• 자원환경지질
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• 제48권6호
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• pp.477-490
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• 2015

본 연구에서는 빗물 함양사업을 통하여 전주시 덕진공원 유역 내 옛 하천들의 복원가능성을 검토하였다. 본 연구는 다양한 상황에서의 지하수유출량을 모사하는 방법으로 수행되었다. 덕진연못의 상류유역을 흐르던 하천을 복원한다고 했을 때, 이들이 비강우기에도 유량을 유지하기 위해서는 어디에 얼마만큼의 지하수 함양을 추가로 시켜야 하는 지, 그리고 하천들의 기저유출유량은 덕진연못의 수생태유지에 충분한 지를 지하수모델을 이용하여 평가하였다. 본 연구결과, 덕진연못의 빗물 배수를 저영향개발(low impact development; LID) 사업을 통하여 개발이전과 유사한 빗물배수체계를 만들어 준다면 복원되는 하천들은 갈수기에도 상당기간 기저유출로 유량이 유지될 수 있음을 알 수 있었다. 덕진연못 집수구역의 최상류구역인 동물원과 주변지역에서 지하수 함양을 증가시키는 것이, 하류 대지천의 기저유출 유량을 증가시키는 것에 유리함을 지시한다. 아울러, 몇몇 지점에서의 집중적인 지하수함양보다는 넓은 지역에서 고르게 일어나는 지하수함양이 하천의 건천화 방지에 더 유리한 것으로 나타났다.

• 생태와환경
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• 제43권4호
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• pp.492-502
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• 2010

The study objects were to analyze long-term and seasonal variations of nutrients (N, P), suspended solids, N:P ratios, algal chlorophyll, and trophic state along with general water quality parameters in four sampling sites including two intake tower sites supplying drinking water in Daechung Reservoir. For the analysis, we used water quality long-term data sampled during 1998~2007 by the Ministry of Environment, Korea. Interannual and seasonal trends in inflow and discharge near the intake tower facilities over the ten years were directly influenced by rainfall pattern. The distinct difference between wet year (2003) and dry year (2001) produced marked differences in water temperature, pH, dissolved oxygen, organic matter contents, nutrients, and these variables influenced algal biomass and trophic state. Values of TP varied depending on the year and locations sampled, but monthly mean TP always peaked during July~August when river inflow and precipitation were maxima. In contrast, TN varied little compared to TP, indicating lower influence by seasonal flow compared to phosphorus. The number of E. coli were highest in Site 2 (Chudong intake tower) and varied largely, whereas at other sites, the numbers were low and low variations. Contents of chlorophyll-${\alpha}$ (CHL), as an estimation of primary productivity, varied largely depending on the year and season. The maximum of CHL occurred at Muneu intake tower (S4) during 2006 when the precipitation and inflow were lowest. In contrast, another CHL peak was observed in Site 2 (Chudong intake tower) in 2006 when one of the largest typoons (Ewinia) occurred and river runoff were maximum. So the CHL maxima were associated with both wet year (high flow, high nutrient supply) and dry year (low flow, nutrient supply by littoral zone). Such conditions influenced trophic states, based on Trophic State Index of nutrients and CHL. Based on all analyses, we can provide some clues for management and protection strategies of two intake tower sites.

• 한국수자원학회논문집
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• 제30권2호
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• pp.177-191
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• 1997

본 논문은 도시유역에서의 강우-유출을 해석하기 위한 설계조건으로서 강우 공간분포와 소유역의 분할이 결과치에 미치는 영향을 9개 도시유역에 대하여 SWMM으로 평가한 것이다. 도시유역을 상류 2개 권역으로 구분하는 각각 Huff의 4개 분포형을 조합하여 적용한 결과는 기존의 Huff2 분포로 균일하게 적용한 경우보다 첨두유량에서 -54.68~18.77% 의 편차를 보여주었다. 따라서 설계홍수량산정에서는 공간분포의 고려는 홍수위험도의 경감에 기여할 것으로 판단된다. 또한 소유역의 분할에 따른 유출특성의 영향은 유역의 경사, 불투수면적비 등에 따라 다르게 나타나나 전반적으로 분할 수가 많을수록 실측치에 접근함을 보여주었다. 그러나, 왜곡도와 면적비를 고려한 소유역 폭의 산정방법을 적용함으로써 유역분할 수가 적어도 정확도의 개선에 상당한 기여를 기대할 수 있었다. 유역면적이 약 10$\textrm{km}^2$이내인 도시유역에서는 소유역 분할 수가 3개 이상이면 약 25% 이내에서 실측치에 근사할 것으로 판단된다.

• 대한임상독성학회지
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• 제7권2호
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• pp.156-163
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• 2009

Purpose: Doxylamine succinate (DS) is frequently used to treat insomnia and it may induce rhabdomyolysis in the overdose cases. The purpose of this study is to evaluate the factors that can predict the serum creatine kinase (CK) level normalization time for patients with rhabdomyolysis due to DS ingestion. Methods: This study was conducted on 71 patients who were admitted with rhabdomyolysis after DS ingestion during the period from January 2000 to July 2009. Rhabdomyolysis was defined as a serum CK level over 1,000 U/L. The collected data included the general characteristics, the anticholinergic symptoms, the ingested dose, the peak serum CK level, the time interval (TI) from the event to the peak CK level and the TI from the event to a CK level below 1,000 U/L. We evaluated the correlation between the patients' variables and the TI from the event to the peak CK level time and the time for a CK level below 1,000 U/L. Results: The mean ingested dose per body weight (BW) was $30.86{\pm}18.63\;mg/kg$ and the mean TI from the event to treatment was $4.04{\pm}3.67$ hours. The TI from the event to the peak CK level was longer for the patients with a larger ingestion dose per BW (r=0.587, p<0.05). The CK normalization time was longer for the patients with a larger ingested dose per BW (r=0.446, p<0.05) and a higher peak CK level (r=0.634, p<0.05). Conclusion: The ingested dose per BW was correlated with the TI from the event to the peak CK level, and the ingested dose per BW and the peak CK level have significant correlations with the CK normalization time. These factors may be used to determine the discharge period of patients who had rhabdomyolysis following a OS overdose.

• 청정기술
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• 제17권3호
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• pp.259-265
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• 2011

섬유 염색 산업은 공장 주변의 주민들이 악취로 인하여 고통을 받고 있으며 반드시 해결해야할 대기오염 문제이며, 특히 텐타공정에서 발생하는 백연과 악취를 저감하여야 한다. 섬유 염색 산업의 주된 대기 오염물질은 탄화수소로 이루어진 유연제, 가소제, 발수제등을 사용하는 후처리 공정에서 주로 발생한다. 화학 물질이 처리된 섬유를 텐타공정에서 건조하는 동안 섬유에 포함된 오염물질들이 기화하여 대기로 배출된다. 백연은 주로 1 마이크론 미만의 작은 고상 혹은 액상물질로 이루어져 있으며, 텐타공정에서 발생된 오염물질 분자들이, 이들 입자에 붙어서 상당히 먼 거리까지 이동하며 악취를 유발하게 된다. 텐타공정의 악취를 줄이는 가장 효과적인 방법은 이러한 미세한 오일 미스트를 제거하는 것이다. 본 연구에서는 700 CMM의 Full-scale EFC (Electric Fume Collector) 운전을 통하여, 악취 및 백연이 효과적으로 제거되었으며 많은 양의 오일을 회수 할 수 있었다.

• 한국의료질향상학회지
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• 제9권2호
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• pp.116-133
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• 2002

Background : It is very common in Korea to take care of non-acute patients in an acute setting, due to the lack of long-term facilities. Long term hospitalization increase medical expenses and decreases the bed utilization, which can affect the urgent and emergent admissions, and eventually jeopardize the hospital financially. In this study, strategies for effective transfers to the lower levels of care, and to decrease the length of stay were presented by surveying and analyzing the patient's knowledge of the transfer needs, and the willingness to transfer those whose hospital length of stay was more than 30days. Method : The survey is subject to a group of 251 patients who have been hospitalized over 30 days in a general hospital in Seoul. Excluding those that were in the Intensive Care Unit and psychiatric ward, 214 in-patients were used as participants. They were surveyed from April 9, 2002 to April 17, 2002. One hundred and thirty seven out of 214 were responded which made the response rate 64%. Data were analyzed by SAS and SPSS. Result : Multi-variable Logistic Regression Analysis showed a significant effect in medical expenses, knowledge of referral system and the information of the receiving hospital. The financial burden in medical expenses made the patient 10.7 times more willing to be transferred, knowledge of the referral system made them 5 times more willing to be transferred, and the information of receiving hospital makes 6.5 times more willing to be transferred. Reasons for willing to be transferred to a lower level of care were the phase of physical therapy, the distance from home, the attending physician's advice and being unable to be treated as an out patient. Reasons for refusing to be transferred were the following. The attending physician's competency, not being ready to be discharged, not trusting the receiving hospital's competency due to the lack of information, or never hearing about the referring system by the attending physician. Conclusion : Based on this, strategies for the effective transfer to the lower levels of care were suggested. It is desirable for the attending physician to be actively involved by making an effort to explain the transfer need, and referring to the Healthcare Coordinating Center, which can help the patient make the right decision. Nationwide networking for the referral system is the another key factor that may need to be suggested as an alternative to decrease the medical expenses. Collaborating with the Home Health Agency for the early discharge planning and the Social Service Department for financial aid are also needed. It is recommended that the hospital should expedite the transfer process by prioritizing the cost and the information as medical expenses, knowledge of referring system and the information of the receiving hospital, are the most important factors to the willingness to transfer to a lower level of care.

• 한국의료질향상학회지
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• 제9권2호
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• pp.176-197
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• 2002

Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

• 한국인터넷방송통신학회논문지
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• 제15권3호
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• pp.169-173
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• 2015

이 논문은 사용한지 13년 지난 운전 중 22 kV 케이블시스템을, 7년 동안 절연저항을 측정하여 그 결과를 연구한 논문이다. 우리는 발전소에서 설치 운전 중인 고전압 케이블이 시간에 따라 성능이 악화되는 현상의 추세를 결정하는 수명지수를 파악하였다. 위한 논문이다. 케이블 시스템은 시간에 따라 절연 저항이 감소한다. 초기 케이블 시스템은 아레니우스 열화 곡선을 따른다. 초기에는 수명 지수 n값이 9로 설계하였고, 이후 n값을 상향하여 16으로 결정하였다. 이유는 고전압에서 케이블이 동작할 경우, n값이 클 때 파괴특성이 높지 않고, n값이 낮은 값에서 파괴특성이 높았기 때문이다. 그러나 전압열화에 의하여 와이블 프롯을 따른 v-t 특성에 의하여 n값은 10~11의 값을 갖는 것을 확인하였다. 과거 케이블 설계 시 정한 n=9의 이론적 근거와 n=16 으로 높아진 원인을 파악함으로써 누설 전류 및 절연 저항의 선형적인 변화를 확인하였다. 단기적으로는 운전 중 케이블 시스템의 진단 평가에 활용되며, 장기적으로는 발전소 부하에서 동작 중인케이블 시스템의 설치 및 운영에 있어서 원가를 절감하기 위한 노력에 기여하고자 한다.

• 대한간호학회지
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• 제17권3호
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• pp.227-240
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• 1987

Infection has assumed increased importance as a cause of death among thermally injured individuals. Decreased treatment effectiveness and an increase in mortality are the hallmarks of nosocomial infection. Infection control is a monumental task that must be achieved to reduce mortalities. This was a retrospective study to survey the epidemiological features of nosocomial infections in a burn unit and to identify the possibilities for infection control. During the past 6 year 2 month period from July, 1981 to August, 1987, 306 burn patients were treated in the burn unit of university hospital. Among of these, 290 cases were the subjects of this study. The data were collected from the patients' records after discharge. All data collected were analyzed using percent, x$^2$-test, t-test with SPSS program. The results of this study are summariged as follows: 1) Infection rate was 40%. According to site, there were 67 cases of wound infection, 60 cases of post-operative skin graft infection, 20 cases of septicemia and 20 cases of donor site infection. As far as the burn size was concerned, the infection rate for patients whose burn size ranged 61 to 70%, was shown to be 100%, followed by the infection rate of 93.8%, for patients whose burn size ranged from 41~50%. As far as the period of time over which the infection developed, 5 to 7 days showed the highest frequency. Further infection was the main cause of deaths and complications. 2) Based upon the results obained by comparing the general characteristics, between a hospital infection-group and non-hospital infection group, there was a significant defference according to age, the time of the year when the accident happened, the place of accident or length of hospital-admission. And according to the result obtained by comparing the general characteristics of the burn, there was a significant difference according to burn size, burn depth, burn type, and burn site. And also based upon the result obtained by comparing the two groups according to method of treatment, there was a significant difference according to the use of antibiotics and to the type of wound-treatment, and for the 8 different binds of treatment related to infection, there was a significant difference for all. In conclusion, age, length of hospital-admission, burn size, burn type, burn site, burn depth, type of woundtreatment and the 8 different binds of treatment, which are related to burns, were shown to be the factors which affect the infection rate in burn patients.

• Child Health Nursing Research
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• 제7권1호
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• pp.96-107
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• 2001

Recent research indicates that the new mothers want to learn about childrearing, and have burden in care of infants. Also it indicates that the new mothers say the lack of confidence and knowledge about infant care. This study was a prospective longitudinal reseach developing parent role education program and evaluating the effectiveness of this program for mother-infant interaction, childrearing environment and infant development. Longitudinal quasi-experimental design was used. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their mothers. The sample consisted of 19 mother-infant dyads for intervention group and 18 dyads for control group. Data were collected from March 15th to December 14th in 1999. For the intervention group received programmed education that was consisted of discharge education, telephone counselling, and home visiting for maternal education. The data were analyzed using chi-square test and t-test to test the equivalence of two groups, and the effectiveness of intervention program. This study was focused on the results of six months time point. The results were as follows: 1. There was significant difference in the mean score of mother-infant interaction(NCAST) between two groups. Intervention group showed higher scores in the subscales of sensitivity to cues, cognitive growth fostering, and caregiver total. 2. There was no significant difference in the mean score of child rearing environment (HOME) between two groups of six-month-infants. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of opportunities for variety in daily stimulation, maternal involvement with child, and emotional, verbal response. 3. Six-month-infants of the intervention group showed significantly higher GQ in the Griffiths mental development scale. In conclusion, the maternal education program was effective in promoting the mother-infant interaction, organizing the childrearing environment, and fostering the infant development. These results were very meaningful that we found parent role education necessary for normal infants' mothers, and nurses can make a great contribution in promoting health of infants and mothers.