• 제목/요약/키워드: Time to operating room

검색결과 162건 처리시간 0.028초

초등학생의 보건교과에 대한 태도 및 관련 요인 (Elementary School Students' Attitudes Towards Health Curriculum)

  • 유정옥;김정순
    • 한국학교보건학회지
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    • 제25권1호
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    • pp.14-21
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    • 2012
  • Purpose: This study was to investigate the attitudes of elementary school students on health curriculum. Methods: Based on the literary considerations and advanced research, a survey was conducted on Osgood's semantic differential scales on 329 fifth and sixth grade students in 6 elementary schools located in U metropolitan city regarding the attitudes towards health curriculum. Data were analyzed using t-test and multiple regression with the SPSS/WIN 18.0 program. Results: The overall attitude average grade was 3.46 in 26 factors, slightly exceeding the standard (3 points) which showed that students had a positive attitude towards health curriculums and thought health curriculums were valuable, necessary, and important classes. For each grade, the fifth grade believed health curriculums were more interesting, new, easy, necessary and valuable classes than compared to the sixth grade, and there were no differences between gender. The variables which affected attitudes in health curriculums included good feelings for health teacher, subject health status, and satisfaction in using the school health room. Conclusion: Because the better they think of health teacher, the higher the positive attitude towards health curriculums, a strategy which can build trust between student meetings not only during class time but also through operating a school health room will be necessary.

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외과적 손씻기 및 외과용 장갑의 천공율에 대한 연구 (A Study on the Surgical Hand Scrub and Surgical Glove Perforation)

  • 윤혜상
    • 대한간호학회지
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    • 제25권4호
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    • pp.653-667
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    • 1995
  • Post - operative wound infections have been a serious problem in nursing care in the operating room and appear to be strongly related to the infection occurring during the performance of operation. The purpose of this study is to identify patterns in duration of surgical hand scrub (SHS), to evaluate the method of SHS and to examine the rate of glove perforation. Subjects for this study include 244 doctors and 169 nurses working in the operative theatre of a hospital in Seoul area. Test samples and related data were collected from this medical facility between April 1, through 15, and July 1, through 5, 1995 by the author and a staff member working in the operating room. For the study, data on the SHS of doctors and nurses were obtained at the time of operation and multiple batches of surgical gloves worn by the operating doctors were collected after each operation. The duration of SHS was measured with a stop watch and the method of SHS was evaluated according to Scoring Hand Scrub Criteria (SHS Criteria) and expressed as SHS scores. For the analysis of the data, t-test was used to compare the differences in the duration and the SHS scores of doctors and nurses, and Pearson's correlation coefficient was used to examine the relationship between the SHS duration and the SHS scores. The results of the study are summarized as follows. 1) The mean time spent in each SHS was 167 seconds in nurses, and 127 seconds in doctors. The data comparing nurses and doctors indicated that there were significant differences in Our ation of SH S between these two groups (t=5.58, p=.000). 2) The mean time spent in the first SHS was 145 seconds and that in the End SHS, 135 seconds, and there was not a significant difference in the duration of the SHS between doctors and nurses (t=1.44, P=.156). 3) The mean time spent in the SHS by OS (Orthopaedic surgery) doctors was 162 seconds, 150 seconds by NS(Neurologic surgery), 121 seconds by GS(General surgery), 94 seconds by OPH(Opthalmology) and DS(Dental surgery), 82 seconds by URO(Urology), 78 seconds by PS(Plastic surgery) and 40 seconds by ENT(Ear, Nose & Throat) These also showed a significant difference in the duration of the SHS among the medical specialities (t=4.8, P=.0001). 4) The average SHS score of the nurses was 15.2, while that of doctors was 13.1. The statistical analysis showed that t-value was 3.66, p was. 000. This indicates that the nurses actually clean their hands more thoroughly than the doctors do. 5) The average SHS score of NS doctors was 15.5, 15.3 for doctors for OPH,14.3 for OS,12.7 for GS, 12.0 for DS, 11.7 for URO, 10.1 for PS, 7.5 for ENT. Comparison of the average SHS scores from 8 specialties showed that there was a significant differences in the patterns of the SHS (F=5.08, P=.000) among medical specialties. 6) It appears that the operating personnel scrub the palms and dorsum of their hand relatively well, however, less thorough the nails and fingers. 7) The more the operating personnel spend their time in hand scrubbing, the more correctly they clean their hands(r=.6427, P<.001). 8) The overall frequencies of perforation in all post-operative gloves tested was 38 out of 389 gloves (10.3%). The perforation rate for PS was 13%, 12.1% for GS,8.8% for 05, and 3.3% for NS.

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수술에 사용하는 생리식염수의 오염수준 변화 (A Study on the Contamination of Saline Used in the Operation)

  • 윤혜상
    • 대한간호학회지
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    • 제25권1호
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    • pp.99-109
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    • 1995
  • Post-operative wound infections have been the serious problems in nursing care in the operating room and appear to be strongly related to the infection occurring during the operation. The purpose of this study is to identify the level of contamination in saline used in the operation and also examine the correlation between the contaminated saline and the length of the operation, and unclean atmospheric factor. Subjects for this study include 13 cases of operation performed at the operative theatre of a hospital in Seoul area. Test samples and related data were collected from this medical facility between Oct. 6 through Dec. 10, 1994 by the author and anurse who worked in the operating room. For the study, multiple batches of saline sample were collected at the various time intervals duringthe operation and filtered through the membrane filters. Viable microorganisms retained on the filters were cultured on the appropriate culture media and the levels of existing cells in saline were enumerated according to Koch's method. In the analyses of the data, Pearson's correlation coefficient was obtained for the examination of relationship between the length of operation and numbers of microorganisms existing in saline and for the comparison of the differences in numbers if microrganisms in saline sample collected at the various operative stages, e. g. pre-incision, excision and skin suturing stages, ANOVA and Scheff Tests were performed. The results of this study are summarized as follows. 1) The lenth of the operation and numbers of microorganisms in the saline used in the operation appeared to be significantly correlated (r=0.5467, P<0,001). 2) In case of saline exposed to air, but not used in the operation, the length of exposure to the air and the numbers of microorganisms present in saline also showed an apparent correlation(r=0.5087, P<0. 001). 3) The frequencies of occurrence of microorganisms in saline used in the operation and in saline exposed only to the air in the given time showed significant differences(t=3.73, p=.0000). 4) In case of saline used in the operation, there is significant differences in its numbers of contained microorganisms between the operative stages ; pre-incision, excision, and skin suture (F=17.7500, p=.0000). 5) In case of saline exposed only to the air in the given time, there is significant differences in its numbers of contained microorganisms between the operative stages . pre-incision, excision, and skin suture(F=6.3807, p=.00031).

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일 중 수술시간이 다른 편도절제술에서 Adenosine 정주가 술 중 Remifentanil 요구량과 수술 후 통증에 미치는 영향 (The Effects of Intravenous Adenosine Infusion on Intraoperative Remifentanil Requirements and Postoperative Pain in Elective Tonsillectomies Are Influenced by the Time of Day the Operation Is Performed)

  • 이철;이규창;김혜영;반종민;최은경;이명종
    • The Korean Journal of Pain
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    • 제22권2호
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    • pp.135-140
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    • 2009
  • Background: The chronobiology of postoperative pain is an interesting topic. This study was performed to evaluate the effects of adenosine on inta-operative remifentanil requirements and on postoperative pain in patients undergoing tonsillectomies and how those effects change with changing time of day the surgery is performed. Methods: For this study, 120 patients were randomly allocated into four groups. Patients in groups B and D received adenosine at a dose of $50{\mu}g/kg/min$, and those in group A and C received an equal volume of saline from 10 minutes after the induction of anesthesia until the end of surgery. Group A (saline) and B (adenosine) patients entered the operating room after 08:30 and finished before 11:00, Group C (saline) and D (adenosine) patients entered the operating room after 13:30 and finished before 16:00. We evaluated the intraoperative time-weighted mean remifentanil dose, and postoperative pain scores at 1, 6, 12, and 24 hours, and the analgesic dose required during the following 24 hours. Results: Time-weighted mean remifentanil doses during the intraoperative period and the analgesic requirement during the following 24 hours in group D was significantly lower than in the other groups. The numeric rating scale for pain at 1, and 6 hours in group D was significantly lower (P < 0.01) than that of group A. There were no significant differences in side effects among groups. Conclusions: Use of intraoperative adenosine infusion provides perioperative analgesia. Postoperative pain is affected by the time of day the operation is performed.

전이 학습을 이용한 선박 기관실 기기의 분류에 관한 연구 (Machine Classification in Ship Engine Rooms Using Transfer Learning)

  • 박경민
    • 해양환경안전학회지
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    • 제27권2호
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    • pp.363-368
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    • 2021
  • 선박 기관실은 기술의 발전으로 인해 자동화 시스템이 향상되었지만, 해상에서는 바람, 파도, 진동, 기기 노후화 등의 다양한 변수가 많아 자동화 시스템에서 계측되지 않는 풀림, 절단, 누유, 누수 등이 발생하므로 기관사는 주기적으로 순찰을 한다. 순찰 시에는 1명의 기관사만 순찰하는 경우도 있으며, 이는 고온고압 및 회전기기가 운전 중인 기관실에서 많은 위험요소를 가지고 있다. 기관사가 순찰 시에는 오감을 활용하며, 특히 시각에 의존한다. 본 논문에서는 로봇이 기관실을 순찰하며 기기의 특이사항을 검출하고 알려주는 기관실 순찰 로봇을 구현하기 위한 선행연구로서 선박 기관실 기기의 이미지를 합성곱 신경망을 이용하여 분류하였다. 선박 기관실의 이미지 데이터 셋을 구성한 후 사전 훈련된 합성곱 신경망 모델로 학습하였다. 학습한 모델의 분류 성능은 높은 재현율을 보였으며, 클래스 활성화 맵으로 이미지를 시각화 하였다. 데이터의 양이 제한적이어서 일반화할 수는 없지만, 각 선박의 데이터를 전이학습으로 학습시키면 적은 시간과 비용으로 각 선박의 특성에 맞는 모델을 구축할 수 있을 것으로 사료된다.

불안정형 협심증의 외과적 치료 -6예 경험- (Surgical treatment of unstable angina -Experience in 6 patients-)

  • 조형곤
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.595-605
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    • 1986
  • From February 1986 through September 1986, the authors have experienced 6 cases of coronary artery bypass graft for patients with unstable angina. There were five males and one female who ranged from 39 to 65 years [mean, 53.3 years]. The extent of coronary disease was as follows: one-, two- and three-vessel diseases, all 2 cases respectively, and among them, 1 case had left main disease. Distal anastomoses were performed first with using saphenous vein grafts as conduits in all cases and sequential bypass methods were employed in 5 cases. Numbers of vein grafts were two in 2 cases and one in 4 cases. The mean time wasted for one distal anastomosis was 36 minutes. Post operative complications were leg-wound disruption [2 cases], transient psychosis [1 case] and perioperative myocardial infarction [MI] [1 case]. Sixty three year-old male patient associated with cardiomegaly, prior MI, ventricular arrhythmia, cardiac dysfunction and endocrinologic diseases preoperatively was expired in the operating room due to perioperative Ml. All survivors were asymptomatic and on discontinuing medical therapy on follow-up varying from 1 to 8 months.

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Numerical simulation of complex hexagonal structures to predict drop behavior under submerged and fluid flow conditions

  • Yoon, K.H.;Lee, H.S.;Oh, S.H.;Choi, C.R.
    • Nuclear Engineering and Technology
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    • 제51권1호
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    • pp.31-44
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    • 2019
  • This study simulated a control rod assembly (CRA), which is a part of reactor shutdown systems, in immersed and fluid flow conditions. The CRA was inserted into the reactor core within a predetermined time limit under normal and abnormal operating conditions, and the CRA (which consists of complex geometric shapes) drop behavior is numerically modeled for simulation. A full-scale prototype CRA drop test is established under room temperature and water-fluid conditions for verification and validation. This paper describes the details of the numerical modeling and analysis results of the several conditions. Results from the developed numerical simulation code are compared with the test results to verify the numerical model and developed computer code. The developed code is in very good agreement with the test results and this numerical analysis model and method may replace the experimental and CFD method to predict the drop behavior of CRA.

PIV와 신경망을 이용한 배관시스템 원격 미세변위 측정과 실시간 작동상태 진단 (Measurements of Remote Micro Displacements of the Piping System and a Real Time Diagnosis on Their Working States Using a PIV and a Neural Network)

  • 전민규;조경래;오정수;이창제;도덕희
    • 한국수소및신에너지학회논문집
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    • 제24권3호
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    • pp.264-274
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    • 2013
  • Piping systems play an important role in gas and oil transferring system. In the piping system, there are many elements, such as valves and flow meters. In order to check their normal operating conditions, each signal from each element is displayed on the monitor in the pipe control room. By the way, there are several accidental cases in the piping system even if all signals from the local elements are judged to be normal on the monitor in the control room. Further, opposite cases often happen even the monitor shows abnormal while the local elements work normal. To overcome this abnormal functions, it is not so easy to construct the environment in which sensors detecting the working states of all elements installed in the piping system. In this paper, a new non-contact measurement technique which can calculate the elements' delicate displacements by using a PIV(particle image velocimetry) and diagnose their working states by using a neural network is proposed. The measurement system consists of a host computer, a micro system, a telescope and a high-resolution camera. As a preliminary test, the constructed measurement system was applied to measure delicate vibrations of mobile phones. For practical application, a pneumatic system was measured by the constructed system.

공장자동화를 위한 소음 자동검사 시스템의 개발에 관한 연구 (Development of an Automatic Noise Detection System for Factory Automation)

  • 윤강섭;김현기;이만형;이권순
    • 한국정밀공학회지
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    • 제9권2호
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    • pp.128-137
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    • 1992
  • An automatic noise detection system is developed to sense abnormal noises in operating a microwave electronic range. A noise detection method is presented which accounts for the effects of backgound and dynamic noises of the range. A recursive formula used as a noise estimator is a special case of the discrete-time Kalman filter in stochastic processes. Noise levels were measured using a noise acquisition processor in a closed room free of background noise, and detected signals were processes using a microcomputer. The results obtaines showed that the fault detection system should be fast in response to the data acquired and should be high in accuracy and reliability.

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$(CH_3)_3N$ 가스 감지용 ZnO 박막 가스 센서의 제조 (Fabrication of ZnO thin film gas sensor for detecting $(CH_3)_3N$ gas)

  • 신현우;박현수;윤동현;홍형기;권철한;이규정
    • E2M - 전기 전자와 첨단 소재
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    • 제8권1호
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    • pp.21-26
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    • 1995
  • Highly sensitive and mechanically stable gas sensors have been fabricated using the microfabrication and micromaching techniques. The sensing material used to detect the offensive trimethylarnine ((CH$_{3}$)$_{3}$N) gas is 6 wt% $Al_{2}$O$_{3}$-doped, 1000.angs.-thick ZnO deposited by r. f. magnetron sputtering. The optimum operating temperature of the sensor is 350.deg.C and the corresponding heater power is about 85mW. Excellent thermal insulation is achieved by the use of a double-layer structure of 0.2.mu.m -thick silicon nitride and 1.4.mu.m-thick phosphosilicate glass(PSG) prepared by low pressure chemical vapor deposition(LPCVD) and atmospheric pressure chemical vapor deposition(APCVD), respectively. The sensors are mechanically stable enough to endure at least 43, 200 heat cycles between room temperature and 350.deg. C.

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