• 대한간호학회지
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• 제49권6호
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• pp.724-735
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• 2019

Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.653-659
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• 2018

초고층 복합시설은 수많은 사람들이 이용하고 있는 도심의 핵심시설로서 안전성을 최우선으로 하고 있으며, 화재발생 시 연기와 유독가스는 대형사고를 유발할 수 있다. 본 연구는 초고층 복합시설물에서 화재에 의한 재난이 발생했을 경우, 피난자들이 신속히 안전한 곳으로 피할 수 있는 비상 대피통로용 접이장치에 적용되는 섬유 스크린 소재를 개발하는 데 목적이 있다. 섬유 스크린 소재 개발 방향은 일반적으로 사용되는 철제 소재와 달리 접이장치 내 롤형태로 장기간 보관 시 하중 부담이 적은 경량일 것과 차염/차연 기능이 우수해야 하며 복사열에 의한 피난자의 영향이 적어야 할 것이다. 이에 대해 난연성이 우수한 원단과 후가공을 조건으로 3종의 섬유 스크린 소재를 선정하여 열수축시험, 접촉열시험, 연소성시험, 난연도시험, 인장강도시험, 인열강도시험을 통해 성능평가를 수행하였다. 그 결과 경량의 원단이라도 후가공을 통해 우수한 성능을 발휘할 수 있으며, 실리콘수지 코팅이 섬유 스크린 소재 성능과 복사열에 의한 대피자의 안전을 확보할 수 있는 것으로 나타났다. 이에 따라 무게와 두께가 상이한 유리섬유 2종과 난연 실리콘수지 4종을 대상으로 코팅을 한 후 연소성시험을 수행하여 최적의 후가공조건을 평가하였다.

• 한국화재소방학회논문지
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• 제25권2호
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• pp.39-46
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• 2011

다수의 거주자들이 구금되어있는 교정시설에서는 피난경로가 복잡하여 화재발생시 수용자의 도주사고 없이 안전한 대피유도가 가장 중요한 요소이다. 교정시설의 화재발생유형을 살펴보면 단기보호시설, 치료 시설에서는 의도적인 방화로 인한 화재가 많은 반면에, 교도소 및 구치소와 같은 구금시설에서는 노후한 설비 또는 화기취급부주의 등의 원인에 의해 화재가 발생한다. 두 종류의 교정시설 모두 화재가 발생하면 대피가 신속하게 이루어지지 않아 인명피해가 크다는 점에서 동일한 유형을 보인다. 본 논문에서는 교정 시설의 화재사례 및 구조적 취약성을 고려한 비상시 수용자의 대피경로 및 대피유도계획에 대해 고찰하여 화재와 같은 재난 발생 시 구금상태의 거주자를 도주사고 없이 안전하게 대피 유도하기 위해 쇠창살문에 설치된 구금장치의 전자 해정시스템의 도입을 검토하였다. 특히, 복층형 교정시설에서 보안 및 계호공백 없이 수용자의 안전한 대피유도를 실현하기 위해 피난시뮬레이션(SIMULEX)을 실행하여 산정한 필요피난소요시간(RSET)을 기반으로 구금장치의 해정시스템의 효과를 분석하였다. 결론적으로 USN(Ubiquitous Sensor Networks)기술을 활용한 전자보안출입시스템에 원격해정장치를 교정시설에 의무적으로 부착하여야만 구금상태의 수용자가 비상사태 발생 시 도주시도를 방지하면서 적절한 대피가 이루어질 수 있음을 제시하였다.

• 핵의학기술
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• 제17권1호
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• pp.3-6
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• 2013

Purpose: The treatment of thyroid cancer patients was continuously increased. According to the increment of thyroid cancer patients, the establishment of iodine therapy site was also increased in each hospital. This treatment involves the administration of radioactive iodine, which will be given in the form of a capsule. Therefore, protections and managements for radioactive source pollution and radiation exposure should be necessary for radiation safety. Among the many problems, the problem of disposing the radioactive wastes was occurred. In this study, The date for self-disposal for radioactive wastes, which were contaminated in clothes, bedclothes and trash, were calculated. Materials and Methods: The number of iodine therapy ward was 15 in Korea Institute of Radiological Medical and Sciences. Recently, 8 therapy wards were operated for iodine therapy patients and others were on standby for emergency treatment ward of any radiation accidents. Radioactive wastes, which were occurred in therapy ward, were clothes, bedclothes, bath cover for patients washing water and food and drink which was leftover by patients. Each sample was hold into the marinelli beaker (clothes, bedclothes, bath covers) and 90 ml beaker (food, drink, and washing water). The activities of collected samples were measured by HpGe MCA device (Multi Channel Analysis, CANBERRA, USA) Results: The storage period for the each kind of radioactive wastes was calculated by equation of storage periods based on the measurement outcomes. The average storage period was 60 days for the case of clothes, and the maximum storage period was 93 days for patient bottoms. The average storage period and the maximum storage period for the trash were 69 days and 97 days, respectively. The leftover foods and drinks had short storage period (the average storage period was 25 days and maximum storage period was 39 days), compared with other wastes. Conclusion: The proper storage period for disposing the radioactive waste (clothes, bedclothes and bath cover) was 100 days by the regulation on self-disposal of radioactive waste. In addition, the storage period for disposing the liquid radioactive waste was 120 days. The current regulation for radioactive waste self-disposing was not suitable for the circumstances of each radioactive therapy facility. Therefore, it was necessary to reduce the leftover food and drinks by adequate table setting for patients, and improve the process and regulation for disposing the short-half life radioactive wastes.

• 대한치과기공학회지
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• 제28권1호
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• pp.177-198
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• 2006

This study purposed to offer basic data for safety education of the dental laboratory technology after the investigation of how much the students in the dept. of dental laboratory technology are aware of the danger of each instrument, equipment or laboratory procedure that they use during laboratory and how much they demand safety education for this. The objects for this study were 423 students who were in the dept. of dental laboratory technology. In this regard, four colleges which have the dept. of dental laboratory technology were randomly selected to do a questionnaire survey. SPSS 12.0 was used to analyze the collected data. The results were as follows: As for satisfaction with their major, the respondents answered Satisfied (59.1%), Average (35.5%) and Dissatisfied (5.4%). In terms of the production process of a partial denture, they considered casting, polishing the casting body, polishing denture and burn out were most dangerous in order. As for the production process of a full denture, what they regarded as the most dangerous in order was polishing denture, deflasking and wax wash. Regarding the laboratory procedures of porcelain material, casting, trimming casting body, polishing porcelain material and burn out were the most dangerous procedures that they perceived. With regard to materials for use, alcohol, polishing, metal and wire were the most dangerous ones they thought. As for the handling characteristics of each material, small towns showed a higher demand for safety of the handling characteristics of alcohol. In terms of school year and sex, juniors and girls had higher scores in the demand for safety of the handling characteristics of acid. Regarding the handling characteristics of each equipment and instrument, all of small towns, juniors and girls showed the highest demand for safety of the handling characteristics of alcohol lamps. With regard to scores in the demand for safety of other characteristics, all of small towns, juniors and girls had the highest demand for safety of emergency treatment. Concerning the demand for safety education by the completion of safety education, in terms of each material, highest was the demand for safety of acid from the group which completed safety education. In regard to equipments and instruments, when it came to the demand for safety of the handling characteristics of casting machine, the educated group's demand for safety of acid was higher. Regarding other characteristics, the group which was not educated gained higher scores in the demand for safety of emergency treatment. 11. In all areas(materials, machines and others), small towns, girls and juniors showed higher scores in the demand for safety. Based on the above results, it was found that when students conduct the laboratory of dental technology, they would think that many materials, instruments or equipments for use are very dangerous. However, safety education was not fully given to them. Regarding the scores in the damned for safety education, the highest was 4.16 and the lowest was 3.43, which suggests that the scores were generally very high. In this regard, it is necessary to continue delivering a systematic safety education of materials, equipments or instruments used during the laboratory of dental technology. Therefore, through the analysis of each material, instruments or facility used in every laboratory and each process, safety accident types and accident risk factors should be investigated to develop educational materials for this. Moreover, it is required to open safety education as a single course of study or insert safety contents of all materials and machines into the class of dental laboratory instrument or dental materials for the purpose of a systematic and thorough safety education to prevent a safety accident during laboratory.