• Title/Summary/Keyword: Safety Performance

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Reducing the waiting time of parkinson's patients in outpatient pharmacy by improving EMR and workflow (외래약국에서 파킨슨병 환자 투약대기시간 단축을 위한 전산 및 업무 흐름 개선)

  • Choi, Dan-Hee;Yim, Ji-Yoon;Lee, Yong-Hwa
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.28-40
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    • 2014
  • Objectives: Prescriptions for Parkinson's can be dispensed at the outpatient pharmacy. In general, the treatment of Parkinson's disease requires a multitude of drugs, sometimes taken 4 to 6 times a day at specific times as prescribed by the medical practitioner. Said "time-specific therapy" is one of the major reasons of dispensing delay observed at the outpatient pharmacy. Because our establishment lacked a computerized system to support time-specific prescriptions, they were not recognized electronically. They had to be issued and dispensed manually, which required a greater amount of time than the automated process. To solve the problem, a new sig code was developed to handle time-specific prescriptions with a comprehensive automated dispensing system to support it. This study aims to create electronic programs and streamline the process to increase dispensing performance. And thus, ensure greater patient safety and dispensing accuracy within a shorter dispensing time and also increase employee satisfaction through a decreased workload. Methods: After identifying the problems caused by non-electronic prescriptions an automated system that allowed the issuance of time-specific prescriptions was developed. A new sig code was created that could be recognized by the Pharmacy electronic medical program, the label printer to group medications by administration times and the Automatic Tablet Counter(ATC) to count the grouped drugs accordingly. Result: With the new sig code, the practitioner became able to electronically select the times of drug administration while issuing the prescription. This 'time-specific prescription' can now be recognized by the pharmacy electronic medical program, the label printer and the ATC like any other prescription. Conclusion: The developed program started operating on September 2013. Although not all Parkinson's patients have been issued with the new electronic 'time-specific prescription', the overall dispensing process has become more streamlined and accurate. As the medical team continues to integrate the new system in their practice an additional decrease of the dispensing time is predicted. Future program upgrades and other new time-saving approaches are scheduled, which are expected to further increase the service quality of our outpatient pharmacy.

A Study on the Improvement of Operation Performance of Wet Bell Diving System in the Salvage Ship (고장 사례 분석을 통한 수중함용 디젤엔진 건전성에 관한 연구)

  • Choi, Woo-Suk;Min, Tae-Kyu;Kim, Byeong-Ho;Chang, Ho-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.98-106
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    • 2020
  • This study examined the integrity of diesel engines for underwater vessels through failure analysis, analyzed the causes of abnormal diesel engine stoppage during building and examined the integrity of secondary damages. The diesel engine stoppage was analyzed by checking the temperature change of the piston before and after the abnormality and checking the damage. In addition, in order to analyze the secondary damage caused by the explosion, the tensile and compressive stresses transmitted to the crankshaft, the core part of the diesel engine, were calculated, and the stress distribution was examined through finite element analysis, but the crankshaft was designed by safety. It was confirmed that there was no damage to the crankcase even when the diesel engine was taken out of the ship and closely inspected. The integrity of the crank shaft was verified in advance for the occurrence of diesel engine emergency shutdown accidents through this research result. Therefore, the inspection and restoration were carried out to the minimum extent, and the quality of diesel engines was secured. This study is expected to be used as a reference for ensuring soundness in any future review of diesel engine quality problems.

A Study on the Improvement of Greenhouse Frame to Bear the Heavy Snow (적설하중 증가에 대비한 비닐하우스 골조 성능의 개선 연구)

  • Jung, Hyunjin;Yang, Sanghyun;Lee, Taehee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2242-2248
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    • 2015
  • The damages from greenhouses collapsing due to heavy snowfall in winter are increasing, and the current frames of greenhouse are required to be improved. This study was conducted to seek solutions to improve intensities of greenhouse frame to bear heavy snows. We investigated a structural safety of greenhouses by calculating axial force, bending moment and combined stress when snow load was increased up to 30% of the current standard ground snow load of the conventional greenhouse types (07-single type 3, 07-single type 18) in the three regions (Gyeongju, Sokcho, and Gangneung) where were most damaged by recent heavy snows. In addition, we determined what structural type was most efficiently bear snow loads by measuring the differences between the load bearing strength according to the changes of tube diameter and thickness or the rafter spacing of greenhouses circular pipe. MIDAS GEN program was used in the analysis. As a result, with the snow load increase of 30%, greenhouse in Gyongju was still safe, but in Sokcho was at a risk, and in Gangneung was possible to be collapsed even in the current snow load. Increased pipe diameter than increased pipe thickness was more efficient in terms of improved performance of greenhouse structure. Accordingly, it is suggested to revise standards of greenhouse to increase pipe diameter of rafter for minimizing damages by heavy snow.

Development of test methodology and detail standard for ECDIS (선박항해용전자해도시스템 인증 기준 및 시험기술 개발)

  • 심우성;서상현
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2004.04a
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    • pp.269-274
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    • 2004
  • The marine electronic system for safe navigation such as ECDIS has been contributing to increase the safety of navigation, decreasing the mariner's load of navigation. The ECDIS should be developed and approved by international standard of IMO for performance standard and IEC for type-approval method and required results. However, these standards have some ambiguities for us not to directly adopt them for real approval system, so we should analyze them for more clear meaning and prepare our own detail standard for type-approval system. The first thing to do for the goal of this research was to analyze the standard in detail and make ambiguity be cleared in our own standards, considering each test item in view of test methodology. For the result of analysis we could develop more evident and detail type-approval standard for each test item with test technology needed. Especially, we developed the colour differentiation test process of ECDIS monitor, which include the colour differentiation formula derived from CIE colour scheme. Several test items require sensor informations of navigation equipment compatible with IEC 61162. We also developed the signal simulator for general messages of IEC 61162 that must be provided. Additionally, the type-approval processes and standards for Back-up arrangement and RCDS mode were developed.

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Inhibition of Biogenic Amine Production by Bacillus sp. BCNU 9171 Isolated from Doenjang (된장에서 분리한 Bacillus sp. BCNU 9171에 의한 바이오제닉 아민 생산 저해)

  • Park, Yeo Jin;Joo, Woo Hong
    • Microbiology and Biotechnology Letters
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    • v.45 no.4
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    • pp.299-304
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    • 2017
  • Biogenic amines such as histamine, tyramine, cadaverine, and putrescine may have detrimental effects on consumers' health; therefore, they must be considered hazardous substances in foods. In recent years, the application of microorganisms that can degrade biogenic amines has become an emerging method for reducing the amount of these amines in foods. Primarily, Bacillus sp. BCNU 9171 was isolated from Doenjang, a Korean traditional fermented soybean paste. The inhibitory effects of the cell-free supernatant (CFS) of Bacillus sp. BCNU 9171 on biogenic amine production by 4 amine-positive food pathogenic bacteria were investigated using high performance liquid chromatography (HPLC). Our results showed that 4 different CFS concentrations-10% [1 ml CFS + 9 ml histidine decarboxylase broth (HDB)], 25% (2.5 ml CFS + 7.5 ml HDB), 50% (5 ml CFS + 5 ml HDB), and 75% (7.5 ml CFS + 2.5 ml HDB)-reduced the biogenic amine production up to 87% compared with that of the control without CFS. These results suggested that it is advisable to use Bacillus sp. strain BCNU 9171 as a starter organism for the manufacture of fermented foods and to ensure food safety since it prevents the accumulation of high amounts of biogenic amines in fermented foods by amine-positive bacteria.

Applicability of UV and UV/$H_2O_2$ Processes in the Control of Pharmaceuticals and Personal Care Products and Microbiological Safety for Water Reuse (잔류 의약품류의 제거 및 미생물학적 안전성을 고려한 하수 재이용 기술로서의 UV 및 UV/$H_2O_2$ 공정의 적용성)

  • Kim, Il-Ho;Tanaka, Hiroaki
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.7
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    • pp.722-729
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    • 2010
  • Over the last decades, much consideration has been given to microbiological and chemical risks, especially when wastewater was reclaimed as water resources for urban water, irrigation water and recreational water etc. We investigated the performance of UV-based processes such as UV and UV/$H_2O_2$ for both the removal of pharmaceuticals and personal care products (PPCPs) as an emerging chemical and the inactivation of pathogen with bench-scale experimental study. 38 kinds of PPCPs including antibiotics and analgesics were detected from secondary effluent used as tested water. Bench-scale experimental study showed that UV process would require considerable UV dose for the effective PPCPs removal. Contrarily, PPCPs removal efficiency significantly improved by the combination of $H_2O_2$ with UV even at a lower UV dose and, moreover, their removal efficiency increased with the increased initial $H_2O_2$ concentration. Besides naproxen (>89%), concentrations of all the investigated PPCPs decreased by more than 90% of their initial concentrations under $923\;mJ/cm^3$ of UV dose and 6.2 mg/L of $H_2O_2$. Previous studies showed that this operational condition could get 4~5 log inactivation for Total coliform, indicating that UV/$H_2O_2$ process will be appropriate to comply with the criteria of California Title 22 for Total coliform.

Study On Generating Compact Network RTK Corrections Considering Ambiguity Level Adjustment Among Reference Station Networks for Constructing Infrastructure of Land Vehicle (육상교통 인프라 구축을 위한 다중 네트워크 간 미지정수 수준 조정이 고려된 Compact Network PTK 보정정보 생성기법 연구)

  • Song, June-Sol;Park, Byung-Woon;Kee, Chang-Don
    • Journal of Advanced Navigation Technology
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    • v.17 no.4
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    • pp.404-412
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    • 2013
  • Network RTK is widely used especially for static applications so far, however, the demand for high accuracy positioning for kinetic users such as land vehicles is growing for safety and convenience reasons. Kinematic users move along the roads and the network where they receive corrections can be changed. Compact Network RTK corrections should keep consistency while network change. In this paper, we introduced a method of generating Compact Network RTK corrections considering network ambiguity level adjustment by formulation of corrections. We verified the proposed method for reference station networks across whole country. We also generated Compact Network RTK corrections using simulation and real GPS data from reference stations in South Korea and evaluated performance of users. As a result, the discontinuity between corrections from two networks reduced to 0.25 cycle from several cycles. And user could achieve less than 8 cm (2DRMS) horizontal position accuracy continuously regardless of network change.

Comparative Analysis of Endovascular Stroke Therapy Using Urokinase, Penumbra System and Retrievable (Solitare) Stent

  • Choi, Jae-Hyung;Park, Hyun-Seok;Kim, Dae-Hyun;Cha, Jae-Kwan;Huh, Jae-Taeck;Kang, Myongjin
    • Journal of Korean Neurosurgical Society
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    • v.57 no.5
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    • pp.342-349
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    • 2015
  • Background : Higher reperfusion rates have been established with endovascular treatment for acute ischemic stroke patients. There are limited data on the comparative performance of mechanical thrombectomy devices. This study aimed to analyse the efficacy and safety of the stent retriever device (Solitaire stent) by comparing procedure time, angiographic outcome, complication rate and long term clinical outcome with previous chemical thrombolysis and mechanical thrombectomy using penumbra system. Method : A retrospective single-center analysis was undertaken of all consecutive patients who underwent chemical thrombolysis and mechanical thrombectomy using Penumbra or Solitaire stent retriever from March 2009 to March 2014. Baseline characteristics, rate of successful recanalization (modified Thrombolysis in Cerebral Infarction score 2b-3), symptomatic intracerebral hemorrhage, procedure time, mortality and independent functional outcomes ($mRS{\leq}2$) at 3 month were compared across the three method. Results : Our cohort included 164 patients, mechanical thrombectomy using stent retriever device had a significant impact on recanalization rate and functional independence at 3 months. In unadjusted analysis mechanical thrombectomy using Solitaire stent retriever showed higher recanalization rate than Penumbra system and chemical thrombolysis (75% vs. 64.2% vs. 49.4%, p=0.03) and higher rate of functional independence at 3 month (53.1% vs. 37.7% vs. 35.4%, p=0.213). In view of the interrelationships between all predictors of variables associated with a good clinical outcome, when the chemical thrombolysis was used as a reference, in multiple logistic regression analysis, the use of Solitaire stent retriever showed higher odds of independent functional outcome [odds ratio (OR) 2.62, 95% confidence interval (CI) 0.96-7.17; p=0.061] in comparison with penumbra system (OR 1.57, 95% CI 0.63-3.90; p=0.331). Conclusion : Our initial data suggest that mechanical thrombectomy using stent retriever is superior to the mechanical thrombectomy using penumbra system and conventional chemical thrombolysis in achieving higher rates of reperfusion and better outcomes. Randomized clinical trials are needed to establish the actual benefit to specific patient populations.

A study on the effects of Friction loss of CPVC pipe according to Roughness coefficient in a sprinkler system (스프링클러 시스템에서 조도계수에 따른 CPVC 배관 마찰손실 영향의 연구)

  • Kang, Ung Il
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.355-362
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    • 2016
  • The pipe material is selected according to the physical and chemical properties of the fluid flowing within it. Because the fluid used in fire extinguish systems is water, the various foreign substances dissolved in it cause scale to form on the pipe wall and accelerate the corrosion and aging of the pipe itself. This results in an increase in the friction loss and eventually degrades the efficiency of the pump. The use of CPVC (Chlorinated Poly-Vinyl Chloride) pipes was confirmed to reduce the friction loss compared to conventional steel pipes in the design and construction stages. The friction loss was found to be 76.64MPa with a C-value of 120 for the steel pipe and 50.72 MPa with a C-value of 150 for the CPVC pipe in an actual apartment construction environment. It was confirmed that the friction loss was improved by about 34% when using the CPVC pipe. When the steel and CPVC pipes were employed in the construction, the construction costs were 1,585,158 and 931,842 won, respectively. Therefore, it was shown that the construction cost was reduced by about 41%. We investigated the safety of the fire extinguishing system and the improvement in the economic performance due to the reduction in the total installed capacity by studying practical applications in the field.

Exploring a Direction of the Development of an Education Program for Health Improvement of the Unemployed Elderly (미취업 노인의 건강 개선 교육 프로그램의 개발 방향 탐색)

  • Park, Hyeok;Kim, Gawon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.428-435
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    • 2017
  • The purpose of this study is to propose a health improvement education program for the majority of elderly people who could not work due to health issues. This study focused on the fact that employment has a positive influence on the health outcomes of the elderly. The paper compares the health outcomes of employed elderly versus that of the unemployed, and suggests directions for future lifelong education programs related to health for the unemployed elders. The study results show more positive health outcomes for employed elders in terms of nutrition status and ability to perform daily tasks. Furthermore, their cognitive ability was more active (orientation, peripheral concentration, awareness of daily life) and their overall quality of life. Therefore, the study aims to develop health outcomes in the unemployed elderly population through safety education, improving health habits, performance improvement education via cognitive activation and socializing, and to secure the professionalism of lifelong education programs for the elderly which is currently only seen as a leisure activity. The object of the proposed program in this study is to maintain health by providing opportunities employment - a core component of successful aging - and relevant social interaction. This will greatly improve the quality of life of the elderly and provide a basis for widening the social role of elderly people in the future.