• 제목/요약/키워드: in-site test

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일반외과 환자의 환자위험지수에 따른 수술창상감염 발생률 (Surgical Site Infection Rates according to Patient Risk Index after General Surgery)

  • 이혜령
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.44-51
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    • 2002
  • Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

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환경요인에 의한 상수리나무와 신갈나무의 임지생산력 및 적지 추정 (Estimating Forest Site Productivity and Productive Areas of Quercus acutissima and Quercus mongolica Using Environmental Variables)

  • 신만용;성주한;천정화
    • 한국농림기상학회지
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    • 제14권2호
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    • pp.89-97
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    • 2012
  • 우리나라의 자생 활엽수종 중에서 상수리나무와 신갈나무는 분포면적이나 자원으로서의 잠재적 효용성을 고려할 때 매우 중요한 수종이다. 본 연구는 다양한 환경인자를 독립변수로 하는 상수리나무와 신갈나무의 지위지수 추정식을 개발하고, 이에 근거한 수종별 적지를 추정하기 위해 수행하였다. 본 연구에서 개발한 상수리나무와 신갈나무의 수종별 최종 지위지수 추정식은 모두 5~6개의 환경 인자에 의하여 지위지수를 추정하는 것으로 평가 되었다.수종별 지위지수 추정식에서 채택된 독립변수는 지형인자, 토양인자, 그리고 기후인자를 포괄하고 있어 임지생산력에 영향을 미치는 산림생태계의 특성을 비교적 잘 반영하고 있으며, 설명력을 나타내는 결정계수의 범위는 034~0.50인 것으로 나타났다. 이 결과는 임목의 생육에 다양한 입지조건과 생물환경 인자들이 복합적으로 작용하는 것을 고려하면 지위지수 추정에 큰 무리가 없는 것으로 평가된다. 이와 함께 본 연구에서 개발된 수종별 지위지수 추정식에는 그동안 반영하지 못하였던 기후인자를 독립변수에 포함시켰다는데 의의가 있다. 또한 본 연구에서는 수종별 지위지수 추정식에 근거하여 수종별 적지면적뿐만 아니라 적지의 공간적 분포를 파악하였다. 따라서 앞으로 기후변화시나리오에 따른 수종별 적지분포의 변화를 예측할 수 있는 정보로 활용될 수 있을 것으로 기대된다.

비계공사 안전기준 개정에 따른 현장적용 실태에 관한 연구 (A Study on the Actual Condition of Scaffolding Construction in Accordance with the Revision of Safety Standards)

  • 김자연;조윤희
    • 한국안전학회지
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    • 제35권4호
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    • pp.15-22
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    • 2020
  • Scaffolding works are demolished after this structure is completed, and safety accidents often occur because they are installed differently from legal standards or frequently change during work. Therefore, in order to strengthen the safety of scaffolding, the Ministry of Land, Infrastructure and Transport required a need for design standards for temporary facilities that can systematically prevent and solve large-scale safety accidents that are repeatedly increasing during temporary construction. It has been enacted, and some contents have been revised for the past three years. However, construction site personnel do not know or know the revised matters, but often install scaffolding by the installer's experience rather than complying with relevant laws and regulations. It is the situation that the ground strength test of the foundation ground for the load applied to the floor of the column is omitted in most sites. Therefore, this study grasped the actual situation on the degree of recognition of the revised laws and regulations of the construction site and the foundation-based treatment of the floor working load of the scaffolding column, and derived problems. In addition, we intend to provide reference materials for the endurance test according to the ground conditions to small-scale small sites where it is difficult to conduct the test by carrying out the endurance test of the scaffolding ground according to the revised standards.

전투차량 대표주행경로 선정을 위한 주행시험장 지형 특성 분석 기법 연구 (A Study on the Method of Analyzing the Topography Characteristics of the Main Maneuvering Test Site for the Selection of the Representative Drive Course of Combat Vehicles)

  • 김주희;최현호
    • 한국군사과학기술학회지
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    • 제24권3호
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    • pp.293-301
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    • 2021
  • LTV(Light Tactical Vehicle) operating in our military requires higher levels of performance and durability to withstand harsher conditions than general vehicles, as they must travel on both rough-train and off-road as well as on public roads. Recently, LTV development is demanded a variety of test evaluations in order to satisfy ROC (Required Operational Capability) by the military requirement. However, there is no informations of driving test course for satisfying the durability performance of Korean tactical vehicle. Therefore, this study aims to provide basic data to establish reliable drive test conditions by analyzing the main maneuvering test site at the domestic and foreign country in order to select the representative drive course. These studies will provide a more scientific and systematic evaluation solution for the development of tactical vehicles, and can be effectively used to establish a certified system for military vehicle test evaluation in the future

소형콘관입시험(Miniature CPT)의 국내현장적용 사례분석 (Case Studies on the Field Application of Miniature CPT's in South Korea)

  • 윤성수;황대진;김준오;지완구
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2010년도 추계 학술발표회
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    • pp.269-281
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    • 2010
  • The cone penetration test(CPT) has been increasingly used for in situ site characterization. However, the use of CPT is often limited due to specific site conditions depending on the cone size, geometry, and capacity of the CPT system used. In South Korea, it has generally been considered that the CPT could be satisfactorily performed only in soft soils. Louisiana State University/ Louisiana Transportation Research Center has implemented a field-rugged continuous intrusion miniature cone penetration test (CIMCPT) system since the 1990s. The miniature cone penetrometer of the CIMCPT system has a cross-sectional cone area of $2cm^2$ allowing finer soil profiles compared to the standard $10cm^2$. The reduced cross-sectional area also enables a system capacity reduction leading to cost saving and ease in maintenance. In addition, the continuous intrusion mechanism allows fast and economic site investigations. Samsung C&T Corporation has recently implemented a similar CIMCPT system. In this study, case studies on the field application of Samsung CIMCPT system for the last 2 years are presented to illustrate its performance investigation and its usefulness and limitation. Results of the case studies show that the CIMCPT system can be applied to soils with cone tip resistance($q_c$) values up to about 30MPa and allows a reliable and useful way to characterize soft soils. The results also show that the rod buckling limits the investigation depth by the system and the large contact pressure of the CIMCPT truck prevents the use of the system at sites with soft surface soils. According to the results of the case studies, the Samsung CIMCPT system has been being upgraded with a miniature cone with a longer rod, a crawler-type transportation system, a pre-boring system, and so on.

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현장실험 및 동적실내실험을 이용한 포항지역 동적 지반특성 평가 (Evaluation of Dynamic Ground Properties of Pohang Area Based on In-situ and Laboratory Test)

  • 김종관;곽태영;한진태;황병윤;김기석
    • 한국지반공학회논문집
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    • 제36권9호
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    • pp.5-20
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    • 2020
  • 2017년 발생한 포항지진에서는 계기지진 이래 처음으로 액상화 현상이 목격되었다. 본 연구에서는 액상화 현상이 목격된 포항시 (1) 송림공원, (2) 흥해읍 망천리, (3) 흥안리를 대상으로 다양한 지반조사 및 실내실험을 수행하였다. 액상화 발생위치의 동적특성을 파악하기 위해 지반조사 항목으로는 표준관입시험(SPT), 콘관입시험(CPT), 표면파탐사(MASW), 밀도검층, 다운홀테스트, 전기비저항탐사를 수행하였고, 현장에서 채취한 시료를 바탕으로 진동삼축압축 시험기를 통해 액상화실험을 수행하였다. 그 결과 세 곳 모두 지하수위가 높고 얕은 심도에 연약한 모래층이 존재하며, 송림공원에서 채취한 모래는 주문진 표준사, Toyoura 모래, Ottawa 모래에 비해 액상화 저항강도가 작은 것을 확인하였다.

현장시험을 이용한 저유동성 몰탈주입공법의 보강효과에 관한 연구 (A Study on the Reinforcement Effect of Low Flow Mortal Injection Method Using Field Test)

  • 장준영;이광남;김대현
    • 지질공학
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    • 제33권4호
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    • pp.599-609
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    • 2023
  • 국내 항만 방파제의 내진보강시 현장여건, 현장상황 등으로 회수율이 불확실한 경우가 많아 문제점이 지속적으로 발생하고 있다. 따라서, 본 연구에서는 저유동성 몰탈주입 공법 적용 후 그라우팅 확인방법으로 시추조사를 통한 회수율 및 개량체의 압축강도를 분석하였으며, 추가적으로 다운홀 테스트 및 토모그래피로 탄성계수를 확인하여 지반개량 후 연약지반의 보강 증대 효과를 확인하고자 하였다. 실험결과, 다운홀테스트의 경우 BH-1번과 3번공에서 심도 28.0 m까지에 대한 지반의 평균 전단파속도는 229 m/s에서 288 m/s로 증가하였고, 심도 30.0 m까지에 대한 지반의 평균 전단파속도는 224 m/s에서 282 m/s로 증가하는 경향을 보였다. 이는 보강후 지반의 강성이 증대되어 나타난 결과로 판단된다. 토모그래피 탐사 결과, Site1번의 시료의 연약지반의 Vs가 113 m/s에서 214 m/s, Site2번 시료의 Vs는 120 m/s에서 224 m/s로 증가하였다. 이는 전단파속도에 따른 암질의 분류에서 Vs값이 180~360 m/s를 만족하는 값으로 내진보강 후의 지반의 강성이 단단한 흙으로 보강됨을 확인할 수 있다.

EMLA 크림이 ampicillin sodium 항생제 피내반응검사에 미치는 효과 (Effects of EMLA Cream in Intradermal Skin Test of Ampicillin Sodium Antibiotics)

  • 김진;강희영
    • 기본간호학회지
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    • 제18권1호
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    • pp.46-53
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of EMLA cream (eutectic mixture of local anesthetics, lidocaine and prilocaine) on pain during ampicillin sodium intradermal (ID) skin test, and also to assess skin reaction after the skin test. Methods: Forty-three nurse-volunteers had skin tests with 0.01ml-0.05ml ampicillin sodium antibiotics. Skin tests were done on each forearm to compare the pain level of the skin test site after application of EMLA cream with the pain level when no EMLA cream was applied. EMLA cream was applied at the ID skin test site with an occlusive dressing for one hour. Pain was evaluated using a visual analogue scale and pain sensation using the short form McGill Pain Questionnaire. The transverse diameter of the wheal and redness was read right after and at 15 minutes after the skin test. The results were compared using independent t-tests. Results: Pain score and sensation with EMLA cream treatment were significantly lower than when EMLA cream was not applied. There was no difference in skin reactions; reading of the skin test was not affected by EMLA cream. Conclusions: EMLA cream was found to be an effective local anesthetic to relieve the pain of clients having ampicillin sodium antibiotics ID skin tests.

고속도로 건설 시 성토부 다짐관리를 위한 LFWD의 활용성 (Utilization of LFWD for Compaction Management of Embankment in Expressway Construction)

  • 박양흠;장일영;도종남
    • 한국지반환경공학회 논문집
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    • 제22권3호
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    • pp.45-51
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    • 2021
  • 고속도로 토공에서 대부분을 차지하는 성토부의 다짐도 평가는 일반적으로 평판재하시험에 의해 이루어진다. 평판재하시험은 전통적인 시험법으로 높은 신뢰성을 가지고 있지만, 반력장비를 공수해야 하고, 시험 시 개소당 약 40분의 시간이 소요됨에 따라 광활한 토공부 전체를 관리하기에는 한계가 발생할 수 있다. 한편, 국토해양부에서는 이를 극복하고자 2010년에 '포장 하부구조 다짐관리 잠정지침'에서 간편한 다짐도 평가방법 기준을 제시한 바 있다. 하지만 10년이 지난 지금까지 고속도로공사 현장에서는 활용하고 있지 못하고 있다. 따라서, 본 연구에서는 잠정지침에서 제시한 시험법 중 충격재하 방식의 LFWD(Light Falling Weight Deflectometer)를 활용한 다짐도 평가방법에 대한 활용성을 검증하고자 하였다. 이를 위하여 현장 토질 성상 및 다짐도별로 평판재하시험 및 LFWD시험을 실시하여 상관관계를 도출하였다. 시험결과, 80% 이하의 상대 다짐도를 가진 지반에서는 시험데이타의 일관성이 없었으나, 그 이상에서 상관도가 증가하는 경향을 가지는 것을 확인할 수 있었다. 향후 충격재하 방식의 시험값의 일관성 확보를 위하여 본 연구 결과를 참고하여 시험방법 또는 시험장비를 개선한다면 토공부 다짐도 관리 사각지대를 해소하는 데에 큰 역할을 할 수 있을 것으로 기대한다.

고전압맥동전류가 통각과민 백서의 통각역치 및 유해성 굴곡반사에 미치는 영향 (Change of Pain Threshold and Nociceptive Flexion Reflex of Hyperalgesia Rat by High Voltage Pulsed Current)

  • 김수현;문달주;최석주;정대인;이정우;정진규;김태열
    • The Journal of Korean Physical Therapy
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    • 제18권2호
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    • pp.25-34
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    • 2006
  • Purpose: This study conducted quantitative sensory test and nociceptive flexion reflex(NFR) measurement to examine degree of pain depending on polarity of high voltage pulsed current(HVPC) of hyperalgesia site in hyperalgesia rat by local thermal injury. mechanical pain threshold, thermal pain threshold and root mean square of NFR were measured. Methods: This study was conducted with control group I of hyperalgesia rat at hind paw by thermal injury and experimental groups divided into cathodal HVPC group II, anodal HVPC group III and alternate HVPC group IV. It measured pain threshold and root mean square(RMS) of NFR and obtained the following results. Results: Mechanical pain threshold of hyperalgeisa site was significantly increased at groups II, III and IV applying HVPC group compared to control group, but there was no difference among HVPC groups. Thermal pain threshold of hyperalgesia site showed a significant increase in group II. Group III showed significant difference after 4 days of hyperalgesia. RMS of NFR at hyperalgeisa site was significantly reduced in group II after 2 days of hyperalgesia. Group III showed significant decrease after 5 and 6 days of hyperalgesia. Conclusion: Consequently it was found that application of HVPC of hyperalgesia site increased pain threshold at hyperalgesia site by mechanical stimuli and thermal stimuli. NFR by electrical stimuli was similar to pain threshold by mechanical stimuli. Effects by polarity of HVPC showed the greatest reduction of hyperalgesia when cathodal electrode was used.

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