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위장관 수술 후 발생한 장관 누공 환자에서 영양집중지원팀에 의뢰된 내용 분석
정미진 ( Mi Jin Jeong ),유희철 ( Hee Chul Yu ),황시은 ( Si Eun Hwang ),김찬영 ( Chan Young Kim ),이민로 ( Min Ro Lee ),김선형 ( Sun Haeng Kim ),김행순 ( Hyeong Seon Kim ),김주신 ( Ju Sin Kim ),문미경 ( Mi Kyung Moon ),윤완기 ( Wan 한국정맥경장영양학회 2010 한국정맥경장영양학회지 Vol.3 No.1
Purpose: The role of nutrition support for the management of enterocutaneous fistula is primarily one of supportive care to prevent malnutrition and thereby halt further deterioration of an already debilitated patient. This therapy is best managed by a nutritional support team (NST). For activation of the NST, physicians must become more aware of the need for nutrition support in patients, and so referrals are required from physicians. This study examined the referrals to the nutritional support team for patients with postoperative enterocutaneous fistula. Methods: Between March 2007 and May 2009, we reviewed 34 patients with postoperative enterocutaneous fistula and who was referred to the NST. Results: The mean age of the patients was 61.1±11.5years. Twenty seven cases were males and 7 were females. The routes of nutrition support were EN+PN: 32 (55.2%), PN: 16 (27.6%), EN: 8 (13.0%) and oral intake+PN: 2 (3.4%). The direct referrals were 45 (77.6%) and the indirect referrals though the nutritional screening system were 13 (22.4%). The referrals for EN were 40 (69%) and those for PN were 18 (31.0%). The recommendations by the NST were accepted in 48 (82.8%) of the cases. The EN recommendations were accepted in all 40 (100.0%) of the cases. The PN recommendations by direct referral were accepted in 6 of 7 cases, but only 2 of 11 cases were accepted according to indirect referral. Conclusion: More aggressive and thorough follow-up on whether or not to accept the NST recommendation is required. This study shows that regular scheduled nutrition support service orientations for the different staff and departments of the hospital should be held each year. (KJPEN 2010;3(1):45-49)
윤완기,송기찬,이재설 한국경영과학회 1989 한국경영과학회 학술대회논문집 Vol.- No.1
The simulation of the nuclear spent fuel interim storage system is performed with statistical discrete event models. Proposed components and process sequence of the system are simulated with experimental input date for various cases of the system operation. This will provide the informations on the facility design and the best operation scheme with reference to the design. Critical parameters to affect the system design and operation are analyzed.
CANDU형 사용후 핵연료 다발 일련번호 확인을 위한 육안검사 장치 개발 및 적용
박승식,윤완기,이영길,나원우,곽은호 韓國非破壞檢査學會 1999 한국비파괴검사학회지 Vol.19 No.2
월성 1호기 완전의 경우에, 사용후 핵연료 저장조 공간을 확보하기 위해서 약 7년 동안 저장조에서 냉각된 사용후 핵연료를 건식저장고로 매년 이송하고 있다. 년간 2개월이 소요되는 핵연료 이송은 국제원자력기구와 국가의 핵물질 계량 관리검사를 위한 많은 인력과 비용을 필요로 하는 공정이다. 사용후 핵연료 일련번호 확인은 고방사선장인 약 6m깊이의 저장조속에서 진행되어야 하므로 검사 장비의 유지와 운영이 어렵다. 이 조건에서 CANDU형 사용후 핵연료 다발 일련번호를 확인할 수 있는 장치를 설계·제작하여, 국가 안전 조치 검사현장에 적용하였다. 본 육안검사 장치는 간단한 조작에 의해 수조속의 사용후 핵연료 다발 일련번호를 한정된 검증 시간내에 정확히 읽을 수 있었고, 간편하게 운영될 수 있었다. 안전 조치 검사관은 본 장치를 이용하여 검증 활동을 효과적으로 수행할 수 있는 검사 장비인 것으로 평가되었다. 본 육안검사 장치는 일련번호 확인의 정확성과 재현성 그리고 운영상의 편리성 등에서 기존 장치에 비해 좋은 결과를 보여 주었다. SCAI(spent CANDU fuel bundle serial number identifier) was developed to read serial numbers of spent fuel bundles in the spent fuel storage. For the purpose of effectively identifying the serial number of fuel bundle, SCAI was composed of underwater camera & light part, guiding & supporting part and control & monitor part. So it is easy to assemble and disassemble, and operate,. It was tested to read serial numbers of spent fuel bundles loaded in basket during the recent spent fuel transfer campaign at Wolsong Unit 1. And it was also applied to read serial numbers of spent fuel bundles discharging from the initial core at Wolsong Unit 3 by slight change of camera and light. Inspectors could easily operate SCAI after several practices in the storage pond, which was a user friendly. And SCAI provided clear and immediate picture for identification of serial numbers of spent fuel bundles. It was interally evaluated that SCAI greatly contributed to cut inspection efforts for national and international safeguards at Wolsong power plant.