• Title/Summary/Keyword: Maintenance standard

Search Result 1,088, Processing Time 0.023 seconds

Up-to-date treatment of acetaminophen poisoning (아세트아미노펜 중독의 치료에 대한 최신지견)

  • Sung Phil Chung;Jeongmi Moon;Byeongjo Chun
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.20 no.2
    • /
    • pp.39-44
    • /
    • 2022
  • N-Acetylcysteine (NAC) is the standard antidote treatment for preventing hepatotoxicity caused by acetaminophen (AAP) poisoning. This review summarizes the recent evidence for the treatment of AAP poisoning. Several alternative intravenous regimens of NAC have been suggested to improve patient safety by reducing adverse drug reactions and medication errors. A two-bag NAC infusion regimen (200 mg/kg over 4 h, followed by 100 mg/kg over 16 h) is reported to have similar efficacy with significantly reduced adverse reactions compared to the traditional 3-bag regimen. Massive AAP poisoning due to high concentrations (more than 300-lines in the nomogram) needs to be managed with an increased maintenance dose of NAC. In addition to NAC, the combination therapy of hemodialysis and fomepizole is advocated for severe AAP poisoning cases. In the case of a patient presenting with an altered mental status, metabolic acidosis, elevated lactate, and an AAP concentration greater than 900 mg/L, hemodialysis is recommended even if NAC is used. Fomepizole decreases the generation of toxic metabolites by inhibiting CYP2E1 and may be considered an off-label use by experienced clinicians. Since the nomogram cannot be applied to sustained-release AAP formulations, all potentially toxic sustained-release AAP overdoses should receive a full course of NAC regimen. In case of ingesting less than the toxic dose, the AAP concentration is tested twice at an interval of 4 h or more; NAC should be administered if either value is above the 150-line of the nomogram.

Evaluation of the Resolution Characteristics by Using ATS 535H Phantom for Ultrasound Medical Imaging (초음파 의료영상에서 ATS 535H 팬텀을 이용한 해상력 특성 평가)

  • Jung-Whan, Min;Hoi-Woun, Jeong;Hea-Kyung, Kang
    • Journal of radiological science and technology
    • /
    • v.46 no.1
    • /
    • pp.15-21
    • /
    • 2023
  • This study was purpose to assessment of the resolution characteristics by using ATS 535H Basic quality assurance (QA) phantom for ultrasound. The ultrasound equipment was used Logiq P6 (Ultrasound, GE Healthcare System, Chicago, IL, USA). And the ultrasound transducer were used Convex 4C (4~5.5 MHz), Linear 11L (10~13 MHz), Sector 3SP (3~5.5 MHz) probe. As for the noise power spectrum (NPS) comparison results by using ATS 535H Basic QA ultrasound phantom and Convex 4C, Linear 11L, Sector 3SP probe. The NPS value of the Convex 4C probe image was 0.0049, Linear 11L probe image was 0.0049, Sector 3SP probe image was 0.1422 when the frequency is 1.0 mm-1. The modulation transfer function (MTF) comparison results by using ATS 535H Basic QA ultrasound phantom and Linear 11L probe the MTF value of the 3 cm focus image was 0.7511 and 4 cm focus image was 0.9001 when the frequency is 1.0 mm-1. This study was presented characteristics of spatial resolution a quantitative evaluation methods by using ultrasound medical images for QA of ultrasound medical QA phantom. The quality control (QC) for equipment maintenance can be efficiently used in the clinic due to the quantitative evaluation of the NPS and MTF as the standard methods. It is meaningful in that it is applied mutatis mutandis and presented the results of physical resolution characteristics of the ultrasound medical image.

Implementation of Public Address System Using Anchor Technology

  • Seungwon Lee;Soonchul Kwon;Seunghyun Lee
    • International journal of advanced smart convergence
    • /
    • v.12 no.3
    • /
    • pp.1-12
    • /
    • 2023
  • A public address (PA) system installed in a building is a system that delivers alerts, announcements, instructions, etc. in an emergency or disaster situation. As for the products used in PA systems, with the development of information and communication technology, PA products with various functions have been introduced to the market. PA systems recently launched in the market may be connected through a single network to enable efficient management and operation, or use voice recognition technology to deliver quick information in case of an emergency. In addition, a system capable of locating a user inside a building using a location-based service and guiding or responding to a safe area in the event of an emergency is being launched on the market. However, the new PA systems currently on the market add some functions to the existing PA system configuration to make system operation more convenient, but they do not change the complex PA system configuration to reduce facility costs, maintenance, and management costs. In this paper, we propose a novel PA system configuration for buildings using audio networks and control hierarchy over peer-to-peer (Anchor) technology based on audio over IP (AoIP), which simplifies the complex PA system configuration and enables convenient operation and management. As a result of the study, through the emergency signal processing algorithm, fire broadcasting was made possible according to the detection of the existence of a fire signal in the Anchor system. In addition, the control device of the PA system was replaced with software to reduce the equipment installation cost, and the PA system configuration was simplified. In the future, it is expected that the PA system using Anchor technology will become the standard for PA facilities.

Automated Finite Element Mesh Generation for Integrated Structural Systems (통합 구조 시스템의 유한요소망 형성의 자동화)

  • Yoon, Chongyul
    • Journal of the Earthquake Engineering Society of Korea
    • /
    • v.27 no.2
    • /
    • pp.77-82
    • /
    • 2023
  • The structural analysis module is an essential part of any integrated structural system. Diverse integrated systems today require, from the analysis module, efficient real-time responses to real-time input such as earthquake signals, extreme weather-related forces, and man-made accidents. An integrated system may also be for the entire life span of a civil structure conceived during the initial conception, developed throughout various design stages, effectively used in construction, and utilized during usage and maintenance. All these integrated systems' essential part is the structural analysis module, which must be automated and computationally efficient so that responses may be almost immediate. The finite element method is often used for structural analysis, and for automation, many effective finite element meshes must be automatically generated for a given analysis. A computationally efficient finite element mesh generation scheme based on the r-h method of mesh refinement using strain deviations from the values at the Gauss points as error estimates from the previous mesh is described. Shape factors are used to sort out overly distorted elements. A standard cantilever beam analyzed by four-node plane stress elements is used as an example to show the effectiveness of the automated algorithm for a time-domain dynamic analysis. Although recent developments in computer hardware and software have made many new applications in integrated structural systems possible, structural analysis still needs to be executed efficiently in real-time. The algorithm applies to diverse integrated systems, including nonlinear analyses and general dynamic problems in earthquake engineering.

Improvement Plan for Promotion System of Sustainable Rural Community Building (지속 가능한 마을만들기를 위한 추진체계 개선방안 - 김해시를 중심으로 -)

  • Choi, Young-Wan;Um, Min-Ho;Kim, Young-Joo
    • Journal of Korean Society of Rural Planning
    • /
    • v.28 no.4
    • /
    • pp.55-67
    • /
    • 2022
  • In this study, the village development promotion system was reorganized for Gimhae-si, and improvement plans and post-operation management plans were prepared through expert surveys. Through the Village Development Project, the landscape and environment of the village were improved, and the village and residents were positively changed. The Village Development Project laid the foundation for regional revitalization, giving the next generation hope for the sustainable development of the village. While maintaining the framework of the existing Rural Development Projects guidelines through case analysis of other regions, we operate educational programs for each stage by reflecting regional characteristics, and utilize and communicate with intermediate support organizations, systematically operate, and actively intervene by Eup·Myeon administration. In addition, as a follow-up management program, various follow-up management programs were being operated, such as support for capacity building such as consulting, as well as facility maintenance and support for village managers. As a result of the expert survey to review the adequacy of the improvement plan, the improvement plan derived from the overall average of 4.28 points and the standard deviation of 0 to 0.94 points for the process is judged to be appropriate. In particular, the item of 'self-reliance stage follow-up management' was very important as all experts responded with 5 points. By establishing the village development performance goals, we tried to check whether the qualitative/quantitative goals were achieved by year, and to secure quantified status data in response to changes such as resetting performance goals or adding new performance indicators. In this study, in order to improve the capacity to achieve regional development in response to the rural agreement, we prepared our own sustainable village development promotion system, governance establishment, and follow-up management plan. In addition, it is expected to be used as a reference material for the selection of new districts and the follow-up management of completed districts by establishing the village development goals.

A Case Study of Estimating Units of Deconstruction Waste by Each Parts for the Apartment (공동주택의 분별해체를 위한 부위별 원단위 산정사례연구)

  • Kim, Chang Hak;Lee, Kyoung Hee
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.28 no.1D
    • /
    • pp.73-81
    • /
    • 2008
  • Hereafter, the domestic housing industry has to give consequence to the redevelopment and rebuilding of existing housings rather than the supply by developing a new building site, and now those tendencies are rapidly spreading out. Also, because apartment buildings occupies 50% over of the existing housing, its maintenance, repair, remodeling and reconstruction got to be necessary area for the slumming prevention of a residential area and the disaster prevention occurred by durability lowering of the building. Accordingly, C&D waste is rising largely by reason of demolition works in city is increasing. The right management of C&D waste is being one of very important things, but little research has been conducted to estimate correctly C&D waste. In this study is to suggest standard units of C&D waste which can estimate demolition quantity of apartment. This units can estimate easily and correctly C&D waste in demolition works, also can possible use very important material to carry out policy of national waste management.

Efficient Evaluation Method of Operation Cost for Wastewater Treatment Plant by BTL Contract Type (하수처리시설 BTL사업의 합리적인 운영비 산정방안)

  • Kang, Leen Seok;Yoon, Sun MI;Kwon, Joong Hee
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.29 no.5D
    • /
    • pp.627-634
    • /
    • 2009
  • The BTL (Build-Transfer-Lease) contract of construction project serves as a part for early establishment of industrial foundation for social overhead capital. However, project cost of BTL contract is focused on initial construction cost. Accordingly, operation cost is lowly evaluated because there is no standard criterion for estimating maintenance cost for the facility. The low operation cost can be a factor that reduces service quality of facility operation. This study suggests a resonable method for estimating cost and manpower in the operation phase by using the existing practical data for wastewater treatment plant by BTL contract. The results of the study can be used for evaluating rough operation cost and manpower of similar plant project by facility size.

Estimation of Mean Life and Reliability of Highway Pavement Based on Reliability Theory (신뢰성 개념을 이용한 포장의 평균수명 및 신뢰도 예측)

  • Do, Myung-Sik
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.30 no.5D
    • /
    • pp.497-504
    • /
    • 2010
  • In this paper, the author presents a reliability estimation technique to analyze the effects of traffic loads on pavement mean life based on the national highway database of Suwon and Uijeongbu region from 1999 to 2008. The estimation of the mean life, its standard deviation and reliability for pavement sections are calculated by using an appropriate distribution, Lognormal distribution, based on reliability theory. Furthermore, the probability paper method and Maximum likelihood estimation are both used to estimate parameters. The author found that mean life of newly constructed sections and over-layed sections is about 6.5 to 7.9 years and 7.3 to 9.1 years, respectively. The author also ascertained that the results of cumulative failure probability for pavement life between the proposed methods and observed data are similar. Such an assessment methodology and measures based on reliability theory can provide useful information for maintenance plans in pavement management systems as long as additional life data on pavement sections are accumulated.

The Opportunities and Challenges of Implementing BEAM Plus in Hong Kong from the Perspectives of Government and Developers

  • Lau, Ka-ho;Fu, Man-man;Yim, Yik-fung;Zayed, Tarek;Sun, Yi
    • International conference on construction engineering and project management
    • /
    • 2020.12a
    • /
    • pp.333-342
    • /
    • 2020
  • Due to the enhancing environmental concerns worldwide with the need of increasing demand for sustainability of building design, maintenance and operation, key stakeholders including the government and developers in many countries strike for the benefits in implementing the green design and building concepts in constructing, infrastructure as well as the buildings. Different countries have their standards or certifications for green buildings while the adoption rate of BEAM-Plus in HK is relatively less compared with other developed countries such as Europe, USA and Japan. Therefore, in the present research, BEAM-Plus, the beginning assessment method of green standard implemented in HK, will be mainly discussed. Current situation of BEAM-Plus implementation in HK will be reviewed and then adopt a systematic approach via literature review and research paper, questionnaire with Analytic Hierarchy Process (AHP) method to depict the opportunities and challenges from the perspective of government and developers regarding implementing BEAM-Plus in HK and thus investigate the implementation gaps. It is found that for both the macro level of opportunity and challenge, the most important criterion is political, in which the weighting value are 0.3114 and 0.2321 respectively. It is obvious that government plays a critical and significant role in affecting the development of BEAM plus. Technological difficulty is also an important factor that challenging and hindering the implementation of BEAM plus, the weighting value is 0.2194 under challenge hierarchy. More experts and professionals should be imported to Hong Kong to enhance the technique is building green buildings. At the end of this paper, solutions and actions will also be suggested and concluded in alleviating the challenges. Finally, solutions and actions are suggested and concluded in alleviating the challenges. Findings from this research can guide developers to consider adopting green elements, government and Green Building Council in HK to review green buildings' policy.

  • PDF

READINESS OF NIGERIAN BUILDING DESIGN FIRMS TO ADOPT BUILDING INFORMATION MODELLING (BIM) TECHNOLOGIES

  • Mu'awiya Abubakar;Yahaya Makarfi Ibrahim;Kabir Bala
    • International conference on construction engineering and project management
    • /
    • 2013.01a
    • /
    • pp.640-647
    • /
    • 2013
  • Building Information Modelling (BIM) has become the new international benchmark for efficiency in design, construction and maintenance of buildings. It is the platform that brings about collaboration between project stakeholders and improvement of project outcomes. With all its potentials, not much of the impact of BIM technologies has been felt in the Nigerian construction industry. This research aimed at assessing the readiness of the Nigerian building design firms to adopt BIM technologies. The research was exploratory in nature. A field survey was conducted with the use of structured questionnaire, self administered to a sample of building design consultancy firms (architectural, structural, M&E, quantity surveying, and multi-disciplinary design firms) within Abuja and Kaduna. The questionnaire sought the perception of the responding firms on the factors affecting BIM adoption in the Nigerian construction industry, and their level of readiness to adopt BIM technologies in their practices based on the four categories of readiness-management, people, process and technology. 42.26% response rate was achieved and used for analysis. ANOVA and DUNCAN post-hoc tests were used to establish the differences between the responses of the groups of firms, while means and standard deviations were obtained to establish the important factors affecting BIM adoption in Nigeria. The survey revealed that all the groups of Nigerian design firms are appreciably ready for the adoption of BIM technologies in their practice, with slight variations in their respective levels of readiness. 'Lack of awareness of BIM technology among professionals' and clients and 'lack of knowledgeable and experienced partners' were identified as the most important barriers of BIM adoption in Nigeria; while the most significant drivers are 'availability of well trained professionals' and 'cooperation and commitment of professional bodies to the adoption'. Education and training of building design professionals and cooperation of all stakeholders in the design and construction supply chain were recommended as part of measures to ensure successful adoption of BIM in the Nigerian construction industry.

  • PDF