• Title/Summary/Keyword: 이태영

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Development and Evaluation of a Protocol for Bedside Nursing Handoff with Patient Engagement in a Tertiary Hospital in South Korea (한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가)

  • Lee, Tae Wha;Ji, Yoon Jung;Jang, Yeon Soo;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.117-130
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    • 2020
  • Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

Optimization of the extraction procedure for quantitative analysis of saponarin and the artificial light condition for saponarin production from barley sprout (고함량 사포나린 함유 보리 어린 순 재배를 위한 식물공장내 인공광 조건 및 사포나린 추출 분석법 최적화)

  • Oh, Kyeong-Yeol;Song, Yeong Hun;Lee, Duek-Yeong;Lee, Tae-Geun;Kim, Jin-Hyo
    • Journal of Applied Biological Chemistry
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    • v.64 no.3
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    • pp.197-203
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    • 2021
  • Saponarin is a crucial component of barley sprout, and the production and quantitative analysis are issued to date. In this study, the optimal saponarin extraction conditions were presented on the subject of acetonitrile, ethanol, methanol, and water for the quantitative analysis in barley sprout through the extraction efficiency compared with the solvent concentration and extraction time using the reaction surface methodology. The optimal extraction time and solvent condition for saponarin were 3.9 h and 53.7% of aqueous methanol, respectively. In addition, the effect of LED artificial light on the saponarin production in barley sprouts was evaluated by the light cycle, light quantity, and light quality. The optimal cultivation conditions under artificial light for the growth of barley sprout and saponarin production were most effectively achieved on 220-320 μmol m-2 s-1 of the light quantity with 8 h day-1 of a daylight cycle under 6500K LED combined with red light. Furthermore, blue light was evaluated as the main factor in the biosynthesis of saponarin.

Comparison of the flow estimation methods through GIUH rainfall-runoff model for flood warning system on Banseong stream (반성천 홍수경보 시스템을 위한 GIUH기반 한계홍수량 산정기법 비교연구)

  • Seong, Kiyoung;Ahn, Yujin;Lee, Taesam
    • Journal of Korea Water Resources Association
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    • v.54 no.5
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    • pp.347-354
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    • 2021
  • In the past few years, various damages have occurred in the vicinity of rivers due to flooding. In order to alleviate such flood damage, structural and non-structural measures are being established, and one of the important non-structural measures is to establish a flood warning system. In general, in order to establish a flood warning system, the water level of the flood alarm reference point is set, the critical flow corresponding thereto is calculated, and the warning precipitation amount corresponding to the critical flow is calculated through the Geomorphological Instantaneous Unit Hydrograph (GIUH) rainfall-runoff model. In particular, when calculating the critical flow, various studies have calculated the critical flow through the Manning formula. To compare the adequacy of this, in this study, the critical flow was calculated through the HEC-RAS model and compared with the value obtained from Manning's equation. As a result of the comparison, it was confirmed that the critical flow calculated by the Manning equation adopted excessive alarm precipitation values and lead a very high flow compared to the existing design precipitation. In contrast, the critical flow of HEC-RAS presented an appropriate alarm precipitation value and was found to be appropriate to the annual average alarm standard. From the results of this study, it seems more appropriate to calculate the critical flow through HEC-RAS, rather than through the existing Manning equation, in a situation where various river projects have been conducted resulting that most of the rivers have been surveyed.

Nurses' Perception of the Performance and Necessity of Nursing Services for Patients Engagement (간호사의 환자참여 간호서비스 수행정도와 필요성 인식)

  • Lee, Tae Wha;Jang, Yeon Soo;Ji, Yoon Jung;Do, Hyun Ok;Oh, Kyoung Hwan;Kim, Chang Kyung;Chun, Ja Hye;Shin, Hae Kyung;Cho, Mee Young;Bae, Jung Im
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.120-132
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    • 2019
  • Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

Skin Hydration and Skin Barrier Effects of Cymbopogon citratus and Perilla frutescens Extracts (레몬그라스와 자소엽 추출물의 피부보습 및 피부장벽에 관한 연구)

  • So, Yangkang;Hwang, Ji Young;Kim, Hyun Woo;Jo, Ha Neul;Lee, Tae-Bum
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.45 no.3
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    • pp.225-235
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    • 2019
  • Cymbopogon citratus (CC) and Perilla frutescens (PF) are known to exert various biological effects. However, their skin hydration and skin barrier effects remain unclear. This study investigated effects of their extracts on skin hydration and skin barrier and analysed the phenolic compounds. effects of these extracts on skin hydration in HaCaT cells showed that Hyaluronic acid production in cells treated with ethanol extracts was higher than that treated with water extracts for both CC and PF. HPLC was used to analyse 19 phenolic compounds in CC and PF ethanol extracts (CCE and PFE). Results revealed chlorogenic acid and p-coumaric acid in CCE and rosmarinic acid and caffeic acid in PFE. Expression levels of hyaluronan synthase 1 (HAS1), HAS2, HAS3, and aquaporin 3 (AQP3), which are related to skin moisturization, and filaggrin and loricrin, which are related to skin barrier were higher in cells treated with CCE than with PFE. CCE and PFE also increased expression of PPAR-a protein involved in skin moisturization and epidermal differentiation in a concentration-dependent manner. As major components of CCE, chlorogenic acid and p-coumaric acid increased PPAR-a protein expression. Thus, CCE and PFE could be used as functional cosmetic materials for skin hydration and skin barrier effects.

Design and development of clear aligner management system using QR code (QR 코드를 활용한 투명 교정장치 관리 시스템 설계 및 개발)

  • Jang, Jin-Su;Son, Ho-Jung;Sim, Ji-Young;Kang, Sin-Yeong;Moon, Jun-Mo;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.185-192
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    • 2019
  • The introduction of smart technology provides accuracy, safety, and efficiency to both physicians and patients. Although interest in a clear aligner is increasing among users worldwide, the current clear aligner requires a visit to the hospital every one or two weeks for replacement, which is a very cumbersome process. There is also confusion among dentists and patients because about 40 to 80 devices are made, and calibration is done based on the order and duration of the clear aligner. Therefore, this study designed and developed a clear aligner management system so that communication between the patient and dentist can be smoothly performed by inserting the QR code into the transparent correction device. As a result, the size of the QR code was recognized as $6{\ast}6mm^2$ which can be used in the oral and the recognition distance was 100% within 12 cm. Since the dentist can remotely manage the patient with the proposed system and improve the correction effect, it is possible to manage patients abroad, as well as domestically.

Discharge Computation from Float Measurement in Vegetated Stream (부자 측정 시 식생을 고려한 유량산정에 관한 연구)

  • Lee, Tae Hee;Jung, Sung Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.2
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    • pp.307-316
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    • 2019
  • Development of vegetation in stream channel increases resistance to flow, resulting in increase in river stage upon flood and affecting change in stage-discharge relationship. Vegetation revealed in stream by water level reaching a peak and then declined upon flood is mostly found as prone. Taking an account of flow distribution with the number of vegetation, prone vegetation layer might be at height where discharge rate is zero (0) (Stephan and Guthnecht, 2002). However, there is a tendency that flow rate is overestimated when applying the height of river bed to flow area with no consideration of the height of vegetation layer in flow rate by float measurement. In this study, reliable flow measurement in stream with vegetation was calculated by measuring the height of vegetation layer after flood and excluding the vegetation layer-projected area from the flow area. The result showed the minimum 4.34 % to maximum 10.82 % of flow deviation depending on the scale of discharge. Accordingly, reliable velocity-area methods would be determined if vegetation layer-projected area in stream is considered in flow rate estimation using the flow area during the flood.

The Effect of Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities in Mental Hospital Nurses (정신병원 간호사의 낙상에 대한 지식, 태도, 환자안전문화인식이 낙상예방활동에 미치는 영향)

  • Chang, Koung-Oh;Lee, Tea-Jin;Jung, Min-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.372-383
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    • 2019
  • The purpose of this study was to investigate the efforts of Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities in Mental Hospital Nurses. This study is a descriptive research study of 153 nurses working in Busan and Gyeongnam mental health hospitals, the data were collected from April 4 to December 31, 2018. Data were analyzed using IBM SPSS/win 24.0 program, which included t-test, ANOVA and multiple regression analysis. As a result, The attitude toward falls differed depending on subject's license or qualifications, the higher the education level. The higher the level of perceptions of patient safety culture, and the higher the work experience, the more prevention activities toward falls. The higher the perception of patient safety culture, the higher the attitude toward falls. The higher the prevention activities toward falls, the higher the attitude of falls and the perceptions of safety culture. As a result of multiple regression analysis of factors affecting Knowledge, Attitude and Perceptions of Patient Safety Culture on Fall Prevention Activities were 12.5%. Therefore, in order to promote fall prevention activities of mental hospital nurses, the knowledge needs to be expanded through continuous education. Education programs should be developed and provided to change attitudes toward falls. and At the hospital organization level, a wide range of support is required, including changes in the overall human and institutional environment for safety.

A Study on Methods for Korean Colleges to Participate in Higher Vocational Education Area of Official Development Assistance (국내 전문대학의 고등직업교육 분야 공적개발원조(Official Development Assistance) 참여방안에 관한 연구)

  • Lee, Tae-Jung;Yun, Woo-Young
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.47-55
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    • 2021
  • Firstly, our Technical and Vocational Education and Training(TVET) ODA currently uses 70% of its budget on short-term assistance project works without much consideration for continuity from one project to another. Secondly, TVET ODA budget is much too concentrated on hardware support, lowering impact compared to the amount invested. Lastly, there is a lack of research on the needs of recipient nation which leads to lowering effectiveness of TVET ODA. This Study analyzed the characteristics of Korea's TVET ODA through the statistical data analysis of ODA. This study's main focus is to recommend methods for Korean colleges to overcome tendencies and limitations of TVET within Korea's ODA. Colleges have advantages in training students to fit needs of the market and companies based on decades of experience colleges have on academic-industrial collaboration. Colleges can also transfer qualification verification systems to fit the recipient country and dispatch TVET related personnel to strengthen software support. Additionally, the post project evaluation and post job placement management capabilities of colleges can be actively used for post management of TVET projects. I hope that through this study, ways to increase participation of colleges in TVET ODA can be discussed in more variety.

Estimation of Employment Creation Center considering Spatial Autocorrelation: A Case of Changwon City (공간자기상관을 고려한 고용창출중심지 추정: 창원시 사례를 중심으로)

  • JEONG, Ha-Yeong;LEE, Tai-Hun;HWANG, In-Sik
    • Journal of the Korean Association of Geographic Information Studies
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    • v.25 no.1
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    • pp.77-100
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    • 2022
  • In the era of low growth, many provincial cities are experiencing population decline and aging. Population decline phenomena such as reduction of productive manpower, reduction of finances, deterioration of quality of life, and collapse of the community base are occurring in a chain and are being pushed to the brink of extinction of the cities. This study aims to propose a methodology to objectively estimate the employment creation centers and setting the basic unit of industrial-centered zoning by applying spatial statistical techniques and GIS for the application of the compact city plan as an efficient spatial management policy in a city with a declining population. In details, based on reviewing previous studies on compact city, 'employment complex index(ECI)' were defined considering the number of workers, the number of settlers, and the area of development land, the employment creation center was estimated by applying the 'Local Moran's I' and 'Getis-Ord's Hot-Spot Analysis'. As a case study, changes in the four years of 2013, 2015, 2017, and 2019 were compared and analyzed for Changwon City. As a result, it was confirmed that the employment creation center is becoming compacted and polycentric, which is a significant result that reflects the actual situation well. This results provide the basic data for functional and institutional territorial governance for the regional revitalization platform, and provide meaningful information necessary for spatial policy decision-making, such as population reduction, regional gross domestic product, and public facility arrangement that can respond to energy savings, transportation plans, and medical and health plans.