• The Korean Journal of Pain
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• 제9권1호
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• pp.75-82
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• 1996

Background: Nerve blocks, including epidural analgesia, can be risky for terminal cancer pain patients in generally poor conditions. We performed this study to evaluate the efficacy of intravenous patient-controlled analgesia(PCA) to treat severe pain of terminally ill cancer patients during the last days of life. Methods: We explained the patient's poor general condition to relatives and received a written consent to administer PCA. The starting dose of opioid for PCA in cancer pain management was based on previous 24-hour dose. Previous 24-hour opioid dose was converted to intramuscular morphine equivalent. The concentration of opioid mixed into Basal Bolus $Infusor^{(R)}$ was controlled to allow for one half of the previous 24-hour equianalgesic dose to infuse continuously. Patients controlled their pain by pushing the PCA module themselves. Patients were observed by pain service team. Some discharged patients were treated at home until death. Results: Forty eight patients received PCA for last two years. The most common reason receiving a PCA was the patient's poor general condition(52.0%). The mean starting dose of PCA was $20.6{\pm}16.2$ mg of morphine. Over eighty percents of the patients were in good or tolerable state of analgesia. Half of the patients expired within one week. The mean duration of PCA was $8.7{\pm}7.0$ days. The problems during PCA were: difficulty in maintaining intravenous routes, early loss of mentality after starting PCA, hypotension and nausea. Conclusion: We concluded that PCA, if correctly, is an effective, relatively safe and readily controllable method of pain management in terminally ill cancer patients during the last days of life. For future considerations, terminal patients may expire at the comfort of their own homes after the resolution of legal problems regarding using opioid in home care.

• 한국의류학회지
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• 제40권4호
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• pp.669-684
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• 2016

This study investigates Korean fighter pilot's usage and satisfaction of a flight duty uniform (FDU). The survey was conducted from October 2014 to March 2015 using Focus Group Interview (FGI) and questionnaires. FGI collected qualitative data about duty and requirements; subsequently, surveys were performed to collect quantitative data about wearing conditions and satisfaction with FDU. The results of the FGI and the questionnaire were as follows. Type of pilot duty was divided into two parts, flight duty and ground duty. It is important to consider duties as well as factors related to survival when developing FDU. According to anthropometric data and wearing size, the basic size for apparel grading should be changed from actual size, 'M95XL' to 'M100L'. It is also necessary to improve the whole sizing system. Further studies about body form changes in pilot's movement are needed to improve mobility because the respondents perceived some restrictions at several body parts in movement with the coverall uniform. Summer FDU had a low satisfaction level in vent hole function and appearance. Furthermore, protection problems in the vent hole were also an issue. Making a seasonal classification of FDU fabric will be more effective than a vent hole to increase a pilot's thermal satisfaction. Respondents had a passive stance towards FDU reform (including pocket change); therefore, a new FDU design strategy should concentrate on improving current FDU functions like mobility (or comfort) rather than dramatic changes. Pilots complained about the quality stability of FDU; therefore, quality control by military administration as well as concrete and clear design instructions by the developer should be attained together. The results obtained in this study are expected to be used as an important basis for the further development of FDU.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.1-8
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• 2016

본 논문에서는 GPS를 이용할 수 없는 지하철 승강장에서 움직이는 지하철의 위치 추적 정확성을 높이기 위해 WiFi 핑거프린트 기법에 k-nn기반 알고리즘들을 적용한 후 오류를 검출하고 비교하였다. 승강장내 지하철의 위치 정보는 지하철 제어를 위해 종합사령실에서 필요로 하며, 이용객의 안전과 편의를 위해 다양하게 사용되어지고 있다. 현재 역사 또는 승강장 내에는 승객의 편의를 위해 각 통신사별로 WiFi용 AP(Access Point)들이 다수 설치되어 있어 이를 활용한 다양한 위치 추정 연구들도 활발히 진행되고 있다. 본 연구에서는 설치되어진 WiFi용 AP를 활용할 경우와 신규로 WiFi용 AP를 설치할 경우등을 고려하여 다양한 조건에서 지하철의 위치를 추적할 수 있는 시뮬레이터를 개발한 후 모의실험을 진행하였다. 개발된 시뮬레이터는 설치된 WiFi용 AP들의 개수와 승강장 넓이, 지하철 진입속도 등에 따라 지하철의 위치를 추적할 수 있도록 설계되었다. 그리고 k-nn알고리즘과 fuzzy k-nn알고리즘을 선택적으로 적용할 수 있으며 핑거프린트 데이터베이스를 기반으로 4가지의 거리 측정 알고리즘을 적용하여 위치 추적 오류를 비교할 수 있도록 하였다. 시뮬레이터를 이용한 모의 실험결과 0.5m의 그리드 단위길이에 8개의 WiFi용 AP를 설치하고 'minkowski' 거리 측정 알고리즘을 적용한 k-nn알고리즘를 사용할 경우 가장 정확한 위치 추적결과를 얻을 수 있었다.

• 한국산학기술학회논문지
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• 제20권3호
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• pp.49-55
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• 2019

협업과 소통하는 업무 분위기가 중시되면서 개방형 사무실이나 공유사무실이 나타나고 있다. 기존에는 사용자가 공간 유지보수의 주체가 되었으나 정해진 자리가 없어지면서 실내공간의 유지관리가 어렵게 되었다. ICBM 프레임워크를 활용한다면 실내 공간에 대한 정보를 수집하고, 공간유지보수에 활용 할 수 있을 것이다. 따라서, 본 연구에서는 ICBM(Internet of Things, Cloud, Big Data, Mobile) 기반의 프레임워크를 제안하고 이를 활용한 실내공간 유지관리 시스템의 가능성을 검토 하였다. IoT(Internet of Things, 사물인터넷)기술을 이용하여 실내의 온도, 상대습도, 재실 여부, 밝기를 지속적으로 측정하고 WiFi를 통해 Web API 에 제공한다. 온습도센서, 조도센서, 초음파 거리센서와 와이파이 모듈로 구성된 IoT 디바이스를 설계하고 프로토타입을 제작하였다. IoT를 통해 자동으로 취득된 데이터와 기존 유지보수 데이터, 공간정보가 Cloud(클라우드)를 통해 통합된다. 센서로 수집한 Big Data(빅데이터)는 유지보수용으로 의미 있는 공간 정보로 가공할 수 있을 것이다. 실내 공간 정보 및 유지관리 사항을 모바일(Mobile)을 통해 관리자에게 전달할 수 있다. 데이터 수집결과, 사용된 초음파센서의 측정범위 한계로 인해 재실여부의 파악은 제한적이었다. 하지만 밝기 정보는 공간의 활용 행태를 충분히 나타내어, 조명의 켜짐/꺼짐여부와 주말, 주중의 차이를 확인할 수 있었다. 온도와 상대습도 정보 또한 안정적으로 수집되어 공간의 쾌적성을 평가할 수 있었다.

• 한국전산구조공학회논문집
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• 제35권2호
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• pp.131-140
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• 2022

레일장대화는 무도상교량의 소음, 진동, 충격 등의 문제점을 해결할 수 있는 경제적인 방안 중 하나이며, 최근 연동식 침목고정장치를 이용한 SSF 공법이 개발된 바 있다. 이 연구에서는 연동식 침목고정장치 적용 시 레일 높이 조정 및 열차 통과 시의 충격 흡수를 목적으로 교량침목 하부에 삽입되는 침목패드의 최적 연직강성을 결정하는 과정을 제시하였다. 침목패드의 최적 연직강성 결정을 위하여 관련 기존 기준을 검토하였으며, 유연다물체동적해석을 통하여 침목패드의 연직강성 변화에 따른 주행안전성, 승차감 및 궤도의 안전성에 대한 지표들과 교량 응답 변화를 검토하였다. 유연다물체동적해석은 상용프로그램인 ABAQUS와 VI-Rail을 이용하여 수행하였다. 수치해석은 30m 상로판형교에 대한 교량모델을 이용하여 수행하였으며, 침목패드의 연직강성이 7.5kN/mm ~ 240kN/mm로 변화할 때 ITX 새마을, KTX 및 화차 통과 시의 응답을 산정하였다. 수치해석에 적용된 궤도구성품 조건에서 침목패드의 최적 강성은 100kN/mm로 산정되었다.

• 한국산업보건학회지
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• 제32권4호
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• pp.435-448
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• 2022

Objectives: As the time spent wearing masks has increased with spread of COVID-19, various research related to masks have been reported. However, there are still few experiments on the physiological response of the body to wearing industrial dust masks in South Korea. Considering the actual working hours at the work site, it is necessary to investigate the comfort of industrial dust masks. Therefore, this study aims to confirm the change in subjective discomfort level according to the wearing time for industrial dust masks in South Korea that have been certified for safety by KCS. Methods: This study evaluated subjective discomfort level over four hours. The experimental conditions were five types: not worn (control group), special grade, first grade, second grade (with valve), and second grade (without valve). The subjective discomfort levels were classified for breathing, warmth (body and face) and wetness (body and face). Subjects recorded their discomfort level on a checklist every one hour. Results: In special grade and second grade (without valve), the discomfort level in terms of breathing, warmth (face), and wetness (face) was significantly higher than that of the control group. However, the effects of all kinds of industrial dust masks on the discomfort level in the body were low. Conclusions: Since this study was conducted on subjects working in an office with a comfortable working environment, it is difficult to apply it to workers at actual industrial sites. However, it is considered meaningful as the first clinical study to evaluate the subjective level of discomfort over a long time for domestic industrial dust masks that have been certified for safety by KCS.

• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• 복식
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• 제50권7호
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• pp.195-218
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• 2000

This study investigates the characteristics of European knitted works from a historical perspective. Specifically, this study deals with the following research topics: 1) the origin and development of knitting. 2) the characteristics of knitting industry according to the change of times, 3) the comparison of local knitting patterns and cultures. 4) 7he symbolic meaning of the designs in the knitted works and theire functions. This research is barred on the survey of the relevant literature and photographs. The results of the study are summarized as follows. 1) The introduction of knitted works was closely connected with the climatic and socio-economic conditions of the places of the origin. Knitted work developed mostly in Northern Europe, a cold area, and the barren, mountainous coastal areas where people frequently used woolen materials for clothes. 2) In ancient times, abstract and geometric patterns have developed in Europe under the influence of Arabian knitted work. Middle Ages saw the flourishing of Arabian knitted works representing the authority of the church. In early modern times, the knitted work assumed the wealth of the royal families and the nobles. But afterward it was gradually Popularized among the middle classes. Knitting was then regarded as one of the women's major cultural activities. However, recently in the interwar periods. the knitting industry did not flourish and the knitted works came to serve merely as comfort goods by political urge. Knitted works were introduced in Korea around 1870 (the 7th or 8th year of king Kojong era) by Catholic missionaries and they started to be made by machine in 1917. 3) As for the propagation of the knitted work into Europe, there are three routes estimated. The traditional knitting patterns of local areas and their characteristics are summed up as follows : (1) England Guernseys are thick dark blue wool, whereas Jerseys are thinner and of various colors. The knitted shawls of Shetland are world-famous for their fine, lace-like texture that they can be through a wedding-ring. The knitted work of Fair Isle shows several distinctive features, such as the use of no more than two colors, patterns with diagonal lines. symmetry within the patterns, the prominent OXO patterns, and horizontal bands of patterning. The representative knitted work of Aran is Aran sweater made for fishermen to developed from guernseys of Scotland. (2) Scandinavian countries are distinguished from other countries by their conservative but creative cultural tradition. Their knitting patterns are characterized by small geometric figures such as dots, triangles, squares, rhombuses, and crosses used often with stars and roses. Scandinavian knitting is also salient for its vertical stripes and simple motifs repeating at short intervals. (3) Baltic area : The Latvian and Lithuania stockings have very ornate patterns. Many of the Estonian knit stockings and mittens share designs. Komi was well-known for its symmetric diamond pattern. Komi patterns include colored stripes, borders of pattern and all-over designs of complex diagonals. (4) Balkan area : In Yugoslavia, the patterns of roses, leaves and flowers were used for stockings, gloves and leggings. Greek knitting resembled southern Russian knitting, which utilized light colored patterns with dark colors for a background. Turkish patterns are symmetric vertically or horizontally. 4) The traditional knitting patterns net only carried symbolic meanings but also served as means of communication. First of all, patterns had incantatory meanings. Patterns also represented Power or authenticity Patterns were symbolic of one's social standing, too. The colors, motifs and their arrangements were very important features symbolizing one's social position or family line. People often communicated by certain pieces of knitted work or patterns.

• 대한간호학회지
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• 제24권4호
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• pp.597-615
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• 1994

This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

• Asian-Australasian Journal of Animal Sciences
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• 제17권11호
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• pp.1615-1634
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• 2004

A review was undertaken to obtain information on the sustainability of pig free-range production systems including the management, performance and health of pigs in the system. Modern outdoor rearing systems requires simple portable and flexible housing with low cost fencing. Local pig breeds and outdoor-adapted breeds for certain environment are generally more suitable for free-range systems. Free-range farms should be located in a low rainfall area and paddocks should be relatively flat, with light topsoil overlying free-draining subsoil with the absence of sharp stones that can cause foot damage. Huts or shelters are crucial for protecting pigs from direct sun burn and heat stress, especially when shade from trees and other facilities is not available. Pigs commonly graze on strip pastures and are rotated between paddocks. The zones of thermal comfort for the sow and piglet differ markedly; between 12-22$^{\circ}C$ for the sow and 30-37$^{\circ}C$ for piglets. Offering wallows for free-range pigs meets their behavioural requirements, and also overcomes the effects of high ambient temperatures on feed intake. Pigs can increase their evaporative heat loss via an increase in the proportion of wet skin by using a wallow, or through water drips and spray. Mud from wallows can also coat the skin of pigs, preventing sunburn. Under grazing conditions, it is difficult to control the fibre intake of pigs although a high energy, low fibre diet can be used. In some countries outdoor sows are fitted with nose rings to prevent them from uprooting the grass. This reduces nutrient leaching of the land due to less rooting. In general, free-range pigs have a higher mortality compared to intensively housed pigs. Many factors can contribute to the death of the piglet including crushing, disease, heat stress and poor nutrition. With successful management, free-range pigs can have similar production to door pigs, although the growth rate of the litters is affected by season. Piglets grow quicker indoors during the cold season compared to outdoor systems. Pigs reared outdoors show calmer behaviour. Aggressive interactions during feeding are lower compared to indoor pigs while outdoor sows are more active than indoor sows. Outdoor pigs have a higher parasite burden, which increases the nutrient requirement for maintenance and reduces their feed utilization efficiency. Parasite infections in free-range pigs also risks the image of free-range pork as a clean and safe product. Diseases can be controlled to a certain degree by grazing management. Frequent rotation is required although most farmers are keeping their pigs for a longer period before rotating. The concept of using pasture species to minimise nematode infections in grazing pigs looks promising. Plants that can be grown locally and used as part of the normal feeding regime are most likely to be acceptable to farmers, particularly organic farmers. However, one of the key concerns from the public for free-range pig production system is the impact on the environment. In the past, the pigs were held in the same paddock at a high stocking rate, which resulted in damage to the vegetation, nutrient loading in the soil, nitrate leaching and gas emission. To avoid this, outdoor pigs should be integrated in the cropping pasture system, the stock should be mobile and stocking rate related to the amount of feed given to the animals.