• 대한방사선기술학회지:방사선기술과학
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• 제43권5호
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• pp.343-351
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• 2020

This study analyzed dose reduction and quality of images through dose reduction tools and shielding board to protect sensitive eye lens in radiation during orbit CT examinations for clinical data use. During CT scans of the phantom, surface dose (CT scanner dosimetry phantom, ion chamber-3 times) and quality of image (radiosurgery head phantom, visual assessment-2 times, HU standard deviation) were evaluated using X-care which is dose reduction tools and bismuth shielding board. The results of experiments of eight conditions showed a relatively reduced dose in all other conditions compared to when no conditions were set. In particular, the area corresponding to the ophthalmic part reduced the surface dose by up to 45.7 %. The visual evaluation of images by specialists and the quality evaluation of images analyzed by HU standard deviation were clinically closest to the use of X-care and shielding board (1 cm in height). Therefore, it is believed that the use of shielding board in a suitable location with dose reduction tools while investigating the optimal radiation dose will reduce the exposure dose of sensitive lens at radiation while maintaining the quality of the images with high diagnostic value.

• 성인간호학회지
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• 제24권5호
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• pp.509-519
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• 2012

Purpose: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients. Methods: Data were collected from medical records of patients who received intubation in a medical intensive care unit. One hundred eighteen patient charts were selected for the study. The Patient Severity Classification Scale and unplanned extubation risk factors were examined. Data were analyzed with descriptive statistics, $x^2$-test, Fisher's exact test and Mann-Whitney U test. Results: The incidence of unplanned extubation was 11 (9.32%) out of 118 patients who had undergone intubation. There were statistically significant differences between the unplanned extubation and work shift ($x^2$=61.52, p=.001), ventilation mode (p=.001), number of days of ventilator application (U=366.00, p=.038) and administration of sedatives (p=.025). Conclusion: Unplanned extubation is affected by the following variables: a) whether a nurse is in night shift, b) whether ventilation is mandatory, c) duration of ventilation use and d) administration of sedatives.

• 대한방사선기술학회지:방사선기술과학
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• 제41권3호
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• pp.249-254
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• 2018

In this study, we evaluated the DAP(Dose Area Product) reduction effect of the newly developed IRIS collimator by measuring the DAP of the Rectangle collimator and the IRIS collimator depending on the field, SID(Source to Image recpetor Distance) change, and AEC mode use. The results were as follows. The IRIS collimator decreased DAP by 34.91, 29.33, and 29.04%, respectively, compared to the Rectangle collimator when the field was increased to $8{\times}8$, $12{\times}12$, $16{\times}16inch$. And also, when the SID was increased to 100, 120 and 140 cm, the IRIS collimator decreased DAP by 10.73, 33.68 and 46.22%, respectively, compared to the Rectangle collimator. In AEC mode and none-AEC mode, DAP in IRIS collimator was reduced by 32.71 and 21.69%, respectively, compared with the Rectangle type. The IRIS collimator can reduce DAP by 29.62% on average compared to Rectangle type, which is statistically significant. These results suggest that the newly developed IRIS collimator can be used in medical field to alleviate radiation exposure.

• 한국공간구조학회논문집
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• 제4권4호
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• pp.99-111
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• 2004

An exact solution procedure is formulated for the free vibration and buckling analysis of rectangular plates having two opposite edges simply supported when these edges are subjected to linearly varying normal stresses. The other two edges may be clamped, simply supported or free, or they may be elastically supported. The transverse displacement (w) is assumed as sinusoidal in the direction of loading (x), and a power series is assumed in the lateral (y) direction (i.e., the method of Frobenius). Applying the boundary conditions yields the eigenvalue problem of finding the roots of a fourth order characteristic determinant. Care must be exercised to obtain adequate convergence for accurate vibration frequencies and buckling loads, as is demonstrated by two convergence tables. Some interesting and useful results for vibration frequencies and buckling loads, and their mode shapes, are presented for a variety of edge conditions and in-plane loadings, especially pure in-plane moments.

• Coupled systems mechanics
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• 제12권6호
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• pp.503-517
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• 2023

Standard Digital Volume Correlation (DVC) approaches are based on pattern matching between two reconstructed volumes acquired at different stages. Such frameworks are limited by the number of scans (due to acquisition duration), and time-dependent phenomena can generally not be captured. Projection-based Digital Volume Correlation (P-DVC) measures displacement fields from series of 2D radiographs acquired at different angles and loadings, thus resulting in richer temporal sampling (compared to standard DVC). The sought displacement field is decomposed over a basis of separated variables, namely, temporal and spatial modes. This study utilizes an alternative route in which spatial modes are con-structed via scan-wise DVC, and thus only the temporal amplitudes are sought via P-DVC. This meth-od is applied to a glass fiber mat reinforced polymer specimen containing a machined notch, subjected to in-situ cyclic tension, and imaged via X-Ray Computed Tomography. Different temporal interpolations are exploited. It is shown that utilizing only one DVC displacement field (as spatial mode) was sufficient to properly capture the complex kinematics up to specimen failure.

• Tuberculosis and Respiratory Diseases
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• 제63권5호
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• pp.423-429
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• 2007

연구배경: 급성폐손상과 급성호흡곤란증후군 대상자에서 폐포모집술의 적절한 방법에 대해서는 정해진 것이 없다. 이 연구를 통해 폐포모집술들 중 압력조절환기법을 이용한 폐포모집술의 효과와 안정성을 확인하고자 하였다. 방 법: 급성폐손상 및 급성호흡곤란증후군에 해당하는 대상자들을 대상으로 압력조절환기 방식에서 $30cmH_2O$의 흡입압력과 $20cmH_2O$의 호기말양압으로 2분 동안 폐포모집술을 시행하였다. 동맥혈 산소분압, 정맥혈 산소포화도, 혈압과 맥박, 중심정맥압, 폐탄성, 호기말양압, 흉부 X-ray를 시술 전 후로 확인하였다. 결 과: 16명의 대상자들 중에서, 3명은 폐외 급성폐손상 및 급성호흡곤란증후군 대상자였고 나머지 13명은 폐내 급성폐손상 및 급성호흡곤란증후군 대상자였다. 평균 나이는 $61.0{\pm}11.8$세였고, 평균 APACHE II score는 $21.6{\pm}11.9$이었으며, SAPS score는 $44.6{\pm}14$이었다. 폐포모집술 시행 전, 평균 호기말양압은 $11.3{\pm}1.5mmHg$이었으며 평균 동맥혈산소분압/흡입산소분율은 $130.3{\pm}60.2$이었다. 폐포모집술 시행 20분 후, 동맥혈산소분압/흡입산소분율의 비를 측정하여 50% 이상 상승한 경우를 반응군으로 50% 이하로 상승하거나 감소한 경우를 비반응군으로 분류하였다. 8명의 대상자들은 반응군이었고 8명의 대상자들은 비반응군이었다. 두 군간의 인구학적인 특성과 기계호흡의 패턴, APACHE II score, SAPS score, 동맥혈산소분압/흡입산소분율과 혈역동학적 특성 사이에는 차이가 없었다. 폐포모집술 이후, 동맥혈산소분압/흡입산소분율의 비는 상승하였다(p<0.001). 그 최대치는 폐포모집술 이후 60분에서 관찰되었다. 동맥혈 이산화탄소분압은 상승하는 경향을 보였다(p=0.05). 폐포모집술 전 후의 평균동맥압의 차이는 없었다(p=0.08). 기흉 등의 압력 손상에 의한 합병증은 없었으며, 단 한 예에서만 혈압 저하로 인해 폐포모집술을 중단하였으나 수액 공급 후 바로 회복되었다. 결 론: 본 연구를 통해서, 압력조절환기를 이용한 폐포모집술은 급성폐손상 및 급성호흡곤란증후군 대상자에서 산소화의 개선을 보였다. 또한 혈역학적 부작용은 거의 없었으며 고압력에 의한 합병증은 없었다. 따라서 압력조절환기를 이용한 폐포모집술은 폐보호전략과 더불어 임상적인 유용성과 안전성이 있을 것으로 기대된다.