• Title/Summary/Keyword: Site-specific assessment

Search Result 210, Processing Time 0.023 seconds

Assessment of Neonatal Hyperbilirubinemia Using a Transcutas Bilirubinometry (신생아에 있어 TcB[transcutaneous bilirubinometry]를 이용한 고빌리루빈혈증의 사정)

  • 안영미;김미란;이상미;전용훈
    • Journal of Korean Academy of Nursing
    • /
    • v.33 no.1
    • /
    • pp.51-59
    • /
    • 2003
  • Purpose: The purpose of the study is to investigate the relationship between total serum bilirubin(TSB) and transcutaneous bilirubinometry(TcB) in neonates with jaundice. Method: TcB from various sites(forehead, sternum, abdomen, buttock, hand, dorsalis-pedia) was measured using a JM-102 in a total of 102 neonate, 42 female and 60 male, with the mean 37.5 gestational week and the mean 2,903 gram of birth weight, as well as TSB from capillary punctures. Result: The mean bilirubin was 11.73 in serum, 20.55 on the forehead, 17.23 on the sternum, 16.19 on the abdomen, 18.22 on the buttock, 15.83 on the hand and 15.49 on the dorsalis-pedia. The relationship between TSB and TcBs were formulated by simple regression with 0.406 < r < 0.668(p < .000). A higher relationship was revealed between TSB and TCB at the forehead in infants of full-term, ABO incompatibility, and Hb greater than 16 mg/dl(r =0.725, 0.790, and 0.717, retrospectively). Phototherapy altered the measurement of TcB per site. Conclusion: TcB on the forehead is a reliable, noninvasive and convenient measurement of TSB in normal infants(Institutions need to establish quantitative equations representing the specific relationship between TSB and TCB according to the hemodynamic problems of infants such as ABO incompatibility, or low Hb).

Survey of Home Healthcare Nursing Services to Establish Quality Assessment Standards (가정간호 서비스 질 평가기준 설정을 위한 조사연구)

  • Kim, Su-Ol;Shin, Hye-Sun;Kim, Gwang-Suk
    • Journal of Home Health Care Nursing
    • /
    • v.17 no.2
    • /
    • pp.85-94
    • /
    • 2010
  • Purpose: The study aimedto provide basic data to improve the quality of home healthcare nursing services by evaluating quality of care in representative nationwide sites. Method: The current quality of home care service in 104 nationwide sites was evaluated in terms of structures, processes, and outcomes based on published standards of the Joint Commission on Accreditation of healthcare Organizations. Results: The mean score for three dimensions of quality of home care service was as follows in descending order: structures (77.6), outcomes (60.4), and processes (38.7). Additionally, by specific item compared level of quality of home care servicein each site, the highest score was 97.3 and the lowest score was 42.3 out of 100, with a mean score of 74.7. Conclusions: These findings provide a base for establishing the quality management system and to develop a tool for evaluating the quality of home healthcare nursing. The result should be continuous management and improvement of home healthcare nursing quality.

  • PDF

Safety analysis of nuclear containment vessels subjected to strong earthquakes and subsequent tsunamis

  • Lin, Feng;Li, Hongzhi
    • Nuclear Engineering and Technology
    • /
    • v.49 no.5
    • /
    • pp.1079-1089
    • /
    • 2017
  • Nuclear power plants under expansion and under construction in China are mostly located in coastal areas, which means they are at risk of suffering strong earthquakes and subsequent tsunamis. This paper presents a safety analysis for a new reinforced concrete containment vessel in such events. A finite element method-based model was built, verified, and first used to understand the seismic performance of the containment vessel under earthquakes with increased intensities. Then, the model was used to assess the safety performance of the containment vessel subject to an earthquake with peak ground acceleration (PGA) of 0.56g and subsequent tsunamis with increased inundation depths, similar to the 2011 Great East earthquake and tsunami in Japan. Results indicated that the containment vessel reached Limit State I (concrete cracking) and Limit State II (concrete crushing) when the PGAs were in a range of 0.8-1.1g and 1.2-1.7g, respectively. The containment vessel reached Limit State I with a tsunami inundation depth of 10 m after suffering an earthquake with a PGA of 0.56g. A site-specific hazard assessment was conducted to consider the likelihood of tsunami sources.

Suggestion for Trophic State Classification of Korean Lakes (우리나라 호소의 영양상태 분류에 관한 제언)

  • Kong, Dongsoo;Kim, Bomchul
    • Journal of Korean Society on Water Environment
    • /
    • v.35 no.3
    • /
    • pp.248-256
    • /
    • 2019
  • Most of the lakes in Korea are artificial, and their limnological characteristics are significantly different from those of natural lakes in other countries. In this study, the relationship between trophic state parameters was investigated, based on summer average data of the upper layer, in 81 lakes in Korea, 2013-2017. Compared with trends of foreign natural lakes, chlorophyll a (Chl.a) concentration was slightly lower at the same total phosphorus (TP) concentration, and transparency (Secchi depth, SD) was noticeably lower at the same Chl.a concentration. This is because of excessive allochthonous loading of non-algal material during the monsoon period, and the reduction in phosphorus availability to algal growth, by light limitation and short hydraulic residence time. Considering these characteristics, we suggested site-specific thresholds of trophic state classification for Chl.a, TP and SD, based on annual average data at the upper layer of lakes ($3-10{\mu}g\;L^{-1}$ of Chl.a measured by UNESCO method; $13-33{\mu}g\;L^{-1}$ of TP; 1.6-3.2 m of SD for mesotrophic state class, respectively). The threshold value of TP for each trophic state class, corresponded to the upper value of previously reported range, and that of SD was out of the range. We suggested applying only TP and Chl.a in assessment of trophic state of lakes in Korea, excluding SD.

Post-pillars design for safe exploitation at Trepça hard rock mine (Kosovo) based on numerical modeling

  • Ibishi, Gzim;Genis, Melih;Yavuz, Mahmut
    • Geomechanics and Engineering
    • /
    • v.28 no.5
    • /
    • pp.463-475
    • /
    • 2022
  • In the mine exploitation stage; one of the critical issues is the stability assessment of post-pillars. The instability of post-pillars leads to serious safety hazards in mining operations. The focus of this study is to assess the stability of post-pillars in the 130# stope in the central ore body at Trepça hard rock mine by employing both conventional (i.e., critical span curve) and numerical methods (i.e., FLAC3D). Moreover, a new numerical based index (i.e., Pillar Yield Ratio-PYR) was proposed. The aim of PYR index is to determine a border line between stable, potentially unstable, and failure state of post-pillars at a specific mine site. The critical value of pillar width to height ratio is 2.5 for deep production stopes (e.g., > 800 m). Results showed that pillar size, mining height and mining depth significantly have affected the post-pillar stability. The reliability of numerical based index (i.e., PYR) is verified based on empirical underground pillar stability graph developed by Lunder, 1994. The proposed pillar yield ratio index and pillar stability graph can be used as a design tool in new mining areas at Trepça hard rock mine and for other situations with similar geotechnical conditions.

Ecological Assessment of Plant Succession and Water Quality in Abandoned Rice Fields

  • Byun, Chae-Ho;Kwon, Gi-Jin;Lee, Do-Won;Wojdak, Jeremy M.;Kim, Jae-Geun
    • Journal of Ecology and Environment
    • /
    • v.31 no.3
    • /
    • pp.213-223
    • /
    • 2008
  • The increasing area of abandoned rice fields could provide new opportunities for wetland restoration in Asia. However, it is unknown how quickly or completely abandoned rice fields will recover from agricultural disturbances. We assessed water quality and plant community succession in abandoned rice fields with different hydrology in a mountain valley to understand the effects of hydrological regime on recovery. Water level, soil redox potential, water quality, plant composition, and primary production were measured. The sites, coded as D6, N13, and N16, had been recovering for 6, 13, and 16 years by 2006. N13 and N16 have been recovering naturally whereas D6 has been drained with a nearby dike and was tilled in 2001. The typical hydroperiods of D6, N13, and N16 were no surface water, permanently flooded, and seasonally flooded, respectively. The major change in vegetation structure of both D6 and N13 was the replacement of herbaceous species by woody species. Drawdown accelerated this change because Salix koreensis grew better in damp conditions than in flooded conditions. Phragmites japonica reduced plot-level plant species richness. The removal efficiency of $NH_4-N$, $NO_3-N$, and $PO_4-P$ from water varied seasonally, ranging between -78.8 to 44.3%, 0 to 97.5%, and -26.0 to 44.4%, respectively. In summary, abandoned rice fields quickly became suitable habitat for native wetland plant species and improved regional water quality. Variation among our sites indicates that it is likely possible to manage abandoned rice fields, mostly through controlling hydrology, to achieve site-specific restoration goals.

Comparison of Soil Loss Estimation using SWAT and SATEEC (SWAT과 SATEEC 모형을 이용한 토양유실량 비교)

  • Park, Youn-Shik;Kim, Jong-Gun;Heo, Sung-Gu;Kim, Nam-Won;Lim, Kyung-Jae
    • Proceedings of the Korea Water Resources Association Conference
    • /
    • 2008.05a
    • /
    • pp.1295-1299
    • /
    • 2008
  • Soil erosion is a natural process and has been occurring in most areas in the watershed. However, accelerated soil erosion rates have been causing numerous environmental impacts in recent years. To reduce soil erosion and sediment inflow into the water bodies, site-specific soil erosion best management practices (BMPs) need to be established and implemented. The most commonly used soil erosion model is the Universal Soil Loss Equation (USLE), which have been used in many countries over 30 years. The Sediment Assessment Tool for Effective Erosion Control (SATEEC) ArcView GIS system has been developed and enhanced to estimate the soil erosion and sediment yield from the watershed using the USLE input data. In the last decade, the Soil and Water Assessment Tool (SWAT) model also has been widely used to estimate soil erosion and sediment yield at a watershed scale. The SATEEC system estimates the LS factor using the equation suggested by Moore and Burch, while the SWAT model estimates the LS factor based on the relationship between sub watershed average slope and slope length. Thus the SATEEC and SWAT estimated soil erosion values were compared in this study. The differences in LS factor estimation methods in the SATEEC and SWAT caused significant difference in estimated soil erosion. In this study, the difference was -51.9%(default threshold)$\sim$-54.5%(min. threshold) between SATEEC and non-patched SWAT, and -7.8%(default threshold)$\sim$+3.8%(min. threshold) between SATEEC and patched SWAT estimated soil erosion.

  • PDF

Development of SWAT SD-HRU Pre-processor Module for Accurate Estimation of Slope and Slope Length of Each HRU Considering Spatial Topographic Characteristics in SWAT (SWAT HRU 단위의 경사도/경사장 산정을 위한 SWAT SD-HRU 전처리 프로세서 모듈 개발)

  • Jang, Wonseok;Yoo, Dongsun;Chung, Il-moon;Kim, Namwon;Jun, Mansig;Park, Younshik;Kim, Jonggun;Lim, Kyoung-Jae
    • Journal of Korean Society on Water Environment
    • /
    • v.25 no.3
    • /
    • pp.351-362
    • /
    • 2009
  • The Soil and Water Assessment Tool (SWAT) model, semi-distributed model, first divides the watershed into multiple subwatersheds, and then extracts the basic computation element, called the Hydrologic Response Unit (HRU). In the process of HRU generation, the spatial information of land use and soil maps within each subwatershed is lost. The SWAT model estimates the HRU topographic data based on the average slope of each subwatershed, and then use this topographic datum for all HRUs within the subwatershed. To improve the SWAT capabilities for various watershed scenarios, the Spatially Distributed-HRU (SD-HRU) pre-processor module was developed in this study to simulate site-specific topographic data. The SD-HRU was applied to the Hae-an watershed, where field slope lengths and slopes are measured for all agricultural fields. The analysis revealed that the SD-HRU pre-processor module needs to be applied in SWAT sediment simulation for accurate analysis of soil erosion and sediment behaviors. If the SD-HRU pre-processor module is not applied in SWAT runs, the other SWAT factors may be over or under estimated, resulting in errors in physical and empirical computation modules although the SWAT estimated flow and sediment values match the measured data reasonably well.

Clinical efficacy of intermittent magnetic pressure therapy for ear keloid treatment after excision

  • Jun, Dongkeun;Shin, Donghyeok;Choi, Hyungon;Lee, Myungchul
    • Archives of Craniofacial Surgery
    • /
    • v.20 no.6
    • /
    • pp.354-360
    • /
    • 2019
  • Background: Keloids are benign fibro-proliferative lesion, related to excessive inflammatory reactions in certain anatomical areas, including the auricles. Their specific etiology remains unclear; nonetheless they exhibit tumor-like characteristics of significant recurrence and cause emotional distress, even with various treatment strategies. We applied intermittent magnetic pressure therapy on ear keloids in combination with surgical excision, and present its effectiveness herein. Methods: Ear keloid patients were treated with surgical excision followed by magnetic pressure therapy. The keloid tissues underwent excision and keloid marginal flaps were utilized for wound closure. Intermittent magnetic pressure therapy was applied 2 weeks after the surgical procedure. The pressure therapy consisted of a 3-hour application and 2-hour resting protocol (9 hr/day), and lasted for 6 months. The results were analyzed 6 months after the therapeutic procedures, using the scar assessment scale. Results: Twenty-two ear keloids from 20 patients were finally reviewed. Among the keloids that completed the therapeutic course, 20 ear keloids out of 22 in total (90.9%) were successfully eradicated. Two patients (2 keloids) exhibited slight under-correction. Postoperative complications such as wound dehiscence or surgical site infection were not noted. The scar assessment scale demonstrated a significant improvement in each index. The intermittent pressure therapy led to patient compliance, and avoided pressure-related pain and discomfort. Conclusion: Excision followed by intermittent pressure application using a magnet successfully reduced the burden of fibro-proliferative keloids, and had good patient compliance. The role of intermittent pressure application and resting should be studied with regard to keloid tissue remodeling.

A study on the Assessment of the Predictability of the APSM (APSM의 예측능 평가에 관한 연구)

  • 박기하;윤순창
    • Journal of Environmental Science International
    • /
    • v.12 no.3
    • /
    • pp.265-274
    • /
    • 2003
  • The Pasquill-Gifford stability category is a very important scheme of the Gaussian type dispersion model defined the complex turbulence state of the atmosphere by A grade(very unstable) to F grade(very stable). But there has been made a point out that this stability category might decrease the predictability of the model because it was each covers a broad range of stability conditions, and that they were very site specific. The APSM (Air Pollution Simulation Model) was composed of the turbulent parameters, i.e. friction velocity(${\mu}$$\_$*/), convective velocity scale($\omega$$\_$*/) and Monin-Obukhov length scale(L) for the purpose of the performance increasing on the case of the unstable atmospheric conditions. And the PDF (Probability Density Function)model was used to express the vertical dispersion characteristics and the profile method was used to calculate the turbulent characteristics. And the performance assessment was validated between APSM and EPA regulatory models(TEM, ISCST), tracer experiment results. There were very good performance results simulated by APSM than that of TEM, ISCST in the short distance (<1415 m) from the source, but increase the simulation error(%) to stand off the source in others. And there were differences in comparison with the lateral dispersion coefficient($\sigma$$\_$y/) which was represent the horizontal dispersion characteristics of a air pollutant in the atmosphere. So the different calculation method of $\sigma$$\_$y/ which was extrapolated from a different tracer experiment data might decrease the simulation performance capability. In conclusion, the air pollution simulation model showed a good capability of predict the air pollution which was composed of the turbulent parameters compared with the results of TEM and ISCST for the unstable atmospheric conditions.