• 제목/요약/키워드: Time to operating room

검색결과 162건 처리시간 0.027초

사용자의 전기요금 부담 여부에 따른 여름철 냉방기 사용 특성의 비교 (A comparison of resident's behavior of operating air conditioner according to the charge for electric)

  • 권서현;최유림;전정윤
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2006년도 추계학술발표대회 논문집
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    • pp.301-305
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    • 2006
  • An electrical bill is one of the various factors that influence on energy use of residents. This study focused on electrical bills and searched that whether electrical bills affect resident behavior of operating air conditioner and their controlled indoor climate. We surveyed two groups for field study ; the one is residents who live in a studio apartment in Seoul and they are charged for electric as energy consumption they used, and the other is residents who live in a university dormitory and they are not charged for their energy consumption. We measured how long they used the air conditioner for cooling, on/off temperature of air conditioner and room temperature for these two groups. Residents were interviewed about their cooling needs, decisions about when to turn on their air conditioner and so on. We found that dormitory group has much amount of time used the air conditioner than studio apartment group and there are differences of room temperature between two groups when they turn on or off air conditioner. The result shows that perception of money affects resident behavior of operating air conditioner and their acceptable thermal range.

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수술실 근무자의 업무수행 관련 근골격계 부담정도와 통증에 대한 연구 (A Study on Musculoskeletal Symptom and Pain related to Working Posture of Operation-Room Workers.)

  • 김지연;정애화
    • 한국산학기술학회논문지
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    • 제11권8호
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    • pp.2906-2916
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    • 2010
  • 목적 : 본 연구는 수술실 근무자들을 대상으로 작업 관련성 근골격계 부담정도와 통증에 대한 상태를 파악 하고자 실시하였다. 방법: 수술실 근무자 73명을 대상으로 설문조사와 동영상 촬영을 통하여 수술실 근무자의 작업 평가를 REBA 이용하여 인간공학적 작업분석을 실시하였다. 결과: REBA로 측정한 수술실 근로자들의 근골격계 부담정도와 근골격계 통증 정도는 상당히 높은 상태였으며 이것은 조치수준 2에 해당되며 '대상자에게 어떠한 조치가 필요하다'는 것을 의미한다. 또한 대상자 대부분이 주 3~4회 통증을 경험하고, 다리, 목, 어깨에서 심한 통증을 경험하는 것으로 조사되었다. 대상자의 일반적 특성과 통증간의 유의한 결과를 나타내는 변수로는 성별, 연령, 결혼상태, 체중, 과거직장 경험, 하루 평균 근무시간, 근무형태, 근무부서에서 유의한 관계가 있었다. 결론: 수술실 근로자는 작업과 관련하여 높은 근골격계 부담과 심한 근골격계 통증을 경험하고 있으며, 이로 인해 근골격계 질환의 가능성이 높은 것으로 나타났다.

종합병원 간호사들의 요통 관련요인 (Risk Factors of Low Back Pain in General Hospital Nurses)

  • 김순례;오재민
    • 지역사회간호학회지
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    • 제9권1호
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    • pp.213-222
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    • 1998
  • The prevalence rate of low back pain in nurses is higher than that of other jobs, because there are many more risk factors(for example, standing postures, lifting and carrying heavy loads, transfering patients, changing a patient's position etc.). This investigation is to provide basic data for prevention of low back pain by analyzing the prevalence rate and related factors of low back pain in nurses(esp. operating room staff) in general hospitals. A self-reported questionaire survey was carried out on three hundred and five nurses of three general hospitals in Seoul from June, 1996 to August, 1996. Subjects of the survey were divided into a low back pain group(LBP) and a cotrol group to investigate the association between low back pain and the general characteristics and work related factors of each group. The results were as follows: 1. In the subjects of the survey, the prevalence rate of low back pain was 60.0% for the last year. 2. 73.6% of operating room(OR) staff complained of low back pain. 3. Standing for a long time and working in twisting postures were associated with low back pain, and so were the shift, the type of work, and the frequency of transfering patients. 4. The weight loads which nurses frequently carried were, under 5kg, 5-10kg, 15-20kg, 15-20kg, over 20kg, and all, except for 10-15kg, were associated with LBP. 5. 76.9% of the LBP experienced low back pain within 3 years after starting nursing jobs. 6. Concerning the degrees of low back pain: 75.8% was limited to waist; 18.8% reached the knees; 4.2% reached ankles. In conclusion, the prevalence rate of low back pain in general hospital nurses was associated with the works in operating room and other work related factors, therefore it is necessary to develop on educational program for the prevention of low back pain as well as and to improve working environments.

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작동 횟수에 따른 연소기 산화제 개폐밸브 작동 특성 (Operating Characteristics of a Main Oxidizer Shut-off Valve According to Operating Times)

  • 홍문근
    • 한국추진공학회지
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    • 제24권5호
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    • pp.77-83
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    • 2020
  • 본 논문에서 연소기 산화제 개폐밸브의 작동 특성 변화를 확인하기 위해 극저온 및 상온 작동 시험으로 이뤄진 밸브 내구성시험 내용과 함께 시험 결과를 소개하였다. 극저온 및 상온 내구성시험을 통해 밸브 작동 횟수와 상관없이 밸브의 작동 특성이 매우 안정적으로 유지되는 것을 확인하였다. 밸브 작동 특성을 대표하는 주요 압력 측정값과 마찰력 및 스프링 예측값이 밸브 내구성시험 내내 대략 최대 ±3% 이내 수준에서 동일하게 측정되었으며, 연소기 산화제 개폐밸브의 이와 같은 안정적인 밸브 작동 특성은 해당 밸브가 적용되는 엔진의 안정적인 시동 및 종료를 위한 중요한 역할을 할 수 있을 것으로 기대한다.

Treatment of a penetrating inferior vena cava injury using doctor-helicopter emergency medical service and direct-to-operating room resuscitation in Korea: a case report

  • Dongmin Seo;Jieun Kim;Jiwon Kim;Inhae Heo;Jonghwan Moon;Kyoungwon Jung;Hohyung Jung
    • Journal of Trauma and Injury
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    • 제37권1호
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    • pp.74-78
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    • 2024
  • Inferior vena cava (IVC) injuries can have fatal outcomes and are associated with high mortality rates. Patients with IVC injuries require multiple procedures, including prehospital care, surgical techniques, and postoperative care. We present the case of a 67-year-old woman who stabbed herself in the abdomen with a knife, resulting in an infrarenal IVC injury. We shortened the transfer time by transporting the patient using a helicopter and decided to perform direct-to-operating room resuscitation by a trauma physician in the helicopter. The patient underwent laparotomy with IVC ligation for damage control during the first operation. The second- and third-look operations, including previous suture removal, IVC reconstruction, and IVC thrombectomy, were performed by a trauma surgeon specializing in cardiovascular diseases. The patient was discharged without major complications on the 19th postoperative day with rivaroxaban as an anticoagulant medication. Computed tomography angiography at the outpatient clinic showed that thrombi in the IVC and both iliac veins had been completely removed. Patients with IVC injuries can be effectively treated using a trauma system that includes fast transportation by helicopter, damage control for rapid hemostasis, and expert treatment of IVC injuries.

수술환자의 욕창예측변수에 관한 연구 (Predicting Risk Factors for Pressure Sores in Patients Undergoing Operations ; A Prospective Study)

  • 박순미;전성숙
    • 기본간호학회지
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    • 제6권2호
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    • pp.267-276
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    • 1999
  • The purpose of this study was to identify risk factors predictive of alterations in skin integrity during the intraoperative period. The predictive risk factors were studied for intraoperative pressure sores from December 1998 through January 1999. A sample of 220 patients was selected from the operating room schedule of a University Hospital in Pusan. There were two criteria in including patients : the operation lasted longer than 2 hours and the absence of skin break-down according to NPUAP criteria. The data were analized by SPSS/PC, Stepwise multiple logistic regression was used to identify the variables which were predictive of alterations in skin integrity. Of the 220 patients studied, 41 patients (18.6%) developed stage 1 pressure sores in the immediate postoperative period. In relation to skin changes, three independent variables emerged from the stepwise multiple logistic regression as being significant (p<0.05). Factors predictive of pressure sore formation included low serum albumin(p=0.000), prone position while undergoing surgery(p=0.0004), time on the operating table(p=0.0165). Among the intrinsic factors, serum albumin was the most significant causal factor in pressure sores development in the intra-operative period. Pressure and shearing force were the most significant extrinsic factors in pressure sores development. From the results of this study we concluded that the primary nursing goal is the maintenance of the proper patient' position during the intraoperative period. Also imperative for sore prevention is the reduction of surgery time and improving preoperative nutritional status.

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수술환자에 있어 수술실내에서 수술대기 시간이 불안에 미치는 영향에 관한 연구 (A Study of The Effect of Waiting time for Operation in the Operating Room on Preoperative Patients)

  • 이혜원;이규정;김해옥;이해옥;김혜숙;이미경;송말순
    • 대한간호
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    • 제29권3호
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    • pp.36-48
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    • 1990
  • This study was attempted to provide us with basic information on how to improve understanding with patients for operation, and to offer then better nursing and treatment. This kind of study will help scientific application to nursing practice and operating room. The data was collected by interviewing 29 patients who underwent the elective surgery under the general anesthesia at Y hospital in Seoul. The interview ran from October 15 to December 15, 1989. The research instrument was a anxiety measurement device (SAAI) originally developed by Spielberger, et al and modified by Jung-Tack Kim. 1. Hypothesis Testing Hypothesis one was that there would be a difference in state anxiety level according to a time difference in watiting for operation. This hypothesis was rejected(state.anxiety level one hour before operation P>.05, r-.747, State anxiety level half an hour before operation P>.05, r-.1550, state anxiety level just before operation, P>.05, r=.1099). However, state anxiety, evel appeared to be associated with a longer watiting period, like one day before operation (P<.05, r-.4628). Hypothesis two was that there would be a difference according to state anxiety level of patients for operation. This was rejected. (Change of blood perssure in systolie P>.05 r=.1082, Change of blood pressure in diastolic P>.05, r=.088, Change of pulse rate, P>.05, r-1.909) 2. Examining trait anxiety and state anxiety levels, the average level of trait anxiety was 42.034, and the average level of state anxiety one day before operation was 43,000. The average level of state anxiety was averaged 42.356 in a waiting room for operation. 3. Examining the state anxiety level by time period, the one hour before was 42.379 the level half an hour before 42.276, and the level just before operation 42.414. The low level of state anxiety was due to the fact that premedication was not eliminated. 4. Age and time period like one day before operation was related to state anxiety level (F=5.271, P<.0.01) and blood pressure in waiting room for operation. That is, state anxiety level and blood pressure of patients one day before operation appeared high. Sex was relation to changes of blood pressure ; the blood pressure of male patients appeard higer than of female patients. A marital status was also related anxiety level one hour before operation the married patient for operation showed a higher state anxiety level than that of the unmarried patient for operation. Education was similarily related to trait anxiety level in which highly educated patients show lower levels of trait anxiety than poorly educated ones. Motive for hospitalization was related to state anxiety level for patient one hour before operation (F=6.464, P<.05) likewise, patients who are supposed to undergo operation hastily showed higher levels of anxiety than patients who expect elective surgeries.

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하악골 재건을 위한 가상수술계획 시스템 (Virtual Surgical Planning System for Mandible Reconstruction)

  • 김한나;김영준;조현철;심응준;이득희;김래현;박세형;이정우
    • 한국CDE학회논문집
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    • 제21권2호
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    • pp.196-203
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    • 2016
  • In this paper, we propose a virtual surgical planning system specialized to mandible reconstruction surgery. Mandible reconstruction surgery is one of the most difficult surgeries, even for experienced surgeons. Compared to the traditional surgical procedures, virtual surgical planning can reduce the operation time in operating room while expecting better surgical outcome with optimized planning. However, with existing software systems, it requires much time and manual operations in virtual surgical planning. To reduce preparation time and improve accuracy of virtual surgical planning, we have developed optimized functions for virtual surgical simulation of mandible reconstruction with user-friendly interface. We found that the proposed system shortened the preparation time by half compared to the existing system from the experiments. The proposed system supports surgeons to make accurate plan faster and easier. The virtually planned results are used to make surgical cutting guide by 3D printing, and this will enhance surgical performance in operating room.

보일러 헤더 기동시의 탄성 크리프 해석에 의한 열응력 평가 (Thermal Stress Evaluation by Elastic-Creep Analysis during Start-up of Boiler Header)

  • 신규인;윤기봉
    • 한국안전학회지
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    • 제24권2호
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    • pp.17-22
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    • 2009
  • Thermal stress and elastic creeping stress analysis was conducted by finite element method to simulate start-up process of a boiler header of 500MW standard fossil power plant. Start-up temperature and operating pressure history were simplified from the real field data and they were used for the thermal stress analysis. Two kinds of thermal stress analysis were considered. In the first case only temperature increase was considered and in the second case both of temperature and operating pressure histories were considered. In the first analysis peak stress was occurred during the temperature increase from the room temperature. Hence cracking or fracture may occur at the temperature far below the operating maximum temperature. In the results of the second analysis von Mises stress appeared to be higher after the second temperature increase. This is due to internal pressure increase not due to the thermal stress. When the stress components of radial(r), hoop($\theta$) and longitudinal(z) stress were investigated, compression hoop stress was occurred at inner surface of the stub tube when the temperature increased from room temperature to elevated temperature. Then it was changed to tension hoop stress and increased because of the operating pressure. It was expected that frequent start-up and shut-down operations could cause thermal fatigue damage and cracking at the stub tube hole in the header. Elastic-creeping analysis was also carried out to investigate the stress relaxation due to creep and stabilized stress after considerable elapsed time. The results could be used for assessing the creep damage and the residual life of the boiler header during the long-tenn service.

수술실간호사의 직무수행과 피로에 관한 연구 (A Study On the Operating Room Nurses' Performances of Duties and Their Fatigue)

  • 박정숙
    • 한국직업건강간호학회지
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    • 제6권2호
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    • pp.110-127
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    • 1997
  • The aim of this study is to present the basic datum for the promotion of effectiveness and improvement of nursery tasks, by grasping the situation of operating room nurses tasks and the degree of their fatigue. For these researches, 70 nurses out of the operating rooms of 3 university-affiliated hospitals-two in Seoul and one in Pusan, were chosen at random by a non-probability sampling method. These researches were done from April 14 to April 26 in 1997 by questionairing method. The questionaire was composed of 30 items, which asks the examinees of their physical, mental, and neurosensory symptoms, with 10 items respectively. The reliability of the research instrument was turned out very high with Cronbach's ${\alpha}=.9376$. The datum were electronically processed using Statistics Program for Social Sciences(SPSS). The analysis of datum in this study has a general character, in which the demosociological character and the special ex-officio character was calculated by frequency and percentage. The situation of tasks in operating rooms was calculated by frequency and percentage. The fatigue of operating room nurses was calculated by average and standard deviation. To compare the fatigue with regard to the character of operating room nurse's tasks, t-test and F-test(ANOVA) were used after the character of variations, and the variations at the level of P<.05 which might have some meaning was verified after the fact with Duncan's Multiple Range(DMR). The results of this research are as follows : 1) The nurses working in operating rooms show their fatigue in three fields-in Group I physical symptoms 3.28, in Group III neurosensory symptoms 2.85, and in Group II mental symptoms 2.73, which shows I Dominant type (general type). 2) They complain, in Group I they are "feeling the heavy legs," 3.28 and in Group II they "occasionally forget soon what to do," 3.09. and in Group III, they "feel lumbago," 3.47, which is the highest rate of the three. The highest rate results from the character of their tasks, in which they have to move rapidly the heavy appliances and do their jobs standing many hours, especially wearing heavy radiation protector. 3) As to transportation, subway using group feel the greatest fatigue, 3.18(F=4.315, P=.008). 4) As to department, nurses in the orthopedic's surgery part feel the greatest fatigue, 3.26(F=2.040, P=.050). 5) As to the change of physical symptoms, the group answering that they found physical abnormality after working in operating rooms show the greatest fatigue, 3.12(t=-3.13, P=.003). 6) At to the general circumstances, the group answering that they receive insufficient consideration on their physical abnormality in their department, show the greatest fatigue, 3.10(F=3.200, P=0.47). 7) As to the relation with superior officers, the group answering that their superior officer has an impetuous temperament, show great fatigue, 3.11(F=4.855, P=.011). 8) As to the time of feeling fatigue, the fatigue reaches the highest point 1~2 hours after operations, 3.04(F=2.703, P=.046). 9) When they feel fatigue after scrub nurse duties, they feel the greatest fatigue 2 hours after the duties, 3.09( F=2.841, P=.038). 10) As to the operation instruments, when they use complex instruments borrowing from the outside in addition to the basic instruments, their fatigue becomes the greatest, 3.09(F=7.831, P=.000). 11) As to the kind of operation, when they participate in orthopedic's surgery operations, they feel the greatest fatigue, 3.18(F=4.362, P=.000). With the above results, it is proved that the degree of operating room nurses' fatigue is considerably high. So it may be concluded that the measure for lessening the fatigue should be find immediately, not on the level of personal matters but on the level of hospital nursing administration.

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