• 제목/요약/키워드: Monitoring Guideline

검색결과 243건 처리시간 0.031초

Cardiopulmonary Resuscitation: New Concept

  • Lee, Kwang-Ha
    • Tuberculosis and Respiratory Diseases
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    • 제72권5호
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    • pp.401-408
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    • 2012
  • Cardiopulmonary resuscitation (CPR) is a series of life-saving actions that improve the chances of survival, following cardiac arrest. Successful resuscitation, following cardiac arrest, requires an integrated set of coordinated actions represented by the links in the Chain of Survival. The links include the following: immediate recognition of cardiac arrest and activation of the emergency response system, early CPR with an emphasis on chest compressions, rapid defibrillation, effective advanced life support, and integrated post-cardiac arrest care. The newest development in the CPR guideline is a change in the basic life support sequence of steps from "A-B-C" (Airway, Breathing, Chest compressions) to "C-A-B" (Chest compressions, Airway, Breathing) for adults. Also, "Hands-Only (compression only) CPR" is emphasized for the untrained lay rescuer. On the basis of the strength of the available evidence, there was unanimous support for continuous emphasis on high-quality CPR with compressions of adequate rate and depth, which allows for complete chest recoil, minimizing interruptions in chest compressions and avoiding excessive ventilation. High-quality CPR is the cornerstone of a system of care that can optimize outcomes beyond return of spontaneous circulation (ROSC). There is an increased emphasis on physiologic monitoring to optimize CPR quality, and to detect ROSC. A comprehensive, structured, integrated, multidisciplinary system of care should be implemented in a consistent manner for the treatment of post-cardiac arrest care patients. The return to a prior quality and functional state of health is the ultimate goal of a resuscitation system of care.

The measured contribution of whipping and springing on the fatigue and extreme loading of container vessels

  • Storhaug, Gaute
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제6권4호
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    • pp.1096-1110
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    • 2014
  • Whipping/springing research started in the 50'ies. In the 60'ies inland water vessels design rules became stricter due to whipping/springing. The research during the 70-90'ies may be regarded as academic. In 2000 a large ore carrier was strengthened due to severe cracking from North Atlantic operation, and whipping/springing contributed to half of the fatigue damage. Measurement campaigns on blunt and slender vessels were initiated. A few blunt ships were designed to account for whipping/springing. Based on the measurements, the focus shifted from fatigue to extreme loading. In 2005 model tests of a 4,400 TEU container vessel included extreme whipping scenarios. In 2007 the 4400 TEU vessel MSC Napoli broke in two under similar conditions. In 2009 model tests of an 8,600 TEU container vessel container vessel included extreme whipping scenarios. In 2013 the 8,100 TEU vessel MOL COMFORT broke in two under similar conditions. Several classification societies have published voluntary guidelines, which have been used to include whipping/springing in the design of several container vessels. This paper covers results from model tests and full scale measurements used as background for the DNV Legacy guideline. Uncertainties are discussed and recommendations are given in order to obtain useful data. Whipping/springing is no longer academic.

전자상거래에 있어서 소비자 프라이버시 보호에 관한 연구 -인터넷 전자상거래업체의 온라인모니터링조사를 중심으로- (Protection of Consumer Privacy in Electronic Commerce -Focused on On-line Monitoring Survey of Electronic Commerce Firms-)

  • 김혜선;서민교;전정기
    • 통상정보연구
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    • 제6권2호
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    • pp.219-242
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    • 2004
  • This study is conducted to find out whether companies which use electronic commerce for their business are collecting the least personal information. of consumers that are necessary for providing electronic commerce services to consumers. Investigators visited website of 799 electronic commerce companies, and checked out the personal informations of consumers that were asked when they join the site as a member. The collected data were analyzed with frequency, percentage, and cross-tab analysis using SPSS program. Generally most electronic commerces required more personal information of consumers than necessary for providing their services to consumers. These phenomena are partly due to the fact that regulations regarding consumer privacy in electronic commerce are advisory rather than mandatory at present. Therefore, it is suggested that mandatory regulation which makes companies poot their identification within a certain area of their web page has to enforced for the protection of consumer privacy in electronic commerce. And it would be more efficient if consumers are consistently educated about self protection guideline regarding personal information in using electronic commerce in addition to a mandatory regulation.

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광파이프 시스템의 채광성능 예측모델의 검증 및 적용 (Evaluation and Application of Prediction Models for the Daylight Performance of a Light-Pipe System)

  • 윤근영;신주영;김정태
    • KIEAE Journal
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    • 제10권1호
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    • pp.65-72
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    • 2010
  • The use of natural light has the potential for improving both the energy efficiency and indoor environmental quality in buildings. A light-pipe system can introduce daylight to spaces that would otherwise not be able to benefit from the advantages of daylight penetration. For the light-pipe system to be widely used in Korea, it is important to quantify its daylighting performance with due consideration regarding the effects imposed by the local climate conditions. This paper presents the evaluation results of existing semi-empirical models to predict daylighting performance of a light-pipe system. The evaluation of the existing models was based on the monitoring data obtained from a underground parking lot in which the light-pipe system was installed. Comparisons were made between the predicted and the monitored data obtained from the study. The results indicated that semi-empirical models which was developed using the experimental data obtained under the Korean climatic conditions had a good prediction performance. We also quantified the effects caused by sky conditions, solar altitudes, room dimensions, and the aspect ratio of a light-pipe system on both the daylighting performance of the light-pipe system and the indoor illuminance distributions of the space using the semi-empirical model. Finally, this paper provides the design guideline of the light-pipe system for its application to an underground parking lot space.

환경친화적 완충녹지의 기준설정 (Design and Planning Criteria for the Green Buffer Zone)

  • 박은영;유병림
    • 한국조경학회지
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    • 제32권2호
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    • pp.25-35
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    • 2004
  • The purpose of the study is to analyze the existing situation of the green buffer zone in the large scale industrial site and other major residential apartment areas. In this study, it is specifically intended that the planning guideline be upgraded to adopt future landuse trends and thus to suggest design criteria for management of the buffer zone. The framework of the analysis is to review the current landuse, noise reduction, ecological implications and landscape in general. Although the major function of a green buffer zone is considered to protect the residential area from various hazards of industrial, traffic, and visual environment, the situation is that most of the zones are maintained at a minimum level of services by local government. The study carried out intensively almost every type of case studied throughout the country, which implies that the management of the green buffer zone should be expanded physically enough to function for its original objectives. The study recommends that ecological management of the green buffer zone be emphasized and therefore the criteria for this purpose as well as noise issue should be developed prior to the landuse aspects. The study suggests specific guidelines for planning and design for the green buffer zone development. This study should be verified positively through the sustainable monitoring and requires nationwide and overall examination so that it may be applied to whole green spaces.

Rainfall and Water Quality Characteristics of Saemangeum Area

  • Monica, Nankya;Choi, Kyung-Sook
    • Current Research on Agriculture and Life Sciences
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    • 제32권4호
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    • pp.203-209
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    • 2014
  • This study investigated characteristics of rainfall and water quality in Saemangeum area with attention to temporal and spatial distributions. A high variability in rainfall was noted during July and August. The temporal analysis of water quality data indicated that DO and TN as well as BOD, COD and SS were within national standards except for increased concentrations during spring and summer, unlike TP values that indicated poor water quality. Standard deviation showed a high variability in SS among the seasons most especially during summer. The high dispersion indicated variability in the chemical composition of pollutants where the temporal and spatial variations caused by polluting sources and/or seasonal changes were most evident for BOD and COD during winter and spring. The box plots and bar charts showed steadily low concentrations of BOD, COD, TN and TP except within Iksan and notable significant variations in SS concentrations among the monitoring stations. Thus, high pollution levels requiring intervention were identified in Mangyeong river basin with particular concern for areas represented by Iksan station. It was noted that Iksan received a considerable amount of rainfall which meant high runoff which could explain the significant pollution levels revealed in the water quality spatial distribution. Major pollution contributing pollutants within Saemangeum area were identified as SS, BOD, COD and TN. Therefore the present results could be used as a guideline for the temporal and spatial distributions analysis of both rainfall and water quality in Saemangeum watershed.

중풍 입원 환자 관리를 위한 임상경로 개발 (Development of a Critical Pathway for a Korean Medicine Hospital Inpatient with Stroke)

  • 김미경;한창호
    • 대한한의학회지
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    • 제42권2호
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    • pp.62-71
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    • 2021
  • Objectives: This study was aimed to share the development process of the critical pathway (CP) for the treatment and management of stroke patients admitted to a Korean medicine hospital. Methods: A draft CP was prepared based on a review of relevant literature and medical records in the hospital, and its validity was reviewed by the in-hospital CP review committee. Each member evaluated all items in the CP on a 5-point Likert scale. Items with an average score of 3.5 or higher or an agreement rate of more than 80% were considered valid. In addition, free described opinions to improve the CP were also received from the review committee. Results: The horizontal axis of the CP was composed of a time domain, including 7 time points from hospitalization to discharge. The vertical axis was composed of 9 domains of medical practice. All items in the CP satisfied the validity criteria. The CP was revised, supplemented, and completed by reflecting the opinions of the committee. Conclusions: This CP will be taught to in-hospital users and will continue to be used with regular monitoring and a feedback plan. This study is expected to serve as a useful reference for standardizing the treatment process and delivering measures to improve the adequacy of Korean medicine treatment for stroke patients.

고속도로 비탈면 녹화공법 시험시공지의 토질조건별 초기 녹화효과 사례연구 (Case Study of the Early Stage Vegetation Recovery with Soil Property in the Roadside Slopes of the Expressway)

  • 이제만;김경훈;전기성;임상준
    • 한국환경복원기술학회지
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    • 제26권2호
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    • pp.47-59
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    • 2023
  • This study investigated and analyzed the effects of vegetation on the roadside slopes at the expressway construction sites in order to evaluate the vegetation recovery regarding soil type and revegetation technique. We selected two study sites with an area of 1,000 m2 located in the construction sites of the Korea Expressway Corporation, named Hwado-Yangpyeong Expressway Section 3 and Saemangeum-Jeonju Expressway Section 7. The revegetation was monitored in three plot groups (earth, soft rock, and hard rock slopes), and scored based on the guideline of the Ministry of Land, Transport and Maritime Affairs. The revegatation was generally lower in the Hwado-Yangpyeong site than that of the Saemangeum-Jeonju site. The field monitoring indicated that the revegetation varied with slope aspect and environmental characteristics between plots. the Saemangeum-Jeonju site showed a high overall evaluation score, but there was a slight difference in the score for each plot. This seems to be due to the differences in geographical conditions, construction methods, and site environment between two sites. This study can provide basic information to understand the short-term effects of revegetation techniques in the roadside slopes.

물 환경의 방사성 물질 관리 방안과 분석법에 관한 연구 (II) 일본의 물 환경 방사성물질 관리 체계에 대한 고찰 (Study on Radioactive Material Management Plan and Environmental Analysis of Water (II) Study of Management System in Water Environment of Japan)

  • 한성규;김정민
    • 대한방사선기술학회지:방사선기술과학
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    • 제38권3호
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    • pp.305-313
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    • 2015
  • 2011년 일본 후쿠시마 원전 사고 이후 국내외에서 관련 연구 및 관리체제 정비가 이루어지고 있다. 국내에서도 물의 방사능 오염에 대한 우려가 높아졌으며, 이에 따라 환경부를 중심으로 물 속 방사성 물질 관리체제 정비가 이루어지고 있다. 본 연구에서는 원전 사고의 피해 당사국이며 인접국가인 일본의 관리체제 정비 현황을 분석하였다. 분석한 결과 일본에서는 법제 정비 후 문부과학성이 방사능 측정의 이론적인 내용을 규정하고, 환경성은 실제 공공수역 및 지하수의 수질 오염 상황을 감시하며, 지방자치단체 등 관련된 일선 기관에서 물 환경의 방사능 오염 상황을 모니터링하고 있다. 지역별로 보면 지방측정소들은 전 국토 대상의 조사를 분담하며, 원자력 시설 주변에서 별도의 모니터링을 하고 있으며, 원전 사고 이후 후쿠시마 인근 지역에 대한 모니터링이 추가로 운영 중이다. 기준치 중 음료수 및 수도수의 관리 목표치는 10 Bq/kg이며, 후쿠시마 주변 공공수역과 지하수는 1 Bq/L로 되어 있다. 측정 주기는 매 시간에서 연 1회까지 다양하며 검사에 따라 정기적 또는 부정기적으로 실시되고 있다. 주된 측정 항목에는 공간선량률, 전${\alpha}$, 전${\beta}$, ${\gamma}$핵종, Cs-134, Cs-137, Sr-89, Sr-90, I-131 등이 있다. 이에 비해 우리나라는 원자력시설 주변과 먹는 물에 대한 규제기준은 정비되어 있는 반면, 일반적인 공공수역에 대한 관리는 2014년에 시작되었다. 따라서 향후 WHO 등의 가이드라인을 참고하여 국내 체계를 보완할 것으로 예상된다. 일본의 관리 체계는 우리나라의 일반적인 공공수역 방사성물질 기준을 확립할 때 참고가 될 수 있다고 사료된다.

대전 산업단지 지하수의 6가 크롬 오염 및 확산 평가 (Fate and Transport of Cr(VI) Contaminated Groundwater from the Industrial Area in Daejeon)

  • 전철민;문상호;안주성;김영식;원종호;안경환
    • 자원환경지질
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    • 제40권4호
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    • pp.403-418
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    • 2007
  • 본 연구의 목적은 대전 산업단지 폐수종말처리장 내 국가지하수관측망(대전, 문평)의 6가 크롬 오염지하수의 오염 현황을 파악하고 그 확산 여부를 평가하는 것이다. 대전(문평) 관측소에서 나타나는 6가 크롬($Cr^{+6}$) 수질장해의 원인을 규명하고 6가 크롬의 오염 범위를 파악하기 위해 금번 연구에서는 보조 관측정을 설치 활용하였다. 수질분석 결과, 6가 크롬이 $3.2{\sim}4.5mg/L$ 정도 검출됨으로써 6가 크롬에 의한 관측소 충적공의 수질오염은 지속되고 있음이 파악되었다. 그러나 관측소의 암반관정 및 0.05mg/L 수질기준 이하의 농도를 보이는 MPH-1과 3번 관측공을 제외한 주변 관측공에서는 검출되지 않았다. 따라서 6가 크롬 및 총 크롬 함량의 오염 범위는 관측소 충적층 관정 인근에 한정되어 나타나고 있는 것으로 파악되었다. 또한 신규 5개 보조 관측정에서 채취한 77개의 시추 코어 및 슬라임 시료 모두에서 수용성/교환성 6가 크롬이 검출 한계(0.01mg/L) 이하로 나타나, 오염이 관측된 관측소 관정 주변의 토양 및 풍화토에서는 직접적으로 6가 크롬의 오염원이 확인되지 않았다. 지하수 수질분석 및 코어시료 분석 결과, 그 오염원의 중심 및 오염 확산 범위는 관측소 주위 반경 100m 이내로 매우 한정되는 것으로 판단되며 그 확산의 범위가 매우 좁을 것으로 예상된다. 시추조사 결과, 폐수종말처리장 부지조성 당시의 불량 매립층이 확인되었으며, 이러한 불량 매립산업폐기물이 관측소 인근의 6가 크롬 수질장해 원인으로 추론된다. 지표매질의 6가 크롬 자연저감능 평가를 위해 초기 농도 5mg/L Cr(VI)을 이용한 6가 크롬 유효 환원능을 분석하였다. 그 결과, 암회색 점토층에서 각각 58%, 66%, 64% 정도의 높은 6가 크롬 저감율을 보였으며, 이는 유기물 함량과 상호 관련이 있을 것으로 판단되었다. 비포화대/충적층 매질에 대한 6가 크롬 함량 및 자연저감 능력의 정량적 평가 결과, 매질에 의한 6가 크롬의 자연 저감능이 확인되었으며 관정 주변으로의 오염 확산은 충분히 제어되고 있는 것으로 판단된다. 그러나 시추 관측정 및 기설 관정의 수가 부족했기 때문에 매우 제한적인 선택적 유동(preferential flow) 경로에 의한 확산 가능성을 완전히 배제할 수 없다. 정기적인 양수작업을 통하여 지하수에 부화된 6가 크롬의 농도를 지속적으로 제거하고 관측소 주변에 설치된 보조 관측정들을 지속적으로 활용하여 6가 크롬의 농도 변화 추이 및 시간의 흐름에 따른 오염 확산 여부를 지속적으로 관측하고 감시하는 방안이 필요할 것으로 판단된다.