• Title/Summary/Keyword: Operating Room

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Factors Related to Psychosocial Stress and Fatigue Symptom Among Nurses Working at Ward and Operating Room in University Hospitals (대학병원 병동 및 수술실 근무 간호사의 사회심리적 스트레스와 피로수준에 관련된 요인)

  • Park, An-Sook;Son, Mi-Kyung;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1781-1791
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    • 2013
  • The present study was intended to measure the level of psychosocial stress and fatigue symptom according to the various characteristics such as sociodemographic, health-related, job-related, job stress factors, and psychosocial factors among nurses working at ward and operating room in university hospitals, and to reveal the relation between these factors and psychosocial stress and fatigue symptom. The self-administered questionnaires were given to 220 nurses working at ward, and 147 nurses working at operating room in 4 participating hospitals located in Daejeon City during the period from July 1st to Aug 31st, 2012. As a results, the factors related to the psychosocial stress of nurses working at ward were age, subjective health status, job career, satisfaction of work, fit to the job, job demand, job control, coworker support, self-esteem, locus of control, type A behavior pattern. In operating room, there were age, sleep hours, subjective health status, job career, physical burden of work, satisfaction of work, fit to the job, consider quitting the job, job demand, job control, type A behavior pattern. The factors related to the fatigue symptoms of nurses working at ward were age, leisure time, subjective health status, satisfaction of work, consider quitting the job, job demand, locus of control, type A behavior pattern. In operating room, there were age, subjective health status, physical burden of work, supervisor support, coworker support, locus of control. Based on the study results, we suggest that the factors related to psychosocial stress and fatigue symptom of nurses were different from working station. We need development and application of programs to keep under management psychosocial stress and fatigue symptom.

A Study on the Major Issues and Legislative Considerations of CCTV Installation in an Operating Room (수술실 CCTV 설치의 쟁점과 입법방향에 관한 소고(小考))

  • Kim, Sungeun;Choe, A Reum;Bae, Kyounghee
    • The Korean Society of Law and Medicine
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    • v.22 no.2
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    • pp.111-138
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    • 2021
  • 'Unlicensed medical practice by a non-medical practitioner' often represented by surrogate surgery or so-called 'ghost surgery,' causes irreparable damage to life or body, and therefore calls for very strict and effective controls. The 'bill on installment of CCTVs in an operating room' to prevent unlicensed surrogate surgery has been discussed for a long time, but due to numerous issues and heated confrontations, it has been pending in the National Assembly. Nevertheless, it is expected that the bill will be discussed again in earnest in the National Assembly because surrogate surgery and factory-type cosmetic surgery, which has been performed mainly in the field of cosmetic surgery, has also been occurring in the field of therapeutic surgery. In general, an operating room is considered as being locked or closed, as well as disallowing implicit complicity among insiders. Hence, if the insiders conspire to commit or cover up an illegal act, or if a surgeon performs rapid cosmetic surgery and then leaves the recipient (or medical institution) so as to perform more operations for profit - even if it is legitimate practice - it may result in serious consequences in terms of the recovery of a patient. In this case, installation of CCTVs can be of great help in identifying an illegal act and assessing any occurrence of negligence. On the other hand, while the fundamental purpose of therapeutic surgery is to restore a patient's life or body - that is, lifesaving - installation of CCTVs may base the relationship between a surgeon and a patient on distrust and surveillance, so it may increase the number of requests for CCTV footage or lead to more disputes, as well as placing a burden on the surgeon when best results are not achieved for a patient. As a result, the surgeon may choose non-invasive treatment contrary to conscience instead of risky but necessary surgery, or he/she may have significant difficulty in determining the timing of surgery, which may limit the provision of effective surgical medical care. Then, in terms of the relationship between a surgeon and patient, and in the long run, there could be significant disadvantages for the public and patients if CCTV footage is allowed. In this paper, we review domestic and overseas cases and issues regarding installation of CCTVs in an operating room, and present various viewpoints and suggestions to promote legislation with minimized legal problems and side effects, thereby contributing to protection of the lives and health of the public, patients, and recipients of surgery.

Factors Influencing on Patient Safety Management Activities in Operating Room Nurses (수술실 간호사의 환자안전관리활동 영향 요인)

  • Kang, Hee;Choi, Soo-Kyung;Kim, In-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.329-339
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    • 2016
  • The purpose of this study was to investigate the level of job stress and organizational commitment, as well as to identify the factors that influence patient safety management activities among the operating room nurses. Participants were 136 nurses working at 1 university hospital and 9 general hospitals located in G metropolitan city. The data were collected between July 25 and August 7, 2014 using structured questionnaires. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multiple regression analysis using SPSS version 21.0. The level of job stress, organizational commitment, and patient safety management activities was 3.76, 3.09, and 4.15, respectively, out of a 5-point scale. Patient safety management activities were significantly correlated with organizational commitment. The significant factors that influence patient safety management activities were organizational commitment and number of patient safety education, which explained 23% of patient safety management activities. In conclusion, organizational commitment and patient safety education have a positive effect on the improvement of patient safety management activities of operating room nurses. It is necessary to develop various intervention programs for operating room nurses to improve organizational commitment and should be reinforced via continuous, systematic patient safety education on patient safety management.

Operating Characteristics of a Main Oxidizer Shut-off Valve According to Operating Times (작동 횟수에 따른 연소기 산화제 개폐밸브 작동 특성)

  • Hong, Moongeun
    • Journal of the Korean Society of Propulsion Engineers
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    • v.24 no.5
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    • pp.77-83
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    • 2020
  • The operating characteristics of a main oxidizer shut-off valve have been examined by life-cycle tests in which the valve operates as many times as is required at room and cryogenic temperatures. It is shown that there is no significant change of the operating characteristics in the course of the life-cycle tests. The critical pressures and principal forces, which represent the operating characteristics, differ at each operating time by less than about 3%. These qualified operating characteristics of the valve are expected to play an indispensible role in the stable startup and shutdown of a liquid rocket engine.

Infection prevention measures and outcomes for surgical patients during a COVID-19 outbreak in a tertiary hospital in Daegu, South Korea: a retrospective observational study

  • Kwak, Kyung-Hwa;Kim, Jay Kyoung;Kwon, Ki Tae;Yeo, Jinseok
    • Journal of Yeungnam Medical Science
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    • v.39 no.3
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    • pp.223-229
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    • 2022
  • Background: The first large coronavirus disease 2019 (COVID-19) outbreak outside China occurred in Daegu. In response, we developed infection prevention measures for surgical patients during the outbreak at our hospital and retrospectively reviewed the outcomes of COVID-19-related surgical patients. Methods: We reviewed the medical records of 118 COVID-19-related surgical patients and monitored their clinical outcomes until March 31, 2021. We also interviewed healthcare workers who participated in their perioperative care at Kyungpook National University Chilgok Hospital. The perioperative management guidelines for COVID-19-related patients were prepared through multidisciplinary discussions, including the infection control department, surgical departments, and anesthesiology department before and during the COVID-19 outbreak. Results: One standard operating room was temporarily converted to a negative-pressure room by increasing the exhaust air volume, creating a relative pressure of -11.3 Pa. The healthcare workers were equipped with personal protective equipment according to the patient's classification of the risk of COVID-19 transmission. The 118 COVID-19-related patients underwent emergent surgery in the negative-pressure room, including three COVID-19-confirmed patients and five COVID-19-exposed patients. Conclusion: All surgeries of the COVID-19-related patients were performed without specific adverse events or perioperative COVID-19 transmission. Our experience setting up a negative-pressure operating room and conservative perioperative protocol to prevent COVID-19 transmission will help plan and execute infection control measures in the future.

Variation of fracture strength of adhesive joint according to the operating temperature (사용환경온도에 따른 접착이음의 인장전단강도 변화)

  • Kim, J.Y.;Lee, C.J.;Lee, S.K.;Park, G.W.;Jung, B.H.;Schafer, H.;Kim, B.M.
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2008.05a
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    • pp.517-520
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    • 2008
  • Recently, use of adhesive bonding technology is increased to achieve the multi-material design for lightweight structure in automobile industry. In this paper, the fracture strength of adhesive has been studied with the single lap shear test conducted at different temperatures. The joint specimens are made from Al 5052 and SPRC 440 bonded with structural epoxy adhesive. The operating temperature has been considered up to $150[^{\circ}C]$ and the single lap shear test has been conducted with 5mm/min tensile rate. Fracture strength of adhesive bonded joint has been decreased with increase of operating temperature. The fracture strength at the $100[^{\circ}C]$ was shown about half of that at room temperature.

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The control system of sludge amount inspection and discharge materials of outlet water and affiliated water-purification tank (오수/합병정화조의 배출물 제어시스템 연구)

  • 박주식;김건호;오지영;임총규;강경식
    • Proceedings of the Safety Management and Science Conference
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    • 2001.11a
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    • pp.193-202
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    • 2001
  • The individual rotten water purification tank recently discharges wastewater and sewage through the outlet without purification ability. The outlet water and affiliated water purification tank with microorganism cultivator tank cultivates microorganism and then drops the value BOD, COD of sewage and discharges the quality of water into the outlet. The blower and water pump operating continuously prompts the waste of energy and deterioration of equipment. Each room of deposition tank, foaming tank, microorganism cultivator tank is equipment with the sludge detection senses so it can detect the density of each room. The power-drive plant of the blower and water pump which ate the system cultivating the microorganism must be made as fuzzy controlization (If the sludge amount of each room become higher, the rate of operation of blower and water pump must heighten, on the contrary, in case of row sludge amount, the total handling amount and microorganism handling amount of each room of control. Tank reducing the rate of operation must be DB. At present, the blower amount in proportion to the sludge and oxygen demanding amount has to control. Each mom must be checked outlet level of the outlet, also each room must flow backward discharge materials, and must operate feed-back control until we want to be come as a below value of BOD/COD(10PPM ; KS).

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A Study on the Current Situation of Using Community Facilities and Its Proper Size in Apartment (아파트 단지 내 커뮤니티 시설의 이용실태 및 적정규모에 관한 연구)

  • Sohn, Sei-Kwan;Kim, Won-Kyung
    • Journal of the Korean housing association
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    • v.20 no.6
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    • pp.145-155
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    • 2009
  • The purpose of this study is to examine the awareness of apartment residents on their using tendency of community facilities established in apartment complex in order to verify a role that such facilities play in making contributions to lives of apartment dwellers and to analyze their using tendency of the facilities and subsequent problems. The study produced the important findings as follows. First, the level of exchange among residents and their satisfaction were raised high in the apartment complex that offered substantial community facilities. Second, in regard to physical aspect, community activities among dwellers were brisk in the apartment complex where community facilities were organically connected. Third, fitness center, shower room and golf course were excessive in terms of space provided while the space alloted for G.X room, a place used exclusively for class, was insufficient. Fourth, the analysis of using tendency and preference level showed that fitness center, shower room and G.X room were the required facilities. The rooms for using PCs and watching DVDs and the singing room were found to be unnecessary because such facilities were low in the effectiveness when the operating cost was considered.

A Study on Operation Problems for the Emergency Medical Process Using Real-Time Data (실시간데이터를 활용한 응급의료 프로세스 운영에 관한 연구)

  • Kim, Daebeom
    • Journal of the Korea Society for Simulation
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    • v.26 no.3
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    • pp.125-139
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    • 2017
  • Recently, interest in improving the quality of EMS(emergency medical services) has been increasing. Much effort is being made to innovate the EMS process. The rapid progress of ICT technology has accelerated the automation or intelligence of EMS processes. This study suggests an emergency room management method based on real-time data considering resource utilization optimization, minimization of human error and enhancement of predictability of medical care. Emergency room operation indices - Emergency care index, Short stay index, Human error inducing index, Waiting patience index - are developed. And emergency room operation rules based on these indices are presented. Simulation was performed on a virtual emergency room to verify the effectiveness of the proposed operating rule. Simulation results showed excellent performance in terms of length of stay.

Thermal Stress Evaluation by Elastic-Creep Analysis during Start-up of Boiler Header (보일러 헤더 기동시의 탄성 크리프 해석에 의한 열응력 평가)

  • Shin, Kyu-In;Yoon, Kee-Bong
    • Journal of the Korean Society of Safety
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    • v.24 no.2
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    • pp.17-22
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    • 2009
  • Thermal stress and elastic creeping stress analysis was conducted by finite element method to simulate start-up process of a boiler header of 500MW standard fossil power plant. Start-up temperature and operating pressure history were simplified from the real field data and they were used for the thermal stress analysis. Two kinds of thermal stress analysis were considered. In the first case only temperature increase was considered and in the second case both of temperature and operating pressure histories were considered. In the first analysis peak stress was occurred during the temperature increase from the room temperature. Hence cracking or fracture may occur at the temperature far below the operating maximum temperature. In the results of the second analysis von Mises stress appeared to be higher after the second temperature increase. This is due to internal pressure increase not due to the thermal stress. When the stress components of radial(r), hoop($\theta$) and longitudinal(z) stress were investigated, compression hoop stress was occurred at inner surface of the stub tube when the temperature increased from room temperature to elevated temperature. Then it was changed to tension hoop stress and increased because of the operating pressure. It was expected that frequent start-up and shut-down operations could cause thermal fatigue damage and cracking at the stub tube hole in the header. Elastic-creeping analysis was also carried out to investigate the stress relaxation due to creep and stabilized stress after considerable elapsed time. The results could be used for assessing the creep damage and the residual life of the boiler header during the long-tenn service.