• 중환자간호학회지
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• 제11권1호
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• pp.67-78
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• 2018

Purpose : A meta-analysis was conducted to identify the effectiveness of strategies designed to prevent the incidence and prevalence of pressure ulcers in intensive care units (ICUs). Method : The search strategy was designed to retrieve studies both published and unpublished between 2007 and 2017 including studies in English across PubMed and CINAHL, as well as in Korean across RISS, DBPia, NDSL, KISS, and NAL. All adult ICU participants were 18 years or over. Inclusion criteria were randomized controlled trials, quasi-experimental and comparative studies. Two independent reviewers conducted quality assessments of the included studies by Scottish Intercollegiate Guidelines Network. A Review Manager 5 was used to analyze effect sizes and to identify possible sources of heterogeneity among the studies. Results : The odds ratio (OR) effect sizes were all statistically significant. The OR of total effect size was 0.30(95% CI: 0.19, 0.47), care bundle was 0.37(95% CI: 0.24, 0.57), position change was 0.45(95% CI: 0.10, 2.08), and a silicone border foam dressing was 0.14 (95% CI: 0.07, 0.29). Conclusion : The preventive interventions for patients in the ICUs have positive impacts on reducing the incidence of pressure ulcers.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2001년도 하계학술대회 논문집
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• pp.901-904
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• 2001

For the c-axis oriented epitaxial YBa$_2$Cu$_3$O$_{7-{\delta}}$ thin film on r-cut sapphire substrate it is necessary to deposit buffer layers. The CeO$_2$buffer layer was deposited on sapphire substrate using RF magnetron sputtering system. We investigated XRD pattern of CeO$_2$thin films at various sputtering conditions such as sputtering gas ratio, sputtering power, target to substrate distance, sputtering pressure and substrate temperature. The optimum condition was 15 mTorr with deposition pressure, 1:1.2 with $O_2$and Ar ratio and 9cm with target to substrate distance. The CeO$_2$(200) peak was notable for a deposition temperature above 75$0^{\circ}C$. The YBa$_2$Cu$_3$O$_{7-{\delta}}$ was deposited on CeO$_2$buffered r-cut sapphire substrate using pulsed laser ablation. The YBa$_2$Cu$_3$O$_{7-{\delta}}$CeO$_2$(200)/A1$_2$O$_3$thin film was exhibited a critical temperature of 89K.xhibited a critical temperature of 89K.

• Nuclear Engineering and Technology
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• 제37권5호
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• pp.479-490
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• 2005

The thermalhydraulic performance of a CANDU-6 reactor loaded with various CANFLEX fuel bundles is evaluated by the NUCIRC code, which is incorporated with recent models of pressure drop and critical heat flux (CHF) predictions based on high-pressure steam-water tests for the CANFLEX bundle as well as a 37-element bundle. The distributions of channel flow rate, channel exit quality, critical channel power (CCP), and critical power ratio (CPR) for the CANFLEX bundles (with natural or recycled uranium fuel) in the CANDU-6 reactor fuel channel are calculated by the code. The effects of axial and radial heat flux on CCP are evaluated by assuming that the recycled uranium fuel (CANFLEX-RU) has the same geometric data as the natural uranium fuel bundle (CANFLEX-NU), but a different power distribution due to different fuel composition and refueling scheme. In addition, the effects of pressure tube creep and bearing-pad height are examined by comparing various results of uncrept, and $3.3\%\;and\;5.1\%$ crept channels loaded with CANFLEX bundles with 1.4 mm or 1.7 mm high bearing-pads with those of the 37-element bundle. The distributions of the channel flow rate and CCP for the CANFLEX-NU or -RU bundle show a typical trend for a CANDU-6 reactor channel, and the CPRs are maintained above at least 1.444 (NU) or 1.455 (RU) in the uncrept channel. The enhanced CHF of the CANFLEX bundle (particularly with 1.7mm height bearing-pads) produces a higher thermal margin and considerably less sensitivity to CCP reduction due to the pressure tube creep than the 37-element bundle. The CCP enhancement due to the raised bearing-pads is estimated to be about $3\%\~5\%$ for the CANFLEX-NU and $2\%\~6\%$ for the CANFLEX-RU bundle, respectively.

• 한국농공학회논문집
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• 제60권1호
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• pp.1-10
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• 2018

This study analyzed pore water pressure, seepage and leakage quantity, height of seepage and critical hydraulic gradient in order to suggest the seepage characteristics of agricultural reservoir embankment considering filter interval. The seepage characteristics of a deteriorated reservoir embankments were conducted according to the horizontal filter intervals range using three- dimensional finite element analysis. The wider the horizontal filter interval, the higher the pore water pressure increased, and the pore water pressure ratio in the center of the core has a greater effect than the base part. The seepage and leakage quantity appeared largely in the two-dimensional analysis conditions (case 1), where the filter was constructed totally in the longitudinal direction of the embankment, the wider the horizontal filter interval was gradually reduced. The reasonable filter intervals to yield efficient seepage characteristics were within 30 m for the pore water pressure of the core and the height of the seepage line. The stability of the filter installation was able to evaluate the stability of the piping by the critical hydraulic gradient method. The deteriorated reservoir with no filters or decreased functionality can significantly reduce the possibility of piping by simply installing a filter on the downstream slope. In the future, the deteriorated reservoir embankment should be checked for the reservoir remodeling because the core and filter functions have been lost or decreased significantly. In the case of a new installation, the seepage characteristic behavior due to the core and filter changes should be applied to the field after obtaining a reasonable horizontal filter interval that satisfies the safety factor by a three-dimensional analysis.

• Tuberculosis and Respiratory Diseases
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• 제82권3호
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• pp.251-260
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• 2019

Background: Beyond its current function as a rescue therapy in acute respiratory distress syndrome (ARDS), extracorporeal membrane oxygenation (ECMO) may be applied in ARDS patients with less severe hypoxemia to facilitate lung protective ventilation. The purpose of this study was to evaluate the efficacy of extended ECMO use in ARDS patients. Methods: This study reviewed 223 adult patients who had been admitted to the intensive care units of 11 hospitals in Korea and subsequently treated using ECMO. Among them, the 62 who required ECMO for ARDS were analyzed. The patients were divided into two groups according to pre-ECMO arterial blood gas: an extended group (n=14) and a conventional group (n=48). Results: Baseline characteristics were not different between the groups. The median arterial carbon dioxide tension/fraction of inspired oxygen ($FiO_2$) ratio was higher (97 vs. 61, p<0.001) while the median $FiO_2$ was lower (0.8 vs. 1.0, p<0.001) in the extended compared to the conventional group. The 60-day mortality was 21% in the extended group and 54% in the conventional group (p=0.03). Multivariate analysis indicated that the extended use of ECMO was independently associated with reduced 60-day mortality (odds ratio, 0.10; 95% confidence interval, 0.02-0.64; p=0.02). Lower median peak inspiratory pressure and median dynamic driving pressure were observed in the extended group 24 hours after ECMO support. Conclusion: Extended indications of ECMO implementation coupled with protective ventilator settings may improve the clinical outcome of patients with ARDS.

• 한국수산과학회지
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• 제34권2호
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• pp.151-155
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• 2001

해양 목장에서 음향 순치 대상 어종으로 사용할 수 있는 볼락의 청각 문턱치를 기본으로 하여 음향 어법의 기초 자료를 제공할 목적으로 볼락의 백색 잡음에 대한 청각 임계비와 학습 및 유집을 위한 방성 음압 강도를 조사한 결과는 다음과 같다. 음압 73, 78, 83dB의 3단계 백색 잡음을 방성하였을 때 볼락의 청각 문턱치는 백색 잡음이 없을 때보다 높게 나타나 마스킹 현상이 나타났고, 주파수 300Hz에서 보다 높게 나타났다. 볼락의 청각 임계비는 측정 주파수 80, 100, 200, 300, 500, 800Hz에서 음압이 대략 28, 34, 26, 30, 47, 52dB이고 마스킹 현상은 주파수 300Hz에서 음압 65dB의 잡음 레벨에서 나타나기 시작하였고 그 외의 주파수에서는 음압 68dB 이상에서 나타났으며, 볼락이 주파수 $200\~300$Hz에서 신호음을 인식하기 위해서는 음압 96dB 이상, 잡음 레벨보다 약 26dB 이상의 높은 음압이 요구되었다.

• 한국추진공학회지
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• 제13권4호
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• pp.9-15
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• 2009

스크램제트 엔진의 연소기 내부 유동은 초음속이므로 유동의 잔류시간과 혼합율의 증대가 효과적인 연소를 가능하게 하는 주요 요인으로 작용한다. 본 연구에서는 연료-공기 혼합기로써 L/D=4.8인 개방형 공동 모델을 사용하였고, 공동 앞에서의 경사 연료 분사 시 분사구 주위와 공동 주위의 유동특성을 살펴보기 위하여 레이저 슐리렌 기법과 압력측정을 실시하였다. 측정에 사용된 레이저 슐리렌은 10 ns의 매우 짧은 광원 지속시간을 보유하여 공동부근의 비정상 유동 현상을 효과적으로 관찰할 수 있었다. 압력측정은 연료 분사비 J(운동량비)를 변화시켜 가며 측정하였으며, 운동량비에 따른 연소기 내부 주요 압력상승 지점의 변화를 살펴 볼 수 있었다.

• 한국지반공학회지:지반
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• 제9권4호
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• pp.55-64
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• 1993

이방압밀이 비배수크리프파괴거동에 미치는 영향을 연구하기 위하여 4가지의 압밀응력비(a:In'/clc': 1.0, 0.7, 0.5, 0.4)로서 정규압밀시킨 점토시료에 대해서 비배수크리프시험을 수행하였다. 어떤 최소변형률속도에 이르는 경과시간은 압밀응력비의 감소에 따라 줄어들고 이 최소변형률속도에 대한 파괴시간도 감소된다. Finn and Shead(1.1의 제안식에 의해서 구한 상한항복강도는 압밀응력비의 크기에 관계없이 크리프강도와 잘 일치하며 평균구속응력으로서 정규화한 상한항복 강도는 압밀응력비가 증가할수록 감소한다.

• Structural Engineering and Mechanics
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• 제55권2호
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• pp.399-411
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• 2015

The buckling equations of filament wound composite cylindrical shell are established. The coefficients $K_{ij}$ and $L_{ij}$ of the buckling equations are determined by solving the equations. The geometric analysis and the effective stiffness calculation for the fiber crossover and undulation region are respectively accomplished. Using the effective stiffness of the undulation region, the specific formulas of the coefficients ${K^{\prime}}_{ij}$ and ${L^{\prime}}_{ij}$ of the buckling equations are determined. Numerical examples of the buckling critical loads have been performed for the different winding angles and stacking sequences cylindrical shell designs. It can be concluded that the fiber undulation results in the less effect on the buckling critical loads $P_{cr}$. $P_{cr}$ increases with the thickness-radius ratio. The effect on $P_{cr}$ due to the fiber undulation is more obvious with the thickness-radius ratio. $P_{cr}$ decreases with the length-radius ratio. The effect on $P_{cr}$ due to the fiber undulation can be neglected when the ratio is large.

• 동력기계공학회지
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• 제19권1호
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• pp.83-89
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• 2015

A ball strainer screen module, which is used for a condenser tube cleaning system, is a critical mechanical component for maintaining condenser cleanliness. Despite of this importance, not many research have been focused on this module because of its relatively low usage. Employing CFD, this study examines the implication of fluid velocity change and blockage ratio on the ball strainer screen velocity and the static pressure distribution. Through this study, the impact of blockage in the space between ball strainer screen modules is verified. Also, it is found that the ranges of non-dimensional velocity distribution and static pressure distribution decrease as blockage ratio becomes smaller.