• Title/Summary/Keyword: operation room

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A Case of Congenital Diaphragmatic Eventration Requiring Emergency Operation (응급 수술을 요하는 선천성 횡경막 내번증 1예)

  • Lee, Seock-Yeol;Lee, Seung-Jin;Park, Hyung-Joo;Lee, Cheol-Sae;Lee, Kihl-Rho
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.142-144
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    • 2004
  • A one day old female infant was brought to the emergency room suffering from shortness of breath. An x-ray revealed the gastrointestinal tract in the right thoracic cavity. An emergency operation demonstrated eventration of the diaphragm, and a plication was performed. The baby was discharged without complication and has been followed up in the out patient clinic. Congenital diaphragmatic eventuation requiring emergency operation is rare.

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The design concept of the multi-coupled operation for high speed train (고속열차 중련운전 설계에 관한 연구)

  • Choi Kweon-hee;Chang Dae-sung;Jung Byung-ho;Lee Byung-seok;Kim Kuk-jin
    • Proceedings of the KSR Conference
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    • 2005.05a
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    • pp.877-882
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    • 2005
  • The definition of multi-coupled operation is that coupled two trainsets is able to be operated one trainset identically. That is to say, the one driver, coupled two trainsets can operate the traction and braking system, control vehicle doors, phanto-graph, HVAC and passenger room lighting system etc, such as one trainset controlling. This study will provide high speed train design engineer with introducing multi-coupled operation system electrically and presentation automatic complex coupler mechanism, and then this paper will be applied to design next generation high speed train system such as Jun-la/Ho-nam line

A study on the Spatial Composition and Area Calculation in the Plastic Surgical Clinics -Focused on case studies in Kangnam-Gu (성형외과의원의 공간구성과 면적산정에 관한 연구 - 강남구 사례분석을 중심으로 -)

  • Lee, Yong-Gil;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.7 no.1
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    • pp.33-44
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    • 2001
  • This study is about the Spatial Composition and Area Calculation in Plastic Surgical Clinics. 1. The space of the plastic surgical clinics are divided into 4 sections; exam, exam support, the staffs, and waiting and reception area. 2. The average G/N ratio of width was 1.46. The Plastic surgical clinics which had great deviation in the ratio showed these characteristics; first, when they were planned at first, the operation rooms were not assigned enough space; second. space for supporting exam and the activities of staffs was given too little consideration in their first drafts. 3. The average size of operation rooms was $21.76m^2$. The most desirable size was found to be $26.4m^2$ when we put the number of staffs, the movement area of stretcher, and the movement lines of operation room into consideration.

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The Effect of Improved Operating Room and Intensive Care Unit on the Sternal Infection After Open Heart Surgery (집중치료실 및 수술장 개선이 개심술후 흉골감염에 미치는 영향)

  • 이종태;이상철;김성완;이응배;조준용;김덕실;장봉현;김규태
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.375-380
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    • 2002
  • Background: Sternal infection after open heart surgery is a serious complication associated with high rate of mortality. We reviewed the effect of improved operating room and intensive care unit un the sternal infection by analyzing the incidence and condition of that around the movement of operating room and intensive care unit in July 1997. Material and method: We reviewed a total of 453 patients. Group I contains 237 patients who underwent open heart surgery between January 1997 and December 1978 before we moved the intensive care unit and of operating room, and Group II contains 216 patients who underwent open heart surgery between January 2000 and July 2001 after we moved. We only included adult patients over age 15 who underwent cardiopulmonary bypass through median sternotomy and excluded the mortality cases except sternal infections in this study. Result: Sternal infection developed in 18 patients(8.0%) in Group I, and in only 1 patient(0.49%) in Group II. Emergency operation, cardiopulmonary bypass time, operation tilde, transfusion, tracheostomy, and reoperation are significantly associated with sternal infection among the known risk factors. The logistic regression analysis containing those six factors revealed that the movement of intensive care unit and operating roots is effective on the decreasing sternal infection(p=0.029, 95% confidence interval 0.011 ∼ 0.788). Conclusion: Although there have been studies on manly risk factors associated with the sternal infection after open heart surgery, we think that the improvement of operting room and intensive care unit is a method for decreasing the incidence of sternal infection.

A Study on the Transformation of the Oe-am Folk Village -From 1988 to 2001 (after Designated as a Traditional Preservation Area) - (아산(牙山) 외암(外岩)마을의 주거변화(住居變化)에 관한 연구(硏究) -1988년 전통건조물보존지구 지정 이후 2001년까지-)

  • Lee, Wang-Kee;Lee, Kang-Bok;Choi, Hong-Kee
    • Journal of architectural history
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    • v.10 no.3 s.27
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    • pp.77-91
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    • 2001
  • The study is the analysis on Oe-am village which is designated as a folk-preservation village in 1988 and is included in the fact of the dwelling change through Spot-Survey and Case-Investigation in the last decade from now(2001), The result shows the main change on the stand-up dining room installation, the place with the boiler and bathroom installation, the additional expansion through the combination of the small twice or third space, the using change, the prototype restoration. The reason of this change is shown the following. 1. There is the dual structure that the villager repairs that because the repairing operation is biased the prototype restoration since the government construction. 2. The internal change is come from more at thatched house than at tiled house and the order of the main element's change is Kitchen (35%), main room (30%), living room (24%) and other rest room (11%). 3. The change of the dining room in the internal composition material is the strongest and the change is included in the using change, the installation of the new sub-division in the spot and the expansion of the outside if necessary. The reason of the main change is life-style's. Therefore we can know the change of the dwelling structure and we are able to make a modern-life. Also, If the restoration or repair is necessary, the change element on that must be considered.

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Establishment of Room Based Database for Configuration Management in Nuclear Power Plant - Focusing on the Design Requirement and Facility Configuration Information - (원자력발전소의 형상관리를 위한 실(Room)기반 데이터베이스 구축에 관한 연구 - 설계요건 및 형상정보를 중심으로 -)

  • Shin, Jaeseop
    • Korean Journal of Construction Engineering and Management
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    • v.19 no.6
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    • pp.34-45
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    • 2018
  • Nuclear power plant(NPP) is a large-sacle national infrastructure with total project cost of 77 billion dollars and period of 10 years or more. Moreover, since it is operated over 60 years, NPP is a facility closely related to national economy and public safety. Therefore, accurate information and consistent physical configuration should be maintained to enable accurate and economical decision making in NPP project process such as design, construction, operation, and decommission. Since NPP industry is more complicate and regulated than other industries, the importance of configuration management(CM) has been widely recognized in the early days. However, there were limitations in implementing systematic CM due to unclear purpose and subject. Therefore, this paper suggests a room-based database for CM in NPP reflects design requirements and facility configuration information.

Deriving the Effective Improvement Elements of the Emergency Room in Large General Hospitals (신종 감염병 환자의 효율적 처치를 위한대형병원 응급실 관리요소의 중요도 도출)

  • Yoon, Songyi
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.66-79
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    • 2015
  • Purpose: This study aimed to derive the elements for effectively improving the management of emerging infectious diseases in the emergency room in large general hospitals. Methods: This research involved an analytic hierarchy process analysis of 10 experienced nurses working in a large general hospital located in the Seoul metropolitan area. The weighted values of the criteria for evaluating the importance of the management elements of patients with emerging infectious diseases in the emergency room of large general hospitals were derived using an analytic hierarchy process survey. Results: The results of the analytic hierarchy process analysis showed that experts considers responsiveness (0.291) as most important with respect to the criteria for the policy for isolation and control of infectious patients. The order of importance of the criteria for the policy for isolation and control of infectious patients were as follows: responsiveness (0.291), economical efficiency (0.257), feasibility (0.242), and sustainability (0.209). Subsequently, the weighted values of the management of the policy elements were determined based on the derived importance of the criteria mentioned above. These were, in order of priority, the construction of communication channels with the government authorities when dealing with emerging infectious diseases (15.9%), the equipment and provision of personal protective equipment to protect nurses from infection and dissemination of material (14.6%), and the operation of the isolation room and patient separation systems (14.1%). Conclusion: This study suggests critical strategies for infection control during a pandemic of emerging infectious disease.

A preliminary study on the excavation sequence of a room-and-pillar underground structure by the drill-and-blast method (발파 굴착에 의한 주방식 지하구조물의 굴착공기 분석 연구)

  • Lee, Chulho;Hyun, Younghwan;Song, Junho;Chang, Soo-Ho
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.17 no.6
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    • pp.605-614
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    • 2015
  • A room-and-pillar underground structure is characterized by its grid-type array of room and pillar. As a result, its construction and economical efficiency can be governed by excavation sequence. In this study, the construction period by the drill and blast method which can be treated as a main sequence for excavation was examined by considering the regulation for blasting and construction standard of estimation in Korea. To evaluate the construction period for the room-and-pillar underground structure constructed in 4 kinds of square-type area ($30{\times}30{\sim}57{\times}57m$), the concurrent excavation pattern which was suggested in the previous researches was used. From the suggested condition, the total construction period by drill-and-blast method can be estimated with the consideration of the construction area, number of jumbo drill and faces in operation.

Cable Functional Failure Time Evaluation for a Main Control Room Fire using Fire Dynamic Simulator (FDS 이용한 주제어실 화재시 케이블 기능상실시간 평가)

  • Lim, Heok-Soon;Kim, In-Hwan;Kim, Myung-Su
    • Fire Science and Engineering
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    • v.30 no.3
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    • pp.79-85
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    • 2016
  • Serious electrical problems, such as shorts, ground faults, or circuits, often cause fire events in the fire proof zone of nuclear power plants. These would be directed to the loss of safe shutdown capabilities performed by safety-related systems and equipment. The fire event can be treated with the basic design principle that safety systems should maintain their functions with redundancy and independency. In the case of a cable fire in the main control room, operators cannot perform their mission properly and can misjudge the situation because of spurious operation, incorrect indication or instrument. These would deteriorate the plant capabilities of safety shutdown and result in disastrous conditions. Therefore, during a main control room fire, 5 minutes of operator action time is very important to operate the safety shutdown components. This paper describes the cable functional failure temperature criteria and conducted a cable functional failure time evaluation using Fire Dynamic Simulator to obtain the operator action time for a main control room fire.

Room Acoustic Design in International Convention Center Jeju (제주국제컨벤션센터 컨퍼런스홀의 건축음향 설계)

  • 주현경;오양기;두세진;김하근
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2003.05a
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    • pp.802-807
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    • 2003
  • International Convention Center Jeju(ICCJ) was planed and built for accommodating a variety of conventional and exhibitional activities. For a better flexibility of operation, almost all rooms in ICCJ are designed to be subdivided Into a couple of small rooms with installation of movable partition walls. Architectural and acoustical design should be deliberatively and cooperatively undertaken to cope with such a complex condition. Conference hall, the largest room in ICCJ, has a capacity of 5000 seats who:1 used as a whole. It could be divided into 3 halls, one with 2000 pre-installed seats on slanted floor, up/down removable stage and its settings above, and the other 2 flat rooms with no seats installed. A devided hall with pre-installed seats and stage is designed for a multi-use auditorium. Almost all surfaces except ceilings adjacent to the stage are sound absorptively treated, in regard to extensive use of sound reinforcement systems. Its reverberation time 1.65 sec without audience, which is roughly correspond to 1.50 sec with fully occupied audience. When there is a need for a larger room, all the partition wail Is removed and the hall could be used as a whole. Exhibition hall is located in the first floor of ICCJ. Absorption and softness are needed for the hat 1 because exhibition behavior has something noisy features. Perforated MDF panels with porous materials and air space in the back groundare adopted for the walls. There are one large, two medium, and several small convention rooms in ICJJ. The room are also acoustically designed for maximum flexibility with no defects soundwisely.

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