• Journal of Trauma and Injury
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• 제34권3호
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• pp.187-190
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• 2021

A 91-year-old female presented to Chonnam National University Hospital Regional Trauma Center with a lateral compression type III fracture of the pelvis. She was managed non-operatively for a week in the intensive care unit under close observation and had an emergency operation due to delayed onset of an acute obstructed direct inguinal hernia. Traumatic abdominal wall hernias are rare. However, trauma surgeons should always be aware of the possibility of such injuries because of their critical consequences.

• 융합신호처리학회논문지
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• 제18권1호
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• pp.13-20
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• 2017

본 논문에서는 KVN의 광대역 VLBI 관측을 위한 백엔드 시스템으로써 도입한 32 Gbps 급 관측장비의 기본적인 시험결과에 대해 고찰한다. 천문학자들은 천체의 초미세 구조를 관측하고자 성능이 우수한 큰 전파망원경을 만들고 싶지만, 많은 돈이 소요된다. 따라서 민감도를 높이기 위해 수신시스템의 성능개선이나 넓은 주파수 대역폭을 관측하는 방법을 도입하고 있다. 이를 위해 본 연구에서는 넓은 관측 주파수 대역폭을 관측하기 위해서는 아날로그 신호를 초고속으로 변환하는 광대역 샘플링 방법과 디지털 필터링을 수행하는 광대역 샘플러를 도입하였다. 광대역 샘플러(OCTAD-K)는 최대 16Gsps-2bit 샘플링을 지원하며, 디지털필터링 기술을 이용하여 다양한 관측대역폭의 관측을 지원한다. 특히 KVN의 4주파수 동시관측시스템과 VERA의 2-beam 관측시스템을 지원할 수 있도록 설계되었다. 그리고 편파관측도 지원할 수 있으며, 관측데이터의 출력의 표준 VDIF 형식을 지원한다. 본 논문에서는 광대역 샘플러를 도입하기 전 수행한 공장검수와 현장시험을 수행한 후 시스템의 성능결과와 문제점 해결 등에 대해 자세히 기술한다.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2016년도 제50회 동계 정기학술대회 초록집
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• pp.125.1-125.1
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• 2016

The excitonic insulator (EI), which is one of fundamental insulators, was theoretically proposed in 1967 but its material realization has not been established well. Only a few materials were proposed as EIs but their experimental evidences were indirect such as the renormalization of band dispersions or an anomaly in electrical resistivity. We conducted scanning tunneling microscopy / spectroscopy measurements and found out that $Ta_2$ $NiSe_5$, which was the most recently proposed as an EI, had a metal-insulator phase transition with the energy gap of 700 meV at 78 K. Moreover, the spatially delocalized excitonic energy level was observed within the energy gap, which could be the direct evidence of the EI ground state. Our theoretical model calculation with the order parameter of 150 meV reproduces the spectral function and the excitonic energy gap very well. In addition, experimental data shows that the band character is inverted at the valence and conduction band edges by the exciton formation, indicating that the mechanism of exciton condensation is similar to the Bardeen-Cooper-Schrieffer (BCS) mechanism of cooper pairs in superconductors.

• 소성∙가공
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• 제27권5호
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• pp.314-322
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• 2018

AlSi12 is a heat-resistant aluminum alloy that is lightweight, corrosion-resistant, machinable and attracting attention as a functional material in aerospace and automotive industries. For that reason, AlSi12 powder has been used for high performance parts through 3D printing technology. The purpose of this study is to observe deposition characteristics of AlSi12 powder in a direct energy deposition (DED) process (one of the metal 3D printing technologies). In this study, deposition characteristics were investigated according to various process parameters such as laser power, powder feed rate, scan speed, and slicing layer thickness. In the single track deposition experiment, an irregular bead shape and balling or humping of molten metal were formed below a laser power of 1,000 W, and the good-shaped bead was obtained at 1.0 g/min powder feed rate. Similar results were observed in multi-layer deposition. Observation of deposited height after multi-layer deposition revealed that over-deposition occurred at all conditions. To prevent over-deposition, slicing layer thickness was experimentally determined at given conditions. From these results, this study presented practical conditions for good surface quality and accurate geometry of deposits.

• 한국분말재료학회지
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• 제29권1호
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• pp.8-13
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• 2022

In this study, we have prepared a Ti-6Al-4V/V/17-4 PH composite structure via a direct energy deposition process, and analyzed the interfaces using scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The joint interfaces comprise two zones, one being a mixed zone in which V and 17-4PH are partially mixed and another being a fusion zone in the 17-4PH region which consists of Fe+FeV. It is observed that the power of the laser used in the deposition process affects the thickness of the mixed zone. When a 210 W laser is used, the thickness of the mixed zone is wider than that obtained using a 150 W laser, and the interface resembles a serrated shape. Moreover, irrespective of the laser power used, the expected σ phase is found to be absent in the V/17-4 PH stainless steel joint; however, many VN precipitates are observed.

• 대한간호학회지
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• 제17권1호
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• pp.9-23
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• 1987

Nursing service, as the largest user of labor resources, has become concerned about appropriate allocation of staffing resources. Therefore, this project was designed to measure quantitatively the direct nursing care provided to patients and to develop a new patient classification system based on the direct nursing care activities. The initial step in the development of the classification instrument was to identify the content of direct nursing activities. The frequency with which these activities were carried out, the total time spent in carrying them out and the average time for one performance of each of the nursing activities was calculated. The next step was to select the items for the classification instrument taking into account these direct nursing activities. A list of 40 items was prepared. These items were then classified into 8 major categories: personal hygiene, moving ＆ exercise, nutrition & elimination, observation, medication, treatment, collecting specimens and other care activities for severity ill patients. Each item was assigned a value unit based on the average time required by the nursing staff to complete the specific item. The third step was to determine the practicality of the items and value units, so an attempt was made to establish content validity for these items and units by obtaing a consensus from 8 head nurses, representing eight different departments. The 4th step was to conducted a pilot study to establish the score range for the classification boundaries. For this purpose an instrument was designed using the list of items and value units and a prepared classification criteria as a guideline to validate the patient classification. A judgment group consisting of 52 supervisory nurses and head nurses were asked to select the proper patient to fit each classification criteria and to fill out the instrument for each patient. The total value unit and the frequency for each classification group was calculated. According to the frequency distribution, the score range for the classification group was determined as follows : 0~15 for groupI, 16~30 for group II, 31~50 for group III, and above 51 for group IV. Finally a patient classification form was developed.

• 중환자간호학회지
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• 제10권1호
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• pp.1-12
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• 2017

Purpose: This study aimed to estimate the appropriate nurse staffing ratio in intensive care units (ICUs) by measuring nursing workload based on patient's severity and needs, using the Korean Patient Classification System for critical care nurses. Methods: The data were collected from January 18 to February 29, 2016 using a standardized checklist by observation or self-report. During the study period, 723 patients were included to be categorized from I to IV using the patient classification system. Measurement of total nursing workload on a shift was calculated in terms of hours based on the time and motion method by using tools for surveying nursing activities. The nursing activities were categorized as direct nursing care, indirect nursing care, and personal time. Total of 127 cases were included in measuring direct nursing time and 18 nurses participated in measuring indirect and personal time. Data were analyzed using descriptive statistics. Results: Two patients were classified into Class I (11.1%), 5 into Class II (27.8%), 9 into Class III (50%), and two into Class IV (11.1%). The amount of direct nursing care required for Class IV (513.7 min) was significantly more than that required for Class I (135.4 min). Direct and indirect nursing care was provided more often during the day shift as compared to the evening or night shifts. These findings provided the rationale for determining the appropriate ratio for nursing staff per shift based on the nursing workload in each shift. Conclusions: An appropriate ratio of nurse staffing should be ensured in ICUs to re-arrange the workload of nurses to help them provide essential direct care for patients.

• 미생물학회지
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• 제38권3호
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• pp.180-185
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• 2002

직접생균수측정법(direct viable count; DVC)과 평판법(p1ate count; PC)을 이용하여 시판되고 있는 먹는샘물, 약수, 도시 인근 지역과 축산농가 밀집지역의 음용 지하수로부터 채수된 시료에 대하여 정략적 평가를 실시하였다. DVC법에 의한 생균수는 전균수(total direct count: TDC)의 약 30~80%, 평판법에 의한 생균수는 DVC의 약1~30%로 나타났다. 이와 같은 결과는 지하수내에 배양 불가능한(viable but non-culturable: VBNC)세균이 높은 비율로 존재함이라고 판단된다. 한편, 통상농도의 영양배지(nutrient broth; NB)와 이를 $10^-2 -2/배로 희석한 영양배지(diluted nutrient broth; DNB)및 R2A배지를 이용하여 계수한 결과, 통상농도의 NB배지에 비해 저영양배지인 DNB와 R2A에서 2~50배 이상 높은 계수치를 나타내었다. 이와 같은 결과로부터 지하수와 같이 빈영양한 환경 내에는 통상농도의 NB배지에서는 중식이 현저히 저해되고 저영양배지에서 중식 가능한 저영양세균이 다수 분포해 있음이라 판단되었다.

• 대한토목학회논문집
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• 제35권2호
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• pp.525-531
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• 2015

3차원 실내공간정보에 구축 시 경제성, 효율성 및 정확도 향상을 위한 지상레이저스캐너의 활용이 주목을 받고 있다. 그러나 실내공간정보 구축에 있어 지상레이저스캐너 관측방식과 기존 측량방식 방식에 대한 비교 연구는 미비한 실정이다. 본 연구에서는 설계도면 갱신 및 3차원 실내 모델링에 AMCW 방식 및 direct TOF 방식의 지상레이저스캐너와 토탈스테이션의 작업시간 및 위치정확도를 비교하여 지상레이저스캐너의 효율성과 경제성을 제시하였다. 비교결과, AMCW 방식은 direct TOF 방식에 비해 시간효율성이 뛰어났으며 두 관측값 사이의 RMSE는 ${\pm}1mm$ 수준으로 나타났다. 또한 지상레이저스캐닝 방식은 토탈스테이션 관측방식에 비해 2배 이상의 시간효율성을 보였으며 두 관측값 사이의 RMSE는 ${\pm}3.4cm$로 나타났다. 제시된 지상레이저스캐너를 이용한 3차원 실내모델링의 경제성과 효율성을 바탕으로 향후 3차원 실내공간 정보 구축에 지상레이저스캐닝 방식이 효과적으로 활용될 수 있을 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2611-2617
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• 2016

Background: Medication errors are common but most often preventable events in any health care setup. Studies on medication errors involving chemotherapeutic drugs are limited. Objective: We studied three aspects of medication errors - prescription, transcription and administration errors in 500 cancer patients who received ambulatory cancer chemotherapy at a resource limited setting government hospital attached cancer centre in South India. The frequency of medication errors, their types and the possible reasons for their occurrence were analysed. Design and Methods: Cross-sectional study using direct observation and chart review in anmbulatory day care unit of a Regional Cancer Centre in South India. Prescription charts of 500 patients during a three month time period were studied and errors analysed. Transcription errors were estimated from the nurses records for these 500 patients who were prescribed anticancer medications or premedication to be administered in the day care centre, direct observations were made during drug administration and administration errors analysed. Medical oncologists prescribing anticancer medications and nurses administering medications also participated. Results: A total of 500 patient observations were made and 41.6% medication errors were detected. Among the total observed errors, 114 (54.8%) were prescription errors, 51(24.5%) were transcribing errors and 43 (20.7%) were administration errors. The majority of the prescription errors were due to missing information (45.5%) and administration errors were mainly due to errors in drug reconstitution (55.8%). There were no life threatening events during the observation period since most of the errors were either intercepted before reaching the patient or were trivial. Conclusions: A high rate of potentially harmful medication errors were intercepted at the ambulatory day care unit of our regional cancer centre. Suggestions have been made to reduce errors in the future by adoption of computerised prescriptions and periodic sensitisation of the responsible health personnel.