• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2011년도 춘계학술대회 초록집
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• pp.90.2-90.2
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• 2011

세계 각 국에서는 선진국을 중심으로 기후변화와 치솟는 유가에 대응하기 위하여 다양한 에너지원의 확보를 위해 부단히 노력하고 있다. 특히, 신재생에너지원 중 에너지 지속성이 가장 우수한 연료전지의 경우 1kW급 건물용 연료전지시스템이 도시가스 인프라가 가장 우수한 한국 및 일본을 중심으로 상용화에 가장 근접해 있는 실정이다. 일본의 경우 가정용 연료전지시스템 '에너팜'의 일부 제품이 올해부터 200만엔대로 가격을 내려 보급되어질 예정이고, 아직은 경제성이 떨어지지만 연료전지 조기 상용화를 위해 시스템 가격저감을 통한 기술개발이 한창이다. 또한 700W급 고체산화물형 연료전지시스템을 세계에서 처음 시판 계획을 가지고 있다. 국내의 경우 2009년도부터 시작된 '그린홈 보급확대를 위한 건물용 연료전지 보조기기 가격저감 기술개발'연구를 통해 블로워, 밸브, 유량계 및 펌프 등의 보조기기의 단가를 낮추고자 기술개발에 박차를 가하고 있다. 이에 따른 연료전지 부품 가격저감 기술이 국내 건물용 연료전지 시장보급의 활력소가 되기를 기대한다. 본 연구에서는 건물용 연료전지의 보조기기인 블로워의 가격저감을 위한 연구의 일환으로 블로워의 안전성능 평가를 통한 보조기기의 가격저감 및 안전성을 확보하고자 한다. 1kW급 건물용 연료전지시스템의 여러 블로워 중 도시가스용 연료승압 블로워, 선택산화 공기 블로워, 버너 공기 블로워 및 캐소드 공기 블로워의 안전성능 평가를 수행하였고, 평가결과의 공유를 통하여 국내 블로워 제조사의 설계방향을 제시하고 연료전지시스템의 안전성을 확인하고자 한다. 특히, 내구성, 기밀, 가혹조건시험 및 소음, 진동, 습도, 온도와 같은 내주위환경시험 등의 평가결과 비교를 통하여, 연료전지 부품 인증기준을 재정립하여 연료전지 부품산업의 조기 활성화를 도모하고자 한다.

• Journal of Chest Surgery
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• 제32권6호
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• pp.588-590
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• 1999

오늘날 말기 신부전 환자에서의 심장수술은 보편화 되는 추세이며, 만성 신부전 환자들의 수가 늘어남에 따라 이들 환자에 대한 적절한 치료법 개발이 필요하게 되었다. 이 환자들에게는 관상동맥질환 뿐만 아니라 판막질환도 드물지 않다. 이들에게 시행되는 복막투석은 체외순환에 다소의 지장은 있을수 있지만 수술 전후에 적절한 대책을 준비한다면 더 이상 심장수술의 걸림돌이 되지 않는다. 저자는 심한 승모판막 폐쇄부전과 만성신부전을 동반한 33세의 무뇨증 여자환자에서 기계판막치환술을 시행하였다. 환자는 수술전에 복막투석을 주기적으로 함으로써 수분 및 전해질 균형을 적절히 유지시켰고, 수술후에도 혈액 생화학적 검사결과를 수시로 예의검토하면서 복막투석을 계속시행함으로써 무사히 회복될 수 있었다.

• Journal of Yeungnam Medical Science
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• 제1권1호
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• pp.13-23
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• 1984

Acute renal failure refers to a rapid reduction in renal function that usually occurs in an individual with no known previous renal disease. Development of a complication of acue renal failure in critically ill surgical patients is not unusual, and it causes high morbidity and mortality. Acute renal failure can be divided as Pre-renal (functional), Renal (organic), and Post-renal (obstructive) azotemia according to their etiologies. Early recognition and proper correction of pre-renal conditions are utter most important to prevent an organic damage of kidney. These measures include correction of dehydration, treatment of sepsis, and institution of shock therapy. Prolonged exposure to ischemia or nephrotoxin may lead a kidney to permanent parenchymal damage. A differential diagnosis between functional and organic acute renal failure may not be simple in many clinical settings. Renal functional parameters, such as $FENa^+$ or renal failure index, are may be of help in these situations for the differential diagnosis. Provocative test utilyzing mannitol, loop diuretics and renovascular dilators after restoration of renal circulation will give further benefits for diagnosis or for prevention of functional failure from leading to organic renal failure. Converting enzyme blocker, dopamine, calcium channel blocker, and propranolol are also reported to have some degree of renal protection from bioenergetic renal insults. Once diagnosis of acute tubular necrosis has been made, all measures should be utilized to maintain the patient until renal tubular regeneration occurs. Careful regulation of fluid, electrolyte, and acid-base balance is primary goal. Hyperkalemia over 6.5 mEq/l is a medical emergency and it should be corrected immediately. Various dosing schedules for medicines excreting through kidney have been suggested but none was proved safe and accurate. Therefore blood level of specific medicines better be checked before each dose, especially digoxin and Aminoglycosides. Indication for application of ultrafiltration hemofilter or dialysis may be made by individual base.

• 기본간호학회지
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• 제10권3호
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• pp.427-436
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• 2003

Purpose: The purpose of this study was to identify nurses' perceptions of the importance of concrete items as a basis for nursing practice. A total of 179 concrete items for basic nursing, which clinical nurses must know in order to practice appropriately, were identified. Method: The participants in this study were 225 nurses who had worked for two to five years in university hospitals. The nurses were asked to rate the importance of the 179 items (in 39 middle range categories) on a 5 point scale. Result: The mean age of the nurses was 26 and about 54% were university graduates. Of the 39 middle range categories those rated as the top ten were transfusion (4.682), IV injection (4.492), po medication (4.476), surgery (4.469), infection control (4.438), IM injection (4.413), safety (4.388), oxygenation (4.376), diagnostic test (4.366), and fluid & electrolyte balance (4.359). The categories that had the lowest scores were sexuality (3.449), conceptual nursing (3.465), spirituality (3.527) and personal hygiene (3.548). Conclusion: The results of this study show that most nurses evaluate items which they use frequently in their practice as important.

• 한국임상약학회지
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• 제8권1호
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• pp.35-46
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• 1998

A retrospective study was conducted to evaluate the appropriateness of total parenteral nutrition (TPN) for 200 hospitalized adult patients in Samsung Medical Center from January 1st in 1995 to June 31st in 1997. Standard criteria were modified and determined from those stated by AJHP (American Journal of Health System Pharmacy) and ASPEN (American Society of Parenteral and Enteral Nutrition). The justification for indications was appropriate in $35\%,\;44\%,\;and\;32\%$ of the patient's in 1995, 1996, and 1997, respectively, without significant improvement over the last two and half years. Before and during the administration of TPN, several monitoring indicators were well documented, and monitoring frequencies were increased over two and half years period. However, the majority of the monitoring indicators were not found in the standard criteria range of $90\%$. The monitoring indicators for electrolyte balance, $PO_4$ and Mg, were not measured appropriately and resulted in the complications which could have been prevented. The indicator for lipid tolerance, triglyceride and the indicator for hemorrhagic incidence, prothrombin time (PT), were not well documented in comparison with other indicators. The indicators for the improvement in nutritional status, albumin and total protein, were appropriate in $90\%$ of the patients. Determination of TPN formula was based on the laboratory data and chart reviews, and it was appropriate in $98\%$. But the administration of lipid and vitamin K for the prevention of essential fatty acid deficiency and hemorrhage, respectively, was not carried out appropriately when the administration of TPN was prolonged, lasting more than 7 days. When a patient returned to oral or enteral feeding, TPN was terminated. However, increase in albumin level or weight was rarely observed. In conclusion, healthcare professionals should all work as a team and active participation to provide optimized nutrition support for partners.

• 한국지반공학회논문집
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• 제15권2호
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• pp.153-164
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• 1999

계면활성제 수용액에서의 BTEX의 용해도에 대해 첨가제를 포함 또는 불포함한 상태로 평가하였다. 시험대상이 된 음이온성 계면활성제는 SDS이고, 비이온성 계면활성제로는 NEODOL(equation omitted) 25-3과 $SOFTANOL\circledR-90$이 사용되었다. MSR Test에 있어 계면활성제의 HLB수와 BTEX의 1몰당 부피 및 극성에 의한 마이셀/물의 분배 계수와 관련된 영향이 평가되었고 CMC Test등이 진행되었다. 이와 같은 실험을 통하여 ethyl alcohol, hydrotrope, 전해질 용액등의 첨가물질에 의한 최적 염도 조절 및 최적 전해질 조절 등을 통하여 오염물의 용해능 향상을 위한 최적 조작인자의 도출을 꾀하였다. 용해능에 있어 가장 효과적인 것은 $SOFTANOL\circledR-90$으로 나타났는데 이는 $SOFTANOL\circledR-90$의 HLB 수(13.6)가 BTEX의 HLB 수(11.4-12.2)와 유사하기 때문이며, 이는 본 연구에서 실험적으로 검증되었다. $SOFTANOL\circledR-90$에 ethyl alcohol을 첨가할 경우 CMC를 저하시키고 용해도를 향상시켜 시험된 첨가제 중 가장 탁월하였다. 특히 3%의 ethyl alcohol을 첨가하였을 경우 가장 우수한 것으로 나타났다. 실험 결과 계면활성제 수용액에 의한 BTEX의 용해는 CMC 라는 임계농도 이상에서 시작되었고 계면활성제의 농도에 따라 비례적으로 증가하는 양상을 보였다. 계면활성제 수용액에서 micelle phase와 aqueous phase사이에서 BTEX의 분배는 분배계수 $K_m$에 의하여 특성지워진다. 100mM SDS와 117mM $SOFTANOL\circledR-90$의 Log $K_m$은 각각 2.95-3.76, 2.95-3.49의 값을 나타내었다. 또한 SDS와 $SOFTANOL\circledR-90$의 경우 Log $K_m과\; Log\; K_{ow}$는 선형적인 관계를 보였다. 계면활성제 용액에서 BTEX의 분배 개념은 지반내 포집되어 있는 소수성 유기 오염물의 제거를 통한 지반복원과 효율성 평가에 중요한 역할을 할 것이다.

• 방사성폐기물학회지
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• 제12권3호
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• pp.179-189
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• 2014

파이로 공정은 사용후핵연료 관리 이슈 해결과 유용자원 재활용 제고의 목적으로 개발되고 있다. 파이로 공정 중 전해환원 공정은 LiCl을 전해질로 사용하여 산화물을 금속으로 전환시키는 공정으로 금속 전환체에 잔류염이 포함되므로 후속 공정이 요구된다. 진공 증류 공정은 다양한 용융염계에서 적용되어 왔으며 금속 전환체에서도 활용될 수 있다. 전해환원 금속 전환체 잔류염은 LiCl과 알카리 및 알카리토 금속 염화물을 포함한다. 본 연구에서는 이들 염화물들의 증기압을 추산하여 진공 증류 공정에서 잔류 액체의 조성변화를 계산하였다. 증류된 기체가 일정하게 제거되는 조건에서 물질수지와 기-액 평형식을 결합한 모델을 개발하였으며 증기압을 이용하여 무차원 시간에 대한 액체 조성 변화를 계산하였다. 공정 조건 변화 모사를 위해 온도와 용융염 조성을 변화시켜 거동을 비교하였다. 잔류염의 증류는 주성분인 LiCl에 의해 지배되었으며 LiCl 보다 증기압이 높은 CsCl은 쉽게 제거될 것이 예상되었다. 증기압이 유사한 RbCl은 LiCl과 일정한 조성이 유지되었다. 반면 증기압이 낮은 $SrCl_2$와 $BaCl_2$는 시간에 따라 농축되며 초기 조성이 높은 경우 증류 과정에서 석출될 가능성이 있는 것으로 예상되었다.

• 대한간호학회지
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• 제25권1호
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• pp.88-98
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• 1995

The Fluid and electrolytes balance in the body is of critical importance in maintaining good health. When the fluid and electrolyte imbalance is present, patients are in great danger. They must be assessed immediately by a nurse so that appropriate treatment can be started as soon as possible. Patients' fluid intake and output records contain highly important information for the diagnosis and treatment of fluid imbalance, but, these records are often inaccurate and the method of recording the fluid intake is not universal for every hospital. Be-cause they are few quantitative measurements of a patient's hydration, the need to improve the accuracy of fluid intake records is very important. However, very few studies have been done to investigate the accuracy of measurements of patients' fluid intake and output. The purpose of this study was to investigate the methods used for calculation of fluid intake which is most similar to fluid output in normal adults and hospitalized patients. This study focused on three different calculation methods for fluid intake and compared these to fluid output and developed suggestions as to the ideal way to record fluid in-take. Data for 43 hospitalized patients and 37 normal adults were analyzed. The findings of this study are as follows ; 1) In normal adults, the daily intake of water which enteres by the oral route was 2415m1 (the first method of calculation). The daily intake of water in the form of pure water or some other beverage was 1365m1 (the third method of calculation) The daily intake of water including fresh fruits and vegetables, rice, porridges, and Me m which have water content more than 80% were 2186m1 (the second method of calculation). 2) The urine output of the normal adults was 1350m1. This apprroximates the amount of fluid an adult takes in the form of pure water. 3) In patient group, the total intake of water was 2550m1 (the first method of calculation). The in-take of water in the form of pure water or as some other beverage and IV fluid was 1661m1 (the third method of calculation). The daily in-take of water including foods which have high water content was 2356m1 (the second method of calculation). 4) The urine output of the patient's group was 1728m1. This approximates the amount of fluid an adult takes in the form of pure water. 5) Investigation of the method of calculation of the patient fluid intake showed that among the 31 hospitals studied, only eight use the third method of calculation which reflects the most close value to urine output. From the results obtained in this study, it was indicated that the amount of fluid taken in the form of pure water reflects the most close value to urine output. Therefore, it can be suggested that the third method of calculation which includes water in-take only in the form of pure water or beverage should be used as patients' fluid intake record.

• Nutrition Research and Practice
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• 제6권2호
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• pp.106-112
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• 2012

This study was conducted to investigate the effects of $Sasa$ $quelpaertensis$ bamboo and green tea on plasma and liver lipids, platelet aggregation, and erythrocyte membrane Na channels in ovariectomized (OVX) rats. Thirty female rats were OVX, and ten female rats were sham-operated at the age of 6 weeks. The rats were divided into four groups at the age of 10 weeks and fed the experiment diets: sham-control, OVX-control, OVX-bamboo leaves (10%), or OVX-green tea leaves (10%) for four weeks. Final body weight increased significantly in the OVX groups compared with that in the sham-control, whereas body weight in the OVX-green tea group decreased significantly compared with that in the OVX-control ($P$ < 0.01). High density lipoprotein (HDL)-cholesterol level decreased in all OVX groups compared with that in the sham-control rats ($P$ < 0.05) but without a difference in plasma total cholesterol. Plasma triglycerides in the OVX-green tea group were significantly lower than those in the sham-control or OVX-control group ($P$ < 0.05). Liver triglycerides increased significantly in the OVX-control compared with those in the sham-control ($P$ < 0.01) but decreased significantly in the OVX-green tea group compared with those in the OVX-control or OVX-bamboo group ($P$ < 0.01). Platelet aggregation in both maximum and initial slope tended to be lower in all OVX rats compared with that in the sham-control rats but was not significantly different. Na-K ATPase tended to increase and Na-K cotransport tended to decrease following ovariectomy. Na-K ATPase decreased significantly in the OVX-green tea group compared with that in the OVX-control group ($P$ < 0.01), and Na-K cotransport increased significantly in the OVX-bamboo and OVX-green tea groups compared with that in the OVX-control ($P$ < 0.05). Femoral bone mineral density tended to be lower in OVX rats than that in the sham-control, whereas the green tea and bamboo leaves groups recovered bone density to some extent. The results show that ovariectomy caused an increase in body weight and liver triglycerides, and that green tea was effective for lowering body weight and triglycerides in OVX rats. Ovariectomy induced an increase in Na efflux via Na-K ATPase and a decrease in Na efflux via Na-K cotransport. Furthermore, consumption of green tea and bamboo leaves affected Na efflux channels, controlling electrolyte and body water balance.

• 가정∙방문간호학회지
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• 제8권2호
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• pp.121-134
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• 2001

The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).