• 제목/요약/키워드: Advanced life-support

검색결과 211건 처리시간 0.024초

완전학습 모델을 기반으로 한 시뮬레이션 훈련이 전문심장소생술 습득에 미치는 효과 (The Effects of an Advanced Cardiac Life Support Simulation Training Based on the Mastery Learning Model)

  • 권은옥;심미영;최은하;임상희;한경민;이은준;장선주;이미미
    • 임상간호연구
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    • 제18권1호
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    • pp.126-135
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    • 2012
  • Purpose: This study was aimed to develop a simulation training program of an advanced cardiac life support (ACLS) based on the mastery learning model (Simulation-MLM), and evaluate the effects of the program on critical care nurses. Methods: As an experimental pre-post test with a non-equivalent control group, the study employed convenience sampling of 38 critical care nurses. The experimental group received the Simulation-MLM including a theoretical lecture, formative evaluation, and simulation training, whereas only a theoretical lecture for the control group. The knowledge, self-efficacy, and performance degrees of respondents were measured to verify the effects of the Simulation-MLM. The statistical processing of the collected data utilized the SPSS WIN 17.0 program. Results: After receiving Simulation-MLM, the participants in the experimental group reported higher marks in the knowledge, self-efficacy and performance of ACLS compared with those in the control group. However, both experimental and control groups demonstrated no significant differences in knowledge, self-efficacy and performance. Conclusion: Despite of the limitation of a small sample size, this study was considered meaningful in a sense that it showed a venue for improving ACLS training efficiency. Future research with more distinct treatment differentiation and better adequate outcome variables was warranted in order to prove the effects of a theory-based simulation education.

Mg 합금 저항 점 용접의 연속 타점 수명에 미치는 전극 형상의 영향 (Effects of Electrode Shape on Electrode Life of Resistance Spot Welding of Mg Alloy)

  • 최동순;강문진;류재욱;김동철
    • 한국자동차공학회논문집
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    • 제22권4호
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    • pp.30-35
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    • 2014
  • According to weight lightning trend of automobile body, necessity of resistance spot welding (RSW) of Mg alloy on automobile industry is increasing rapidly because of the highest specific strength among commercial metals. Mg alloy has low electric resistance and high thermal conductivity like as Al alloy, so that needs applying high current in short time when welding. Thick oxide film of Mg alloy pollutes the electrodes and makes partial current carrying paths when on welding. Partial current carrying paths signify excessive concentration of current. There can initiate expulsion easily and reduces electrode life rapidly. Generating partial current carrying paths and expulsions are influenced by shapes of electrode. Therefore, electrode life also influenced by shape. In this study, we perform life test of RSW electrode of radius type. Measure tensile shear load and nugget size every spot alternately. As a result, radius type electrode can extend life over twice as dome type electrode.

Prediction of Remaining Useful Life of Lithium-ion Battery based on Multi-kernel Support Vector Machine with Particle Swarm Optimization

  • Gao, Dong;Huang, Miaohua
    • Journal of Power Electronics
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    • 제17권5호
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    • pp.1288-1297
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    • 2017
  • The estimation of the remaining useful life (RUL) of lithium-ion (Li-ion) batteries is important for intelligent battery management system (BMS). Data mining technology is becoming increasingly mature, and the RUL estimation of Li-ion batteries based on data-driven prognostics is more accurate with the arrival of the era of big data. However, the support vector machine (SVM), which is applied to predict the RUL of Li-ion batteries, uses the traditional single-radial basis kernel function. This type of classifier has weak generalization ability, and it easily shows the problem of data migration, which results in inaccurate prediction of the RUL of Li-ion batteries. In this study, a novel multi-kernel SVM (MSVM) based on polynomial kernel and radial basis kernel function is proposed. Moreover, the particle swarm optimization algorithm is used to search the kernel parameters, penalty factor, and weight coefficient of the MSVM model. Finally, this paper utilizes the NASA battery dataset to form the observed data sequence for regression prediction. Results show that the improved algorithm not only has better prediction accuracy and stronger generalization ability but also decreases training time and computational complexity.

Critical Factors Affecting Student Satisfaction and Loyalty: An Empirical Study in Cambodia

  • KIENG, Rotana;PHOTHIKITTI, Kitti;VONGURAI, Rawin
    • The Journal of Asian Finance, Economics and Business
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    • 제8권7호
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    • pp.225-234
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    • 2021
  • This research aimed to investigate the key factors affecting student satisfaction and loyalty in selected private universities in Cambodia. The study implemented a quantitative survey designed and guided by seven hypotheses to test the causal relationships among variables, such as academic experience, faculty services, campus life, social integration, student support facilities, student satisfaction, university image, and student loyalty. The research applied a multi-stage sampling technique of probability procedures to guarantee the presence of the research population. Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) were applied for data analysis to test the hypotheses model. The collected survey totaled 543 from three universities. The purposive sampling methods were used to select the three target universities, based on their reputation, the number of students, year of establishment, and the recognition from the Ministry of Education, Youth, and Sport. The stratified random sampling method was employed to select target respondents for data collection by dividing the population into subgroups to ensure a random sample. The results showed that student support facilities, campus life, and social integration, faculty services, and university image play very important roles in the satisfaction and loyalty of the students in three universities.

치과진료실에서 흔한 긴급상황의 처치 (How to cope with medical emergencies in the Dental Clinic)

  • 김현정
    • 대한치과의사협회지
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    • 제53권8호
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    • pp.530-537
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    • 2015
  • Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

안전·운용 지원 시스템을 적용한 해양레저선박 이송장치 개발 (Development of Transporter for Marine Leisure Ship with Safety and Operation Support System)

  • 김배성;황훈규;윤성원;김태엽;강종린
    • 한국해양공학회지
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    • 제33권5호
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    • pp.486-494
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    • 2019
  • Recently, the interest in marine leisure activities has been growing rapidly with the work-life balance trend. In response to this demand, the Korean government is supporting fostering and revitalizing the relevant industries and facilities. In particular, a marina has been making efforts to change itself into a resort with multiple amenities instead of a simple mooring facility. However, the facilities in a marina for the transport of marine leisure equipment mostly consist of cranes and boat-lifts using ropes, which can result in incidents such as damage and accidents during lifting or movement. This paper proposes the equipment and support system for the safe transportation of marine leisure ships. Aluminum transport equipment was designed by performing a structural analysis to achieve a lighter weight than the existing steel products. In addition, a safety support system with alarms for tilting or obstacles and a slope monitoring system was developed to enhance the safety during operation and transportation. The safety support system developed in this study was implemented and installed in the transport system, and verified through commissioning on land.

Mental Health Factors associated with North Korean Defectors' Quality of Life

  • Rho, In-Suk;Kang, Hee-Young;Jeon, Jeung-He
    • International Journal of Advanced Culture Technology
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    • 제7권2호
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    • pp.19-27
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    • 2019
  • The purpose of this study was to assess mental health and quality of life (QOL) including factors influencing QOL among early North Korean defectors in South Korea. Participants were 151 early North Korean defectors residing in a settlement support center. All measures were self-administered. Unlike refugees living in communities, early defectors did not experience a high rate of mental health problems and reported a good QOL. Psychoticism was the most predictive factor affecting QOL. Findings from this study suggest the importance of mental health assessment and support over time. Psychoticism, significant in explaining QOL of early North Korean defectors, needs early diagnosis and treatment to prevent progression. Mental health issues among refugees may not be evident while they are in a structured, supportive environment. Evaluation and treatment are needed over time.

치과치료시 고혈압적 응급상황 관리 -증례 보고- (Management of Hypertensive Crisis Emergency -A Case Report-)

  • 황재호;김기덕;우은정;이민혜;담추금;박원서
    • 대한치과마취과학회지
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    • 제10권2호
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    • pp.183-189
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    • 2010
  • Medical emergencies are not rare in dental practice but when an emergency does occur it can be life-threatening. Medical emergency such as hypertensive crisis can be encountered in dental practice and the dentist should be competent in emergency management by taking life support courses. This report shows 3 cases of hypertensive crisis during dental treatment and we discuss proper management of the patients. The medical and dental management for the hypertensive crisis included a correct diagnosis, pharmacological usages for pain control and stress relieving environment making.

Optimizing Nutrition Support in Cancer Care

  • Menon, Kavitha Chandrasekhara
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2933-2934
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    • 2014
  • Involvement of a multidisciplinary team in cancer care may have added benefits over the existing system of patient management. A paradigm shift in the current patient management would allow more focus on nutritional support, in addition to clinical care. Malnutrition, a common problem in cancer patients, needs special attention from the early days of cancer care to improve quality of life and treatment outcomes. Patient management teams with trained oncology dietitians may provide quality personalized nutritional care to cancer patients.

모델 기반 중소형 플랜트 형상관리 시스템의 효과성 평가 사례 (A case on the Evaluation of the Effectiveness of Model based Configuration Management System for Small/ Medium-Sized Plant)

  • 하가연;김진일;신중욱;염충섭
    • 시스템엔지니어링학술지
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    • 제17권1호
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    • pp.107-113
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    • 2021
  • Plant Configuration Management(CM) is an activity to maintain consistency of design requirements, physical configuration, facility configuration information throughout the life cycle of the plant by systematically managing changes that occur during the plant design and operation process. Conformity between information must be ensured not only in the design stage, but also in the case of design changes in the operation and maintenance stages, and thus a computer system capable of efficiently managing them is required. In particular, in consideration of an application to small and medium-sized domestic plants, a computer system that can support configuration management at a low cost is needed. Accordingly, in this study, a configuration management system has been developed to support the management of plant design information and change procedures in the operation stage of small and medium-sized plants. Here, a case for quantitatively evaluating the effectiveness of the developed system is described.