• Title/Summary/Keyword: CCU

Search Result 58, Processing Time 0.02 seconds

Development of a Pain Assessment Tool for Critically Ill Patients (중환자 통증사정 도구 개발)

  • Choi, Eun Hee;Kim, Jin Hee;Choi, Kyung Ok;Yoo, Jung Sook;Kim, Mi Soon;Kim, Pil Ja;Jang, In Sun
    • Journal of Korean Clinical Nursing Research
    • /
    • v.18 no.1
    • /
    • pp.136-148
    • /
    • 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.

Post-Traumatic Stress Disorder Symptoms and Quality of Life of Patients with Coronary Artery Disease (관상동맥질환자의 외상 후 스트레스장애 증상과 삶의 질)

  • Lee, Seung Ah;Kang, Jiyeon
    • Journal of Korean Critical Care Nursing
    • /
    • v.12 no.1
    • /
    • pp.82-93
    • /
    • 2019
  • Purpose : The purpose of this study was to investigate the degree of post-traumatic stress disorder (PTSD) symptoms and the effect of PTSD on quality of life (QoL) among coronary artery disease (CAD) patients. Methods: The participants were 135 CAD patients who visited outpatient clinics in a university hospital in B city of Korea. Their PTSD symptoms and QoL were measured by structured questionnaires and analyzed with multiple hierarchical regression analysis. Results: Among the 135 participants, 20.7% were classified as moderate risk, and 3.7% as high risk for PTSD. PTSD symptoms were significantly higher in participants who were diagnosed with CAD within 6 months (t=26.02, p<.001). The physical component of health-related QoL was influenced by gender (${\beta}=-.25$, p =.003), recurrence of CAD (${\beta}=.21$, p =.008), and PTSD symptoms (${\beta}=-.33$, p <.001). The mental component of health-related QoL was influenced by religion (${\beta}=-.17$, p =.044), body mass index (${\beta}=.17$, p =.033), and PTSD symptoms (${\beta}=-.37$, p <.001). Conclusion: Patients who had had a CAD diagnosis for less than 6 months were found to be vulnerable to PTSD, and PTSD was found to have a negative impact on the physical and mental components of their QoL. It is necessary to develop an intervention program for the effective prevention and management of PTSD symptoms in patients with CAD.

Research on Innovation Technologies for Zero Carbon: Carbon Dioxide Reduction in Construction and Concrete Industries (탄소 제로화를 위한 혁신 기술 연구: 건설 및 콘크리트 산업에서의 이산화탄소 저감 방안 동향)

  • Kim, Joo-Hyun;Park, Jung-Jun;Kim, Jong-Kyu
    • Journal of the Korean Society of Industry Convergence
    • /
    • v.25 no.4_2
    • /
    • pp.549-563
    • /
    • 2022
  • Continuous global warming is causing ecosystem destruction and direct damage to human life. The main cause of global warming is greenhouse gases, which account for more than 90 % of carbon dioxide. The leaders of each country signed the Paris Agreement at the United Nations Convention on Climate Change (UNFCCC) to reduce greenhouse gas emissions. Currently, the total amount of CO2 emitted from South Korea is 664.7 million tons as of 2018, ranking eighth in the world. 37 % of South Korea's total CO2 emissions come from the construction & building field, especially the cement production, which is a construction material. Carbon reduction technologies can be largely divided into four types: carbon reduction (CC), carbon reduction and storage technology (CCS), carbon reduction and utilization technology (CCU), and carbon reduction, storage and utilization technology (CCUS). Overseas, CCUS technology is mainly applied to reduce and store CO2 emitted from construction and construction field. A technology for permanently storing CO2 through mineralization by capturing CO2 and utilizing CO2 into a cement production process was developed, and this technology is applied to the entire cement industry. However, the development of CCUS technology applicable to the cement industry is still insignificant in South Korea. In this study, carbon dioxide reduction technology and methods for reducing carbon dioxide emitted during the cement manufacturing process, which is the main component of concrete mainly used in civil engineering construction, were investigated. Overseas, it has reached the commercialization stage beyond the demonstration stage as a way to reduce carbon dioxide by vomiting carbonation reactions. Accordingly, if carbon dioxide reduction plan technology generated during cement manufacturing is developed based on domestic technology differentiated from foreign technology, it is expected to contribute one more step to the carbon neutrality policy.

Studies on the Engineering Characteristics of Alluvial Clayey Deposits in the Bay Area of Asan (II) (아산만지역 충적점토의 토질특성에 관한 연구(II))

  • 유능환;유연택
    • Magazine of the Korean Society of Agricultural Engineers
    • /
    • v.30 no.2
    • /
    • pp.55-66
    • /
    • 1988
  • This study was conducted to investigate the various engineering properties and correlationshops among the soil constants of alluvial clayey deposits distributed in the bay of Asan and their results are summarized as follows : 1. Grain size distribution of soil was consisted of 12 % of clay, 46-73 % of silt, 2-23 % of sand, and as for the consistency characteristics, 26-36 % of liquid limit, 18-21 % of plastic limit and 6-16 % of plastic index, and so the soil belonging to as a lower plastic nonorganic clay, it's specific gravity was 2,66-2.70, and the location on the plastic chart was approximately above the A-line. Z The natural moisture content and unit weight were 30-43 % and 1.76-1.87 g I cm$_3$, respectively, and according to increment of natural moisture content, the unit weight was decreased, and the initial void ratio and degree of saturation were shown of 0,87-1119 and 92- 100 %, most of saturated. 3. Cone resistance value which was shown 2.4 - 6.5 kg / $cm^2$ was a little lower and it was increased with the depth of layer and shown the formular $q_c=0.7_z+1.32$. 4. Unconfined compression strength was about 0.18-0.43kg /$cm^2$, cu, 0.1-0.22kg / $\psi$, $2-6^{\circ}$ under uu-test condition of triaxial, and CCU, 0.08-0.3 kg/cm , $\psi$, $12-18^{\circ}$ under the condition of cu-test. 5. Pre-consolidation load of characteristics of consolidation was 0.4-0.8 kg / $cm^2$, compression index, about 0.17-0.33. 6. Liquid limit and plastic index were incresased with the increment of clay content but most of alluvial clay was appeared as a normal through non-activity clay soil shown more natural moisture content than liquid limit, and their relationship as follows : LL=0.38( cy+54.8), PI=0.836(LL -17.8), PI =0.468(LL -0.48) 7. The initial void ratio presented correlationship of positive among clay content, natural moisture content and liquid limit, and that of reverse with unit weight, and their results as follws : $e_o=0.024(w_n+0.2)$, $e_o=e_o=0.0003c_y+0.0005 LL+0.0151 W_n+\frac{3.58}{r-t}-1.52$ 8. It was shown that the compression index has correlationship of postive among the clay content, liquid limit, plastic index, natural moisture content and initial void ratio, and their relationships as follows ; $c_c=0.44(e_o-0.47)$, $c_c=0.001$

  • PDF

The Development of Pc Based EGG-NIBP Patient Monitor (PC 기반의 심전도-비관혈식 혈압 환자감시장치의 개발)

  • 김남현;김경하;주기춘;라상원;송광석;한민수;김성민;이건기;최태영
    • Journal of Biomedical Engineering Research
    • /
    • v.20 no.4
    • /
    • pp.461-469
    • /
    • 1999
  • In this paper, an ECG-NIBP patient monitor is designed. This is an essential equipment to measure and monitor patient's physical condition - electrocardiogram(ECG) wave, heart rate(HR), and noninvasive blood pressure(NIBP) - in ICU, CCU, and operating room. The ECG is an electrical waveform produced by relaxation and contraction of the cardiac muscle. Most physicians diagnose patient's cardiac states from ECG pattern. A blood pressure is one of the clinical indexes measured in a emergency room or operating room. In this paper, the blood pressure is measured in artery by using the nonivasive oscillometric method. The developed patient monitor was inspected and compared with other instruments in operating rooms. The results were 1bpm of maximum difference in the heart rate, 15mmHg in the systolic pressure, 16mmHg in the diastolic pressure, and 25mmHg in the mean blood pressure. But the total results were 0.15bpm of the mean difference in the heart rate, 5mmHg in the systolic pressure, 10mmHg in the diastolic pressure, and 9mmHg in the mean blood pressure. The designed ECG-NIBP patient monitor can measure the ECG wave, HR, and BP. And the multi-tasking module of pulse oximetry . respiration . temperature monitor will be added in the near future.

  • PDF

Development of Concrete Sensory Information for Patients Undergoing Cardiac Catheterization (심도자 검사 환자를 위한 구체적 감각 정보의 개발)

  • 김조자;김화순
    • Journal of Korean Academy of Nursing
    • /
    • v.27 no.2
    • /
    • pp.433-443
    • /
    • 1997
  • Cardiac catheterization is a diagnostic procedure which is intrusive and anxiety provoking. Patient education and information offer have been suggested as effective nursing interventions to reduce patients' anxiety and stress. Main objectives of this study are : 1) to develop concrete objective information for patients undergoing cardiac catheterization : 2) to analyze the types of information included in the newly developed concrete objective information. The subjects of this study are 11 patients who were admitted to the CCU of a general hospital in Seoul. The subjects were provided with preparatory information about cardiac catheterization by using interview and a booklet. After the procedure, the subjects were asked to describe additional information which they suggest to be added into the booklet and the physical sensations felt during the procedure. The results of the study are summarized as follows : Most subjects were satisfied with the preparatory information that was provided by interview and the booklet before the procedure. But patients suggested several problems related to the content of the booklet. First, they reported difficulty to differentiate the terms -coronary angio gram and cardiac catheterization. Also, some patients expressed that they feared after reading the information about the incision of inguinal area. Subjects responded that the information about the direct process of the test did not reduce their anxiety and the information was not detail enough. Next, most subjects would want to know about the monitor and the sound from monitor. They said that they could not hear instructions from doctor or nurse during the procedure due to tension. Considering above response results, the need for more effective way to provide information, like visual and auditory information through video tape for giving information is suggested. Sensations related to the procedure were the smell coming from sterilization of inguinal area, stinging pain in groin when the doctor inserts a needle into artery, and the sensation of pressure and moving of vessels surrounding neck when the catheter was inserted and visualized on fluoroscopy. Besides, subject reported hot sensation and burning feeling in face and chest area, and nausea when dye is injected by hand. In the analysis of information content, there was 79% agreement on the actual units of analysis that were coded. In the analysis of type of information, procedural information was 60.4%. Concrete objective information was 28.1%. and other information was 11.5%. Agreement of the coders in categorizing the units of information was determined by using Cohen's kappa which corrects for chance agreement. Cohen's kappa was .84.

  • PDF

Pervaporation of binary Water/Methanol and Water/Butanol Mixtures through Zeolite 4A Membranes: Experiments and Modeling (제올라이트 4A 분리막을 이용한 물/메탄올, 물/부탄올 혼합물의 투과증발 특성 연구: 실험 및 모형)

  • Oh, Woong-Jin;Jung, Jae-Chil;Yeo, Jeong-gu;Lee, Jung Hyun;Kim, Hyunuk;Park, Young Cheol;Lee, Dong-Ho;Moon, Jong-Ho;Cho, Churl-Hee
    • Membrane Journal
    • /
    • v.27 no.6
    • /
    • pp.487-498
    • /
    • 2017
  • In this study, pervaporation performances of water/methanol and water/butanol mixture were evaluated using zeolite 4A membranes manufacutred by FINETECH by experimental works and numerical modeling. Permeation and separation characteristics, such as flux and separation factor, were analyzed by gas chromatography (TCD) and liquid nitrogen traps. Experiments have shown that water is selectively separated from a mixture of water and methanol (separation factor up to approximately 250) and water and butanol (separation factor up to approximately 1,500). Generalized Maxwell Stefan (GMS) theory was implemented to predict pervaporation behaviors of water/alcohol mixtures and diffusional coefficients of zeolite layer were obtained through parameter estimation using $MATLAB^{(R)}$ optimization toolbox. Since the pore size of zeolite 4A are much larger than kinetic diameter of water molecules and smaller than those of methanol and butanol, zeolite 4A membranes can be applied to in situ water removal process such as membrane reactors or hybrid reaction-dehydration process.

Characteristic of Precipitated Metal Carbonate for Carbon Dioxide Conversion Using Various Concentrations of Simulated Seawater Solution (해수 농축수 내 금속 이온 농도에 따른 이산화탄소 전환 생성물의 특성연구)

  • Choi, Eunji;Kang, Dongwoo;Yoo, Yunsung;Park, Jinwon;Huh, Il-sang
    • Korean Chemical Engineering Research
    • /
    • v.57 no.4
    • /
    • pp.539-546
    • /
    • 2019
  • Global warming has mentioned as one of the international problems and these researches have conducted. Carbon Capture, Utilization and Storage (CCUS) technology has improved due to increasing importance of reducing emission of carbon dioxide. Among of various CCUS technologies, mineral carbonation can converted $CO_2$ into high-cost materials with low energy. Existing researches has been used ions extracted solid wastes for mineral carbonation but the procedure is complicated. However, the procedure using seawater is simple because it contained high concentration of metal cation. This research is a basic study using seawater-based wastewater for mineral carbonation. 3 M Monoethanolamine (MEA) was used as $CO_2$ absorbent. Making various concentrations of seawater solution, simulated seawater powder was used. Precipitated metal carbonate salts were produced by mixing seawater solutions and $rich-CO_2$ absorbent solution. They were analyzed by X-ray Diffraction (XRD), Scanning Electron Microscope (SEM), and Thermogravimetric Analysis (TGA) and studied characteristic of producing precipitated metal carbonate and possibility of reusing absorbent.