• Journal of Korean Public Health Nursing
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• v.1 no.1
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• pp.45-61
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• 1987

This Study was an attempt to estimate the optimum numbers of Operating Room Nursing Manpower by measuring the amount of service hours required by the patients in Operating Room in relation to the service amount actually provided by the nurses. The major concern of this study was placed on the measurement of Nursing Service Requirements by using the Operating Room (O. R) Patient Acuity System recently developed by M. M. Hart to classify the O. R. patients into four groups according to the degree of the complexity of operative procedure and some other elements which increase nursing activities in respect of patient care; Acuity IV group is the one requires nursing services most, on the other hand Acuity I requires least. nu sing The objectives of this study were as follows; 1. To analyze functions of the nursing personnel in O. R. by time unit and to estimate the average time a nurse can activate for productive functions. 2. To measure the actual amount of nursing times provided by nurses to the surgical patients. 3. To develop a patient classification system in order to measure the amount of Nursing services required by the patients. 4. To calculate an appropriate number of nursing manpower to meet the needs of the patients. In order to conduct the research both selected nurses and patients in 'S' University Hospital were Studied by utilizing the O. R. Patient Acuity System as well as the Classification Chart developed by Association of Operating Room Nurses (A. O. R. N) as a means of classifying functions of O. R. nurses. That is; Functions of the 10 selected O. R. nurses observed during the period of June 30 to July 4, 1986, whereas the amount of nursing services required by or provided to the 974 patients who had received surgeries during the period of June 9 to July 4, 1986. The results of this study were as follows; 1) The actual working hours per a nurse averaged 6.7 hours a day. 2) Each nurse's daily routine schedule consists of $71.4\%$ for Technical Functions, $16.1\%$ for Nonprodective Functions, $6.6\%$ for Assessment and Evaluation, $3.9\%$ for Overseeing and Supervision and the rest $2.0\%$ for Patient Preparation respectively. 3) Preoperative waiting time per a patient was 24.1 minutes on the average; for the first case was 10.7 minutes, whereas for the following cases was 32.0 minutes. 4) Total Operation time for the 974 patients during the period of observation for this study amounted to 2759.6 hours, weekly hour was equivalent to 689.9 hours, Whereas daily operation time averaged 130 hours. Meanwhile the average operation time per patient was 2.8 hours ; for the case of Acuity IV was 5.6 hours, 5. 1 hours for the case of Acuity III, 2.3 hours for Acuity II and 1.1 hours for Acuity I. 5) According to the O. R. Patient Acuity System, $64.5\%$ of the whole patients belonged to Acuity II, $23.7\%$ to Acuity III, 11. $3\%$ to Acuity IV and $0.7\%$ to Acuity I respectively. 6) Required amount of nursing times based on the preoperative waiting time and operation time was 7167.8 person hours, which showed that $5.5\%$ of them needed for preoperative nursing care, whereas the rest $94.5\%$ for intraoperative nursing care. In terms of the O. R. Patient Acuity System, $49.7\%$ of total nursing service requirements was needed for Acuity II patients, $27.4\%$ for Acuity III patients, $17.2\%$ for Acuity IV patients and $0.2\%$ for Acuity I patients. 7) The rate of the nursing services provided against the required nursing times was about $81.4\%$ on the average; some departments, like those of Plastic Surgery, Otolaryngology and Ophthalmology whose patients mostly belonged to Acuity II recorded hegher provision rate than average, whereas other departments of Thoracic Surgery. Neurosurgery and Orthopedic Surgery whose patients belonged to Acuity III and Acuity IV as well as Acuity II recorded lower provision rate than average. 8) Subsequently, required numbers of nursing manpower was 10.7 nurses additionally. Based on the above findings the following recommendations will be made; 1) this study recommends, develops. and adopts an accurate and realistic O. R. Patient Acuity System which can help measure the nursing service requirements objectively to elicit the rationales of allocation of nursing personnels. 2) this study proposes storongly place nurses who take the role of preoperative nursing care exclusively for the waiting patients in O. R. and shortening their waiting time by close communication between the designated O. R. and the ward.

• Journal of Biosystems Engineering
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• v.27 no.4
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• pp.273-282
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• 2002

This study was intended to measure and analyze hand-transmitted vibrations from cultivator in idle and operation modes for three different types of field works. Based on this analysis a time for the white finger syndrome to appear on 10% of the operators was estimated assuming that their daily exposure is 3 hours. The 4 methods to reduce the hand vibration were also proposed and compared with each other. The results of the study were summarized as follows : The highest vibration level was recorded during trenching operation, resulting in a total average vibration of 11.5 m/s$^2$. Followings were 7.6 m/s$^2$ during rotary tillage and 7.0 m/s$^2$ for weeding. When exposed to these levels of vibrations three hours a day, the white finger syndrome is likely to appear in 4 years for trenching, 6.2 years for rotary tillage and 6.8 years for weeding operations. Isolation of hand vibration performed by a rubber pad, anti-vibration gloves, a handle anti-vibration device and engine mounts were respectively 15.7%, 16.5%. 26.1% and 27.0%, resulting in most effective methods of the handle anti-vibration device and engine mounts. A better performance of about 33.9% was achieved when both the handle anti-vibration device and engine mounts were used.

• Journal of Chest Surgery
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• v.31 no.6
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• pp.604-609
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• 1998

Trauma to the thorax represents a significant portion of injuries seen in an inner-city emergency room. Although most of these patients may be sucessfully managed without thoracotomy, a certain percentage requires operative intervention either immediately or within several hours. 126 records of patients who had early thoracotomy for chest trauma from March 1986, to June 1997, in the Department of Thoracic and Cardiovascular Surgery in Masan Samsung General Hospital were reviewed. There were 96 males and 30 females whose ages ranged from 4 to 72 years, with a mean age of 32.8 years. The modes of injury were as follows : stab wounds, 55 cases(44%), blunt trauma, 70 cases(55%), and gunshot wound, 1 case(1%). Immediate operation was performed in 105 cases(84%) and delayed operation in 21 cases(16%). Indications that operation was necessary were hemorraging and shock in 66 cases(52%), cardiac tamponade in 27 cases(21%), and rupture of the diaphragm in 33 cases(27%). Most of these patients were sucessfully treated but 21 cases were resulted in death. The mortality rate was 16.6% and common causes of death were irreversible shock and hypoxia.

• Korean Chemical Engineering Research
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• v.54 no.1
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• pp.6-10
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• 2016

Until a recent day, degradation of PEMFC (Proton Exchange Membrane Fuel Cells) has been mainly studied in unit cell. But operation and degradation of real PEMFC going along in stack instead of unit cell. Therefore in this work, ADT (Accelerated Degradation Test) of PEMFC was done in stack and the result from stack's test was compared with that of unit cell. The polymer electrolyte membrane was degraded by repeated electrochemical and mechanical degradation method among several ADT methods. Current densities of MEA at 0.6V decreased in stack and unit cell, 28.4% and 27.8% respectively after ADT for 312 hours. Hydrogen crossover current densities of membrane increased in stack and unit cell, 16.8% and 15.2% respectively after ADT for 312 hours. The result of ADT in stack was similar that of ADT in unit cell, which showed that ADT method of unit cell was available to the stack.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.33 no.6
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• pp.2381-2391
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• 2013

In general, ground's thermal properties, types of heat exchanger, operational method, thermal interference between piles can be considered as key factors which affect the thermal performance of energy pile. This study focused on the effect of these factors on the performance by a numerical model reflecting a real ground condition. Depending on the degree of saturation of ground, pile's heat transfer rate showed a maximum difference of three times, and the thermal resistance of pile made a maximum difference of 8.7%. As for the type of heat exchanger effects on thermal performance, thermal efficiency of 3U type energy pile had a higher value than those of W and U types. The periodic operation (8 hours operation, 16 hours pause) can preserve about 20% of heat efficiency compared to continuous operation, and hence it has an advantage of preventing the thermal accumulation phenomenon. Thermal interference effect in group piles may vary depending on the ground condition because the extent decreases as the ground condition varies from saturated to dry. The optimal separation distance that maintains the decreasing rate of heat efficiency less than 1% was suggested as 3.2D in U type, 3.6D in W type, and 3.7D in 3U type in a general ground condition.

• Women's Health Nursing
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• v.16 no.1
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• pp.60-68
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• 2010

Purpose: This study determined the effect of head and neck massage on anxiety, pain, and discomfort for hysterectomy patients. Methods: Subjects consisted of 48 hysterectomy patients at K hospital. Experimental group (n=23) received head and neck massage at 8 minutes per massage for five times: (at admission, before sleeping on preoperative day, at 4 hours after operation, before sleeping on operation day, before sleeping on the first postoperative day). Control group (n=25) received conventional treatment. As an effectiveness of this intervention, state of anxiety and BP was measured before sleeping on preoperative day. Pain and discomfort were measured before sleeping on the day of surgery and then on the first postoperative day. Data was analyzed descriptive statistics using $x^2$ test, Fisher's exact test, paired t-test, unpaired t-test, repeated measures ANOVA and Bonferroni multiple comparison. Results: 1. State of anxiety score and BP at post-treatment decreased significantly in the experimental group. 2. Pain score in experimental group was lower than that in control group, with no significant difference; whereas, 3. Discomfort level decreased significantly in the experimental group. Conclusion: Results indicate that head and neck massage could be an effective intervention for reducing preoperative anxiety and postoperative discomfort in hysterectomy patients.

• Journal of Biosystems Engineering
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• v.29 no.3
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• pp.207-216
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• 2004

This study was intended to investigate the characteristics of ride vibrations transmitted to tractor operator during rotary tillage and plowing operations. Seat accelerations of a 41 ps diesel tractor in rotary tillage and plowing were measured and evaluated as specified in the ISO 2631-1. Effects of working speed and tilling depth on ride vibration were investigated. The level of ride vibration was also evaluated in terms of health guidance caution zones. Some of the results of the study are as follows: 1. The level of ride vibration in plowing was about 4.3 times greater than in rotary tillage. 2. The effect of working speed in rotary tillage differs depending upon the tillage depth. The level of ride vibration was increased with the speed, but it decreased over a certain tillage depth. Fore and aft vibration was 2.2-2.7 times severer than horizontal and vertical vibrations. Dominant frequency band was 1-3.15 ㎐ in fore and aft, 1-3.15㎐ and 16-25㎐ in horizontal, and 16-25㎐ in vertical directions. 3. Plowing reduced the ride vibration by 42.8-50.2%. But its positive effect decreased as the plowing speed increased. In plowing operation, ride vibration was similar degrees in fore and aft, horizontal and vertical directions. The dominant frequency band in plowing operation was 1-2.5㎐ in fore and aft, 1-2.5㎐ in horizontal, and 1-8㎐ in vertical directions. 4. On a basis of daily work hours of 4, total level of ride vibrations in plowing operation is likely to be harmful to operator's health.

• Journal of Trauma and Injury
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• v.32 no.1
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• pp.32-39
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• 2019

Purpose: The aim of this study was to determine which factors contribute to the surgical treatment outcomes of acetabular fractures. Simultaneously, we aim to report on the treatment results after our hospital was designated as the focused training center for trauma. Methods: We conducted a retrospective review of all patients who experienced acetabular fractures from January 1, 2014 to May 1, 2017 and visited our hospital. Patients who had associated pelvic ring fractures or were lost to the one-year follow-up were excluded; a total of 37 fractures were evaluated. We evaluated the clinical results using the scoring system of Merle $d^{\prime}Aubign\acute{e}$ (MDA) and grade of Brooker for heterotopic ossification. Results: Thirty-seven patients (31 men and 6 women) were identified. The mean injury severity score (ISS) was 8.7, with 32.4% of patients having a score >15. The average blood transfusion in the first 24 hours was 0.54 pints. Falling was the most common injury mechanism (32.4%). Chest injury was the most common associated injury (16.2%), followed by head injury (13.5%). The posterior wall and both column fracture were the most common (37.8%) fracture patterns. Excellent and good clinical grades of MDA included 28 patients (75.6%) and fair and poor grades included nine (24.3%), respectively. Four patients were diagnosed with a post-operative infection (10.8%); one out of four patients who had co-morbidity died (2.7%), and another patient underwent a replacement surgery (2.7%). Multivariate analysis showed that age and operation time were associated with MDA. In addition, operation time and ISS were significant co-factors of the Brooker grade. Conclusions: Korea University Guro Hospital showed similar treatment results of acetabular fractures compared to other publications. The age and operation time were co-factors of the clinical outcome of this fracture. Additionally, increased operation time and injury severity score were suggested to increase the Brooker grade.

• Journal of Chest Surgery
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• v.16 no.2
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• pp.184-189
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• 1983

Between 1958 and 1982, 70 patients have undergone pericardiectomy for constrictive pericarditis at the Thoracic Department of Seoul National University Hosp. 58 males and 12 females, with an average age of 27 years [ranging 3 to 60 years], of which 55% were between 10 and 30 years old, were treated. Eight patients died, of whom 4 were in the immediate postoperative period, less that 24 hours after operation. The cause of death was myocardial failure in 3 patients and hypotension during operation in one patient. The remaining four deaths occurred between the fifth and eighteenth postoperative day, and the causes of death varied: bilateral phrenic nerves injury, congestive heart failure, dissemination of tuberculosis, and cardiac arrest. Two patients suffered from congestive heart failure pre-and postoperatively due to the associated valvular heart disease. There were 8 wound infections on which resulted in perichondritis of costal cartilages requiring segmental resection 2 months later. There was one postoperative bleeding requiring immediate reopening for bleeding control. Tuberculosis was confirmed as the cause of constrictive carditis in 27 patients [39%]. Acute pyogenic pericarditis was precursor in 8 patients [11%]. In 2 patients [2.9%], the constrictive pericarditis developed following OHS. Both suffered from congestive heart failure postoperatively due to the residual valvular heart disease. In the others, the cause of the constrictive pericarditis was considered idiopathic or non-specific inflammation.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.33 no.3
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• pp.1049-1061
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• 2013

In this paper, a relative heat exchange rate is numerically compared for cast-in-place concrete energy piles with different heat exchange pipe configurations, and a new design method for energy piles is proposed. An equivalent heat exchange rate was estimated for the W-type (one series loop), multiple U-type (four parallel loops), and coil-type heat exchanger installed in the same large-diameter drilled shaft. In order to simulate a cooling operation in summer by a CFD analysis, the LWT (leaving water temperature) into a energy pile was fixed at $35^{\circ}C$ and then the EWT (entering water temperature) into a heat pump was monitored. In case of continuously applying the artificial maximum cooling load for 100 hours, all of the three types of heat exchangers show the marginally similar heat exchange rate. However, in case of intermittently applying the cooling load with a cycle of 8 hours operation-16 hours off for 7 consecutive days, the coil type heat exchanger exhibits a heat exchange rate only 86 % of the multiple U-type due to measurable thermal interference between pipe loops in the energy pile. On the other hand, the W-type possesses the similar heat exchange rate to the multiple U-type. The equivalent heat exchange rates for each configuration of heat exchangers obtained from the CFD analysis were adopted for implementing the commercial design program (PILESIM2). Finally, a design method for cast-in-place concrete energy piles is proposed along with a design chart in consideration of typical design factors.