• 한국수자원학회논문집
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• 제30권6호
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• pp.709-720
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• 1997

다목적 댐의 홍수기 저수지 운영에 있어 댐 규정에 명시된 홍수조절용량이 부족하다고 판단되는 경우, 한정된 저수공간의 탄력적인 이용방안을 강구하여 추가적인 홍수조절용량을 확보하여야 한다. 본 연구에서는 홍수기의 기상특성을 반영하여 홍수기를 시기적으로 구분하고, 구분된 홍수기간별로 각각의 이수목적수위와 치수목적수위를 검토하였다. 검토된 결과를 바탕으로 서로 상반되는 이수와 치수를 함께 고려할 수 있는 방안을 강구하였으며, 이로부터 결정된 홍수기 댐 운영수위를 홍수기 가변제한수위라 정의하였다. 홍수기 가변제한수위를 결정하는 일련의 절차에 대해 대청 다목적 댐을 대상으로 적용하고 그 결과를 분석하였다.

• Child Health Nursing Research
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• 제18권3호
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• pp.119-126
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• 2012

Purpose: The purpose of this study was to examine and analyze the post operative fasting period of neonates in the intensive care unit (ICU) after receiving open heart surgery in order to provide optimal nutrition support for these neonates. The variables included biochemical nutrition indexes (albumin, total lymphocyte count, total cholesterol) and patient outcomes (duration of mechanical ventilation, ICU stay, hospital stay, infectious complication). Methods: The participants were 124 neonates in ICU after receiving open heart surgery, and the design of this study was to investigate their post operative fasting period retrospectively to analyze the biochemical nutrition indexes and patient outcomes according to post operative fasting period. Results: The results for 4 groups according to post operative fasting period showed that the group with less 48 hours of fasting had the best biochemical nutrition indexes and patient outcomes, followed by the 48-72 hour group, the 72-144 hour group, and the over 144 hour group. Conclusion: The results indicate that for new born babies receiving open heart surgery, the period of fasting after the operation should be minimized and tube feeding should be started as soon as possible.

• 기본간호학회지
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• 제6권2호
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• pp.267-276
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• 1999

The purpose of this study was to identify risk factors predictive of alterations in skin integrity during the intraoperative period. The predictive risk factors were studied for intraoperative pressure sores from December 1998 through January 1999. A sample of 220 patients was selected from the operating room schedule of a University Hospital in Pusan. There were two criteria in including patients : the operation lasted longer than 2 hours and the absence of skin break-down according to NPUAP criteria. The data were analized by SPSS/PC, Stepwise multiple logistic regression was used to identify the variables which were predictive of alterations in skin integrity. Of the 220 patients studied, 41 patients (18.6%) developed stage 1 pressure sores in the immediate postoperative period. In relation to skin changes, three independent variables emerged from the stepwise multiple logistic regression as being significant (p<0.05). Factors predictive of pressure sore formation included low serum albumin(p=0.000), prone position while undergoing surgery(p=0.0004), time on the operating table(p=0.0165). Among the intrinsic factors, serum albumin was the most significant causal factor in pressure sores development in the intra-operative period. Pressure and shearing force were the most significant extrinsic factors in pressure sores development. From the results of this study we concluded that the primary nursing goal is the maintenance of the proper patient' position during the intraoperative period. Also imperative for sore prevention is the reduction of surgery time and improving preoperative nutritional status.

• 보건행정학회지
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• 제3권2호
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• pp.130-158
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• 1993

This study was written to discover the changes that may exist in the contents of medical services after introduction of health insurance system, and to identify the net-effect of health insurance system on medical services. Uncomplicated nornmal delivery and appendectomy patients were divided into 4 groups, the non-insured in pre-NHI periods(group A), the insured of health insurance for employees in pre-NHI periods(group B), the insured of regional health insurance for city residents in post-NHI periods(group C) and the insured of health insurance for employees in post-NHI periods(group D). The mehtod of matching was applied to control for major demographic differences among these 4 groups of each disease. In pre-NHI period, the medical services and the variation of medical services of the non-insured were compared with those of the insured. The difference between the change of medical services from group A to those of group C, and the change of medical services from group B to those group D is defined as the net-effect of health insurance. The results are as follows. First, in length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients, frequency of sitz bath in delivery patients, there was net-effect of health insurance in increasing direction. Second, length of stay after delivery or operation, total length of stay, some laboratory examination, amount of several drugs used in appendectomy patients and frequency of sitz bath in delivery patients were significantly more in the insured than in the non-insured group in pre-NHI period. Third, the variation of medical services of post-NHI period was not less then those of pre-NHI period. Fourth, antenatal care on which the third party does not pay and the patient pays for all, was diffrerent by socioeconomic and educational level of patients.

• 수산해양기술연구
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• 제52권4호
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• pp.339-346
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• 2016

The aim of this research was to the experimental data using statistical and spectral analyzing method to get the motion reponses of a stern trawler in operation states such as drifting, sailing and trawling according to the wave height. In drifting, the significant and the maximum valuer of roll in beam sea increased according to the wave height, but those of pitch decreased. The response and the period of peak of roll in beam sea were increased, but those of pitch decreased. In navigation, the significant and maximum values of roll increased remarkably according to the wave height, but those of pitch changed a little. The response of roll was highest in quartering sea, beam sea and then following sea, but those of pitch was highest in bow sea, head sea and then beam sea in the order of all wave heights. The period of peak of roll due to the wave height and the wave direction changed from 3.8 to 9.9 seconds, and those of pitch changed from 3.3 to 10.4 seconds. In trawling, the significant and maximum values of roll increased a little according to the wave height, but those of pitch increased significantly. The response of roll was highest in beam sea, bow sea and then quartering sea, but those of pitch was highest in head sea, following sea, and then beam sea in the order. The period of peak of roll due to the wave height and the direction changed from 6.6 to 10.9 seconds, and those of pitch changed from 6.7 to 11.2 seconds.

• Journal of Electrical Engineering and Technology
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• 제5권4호
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• pp.530-537
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• 2010

By development of renewable energy and more efficient facilities in an increasingly deregulated electricity market, the operation cost of distributed generation (DG) is becoming more competitive. International environmental regulations of the leaking carbon become effective to reinforce global efforts for a low-carbon paradigm. Through increased DG, operators of DG are able to supply electric power to customers who are connected directly to DG as well as loads that are connected to entire network. In this situation, a community energy system (CES) with DGs is a new participant in the energy market. DG's purchase price from the market is different from the DG's sales price to the market due to transmission service charges and other costs. Therefore, CES who owns DGs has to control the produced electric power per hourly period in order to maximize profit. Considering the international environment regulations, CE will be an important element to decide the marginal cost of generators as well as the classified fuel unit cost and unit's efficiency. This paper introduces the optimal operation of CES's DG connected to the distribution network considering CE. The purpose of optimization is to maximize the profit of CES. A Particle Swarm Optimization (PSO) will be used to solve this complicated problem. The optimal operation of DG represented in this paper would guide CES and system operators in determining the decision making criteria.

• Journal of Chest Surgery
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• 제26권12호
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• pp.915-919
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• 1993

The management of Patent Ductus Arteriosus[PDA] with heart failure and cardiac cachexia in premature infants have been a disturbing and controversial problem in the field of pediatric cardiovascular surgery.We analysed our experiences to determine the rationale of surgical closure of PDA in infants . During a period of 7 years from January 1986 to December 1992, 12 infants under 2 months of age underwent operations for "hemodynamically significant" PDA which had caused severe heart failure.There were 6 male and 6 female patients. Their mean gestational age was 33.8 weeks and their mean body weight was 1990 g. ranged from 710 g. to 2900 g. Mean age at operation was 28.5days. Seven patients had history of Indomethacin trial. All patients were operated with double ligation technique under general anesthesia.There was no mortality and blood transfusion was not necessary in any patient during the operation.In all cases, we could confirm the complete closure of PDA after operation by follow-up echocardiography.Two patients died during their hospital stay and 1 patient died at 6 months after operation. The causes of death were sepsis with congestive heart failure, necrotizing entero colitis and pneumonia respectively.We can not detect any operation related complication which resulted in permanent sequelae as well as delayed complications related to nerve damage. These results indicate that surgical ligation of PDA in infants with severe heart failure is relatively safe and effective.effective.

• 한국압력기기공학회 논문집
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• 제7권4호
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• pp.57-62
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• 2011

As NPPs' operating times increase, the integrity of nuclear components is continually degraded due to aging effects of systems, structures and components. In addition, for the case of continued operation beyond design life, additional aging effects occurred during the extended operating period lead to more degradation of the integrity of nuclear components. Therefore, it is very important to mange and evaluate the aging to secure the safety of NPPs. Wolsong unit 1 is approaching to its design life of 30 years in 2012. The license renewal documents for continued operation of Wolsong unit 1 Is under reviewing now. In this paper, regulatory technologies for continued operation of Wolsong unit 1 developed by KINS will be introduced. That technologies include the safety review guidelines, regulatory guides for aging management program and regulatory program for audit calculation.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1979년도 제13차 학술대회 연제순서 및 초록
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• pp.3.1-3
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• 1979

현대 귀수술의 큰 목적은 이루를 없애고 청력를 증진하는 데 있다. 이루의 방지와 고막이식의 성공은 거의 완전에 가깝다고 할 수 있으나, 아직 청력증진에 있어서는 그 기술적인 문제가 남아있다고 본다. 본 교실에서는 1977년 12월 부터 1979년 3월까지 만성중이염으로 Mastoid-Tympanoplasty를 받은 154명의 환자중 67명이 Mastoid-Tympanoplasty를 받은 후 6개원∼l년에 청력증진술을 받았고 이중 기록이 완전한 54명의 환자에 대하여 본 연구를 실시하였다. 청력증진술의 material은 사람의 침골을 사용하였고 수술후 청력검사를 실시하여 수술전후의 A-B Gap의 비교, S.R.T.의 변화, 침골과 T.O.R.P. 사용시의 효과의 비교, Mastoid-Tympanoplasty 후 청력증진술을 받은 기간에 대하여 관찰한 바를 보고하는 바이다.

• 대한족부족관절학회지
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• 제20권4호
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• pp.170-175
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• 2016

Purpose: The aim of this study is to evaluate the effectiveness of surgical treatment in adolescent patients suffering from navicular stress fracture. Materials and Methods: A total of 11 adolescent patients aged 14 to 19, who underwent an operation for navicular stress fracture between 2005 and 2008 were recruited. Clinical outcomes were evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score and visual analogue scale (VAS) score. Results: The mean VAS score before the operation was 7.7. A score of 2.9 was confirmed at final follow up after the operation. The mean final follow-up period was 22.1 months. There was a statistically significant improvement in the VAS score between before and after the operation (p=0.01), and similarly, the AOFAS score also showed an improvement, from 46.5 to 80.7 (p=0.01). The pain that remained after the operation, according to the VAS score, was severe in three patients (27.3%), tolerable in seven patients (63.6%), and free of pain in one patient (9.1%). Conclusion: In navicular stress fracture in adolescents, careful selection of patients who could benefit from surgical treatment is recommended.