• Journal of Korean Biological Nursing Science
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• 제10권2호
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• pp.105-112
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• 2008

Purpose: The purpose of this study was to investigate the difference in the incidence of diarrhea among the subjects given hypertonic and isotonic nutrients to the nasogastric tube feeding patients in the a critical care setting. Methods: This study is aquasi-experimental study with a pre & post-test design. The sample size of 40 was calculated based on Cohen's formula (1988). The total of 40 subjects who signed the informed consent were randomly selected and divided evenly into two groups, experimental and control group. Results: There are no significant differences between the two groups in homogeneity test (sex, age, albumin level, the use of antibiotics, antacid, and $H_2$ blocker). However, the frequencies of occurrence in diarrhea according to the density of nutrients formulation indicated a statistical difference at the level of .005 (p=.001): diarrhea occurred in four of 20 (20%) of the experiment group, but 14 (70%) of the control group. Also the onset date of diarrhea in the experiment group is later than that of the control group. Conclusion: The research findings suggest that we should begin with low density nutrients for nasogastric tube feeding, and increase its density gradually to decrease diarrhea incidence in the critical care setting.

• 중환자간호학회지
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• 제14권3호
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• pp.128-140
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• 2021

Purpose : This study aimed to identify the incidence of peripheral cyanosis and the characteristics and clinical results of patients with therapeutic hypothermia after a cardiac arrest. Methods : Data were collected from April to June 2021 via the electrical medical records of 95 patients with therapeutic hypothermia for 72 hours after a cardiac arrest admitted to an acute care unit at a tertiary hospital between January 1, 2016, and December 31, 2019. The data were analyzed using descriptive statistics and a t-test, Mann-Whitney U test, Chi-squared test, Fisher's exact test, and logistic regression using SPSS/WIN. Results : The incidence of peripheral cyanosis was 20%. In the peripheral cyanosis group, peripheral vascular disease, fibrinogen, vasopressor, infection, disseminated intravascular coagulation, acute physiology, chronic health evaluation II score on the second hospital day, nursing intervention, and mortality on the seventh hospital day were higher. The level of fibrinogen and use of vasopressors affected the occurrence of peripheral cyanosis. Conclusion : Considering the influencing variables, careful observation is necessary for patients with high fibrinogen levels and vasopressor use. These results provide basic data to recognize the need for nursing intervention for peripheral cyanosis and encourage nurses to deliver them during therapeutic hypothermia.

• 한국광학회지
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• 제32권4호
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• pp.172-179
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• 2021

높은 종횡비를 가지는 미세 패턴 시료의 하부층 구조결함에 대해 높은 민감도를 가지는 광학적 임계치수 측정 장비로서 준 수직입사 타원계를 제안한다. 이 준 수직입사 타원계에서는 입사광은 편광자와 위상지연자를 순차적으로 통과하며 반사광은 이들을 역순으로 통과한다. 하나의 편광자와 하나의 위상지연자를 입사광과 반사광이 공유하며 편광자와 위상지연자의 여러 방위각 조합에서 측정한 빛의 세기로부터 타원상수를 결정하는 이 준 수직입사 타원계의 측정원리를 검토하고 최적의 타원상수 측정방법을 제시한다.

• 임상간호연구
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• 제15권3호
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• pp.27-38
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• 2009

Purpose: The purpose of this study was to develop a blood glucose control protocol for medical intensive care unit (ICU) patients. Methods: The blood glucose control protocol was developed through the following process: selection of preliminary protocols, clinical application, and evaluation. The clinical validity of the protocol was measured by application, along with examination of the effects of the Yale and the Mayo blood glucose protocols. Seventeen medical ICU adults patients whose blood glucose levels exceeded 200 mg/dL consecutively participated in the study. The development protocol was evaluated by an expert group. Results: Incidence of normal blood glucose levels (p=.041) increased significantly in the Yale protocol application group. Also, incidence of severe hyperglycemia (p=.029) decreased significantly and time to target range of glucose (p=.023) decreased significantly after application of the Yale protocol. However, there was no significant difference in incidence of hypoglycemia (p=.666) between three groups. Conclusion: Using the developed protocol as a basis for the modified Yale protocol was found to be effective in improving the state of blood glucose control for medical ICU patients and is expected to be used for nursing intervention in critical care.

• Earthquakes and Structures
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• 제10권1호
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• pp.211-238
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• 2016

The Maximum seismic responses of steel buildings with perimeter moment resisting frames (MRF), modeled as complex MDOF systems, are estimated for several incidence angles of the horizontal components and the critical one is identified. The accuracy of the existing rules to combine the effects of the individual components is also studied. Two and three components are considered. The critical response does not occur for principal components and the corresponding incidence angle varies from one earthquake to another. The critical response can be estimated as 1.40 and 1.10 times that of the principal components, for axial load and interstory shears, respectively. The rules underestimate the axial load but reasonably overestimate the shears. The rules are not always inaccurate in the estimation of the combined response for correlated components. On the other hand, totally uncorrelated (principal) components are not always related to an accurate estimation. The correlation of the individual effects (${\rho}$) may be significant, even for principal components. The rules are not always associated to an inaccurate estimation for large values of ${\rho}$, and small values of ${\rho}$ are not always related to an accurate estimation. Only for perfectly uncorrelated harmonic excitations and elastic analysis of SDOF systems, the individual effects of the components are uncorrelated and the rules accurately estimate the combined response. The degree of correlation of the components, the type of structural system, the response parameter under consideration, the location of the structural member and the level of structural deformation must be considered while estimating the level of underestimation or overestimation.

• Acute and Critical Care
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• 제33권4호
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• pp.238-245
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• 2018

Background: Infection by multidrug-resistant (MDR) pathogens leads to poor patient outcomes in intensive care units (ICUs). Contact precautions are necessary to reduce the transmission of MDR pathogens. However, the importance of the surrounding environment is not well known. We studied the effects of ICU relocation on MDR respiratory pathogen detection rates and patient outcomes. Methods: Patients admitted to the ICU before and after the relocation were retrospectively analyzed. Baseline patient characteristics, types of respiratory pathogens detected, antibiotics used, and patient outcomes were measured. Results: A total of 463 adult patients admitted to the ICU, 4 months before and after the relocation, were included. Of them, 234 were admitted to the ICU before the relocation and 229 afterward. Baseline characteristics, including age, sex, and underlying comorbidities, did not differ between the two groups. After the relocation, the incidence rate of MDR respiratory pathogen detection decreased from 90.0 to 68.8 cases per 1,000 patient-days, but that difference was statistically insignificant. The use of colistin was significantly reduced from 53.5 days (95% confidence interval [CI], 20.3 to 86.7 days) to 18.7 days (95% CI, 5.6 to 31.7 days). Furthermore, the duration of hospital stay was significantly reduced from a median of 29 days (interquartile range [IQR], 14 to 50 days) to 21 days (IQR, 11 to 39 days). Conclusions: Incidence rates of MDR respiratory pathogen detection were not significantly different before and after ICU relocation. However, ICU relocation could be helpful in reducing the use of antibiotics against MDR pathogens and improving patient outcomes.

• Wind and Structures
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• 제26권5호
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• pp.317-329
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• 2018

Wake characteristics of the flow over a finite square prism at different incidence angles were experimentally investigated using an open-loop wind tunnel. A finite square prism with a width D = 15 mm and a height H = 7D was vertically mounted on a horizontal flat plate. The Reynolds number was varied from $6.5{\times}10^3$ to $28.5{\times}10^3$ and the incidence angle ${\alpha}$ was changed from $0^{\circ}$ to $45^{\circ}$. The ratio of boundary layer thickness to the prism height was about ${\delta}/H=7%$. The time-averaged velocity, turbulence intensity and the vortex shedding frequency were obtained through a single-component hotwire probe. Power spectrum of the streamwise velocity fluctuations revealed that the tip and base vortices shed at the same frequency as that ofspanwise vortices. Furthermore, the results showed that the critical incidence angle corresponding to the maximum Strouhal number and minimum wake width occurs at ${\alpha}_{cr}=15^{\circ}$ which is equal to that reported for an infinite prism. There is a reduction in the size of the wake region along the height of the prism when moving away from the ground plane towards the free end.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2003년도 춘계학술대회논문집
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• pp.234-240
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• 2003

This study aims to investigate dynamic properties of express buses in the very low frequencies which affect motion sickness incidence. Since passengers often use express buses for long distance traveling, it is a critical point whether a give rise to motion sickness or not. In the study accelerations at the three points on the floor of the six test vehicles were measured during the driving at constant speeds. By applying frequency weighting curves suggested in ISO 2631-1 and ISO 2631-3, physical amount of accelerations were changed into perceptual amount which determines incidence of motion sickness. Motion sickness dose values were calculated from the frequency weighted time history of accelerations, and compared between the vehicles, driving conditions, and the seat positions in the bus. During the driving on public road and high ways for 50 minutes vomiting incidence ratios ranged 0.4 to 0.8%, which were equivalent to 2.4 to 4.8% for 5 hours' driving. The value of 4.8 % means two among 45 passengers may vomit after the traveling, which is very serious situation. Considering the very smooth driving condition at which the data were collected, motion sickness dose values will increase in real situations

• 중환자간호학회지
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• 제3권2호
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• pp.25-35
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• 2010

Purpose: The purpose of this pilot study was to investigate the effect of oral care using 0.1% chlorhexidine and tantum solution on oral status and incidence of oral pathogens among intubated ICU patients. Methods: The study subjects were 26 intubated patients of MICU in a university hospital. Oral care was provided with 0.1% chlorhexidine solution to the experimental group (n=12) and with tantum solution to the control group (n=14), 3 times a day for 6 days. After the intervention, the oral status of each subject was checked using structured method, and oral swab culture was done to count colonized bacterial pathogens. Results: The mean oral status score of experimental group was significantly higher than that of control group (U=42.50, p=.031). The mean incidence of oral pathogens in experimental group was smaller than that of control group, but the difference was not statistically significant. Conclusion: The oral care with 0.1% chlorhexidine solution is more effective than with tantum solution for improving oral status of intubated ICU patients. However, additional studies with larger sample size will be needed to figure out it's effects on the incidence of oral pathogens.

• Tuberculosis and Respiratory Diseases
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• 제75권6호
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• pp.238-243
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• 2013

Background: The aim of our study was to evaluate the "diagnosis changed" rate in patients notified as tuberculosis (TB) on the Korean TB surveillance system (KTBS). Methods: A total of 1,273 patients notified as TB cases on the KTBS in one private tertiary hospital in 2011 were enrolled in the present study. Patients were classified into three groups: "diagnosis maintained", "diagnosis changed" (initially notified as TB, but ultimately diagnosed as non-TB), and "administrative error" (notified as TB due to administrative errors). Results: Excluding 17 patients in the "administrative error" group, the "diagnosis maintained" and "diagnosis changed" groups included 1,097 (87.3%) and 159 patients (12.7%), respectively. Common causes of "diagnosis changed" were nontuberculous mycobacterial (NTM) disease (51.7%, 61/118), and pneumonia (17.8%) in cases notified as pulmonary TB, and meningitis (19.5%, 8/41) and Crohn's disease (12.2%) in cases notified as extrapulmonary TB. Being older than 35 years of age (odds ratio [OR], 2.18) and a positive acid-fast bacilli stain (OR, 1.58) were positive predictors and a TB-related radiological finding (OR, 0.42) was a negative predictor for a "diagnosis changed" result via multivariate logistic regression analysis in pulmonary TB cases. Conclusion: Because of a high "diagnosis changed" rate in TB notifications to the KTBS, the TB incidence rate measured by the KTBS may be overestimated. Considering the worldwide trend toward increased NTM disease, the "diagnosis changed" rate may increase over time. Thus, when reporting the annual TB notification rate in Korea, the exclusion of "diagnosis changed" cases is desirable.