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Study on the Perceived Stress Level of Mothers in Neonatal Intensive Care Unit (NICU에 입원한 미숙아 어머니의 스트레스)

  • Kim, Tae-Im
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.865-878
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    • 1999
  • With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressfu1"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's ${\alpha}$ coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers of premature baby was slightly high($3.66{\pm}1.1$). The highest scored dimension was 'relationship with their baby and parental role change'($4.21{\pm}0.9$), and next were 'appearance and behavior of the baby'($3.92{\pm}1.1$), 'communication with health team'($3.32{\pm}1.3$), 'sight and sounds of NICU'($3.30{\pm}1.1$). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.

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Analysis of Geomagnetic Field measured from KOMPSAT-1 Three-Axis Magnetometer (다목적위성 삼축자력계로부터 관측된 지구자기장에 관한 연구)

  • 김정우;황종선;김성용;이선호;민경덕;김형래
    • Economic and Environmental Geology
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    • v.37 no.4
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    • pp.401-411
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    • 2004
  • The Earth's total magnetic field was calculated from on board TAM(Three-Axis Magnetometer) observations of KOMPSAT-1 satellite between June 19th and 21st, 2000. The TAM's telemetry data were transformed from ECI(Earth-Centered Inertial Frame) to ECEF(Earth-Centered Earth-Fixed Frame) and then to spherical coordination. Self-induced field from the satellite bus were removed by the symmetric nature of the magnetic field. The 2-D wavenumber correlation filtering and quadrant-swapping method were applied to eliminate the dynamic components and track-line noise. To test the validity of the TAM's geomagnetic field, ${\phi}$rsted satellite's magnetic model and IGRF2000 model were used for statistical comparison. The correlation coefficients between KOMPSAT-1/${\phi}$rsted and KOMPSAT-1/IGRF2000 models are 0.97 and 0.96, respectively. The global spherical harmonic coeffi-cient was then calculated from the KOMPSAT-1 data degree and order of up to 19 and compared with those from IGRF2000, $\phi$rsted, and CHAMP models. The KOMPSAT-1 model was found to be stable to degree & order of up to 5 and it can give new information for the low frequency components of the global geomagtic field.

Evaluation on Reaction Kinetics of Cow Manure in Carbonization Process (탄화공정에서의 우분 반응속도 평가)

  • Kim, Jae-Kyung;Lee, Min-Seok;Rhee, Seung-Whee
    • Resources Recycling
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    • v.23 no.6
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    • pp.40-46
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    • 2014
  • Through the study of the basic characteristics of cow manure and the characteristics of carbonization residue, carbonization degree, conversion rate, kinetic reactions, and activation energy for cow manure were examined. Since the heating value of cow manure was very low, it was converted to carbonization residue as a fuel with heating value of 4,300 kcal/kg by carbonization processes. Conversion rate was increased rapidly up to 10 minutes of the initial reaction stage and was increased with increasing temperature. The carbonization of cow manure could be described by the 1st order reaction. Frequency factor(A) of reaction rate for cow manure was evaluated to be $1.34{\times}10^{-2}min^{-1}$, the activation energy was estimated to be 5,196.4 cal/mol. As carbonization temperature increased from $250^{\circ}C$ to $400^{\circ}C$, the kinetic reaction was increased from $0.2107min^{-1}$ to $0.0679min^{-1}$. From the result of the carbonization for cow manure, it can be determined that the optimal conditions of the carbonization process were 20 minutes in carbonization time and $350^{\circ}C$ for carbonization temperature.

A Research on the Actual Condition of the Prehospital Emergency Care and Education in 119 Emergency Medical Services (119구급대의 병원 전 응급처치 실태 및 교육 현황 분석)

  • Rho, Sang-Gyun;Lee, Jae-Gook;Kim, Jee-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2117-2124
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    • 2012
  • This is the study of actual condition and improvement on emergency medical treatment by 119 emergency medical service personnel. The subjects in this study were 299 emergency medical service personnel. Data were collected from May 1 to August 31 of 2010, and analyzed by SPSS 12.0 program. The major area of study of them were study of emergency medical services 41.5%, study of nursing 10.0%, fire fighting related studies 15.4%, health related studies 1.0%, and others 32.1%. The certificate of them were 1st class emergency medical technician(EMT) 38.1%, 2nd class EMT 33.8%, nurse 9.4%, first aid education 14.0%, and others 4.7%. Frequency of Prehospital emergency care, oxygen supply(274), splint apply(229), spinal immobilization(229), external bleeding control(223), medication(7), intravenous(4). Professionally trained EMT makes possible to secure high quality emergency medical treatment in the prehospital phase. Therefore, it is essential for the quality improvement of prehospital emergency care that well trained EMT ride on the ambulance together and take the responsibility for the treatment and transferring of emergency patients. In order to improve the proficiency of 119 emergency medical services personnel, it is also necessary to provide continuous job training programs for the prehospital emergency medical treatment.

Clinical and Bacteriological Observation of 128 Cases of Chronic Otitis Media (중이수술 128례에 대한 임상적 세균학적 고찰)

  • 김광수;김정중;이계실;차인숙
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.19.2-19
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    • 1983
  • A Clinical and bacteriologcal observation was performed 128 cases of chronic otitis media who had taken middle ear surgery at Dept. of otolaryngology of St. Benedict Hospital during the period of Feb. 1981 to Feb. 1983. The following results were obtained. 1) Among total 128 cases, male were 60 cases (46.9%) and female were 68 cases (53.1 %) and age distribution showed 48 cases (37.5 %) in 3rd decade, 37 cases (28.9 %) in 2nd decade and 27 cases (21.1 %) in 4th decade. 2) Site distribution were 71 cases (55.5%) in right, 57 cases (44.5 %) in left. 3) Degree of preoperative hearing loss were 64 cases (50%) in moderate, 32 cases (25% ) in mild, 27 cases (21.1 %) in severe and 5 cases (3.9%) were normal. 4) Central perforation were observed in 65 cases (50.8 %), total perforation in 44 cases (34.4 %), attic perforation in 12 cases (9.4 %) and marginal perforation in 7 cases (5.4 %). 5) Pathologic changes of middle ear and mastoid antrum showed granulation in 81 cases (63.3 %), cholesteatoma in 47 cases (36.7%). 6) The route of approach were 123 cases (96.1%) in postauricular, 3 cases (2.3%) in transmeatal and 2 cases (1.6 %) in endaural. 7) Type of operation were 53 cases (41.4 %) in intact canal wall tympanoplasty with mastoidectomy, 42 cases (32.8 %) in tympanoplasty without mastoidectomy, 23 cases (18%) in modified radical mastoidectomy and 10 cases (7.8%) in radical mastoidectomy. 8) Type of anesthesia were 95 cases (74.2 %) by local anesthesia, 33 cases (25.8 %) were by general anesthesia. 9) Among 93 specimens of culture, proteus (31.2%), staphylococcus (28.7%), pseudomonas (23.7 %), streptococcus (7.5 %) and etc. (8.7%) in order of frequency.

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A Retrospective Review about Korean Medicine Treatment for Obesity and Change of Body Composition on Climacteric Women in a Korean Medicine Hospital (일개 한방병원에 내원한 갱년기 여성의 한의 비만 치료와 체성분 변화에 대한 후향적 분석)

  • Hye-Won An;Ji-Yeon Kim;Ji-Yeon Lee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.37 no.1
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    • pp.75-88
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    • 2024
  • Objectives: This study aimed to identify the current use of Korean medicine for obesity and its effect for women in climacteric period. Methods: We studied women aged 45-55 who visited Daejeon Korean medicine Hospital of Daejeon University to lose body weight from January 1, 2021 to December 31, 2022 via an analysis of the medical records. The treatment duration was continuous for more than 2 weeks, and a body composition was measured by Inbody 770 at 2 to 4 weeks after the first visit. Results: 28 patients were finally selected and their average age was 49.32±3.38 years. Based on the body mass index (BMI) classification, 19 were in the 1st obesity group, 5 in the 2nd obesity group, 3 in the overweight group and 1 in the normal group. Patients usually complained comcomitant symptoms, and the symptoms of menopausal disorder was the most frequent. The average treatment duration was 3.68±0.67 weeks and the average treatment frequency was 3.93±0.98 times. All patients took herbal medicines Gambi-tang and 23 took modified fasting therapy including Gamro-su. 14 were treated by whole body far-infrared therapy and 6 were gotten partial obesity treatment. Among patients treated for accompanying symptoms, menopausal disorders were the most common (35.71%), and herbal medicine such as Gamisoyou-san, Hominis Placenta Pharmacopuncture, moxibustion, and cupping were used. After treatment, on average, body composition changed significantly; body weight 3.28±1.82 kg, BMI 1.36±1.04 kg/m2, body fat 1.70±1.67 kg, skeletal muscle mass 0.81±0.91 kg, abdominal circumference 2.04±2.6 cm, and visceral fat area 8.91±12.83 cm2. Conclusions: We analyzed general characteristics, BMI distribution, types of Korean medicine treatment and change of body composition. This study could be used as reference to provide practical data of treatment for obese women in climacteric period.

A PILOT SURVEY ON THE STATE OF FEEDING, ORAL HYGIENE CARE TOOTH ERUPTION AND CARIES IN 18-MONTH OLD INFANTS (18개월 유아의 섭식, 구강위생 관리실태 및 구강상태에 관한 기초조사)

  • Lee, Chang-Han;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.714-720
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    • 2004
  • This survey was performed as a pilot of comprehensive survey of 18-month old infants which is an important period in pediatric dentistry. Through the oral examination of 154 infants of 18-month age, labored at Pusan National University Hospital and Ilsin Christian Hospital, and direct interview with their first caregivers (mother in most cases), we investigated into the state of their weaning and feeding, between-meal snacks, oral hygiene care, tooth eruption and dental caries and obtained the results as follows : 1. 73% of the infants had not yet weaned, and 82% of which were being milked during or before sleep without oral hygine care. 2. Snacks were taken in order of fruits, biscuits, cheese, bread and candies, and beverages in order of water, fermented milks, milk, sugared juice, fresh fruit juice. 61% of the infants ate snacks irregularly. 3. The toothbrush for infants was the most popular way of oral hygiene care. The mean age of initiation of tooth brushing was 13.8 months and the mean frequency was 1.6 times a day. 4. The incisors in all infants, the 1st molars in 86%, and canines in 66% were erupted. The average number of erupted teeth was 14.1. 5. The caries prevalence rate was 27.3% and 73% of total caries was observed in maxillary deciduous incisors. dmft index was 0.97. Through these results, it was concluded that a systematic education about weaning time, mode of snacking and the way of oral hygine care is required for the parents.

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Factors Related to Depressive Symptoms Among the Elderly in Urban and Rural Areas (일부 지역사회 노인들의 우울수준과 관련요인)

  • Lee, Jong-Cheon;Park, Jung-Ah;Bae, Nam-Kyou;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.33 no.2
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    • pp.204-220
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    • 2008
  • Objectives: This study was performed to determine the levels of depression symptoms among the community elderlies and to reveal its related factors, specifically aimed at revealing psycho-social factors such as social support net-work, sense of self-esteem, state anxiety, interpersonal behavior trait and locus of control. Methods: The interviews were performed during the period from April 1st to June 30th, 2007 to the 790 elderlies in urban and rural areas. Results: The mean scores of depression (CES-D) among all subjects were 16.65±10.97(urban: 18.81±10.31, rural: 14.49±11.20) and they were higher in urban than rural. The level of depression symptoms was influenced by the variables of educational level, with or without spouse, bear for living expenses, sense of satisfaction in daily life. As for health related behaviors, they were influenced by the variables of with or without regular exercise. As for health status, they were influenced by the subjective health status, with or without disability of body, visual acuity, hearing ability, ability of food mastication, urinary incontinence, with or without help in activity of daily living (ADL) and instrumental activity of daily living (IADL). As for social support net-work and social activities, they were influenced by number of offspring, frequency of offspring contents, frequency of going out and activity of hobbies. As for psycho-social factors, they were influenced by sense of self-esteem, state anxiety and social support, especially, the level of depression symptoms was higher influenced by the variables of psycho-social factors than other variables. Conclusions: Lower of the level of depression symptoms among the community elderlies would require development and application of programs to keep under management psycho-social factors as well as looking for ways to promoting the present health status.

Analysis of Anesthesia and Recovery Room Nurses's Activities (일 대학 병원 마취${\cdot}$회복실 간호사의 간호활동 분석)

  • Kang, Yoon-Kyung;Kim, Kyoung-Mee;Kim, Yon-Yi;Park, Hae-Ok;Seo, Kwang-Hee;Song, Song;Lee, Hyun-Suk;Cho, Eui-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.1
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    • pp.63-75
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    • 2006
  • Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

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Multi-layered Gap Measurement on In-Vessel Cerium Retention Using Ultrasonic Wave Reflective Pattern Analysis and Frequency Diversity Signal Processing (초음파 반사 패턴과 주파수 대역 분할 신호처리를 이용한 다층구조인 노내 간극 측정)

  • Koo, Kil-Mo;Sim, Cheul-Mu;Kim, Jong-Hwan;Kim, Sang-Baik;Kim, Hee-Dong;Park, Chi-Seung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.20 no.4
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    • pp.314-321
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    • 2000
  • A gap between a $Al_2O_3/Fe$ thermite and lower head vessel is formed in the lower-plenum arrested vessel attack(LAVA) experiment which is the 1st phase study of simulation of naturally arrested vessel attack in vessel(SONATA-IV). The gap measurement using a conventional ultrasonic method would be lack of a reliability due to the structure complexity and the metallurgical grain size change of the lower head HAZ occurred by a thermite $Al_2O_3/Fe$ melt or a $Al_2O_3$ melt at $2300^{\circ}C$. The grain echoes having false signals and lower S/N ratio signals are detected due to a multiple scattering, a mode conversion and an attenuation of a ultrasonic resulted from at the interface of increased grain size zone. In this test, the signals pattern was classified to understand the behavior of the ultrasonic in a multi-layer specimen of solid-liquid-solid of assuming that the thermite and the lower head vessel is immersed. The polarity threshold algorithm of frequency diversity gives us the enhancement about 6dB of the ratio S/N.

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