• 임상간호연구
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• 제18권1호
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• pp.149-158
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• 2012

Purpose: The purpose of this study was to investigate incidence and factors related to diarrhea in an intensive care unit (ICU). Methods: Retrospective correlational design was used. Data were collected from reviewing medical records of 210 patients stayed at an ICU in one university hospital, Seoul. Patients were included in the study if they 1) had no gastrointestinal disorders or fecal incontinence before coming to the ICU, 2) stayed longer than 5 days at the ICU, 3) were not on stool softners, 4) were without abdominal surgery, and 5) were 20-year-old or older. Results: The incidence of diarrhea was 27.1%. Durations of ICU stay, antibiotics administration, and enteral feeding were found to be statistically significant factors correlated with diarrhea. The enteral feeding was the significant predictors of the diarrhea in ICU. Conclusion: Since characteristics of diarrhea in ICU patients is shown to be multifactorial, nursing strategies for evaluating and managing related factors are recommended.

• Korean Chemical Engineering Research
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• 제57권5호
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• pp.589-595
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• 2019

"파리 협정"을 통해 출범된 신기후체제에 따라 세계 각국에서 온실가스를 감축하기 위한 정책과 연구가 수행되고 있으며, 우리나라에서도 온실가스 감축을 위한 대책 마련이 시급한 실정이다. IEA 보고서에 따르면 에너지 부분의 $CO_2$ 배출량이 전체 배출량의 2/3에 해당하기 때문에 온실가스 감축을 위해서는 단기적으로는 화석연료 사용을 대체할 수 있는 신재생에너의 생산과 적용 기술 개발과 에너지효율개선 기술 도입이 최선이며, 장기적인 관점에서는 온실가스를 포집하고 활용하는 온실가스 포집 및 활용(CCUS, Carbon Capture Utilization and Storage) 기술 개발이 필수적이다. CCUS 기술은 온실가스를 직접적으로 감축시키는 기술로 활발하게 연구되고 있는 기술이다. 본 논문에서는 다양한 CCUS 기술 개요 및 연구 현황과 향후 전망에 대해서 살펴보았다.

• 신재생에너지
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• 제19권1호
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• pp.41-52
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• 2023

Various carbon upcycling technologies have been proposed and are under development to achieve Korea's carbon neutrality target. Many chemical reactions are under development through various chemical reaction pathways, and different technological maturity levels are shown for each country and company. In this situation, it is essential to establish investment decisions such as research funds and human resources allocation through technological and economic analysis for close commercialization technologies and basic technologies with low technology readiness levels (TRL). Therefore, in this study, the technology development priority for developing carbon upcycling items was selected according to the domestic Carbon Capture & Utilization (CCU) technology roadmap using the stakeholder selection tool released by EU CarbonNext. As a result of the analysis, the TRL level of Korea's major carbon upcycling technologies was analyzed to be lower than that of other carbon resource technologies, and it was considered desirable to invest in mineral carbonization technologies among various candidate technologies.

• Korean Chemical Engineering Research
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• 제56권3호
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• pp.381-387
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• 2018

Our study focuses on upgrading real biogas obtained under Indian scenario using carbon capture and utilization (CCU) technology to remove carbon dioxide ($CO_2$) and utilize it by forming metal carbonate. Amines such as monoethanolamine (MEA), diethanolamine (DEA), and sodium hydroxide (NaOH) were used to rapidly convert gaseous $CO_2$ to aqueous $CO_2$, and $BaCl_2$ was used as an additive to react with the aqueous $CO_2$ and rapidly precipitating the aqueous $CO_2$. All experiments were conducted at $25^{\circ}C$ and 1 atm. We analyzed the characteristics of the $BaCO_3$ precipitates using X-ray diffractometry (XRD), scanning electron microscopy - Energy dispersive spectroscopy (SEM-EDS) and Fourier-transform infrared spectroscopy (FT-IR) analyses. The precipitates exhibited witherite morphology confirmed by the XRD results, and FT-IR confirmed that the metal salt formed was $BaCO_3$, and EDS showed that there were no traces of impurities present in it. The quantity of the $BaCO_3$ was larger when formed with DEA. Also, a comparison was done with a previous study of ours conducted in Korean conditions. Finally, we observed that the carbonate obtained using real biogas showed similar properties to carbonates available in the market. An economic analysis was done to show the cost effectiveness of the method employed by us.

• International Journal of Oral Biology
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• 제41권4호
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• pp.243-251
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• 2016

This study was undertaken to achieve a high bleaching efficacy with plasma, through longer application and reparative bleaching processes, by different shade evaluation methods. Extracted human teeth were divided into 6 groups (n=10). All teeth were treated in pairs. Low concentration of 15% carbamide peroxide (CP) was applied, with and without plasma, for 10, 20, and 30-min tooth bleaching, respectively. The bleaching procedure was repeated once daily for four days. The teeth were maintained in a moist environment provided by artificial saliva. The Vitapan Classical shade guide and Commission Internationale de L'Eclairage (CIELAB) color system were collectively used to measure the bleaching efficacy. Color evaluation was statistically analyzed using Student t-test and one-way analysis of variance (ANOVA) complemented by Tukey's test. Combining the plasma with 15% CP showed significantly greater color changes compared to bleaching without plasma (p<0.05). A high bleaching efficacy with plasma is proportional to the repetitive application and the treatment time. A 30-min application with plasma provided the best bleaching. Repetitive bleaching showed lower probability of color relapse of the bleached tooth. The color change by shade guide correlated with the changes in CIELAB color system. A value of 1 color change units (CCU) conversion factor for overall color change (${\Delta}E$) values comparisons was 3.724 values. The two measuring methods provide a more accurate correspondence of color change. The repetitive and longer application for tooth bleaching, combined with plasma, has a strong bleaching effect and produces whiter teeth.

• 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.

• 성인간호학회지
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• 제27권3호
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• pp.347-357
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• 2015

Purpose: This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. Methods: We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by ${\chi}^2$-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. Results: The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). Conclusion: The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.

• 성인간호학회지
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• 제28권6호
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• pp.628-636
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• 2016

Purpose: This study examined the effects of a program designed to prevent ventilator-associated pneumonia (VAP) on VAP rate and endotracheal colonization. The program focused on aspiration prevention and oral care. Methods: A nonequivalent control group post-test only design was utilized. One hundred patients admitted to a medical intensive care unit (MICU) or coronary care unit (CCU) were assigned to either a experimental group (n=50) or a control group (n=50). The participants were selected 48 hours following an endotracheal intubation. VAP prevention program given to the experimental group includes keeping the head of the bed to $30^{\circ}{\sim}45^{\circ}$ high, maintaining continuous endotracheal cuff pressure at 25 cm $H_2O$, performing endotracheal suction before change position, and providing oral care with 0.1% chlorhexidine every four hours. The control group received usual care. Data were analyzed using t-test, $x^2$ test, Mantel-Haenszel $x^2$ and Cox proportional harzard regression model. Results: The experimental group showed a lower VAP rate than the control group although the difference was not statistically significant ($x^2=0.79$, p=.375). The experimental group showed lower colonization in tracheal secretion than the control group ($x^2=14.59$, p<.001). Conclusion: Results showed that a VAP prevention program is effective in reducing colonization of tracheal secretion. Therefore, VAP prevention programs are recommended as an ICU nursing intervention.

• KEPCO Journal on Electric Power and Energy
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• 제2권2호
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• pp.187-192
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• 2016

이산화탄소의 화학적 전환기술은 온실가스 저감뿐만 아니라 탄소자원화를 통해 유한한 자원을 대체할 수 있는 기술이다. 다양한 화학반응에 의한 이산화탄소의 전환이 상용화되어 있지만, 대량의 이산화탄소를 자원화하기 위해서는 혁신적인 기술개발이 필요하며 전세계적으로 이에 대한 연구가 활발히 진행되고 있다. 이산화탄소를 직접 분자구조내에 삽입하는 기술 중 고분자 원료물질로 이용되고 있는 Dimethyl carbonate와 Polyol에 대한 제조기술 현황에 대해 소개하였다. RIST에서는 Dimethyl carbonate 제조기술로 urea methanolysis에 의한 촉매 및 공정을 개발하였으며, Polyol의 경우 고유 촉매개발 및 polyol 제품군에 대한 연구를 수행중에 있다. 이들은 분자내에 이산화탄소를 40%이상 포함할 수 있는 화학제품이므로 실용화 성공 시 온실가스 저감에 큰 기여를 할 수 있을 것으로 기대된다.

• 임상간호연구
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• 제18권1호
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• pp.136-148
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• 2012

Purpose: The purpose of this study was to develop a reliable and valid pain assessment tool suitable for critically ill patients with communication problem in Korean intensive care unit. Methods: This pain assessment tool, Critical Care Non-verbal Pain Scale (CNPS), was developed based on review of national and international researches. Data were collected from ten intensive care units at five major general hospitals in Seoul. Reliability and validity were tested during performance of position change and endotracheal suctioning. Pain was measured before, during, and 20 minutes after the two procedures. Results: Interrater reliability of the CNPS was analyzed by ICC (Intraclass correlation coefficients). ICC values were significant from .833 to .883. Significant correlation between the FPS (Face Pain Scale) scores and the CNPS scores verified concurrent validity of the CNPS. For position change, CNPS scores increased significantly between before and during (t=-23.399, p<.001) and decreased significantly between during and 20 minutes after (t=22.760, p<.001). For endotracheal suctioning, CNPS scores increased significantly between before and during (t=-29.064, p<.001) and significantly decreased between during and 20 minutes after (t=28.194, p<.001), verifying construct validity of the CNPS. Conclusion: Results indicate that the CNPS can be used to assess pain of critically ill patients who have communication problem.