• Title/Summary/Keyword: Area of Severity

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Validation of Critical Care Non-verbal Pain Scale for Critically Ill Patients (중환자 통증사정 도구의 타당성 평가)

  • Choi, Eun Hee;Kim, Jin Hee;Ko, Mi Suk;Kim, Ji Yang;Kwon, Eun Ok;Jang, In Sun
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.245-254
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    • 2013
  • Purpose: This study was done to examine predictive validity of Critical Care Non-verbal Pain Scale (CNPS) and develop criteria for pain assessment using CNPS with critically ill patients who have communication problems. Methods: Data were collected from intensive care units at three major general hospitals in Seoul and Kyunggi province. During each observation, a nurse assessed pain severity using CNPS ratings (range 0-9) at four treatment stages: at rest, during central catheter dressing change (nonpainful procedure), position change and suctioning (routine painful procedures). Patients also assessed their pain using a self-report 4-point VRS-4. Results: There were significant differences between the four treatment stages except between "at rest" and "nonpainful procedure". Strong correlations were found between CNPS and VRS-4 for "at rest" (r=.552, p<.001), central catheter dressing change (r=.505, p<.001), position change (r=.709, p<.001), and suctioning (r=.662, p<.001). ROC curve analysis of CNPS based on 3 point on VRS-4 showed the cutoff point was 3 for CNPS, the starting point for pain management with 73% sensitivity, 92.2% specificity, 73% positive predictive value, and 92.8% negative predictive value. Conclusion: Results indicate that CNPS is a valid tool for measuring pain in critically ill patients with communication problems and 3 point should be the standardized pain treatment point.

A Study about Factors Influencing on the Postoperative Prognosis of the Right Ventricular Outflow Trac Obstruction (우심실유출로협착증의 수술예후에 영향을 미치는 인자에 관한 연구)

  • 최강주
    • Journal of Chest Surgery
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    • v.27 no.6
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    • pp.435-443
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    • 1994
  • Surgical procedures to relieve congenital right ventricular outflow tract[RVOT] obstruction of heart were performed on 125 patients from September 1985 to August 1992. There were 65 males and 60 females. Ages ranged from 7 months to 33 years with a mean age of 8 years. All the patients were divided into three main groups[I, II, III] depending on the presence or absence of cyanosis and combined anomalies. The patient were classified into two groups; A and B according to the outcome after surgical repair. Group A included the patients who had a good postoperative outcome with or without mild complications such as wound disruption, or hydrothorax. Group B included the patients who had a poor outcome including hospital death and significant postoperative complications such as heart failure, low output syndrome, respiratory failure, hepatic failure and others. And the results were summarized as follows. 1. There were no significant differences in age, body surface area and aortic dimension among the group I, II, and III, but there were significant differences among groups in pulmonary arterial dimension, ACT[aortic cross clamping time], TBT [total bypass time], preoperative and postoperative ratio of systolic pressure of right and left ventricles [pre PRV/RV and post PRV/LV], and the size of Hegar dilator which passed through the RVOT postoperatively [p<0.05]. 2. In the group A and B, there were significant differences in pulmonary arterial dimension [group A:1.6$\pm$0.5 cm, group B:1.9$\pm$0.6 cm], ACT [group A:102.3$\pm$ 46.0 minute, group B:76.1$\pm$46.1 minute], TBT [group A:133.9$\pm$56.6 minute, group B:94.9$\pm$51.9 minute], pre PRV/LV [group A:1.06$\pm$0.24, group B:0.8$\pm$0.32], post PRV/LV [group A:0.58$\pm$0.18, group B:0.43$\pm$0.16].It has been concluded that postoperative prognosis of RVOT obstruction was influenced by pulmonary arterial dimension, ACT, TBT, severity of RVOT obstruction [pre PRV/LV] and post PRV/LV.

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A Study on Crash Causations for Railroad-Highway Crossings (철도건널목 사고요인 분석에 관한 연구)

  • O, Ju-Taek;Sin, Seong-Hun;Seong, Nak-Mun;Park, Dong-Ju;Choe, Eun-Su
    • Journal of Korean Society of Transportation
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    • v.23 no.1
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    • pp.33-44
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    • 2005
  • Railroad crossing crashes are fewer than road crashes, but with regard to crash severity, they can be serious injury crashes. There should be, therefore, enormous efforts to increase the safety of railroad crossings. The objective of this paper is to identify and understand factors associated with railroad crossing crashes. Statistical models are used to examine the relationships between crossing accidents and geometric elements of crossings. The results show the Poisson model is the most appropriate method for the crossing accidents, because overdispersion was not observed. This study identifies seven significant factors associated with railroad crossing crashes through the main and variant models. With regard to explanatory factors on crossing safety, the total traffic volume, daily train volume, presence of commercial area around crossings, distance of train detector from crossings, time duration between the activation of warning signals and gates, crossing types, and speed hump were found to affect the safety of railroad crossings.

Control of Powdery Mildew on Cucumber by Using Oleic Acid in the Greenhouse (올레산을 이용한 오이의 흰가루병 방제)

  • Lee, Moon-Haeng;Kim, Young-Shik
    • Korean Journal of Organic Agriculture
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    • v.22 no.4
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    • pp.695-703
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    • 2014
  • We experimented with the effect of oleic acid and its appropriate concentration to prevent powdery mildew eco-friendly in a cucumber greenhouse cultivation. 'Baekbongdadaki' (Nongwoo Bio. co. Korea) was treated in the plastic greenhouse at Sangmyung University. We treated four levels of concentration of oleic acid, which were 0, 2000, 4000, 6000, and 8000 ppm. There were investigated diseased severity, diseased leaf area, control value, and pesticide injury. The degree of control values by oleic acid treatments was investigated at 3 days after treatment. The recurrence of powdery mildew was checked for 55 days. The day and night temperature in the greenhouse were controlled to 23 and $15^{\circ}C$ respectively. The humidity inside the greenhouse was not controlled to prevent outbreak of the disease. From the experimental results, oleic acid was very efficient to control powdery mildew. 2000 ppm of oleic acid was shown to be the most control efficiency without any pesticide injury. The recommended method to treat it was to spray three times every 3 weeks.

Spatial Analysis for Mean Annual Precipitation Based On Neural Networks (신경망 기법을 이용한 연평균 강우량의 공간 해석)

  • Sin, Hyeon-Seok;Park, Mu-Jong
    • Journal of Korea Water Resources Association
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    • v.32 no.1
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    • pp.3-13
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    • 1999
  • In this study, an alternative spatial analysis method against conventional methods such as Thiessen method, Inverse Distance method, and Kriging method, named Spatial-Analysis Neural-Network (SANN) is presented. It is based on neural network modeling and provides a nonparametric mean estimator and also estimators of high order statistics such as standard deviation and skewness. In addition, it provides a decision-making tool including an estimator of posterior probability that a spatial variable at a given point will belong to various classes representing the severity of the problem of interest and a Bayesian classifier to define the boundaries of subregions belonging to the classes. In this paper, the SANN is implemented to be used for analyzing a mean annual precipitation filed and classifying the field into dry, normal, and wet subregions. For an example, the whole area of South Korea with 39 precipitation sites is applied. Then, several useful results related with the spatial variability of mean annual precipitation on South Korea were obtained such as interpolated field, standard deviation field, and probability maps. In addition, the whole South Korea was classified with dry, normal, and wet regions.

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Effect of Sulfur Dioxide on Oyster Mushroom in Yeochun Industrial Complex Area (여천공업단지(麗川工業團地)에서 배출(排出)되는 이산화유황이 느타리버섯의 생육(生育)에 미치는 영향(影響))

  • Shin, Kwan-Chull;Oh, Man-Jin
    • The Korean Journal of Mycology
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    • v.19 no.4
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    • pp.285-291
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    • 1991
  • Sulfur dioxide discharged from the factories in Yeochun industrial complex severely damaged to the growth of oyster mushrooms. The continuous monitoring indicated that high concentration of sulfur dioxide was repeatedly detected in Kwang-Yang and Seung-Ju. The first injury symptoms on the mushroom fruit bodies were observed a day later when sulfur dioxide was detected over 300 ppb. Under the high concentration of sulfur dioxide exposure, the young fruit bodies showed blight and sudden death and the mature fruit bodies turned to blue-brown and frequently progressed to blight. The symptoms at Spring cropping were more severe than those at Autumn cropping. The severity was associated with the frequency of sulfur dioxide monitored. However, sulfur content in the mushroom fruit bodies and culture media did not show clear differences between the injured mushroom from Yeochun industrial complex areas and normal ones from no damaged areas.

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A Study on the Hydrologic Decision-Making for Drought Management : 2. Decision-Making Method for Drought Management (가뭄관리를 위한 수문학적 의사결정에 관한 연구 : 2. 가뭄관리를 위한 의사결정 방법)

  • Kang, In-Joo;Yoon, Yong-Nam
    • Journal of Korea Water Resources Association
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    • v.35 no.5
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    • pp.597-609
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    • 2002
  • This study suggests a methodology of hydrologic decision making for the establishment of a standard of drought management from the drought analysis by the past drought history and for the drought monitoring and management according to drought processing. The construction and analysis of a decision tree diagram are performed and the step by step plan according to drought severity is suggested. Say, the decision tree diagram is constructed by the transition probability and quantity of monthly precipitation. Then the drought processing is investigated by the analysis of diagram and the 3-step of drought notice, drought warning, and emergency plan are established. The suggested methology in this study can be used for the other area and the decision tree diagram be used by changing the diagram according to the utilization purposes. Also, the choice of monthly PDSI class and precipitation analysis can be performed by the continuous data supplement. And so, a new standard value by the modified diagram is provided and the continuous drought management will be possible.

A Study on the Risk Management Framework for the Long-term Preservation Business of Electronic Records (DRAMBORA를 응용한 전자기록 장기보존 업무 위험관리체계 연구)

  • Yim, Jin-Hee
    • The Korean Journal of Archival Studies
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    • no.27
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    • pp.119-168
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    • 2011
  • This paper proposed risk management approach as a self-audit framework to achieve the goals which might be common among the records management organizations in Korea governmental and public area. After introducing the history and the concept and process of risk management approach and examining DRAMBORA's framework, the processes and the methods of risk management for the electronic records which are customized from DRAMBORA are explained in details: How to define the business context of organizations, how to determine the business functions and activities and related risks, how to assess the level or severity of each risks and some considerations related to risk assessment. As a result, this paper shows that application of DRAMBORA's framework to the electronic records management organizatioins is not only possible but also useful and effective. The critical point for the success of application for DRAMBORA's framwork or the risk management approach itself each organizations which wants to accept that framework should define its own business functions and activities and the goals in respect areas.

A Study on Assessment of Penetration Seals Performance of Nuclear Power Plants (원자력발전소 관통부 충전구조의 내화성능평가에 관한 연구)

  • Cho Hong-Seok;Park Jun-Hyen;Son Bong-Sae;Im Jung-Soon
    • Fire Science and Engineering
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    • v.18 no.4
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    • pp.93-102
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    • 2004
  • The function of fire barrier penetration sealing is highly important to confine a fire propagation a fire severity within a fire area where the fire started. Especially for the penetration seals at the nuclear power plants with the long-term operated history, it is needed to make it clear that the conformance to the sealing requirements has been proven to guarantee the fire-resistive performance of fire barrier penetration parts. If there are any parts of fire barrier penetration sealing which can not meet the required rating for the fire endurance performance, the relevant parts must be modified to meet regulatory requirements. At this paper, the engineering analysis methodology was established to approximate the fire endurance rating for the fire barrier penetration seals. With this study, the method of engineering analysis to decide fire endurance rating for the fire barrier penetration seals was established and this way can be utilized to check the performance of the fire rating for the penetration seal at the domestic nuclear power plants.

Analysis of historical drought in East Asia with CLM and CLM-VIC (CLM 및 CLM-VIC를 이용한 동아시아 지역의 과거 가뭄 분석)

  • Um, Myoung-Jin;Kim, Jeongbin;Kim, Mun Mo;Kim, Yeonjoo
    • Ecology and Resilient Infrastructure
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    • v.5 no.3
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    • pp.134-144
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    • 2018
  • In this study, the historical drought in East Asia was analyzed with the Community Land Model (CLM) and CLM-Variable infiltration capacity (CLM-VIC). The observation dataset, Climate Research Unit (CRU), were also applied to check and estimate the historical drought for 1951 - 2010. The annual precipitation, temperature and evapotranspiration by CRU, CLM and CLM-VIC were investigated before estimating the meteorological drought index, which is the Standardized precipitation evapotranspiration index (SPEI). Three variables by observation and simulations have generally similar spatial pattern in East Asia even though there are some mere differences depending on the local area. These similar patterns are also founded in the results of SPEI by CRU, CLM and CLM-VIC. However, the similarity of SPEI becomes weaker as the drought severity goes severer from D1 to D4.