• 제목/요약/키워드: operation room

검색결과 871건 처리시간 0.026초

관상정맥동 천정결손증 3례 보고

  • 임창영;김요한;이인성;김광택;김형묵
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.218-222
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    • 1987
  • Unroofed coronary sinus syndrome is an uncommon anomaly, Unroofed coronary sinus syndrome is caused by incomplete formation of the left atriovenous fold, and it usually is associated with Left SVC. If it is not diagnosed, a residual reversed or bidirectional shunt will result, and its complications will reduce life expectancy. We experienced 3 cases of unroofed coronary sinus syndrome which combines TOF with PLSVC, partial ECD, primum type ASD. In case of Unroofed coronary sinus syndrome which combines TIF with PLSVC, preoperative diagnosis was not made. In corrective operation for TOF of this case, pump weaning was failed due to hypoxia and cardiac arrest, and he expired at operation room. At autopsy of this case, complete unroofed coronary sinus was found. In the other 2 cases, partial unroofed coronary sinus syndrome was found in operation field and corrective operation was performed successfully. We report these 3 experiences with its review. ^u ++ Noninvasive Assessment of Pressure Gradients across Prosthetic Heart Valve by Doppler Ultrasound - A comparative study of the Duromedics Bileaflet Valves in mitral position and Normal Mitral Valves -with its review.

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콘덴서 런 단상유도전동기의 설계적 고찰

  • 원종수
    • 전기의세계
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    • 제31권2호
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    • pp.132-140
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    • 1982
  • Designing the capacitor-run motor for balanced operation is accompanied with the excessive capacitor value and low capacitor terminal voltage of condenser. As a solution for this problems, It was reported the design by equal volt-ampere method. The running characteristics of capacitor-run motor by this method due to the balancing point selection, however, has a room to be studied further. This paper deals with the determination of the winding ratio and capacitor value of a permarient-split capacitor motor by balanced operation and equal volt-ampere method at the different load points. The analysis of the running characteristics of a motor and its designing method also presented for both cases. It concluded that the running characteristics due to the equal volt-ampere operation are very close to the balanced operation.

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발전 통합 운영 시스템에 관한 연구 (The Study on the Generation Integrated Operating System(GIOS) in KOWACO)

  • 김흥년;김기원
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2004년도 하계학술대회 논문집 D
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    • pp.2254-2256
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    • 2004
  • Korea Water Resources Corporation (KOWACO), the only organization specialized in water resources management in Korea, is planning to establish a centralized control system for a related operation. in the central control room, of decision making as to water management and electric power generation. This plan is intended to convert the existing on-site operation system in each multi-purpose dam across the nation into a central operation system in the Corporations head office, for which Generation Integrated Operating System (GIOS) will be established control center in the Corporations head office and modernized nine (9) power stations. substations (RDAC). This article discusses realization of GTOS, especially real-time operation of hydropower plants and a specific architectural features for system communication.

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항공기내식의 품질관리를 위한 연구 - 오믈렛 생산과정의 소요시간 및 온도관계를 중심으로 - (Time-temperature relationships of mushroom and cheese omelet in airline catering operations)

  • 이영희
    • 대한가정학회지
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    • 제23권4호
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    • pp.61-68
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    • 1985
  • This study was conducted in a Korean airline catering operation where about 8, 000~10, 000 in flight meals per day were served. Time ad temperature observations were made in an actual airline catering operation to determine critical control points in mushroom and cheese omelet production, and to provide guidelines for the effective quality control programs of the airline catering operation. All data collection was replicated three times. Time and temperature data were collected by using standard instruments throughout the process sequence. Most phases of the food prodct flow were identified as critical control points. Holding phases of after cooking, and before and after reheating need a special attention, since foods were held at room temperature. Several guidelines were suggested for the effective quality control programs for the airline catering operation.

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DISTRIBUTED HMI SYSTEM FOR MANAGING ALL SPAN OF PLANT CONTROL AND MAINTENANCE

  • Yoshikawa, Hidekazu
    • Nuclear Engineering and Technology
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    • 제41권3호
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    • pp.237-246
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    • 2009
  • Digitalization of not only non-safety but also safety-grade I &C systems with full computerized Main Control Room (MCR) is the recent trend of I&C systems of nuclear power plants (NPP) around the world, while plant maintenance has been shifting from traditional time based maintenance to condition based maintenance. In order to cope with the new trend of operation and maintenance in NPP, a concept of online distributed diagnostic system for both plant operation and maintenance has been proposed in order to further improve both the plant efficiency and the work environment of plant operation staff members by organizational learning. In this respect, the research subjects of human machine interface (HMI) for the online distributed diagnostic system are also discussed for supporting the plant personnel at both MCR and local working places in the plant by the application of advanced ICT (Information and Communication Technologies).

High Capacity Information Hiding Method Based on Pixel-value Adjustment with Modulus Operation

  • Li, Teng;Zhang, Yu;Wang, Sha;Sun, Jun-jie
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권4호
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    • pp.1521-1537
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    • 2021
  • Through information hiding technique, secret message can be hidden in pictures. Stego-image quality and hiding capacity are two important metrics for information hiding. To enhance these metrics, many schemes were proposed by scholars in recent years. Some of them are effective and successful, but there is still a room for further improvement. A high capacity information hiding scheme (PAMO, Pixel-value Adjustment with Modulus Operation Algorithm) is introduced in this paper. PAMO scheme uses pixel value adjustment with modulus operation to hide confidential data in cover-image. PAMO scheme and some referenced schemes are implemented in Python and experiments are carried out to evaluate their performance. In the experiments, PAMO scheme shows better performance than other methods do. When secret message length is less than 72000 bits, the highest hiding capacity of PAMO can reach 7 bits per pixel, at the same time the PSNR of stego-images is greater than 30 dB.

가스추진 LNG 운반선의 가스 압축기실에 설치된 가스검출장치의 최적 배치에 관한 연구 (Optimal Gas Detection System in Cargo Compressor Room of Gas Fueled LNG Carrier)

  • 이상원;소예덕;이승훈;이진욱;정은석;강호근
    • 해양환경안전학회지
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    • 제25권5호
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    • pp.617-626
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    • 2019
  • 본 연구는 가스추진 174K급 LNG 운반선의 가스 압축기실에서 발생하는 가스누출 모사를 통해 가스탐지기의 최적 위치를 분석하였으며, 새로 개정된 IGC 코드에 명시된 안전규정을 만족하는 합리적인 방법도 함께 제안하였다. 가스압축기실에서의 LNG 가스누출 수치해석을 위해, 실제 ME-GI 엔진이 장착된 174K급 LNG 운반선의 압축기실 형상과 장비, 배관의 배치와 같은 치수로 3D 설계되었다. 가스누설에 대한 시나리오는 305 bar의 높은 압력과 1 bar의 낮은 압력을 적용하여 진행하였다. 고압용 핀홀의 크기는 4.5, 5.0, 5.6 mm이고 저압용은 100, 140 mm이다. 해석 결과, 5.6 mm 핀홀(고압)과 100, 140 mm 핀홀(저압) 상태의 누출에 대한 환기평가에서 가연성 가스농도는 심각한 위험이 없음을 확인하였다. 그러나 개정된 IGC 코드에 따라 설치된 압축기실의 가스 감지 센서의 실제 위치는 다른 지점으로 이동해야 하고, 측정 지점이 현 규정에서 요구하는 것보다 더 추가되어야 함을 확인하였다.

Incidence and Risk Factors of Acute Postoperative Delirium in Geriatric Neurosurgical Patients

  • Oh, Yoon-Sik;Kim, Dong-Won;Chun, Hyoung-Joon;Yi, Hyeong-Joong
    • Journal of Korean Neurosurgical Society
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    • 제43권3호
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    • pp.143-148
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    • 2008
  • Objective: Postoperative delirium (POD) is characterized by an acute change in cognitive function and can result in longer hospital stays, higher morbidity rates, and more frequent discharges to long-term care facilities. In this study, we investigated the incidence and risk factors of POD in 224 patients older than 70 years of age, who had undergone a neurosurgical operation in the last two years. Methods: Data related to preoperative factors (male gender, >70 years, previous dementia or delirium, alcohol abuse, serum levels of sodium, potassium and glucose, and co-morbidities), perioperative factors (type of surgery and anesthesia, and duration of surgery) and postoperative data (length of stay in recovery room, severity of pain and use of opioid analgesics) were retrospectively collected and statistically analyzed. Results: POD appeared in 48 patients (21.4%) by postoperative day 3. When we excluded 26 patients with previous dementia or delirium, 17 spontaneously recovered by postoperative day 14, while 5 patients recovered by postoperative 2 months with medication, among 22 patients with newly developed POD. The univariate risk factors for POD included previously dementic or delirious patients, abnormal preoperative serum glucose level, pre-existent diabetes, the use of local anesthesia for the operation, longer operation time (>3.2 hr) or recovery room stay (>90 mini, and severe pain (VAS>6.8) requiring opioid treatment (p<0.05). Backward regression analysis revealed that previously dementic patients with diabetes, the operation being performed under local anesthesia, and severe postoperative pain treated with opioids were independent risk factors for POD. Conclusion: Our study shows that control of blood glucose levels and management of pain during local anesthesia and in the immediate postoperative period can reduce unexpected POD and help preventing unexpected medicolegal problems and economic burdens.

공동주택 주민복지시설의 활성화를 위한 사전 타당성 평가요인 분석 (An Analysis on the Pre-Feasibility Evaluation Factors of Activation for Welfare Facilities for the Residents in Apartment Building)

  • 김영훈;강현욱;원유만;김용수
    • 한국건설관리학회논문집
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    • 제12권6호
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    • pp.160-167
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    • 2011
  • 본 연구는 공동주택 내에 설치되는 주민복지시설의 활성화를 위해 사전 타당성 평가 모델 구성을 목적으로 수행되었다. 이를 위해 D신도시에 위치한 공동주택 단지 5곳을 사례대상으로 선정한 후 주민복지시설의 현황을 조사하였다. 그리고 타당성 평가 항목 조사를 위해 선정된 사례대상 공동주택 5곳의 거주자 및 이용자를 대상으로 설문조사를 수행하여 기획단계, 설계단계, 운영단계로 구분하여 타당성 평가 항목을 도출하였다. 기획단계, 설계단계, 운영단계에 대한 타당성 평가 항목 도출 결과를 바탕으로 AHP기법을 활용하여 평가 항목에 대한 중요도를 분석하였다. 중요도 분석 결과 값의 검증을 위해 관련 전문가의 설문을 통해 중요도 분석 결과 값을 비교하였다. 상기와 같은 목적과 방법에 따라 도출된 결과를 정리하면 다음과 같다. 공동주택 단지 내 주민복지시설의 활성화를 위한 사전 타당성 평가 항목의 중요도 분석 결과 기획단계(P-1)의 경우 이용시설구성, 사용자조사, 시설배치 항목이 가장 높게 분석되었으며, 설계단계(P-2)의 경우 실별 평면배치, 동선계획, 교구비품 항목이 가장 높게 분석되었다. 그리고 운영단계(P-3)의 경우 운영비, 운영일정, 이용시설검토 항목이 가장 높게 분석되었다.

수술실 간호사의 인간관계 만족도와 저해요인에 관한 연구 (A Study on the Job-Santisfacion and Its Depressive Facors in Human Relation Among Operation Room Nurses)

  • 조미자
    • 대한간호
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    • 제32권4호
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    • pp.48-62
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    • 1993
  • This study was done for the purpose of analyzing the job-satisfaction and its depressive factors in human relation of operating room nurses of university hospital. Therfore, it makes an offer the basic data to help the resolution and prevention of the problems in operating room nurses. Furthermore, this study was conducted in order to find out some kinds of scientific data for the better control of depressive factors of job-satisfaction expressed by the operating room nurses. The structred questionaire reports of 246 operating room nurses who were employed in 5 different university hospitals which have over 1, 000 beds located in Seoul, Korea were used, which wer collected from August 24th to August 30th of 1992. The author visited supervisors of operating room in each university hospital and explained the aim of this study. The most of them(90.0%) answered to the questionaires. Analysis of the collected data were done by mean, standard deviation, percentage, t-test, F-test, Q-test, correlation analysis, one-way ANOVA.and stepwise multiple regression analysis. Major findings of this study were as follows: 1. The job of the operating room nurses were remarkably related with the satisfaction in human relation, which was defined as the behavioral job with thoughtful action rather than with mechanical action. However, the degree of satisfaction in human relation with personnel in other departments was found to be the lowest and its the main depressive factors were appeared due to the absence of interaction and uncooperative attitudes. Therefore, it was required that the members of other job need more cooperative attitude to the actual works in the operating room nurses. 2. The depressive factors in the satisfaction degree of human relation with offical seniors wer significantly related with their irresponsibility and partialness. Moreover, the job attitude of the operating room nurses is abundantly required to be improved, 3. The depressive factors in the satisfaction of human relation with medical doctors were significantly related with their insincerity and the class-consciousness. It is clearly suggested that the medical doctors do more cooperative behaviors for the jobs of the operating room without the suggested that the medical doctors do more cooperative behaviors for the jobs of the operating room without the superiority feeling of class-consciousness. 4. There was a significantly positive association between the satisfaction degree of human relation of the nurses with the following charateristics. (1) The registered nurses which had a tendency to be satisfied about the registered nurses' job. (2) The registered nurses which had a tendency to be a technique-aptitued in the motivation of the registered nurses'job. (3) The registered nurses which had a tendency to be satisfied about the total hospital working carrier and the aspects of old ages. Finally, these findings indicated that the operating room nurses should require the professional education courses associated with a high-development techniques and setisfaction in their jobs.

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