• 제목/요약/키워드: post-operation

검색결과 1,164건 처리시간 0.028초

노인 전신마취 환자의 회복실 체류에 영향을 미치는 융합적 요인 (Convergent factors affecting length of stay in the postanesthesia care unit among elderly from general anesthesia patients)

  • 이수진
    • 사물인터넷융복합논문지
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    • 제3권2호
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    • pp.21-32
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    • 2017
  • 본 연구는 노인 전신마취 환자의 회복실 체류시간에 영향을 미치는 융합적 요인들을 파악하기 위한 서술적 조사연구이다. 경기도 소재 C대학병원에서 2014년 1월 1일부터 2014년 12월 31일까지 전신마취하에 수술을 받고 회복실에 입실하였던 환자 중 65세 이상인 환자 300명을 대상으로 후향적으로 자료 수집을 하였다. 회복실 체류시간은 평균 48.4분으로 나타났으며, 회복실 체류시간 30-59분이 58.0%로 가장 많았다. 수술중 요인에 따른 회복실 체류시간 정도는 근이완제, 수혈, 동맥혈가스 검사, 체온 그리고 총 마취시간에 따라 유의한 차이가 있는 것으로 나타났다. 수술후 요인에 따른 회복실 체류시간 정도는 합병증, 자가 통증 조절기, 순환기계 약물사용에 따라 유의한 차이가 있는 것으로 나타났다. 회복실 체류시간에 영향을 미치는 요인을 알아보기 위해 다중 회귀분석을 실시한 결과 수술 후 '순환기계 약물사용', '수술 중 저체온'이 회복실 체류시간에 영향을 미치는 것으로 확인되었고 설명력은 13%로 나타났다. 이러한 결과를 토대로 회복실 체류시간 관련요인들을 모니터링하고 신속하게 처치하여 교정하는 것이 노인 전신마취 환자의 회복실 체류시간의 단축에 기여할 것으로 사려된다.

공작기계 계 의 이송방향 동특성에 관한 연구 (Feed Directional Dynamic Characteristics of the Machine Tool System)

  • 이종원;조영호
    • 대한기계학회논문집
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    • 제7권1호
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    • pp.36-45
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    • 1983
  • In order to characterize the machine tool feed-drive dynamics, thread cutting experiments are performed with cutting conditions and slide-way lubrication varied. During the experiments, the carriage, tool post and tail stock accelerations in the feed direction are measured, and analyzed by employing the spectral analysis method. It is found that the tool post vibration in the feed direction during thread cutting operation is mainly due to those of the carriage and the workpiece. Other structure-related vibrations show little effects on the tool post vibration. The characteristics of the carriage vibration is shown to be fairly consistent, except the vibration amplitude, regardless the variations in cutting condition and lubrication within the experimental range. The experimental results suggest that the feeddrive system can be modelled as a 2 DOF damped oscillatory system.

궤적 데이터의 효율적인 연산 및 질의 처리 방법 연구 (A Study on the Method for Efficient Operation and Query Processing of the Trajectory Data)

  • 유기현;양평우;조현구;남광우
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2015년도 제51차 동계학술대회논문집 23권1호
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    • pp.175-178
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    • 2015
  • 최근 모바일 장비 및 시스템의 발달로 위치정보와 이동 객체에 관련된 많은 서비스들이 연구되고 있다. 궤적은 이동 객체가 시간에 따라 변하는 위치정보들의 모음이다. 기존의 데이터베이스 시스템에서는 이동 객체 데이터 타입을 지원하지 않는다. 이 논문에서는 공간 데이터베이스로 많이 활용되고 있는 PostgreSQL/PostGIS 상에서 궤적 데이터의 연산 및 질의 처리가 가능한 확장형 모듈로써 PostTrajectory를 제안하고 있다. 또한, 궤적 데이터에 대한 다양한 질의 요구 조건들을 충족시킬 수 있는 함수들을 구현하여 궤적 데이터의 효율적인 질의 처리를 가능하게 하였다.

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열연 공정 정상상태 판 프로파일 예측 - PartⅠ: 유한요소 해석 (Prediction of Steady-state Strip Profile during Hot Rolling - PartⅠ: FEM Analysis)

  • 이재상;황상무
    • 소성∙가공
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    • 제25권1호
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    • pp.56-60
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    • 2016
  • Precise prediction and control of the strip profile is crucial for automatic process set-up and operation of a hot strip mill. In the current study, we present the effect of post-deformation on the steady-state strip profile. The process was simulated by a 3-D elastic-plastic finite element (FE) analysis. Comparisons are made between the strip profile measured at the roll exit and the steady-state strip profile. The results raised an issue with regard to the importance of taking into account the effect of post-deformation.

농흉의 임상적 고찰 (114례) (A Clinical Study for the Empyema (114 cases))

  • 이동준
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.47-60
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    • 1974
  • During the past 10 years 114 patients with empyema have been treated in hospital of Chonnam University. There were 87 males and 27 females ranging from 20 days to 70 years of age. The etiology was pyogenic pneumonia in 36.7%, tuberculosis in 22.7%, paragonimiasis in 8.8%, post-thoracotomy in 5.4%, post-trauma in 4.4%, lung abscess in 3.5%, malignancy in 3.5%, post-esophageal operation in 1.8%, and sterile in 10.5%. The over-all mortality rate was 2% [3 patients]. The majority of deaths occurred in patients with associated systemic illness [liver cirrhosis in I, and renal tuberculosis in I] and resistant tuberculosis for anti-tuberculosis drugs in one patient. Adequate drainage and obliteration of the pleural space continues to be the most important aspect of treatment and can frequently be achieved by closed chest tube thoracostomy in acute empyema especially in children. The more chronic thick-walled or loculated cavities require open drainage [open window therapy], decortication, thoracoplasty, sterilization, and myoplasty for closure of tracheobronchial fistula.

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Boerhaave증후군 환자의 외과적 치료 (Surgical Treatment of Boerhaave's Syndrome)

  • 김동원
    • 대한기관식도과학회지
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    • 제18권1호
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    • pp.9-12
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    • 2012
  • Boerhaave's syndrome is a very fatal condition occuring esophageal rupture during emesis and has the worst prognosis of the esophageal perforation. From May 2007 to March 2012 11 patients underwent surgical treatment for Boerhaave's syndrome at Inje University Sanggye Paik Hospital. There were 11 males whose mean age was 49.9 years ranging from 42 to 59. 2 cases of primary closure was performed and 9 cases of anastomosis using EEA (Esophago-Enteric Anastomisis) stapler. Mean operation time was 154.4 minutes and one patient who undergone primary repair died because of mediastinitis and sepsis on $35^{th}$ post-operative day. There was no leakage at other patients. Post-operative complication was one operative wound infection and one post-operative bleeding which was treated completely. Surgical treatment for Boerhaave's syndrome using EEA stapler is simple and effective technique but further studies with large number of cases should be carried out for better outcome.

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교육청(敎育廳) 기술직(技術職) 공무원(公務員) 조직(組織) 개선(改善)에 대한 조사(調査) 연구(硏究) - 3개 교육청(敎育廳) 기술직(技術職) 공무원(公務員) 설문조사(設問調査)를 토대로 - (A Study on the Organizational Improvement of Local Educational Officials in Technical Post)

  • 이화룡
    • 교육시설
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    • 제11권3호
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    • pp.5-15
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    • 2004
  • This study aims to review the reality of local educational officials in technical post, to investigate their needs and awareness for newly changing social environment, and to inspire them with alternatives and strategies for reforming and restructuring their organization. It examines and analyses the strong points and weak points of the organization, the methods for improving the operation systems and organizational structures and the problems in the personnel management in officialdom, especially unfairness between the executive and the technical officials through a questionnaire and interview. This study ascertains that most of the technical officials consider expert knowledge and experience as their strong point and think the negative image against its group as their weak point for the organizational development. Specially this article indicates that they are not satisfied with the job conditions and want to shift to the official in executive post.

혼합형 원발성 폐암 1례 보고 (A case of combined lung cancer squamo-adeno-undifferentiated carcinoma)

  • 김송명
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.368-374
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    • 1983
  • Combined type of primary lung cancer is a very rare form in clinical experience, which is 3 histologically different variants of bronchogenic carcinoma. These type had a well differentiated squamous carcinoma forming keratin pearls, well differentiated adenocarcinoma and pleomorphic undifferentiated cell carcinoma, usually small cell carcinoma. The patient, a male, 49-Y-0, was complaint coughing, mild dyspnea, blood tinged sputum and chest pain. Under diagnosis of lung cancer preoperatively, the right total pneumonectomy was performed with very difficulty such as arrhythmia, ventilation impairment during post operation course. The histology of specimen was disclose as 3 different histological type, combined lung cancer as squamoadenoundifferentiated carcinoma. The mediastinal nodes were freed from metastasis but the parietal pleural metastatic loci was found. The radio & chemotherapy were performed post-operatively. The patient had been experienced empyema at post-pneumonectomy space and then open drainage procedure and thoracoplasty had been added for treatment course. The patient is alive recently.

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클래스 연산의 선행/후행 조건에 바탕을 둔 클래스의 상태 다이어그램 자동 구성 기법 (An Automatic Construction Approach of State Diagram from Class Operations with Pre/Post Conditions)

  • 이광민;배정호;채흥석
    • 정보처리학회논문지D
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    • 제16D권4호
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    • pp.527-540
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    • 2009
  • 상태 다이어그램은 객체가 가질 수 있는 상태와 각 상태에서 수행 할 수 있는 전이를 사용하여 객체의 동적행위를 표현한다. 본 논문에서는 클래스 연산들의 선행/후행 조건들을 이용하여 상태다이어그램을 자동으로 생성하는 기법을 제안한다. 그리고 본 논문에서 제시한 기법을 구현하는 도구 SDAG(State Diagram Automatic Generation Tool)을 제작하였다. 추가적으로 생성된 상태 다이어그램의 복잡도를 감소시키기 위하여 연산의 종류를 고려한 상태 다이어그램 생성 방법과 생성된 다이어그램을 측정하는 방법을 제안하고 실험하였다.

생태계보전협력금 반환사업 사후관리 실태와 개선 방안 (A Study on the Post-management and Improvement of Ecosystem Conservation Fund Return Projects)

  • 이지현;성현찬
    • 한국환경복원기술학회지
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    • 제16권2호
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    • pp.1-12
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    • 2013
  • This study reviews the current conditions of the completed 'Ecosystem Conservation Fund Return Project' sites to suggest management methods for their conservation and sustainability. For the scope of the study, five microsites of completed return projects in Seoul were selected and their project planning documents were reviewed to help with site surveying and analysis. To increase the accuracy of the site surveying and analysis, and to evaluate the management problems from different perspectives, the site managers were interviewed in-depth. The experts were surveyed as well to develop a realistic and practical improvement method. The survey results helped to categorize the post-management problems, and separate improvement methods were suggested for each category. First, the post-management guidelines are proposed for the ecosystem-based environment/ecosystem environment, user management, and monitoring. These guidelines will increase the expertise and practicality of the management principles. Second, the regulations for the participation of expert management enterprises and the development of separate monitoring or maintenance management team are suggested. These regulations will improve the participation of experts and consistency of management systems. Third, the post monitoring or maintenance management during the year after the project completion should be set as a separate project to secure budget. Furthermore, policies and/or institutions should be established to set a portion of ecosystem conservation return fund or a grant for post monitoring and maintenance management. Forth, as a way of adaptive management, at least more than three years of post-management should be evaluated under detailed categories and vigorous standard to improve the institutional operation for 'Ecosystem Conservation Fund Return Projects'.