• 임상간호연구
• /
• 제29권3호
• /
• pp.249-260
• /
• 2023

Purpose: The study aimed to examine the effects of nurse staffing levels on patient outcomes in long-term care hospitals in South Korea using path analysis. Methods: We conducted a secondary analysis of national data, which included the 2021 hospital assessment results of long-term care hospitals from the Health Insurance Review and Assessment Service. Data collection was performed between June 19 and June 27, 2023. The study sample consisted of 1,215 hospitals, and we analyzed the data using SAS 9.4 and Mplus 8 software. Results: The average numbers of patients per registered nurse, certified nursing assistant, and nursing staff, including both registered nurses and certified nursing assistant, was 10.00, 7.43, and 4.00, respectively. Path analysis revealed that the number of patients per registered nurse had direct effects on improvements in activities of daily living and indirect effects on indwelling catheterization, pressure ulcer improvement, and weight loss. The number of patients per certified nursing assistant had direct effects on new pressure ulcer development and pressure ulcer improvement, with no indirect effects. The number of patients per nursing staff had direct effects on pressure ulcer improvement and no indirect effects on other patient outcomes. Conclusion: The findings suggest that establishing policies to evaluate staffing levels of registered nurse and certified nursing assistants separately is necessary in order to improve registered nurse staffing levels and patient outcomes in long-term care hospitals.

• 해양환경안전학회지
• /
• 제5권1호
• /
• pp.19-27
• /
• 1999

This paper is to estimate the long and short term variations of mean sea level in Korean coastal waters by identifying interrelations among the mean sea level, atmospheric pressure and air temperature along the coast. For this, long-term tidal data observed at tidal and weather observation stations were brought into a statistical analysis. It was noted that, in a general sense, an inverse relationship exists between the sea level and the atmospheric pressure and a positive relationship between the sea level and air temperature, respectively. The maximum difference of monthly mean sea level was in the range of 21 to 25 cm at the eastern and southeastern coasts, meanwhile more than 30 cm being in both in southern and western coasts. It was also noted that mean sea level continues to rise in a long-term basis. Long-term variation of mean sea level trends to rise 0.10 ∼ 0.44 cm per year for each region. However, the long-term variation of mean sea level in the isolated islands shows a different trend, Ullngdo being 0.41 cm fall per year and Chejudo being 0.44 cm rise per year.

• Nuclear Engineering and Technology
• /
• 제28권3호
• /
• pp.257-264
• /
• 1996

The conventional Equipment Environment Qualification (EEQ) envelope is developed based on the containment responses during the design basis events. The Safety Depressurization System (SDS) design without In-containment Refueling Water Storage Tank (IRWST) adopted in the Ulchin 3&4 challenges the conventional EEQ envelope during long term Feed and Bleed (F&B) operation due to the direct discharge of high mass and energy into the containment. Therefore, it is necessary to confirm that the containment pressure and temperature history during the long term F&B operation does not violate the conventional EEQ envelope. However, this subject has never been quantitatively assessed before. To investigate the success path of long term F&B operation this paper analyzes the thermal hydraulic response of the containment and Reactor Coolant System (RCS) until the completion of depressurization and cooldown of RCS into Shutdown Cooling System (SCS) entry condition. It is found that the SCS entry condition can be reached within 6 hours without violating the EEQ curve by proper operation of SDS valves, High Pressure Safety Injection (HPSI) pumps and active Containment Heat Removal System (CHRS). The suggested strategy not only demonstrates the feasibility of long term F&B operation but also can be utilized in the preparation of Emergency Procedure Guidelines (EPGs)

• 보건행정학회지
• /
• 제20권1호
• /
• pp.37-63
• /
• 2010

Public expenditures on long-term care are a matter of concern for Korea as in many other countries. The expenditure is expected to accelerate and to put pressure on public budgets, adding to that arising from insufficient retirement schemes and other forms of social spending. This study tried to foresee how much health care spending could increase in the future considering demographic and non-demographic factors as the drivers of expenditure. Previous projections of future long-term expenditure were mainly based on a given relation between spending and age structure. However, although demographic factors will surely put upward pressure on long-term care costs, other non-demographic factors, such as labor cost increase and availability of informal care, should be taken into account as well. Also, the possibility of dynamic link between health status and longevity gains needs to be considered. The model in this study is cell-base and consists of three main parts. The first part estimated the numbers of elderly people with different levels of health status by age group, gender, household type. The second part estimated the levels of long-term care services required, by attaching a probability of receiving long-term care services to each cell using from the sample from current year. The third part of the model estimated long-term care expenditure, along the demographic and non-demographic factors' change in various scenarios. Public spending on long-term care could rise from the current level of 0.2~0.3% of GDP to around 0.44~2.30% by 2040.

• 한국산학기술학회논문지
• /
• 제21권3호
• /
• pp.147-155
• /
• 2020

본 연구의 목적은 노인요양기관의 욕창발생 위험요인과 욕창예방 관리에 대한 내용을 비교. 분석하여 노인요양기관에 적합한 욕창예방 관리 방법을 위한 기초자료를 제공하고자 하였다. 본 연구는 체계적 문헌고찰과 포커스그룹 인터뷰를 활용한 혼합연구로 체계적 문헌고찰은 PRISMA(Preferred reporting items for systematic reviews) 지침에 따라 자료를 수집하고 분석하였으며, 포커스그룹 인터뷰는 노인요양기관에서 3년 이상 근무한 경력직 간호사를 대상으로 시행하였다. 쳬계적 문헌고찰은 2010년부터 2019년 6월까지 국내외에서 발표된 논문을 본 연구의 논문 선정기준에 따라 총 8편 논문이 선택하였다. 논문검색어는 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention','prevention', 'elderly', 'long term' 단어를 조합하여 검색하였다. 포커스그룹 인터뷰는 노인요양기관에 3년 이상 근무한 간호사를 대상으로 반 구조화된 설문지를 통해 내용분석을 하였다. 연구결과 노인요양기관의 경우 특히 체위변경과 압력 감소 장치를 적용한 중재가 욕창 예방관리에 중요한 중재임이 확인되었고 기관마다 표준화된 욕창간호 관리프로토콜 및 프로그램의 활용이 필요하다고 제시되었다. 본 연구는 혼합연구방법을 통해 욕창 예방관리 방법을 통합적으로 제시하였으며 특히 다학제간 협력이 노인요양기관의 중요한 이슈임이 확인되었다.

• 한국터널지하공간학회 논문집
• /
• 제10권4호
• /
• pp.361-369
• /
• 2008

지중터널은 대부분 지하수위 하부에 위치하므로 지하수 처리문제는 터널의 장기운영에 있어 매우 중요하다. 배수형터널의 경우 수리기능이 원활하면 라이닝에 수압이 작용하지 않으나 장기 운영으로 인해 배수시스템의 열화가 진행되면서 라이닝 배면에 설계 시 고려하지 않았던 간극수압이 작용하게 되는데, 이를 잔류수압이라 한다. 잔류수압은 피에조미터로 그 측정이 가능하나 이는 라이닝 및 배수시스템을 훼손할 염려가 있어 부적합하기 때문에 라이닝을 손상시키지 않으면서 작용수압을 평가할 수 있고, 운영 중 라이닝의 건전도 평가(health monitoring) 시 수압상태의 파악이 가능한 비파피 예측기법이 요구된다. 본 논문에서는 이론적 및 수치해석적 방법을 사용하여 운영 중 터널에 작용하는 간극구압(잔류수압) 예측기법을 제시하였으며, 본 해석방법을 이용하면 비파괴 방법으로 라이닝에 작용하는 간극수압의 파악이 가능하다. 제안된 방법은 이론적 예측기법과 수치해석 결과인 정규화 간극수압 분포곡선과를 병용함으로써 터널 운영단계에서의 잔류수압에 대한 안정성 검토에 유용하게 활용될 수 있다.

• Journal of Advanced Marine Engineering and Technology
• /
• 제39권4호
• /
• pp.483-488
• /
• 2015

본 논문에서는 엔진유지관리 개선을 위해 Web 기반 선박엔진성능분석용 장기모니터링시스템을 구현하고자 한다. 이 시스템은 시뮬레이터, 다채널 A/D 변환기가 내장된 감시모듈, 모니터링 컴퓨터, 네트워크저장기(NAS), RS485 및 무선인터넷 통신시스템으로 구성된다. 기존 제품은 각 엔진마다 압력센서를 설치하고 이를 감시모듈에서 실시간으로 계측한 후 통신에 의해 현장 제어실 PC나 Web 상에서 모니터링이 가능하지만 많은 샘플링 압력데이터 용량으로 인해 통신전송속도가 느려지고, 장기모니터링에 오류가 발생할 수 있다. 이와 같은 문제점을 개선하기 위하여 본 논문에서는 각 실린더별 압력센서에서 받은 원본 압력데이터는 NAS에 저장하고, 원본 압력데이터를 구간별 다운샘플링을 하여 제어실에서 장기모니터링하고, Web에서의 장기모니터링을 위하여 다운샘플 데이터를 무선전송 한다. 제안한 방식에서는 전송량을 1/10로 하였으므로 작은 용량을 가진 메모리를 사용할 수 있고, 빠른 통신속도를 유지할 수 있어 통신비용이 절감되며, 화면전체에 약 30일간의 장기모니터링이 가능하여 엔진의 유지관리에 큰 기여를 할 수 있을 것으로 사료된다.

• 한국압력기기공학회 논문집
• /
• 제16권1호
• /
• pp.56-64
• /
• 2020

The safety related heat exchangers have been evaluated for their performance during the operation of the nuclear power plant. The evaluation program for the safety related heat exchanger was developed in 2010 and used by KHNP based on EPRI TR-10739 algorithms. The spend fuel pool heat exchanger is one of the safety related heat exchanger in the nuclear power plant and also evaluated for their performance. Recently the performance evaluation for the spend fuel pool heat exchanger was not available because of the decreased heat in the spend fuel pool due to the long term overhaul. This paper analyzes the main cause of evaluation failure in the evaluation process and suggests the criteria for the heat exchanger performance evaluation during the long term overhaul.

• 대한기계학회논문집B
• /
• 제20권8호
• /
• pp.2650-2669
• /
• 1996

A new low Reynolds number nonlinear second moment turbulence closure was introduced to analyze a square sectioned 180.deg. bend flow. Inclusion of nonlinear return to isotropy term and cubic mean pressure strain term has brought out a marked improvement in the level of agreement with measured velocity profiles. Optimization of present closure was performed by comparison of computed velocity profiles with the experimental ones with variation of nonlinear return to isotropy term and quadratic and cubic pressure-strain model. Progressive vortex breakdown due to the interaction of primary and secondary flows was well captured by using the optimized second moment turbulence closure.

• 한국압력기기공학회 논문집
• /
• 제10권1호
• /
• pp.64-69
• /
• 2014

Gr. 91 steel is used for the major structural components of Generation-IV reactor systems, such as a very high temperature reactor(VHTR) and sodium-cooled fast reactor(SFR). Since these structures are designed for up to 60 years at elevated temperatures, the prediction of long-term creep life is important for a design application of Gr. 91 steel. In this study, a number of creep rupture data were collected through world-wide literature surveys, and using these data, the long-term creep life was predicted in terms of three methods: the single-C method in Larson-Miller(L-M) parameter, multi-C constant method in the L-M parameter, and a modified method("sinh" equation) in the L-M parameter. The results of the creep-life prediction were compared using the standard deviation of error value, respectively. Modified method proposed by the "sinh" equation revealed better agreement in creep life prediction than the single-C L-M method.