• 제목/요약/키워드: compliance control

검색결과 692건 처리시간 0.029초

중심정맥관 번들이행에 따른 중심정맥관 균집락과 중심정맥관 관련 혈류감염: CHG테가덤과 일반테가덤 드레싱비교연구 (The Incidences of Catheter Colonization and Central Line-Associated Bloodstream Infection According to Tegaderm vs. Chlorhexidine Gluconate (CHG)-Tegaderm Dressing)

  • 김은지;이해정
    • 대한간호학회지
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    • 제50권4호
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    • pp.541-553
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    • 2020
  • Purpose: In spite of the recent application of a general infection control method, central line-associated infections is still relatively high in Korea. Central line bundle with Chlorhexidine gluconate (CHG) tegaderm dressing was reported to be effective in reducing catheter colonization and central line-associated bloodstream infections (CLABSI). Therefore, this study aimed to examine the incidences of catheter colonization occurrence and CLABSI while using Tegaderm vs. CHG Tegaderm dressings. Methods: We used a descriptive design. 400 patients who had central venous catheters were selected from four hospitals in the Korean National Healthcare-associated Infections Surveillance System. Of all subjects, 200 used Tegaderm™ (Tegaderm group), and the remaining 200 used CHG Tegaderm (CHG Tegaderm group) dressing at the catheter insertion site. Data were analyzed using the χ2 test or Fisher's exact test, t-test, and logistic regression analysis using SPSS WIN 21.0. Results: In the Tegaderm and CHG Tegaderm groups, CLABSI incidences were 5.89 and 1.79 per 1,000 catheter-days, catheter colonization incidences were 3.93 and 1.43 per 1,000 catheter-days, and central line bundle compliance rates were 26.0% and 49.0%, respectively. Catheter colonization risk factors were 'reinsertion after failure' and 'Tegaderm dressing' at the central line insertion site. CLABSI risk factors were 'incomplete performance of 7 central line bundle items' and 'Tegaderm dressing' at the central line insertion site. Conclusion: A further prospective study is needed to examine the effects of central line bundle with CHG Tegaderm dressing, avoiding central line reinsertion after failure, and improving the bundle compliance in reducing catheter colonization and CLABSI.

물고기 로봇 개발을 위한 유연한 꼬리 지느러미 관절의 강성에 따른 최대 추력 조건 연구 (Maximum Thrust Condition by Compliant Joint of a Caudal Fin for Developing a Robotic Fish)

  • 박용재;정우석;이정수;권석령;김호영;조규진
    • 제어로봇시스템학회논문지
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    • 제18권2호
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    • pp.103-109
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    • 2012
  • Fish generates large thrust through an oscillating motion with a compliant joint of caudal fin. The compliance of caudal fin affects the thrust generated by the fish. Due to the flexibility of the fish, the fish can generate a travelling wave motion which is known to increase the efficiency of the fish. However, a detailed research on the relationship between the flexible joint and the thrust generation is needed. In this paper, the compliant joint of a caudal fin is implemented in the driving mechanism of a robotic fish. By varying the driving frequency and stiffness of the compliant joint, the relationship between the thrust generation and the stiffness of the flexible joint is investigated. In general, as the frequency increases, the thrust increases. When higher driving frequency is applied, higher stiffness of the flexible joint is needed to maximize the thrust. The bending angles between the compliant joint and the caudal fin are compared with the changes of the thrust in one cycle. This result can be used to design the robotic fish which can be operated at the maximum thrust condition using the appropriate stiffness of the compliant joint.

공압인공근육을 이용한 조작기 위치의 강인제어 (Robust Control of the Position of a Manipulator Using Pneumatic Artificial Muscle)

  • 박노철;양현석;박영필
    • 대한기계학회논문집A
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    • 제20권6호
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    • pp.1882-1892
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    • 1996
  • This paper is concerned with the position control of the ond degree-of freedom manipulator using pneumatic artificial muscle actuator which is built to have a proper compliance. For t his pneumatic artificial muscle actuator though, it is difficult to make an effective control scheme due to the nonlinearity and uncertainties on the dynamics of the actuator. In this paper, a third-order equation of motion is derived for the actuator including the dynamics of the pneumatic servovalve. Later, various modeling uncertainties due to the nonlinearity and unmodeled dynamics of the servo vlave and the actuator are taken care of, as a trade-off between the closed-loop performance of the controlled system and its robustness to uncertainties. A controller using .mu. synthesis thchnique is designed, and robust performance against measurement noise, various modeling uncertainties due to the dynamics of the servo valve and actuator is achieved. The effectiveness of the proposed control methods is illustrated through simulations and experiments.

단일물체 조작을 위한 두 협조 로봇의 협조제어 (A Coordination Control Methodlolgy for Two Cooperating Arms Handling a Single Object)

  • 여희주
    • 제어로봇시스템학회논문지
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    • 제6권2호
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    • pp.190-196
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    • 2000
  • A hybrid position/force control scheme to regulate the force and position by dual arms is proposed where two arms are treated as one rm in a kinematic viewpoint. The force error calculated from the information of two force/torque sensors attached to the end of each arm is transferred to minimum configuration space coordinates and then is distributed to total system joint coordinates, The position adjustment at the total con-figuration coordinates is computed based on the effective compliance matrix with respect to total joint coordinates which is obtained by coordinate transformation between the task coordinates and the total joint coordinates. The proposed scheme is applied to sawing task. When the trajectory of the saw is planned to follow a line in a horizontal plane 2 position parameters are to be controlled(i.e., two translational positions) Also a certain level of contact force has to be controlled along the vertical direction(i.e. minus z-direction) not to loose the contact with the object to be sawn. We experimentally show that the performance of the velocity and force response are satisfactory. The proposed hybrid control scheme can be applied to arbitrary two cooperating arm system regardless of their kinematic structure and the number of actuated joints.

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당뇨병환자의 지속적 자가 혈당관리에 따른 혈당조절의 효과 (Effects on Glycemic Control by Continuous Self Monitoring of Blood Glucose in Diabetic Patients)

  • 장경화;권명순
    • 가정∙방문간호학회지
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    • 제17권2호
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    • pp.104-111
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    • 2010
  • Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.

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Approach towards qualification of TCP/IP network components of PFBR

  • Aditya Gour;Tom Mathews;R.P. Behera
    • Nuclear Engineering and Technology
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    • 제54권11호
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    • pp.3975-3984
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    • 2022
  • Distributed control system architecture is adopted for I&C systems of Prototype Fast Breeder Reactor, where the geographically distributed control systems are connected to centralized servers & display stations via switched Ethernet networks. TCP/IP communication plays a significant role in the successful operations of this architecture. The communication tasks at control nodes are taken care by TCP/IP offload modules; local area switched network is realized using layer-2/3 switches, which are finally connected to network interfaces of centralized servers & display stations. Safety, security, reliability, and fault tolerance of control systems used for safety-related applications of nuclear power plants is ensured by indigenous design and qualification as per guidelines laid down by regulatory authorities. In the case of commercially available components, appropriate suitability analysis is required for getting the operation clearances from regulatory authorities. This paper details the proposed approach for the suitability analysis of TCP/IP communication nodes, including control systems at the field, network switches, and servers/display stations. Development of test platform using commercially available tools and diagnostics software engineered for control nodes/display stations are described. Each TCP link behavior with impaired packets and multiple traffic loads is described, followed by benchmarking of the network switch's routing characteristics and security features.

Nitric Oxide 및 Sphingosine 1-phosphate가 말초 호흡 단위에 미치는 영향의 생체 내 분석: 백서의 급성 폐 손상 모델에서 생체 접촉 현미경을 이용한 연구 (The Effects of Nitric Oxide and Sphingosine 1-phosphate on the Pulmonary Microstructure in a Rat Model of Acute Lung Injury: An Intravital Videomicroscopic Approach)

  • 이재익;전상훈;성숙환;김주현
    • Journal of Chest Surgery
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    • 제41권2호
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    • pp.177-188
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    • 2008
  • 배경: 이 연구에서는 급성 폐 손상 백서 모델에 nitric oxide (NO)와 sphingosine 1-phosphate (S1P)를 투여한 후, 폐 미세구조의 변화를 생체 접촉 현미경 (intravital videomicroscopy) 으로 생체 내에서 직접 관찰하고 형태학적으로 분석하여, 급성 폐 손상 치료법으로서 이들의 효과를 평가하고자 하였다. 대상 및 방법: 백서 (Sprague Dawley rat) 35마리를 5군으로 나누었다: 생리 식염수를 흡입시킨 대조군 (n=7), 0.1 N HCl을 흡입시켜 폐 손상을 유도한 폐 손상 대조군 (ALI 군, n=7), 폐 손상을 유도하고 치료제를 투여한 치료군 (S1P군, n=7; NO 군, n=7; S1P+NO군, n=7). 폐포 유순도와 간질성 부종의 정도를 평가하기 위해, 폐 손상 유도 후 60 분과 120분에 측정 가능한 모든 폐포와 폐포간 벽의 두께를 생체 접촉 현미경으로 측정하였다. 폐포 유순도는 호흡 주기에 따른 폐포 직경 변화와 일회 호흡량의 변화에 따른 직경 변화로 평가하였다. 결과: 폐 손상 유도 120분 후에, ALI 군의 폐포 유순도가 대조 군 (호흡 주기에 따른 변화 : ALI군 1.9% vs 대조군 6.5%, p=0.03; 일회 호홉량에 따른 변화: ALI군 3.2% vs 대조군 9.1%, p=0.003)과 NO군(일회 호흡량에 따른 변화: ALI군 3.2% vs NO군 16.9%, p=0.001)에 비해 의미 있게 감소하였다. 폐 손상 유도 120 분 후에, NO군의 폐포간 벽의 두께가 ALI군에 비해 작은 경향을 보였다 (ALI 군 $15.2{\mu}m$ vs NO군 $12.3{\mu}m$, p=0.06). S1P 단독으로는 폐포 유순도와 간질성 부종에 유의한 영향을 미치지 않았다. 결론: 백서 폐 손상 모델을 생체 접촉 현미경으로 관찰한 결과, NO는 폐포 유순도를 개선하고 간질성 부종을 감소시켜 폐 손상 정도를 완화시키는 것으로 사료된다.

A Simple Control Method for Opening a Door with Mobile Manipulator

  • Kang, Ju-Hyun;Hwang, Chang-Soon;Park, Gwi-Tae
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.1593-1597
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    • 2003
  • The home service robot supports human beings by performing various kinds of works at home. This paper presents a simple control method for opening a door from the viewpoint of the mobile manipulation. The simulation shows various results of path planning and motion planning for opening a door. The joint trajectories were generated by the simulation system. In general, a six-axis force/torque sensor at an end-effector is needed in order to maintain the static equilibrium of the manipulator. But we show another method. From three components of applied forces which was directly obtained by the three-axis force sensor and three components of applied forces which was indirectly estimated by the joint-torque sensors, all of joint torques that will exactly balance forces at the end-effector in the static situation can be found. It is more practical method than using a six-axis force sensor in a wrist. Experimental results have shown that the opening a door can be realized more effectively from the suggested control method of mobile manipulation.

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항만국 통제 지원 선박검사 정보시스템 개발에 관한 연구 (A Study on the Development of Information System for the Ship Survey to Support Port State Control)

  • 박주용;강병윤;이경철
    • 한국해양공학회지
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    • 제14권3호
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    • pp.100-105
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    • 2000
  • Port State Control (PSC) is the inspection of foreign ships in national ports for the purpose of verifying that the condition of the ships and its equipments comply with the requirement of international conventions and the ship is manned and operated in compliance with applicable international laws. On the other hand, check items in PSC are nearly similar to periodical survey of Classification Societies, because they have the same background regarding safety and maritime pollution prevention. The purpose of this study is to develope computer-aided information system for ship inspection item which is useful for effective implementation of Port State Control. For this work, the status of PSC is reviewed, and the related scheme of ship survey system in Classification Societies is investigated. On these bases, a computer software integrated database system and object-oriented technique is developed. The developed system is expected helpful to establish and maintain an effective system of Port State Control.

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항만국 통제 지원 선박검사 정보시스템 개발에 관한 연구 (A Study on the Development of Information System for the Ship Survey to Support Port State Control)

  • 박주용;강병윤;이경철;정진욱
    • 한국해양공학회:학술대회논문집
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    • 한국해양공학회 2000년도 추계학술대회 논문집
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    • pp.165-170
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    • 2000
  • Port State Control (PSC) is the inspection of foreign ships in national ports for the purpose of verifying th\ulcorner the condition of the ships and its equipments comply with the requirement of international conventions and the ship is manned and operated in compliance with applicable international laws. On the other hand, check items in PSC are nearly similar to periodical survey of Classification Societies, because they have the same background regarding safety and maritime pollution prevention. The purpose of this study is to develope computer-aided information systems for ship inspection item which is useful for effective implementation of Port State Control. For this work, the status of PSC is reviewed, and the related scheme of ship survey system in Classification Societies is investigated. On these bases, a computer software integrated database system and object-oriented technique is developed. The developed system is expected helpful to establish and maintain an effective system of Port State Control.

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