법을 이용한 용존공기부상공정의 유동해석)

  • Park, Byungsung;Woo, Sungwoo;Park, Sungwon;Min, Jinhee;Lee, Woonyoung;You, Sunam;Jun, Gabjin
    • Journal of Korean Society of Water and Wastewater
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    • v.27 no.2
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    • pp.261-272
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    • 2013
  • Algae boom (Red tide) in south coastal area of Korea has been appeared several times during a decade. If algae boom appears in the desalination plant, media filter and UF filter are clogged quickly, and the plant should be shutdown. In general, Algae can be removed from water by flotation better than by sedimentation, because of the low density of algal cell. The purpose of this study conducts the CFD simulation of DAF flotation basin to apply the design of the dissolved air flotation with ball filter in the Test Bed for SWRO desalination plant. In this study, Eulerian-Eulerian multiphase model was applied to simulate the behavior of air bubbles and seawater. Density difference model and gravity were used. But de-sludge process and mass transfer between air bubbles and seawater were ignored. Main parameter is hydraulic loading rate which is varied from 20 m/hr to 27.5 m/hr. Geometry of flotation basin were changed to improve the DAF performance. According to the result of this study, the increase of hydraulic loading rate causes that the flow in the separation basin is widely affected and the concentration of air is increased. The flow pattern in the contact zone of flotation basin is greatly affected by the location of nozzle header. When the nozzle header was installed not the bottom of the contact zone but the above, the opportunity of contact between influent and recycle flow was increased.

Biopharmaceutical Evaluation of a Solid Dispersion System Containing Sibutramine Freebase

  • Lee, Min-Suk;Chang, Hee-Chul;Kim, Taewan;Park, Jung-Hwa;Lee, Bong-Sang;Kim, Sung-Hee;Kim, Do-Hwan;Kim, Bo-Gyun;Oh, Seong-Tae;Kang, Myung-Joo;Park, Jong-Hyeok;Lee, Jaehwi;Choi, Young-Wook
    • Bulletin of the Korean Chemical Society
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    • v.29 no.4
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    • pp.749-754
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    • 2008
  • To increase the solubility of sibutramine freebase, the solid dispersion was prepared using a fluid-bed granulator. The solid dispersion containing sibutramine freebase was characterized by differential scanning calorimetry (DSC) and powder X-ray diffraction (XRD). After filling the sibutramine solid dispersion in the gelatin hard capsule, we performed in vitro dissolution test, the stability test under accelerated conditions and pharmacokinetic study in beagle dogs. The DSC and XRD data showed that sibutramine solid dispersion would be amorphous state. The dissolution rate of sibutramine solid dispersion was significantly increased about 70% than sibutramine freebase. The stability of sibutramine solid dispersion capsules was equivalent or above to commercial product of sibutramine. In beagle dogs, the sibutramine solid dispersion showed equivalent pharmacokinetic behavior with commercial product of sibutramine hydrochloride. In conclusion, the solid dispersion system provided a possible way to overcome the low solubility of sibutramine freebase, and the sibutramine solid dispersion can be a bioequivalent with the commercial product in humans.

CFD Modeling for 300MW Shell-Type One-Stage Entrained Flow Coal Gasifier : Effect of $O_2$/Steam/Coal Ratios, Coal Particle Sizes, and Inlet Angles on the Gasifier Performance (300MW급 Shell형 1단 분류층 석탄 가스화기의 전산수치해석 : 산소/스팀/석탄 주입비, 석탄입자 크기, 주입 노즐 각도가 가스화기 성능에 미치는 영향)

  • Song, Ji-Hoon;Kang, Min-Woong;Seo, Dong-Kyun;Lim, Sung-Jin;Paek, Min-Su;Hwang, Jung-Ho
    • Transactions of the Korean hydrogen and new energy society
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    • v.21 no.3
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    • pp.227-240
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    • 2010
  • Coal gasification is heading for a great future as one of the cleanest energy sources, which can produce not only electricity and heat, but also gaseous and liquid fuels from the synthesis. The work focuses on 300MW shell type one-stage entrained flow coal gasifier which is used in the Integrated coal Gasification Combined Cycle(IGCC) plant as a reactor. As constructing an IGCC plant is considerably complicated and expensive compared with a pulverized-coal power plant, it is important to determine optimum design factors and operating conditions using a computational fluid dynamics (CFD) model. In this study, the results of numerical calculations show that $O_2$/Coal ratio, 0.83, Steam/Coal ratio, 0.05, coal particle diameter, $100{\mu}m$, injection angle, $4^{\circ}$ (clockwise) are the most optimum in this research.

Research Investigations at the Municipal (2×35) and Clinical (2×5 MW) Waste Incinerators in Sheffield, UK

  • Swithenbank, J.;Nasserzadeh, V.;Ewan, B.C.R.;Delay, I.;Lawrence, D.;Jones, B.
    • Clean Technology
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    • v.2 no.2
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    • pp.100-125
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    • 1996
  • After recycle of spent materials has been optimised, there remains a proportion of waste which must be dealt with in the most environmentally friendly manner available. For materials such as municipal waste, clinical waste, toxic waste and special wastes such as tyres, incineration is often the most appropriate technology. The study of incineration must take a process system approach covering the following aspects: ${\bullet}$ Collection and blending of waste, ${\bullet}$ The two stage combustion process, ${\bullet}$ Quenching, scrubbing and polishing of the flue gases, ${\bullet}$ Dispersion of the flue gases and disposal of any solid or liquid effluent. The design of furnaces for the burning of a bed of material is being hampered by lack of an accurate mathematical model of the process and some semi-empirical correlations have to be used at present. The prediction of the incinerator gas phase flow is in a more advanced stage of development using computational fluid dynamics (CFD) analysis, although further validation data is still required. Unfortunately, it is not possible to scale down many aspects of waste incineration and tests on full scale incinerators are essencial. Thanks to a close relationship between SUWIC and Sheffield Heat&Power Ltd., an extended research programme has been carried out ar the Bernard Road Incinerator plant in Sheffield. This plant consists of two Municipal(35 MW) and two Clinical (5MW) Waste Incinerators which provide district heating for a large part of city. The heat is distributed as hot water to commercial, domestic ( >5000 dwelling) and industrial buildings through 30km of 14" pipes plus a smaller pipe distribution system. To improve the economics, a 6 MW generator is now being added to the system.

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Study of Hydration Reaction Characteristics of Inorganic Salts for Chemical Cold Storage and Method of Enhancement of Heat and Mass Transfer (화학축냉용 무기염들의 수화반응 및 열 및 물질전달 향상방안)

  • 김상욱;한종훈;황용준;이건홍
    • Proceedings of the Korea Society for Energy Engineering kosee Conference
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    • 1999.05a
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    • pp.185-191
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    • 1999
  • An air-conditioning system based on the chemical heat storage principle was considered. $H_2O$ was chosen as the reaction gas and the working fluid as well. Na$_2$S, CaCl$_2$, MnCl$_2$, BaCl$_2$, MgCl$_2$, Fe$_2$(SO$_4$)$_3$ and MnSO$_4$ were tested as the solid reactants by using Cahn pressure balance. Na$_2$S was superior to other salts in respect of high capability of absorption of water gas, 5 moles of $H_2O$ per unit mole of Na$_2$S, and adequate temperature of adsorption, $65^{\circ}C$ at 7torr, and of desorption, 13$0^{\circ}C$ at 76torr. Clausius-Clapeyron diagram of Na$_2$S was obtained via adsorption experiments at several vapor pressures of water gas. To enhance heat and mass transfer characteristics, usually below 1W/m K, of the reactor bed of general adsorption systems, expanded graphite block was adapted as the support of Na$_2$S salt. Expanded graphite blocks had thermal conductivity values of 20~80W/mK with respect to 100~400kg/㎥ of block bulk density. Permeability values of expanded graphite blocks were 10$^{-13}$ ~ 10$^{-14}$ $m^2$ with respect to 100~300kg/㎥ of block bulk density showing highly decreasing values of permeability, below 10$^{-l4}$$m^2$, in the range of above 150kg/㎥ of block bulk density.y.

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Investigation to Metal 3D Printing Additive Manufacturing (AM) Process Simulation Technology (II) (금속 3D 프린팅 적층제조(AM) 공정 시뮬레이션 기술에 관한 고찰(II))

  • Kim, Yong Seok;Choi, Seong Woong;Yang, Soon Yong
    • Journal of Drive and Control
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    • v.16 no.3
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    • pp.51-58
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    • 2019
  • The objective of this study was to investigate a simulation technology for the AM field based on ANSYS Inc.. The introduction of metal 3D printing AM process, and the examining of the present status of AM process simulation software, and the AM process simulation processor were done in the previous study (part 1). This present study (part 2) examined the use of the AM process simulation processor, presented in Part 1, through direct execution of Topology Optimization, Ansys Workbench, Additive Print and Additive Science. Topology Optimization can optimize additive geometry to reduce mass while maintaining strength for AM products. This can reduce the amount of material required for additive and significantly reduce additive build time. Ansys Workbench and Additive Print simulate the build process in the AM process and optimize various process variables (printing parameters and supporter composition), which will enable the AM to predict the problems that may occur during the build process, and can also be used to predict and correct deformations in geometry. Additive Science can simulate the material to find the material characteristic before the AM process simulation or build-up. This can be done by combining specimen preparation, measurement, and simulation for material measurements to find the exact material characteristics. This study will enable the understanding of the general process of AM simulation more easily. Furthermore, it will be of great help to a reader who wants to experience and appreciate AM simulation for the first time.