• 제목/요약/키워드: Maintenance Guidelines

검색결과 363건 처리시간 0.023초

항암치료를 받는 소화기 암환자에서 코로나바이러스 감염증-19 백신접종 (COVID-19 Vaccination in Patients with Gastrointestinal Cancer Receiving Chemotherapy)

  • 이종현;김동욱
    • Journal of Digestive Cancer Research
    • /
    • 제10권2호
    • /
    • pp.107-111
    • /
    • 2022
  • In 2019, coronavirus disease (COVID-19), which originated in Wuhan, has spread worldwide. In most people, COVID-19 symptoms are not severe. However, the mortality rate and severity were high in risk groups such as in older people and patients with underlying diseases. As patients with cancer are one of the risk groups, the vaccination for COVID-19 is emphasized in these patients. However, COVID-19 vaccines are not tested enough in special groups such as in patients with cancer because these vaccines are developed at an unprecedented speed. This causes confusion about whether patients undergoing chemotherapy should be vaccinated or not. In this study, international guidelines and studies were reviewed. Most of the studies recommended vaccination. No evidences of any negative effects for the efficacy or safety were recorded in patients undergoing cytotoxic, targeted, and immune agents. However, in critical conditions such as cytopenia, vaccination must be decided according to the patient's condition. COVID-19 vaccines were also recommended for patients on surgery or radiation therapy. If possible, vaccine is given before surgery to avoid confusion between surgical complications and side effects of the vaccine. The radiation recall phenomenon after vaccination has been reported in some cases of radiation therapy. Clinicians should consider these situations before vaccinating each patient. We hope that clearer guidelines will be established by accumulating verified data.

Design of Integrated Management System for Electronic Library Based on SaaS and Web Standard

  • Lee, Jong-Hoon;Min, Byung-Won;Oh, Yong-Sun
    • International Journal of Contents
    • /
    • 제11권1호
    • /
    • pp.41-51
    • /
    • 2015
  • Management systems for electronic library have been developed on the basis of Client/Server or ASP framework in domestic market for a long time. Therefore, both service provider and user suffer from their high cost and effort in management, maintenance, and repairing of software as well as hardware. Recently in addition, mobile devices like smartphone and tablet PC are frequently used as terminal devices to access computers through the Internet or other networks, sophisticatedly customized or personalized interface for n-screen service became more important issue these days. In this paper, we propose a new scheme of integrated management system for electronic library based on SaaS and Web Standard. We design and implement the proposed scheme applying Electronic Cabinet Guidelines for Web Standard and Universal Code System. Hosted application management style and software on demand style service models based on SaaS are basically applied to develop the management system. Moreover, a newly improved concept of duplication check algorithm in a hierarchical evaluation process is presented and a personalized interface based on web standard is applied to implement the system. Algorithms of duplication check for journal, volume/number, and paper are hierarchically presented with their logic flows. Total framework of our development obeys the standard feature of Electronic Cabinet Guidelines offered by Korea government so that we can accomplish standard of application software, quality improvement of total software, and reusability extension. Scope of our development includes core services of library automation system such as acquisition, list-up, loan-and-return, and their related services. We focus on interoperation compatibility between elementary sub-systems throughout complex network and structural features. Reanalyzing and standardizing each part of the system under the concept on the cloud of service, we construct an integrated development environment for generating, test, operation, and maintenance. Finally, performance analyses are performed about resource usability of server, memory amount used, and response time of server etc. As a result of measurements fulfilled over 5 times at different test points and using different data, the average response time is about 62.9 seconds for 100 clients, which takes about 0.629 seconds per client on the average. We can expect this result makes it possible to operate the system in real-time level proof. Resource usability and memory occupation are also good and moderate comparing to the conventional systems. As total verification tests, we present a simple proof to obey Electronic Cabinet Guidelines and a record of TTA authentication test for topics about SaaS maturity, performance, and application program features.

대공간 막 구조물 지붕의 수밀성능 확보를 위한 유지관리 지표 연구 (Technical Index for the Maintenance of Watertightness of the Roof of a Large-Span Membrane Structure)

  • 오상근;김동범;이선규
    • 한국건축시공학회지
    • /
    • 제11권1호
    • /
    • pp.51-59
    • /
    • 2011
  • 최근 막 구조물의 수요 증가에 따라 막 구조물의 구조 및 재료적 연구의 진행은 막 구조물을 하나의 독립된 구조물로써 인정받을 만큼 활발히 진행되고 있지만, 유지 관리 측면의 연구의 경우 아직까지 이에 미치지 못한 상황이다. 특히 유지관리 측면에의 연구 중 지붕구조의 수밀성 및 누수에 관한 연구는 해외에서 일부만을 다루고 있어 국내 실정에 맞는 유지관리 지표 개발이 요구되고 있다. 이에 본 연구에서는 막 구조물 지붕부의 막재 및 접합부, 지붕 형태에 따른 누수취약부에 대해서의 하자 사례 조사를 통하여 누수 요인 및 열화 인자를 분석하였고, 이를 AHP기법을 활용하여 중요도를 부여하여, 막 구조물에서 필요한 유지관리 지표를 제안하였으며, 이를 바탕으로 막 구조물 지붕의 장기적으로 수밀성 확보를 위한 설계 및 시공단계서의 수밀성 평가 지표, 준공 후 사용과정에서의 점검 관리 지표를 제안하였다.

어린이 안전을 위한 공공임대주택단지 외부공간 환경개선에 관한 연구 (Improvement of Outdoor Spaces for the Children's Safety in Public Rental Housing)

  • 민영희;하미경;변기동
    • 한국주거학회논문집
    • /
    • 제26권4호
    • /
    • pp.95-104
    • /
    • 2015
  • Public rental housing in Korea has been initially provided for residential stability of low-income household focusing on solving quantitative insufficiency since 1980s. In the process of early stage of designing and planning public rental housing, qualitative aspects of considering children were not primary concern. This study aims to analyze the priority of environmental improvement of outdoor spaces for children's safety in public rental housing. First, literature review was performed in the reference of local residential safety guidelines, Universal Design, and CPTED guidelines. In each guidelines, common safety planning factors for children were extracted within different types of outdoor spaces. Second, based on literature analysis, residents evaluated importance and satisfaction level by different safety types, outdoor space type, and environmental planning factors. In results, residents evaluated high importance and showed low satisfaction for crime and traffic safety. Through IPA, facilities and parking space was evaluated where improvement is needed for the first priority, and planning factors were mostly concerned with surveillance and safety management system. Result shows general concern of public rental housing residents, about weak facility management and security system, and about socially isolated environment which heightened the fear of crime safety. Overall, poor maintenance of the complex environment and decrepit facilities are constantly raising risk of safety accidents especially for children. Considering residents' concern, environmental improvement should be considered in perspective of not only physical repair, but also facility management and security system.

전통시장 아케이드 공간의 리모델링을 위한 이용자 태도에 관한 연구 - 대구서문시장 이용자 설문을 바탕으로 - (User Preference for Improved Remodeling of Arcade in Traditional Market - Based on user surveys in Daegu Seomun Market -)

  • 김경임;이정호
    • 대한건축학회논문집:계획계
    • /
    • 제36권1호
    • /
    • pp.27-36
    • /
    • 2020
  • Fifteen years after the modernization of traditional markets, commercial facilities and some 1,000 markets across the country contacted arcade operators, there are no specific guidelines on installation standards, exact guidelines for public facilities, and guidelines on law, maintenance and management yet. Therefore, it is necessary to derive a plan that reflects the mindset of the market project and the users as basic planning data for making arcade remodeling of traditional markets more advanced. As a research method, case studies and surveys were conducted and the details are as follows. Through the case study, this study drew suggestions that were available and needed in Korea on the planning plan of arcade space in the developed traditional market and conducted user preference. The survey participants are 150 users of Daegu seomun market. In addition, the survey contents are approached with the concept of remodeling remuneration, so the total number of questions is 47 including 'accessibility', 'comfort', 'openness', 'safety' and 'integrity', which are five elements of the arcade plan. The survey method assessed the importance and satisfaction of each questionnaire on a 5-point scale, and the survey results were compared with technical statistics and means using the SPSS statistics package. The results of user awareness and image survey, in which the installation and remodeling of the ventilation system of the crosshairs are mentioned in the event of fire or in the case of daily ventilation, are important factors in safety. The user-conscious survey, analyzed in 'integrity', indicates that the use of multi-purpose space is required, and that the layout of street stalls and parking and user movements should be integrated. Mac of this study is going to present direction of remodeling plan and behavior analysis by analyzing user preference data for advanced remodeling of arcade in traditional markets.

근거기반 중심정맥 주입요법 간호실무지침 개정 (Updates of Evidence-Based Nursing Practice Guidelines for Central Venous Infusion Therapy)

  • 임경춘;정재심;김경숙;김현림;김현정;김동연;이미정;이주현
    • 임상간호연구
    • /
    • 제29권1호
    • /
    • pp.42-55
    • /
    • 2023
  • Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.

내진성능평가를 위한 다자유도 교량의 수정 비선형 등가정적해석법 (Modified Nonlinear Static Pushover Procedures of MDOF Bridgesfor Seismic Performance Evaluation)

  • 조창근;김영상;배수호
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제10권4호
    • /
    • pp.175-184
    • /
    • 2006
  • 다자유도의 교량에 횡방향 지진하중을 받는 경우, 교량의 내진성능설계 및 성능평가를 위한 두 가지 비선형 등가 정적해석절차를 제시하였다. 빌딩구조물에 대한 FEMA-273의 변위계수법과 ATC에서 채택하고 있는 역량스펙트럼법을 개선하여 다자유도 연속교량의 내진성능평가에 적용토록 제시하였다. 수정된 두 방법들에 대한 적합성을 시간이력 동적해석과 비교토록 하였다. 다자유도 교량의 교축직각방향 관성력 분포를 합리적으로 반영하기 위하여, 수평방향 지진하중의 분포형태에 따른 모드 및 스펙트럴 하중분포를 적용토록 하였다. 철근 콘크리트 교각 부재는 하중-기초법에 의한 비선형 층상화 골조 유한요소 모델을 사용하여 교량 구조물을 모델링 하였다.

불확실성을 고려한 교량 하부구조 최적설계 (Optimal Design of Bridge Substructure Considering Uncertainty)

  • 박장호;신영석;신욱범;이재우
    • 한국전산구조공학회:학술대회논문집
    • /
    • 한국전산구조공학회 2008년도 정기 학술대회
    • /
    • pp.387-390
    • /
    • 2008
  • The importance of the life cycle cost analysis for construction projects of bridge has been recognized over the last decades. Accordingly, theoretical models, guidelines, and supporting softwares have been developed for the life cycle cost analysis of bridges. However, it is difficult to predict life cycle cost considering uncertainties precisely. This paper presents methodology for optimal design of substructure for a steel box bridge. Total life cycle cost for the service life is calculated as sum of initial cost, damage cost considering uncertainty, maintenance cost, repair and rehabilitation cost. The optimization method is applied to design of a bridge substructure with minimal cost, in which the objective function is set to life cycle cost and constraints are formulated on the basis of Korean Bridge Design Specification. Initial cost is calculated based on standard costs of the Korea Construction Price Index and damage cost on the damage probabilities to consider the uncertainty of load and resistance. An advanced first-order second moment method is used as a practical tool for reliability analysis using damage probability. Maintenance cost and cycle is determined by a stochastic method and user cost includes traffic operation costs and time delay costs.

  • PDF

행거로 보강된 스터드 접합부의 인장거동에 관한 실험적 연구 (Experimental Study on the Tensile Behaviors of Stud Connection with Hanger)

  • 김승훈
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제8권4호
    • /
    • pp.231-238
    • /
    • 2004
  • 본 논문은 스터드를 사용한 철근콘크리트 부재와 철골 부재의 접합부의 인장거동에 관한 연구를 나타내었다. 스터드 접합부의 인장 및 휨 성능을 향상시키기 위하여 행거를 스터드 주위에 설치하였다. 행거로 보강된 스터드 접합부의 인장 성능을 평가하기 위하여 철근비, 행거 상세, 묻힘길이 등을 변수로 한 8 개의 실험체를 계획하였다. 인장실험을 통하여 행거 보강이 접합부의 인장강도를 증가시키는데 매우 효과적인 것을 알 수 있었다. 기준식에 의한 인장강도 평가로부터 CCD식이 강도 산정에 보다 적합한 것으로 나타났다.

변전소 철골 내화뿜칠 부착강도 기준설정에 관한 실험적 연구 (The Experimental Study on the Suggestion for Bond Strength Standard of Sprayed Fire Resistive Materials Used at the Substation Steel Structures)

  • 박동수;정원섭
    • 한국구조물진단유지관리공학회 논문집
    • /
    • 제18권1호
    • /
    • pp.128-137
    • /
    • 2014
  • 내화뿜칠재는 주로 철골구조물 위에 시공하여 내화구조기준을 만족하기 위한 것이다. 국내에서는 원자력발전소를 비롯하여 철골구조물에 내화뿜칠재를 시공하여 왔지만, 재료특성 중 중요한 요건인 부착강도기준이 제정되어있지 않았다. 다만, 원자력발전소는 원전의 기준에 따라 부착강도 기준이 있었다. 본 논문에서는 변전소에 시공되는 내화뿜칠재의 부착강도 기준을 정하고자 하였다. 기준설정 방법은 현재 사용되는 제품으로 실험체를 제작하고, 변전소 환경에 따라 열화시키며 부착강도를 측정하고 구조물 내구연한 기간 동안 열화시킨 후 변전소에서 발생하는 충격하중 실험을 통하여 탈락여부를 평가하여 부착강도기준을 설정하였다. 본 논문에서의 부착강도는 시중에서 사용되는 제품을 기준으로 실험한 것으로 최소한의 값이라고 판단된다.