• 해양환경안전학회지
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• 제26권6호
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• pp.689-697
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• 2020

위험유해물질(HNS, Hazardous and Noxious Substances)은 해상운송 과정에서 다양한 사고에 노출되어 있어 많은 양이 바다에 유출될 우려가 있다. HNS 유출에 따른 해양환경의 손상은 유류 유출에 의한 손상보다도 훨씬 큰 것으로 알려져 있다. 특히 해저로 침강하여 침적되는 HNS는 해저생태계에 돌이키기 어려운 피해를 주게 되므로, 반드시 회수되어야 한다. 해저로부터 HNS를 회수하기 위해서는 해저침적 HNS에 대한 정확한 탐지, 안정화 처리 및 회수를 위한 절차와 장비가 필요하다. 그 중에서도 기계적 회수장치를 개발하기 위해서는 성능지표를 이용하여 성능요건을 선정하고, 이를 토대로 기계적 회수장치에 대한 개념설계가 이루어져야 한다. 따라서 본 연구에서는 해저침적 HNS의 회수 절차에서 요구되는 기계적 회수장치에 대한 개념설계안을 제시하였다. 개념설계안으로 해저침적 HNS를 회수하기 위한 기본 시나리오를 제시하고, 자체적 밀폐 성능을 가지는 흡인 기초를 활용하는 방안을 채택하였다. 기계적 회수장치는 흡인 기초, 오염 방지, 펌프 시스템, 제어 시스템, 모니터링 장비, 위치정보 장비, 이송 장비, 탱크로 구성된다. 이러한 개념설계안은 기계적 회수장치의 부품 및 형상을 결정하는 기본설계에 반영되어 활용될 것으로 기대된다.

• 한국의료질향상학회지
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• 제8권1호
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• pp.44-55
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• 2001

Background : This study aimed at identifying the effect of the standardized protocol on lowering the incidence of the ventilator associated pneumonia(VAP). Methods : The standard protocol focusing on decreasing VAP was made and applied at 5 ICUs (Medical ICU, surgical ICU, Respiratory ICU, Neonatal ICU, Pediatric ICU) in a university affiliated tertiary hospital, from April 1, 2000 to Oct 31, 2000. The protocol involved 3 parts : hand washing, the suctioning method and ventilator circuit management. All the nursing personnel received intensive education which was consisted of lecture, video film and demonstration. 176 nurses reported the performance of handwashing pre and post intervention. And randomly selected 15 nurses were observed by charge nurse and the handwashing practice was analyzed pre and post intervention. The incidence of VAP was compared with the former year incidence. Results : The self reported frequency of hand washing increased. In the direct observation of handwashing, the frequency, time, thoroughness of hand washing during 8 hours day duty was found to be improved. The frequency was increased from 1.1 time to 4.1 times; the time was improved from 1.7 seconds to 5.7 seconds and the thoroughness of the washing practice was from 0.2 times to 3.0 times respectively (p<0.001). The incidence of VAP decreased from at a rate of 15.63 number of case per 1,000 ventilator-day (April 1~August 31, 1999) to 7.23 number of case per 1,000 ventilator-days(April 1~Oct 31, 2000)(P<0.001). Conclusion : We developed the protocols which included hand washing, the suctioning method, and ventilator circuit management. Through the implementation of the protocol, the performance of hand washing improved and the VAP incidence rate in ICU was decreased.

• 대한간호학회지
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• 제25권4호
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• pp.641-652
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• 1995

Working as nurses, authors found that some patients were not content with their hospital life. Some patients wanted to move to another ward, and others complained about their ward atmosphere. In spite of patients' discomfort, nurses didn't know what made some patients complain about their ward. So, authors tried to find factors that influence atmosphere of hospital wards of the neurosurgery patients. To know the atmosphere of wards, authors selected five neurosurgery ward of a university hospital in Seoul. Observation took a month. An author observed using molar approach, in the morning, in the day time, and in evening time. Authors used concealment /no intervention technique. An author checked condition of people in the wards, and observed their verbal and nonverbal communication behavior their activities and environmental characteristics, and interpreted their meaning through ethnographic research methodology by Spradly. Authors found there was an important factors that influence the atmosphere of ward. It was a human and his attitude. At least one person who was willing to help others made ward atmosphere better. Helping others physically whenever needed, sup-porting the depressed emotionally, offering foods, or talking to others friendly brought good atmosphere. On the contrary, if everyone was indiffernt to others, the atmosphere became cold. Self-centered or selfish behaviors such as occupying too much area, using the toilet too long, covering other's suction bottle without permission and seeing others delicate or urinate were hurtful. In addition to the attitude of patients and their families, unkindness of medical teams including nurses and doctors and tasteless meal caused bad ward atmosphere. Based on this research finding, authors suggest the followings. A For the better atmosphere of ward 1. Nurses should try to make the ward atmosphere better by introducing new patient to older ones. 2. Every ward should have dividing curtains to keep patient's privacy. 3. All hospital personnel should be kind enough to make patients feel that they are repected. 4. Hospital should serve high quality meals to patients. 5. Patients had better stay with those in the similar condition. B. For the future studies 1. Repeated researches are necessary to check reliability of this results. 2. Researches for patients in different area such as ICU, or hemodialysis unit are necessary.

• 한국지반공학회논문집
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• 제31권1호
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• pp.25-35
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• 2015

서남해안 지역의 중간조밀한 실트질모래 지반에서 버켓기초 스커트벽체의 압입저항력을 원심모형실험을 통하여 분석하였다. 압입저항력은 석션을 작용하지 않고 버켓기초를 지반에 관입시킬 때 발생하는 저항력으로서 자중관입 깊이와 직접적으로 관계된다. 스커트벽체의 주면저항력에 의한 지반의 응력증가 효과를 고려하는 방법(Houlsby and Byrne, 2005) 을 기반으로 실험 결과와 유사한 압입저항력을 산정할 수 있었다. 압입저항력 산정에 이용되는 수평토압계수, 스커트 벽체와 지반간의 경계면 마찰각 등의 주요 물성값의 산정 방법에 대하여 기술하였다. 또한, 응력증가 효과의 고려 여부와 물성값의 변화가 압입저항력 산정 결과에 미치는 영향과 실험을 통해 계측된 압입시 지반거동에 대하여 분석하였다.

• 한국철도학회논문집
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• 제11권2호
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• pp.158-164
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• 2008

강우침투는 지반의 모관흡수력을 감소시켜 저항력의 감소를 유발하며, 자중 증가로 인하여 구동력의 증가를 발생시켜, 사면 붕괴를 발생시킨다. 각종 기준에서 제시된 안전율을 만족한다해도 강우에 의한 사면붕괴는 자주 발생하고 있으며, 막대한 사회적 손실을 발생시키고 있다. 이와 같은 사면붕괴 발생의 주요 원인중에 하나는 사면을 구성하는 토질정수에 대한 불확실성을 고려하지 못했기 때문이며, 이를 보완하기 위하여 신뢰성해석의 기법을 도입을 검토하였다. 신뢰성해석은 지반물성과 결과적 부산물인 안전율의 확률분포특성을 고려할 수 있는 장점이 있으며, 결과물로 산출되는 파괴확률을 위험도관리에 확장하여 적용할 수 있다. 본 연구에서는 철도사면 8개소에 대하여 각종 기준에서 제시하고 있는 기준을 적용하여 신뢰성해석을 시행한 후 그 결과를 분석하였으며, 철도영업선에 대한 손실을 고려하여 철도사면의 위험도관리가 정량적으로 시행될 수 있음을 보였다.

• 한국치위생학회지
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• 제11권1호
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• pp.29-38
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• 2011

Objectives : The purpose of this study was to survey the awareness of methicillin -resistant Staphylococcus aureus(MRSA) among dental hygiene students in Yeungnam South Korea. Also the knowledge of infection control and infection diseases was surveyed. Methods : The subjects in this study were 213 dental hygiene students in three different colleges in Yeungnam. This study was conducted by using the self-reported questionnaire. Results : In the first, most of the students(86.9%) did not know about MRSA and 85.7% of them got the information in the college. Secondly, the awareness of infectious disease according to infection control education didn't have statistically significant difference(p>0.05). In the third, the infection control attitude level that the gowns should be changed after the treatment of infectious patients was scored lower than the others questions. on the other hand, the level of 'The use of high vacuum suction', 'The change of wet mask', 'The history taking of infectious disease' was scored higher. Finally, the attitude level according to grade and clinical training had statistically significant difference(p<0.05). But the infection control education had not affected significantly(p>0.05). Conclusions : Despite the infection control education and clinical training, the awareness was found insufficient in infectious diseases and MRSA. Therefore, it should be strengthen that the dental hygiene students were more educated about infection control at college course before clinical training, and especially the danger of MRSA was more.

• 중환자간호학회지
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• 제6권1호
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• pp.1-10
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• 2013

Purpose: The purpose of this study was to examine the reliability and validity of a Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: Data were collected from a convenience sample of 30 critically ill patients admitted to a medical ICU in a hospital. The CPOT was tested at before, during and 20 minutes after changing a position and suction. Upon establishment of content and translation equivalence between the English and Korean version of CPOT. Results: The interrater reliability was found to be acceptable with the kappa coefficients of .76-1. The construct validity of the pain scores were increased from 0.43 to 2.5 in changing a position (t=-8.60, p<.001)and 0.1 to 3.23 (t=-9.36, p<.001) in suctioning. The pain scores were decreased from 6.06 to 4.01 in changing a position (t=-10.19, p<.001) and 6.45 to 4.13 (t=-10.39, p<.001) in suctioning. The concurrent validity the correlations between pain scores and physiological indicators, and a increased in Heart rate before and after changing a position (r=.65, p<.001). Conclusion: The CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal a medical ICU patients.

• 해양환경안전학회지
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• 제14권1호
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• pp.15-20
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• 2008

오염된 퇴적물은 연안의 생태계 파괴에 근본적인 원인이 되고 있음에 따라, 선진 외국에서는 1960년대부터 이러한 문제 해결을 위한 새로울 기술개발을 진행하여 오고 있다. 본 연구에서는 유기퇴적물 수거를 위한 시스템 설계 및 개발에 있어서 오탁확산에 의한 2차 오염을 방지하거나 최소화 할 수 있는 Pilot 규모 형태의 흡입식 펌프 준설 시스템을 설계 제작하였으며, 시스템의 성능시험을 통한 적용 가능성을 제시하였다. 시스템 최적화를 위하여 수치해석기법을 통한 퇴적물 수거 시스템의 형상에 대한 성능평가를 수행하고, 제작 시스템의 성능시험에 있어서는 시스템의 정지 상태와 이동 상태에서의 퇴적물 수거 성능에 대한 실험을 수행하였다. 본 연구를 통하여 해저 유기퇴적물의 상부만을 준설할 수 있는 시스템의 개발 가능성을 확인하였다.

• 한국한의학연구원논문집
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• 제5권1호
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• pp.27-53
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• 1999

The goal of this study is to review and define the role of nurses' who are engaged in Korea Oriental medical treatments in oriental medical hospitals. We think this study can contribute to the development of 'Korea Oriental medical science & nursing science' and 'Public health care'. A large portion of nurses's role in Korea Oriental Medicine(KOM. 한방/한의학) is assistance to doctors treatment. But besides of these role, we think there are many things that are riskless for nurses to do alone. But in present situation, few nurses in KOM. have enough knowledge to treat these medical treatments alone. So we believe this study will provide a way for nurses to participate more actively in KOM. public health care. With the goal of this study, we checked all medical treatments that have been practiced in oriental medical hospitals, and classified these treatments with some groups. And we organized a inquiry. At this inquiry, we ask 'What is the adequate role of nurses in Korea Oriental medical treatment? & What kind of treatment can nurses do?' We got 58 responses from nationwide 121 hospitals. From these response, more than half of them said nurses can do following medical treatment in the oriental medical hospital: 1. starting and ending part of following treatments; External treatments by instrument, by hydrotheraphy, by herb, by suction, moxibustion, Manipulative therapies on soft structure, Living and mind-body therapies. 2. pulling out Acupuncture. 3. boiling herb, judgement on dosing temperature, assisting in dosing, 4. assisting Diet, 5. operating from Living and mind-body therapies. 6. leading Physical training However, these results are coming out from present situation. So, after well-oriented instructions for nurses, this study will be need to carry out again. From this study, we suggest a desirable curriculum for students who study 'Korea Oriental Nursing Science.' That is to say, at basic course students take 4 subject for 6 credits. And at as an expert course, it should be dividend into Clinical Nursing Specialist in KOM., Self-care Nursing Specialist, Regimen Nursing Specialist and take 17 credits per each course.