• Title/Summary/Keyword: 고위험

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Experience of High Risk Women Who Have Congenital Heart Disease : Transition to Parenthood (고위험 선천성 심장질환 여성의 부모 전환 경험 : 외롭고 두려운 자기완성)

  • Choi, Kyung-Sook;Jun, Myung-Hee;Lee, Heung-Jae
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.548-560
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    • 2005
  • Purpose: High risk women with congenital heart disease decide to get pregnancy is determined by not individual autonomous intention but complex interaction with their physical status and socio-psychological environments. This study tried to the answer to the question. : "What is experience high risk women who have congenital heart disease during transition to parenthood?". Method: A micro-ethnographic research method and oral historic research approach were done at the Grown-Up Congenital Heart Disease Clinic in one Korean metropolitan city from July 2002 to September 2003. Result: It was discovered that high risk women's experience of transitional parenthood is accounted as the process of lonely and fearful self-accomplishment. Their need for self-accomplishment creates them seek more opportunities to increase enduring abilities for their parenthood. Conclusion: We suggest that from the time of beginning of patient's making decisions about becoming pregnant, collaborative efforts must be considered that priority level of patient's needs be reviewed and find appropriate advices for their situation. Special counseling program should be provided to all the prospective parents with understanding their meaning of parenthood.

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Predictors of Maternal Role Acquisition by Risk Status (임부의 위험상태에 따른 모성역할 획득의 예측인자들)

  • 이선아
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.940-950
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    • 1999
  • One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

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Experiences of Breast Cancer Women Undertaking Genetic Test (국내 고위험 유전성 유방암 환자의 유전자검사 경험)

  • Jun, Myung-Hee;Choi, Kyung-Sook;Ahn, Sei-Hyun;Gu, Bo-Kyung
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.146-158
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    • 2005
  • Purpose: This study was to obtain a understanding of breast cancer women with high risk for hereditary cancer syndrome. Method: A micro-ethnography was used, including participation observation, open-ended in-depth interviews. Results: Two major arguments were derived. First, When Korean women at high risk to hereditary breast cancer make a decision about whether to take a genetic test, they are strongly motivated by a desire to preserve close kinship bonds and "family love" among their siblings, parents and children. Second, Even after genetic risk assessment and counseling services, Korean women at high-risk for developing a hereditary breast cancer who have been informed that they are mutation carriers, still hold onto previous beliefs about cancer causation. Their cancer prevention strategies are constructed according to their unchanged perceptions and beliefs about cancer causation. Conclusion: More sensitive genetic counseling program needs to be developed. Referral programs and clinical services must be attentive to cultural values and beliefs otherwise cultural attitudes and practices toward genetic counseling will not change.

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A Study on Development of High Risk Test Scenario and Evaluation from Field Driving Conditions for Autonomous Vehicle (실도로 주행 조건 기반의 자율주행자동차 고위험도 평가 시나리오 개발 및 검증에 관한 연구)

  • Chung, Seunghwan;Ryu, Je Myoung;Chung, Nakseung;Yu, Minsang;Pyun, Moo Song;Kim, Jae Bu
    • Journal of Auto-vehicle Safety Association
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    • v.10 no.4
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    • pp.40-49
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    • 2018
  • Currently, a lot of researches about high risk test scenarios for autonomous vehicle and advanced driver assistance systems have been carried out to evaluate driving safety. This study proposes new type of test scenario that evaluate the driving safety for autonomous vehicle by reconstructing accident database of national automotive sampling system crashworthiness data system (NASS-CDS). NASS-CDS has a lot of detailed accident data in real fields, but there is no data of accurate velocity in accident moments. So in order to propose scenario generation method from accident database, we try to reconstruct accident moment from accident sketch diagram. At the same step, we propose an accident of occurrence frequency which is based on accident codes and road shapes. The reconstruction paths from accident database are integrated into evaluation of simulation environment. Our proposed methods and processor are applied to MILS (Model In the Loop Simulation) and VILS (Vehicle In the Loop Simulation) test environments. In this paper, a reasonable method of accident reconstruction typology for autonomous vehicle evaluation of feasibility is proposed.

Effects of Team-based Problem-based Learning Combined with Smart Education: A Focus on High-risk Newborn Care (스마트 교육을 활용한 팀 기반 문제 중심 학습의 효과: 고위험 신생아 간호를 중심으로)

  • Yang, Sun-Yi
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.507-517
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    • 2019
  • Purpose: This study was conducted to examine the effects of team-based problem-based learning combined with smart education among nursing students. Methods: A quasi-experimental non-equivalent control group, pre-posttest design was used. The experimental group (n=36) received problem-based learning combined with smart education and lectures 7 times over the course of 7 weeks (100 minutes weekly). Control group (n=34) only received instructor-centered lectures 7 times over the course of 7 weeks (100 minutes weekly). Data were analyzed using the $x^2$ test, the Fisher exact test, and the independent t-test with SPSS for Windows version 21.0. Results: After the intervention, the experimental group reported increased learning motivation (t=2.70, p=.009), problem-solving ability (t=2.25, p=.028), academic self-efficacy (t=4.76, p<.001), self-learning ability (t=2.78, p<.001), and leadership (t=2.78, p=.007) relative to the control group. Conclusion: Team-based problem-based learning combined with smart education and lectures was found to be an effective approach for increasing the learning motivation, problem-solving ability, academic self-efficacy, self-learning ability, and leadership of nursing students.

Aspergillus Laryngotracheobronchitis in a Child with Primary Immunodeficiency

  • Moon, Soo Young;Lee, Soyoung;Kim, You Sun;Park, June Dong;Choi, Yu Hyeon
    • Pediatric Infection and Vaccine
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    • v.27 no.3
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    • pp.190-197
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    • 2020
  • Laryngotracheobronchitis (LTB) is a common disease in the pediatric population, and it is rarely caused by a fungal infection. Acute respiratory failure caused by fungal LTB mainly occurs in immunocompromised patients, and early diagnosis is closely associated with morbidity and mortality. However, an appropriate diagnosis is challenging for pediatricians because symptoms and signs of LTB caused by Aspergillus spp. are nonspecific. Here, we report a case of progressive respiratory failure caused by pseudomembranous LTB in a child with a suspicion of primary immunodeficiency and highlight the importance of an early investigation, especially in immunocompromised patients.

Location-based smart hard hat for deforestation workers (산림 벌목 작업자간 측위 기반 스마트 안전모)

  • Park, Changsu;Kang, Yunhee;Kim, Yuri;Kim, Jilrea;Park, Subin;Kang, Myungju
    • Journal of Platform Technology
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    • v.10 no.1
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    • pp.3-10
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    • 2022
  • In high-risk workplaces where communication is not possible, such as deforestation, it is necessary to use equipment that monitors the worker's situation in real time and obtains information according to the worker's location in case of an emergency. This paper analyzes the development and demonstration experiments of smart hard hats for deforestation workers to maintain a safe working environment. The developed smart helmet identifies the location of the worker based on the UWB signal for location estimation, and it is necessary to keep the distance between the workers not too close. UWB, Gyro, and LoRa are used to communicate even in the communication shadow area. It is used to provide a safe working environment such as improved construction to reduce worker risks and risks in forest working environments.

Mixing distance through spatial distribution analysis of in river (하천에서의 공간분포 분석을 통한 혼합거리 연구)

  • Chang Hyun Lee;Kyung Dong Kim;Si Wan Ryu;Dong Su Kim;Young Do Kim
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.144-144
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    • 2023
  • 하천 합류부에 있어 수체의 혼합양상 분석은 고해상도의 자료가 필요하다. 하지만 최근 공간적 분포를 해석함에 있어 3D 기법들을 많이 활용되고 있다. IDW, Natural Neighbor, Kriging기법등 다양한 기법들이 많이 적용되고 있고 그에 따라 각 보간법을 비교 분석하여 공간해석에 대한 연구를 진행하였다. 관련 논문을 검토한 결과, 측정 결과에 따른 2차원 횡단면 분포의 내용이 지배적이었고, 3차원 매핑 및 3차원 분석을 통한 수리학적 정보 획득에 관한 연구는 부족한 실정이였다. 특히 3차원 하천 수질 농도의 연구가 불충분했다. 그에 따라 저해상도 측정결과에서의 예측과 보간법에 대한 시각화를 통해 하천의 전체적인 수리·수질정보를 표기하였다. 각각의 보간법을 비교함으로써 하천매핑에 있어 Kriging 기법을 적용하여 시각화된 자료와 정량적 평가를 통해 하천매핑의 정밀성을 향상시켰다. 하천합류부를 공간 분석할 시에 하천의 측정데이터에 대한 신뢰도를 바탕으로 계측경로에 따라 보간한 결과에 대한 신뢰도 분석을 실시하였다. 분석된 3차원자료를 이용하여 하천의 혼합거리에 대한 분석을 실시하였고 그에 따른 수표면과 연직방향까지 고려된 혼합거리분석을 비교하였다. 3차원 데이터를 활용하는 방법으로 측정 및 모니터링 기술의 중요한 데이터로 활용되며, 이러한 데이터는 유해물질 저감 기술 및 평가 예측 기술의 기초 데이터로 활용되고 있다. 유해화학물질 추정, 호수의 고위험 조류군 계층분석 등 다양한 수생건강 진단기술을 활용할 수 있다.

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Effects of Chemical Accident Risk Warning System in High Risk Workplaces of Major Industrial Accidents (중대산업사고 고위험 사업장에서의 화학사고위험경보제의 효과)

  • Woo Sub Shim;Ji Ung Choi
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.5
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    • pp.765-774
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    • 2023
  • The Ministry of Employment and Labor implemented the process safety management(PSM) system from 1996 to prevent major industrial accidents caused by chemical substances, but the number of accidents did not drastically decrease. Even in workplaces with excellent PSM ratings, large-scale chemical accidents still occur due to non-compliance with safety work procedures and insufficient safety measures during maintenance and other work. Accordingly, the chemical accident risk warning system was introduced in 2014 to supplement the PSM system and prevent accidents that may occur during regular or unexpected maintenance and repair work. In the meantime, changes in the safety management system have been checked since the introduction of the chemical accident risk warning system at chemical handling workplaces, and based on the results, a plan for upgrading this system has been proposed. The effect of the CARW system was found to directly prevent accidents through wired and on-site consulting and post-management at the workplace and indirectly contribute to the establishment of a safety and health management system at the workplace, such as improving safety culture awareness.

Proposal of Expected Effects of Smart Construction Safety Management Integrated Control System (스마트 건설 안전관리통합관제시스템 기대효과 제안)

  • Deok-Jin Kim;Min-Ji Seo;Kwang-Young Park
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.644-647
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    • 2023
  • 건설은 경제 발전과 일자리 창출에 중요한 역할을 담당하고 있다. 그러나, 건설 산업은 타 산업에 비하여 고위험 산업으로, 매년 많은 사고와 재해가 발생하고 있다. 노동부 중대산업재해감독과에 따르면 2022 년 재해조사 대상 사망사고 발생 현황 발표 결과, 건설 사고 사망자는 341 명으로, 전체 산업재해 사망사고자의 53%를 차지하고 있다. 최근 사회 변화와 다양한 경기 변동, 물가 상승에 따라 건설 공사 비용 절감을 위한 안정성 결여, 시공 품질 관리의 어려움, 근로자 안전 의식 부족 등의 문제가 심화되고 있다. 이에 따라, 건설 현장의 근본적인 안전문화의 정착과 함께, 첨단 ICT 기술을 활용한 지능형 건설 안전관리 시스템의 구축이 필요한다. 그리고, 건설안전관리를 위한 스마트 건설 안전관리통합관제시스템(SCMS)의 기능과 적용 범위를 더욱 확대함으로써 건설 현장의 안전사고 예방을 개선할 수 있을 것으로 기대된다. 이를 위해 지속적인 다양한 연구와 데이터 수집과 분석 등 기술적인 연구와 함께 법과 제도에 대한 개선 논의가 필요하다.