• 아동간호학회:학술대회논문집
• /
• 1997.11a
• /
• pp.61-74
• /
• 1997

Endotracheal suctioning is a routine procedure used for clearing secretions from the airway of the intubated infant. This procedure is not without complications. Endotracheal suctioning has been associated with decreases in $PaO_2$, decreases in systemic venous oxygenation, alterations in mean arterial Pressure, disturbances in cardiac rhythm and development of nosocomial pneumonia. So several endotracheal suctioning techniques have been developed to prevent these blown complications. Another method of Endotracheal suctioning eliminates the risk associated with disconnecting the infant from the ventilatior to perform the suctioning procedure. Studies examining closed endotracheal suctioning methods reported that the closed method results in less arterial oxygen saturation, and less systemic venous oxygen desaturation. However those studies have focused on adult patients, and there have been no published studies for newborn infants. The specific purpose of this study is to investigate the two methods and to make a comparison in terms of (1)variations in $SaO_2$, heart rate, and respiration rate appeared before and after the endotracheal suctioning; (2)difference in occurrence of nosocomial infection; (3)difference in recovery time to arrive at pre-suction baseline after suctioning and in nursing time taken for the suctioning. The present study is based on the data obtained from two groups of newborn infants : one group comprises 8 infants with closed suctioning (a total of 304 suctions) among 17 infants treated with ventilator and the other group 9 infants with open method (a total of 629 suctions). The data were analyzed using the SPSS statistical program package. As the distribution test on dependent variables with the Skewnesser Shapiro Wilk test showed an asymmetric distribution, the Wilcoxon Matched-pairs Singled- Ranks test was used for the test of variations in $SaO_2$, heart rate, and respiration rate appeared before and after the endotracheal suctioning. The difference in $SaO_2$ recovery time and nursing time was analyzed with the Mann-Whitney U-Test. The difference in physiologic consequences and occurrence of nosocomial infection between the two groups was analyzed with the Fisher's Exact Test. The results of the study are summarized as follows. For the hypothesis 1 (There would be a difference in $SaO_2$, heart rate, and respiration rate before and after suctioning between the two suctioning methods), the difference in $SaO_2$ turns out to be statistically significant (P=0.015), but heart rate and respiration rate do not procedure a notable difference (P=0.630). The hypothesis 2 (There would be a difference in rates at which a complication arises after suctioning between the two groups) does not prove to be statistically valid (P=0.246). For the hypothesis 3(There would be a difference in $SaO_2$ recovery time and nursing time between the two groups), the average $SaO_2$ recovery time after suctioning turned out to have somewhat significant difference (P=0.064), however the difference in nursing time taken for the suctioning was not statistically significant (P=0.610). The analyses indicate that the closed endotracheal suctioning is more efficient as compared with the open method, in maintaining pre-suction baseline $SaO_2$ and a rapid recovery of newborn infants. Based on these results we suggust to apply the closed method to newborn infants in the ventilation treatment. We also suggest to extend the investigation to include the comparison of suction cost taking into account the case in which a complication arises after endotracheal suctioning between the two groups.

• 한국신재생에너지학회:학술대회논문집
• /
• 2005.06a
• /
• pp.663-666
• /
• 2005

Gas hydrates are ice-like compounds that form at the low temperature and high pressure conditions common in shallow marine sediments at water depths greater than 300-500 m when concentrations of methane and other hydrocarbon gases exceed saturation. Estimates of the total mass of methane carbon that resides in this reservoir vary widely. While there is general agreement that gas hydrate is a significant component of the global near-surface carbon budget, there is considerable controversy about whether it has the potential to be a major source of fossil fuel in the future and whether periods of global climate change in the past can be attributed to destabilization of this reservoir. Also essentially unknown is the interaction between gas hydrate and the subsurface biosphere. ODP Leg 204 was designed to address these questions by determining the distribution, amount and rate of formation of gas hydrate within an accretionary ridge and adjacent basin and the sources of gas for forming hydrate. Additional objectives included identification of geologic proxies for past gas hydrate occurrence and calibration of remote sensing techniques to quantify the in situ amount of gas hydrate that can be used to improve estimates where no boreholes exist. Leg 204 also provided an opportunity to test several new techniques for sampling, preserving and measuring gas hydrates. During ODP Leg 204, nine sites were drilled and cored on southern Hydrate Ridge, a topographic high in the accretionary complex of the Cascadia subduction zone, located approximately 80km west of Newport, Oregon. Previous studies of southern Hydrate Ridge had documented the presence of seafloor gas vents, outcrops of massive gas hydrate, and a pinnacle' of authigenic carbonate near the summit. Deep-towed sidescan data show an approximately $300\times500m$ area of relatively high acoustic backscatter that indicates the extent of seafloor venting. Elsewhere on southern Hydrate Ridge, the seafloor is covered with low reflectivity sediment, but the presence of a regional bottom-simulating seismic reflection (BSR) suggests that gas hydrate is widespread. The sites that were drilled and cored during ODP Leg 204 can be grouped into three end-member environments basedon the seismic data. Sites 1244 through 1247 characterize the flanks of southern Hydrate Ridge. Sites 1248-1250 characterize the summit in the region of active seafloor venting. Sites 1251 and 1252 characterize the slope basin east of Hydrate Ridge, which is a region of rapid sedimentation, in contrast to the erosional environment of Hydrate Ridge. Site 1252 was located on the flank of a secondary anticline and is the only site where no BSR is observed.

• Geophysics and Geophysical Exploration
• /
• v.14 no.1
• /
• pp.50-57
• /
• 2011

For effective and accurate prediction of overpressure in the Efomeh field, located in the Niger delta basin of Nigeria, integrated seismic and borehole analyses were undertaken. Normal and abnormal pore pressure zones were delineated based on the principle of normal and deviation from normal velocity trends. The transition between the two trends signifies the top of overpressure. The overpressure tops were picked at regular intervals from seismic data using interval velocities obtained by applying Dix's approximation. The accuracy of the predicted overpressure zone was confirmed from the sonic velocity data of the Efomeh 01 well. The variation to the depth of overpressure between the predicted and observed values was less than 10mat the Efomeh 01 well location, with confidence of over 99 per cent. The depth map generated shows that the depth distribution to the top of the overpressure zone of the Efomeh field falls within the sub-sea depth range of 2655${\pm}$2m (2550 ms) to 3720${\pm}$2m (2900 ms). This depth conforms to thick marine shales using the Efomeh 01 composite log. The lower part of the Agbada Formation within the Efomeh field is overpressured and the depth of the top of the overpressure does not follow any time-stratigraphic boundary across the field. Prediction of the top of the overpressure zone within the Efomeh field for potential wells that will total depth beyond 2440m sub-sea is very important for safer drilling practice as well as the prevention of lost circulation.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.37 no.3
• /
• pp.575-583
• /
• 2017

Various types of flow patterns around the stepped weir and spillway, such as the skimming flow over such structures and the wave-type flow with a standing undular hydraulic jump and roller downstream of the structures, are developed in open channels. Unsteady three-dimensional numerical simulations are carried out using a hybrid RANS-LES turbulence modeling approach and the volume of fluid method for resolving free surface fluctuations to represent the turbulent flow including the skimming flow and wave-type flow over a stepped weir installed in a rectangular channel. The comparison of numerical results with an existing experimental measurement reveals that the present numerical simulations reasonably well reproduce the turbulent flow passing the stepped weir, in terms of time-averaged velocity profiles at selected locations downstream of the weir, flow topology characterized by the wave-type and skimming flows, the maximum height and length of the standing wave and the length of reattachment of recirculating zone. The numerical result further elucidates the distinct flow behaviors of the wave-type and skimming flow by presenting instantaneous intense variations of free surface and velocity vectors, the distributions of Reynolds shear stress and turbulent kinetic energy and three-dimensional complex features of coherent structures and total pressure distribution.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
• /
• 2017.11a
• /
• pp.232-233
• /
• 2017

In this research, tunnel stern was applied on the asymmetric high-speed catamaran to evaluate vessel's hydrodynamic performance by numerical method, and the tunnel stern types are distinguished by angle of inclination of tunnel exit region into 3cases ($0^{\circ}$, $3^{\circ}$ and $6^{\circ}$). Consequently, it is confirmed that the total resistances of tunnel stern which have $0^{\circ}$ of inclination are lower about 4.8-17.9% than the bare hull in the wide speed range, but those of $3^{\circ}$ and $6^{\circ}$ of inclination tunnel stern are higher than bare hull about 5-14% and 5-29%, respectively. On the other hand, trim angles of $0^{\circ}$ of inclination tunnel stern show similar trend with those of bare hull in whole ranges of FnV but those of $3^{\circ}$ and $6^{\circ}$ of inclination tunnel stern are stabilized and declined respectively after FnV=1.54. These phenomena indicated that increasing angle of inclination of tunnel exit region had negative influence on resistance performance, however, it could make vessel's operation performance better than bare hull.

• Journal of the Korean earth science society
• /
• v.31 no.4
• /
• pp.354-369
• /
• 2010

The synoptic and kinematic characteristics of a heavy rainfall that occurred in Gangneung region on 22 to 24 October 2006 were investigated using weather maps, infrared images, AWS observation data and NCEP global final analyses data. The total amount of rainfall observed in the region for the period was 316.5 mm, and the instanteneous maximum wind speed was $63.7m\;s^{-1}$. According to the analysis of weather maps, before the starting of the heavy rainfall, an extratropical low pressure system was developed in the middle region of the Korean Peninsula, and an inverted trough was formed in the northern region of the peninsula. In addition, a jet stream on the upper charts of 300 hPa was located over the Yellow Sea and the southern boundary of the peninsula. A cutoff low in the cyclonic shear side of the upper jet streak, which was linked to an anomaly of isentropic potential vorticity, was developed over the northwestern part of the peninsula. And there are analyzed potential vorticity and wind, time-height cross section of potential vorticity, vertical air motion, maximums of the divergence and convergence and vertical distribution of potential temperature in Gangneung region. The analyzed results of the synoptic conditions and kinematic processes strongly suggest that the tropopause folding made a significant role of initializing the heavy rainfall.

• Journal of Korean Society for Atmospheric Environment
• /
• v.31 no.6
• /
• pp.548-561
• /
• 2015

Atmospheric concentrations of polychlorinated dibezo-p-dioxins and furans (PCDD/Fs) were investigated at urban-residential (Group I: Suwon, Guri and Goyang), industrial (Group II: Ansan, Siheung and Bucheon), urban-rural mixed (Group III: Yangju, Pocheon and Dongducheon) and rural regions (Group IV: Yangpyeong) in Gyeonggi-do from February 2012 to November 2012 quarterly. The concentrations of PCDD/Fs ranged from 0.018 to $0.109pgTEQm^{-3}$ in Group I (mean value: $0.061pgTEQm^{-3}$), 0.059 to $0.367pgTEQm^{-3}$ in Group II (mean value: $0.179pgTEQm^{-3}$), 0.072 to $0.836pgTEQm^{-3}$ in Group III (mean value: $0.334pgTEQm^{-3}$) and 0.014 to $0.066pgTEQm^{-3}$ in Group IV (mean value: $0.034pgTEQm^{-3}$), respectively. In spite of the less PCDD/F emission sources than Group II (industrial regions), the level of PCDD/Fs in urban-rural mixed area showed the highest values with high fluctuation. It's likely that the Group III was affected by fugitive emissions such like biomass burning and unregulated open burning. The mean contribution of particle phase to total PCDD/F concentration was above 83% because most of PCDD/F congeners were partitioned into particle phase. We evaluated their gas-to-particles equilibriums with the regression between the particle-gas partition coefficient, $K_P(m^3{\mu}g^{-1})$ and corresponding subcooled liquid vapor pressure ($P_L$). The logarithm-$K_P$ of PCDD/Fs was poorly correlated with $P_L$ at low ambient temperature (below $10^{\circ}C$) and the slope (m) values for log-log plots of the $K_P$ vs. $P_L$ was steeper in the Group 2 and Group 3 than residential area. It implies that the slope values were likely influenced by both the direct emission source of PCDD/Fs and ambient temperature.

• Journal of radiological science and technology
• /
• v.39 no.3
• /
• pp.361-368
• /
• 2016

As the tertiary industry is being developed, many problems are introduced in an industrial area in Korea. This study aims to investigate the residents' health conditions, such as the prevalence of metabolic syndrome and fatty liver diagnosed by ultrasonography, comparing the urban with the industrial areas. The subjects were 378 adults in the urban area and 376 adults in the industrial area. Subject variables accounted for were gender, age, drinking habits, smoking habits, physical activities, waist circumferences and BMI. In blood tests, fasting blood glucose, triglyceride, HDL, blood pressures, total cholesterol, AST, ALT and GGT were examined. Also, the presence and absence of fatty liver, diagnosed using ultrasonography, was investigated. As a result, the prevalence of metabolic syndrome were 43.7% in the urban area and 51.6% in the industrial area, hence it was significantly higher in the industrial area than in the urban area. Fasting blood glucose, triglyceride and waist circumference in the distribution of the individual components were 47.4, 53.7, and 16.1% in the urban area and 54.5, 61.5, and 22.9% in the industrial area respectively, so it was substantially higher in the industrial area than in the urban area. On the other hand, HDL, diastolic blood pressure, and fatty liver were 25.7, 43.4, and 44.7% in the urban area and 21.3, 19.9, and 36.7% in the industrial area respectively and thus it was much higher in the urban area than in the industrial area. In conclusion, this study shows that there were significant differences between the residents' health condition, comparing the urban area to the industrial area. Therefore, the precaution and aggressive management of metabolic syndrome may be necessary, in accordance with the characteristics of the industrial zone.

• Korea Journal of Hospital Management
• /
• v.6 no.2
• /
• pp.37-69
• /
• 2001

A new cost management system, called Activity Based Costing (ABC) system, has arisen to solve the limitation of a Traditional Cost Accounting (TCA) system until last two decades and ABC has been applied by many companies. TCA systems have limitation in tracing cost because they arbitrarily allocate overhead cost to the cost objects without standard for direct cost distribution. ABC is an accounting system that assigns costs to products or services based on the resources they consume. The costs of all activities are traced to the products for which they are performed. Therefore ABC is a cost management system that provides a matrix to accurately quantify consumed resources triggered by activities and activities triggered by products and services. There is little implementation of ABC in the health services field, one of service industries, due to complicated and many activities, and volatile cost object. However, the necessity for applying reasonable cost accounting system is largely issuing as strategy responding hostile environment, and financial pressure, and it is imperative to implement the Activity Based Costing (ABC) system. Therefore, this study presents the framework to develop ABC system for total health service organizations. Cost objects in this study base on medical service activities per health insurance claim from one general hospital located in Metropolitan Statistical Areas (MSAs). Medical service activities include all health insurance claims in the hospital. The purpose of the study is presenting useful tools and basic frame to develop Activity Based Costing system for health service organizations which want to use ABC system. The steps to develop ABC system for health service organizations are following: 1. Identifying of activity centers; 2. Definition of cost objects and activity by activity center; 3. Analysis of activity and tracing activity contribution; 4. Allocation of direct cost for specific activity; 5. Allocation of indirect cost for specific activity; 6. Allocation of depreciation for facilities, applicants, and consumption goods; 7. Allocation of administration cost; 8. Allocation of cost among activity centers; and 9. Tracing cost of cost objects by activity center. This study identified necessary information from existing reports which hospitals generally made by each step, and defined outcome which had to be produced in each step using this information. The steps of this study had limitation to apply all different size hospitals because the steps were structured ABC system by one hospital, however, this study used similar basic framework and methods with general cases. When a health service organization want to apply Activity Based Costing (ABC) system on all activities of it in future days, this study is very useful to design system structure in the health service organization.

• Journal of the Korean Geotechnical Society
• /
• v.18 no.3
• /
• pp.87-94
• /
• 2002

Recently, there have been numerous attempts to expand the traditional temporary soil nailing system into a permanent wall. Two reasons for this include the soil nailed system's advantage of efficient and economic use of subgrade space and its ability to decrease the total construction cost. However, the systematic and logical design approach has not been proposed yet. The permanent soil nailing wall system, which utilizes precast concrete from soil nailing system, is already used in many countries, but the study of cast-in-place concrete lacing or rigid walls in bottom-up construction of traditional soil nailing walls is imperfect and insufficient. In this paper, various laboratory model tests have been carried out to investigate the influence of parameters, including stiffness of the rigid wall to the soil nailing structure with respect to failure mode, displacement patterns and tensile forces at the nail head in several levels of load. Then, the variation of earth pressure distribution on the soil nailing wall, built with a rigid front plate, is sought through different levels of surcharge load and tensile forces at the nail head.