• 한국의료질향상학회지
• /
• 제14권1호
• /
• pp.55-59
• /
• 2008

Background : The purpose of inner cannula is to protect the upper air way and permit air to pass freely, in addition, to provide endotracheal suction, artificial respiration and to maintain adequate oxygen saturation. The tube needs to be sterilized for maintenance and cleanness of air way and for prevention of bronchospasm. However, it has been reported that there is no guideline for sterilization and many hospitals conduct their own sterilization methods, for example, once a day(13's general hospital), three times a day(The Catholic University of Korea ST Mary's hospital) or even no cleansing. Consequently, the QI team of our hospital suggested the SOP(standard operating procedure) of sterilization and evaluate cost and time effect in nursing. Method : 1) Benchmarking of 13's neurosurgery department of general hospital in Seoul 2) Investigation of test records of sputum culture from patients with intubation for tracheotomy 3) Check of results of O2 Sat. monitoring to confirm of maintaining opened air way Result : 1) Improvement of process: decrease of excess sterilization of inner cannula (from 3 times a day to once a day) 2) Cost effects: saving over 10 million won per one year 3) Providing better nursing: time effects (30 min a day) permit to conduct more nursing activities Conclusion : It can get Cost and time effects in nursing with improved sterilization method of inner cannula. It needs to do research on improvement of the monthly exchange protocol of outer cannula and provide supporting data for the proper exchange schedule. The result of additional microorganism detection from patients with new process needs to be evaluated further more.

• Corrosion Science and Technology
• /
• 제14권1호
• /
• pp.1-11
• /
• 2015

Local wall thinning and integrity degradation caused by several mechanisms, such as flow accelerated corrosion (FAC), cavitation, flashing and/or liquid drop impingements, are a main concern in carbon steel piping systems of nuclear power plant in terms of safety and operability. Thinned pipe management program (TPMP) had been developed and optimized to reduce the possibility of unplanned shutdown and/or power reduction due to pipe failure caused by wall thinning in the secondary side piping system. This program also consists of several technical elements such as prediction of wear rate for each component, prioritization of components for inspection, thickness measurement, calculation of actual wear and wear rate for each component. Decision making is associated with replacement or continuous service for thinned pipe components. Establishment of long-term strategy based on diagnosis of plant condition regarding overall wall thinning is also essential part of the program. Prediction models of wall thinning caused by FAC had been established for 24 operating nuclear plants. Long term strategies to manage the thinned pipe component were prepared and applied to each unit, which was reflecting plant specific design, operation, and inspection history, so that the structural integrity of piping system can be maintained. An alternative integrity assessment criterion and a computer program for thinned piping items were developed for the first time in the world, which was directly applicable to the secondary piping system of nuclear power plant. The thinned pipe management program is applied to all domestic nuclear power plants as a standard procedure form so that it contributes to preventing an accident caused by FAC.

• 대한조선학회논문집
• /
• 제57권2호
• /
• pp.80-87
• /
• 2020

As the Arctic sea ice decreases due to various reasons such as global warming, the demand for ships and offshore structures operating in the Arctic region is steadily increasing. In the case of sea ice, the anisotropy is caused by the uncertainty inside the material. For most of the research, nevertheless, estimating the ice load has been treated deterministically. With regard to this, in this paper, a four-point bending strength analysis of an ice specimen was attempted using a stochastic finite element method. First, spatial distribution of the material properties used in the yield criterion was assumed to be a multivariate Gaussian random field. After that, a direct method, which is a sort of stochastic finite element method, and a sensitivity method using the sensitivity of response for random variables were proposed for calculating the probabilistic distribution of ice specimen strength. A parametric study was conducted with different mean vectors and correlation lengths for each material property used in the above procedure. The calculation time was about ten seconds for the direct method and about three minutes for the sensitivity methods. As the cohesion and correlation length increased, the mean value of the critical load and the standard deviation increased. On the contrary, they decreased as the friction angle increased. Also, in all cases, the direct and sensitivity methods yielded very similar results.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제24권2호
• /
• pp.37-44
• /
• 2018

Purpose: This study investigates the influences of coughing direction and healthcare worker's location on the transport characteristics of coughed particles in airborne infection isolation room (AIIR), which is commonly called negative pressure isolation room, with a downward ventilation system. Methods: Computational Fluid Dynamics (CFD) was used to simulate the airflow and for tracing the behavior of particles. Results: The results show that the airflow pattern and coughing direction have a significant influence on the characteristics of particle dispersion and deposition. When healthcare workers are in the isolation room with the patient who is lying on the bed, it is recommended to be located far from the anteroom to reduce the exposures from infectious particles. And when the patient is lying, it is more effective in removing particles than when the patient is in Fowler's position. Although it is an isolation room that produces unidirectional flow, coughing particles can spread to the whole room and a large number of particles can be deposited onto patient, bed, side rails, healthcare worker, ceiling, floor, and sidewall. Implications: Following the patients' discharge or transfer, terminal cleaning of the vacated room, furniture, and all clinical equipment is essential. Also, it is necessary to establish detailed standard operating procedure (SOP) in order to reduce the risk of cross-contamination.

• 한국동물위생학회지
• /
• 제36권3호
• /
• pp.203-208
• /
• 2013

This survey was conducted to evaluate the microbial contamination level of butcher's shops in Seoul, Korea. For microbial inspections, a total of 584 samples (146 cotton work gloves, 146 utensils and equipments, 154 beef samples, 138 pork samples) were collected from butcher's shops. E. coli and pathogenic bacteria such as Staphylococcus aureus, Yersinia enterocolitica, Listeria monocytogenes, Salmonella spp., and E. coli O157:H7 were tested in the samples. As a result, the level of aerobic plate count (APC) ranged ${\leq}10^4\;CFU/cm^2$ from utensils and equipments, $10^1{\sim}10^9$ CFU/glove from cotton work gloves and ${\leq}10^6$ CFU/g from meat. The APC level of E. coli ranged ${\leq}10^1\;CFU/cm^2$ from utensils and equipments, ${\leq}10^5$ CFU/glove from cotton work gloves, and ${\leq}10^3$ CFU/g from meat, respectively. Staphylococcus aureus was detected in 2 beef samples, 1 pork sample, and 10 used cotton work gloves. Yersinia enterocolitica was detected in 3 beef samples, 1 pork sample, and 3 used cotton work gloves. Listeria monocytogenes was detected in 2 used cotton work gloves. In order to improve the sanitation status of butcher's shops, application of HACCP (Hazard Analysis Critical Control Point) or SSOP (Sanitation Standard Operating Procedure), regular hygiene education, and continuous monitoring for microorganisms will be required.

• 한국초전도ㆍ저온공학회논문지
• /
• 제16권2호
• /
• pp.29-32
• /
• 2014

The critical current, $I_c$ of HTS superconducting tapes can be measured by transport or contactless method. Practically, the transport method using the four-probe method is the most common. In this study, a simple test procedure by clipping the voltage lead taps have been introduced instead of soldering which reduces time and effort and thereby achieving a much faster measurement of $I_c$. When using a pair of iron clips, $I_c$ value decreased as compared with the measured one by standard method using soldered voltage taps and varies with the width of the clipped specimen part. However, when using a pure Cu clip, both by clipping and by soldering voltage taps give a comparable result and $I_c$ measured are equal and close to the samples specification. As a result, material to be used as voltage clip should be considered and should not influence the potential voltage between the leads during $I_c$ measurement. Furthermore, the simulation result of magnetic flux during $I_c$ measurement test showed that the decrease of $I_c$ observed in the experiment is due to the magnetic flux density, $B_y$ produced at the clipped part of the sample by the operating current with iron clips attached to the sample.

• 한국정보통신학회논문지
• /
• 제25권6호
• /
• pp.757-765
• /
• 2021

2018년 미 국방부 국가안보전략에 포함된 다영역작전 수행을 위해서는 C4I 체계 간의 적시적인 데이터 공유가 선행되어야 가능하다는 것을 인식하고 문제 해결을 위해 노력하고 있다. 한국군도 수 차례 연구를 통해 C4I 체계간 데이터 연동과 표준화에 대한 문제가 제기 되었고, 이를 해결하기 위한 새로운 방안의 수립이 필요한 상황이다. 본 연구에서는 미국방성이 2003년 데이터 전략 수립 후 이를 구현하기 위해 약 20여 년간 추진해온 사례 분석을 통해 문제 해결 방안을 도출하고, 한국군 C4I체계 운용환경에 적합한 데이터 전략 수립, 데이터 모델 개발, 데이터 공유를 위한 표준 선정, 그리고 공유 데이터 개발 절차를 제안함으로써, 한국군 C4I체계간 데이터 공유 능력을 향상시키고자 한다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제24권3호
• /
• pp.265-272
• /
• 2021

Purpose: Hypertrophic pyloric stenosis (HPS) is the most common cause of gastric obstruction in newborns. Extra-mucosal pyloromyotomy can be performed through a small laparotomy or laparoscopy. The aim of this study was to compare the two surgical techniques. We also analyzed the incidence of HPS in infants in the last 10 years in relation to the demographic trend of our province. Methods: We analyzed all the cases of HPS treated at our Unit between January 2010 and December 2019. The data were obtained from operating systems. Data about the demographic trends, in particular, the number of births and the population residing in the province of Verona from 2010 to 2019, were also retrieved. Results: During the study period, 60 patients were treated for HPS and met the inclusion criteria. Of these, 56 males and 4 females with an average age of 38±14 days at surgery were included. No differences were found in terms of the duration of surgery, post-operative complications, duration of hospitalization, and weight at the time of surgery. The only statistically significant data was the chlorine level in cases with and without post-operative vomiting (97±3.5 vs. 102±3.3 mmol/L, p<0.05). There was a lower incidence of HPS from 2014 to 2019; however, there was no significant evidence regarding the correlation between this and the reduced birth rate recorded in the province of Verona during the same period. Conclusion: Although laparoscopic pyloromyotomy is a highly complex procedure, it is a feasible alternative to the classic open technique.

• 환경영향평가
• /
• 제24권6호
• /
• pp.607-618
• /
• 2015

국가환경시료은행에서는 과거 환경 재현을 목적으로 다양한 생태계를 대표하는 시료를 채취 저장하고 있다. 지난 5년간 8종의 생태계 시료종이 엄격한 표준운영절차(SOP)에 따라 채취되어 왔으나 수행절차에 대한 비용효율성이나 시료의 대표성에 대한 논리적 통계적 검증은 이루어 진 바 없었다. 따라서 본 연구에서는 시료채취 및 분석과정으로 구성된 표준운영절차의 각 단계에서 비롯되는 불확도(uncertainty) 수준에 대한 평가를 실시하였다. 이를 위해 표준운영절차에서 규정된 채취방법에 의해 채취된 두 지역의 침엽수 시료를 대상으로 중복시료(duplicate sample)를 채취하였고, 이에 대한 중복분석결과를 대칭설계(balanced design)하여 분산분석을 실시하였다. 시료채취 및 분석의 각 단계에서 산출된 불확도 수준은 각 해당지역 대표시료에 대한 측정불확도로 통합되었다. 그 결과 시료채취단계와 분석단계 중 측정불확도의 대부분은 시료채취단계에서 비롯되고 있음이 확인되었다. 또한 측정불확도 수준을 저감하기 위해서는 표준운영절차에서 규정하고 있는 시료채취방법이 개선되어야 하는데, 본 연구에서 확인된 채취지역의 상대적으로 큰 국지적 이질성(small-scale heterogeneity)으로 말미암아 지역내에서의 채취대상 개체수를 확대하는 것보다 각 개체에서 채취되는 시료량을 늘리는 것이 비용효율적인 개선에 대한 기준이 되었다. 또한 채취방법이 채취지역에서 분포하는 개체들의 이질성을 충분히 극복하며 대표성을 확보할 수 있는가에 대한 검증으로서 분산분석을 적용한 결과, 지역전체의 변화량보다 국지적 변화량이 더 커야 하는 조건을 제시할 수 있었다.

• 자원환경지질
• /
• 제45권2호
• /
• pp.169-180
• /
• 2012

환경시료은행은 환경질(environmental quality)의 시공간적 변화를 모니터링 하는 역할 뿐 아니라 시료 자체를 장기 보존함으로써 후세에 과거의 환경을 직접적으로 검증할 수 있는 기회를 부여하는 기능을 가지고 있다. 이를 위해서 다양한 생태계의 환경을 대표할 수 있는 선정된 시료를 엄격하게 규정된 채취방법에 따라 채취하여 성분변화가 일어나지 않는 초저온상태에서 장기간 보관함으로써 미래 시점에서 회고적 분석(retrospective analysis)을 수행할 수 있는 시설이 요구된다. 선진국에서는 이미 30여 년 전부터 환경정책의 실효성을 입증하거나 시대별 환경배경농도의 변화를 모니터링 하기 위해 다양한 환경시료를 저장해 오고 있다. 우리나라에서 2009년 자동화된 초저온 저장시설을 갖춘 국가환경시료은행이 국립환경과학원의 연구진에 의해 설립되었다. 이를 계기로 선진국의 시료은행 운영 경험을 발전시켜 단시간 내에 정상궤도에 안착시키려는 노력을 경주하고 있다. 아울러 그간 선진국의 운영 사례를 분석하고 이를 토대로 작성된 표준운영절차(SOP)에 따라 시험연구를 진행하고 있다. 이러한 과정에서 도출된 문제점을 분석하고 개선함으로 환경을 대표하는 시료의 저장 및 분석이라는 기본적인 기능에 충실한 수행체계를 갖추어 나가고 있다. 그러나 이와 동시에 환경시료은행의 기능을 적극 응용하여 독자적 부가기능을 부여하는 청사진이 제시되고 이에 대한 실행방안도 요구되는 상황이다. 이를 계기로 국가환경시료은행이 명실공히 국제적인 환경기구로 인정받는 도약의 발판을 마련해야 할 것이다.