• 제목/요약/키워드: Fluid Management

검색결과 513건 처리시간 0.026초

Diagnosis-Related Group 지불제도가 위험도 보정 제왕절개 분만율에 미치는 영향 (Effects of Diagnosis-Related Group-Based Payment System on the Risk-Adjusted Cesarean Section Rate)

  • 곽진미;이광수
    • 보건행정학회지
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    • 제31권2호
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    • pp.180-187
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    • 2021
  • Background: This study analyzed the effect of applying the diagnosis-related group (DRG)-based payment system, which was implemented in July 2012 for hospitals and clinics nationwide, on the cesarean section rate. Methods: The subjects of the study were divided into new groups that participated in the payment system after July 2012 and maintenance groups that participated in the payment system before July 2012. As an analysis method, a difference-in-difference analysis, which is a quasi-experimental design, was used. The risk-adjusted cesarean section rate was used as a dependent variable. Results: Seven risk factors (malpresentation of fetus, eclampsia, multiple pregnancies, problems in the placenta, previous Cesarean section, cephalopelvic disproportion, problems in amniotic fluid) were included in the final risk-adjustment model, and found to have a statistically significant relationship with the cesarean section rate. Results showed that the risk-adjusted cesarean section rate increased significantly in new groups after the application of the DRG-based payment system. Conclusion: Study results provided policy implications for the reorganization of the DRG-based system should that reflects the demands of obstetricians, such as organizing a consultative body with obstetricians and establishing a reasonable fee.

단상계 침지냉각 기술이 적용된 Li-ion계 배터리 발열특성에 관한 연구 (A Study on Heating Characteristics of Li-ion Battery Applicated Single-phase Immersion Cooling Technology)

  • 김운학;강석원;신기석
    • 한국재난정보학회 논문집
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    • 제18권1호
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    • pp.163-172
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    • 2022
  • 연구목적: Li-ion 배터리의 효율적인 열관리 기술을 확보하기 위하여 Single&-phase 침지 냉각 기술을 적용한 시스템의 실험을 통하여 적용가능성을 확인하고자 하였다. 연구방법: LG-Chem에서 생산된 JH3 파우치 셀을 사용하여 14S2P 모듈을 제조하여 미국 카길사에서 생산된 식물성계 냉각유체에 침지한 후 0.3C~1C 속도로 충방전을 시행하여 열분포를 확인하였다. 연구결과: 침지냉각 기술로 배터리 모듈을 40℃ 이하의 온도로 관리할 수 있으며, 침지액의 분자구조 변화가 없다는 결과를 도출하였다. 결론: 침지냉각 방식이 Li-ion 배터리 열관리에 적용 가능함을 확인하였다.

배관체계 자율형 사고 대응 알고리즘에 대한 실험적 고찰 (An Experimental Examination on Autonomous Recovery Algorithm of Piping System)

  • 양대원;정병창;김성록;이채민;신윤호
    • 한국안전학회지
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    • 제38권2호
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    • pp.8-14
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    • 2023
  • In various industrial sites, piping systems play an essential role in stable fluid supply and pressure maintenance. However, these systems are constantly exposed to risks of earthquakes, explosions, fires, and leaks, which can result in casualties or serious economic losses. With rapid advancements in the industry, different-sized piping systems have been launched; however, there are not enough maintenance personnel for troubleshooting and responding to situations where damages occur to piping systems. This increases the need for introducing autonomous damage management systems. In this study, a lab-based piping system was designed and manufactured by referring to the piping system of a naval ship to analyze the effectiveness of autonomous damage management systems. By using this testbed, a representative algorithm, the hydraulic resistance control algorithm, was realized and examinedIn addition, the difference between the averaged pressure and normalized pressure was introduced to improve the performance of the existing algorithm, which faces some limitations with regard to sensor noise and back pressure from the rupture-simulated pipeline part.

A PRELIMINARY STUDY OF EFFECT OF THE GREEN FEATURE - WING WALLS ON NATURAL VENTILATION IN BUILDINGS

  • Cheuk Ming Mak;Jian Lei Niu;Kai Fat Chan
    • 국제학술발표논문집
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    • The 1th International Conference on Construction Engineering and Project Management
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    • pp.814-819
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    • 2005
  • There is growing consciousness of the environmental performance of buildings in Hong Kong. The Buildings Department, the Lands Department and the Planning Department of the Hong Kong Government issued the first of a series of joint practice notes [1] to promote the construction of green and innovative buildings. Green features are architectural features used to mitigate migration of noise and various air-borne pollutants and to moderate the transport of heat, air and transmission of daylight from outside to indoor environment in an advantageous way. This joint practice note sets out the incentives to encourage the industry in Hong Kong to incorporate the use of green features in building development. The use of green features in building design not only improves the environmental quality, but also reduces the consumption of non-renewable energy used in active control of indoor environment. Larger window openings in the walls of a building may provide better natural ventilation. However, it also increases the penetration of direct solar radiation into indoor environment. The use of wing wall, one of the green features, is an alternative to create effective natural ventilation. This paper therefore presents a preliminary numerical study of its ventilation performance using Computational Fluid Dynamics (CFD). The numerical results will be compared with the results of the wind tunnel experiments of Givoni.

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PEMFC 시스템 효율 향상을 위한 열 관리 설비 개발 및 연구 (Development and Research of Thermal Management Equipment for Efficiency Enhancement of PEMFC Systems)

  • 김재환;이지승;강인석;주현철
    • 한국수소및신에너지학회논문집
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    • 제35권2호
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    • pp.205-215
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    • 2024
  • This study introduced a direct contact heat exchanger to enhance the efficiency of polymer electrolyte membrane fuel cells (PEMFCs) systems. According to previous research, 28% of the operating costs of fuel cell systems are attributed to heat exchanger devices, prompting the design of a direct contact heat exchanger to address this issue. Optimal configurations were determined through computational fluid dynamics analysis and experimental device fabrication, and the enhanced heat exchange performance of the heat exchanger was experimentally confirmed. Through this, the contribution of the direct contact heat exchanger to the heat management and efficiency enhancement of PEMFC systems was established.

나노유체를 이용한 써모사이폰의 열전달 성능 특성에 관한 실험적 연구 (Experimental Study on Heat Transfer Characteristics of Thermosyphon Using Nanofluids)

  • 이무연;조중원;이호성;원종필;임택규
    • 대한기계학회논문집B
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    • 제36권11호
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    • pp.1073-1079
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    • 2012
  • 본 논문은 나노유체를 적용하여 써모사이폰 열전달 성능 특성 변화를 실험적으로 규명하는 것을 목적으로 하고 있다. 이를 위하여, 증발부 내부체적을 공유하는 3 개의 독립된 파이프를 가지는 써모사이폰을 제작하였으며 증류수, Ag 나노유체 그리고 $TiO_2$ 나노유체에 대하여 충진량, 증발부에 가해지는 입력열량 그리고 농도변화에 따른 써모사이폰 성능특성 변화를 고찰하였다. 증류수를 작동유체로 사용하는 경우 써모사이폰의 최적충진량은 30%로 결정되었고, $TiO_2$ 나노유체를 적용하는 써모사이폰 열저항이 Ag 나노유체를 적용한 경우에 비하여 평균 18.1% 감소하였다. 또한, 300W 입력열량 및 $TiO_2$ 나노유체 농도 1%에서 써모사이폰의 열전달 성능은 가장 우수하였다.

입체 화상의 3차원 전산모사기 구현에 관한 연구 (A Study on the 3-Dimensional Implementation of Computer-Aid Management of Stereo Images)

  • 이중;윤도영
    • Korean Chemical Engineering Research
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    • 제47권2호
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    • pp.179-184
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    • 2009
  • 최근 전산기술의 발전으로 난류를 비롯한 3차원의 복잡한 전달현상에 대한 전산유체역학(CFD) 해석의 실효성이 제고되고 있다. 본 연구에서는 초음파나 레이저를 이용한 방법보다 저렴하고, 간편하게 좌, 우 입체 화상으로 추출된 입체화상의 변위히스토그램을 이용하여 3차원 화상을 구현하기 위한 윈도우환경하의 모사기 CAMSI(Computer-Aided Management of Stereo Images)를 개발하였다. 본 프로그램에서는 영역기반 방법이 적용되었으며, 좌우 화상의 정합시 대응점을 결정하기 위하여 제곱차거리합계(SSD), 절대거리차합계(SAD), 평균상관계수(NCC)와 동일점세기(MPC)의 방법들이 각각 적용되었다. 구현된 프로그램은 다양한 윈도우 크기와 한계값에 대하여 우수한 해석능력을 보여주었다. 특히, 화상의 잡영이 적은 곳에서는 작은 윈도우 크기의 SSD가 좀더 정확성이 높은 것으로 나타났으며, 일반적으로는 NCC가, 그리고 잡영이 매우 심한 경우에는 MPC 또는 NCC가 SSD보다는 정확성이 높게 나타났다. 본 연구를 통해 구현된 CAMSI는 복잡한 물체의 구현 또는 그 주변에서 다양한 전달현상의 3차원 CFD 해석에 효과적으로 사용될 수 있을 것이다.

A Study on integrated water management system based on Web maps

  • Choi, Ho Sung;Jung, Jin Young;Park, Koo Rack
    • 한국컴퓨터정보학회논문지
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    • 제21권8호
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    • pp.57-64
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    • 2016
  • Initial prevention activities and rapid propagation conditions is the most important to prevent diffusion of water pollution. If water pollutants flow into streams river or main stresm located in environmental conservation area or water intake facilities, we must predict immediately arrival time and the diffusion concentration to the proactive. National Institute of Environmental Research developed water pollution incident response prediction system linking dam and movable weir. the system is mathematical model which is updated daily. Therefore it can quickly predict the arrival time and the diffusion concentration when there are accident of oil spills and hazardous chemicals. Also we equipped with mathematical model and toxicity model of EFDC(Environmental Fluid Dynamics Code) to calculate the arrival time and the diffusion concentration. However these systems offer the services of an offline manner than real-time control services. we have ensured the reliability of data collection and have developed a real-time water quality measurement data transmission device by using the data linkage utilizing a mode bus communication and a commercial SCADA system, in particular, we implemented to be able to do real-time water quality prediction through information infrastructure of the water quality integrated management business created by utilizing the construction of the real-time prediction system that utilizes the data collected, the Open map, the visual representation using charts API and development of integrated management system development based on web maps.

해양플랜트 폭발사고 위험도 평가/관리를 위한 실증시험기법에 관한 연구 (A Research on the Verification Test Procedure for Quantitative Explosion Risk Assessment and Management of Offshore Installations)

  • 김봉주;하연철;서정관
    • 대한조선학회논문집
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    • 제55권3호
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    • pp.215-221
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    • 2018
  • The structural design of offshore installations against explosions has been required to protect vital areas (e.g. control room, worker's area etc.) and minimize the damage from explosion accidents. Because the explosion accident will not only result in significant casualties and economic losses, but also cause serious pollution and damage to surrounding environment and coastal marine ecosystems. Over the past two decades, an incredible efforts was made to develop reliable methods to reduce and manage the explosion risk. Among the methods Quantitative Risk Assessment and Management (QRA&M) is the one of cutting-edge technologies. The explosion risk can be quantitatively assessed by the product of explosion frequency based on probability calculation and consequence analyzed using computer simulations, namely Computational Fluid Dynamics (CFD) and Finite Element Analysis (FEA). However to obtain reliable consequence analysis results by CFD and FEA, uncertainties associate with modeling and simulation are needed to be identified and validated by comparison with experimental data. Therefore, large-scaled explosion test procedure is developed in this study. And developed test procedure can be helpful to obtain precious test data for the validation of consequence analysis using computer simulations, and subsequently allow better assessment and management of explosion risks.

Management of Acute Gastroenteritis in Children: A Survey among Members of the Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition

  • Seo, Ji-Hyun;Shim, Jung Ok;Choe, Byung-Ho;Moon, Jin Su;Kang, Ki-Soo;Chung, Ju-Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제22권5호
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    • pp.431-440
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    • 2019
  • Purpose: No national survey has yet described the guidelines followed by Korean pediatricians to treat acute gastroenteritis (AGE). An online survey was performed to investigate the management of AGE followed by members of The Korean Society of Pediatric Gastroenterology, Hepatology, and Nutrition, and the results were compared between pediatric gastroenterologists (PG) and general pediatricians (GP). Methods: Questionnaires were sent to pediatricians between June 2 and 4, 2018 regarding the type of hospital, indications for admission, antiemetic and antidiarrheal drugs and antibiotics prescribed, and dietary changes advised. Results: Among the 400 pediatricians approached, 141 pediatricians (35.3%) responded to the survey. PG comprised 39% of the respondents and 72.7% worked at a tertiary hospital. Both PG and GP considered diarrhea or vomiting to be the primary symptom. The most common indication for hospitalization was severe dehydration (98.8%). Most pediatricians managed dehydration with intravenous fluid infusions (PG 98.2%, GP 92.9%). Antiemetics were prescribed by 87.3% of PG and 96.6% of GP. Probiotics to manage diarrhea were prescribed by 89.1% of PG and 100.0% of GP. Antibiotics were used in children with blood in diarrheal stool or high fever. Dietary changes were more commonly recommended by GP (59.3%) than by PG (27.3%) (p<0.05). Tests to identify etiological agents were performed primarily in hospitalized children. Conclusion: This survey assessing the management of pediatric AGE showed that the indications for admission and rehydration were similar between GP and PG. Drug prescriptions for diarrhea and dietary changes were slightly commonly recommended by GP than by PG.