• Title/Summary/Keyword: Targeted temperature management

검색결과 12건 처리시간 0.027초

목표체온유지치료를 적용한 심정지 후 증후군 환자에서 반동성 고체온 발생군과 비발생군의 임상결과 비교 (Comparison of Clinical Outcomes between Rebound Hyperthermia and Non-Rebound Hypertherma Groups in Postcardiac Arrest Syndrome Patients Undergoing Targeted Temperature Management)

  • 이하나;박정윤
    • 중환자간호학회지
    • /
    • 제16권3호
    • /
    • pp.99-108
    • /
    • 2023
  • Purpose : This retrospective study aims to provide basic data for intervention to improve clinical outcomes and identify the characteristics of the rebound hyperthermia (RHG) and non-rebound hyperthermia (NRHG) groups by checking body temperature in patients with post-cardiac arrest syndrome. Method : The study involved 118 patients who completed target temperature management (TTM) in an acute-care unit. Data were analyzed for frequency, percentages, mean, standard deviation, median, and quartiles, and compared using the chi-squared test and Mann-Whitney U-test. Results : Rebound hyperthermia (RH) was observed in 74 (62.7%) patients, predominantly male (69.5%), with an average age of 64.54 ± 15.98, and a body mass index of 23.22 ± 4.75kg/m2 (overweight). Hypertension (50%) was the most common co-morbidity, followed by diabetes and heart disease (33.1%). Neuron-specific enolase levels were higher in the NRHG 24, 48, and 72 hours after recovery of spontaneous circulation (p = .037, p < .001, p = .008). The APHCHE IV was also higher in the NRHG (p < .001). RH occurred 25.49 (7.28-52.96) hours after TTM completion, lasting for 2 (1-3) hours. Temperature reduction strategies included notifying doctors, administering antipyretics, and nursing intervention, with the latter being the most common at 94.6%. Half of the subjects in the RHG and 77.3% in the NRHG fell into cerebral performance categories 3, 4, and 5 (p = .003). Conclusion : RH is more likely a body mechanism related to CPR and TTM than a result of pathogenic infection. Therefore, we require an active intervention for hyperthermia, and a patient-specific nursing intervention protocol.

아동의 발열관리: 현황 및 과학적 근거 (Childhood Fever Management: Current Practice vs Evidence)

  • 김진선
    • Child Health Nursing Research
    • /
    • 제22권2호
    • /
    • pp.126-136
    • /
    • 2016
  • Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

중소형 건물에 적합한 에너지사용량 모니터링 및 분석 사례 연구 (A Study on Energy Use Monitoring and Analysis Case for Small and Medium-Sized Buildings)

  • 이혜진;김명진;김진호;이동호
    • 한국산업융합학회 논문집
    • /
    • 제22권5호
    • /
    • pp.499-509
    • /
    • 2019
  • This paper discusses energy use monitoring and analysis as part of a study on a low-cost energy supply management system that links an existing database with weather information with no real-time monitor for energy demand of buildings using renewable energy, generator and energy storage systems. This study is targeted at small and medium-sized buildings and aims to monitor energy use with a small number of sensors at low cost by applying an energy management system (EMS). The present study can help overcome the limitations of high-cost EMS applied to large commercial and public buildings. We developed current, indoor temperature and human motion sensors and installed them in an office of a company in a sample building. Through these sensors, we analyzed energy use patterns and the effects of weather information and human motion on the energy use. Furthermore, we analyzed the correlations between the total KEPCO energy use of the sample building and weather by comparing these two data. The results showed that the office energy use of a company was more affected by human motions than by weather information. The comparison between the total energy use of the Building and weather information found that external temperature had an effect on the energy use.

시료 중 잔류 항생제 분석 방법: IV. EPA method 1694와 비교 가능한 기기 분석 방법 (Determination of Veterinary Antibiotic Residues: IV. Comparable Analytical Methods with EPA Methods 1694_A Review)

  • 김찬식;류홍덕;정유진;김용석;류덕희
    • 한국물환경학회지
    • /
    • 제32권6호
    • /
    • pp.670-699
    • /
    • 2016
  • In this study, 16 antibiotics were selected from among the top 30 veterinary antibiotics sold in South Korea in 2014, as well as from among the pharmaceuticals targeted by EPA method 1694, in order to review analytical methods for the detection of trace levels of antibiotics in environmental samples: surface water, soils, animal origin foods, and manures. LC-MS/MS was heavily used. In the chromatography for the detection of the selected antibiotics, the $C_{18}$ column was mostly used at the temperature of $30{\sim}40^{\circ}C$. Water and methanol/acetonitrile were commonly chosen as a nonpolar and a polar mobile phase, respectively. Gradient elution was applied to separate multiclass antibiotics. Volatile additives, such as formic acid, acetic acid, and ammonium acetate were mixed with the mobile phase to improve the ionization efficiency of analytes and the sensitivity in MS detection. Electrospray ionization (ESI) was widely used in the LC-MS/MS and positive ionization was preferred to determine the selected antibiotics. A protonated $[M+H]^+$ molecule was selected as a precursor ion, and its two transitions were analyzed, one for quantitative measurement and the other for confirmation. This study reviewed linearity of the calibration curve, recovery, repeatability, method detection limits (MDLs), and method quantification limits (MQLs) for each target compound used to validate the developed analytical methods.

HACCP 시스템 적용 학교급식 위생관리 수행수준에 영향을 미치는 요인 - 서울, 경기, 강원, 충청지역을 중심으로 - (Factors Related to Sanitary Management Performance Based on HACCP System in School Foodservice - Seoul, Gyeonggi, Kangwon and Choongchung Areas in Korea -)

  • 김경미;이심열
    • 대한지역사회영양학회지
    • /
    • 제14권6호
    • /
    • pp.817-830
    • /
    • 2009
  • The purpose of this study was to analysis the sanitary management performance based on HACCP system for school foodservice. This study was carried out from September 2008 until December 2008 and is targeted towards schools' dietitians that work at schools with school foodservice. The regional distribution of this research is as follows; 377 schools in Seoul, 648 schools in Gyeonggido, 160 schools in Kangwondo, 438 schools in Choongchungdo equaling 1,623 schools in total. When school foodservices were put through sanitation management achievement level analysis applied by the HACCP system, results displayed that management of temperature (3.96 points), time (4.08 points), and cross-contamination (4.07 points) were all below the average achievement level. HACCP system's achievement level based on the TQM showed that areas for strategy development, leadership, information and analysis had low achievement levels. Achievement levels for CCP are quality check, delivery/distribution process, sterilization/cleansing of food's contact surface. As a result of multiple regression analysis of the factors that influenced sanitation management achievement level of school foodservice HACCP system; sanitary job standard showed 35.6% and CCP achievement levels showed 26.8% explanatory rate. In particular, Kangwondo's number of foodservice provided to per cook was small. Also, the better the processing management was assessed, the higher the sanitary job standard achievement level became resulting to a explanatory rate of 39.5%. Elementary schools showed a higher explanatory rate of 37.0% than middle and high schools. CCP achievement levels in middle and high schools with self-operated foodservice had a 28.0% variable explanatory rate, which was the highest. The better the drainage system, leadership and assessments turned out to be, the higher the CCP achievement levels became. In summary, to revitalize HACCP system that is based on the TQM, it is considered that proper database of HACCP system for school foodservice's sanitation management be constructed and more emphasis should be put on strategy development to improve customers' satisfactory level. In addition, improvements in achievement levels of time, temperature, and cross-contamination for sanitary job standard and CCP achievement level are essential.

석면 함유 천장재에 대한 석면 안정화제 내구성 평가 연구 (Research on Durability Assessment of Asbestos Stabilizer for Asbestos-containing Ceiling Materials)

  • 하주연;신현규
    • 한국산업보건학회지
    • /
    • 제30권1호
    • /
    • pp.18-27
    • /
    • 2020
  • Objectives: For testing asbestos stabilizer products which are used for the maintenance and management of asbestos-containing materials, durability assessment should accompany the evaluation of basic properties and performance. Therefore, in this study we designed a testing method and constructed a database of durability performance, thereby providing basic data for reliability studies of asbestos stabilizer. Methods: Since the ceiling materials targeted in this study are interior materials, test conditions of 95% relative humidity and 60℃ temperature were designed in consideration of the effect of high relative humidity in summer and seasonal indoor temperatures. Plate-shaped specimens treated with asbestos stabilizers were maintained in a thermo-hygrostat for 5, 10, and 20 days, and then the asbestos scattering prevention rate was measured by air erosion testing. Results: The scattering concentration tended to increase with time under the single humidity condition, and exceeded the indoor air quality standard of 0.01 f/cc, during the 20 days of maintenance. On the other hand, there was little change according to the temperature condition. In the case of a complex condition with temperature and humidity, the results were similar to the humidity test, but the scattering concentration increased more sharply at 20 days. Conclusions: The main deterioration factor that affects the durability of asbestos stabilizer is humidity, and the deterioration is caused by a mechanism in which the stabilizer coated on the surface is re-dissolved by moisture and evaporates or the coating layer is peeled off, which is accelerated by high temperatures.

보관시간과 온도에 따른 판매 도시락의 샐러드 미생물 품질 평가 - 편의점과 프랜차이즈 도시락 전문점 제품 - (Microbiological Quality and Safety Assessment of Salad in Lunchbox's according to the Holding Time and Temperature - Convenience and Franchise Stores -)

  • 최정화;왕태환;곽동경
    • 한국식품조리과학회지
    • /
    • 제32권6호
    • /
    • pp.724-733
    • /
    • 2016
  • Purpose: This study was to evaluate the microbiological quality of salads in lunchbox's based on the holding time and temperature at convenience and franchise stores. Methods: Cabbage salad and crab meat salad were targeted for microbiological quality assessment. They were tested for aerobic plate counts, coliforms, Escherichia coli, Staphylococcus aureus and Enterobacteriaceae and assessment were performed by Korean Food Standards Codex. Results: In cabbage salad at convenience franchise store's at $5^{\circ}C$, the aerobic plate counts did not exceed the Korean Food Standards Codex. For cabbage salad stored at $25^{\circ}C$, the aerobic plate counts was 5.08 log CFU/g we hours after purchase, which exceeded the Korean Food Standards Codex. In case of cabbage salad in franchise store, the E. coli and S. aureus count exceeded Korean Food Standards Codex 3 hours after purchase. Microbiological analysis did not exceed the Korean Food Standards Codex at $5^{\circ}C$ in crab meat salad in convenience store. At $25^{\circ}C$, the aerobic plate count was detected at 4.45 log CFU/g after 32 hours, coliforms, E. coli, and S. aureus did not detect, but Enterobacteriaceae was found to be 2.34 log CFU/g after 9 hours in franchise store's crab salad. Coliforms was detected at 1.18 log CFU/g after 3 hours, and S. aureus was detected at 2.04 log CFU/g after 6 hours at $25^{\circ}C$ in the franchise store. The lunchbox' salad under cold storage ($5^{\circ}C$) generally meet the Korean Food Standards Codex. Conclusion: The results indicate an urgent need to implement proper management guidelines for the production of lunchbox foods to ensure microbiological safety, and to improve the shelf life from production to consumption.

미래 기상정보를 사용하지 않는 LSTM 기반의 피크시간 태양광 발전량 예측 기법 (A LSTM Based Method for Photovoltaic Power Prediction in Peak Times Without Future Meteorological Information)

  • 이동훈;김관호
    • 한국전자거래학회지
    • /
    • 제24권4호
    • /
    • pp.119-133
    • /
    • 2019
  • 최근 태양광 발전량 예측은 태양광 발전량 설비 시스템의 안정적인 작동을 위한 조정 계획, 설비 규격 결정 및 생산 계획 일정을 수립하기 위해 필수적인 요소로 고려된다. 특히, 대부분의 태양광 발전량은 피크시간에 측정되기 때문에, 태양광 시스템 운영자의 이익 최대화와 전력 계통량 안정화를 위해 피크시간의 태양광 발전량 예측은 매우 중요한 요소이다. 또한, 기존 연구들은 광범위한 지역에서 예측된 불확실한 기후 정보들을 이용하여 태양광 발전량을 예측하는 한계점 때문에 일사량, 운량, 온도 등과 기상정보 없이 피크시간의 태양광 발전량을 예측하는 것은 매우 어려운 문제로 고려된다. 따라서 본 논문에서는 피크이전의 기후, 계절 및 관측된 태양광 발전량을 이용하여 미래의 기후 및 계절 정보 없이 피크시간의 태양광 발전량을 예측할 수 있는 LSTM(Long-Shot Term Memory) 기반의 태양광 발전량 예측 기법을 제안한다. 본 연구에서 제안한 모델을 기반으로 실 데이터를 통한 실험 결과, 단기 및 장기적 관점에서 높은 성능을 보였으며, 이는 본 연구에서 목표로 한 피크시간의 태양광 발전량 예측 성능 향상에 긍정적인 영향을 나타내었음을 보여준다.

충남 대기환경 영향요인에 관한 연구 - 천안, 당진, 서산 등을 중심으로 (A Study on the Factors Affecting the Air Environment in Chungnam Province - Focusing on Cheonan, Dangjin, and Seosan)

  • 황규원;김진영;권영주
    • 한국산학기술학회논문지
    • /
    • 제22권5호
    • /
    • pp.118-127
    • /
    • 2021
  • 최근 대기환경에 대한 국민의 관심이 증대하고 있으며, 미세먼지 등으로 인하여 국민 건강이 위협 받고 있다. 또한 정부는 대기오염물질에 대한 모니터링을 확대하고, 환경기준을 강화하는 등 대기질 개선을 위한 노력을 지속하고 있다. 한반도 지역에 따라 대기질이 상이하기 때문에 원인 파악과 영향요인 탐색이 필요한 실정이다. 본 연구에서는 충남권에 위치한 도시의 대기환경과 지역적 차이를 탐색하였다. 연구방법으로 충남 3개 도시의 대기질 현황을 확인하고, 기온, 풍속, 강수, 계절 등의 기상조건과 SO2, NO2, CO, PM10, PM2.5, O3 등의 대기오염물질과 입자상 물질에 포함된 Pb, Cd, Cr, Cu, Ni, As, Mn, Fe, Al, Ca, Mg 등의 중금속 성분을 대상으로 회귀분석을 수행하였다. 분석결과 PM10 농도의 경우, 천안은 Mn(0.4884), 당진은 CO(0.3329), 서산은 Mg(0.5691) 농도에 의한 기여도가 높았다. PM2.5의 경우, 천안 NO2(0.4759), 당진 CO(0.4128), 서산 NO2(0.3715)에 의한 영향이 크게 나타났다. 종합하면 대기질 측면에서 충남 지역별 영향요인이 상이하고, 기여도에 분명한 차이가 존재함으로 이를 고려한 정부의 지역별 대기질 관리가 요구 된다고 판단된다.