• Title/Summary/Keyword: Safety pressure

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Analysis of Core Interventions of Operating Room using Nursing Intervention Classification (NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석)

  • Lee, Yoon-Young;Park, Kwang-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.361-372
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    • 2002
  • Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.

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Study on the Development of Home Care Nursing Intervention Protocol for Stroke Patients (뇌졸중 환자의 가정간호중재 프로토콜 개발)

  • Yoo Ji-Soo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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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.

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Seismic Fragility Analysis of Base Isolated NPP Piping Systems (지진격리된 원전배관의 지진취약도 분석)

  • Jeon, Bub Gyu;Choi, Hyoung Suk;Hahm, Dae Gi;Kim, Nam Sik
    • Journal of the Earthquake Engineering Society of Korea
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    • v.19 no.1
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    • pp.29-36
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    • 2015
  • Base isolation is considered as a seismic protective system in the design of next generation Nuclear Power Plants (NPPs). If seismic isolation devices are installed in nuclear power plants then the safety under a seismic load of the power plant may be improved. However, with respect to some equipment, seismic risk may increase because displacement may become greater than before the installation of a seismic isolation device. Therefore, it is estimated to be necessary to select equipment in which the seismic risk increases due to an increase in the displacement by the installation of a seismic isolation device, and to perform research on the seismic performance of each piece of equipment. In this study, modified NRC-BNL benchmark models were used for seismic analysis. The numerical models include representations of isolation devices. In order to validate the numerical piping system model and to define the failure mode, a quasi-static loading test was conducted on the piping components before the analysis procedures. The fragility analysis was performed by using the results of the inelastic seismic response analysis. Inelastic seismic response analysis was carried out by using the shell finite element model of a piping system considering internal pressure. The implicit method was used for the direct integration time history analysis. In addition, the collapse load point was used for the failure mode for the fragility analysis.

Formation of Ultra fine Particle by the Polonium-218 Ions under Different Humidity Conditions (다른 습도조건하에서 Po-218 이온들의 극소입자형성에 관한 연구)

  • Yoon, Suk-Chul;Ha, Chung-Woo
    • Journal of Radiation Protection and Research
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    • v.17 no.1
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    • pp.1-10
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    • 1992
  • A number of investigators have reported the formation of the radiolytic ultrafine particles produced by the interaction of ionizing radiation with water vapor. Previous studies have suggested that a very high localized concentration of the OH radical produced by the radiolysis of water can react with trace gas like organic vapors and produce lower vapor pressure compounds that can then nucleate. In order to determine water vapor dependence of the active, positively charged, first radon daughter(Po-218), an experiment was conducted using a well-controlled radon chamber. The activity size distribution of the radon daughter in the range of 0.5-100nm was measured using the parallel graded wire screens system. Measurements were taken for different relative humidity. The resultant activity size distributions were analyzed. The addition of water vapor to the radon carrier gases resulted in the formation of ultrafine particles by OH radicals formed by radon radiolysis. It may be due to the neutralization of charged Po-218 ion with water vapor through the radio lysis.

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The Experimental Study on the Lift-off Height due to Momentum Ratio in Swirl-Coaxial Injector (2유체 동축인젝터의 공급 운동량비가 화염부상거리에 미치는 영향에 관한 실험적 연구)

  • Moon, I.Y.;Kim, Y.;Park, H.H.;Kim, S.J.
    • Journal of the Korean Society of Propulsion Engineers
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    • v.4 no.1
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    • pp.30-35
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    • 2000
  • The experimental study on the lift-off height of diffusion flames was conducted to investigate the damage of swirl-coaxial injector used in $GO_2$/kerosene rocket engine during initial stage of ignition. To investigate the causes of damage and to prevent further damage of the injector, experimental injector was designed and hot fire tests were performed with varying propellant momentum ratio($\frac{Momentum of {GO_2}}{Momentum of Kerosene}$) from 1 to 12. In experimental coaxial injector, kerosene is sprayed from the central nozzle with swirl and $GO_2$ sprayed around the kerosene nozzle in the direction parallel to the axis of combustion chamber. Chamber pressure are close to the atmospheric condition. Lift-off height was measured by still images from camcoder and average values were used as data.

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Dynamic Analysis of AP1000 Shield Building Considering Fluid and Structure Interaction Effects

  • Xu, Qiang;Chen, Jianyun;Zhang, Chaobi;Li, Jing;Zhao, Chunfeng
    • Nuclear Engineering and Technology
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    • v.48 no.1
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    • pp.246-258
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    • 2016
  • The shield building of AP1000 was designed to protect the steel containment vessel of the nuclear reactor. Therefore, the safety and integrity must be ensured during the plant life in any conditions such as an earthquake. The aim of this paper is to study the effect of water in the water tank on the response of the AP1000 shield building when subjected to three-dimensional seismic ground acceleration. The smoothed particle hydrodynamics method (SPH) and finite element method (FEM) coupling method is used to numerically simulate the fluid and structure interaction (FSI) between water in the water tank and the AP1000 shield building. Then the grid convergence of FEM and SPH for the AP1000 shield building is analyzed. Next the modal analysis of the AP1000 shield building with various water levels (WLs) in the water tank is taken. Meanwhile, the pressure due to sloshing and oscillation of the water in the gravity drain water tank is studied. The influences of the height of water in the water tank on the time history of acceleration of the AP1000 shield building are discussed, as well as the distributions of amplification, acceleration, displacement, and stresses of the AP1000 shield building. Research on the relationship between the WLs in the water tank and the response spectrums of the structure are also taken. The results show that the high WL in the water tank can limit the vibration of the AP1000 shield building and can more efficiently dissipate the kinetic energy of the AP1000 shield building by fluid-structure interaction.

A Study on the Development of Oxygen Cluster Ion Generator for Sterilization of Bio Clean Room(BCR) (Bio Clean Room(BCR)의 멸균을 위한 산소 클러스터이온 발생 장치 개발에 관한 연구)

  • Park, Dong-Il;Chung, Kwang-Seop;Kim, Young-Il;Kim, Sung-Min
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.25 no.1
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    • pp.7-13
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    • 2013
  • Bio Clean Room(BCR) and pharmaceutical product manufacturing facilities require careful assessment of many factors, including HVAC, controls, room finishes, process equipment, room operations, and utilities. Flow of equipment, personnel, and product must also be considered along with system flexibility, redundancy, and maintenance shutdown strategies. It is important to involve designers, operators, commissioning staff, quality control, maintenance, constructors, validation personnel, and the production representative during the conceptual stage of design. Critical variables for room environment and types of controls vary greatly with the clean space's intended purpose. It is particularly important to determine critical parameters with quality assurance to set limits and safety factors for temperature, humidity, room pressure, and other control requirements. In this paper, oxygen cluster ion equipment was utilized in order to enhance the indoor air quality and to prevent the airborne infection of ward in hospital. Moreover, the performance test of the equipment was also performed in order to develop the optimal sterilization system of BCR using the equipment.

Case Study on the Tunnel Collapses during the Construction and Application of Geotechnical Investigation (터널 시공 중 지반 관련 사고 사례의 원인 분석과 지반 조사 결과의 활용에 관한 검토)

  • Park, Nam-Seo;Lee, Chi-Mun;Gang, Sang-Ho
    • Proceedings of the Korean Geotechical Society Conference
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    • 1998.04a
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    • pp.47-60
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    • 1998
  • It is considered in this paper that the main causes of tunnel collapse during the construction were the insufficiency of data of geotechnical investigations, or their limits due to special ground condition such as its heterogeneity and anisotropy It is thought that safety of ground can be affected by the geological conditions such as presences of discontinuities in good intact rocks, and considered to be necessary that awareness of the conditions of discontinuities in advance is important to apply adequate reinforcement measures. It is also shown that a serious accident had occurred because of the unawareness of the permeable alluvial deposits at the top of the tunnel. And it is shown that the example of application of the results of geotechnical investigation such as face-mapping, pilot boring etc. during tunnel construction, and a serious deformation of tunnel under special geological condition. Therefore, it is strongly recommended to perform an adequate geotechnical investigation to confirm the geotechnical conditons of ground before design, and supplimentary investigation is also needed depending on conditions for safe and econonic construction.

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Evaluation of Stability of Quay Wall Considering Overtopping of Tsunami (지진해일파의 월파를 고려한 해안안벽의 안정성평가)

  • Lee, Kwang-Ho;Kim, Do-Sam;Kim, Tae-Hyung
    • Journal of the Korean Geotechnical Society
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    • v.28 no.9
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    • pp.31-45
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    • 2012
  • This study was conducted to estimate the stability of a quay wall in case of wave overtopping under the combined action of an earthquake and tsunami using limit equilibrium method. The tsunami force was calculated by using a numerical program called TWOPM-3D (3-D one-field Model for immiscible TWO-Phase flows). Especially, the wave force acting behind the quay wall after a tsunami wave overtopping was estimated by treating back fill as a permeable material. The stability of the quay wall was assessed for both the sliding and overturning modes under passive and active conditions. The variation in the stability of the quay wall with time was determined by parametric studies, including those for the tsunami wave height, seismic acceleration coefficient, internal friction angle of the soil, wall friction angle, and pore water pressure ratio. When the earthquake and tsunami were considered simultaneously, the tsunami induced wave overtopping increased the stability of the quay wall under the passive condition, but in the active condition, the safety factors decreased.

Thermal Behavior of a Pipe-Rack Structure Subjected to Environmental Factors (외부 환경적 요인에 의한 파이프랙 구조물의 열적 거동)

  • Lee, Jong-Han;Lee, Jong-Jae;Kim, Sung-Yeon
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.3 no.2
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    • pp.165-170
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    • 2015
  • Pipe-rack structures supporting high temperature and pressure are of great importance to ensure the safety of the operation of the plants. If some damage occurred in the pipe-rack structure, the facilities not only bring damage to the commercial property, but also result in economic losses. Specially, since pipe-rack structures are exposed to various environmental conditions, it is essential to evaluate the thermal behavior of the structure caused by environmental conditions for the appropriate design and maintenance of the pipe-rack structure. Thus, based on a selected, typical pipe-rack structure, a thermal-stress coupled analysis was conducted to evaluate the temperature distributions and thermal stresses of the structure. For this, this study accounted for the operating condition of the pipe and the effect of environmental conditions, Yeosu in South Korea and Saudi Arabia in the Middle East. The results of the study showed the need for accounting for a variance in the environmental factors to evaluate the thermal behavior of the pipe-rack structure along with the working condition of pipe.