• 한국산학기술학회논문지
• /
• 제21권3호
• /
• pp.147-155
• /
• 2020

본 연구의 목적은 노인요양기관의 욕창발생 위험요인과 욕창예방 관리에 대한 내용을 비교. 분석하여 노인요양기관에 적합한 욕창예방 관리 방법을 위한 기초자료를 제공하고자 하였다. 본 연구는 체계적 문헌고찰과 포커스그룹 인터뷰를 활용한 혼합연구로 체계적 문헌고찰은 PRISMA(Preferred reporting items for systematic reviews) 지침에 따라 자료를 수집하고 분석하였으며, 포커스그룹 인터뷰는 노인요양기관에서 3년 이상 근무한 경력직 간호사를 대상으로 시행하였다. 쳬계적 문헌고찰은 2010년부터 2019년 6월까지 국내외에서 발표된 논문을 본 연구의 논문 선정기준에 따라 총 8편 논문이 선택하였다. 논문검색어는 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention','prevention', 'elderly', 'long term' 단어를 조합하여 검색하였다. 포커스그룹 인터뷰는 노인요양기관에 3년 이상 근무한 간호사를 대상으로 반 구조화된 설문지를 통해 내용분석을 하였다. 연구결과 노인요양기관의 경우 특히 체위변경과 압력 감소 장치를 적용한 중재가 욕창 예방관리에 중요한 중재임이 확인되었고 기관마다 표준화된 욕창간호 관리프로토콜 및 프로그램의 활용이 필요하다고 제시되었다. 본 연구는 혼합연구방법을 통해 욕창 예방관리 방법을 통합적으로 제시하였으며 특히 다학제간 협력이 노인요양기관의 중요한 이슈임이 확인되었다.

• 한국도로학회논문집
• /
• 제14권4호
• /
• pp.1-8
• /
• 2012

PURPOSES : Skid resistance on pavements plays an important role in reducing the risk of vehicle skidding on wet surface particularly. Almost 9.3 percent of traffic accidents were occurred under rainy condition and these are over-represented in terms of the severity of the crashes. Recently, unusual weather conditions referred widely as the intensified rainfalls justify the need of a systematic management of skid resistance. In this context, the study carried out the observational study on the skid resistance characteristics of different types of pavement with the time passage. METHODS : This study measured the skid resistance with Pavement Friction Tester at three times within five years. The skid resistance measurement has followed the method suggested by ASTM. RESULTS : As the main results under the scope of this study, skid resistance of asphalt concrete has not nearly reduced with time. On the contrary, skid resistance of cement concrete has been rapidly reduced with time though the highest resistance was gained at the early observation. Porous asphalt concrete shows a steady decrease of skid resistance with time, anyway, the reduction rate according to the increase of measurement speeds is relatively lower than the others. CONCLUSIONS : Based on our study, skid resistance of the pavement should be regarded as one of the pavement management system, so periodic measurement should be made to assure road safety as a whole.

• Korean Journal of Radiology
• /
• 제22권8호
• /
• pp.1397-1415
• /
• 2021

The use of pediatric cardiothoracic CT for congenital heart disease (CHD) was traditionally limited to the morphologic evaluation of the extracardiac thoracic vessels, lungs, and airways. Currently, the applications of CT have increased, owing to technological advancements in hardware and software as well as several dose-reduction measures. In the previously published part 1 of the guideline by the Asian Society of Cardiovascular Imaging Congenital Heart Disease Study Group, we reviewed the prerequisite technical knowledge for clinical applications in a user-friendly and vendor-specific manner. Herein, we present the second part of our guideline on contemporary clinical applications of pediatric cardiothoracic CT for CHD based on the consensus of experts from the Asian Society of Cardiovascular Imaging CHD Study Group. This guideline describes up-to-date clinical applications effectively in a systematic fashion.

• The Journal of Korean Physical Therapy
• /
• 제24권2호
• /
• pp.107-112
• /
• 2012

Purpose: In the present study, the degree of subjective pain in chronic low back pain patients through the course of six week of yoga low back pain exercise and lumbar extensor muscle strengthening training was analyzed, and a systematic and effective home exercise therapy program was proposed. Methods: For this study, we sampled 21 random patients with chronic low back pain who were receiving outpatient treatment at G Hospital Pusan, and conducted experiment for six weeks by applying yoga low back pain exercise+modalities (7) lumbar extensor muscle endurance exercise+ modalities (7) and modalities (7). To measure the degree of pain, the visual analogue scale (VAS) and Oswestry Low Back Pain Questionnaire were used. Pain was measured before the experiment and after six weeks. Results: Significant differences were observed between yoga, extensor muscle endurance exercise and modalities (VAS=0.00 Oswestry=0.00). The yoga and extensor endurance muscle exercise reduced low back pain by more than the modalities. Conclusion: This study will be used to develop a preventive and reduction method of LBP. Therefore, Yoga and extensor muscle endurance exercise are appropriate for use as a home program exercise to reduce low back pain in patients.

• 한국연소학회지
• /
• 제5권2호
• /
• pp.37-50
• /
• 2000

In the present study, a systematic chemical kinetic calculations were made to investigate the augmentation of $NO-NO_2$ conversion due to the addition of various hydrocarbons (methane, ethylene, ethane, propylene, propane) in the nonthermal plasma treatment. It is included in the present conclusion that the reaction between hydrocarbon and oxygen radicals induced by electron collision, is believed to be a primarily process for triggering the overall NO oxidation and the eventual NOx reduction. Upon the completion of the initiating step, various radicals (OH, $HO_2$ etc.) successively are produced by hydrocarbon decomposition form the primary path of $NO-NO_2$ conversion. When the initiating step is not activated, hydrocarbon consumption rate appeared to be very low, thereby the targeted level of NO conversion can only be achieved by the addition of more input energy. Present study showed ethylene and propylene to have higher affinity with O radical under all conditions, thereby both of these hydrocarbons show very fast and efficient $NO-NO_2$ oxidation. It was also shown that propylene is superior to ethylene in the aspect of NOx removal.

• 한국입자에어로졸학회지
• /
• 제13권2호
• /
• pp.43-52
• /
• 2017

Policy direction for the management of air quality in Korea has been on the reduction of the average concentrations of the criteria air pollutants such as sulfur dioxide and fine particles. However, recently, risk based management of air pollutants becomes an important issue. In this study, to develop an effective air quality management policy direction in Korea, (1) the fourth Multiple Air Toxics Exposure Study (MATES IV) carried out in the South Coast Air Quality Management District (SQAQMD) in the USA is reviewed and (2) the results are compared with in these in Seoul and (3) policy directions are suggested. It was found that (1) systematic integrated study comprising of measurement, modeling, emission inventory estimation, and risk assessment was essential to estimate the health risk of air pollutants reliably, (2) cancer risk of diesel particle was dominant over other air pollutants, and (3) health risk based emissions were different from amount based emissions. It was suggested that (1) reducing the exposure from hot spots might important to reduce health risk from air pollutants and (2) an integrated air quality management administration system is important for the efficient management of air pollution.

• 대한소아치과학회지
• /
• 제51권2호
• /
• pp.109-131
• /
• 2024

This review aims to examine safety concerns in pediatric dental care and underscore the need for comprehensive patient safety initiatives within the Korean Academy of Pediatric Dentistry. Drawing insights from the prevailing patient safety policies of the American Academy of Pediatric Dentistry, case reports, and systematic reviews, this review elucidates issues such as dental fires during sedation, ocular complications from local anesthesia, and surgical emphysema. This review highlights the significance of safety toolkits encompassing infection control, medical error reduction, dental unit waterline infection, and nitrous oxide safety in pediatric dental settings, underscoring the need to foster a safety culture. Furthermore, this study explores the curriculum for pediatric dentistry residency programs, emphasizing concepts such as high-reliability organizations and mortality and morbidity conferences. The study suggests the need for initiatives to enhance patient safety, including establishing safety committees, expanding reporting systems, policy development, and supporting research related to patient safety. In conclusion, this study underlines key messages, emphasizing the utmost priority of patient safety, acknowledging the inevitability of human error, promoting effective communication, and cultivating a patient safety culture. These principles are vital for advancing patient safety in pediatric dental care and improving outcomes among pediatric patients.

• 한국건설관리학회논문집
• /
• 제13권6호
• /
• pp.71-83
• /
• 2012

최근 행정중심복합도시와 혁신도시, 미군기지 이전사업을 중심으로 건설공사에서의 비용절감 및 품질향상, 기술개발 및 가치구현을 목적으로 기술제안입찰방식 적용이 확대되고 있다. 이로 인하여 기술제안입찰에서 중요 평가항목 중의 하나인 '생애주기비용 개선방안'에 대한 관심이 높아지고 있으며, 특히 건축물 생애주기비용에 대한 신뢰성 확보 및 객관적인 평가를 수행할 수 있는 방안을 마련하기 위해 노력하고 있다. 하지만 기술제안입찰에서의 생애주기비용 개선방안에 대한 적용사례의 부족, 원안에 대한 초기공사비의 왜곡, 불변가와 현재가의 혼재, 입찰업체간 산정기준의 모호성, 용어의 불명확성, 작성양식의 미흡 등의 문제점이 지적되고 있는 실정이다. 따라서 본 연구에서는 기술제안입찰에서의 평가항목 중 생애주기비용 개선방안에 대한 참여업체별 변별력을 확보하고 체계적인 생애주기비용 평가를 수행하기 위하여 작성지침 및 분석기준, 작성양식에 대한 개선방안을 제시하였다.

• 한방재활의학과학회지
• /
• 제27권3호
• /
• pp.81-93
• /
• 2017

Objectives The purpose of this study is to evaluate the effectiveness of Chuna therapy for primary dysmenorrhea. Methods Researchers searched on 7 electronic databases (Pubmed, National Digital Science Library, China National Knowledge Infrastructure, Wangfang med online, Korean Studies Information Service System, Research Information Sharing Service and Oriental medicine Advanced Searching Integrated System). The search included Korean, English, Chinese reports and there was no limit on the search period. All of randomized controlled clinical trials (RCTs) that used Chuna manual therapy for primary dysmenorrhea were selected. Results 27 RCTs met required condition. Meta-analysis showed positive results for Chuna manual therapy for primary dysmenorrhea in terms of therapeutic effects and reduction of symptom scores compared to west medicine, herbal medicine, acupucture and other treatments. Conclusions Above results showed that performing chuna is effective in treating dysmenorrhea. However, in some studies, there was no statistic significance between the experimental group and the control group. Also, according to Cochrane Risk of Bias (RoB) evaluation method, quality of the studies were not high enough. Since most of the materials were in Chinese, more high-quality clinical trials about Chuna therapy for primary dysmenorrhea are needed in Korea.

• Clinics in Shoulder and Elbow
• /
• 제21권3호
• /
• pp.120-126
• /
• 2018

Background: Treatment of distal humerus fractures in osteoporotic elderly patients is often challenging. For non-reconstructible fractures with open reduction and internal fixation, total elbow arthroplasty (TEA) is an acceptable alternative. However, the relatively high complication rates and lifelong activity restrictions make TEA less ideal for elderly or low-demand patients. Efforts to identify or develop alternate procedures that benefit relatively young, high-demand patients have resulted in increased interest in hemiarthroplasty. This systematic review reports the clinical outcomes of hemiarthroplasty for distal humeral fractures. Methods: We systematically reviewed the databases of PubMed, Ovid MEDLINE, and Cochrane Library. All English-language studies published before June 2017 were considered for possible inclusion. Search terms included 'distal humerus fracture' and 'hemiarthroplasty'. Studies reporting outcomes (and a minimum of 1 year clinical follow-up) in human subjects after hemiarthroplasty (Latitude system) for distal humeral fractures were assessed for inclusion. Patient demographics, clinical and radiographic outcomes, and complications were recorded, and homogenous outcome measures were analyzed. Results: Nine studies with a total of 115 patients met the inclusion criteria. Among the included studies, the weighted mean follow-up time was 35.4 months. Furthermore, the weighted mean of the postoperative range of motion ($107.6^{\circ}$ flexion-extension, $157.5^{\circ}$ for pronation-supination) and functional outcomes (Mayo elbow performance scores: 85.8, Disabilities of the Arm, Shoulder and Hand score: 19.6) were within the acceptable range. Conclusions: Our study indicates that hemiarthroplasty is a viable option for comminuted distal humerus fracture. Satisfactory functional outcomes were observed in most patients.