• Title/Summary/Keyword: Critical levels

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Development of Korean Patient Classification System for Critical Care Nurses (한국형 중환자간호 분류도구 개발)

  • Yoo, Cheong Suk;Sim, Mi Young;Choi, Eun Ha
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.401-411
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    • 2015
  • Purpose: This study was performed to develop a valid and reliable Korean Patient Classification System for Critical Care Nurses (KPCSC). Methods: Tertiary and general hospitals with various levels of ICU nurse staffing were included. To verify interrater reliability, data collectors and staff nurses of 15 ICUs in 11 hospitals classified 262 patients. To verify construct validity, the staff nurses classified 457 patients according to KPCSC comparing difference by medical department and type of stay in ICU. For conversion index, 195 patients from 10 ICUs in 7 hospitals were classified and nursing time was measured by 174 nurses, 7 head nurses, 18 charge nurses, 37 nurse aids and 1 secretary. Results: The developed KPCSC has 11 categories, 82 nursing activities and 115 criterias. Reliability was found to have high agreement (r=.96). Construct validity was verified by comparing differences in medical department and type of stay in ICU. According to scores, four groups in the KPCSC were identified. One score on the KPCSC indicates 6.12 minutes of nursing time. Conclusion: The findings show that the KPCSC can be used to measure new and complex nursing demands including rehabilitation and the safety of ICU patients.

Job Stress and Assertiveness Behaviors among ICU Nurses (중환자실 간호사의 직무 스트레스와 자기주장 행동)

  • Cho, Yong-Ae;Kim, Keum-Soon
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.1-14
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    • 2009
  • Purpose: This study was designed to identify levels of job stress and assertiveness behaviors and the relationship between them among ICU nurses. Methods: A correlational descriptive survey was used to these relationships among 454 ICU nurses from 25 hospitals which were members of Korean Association of Critical Care Nurses. Data were collected using a structured questionnaire which included 58 items of job stress and assertiveness scale from November 4 to 14, 2008. Descriptive statistics, Pearson correlation coefficients were used to analyze the data. Results: ICU nurses experience mild to moderate degree of job stress, A score of assertiveness behaviors was 2.86. There was a negative relationship between job stress and assertiveness behaviors(r=-.106, p=.024) as influenced by role conflict, lack of professional knowledge and skills, and inappropriate treatment. Conclusion: ICU nurses, especially nurses with 3-6 year clinical experience, are in need of support to manage their job stress. These nurses should be supported through provision of adequate stress management and assertiveness program.

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Comparison of macrosynthetic and steel FRC shear-critical beams with similar residual flexure tensile strengths

  • Ortiz-Navas, Francisco;Navarro-Gregori, Juan;Leiva, Gabriel;Serna, Pedro
    • Structural Engineering and Mechanics
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    • v.76 no.4
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    • pp.491-503
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    • 2020
  • This study extends previous experimental research on the shear behaviour of macrosynthetic fibre-reinforced concrete beams and compares them to steel fibre-reinforced concrete beams with similar mechanical and geometrical properties. This work employed two fibre types: 60/0.9 (long/diameter) double hooked-end steel fibre and 60/85 monofilament polypropylene fibre. Beams were tested by shear loading covering parameters, such as two different cross-section widths, two shear-span-to-effective-depth ratios, two fibre types and using repetitions with and without transverse reinforcement. For quantitative comparison purposes, crack pattern evolution was studied along increasing loads levels. Effects were studied by photogrammetry, including influence of fibres on crack propagation in uncracked and dowel zones, influence of fibres on stirrup behaviour, and shear deformation or kinematics of critical shear cracks. The results evidenced similar effectiveness for both fibre types in controlling shear crack propagation and horizontal dowel cracking. Both fibres provided similar shear ductility and shear deflections. Consequently, the authors confirm that residual flexural tensile strengths are a convenient parameter for characterising the shear behaviour of fibre-reinforced concrete beams.

Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit (중환자실 간호사의 신체보호대 간호수행의 영향요인)

  • Kim, Da Eun;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.62-74
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    • 2022
  • Purpose : This study aimed to identify the factors influencing physical restraint-related practice among nurses working in the intensive care unit (ICU). Methods : The participants consisted of 169 ICU nurses in three general hospitals in B and U cities. Data were collected from December 2021 to January 2022 through a structured self-administered questionnaire. Demographic characteristics, physical restraint-related practice, Person-centered Critical Care Nursing (PCCN), work environment, and attitudes toward physical restraint use were measured. For data analyses, hierarchical multiple regressions were conducted using SPSS/WIN 25.0. Results : Clinical careers in the ICU, better work environments, higher PCCN levels, and more positive attitudes toward physical restraint use were associated with a better practice of physical restraints, which together explained 35.5% of the total variance of the outcome. Conclusion : Our findings suggest that to promote a safe physical restraint-related practice among ICU nurses, it is important to improve the nursing environment, prepare guidelines for applying PCCN, and provide education for endorsing positive attitudes toward the use of physical restraints.

BLOOD PLASMA MINERALS AND FERTILITY OF DAIRY COWS IN CENTRAL THAILAND

  • Vijchulata, P.
    • Asian-Australasian Journal of Animal Sciences
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    • v.8 no.3
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    • pp.263-265
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    • 1995
  • Blood plasma minerals and their effects towards the fertility in 136 cows randomly selected from 26 dairy farms in central Thailand were studied. An average of 8.60 mg% Ca, 5.97 mg% P, 2.45 mg% Mg, $85.9{\mu}g%$ Cu, and $160.9{\mu}g%$ Zn in plasma was observed. Compared to the critical deficient values, 24.3, 10.3, 11.8, 28.7 and 0.0% of the surveyed cows obtained the respective elements in plasma below the standard levels. No significant difference (p >.05) in plasma concentrations of Ca, P, Mg and Zn for the low fertile (conception rate > 3) and fertile (conception rate < 3) cows was found. However, plasma Cu of the low fertile cows (averaged $77.2{\mu}g%$) was lower (p <.01) than that of the fertile ones (averaged $91.12{\mu}g%$). Additionally, it is observed that 47.1% of the cows with the low fertility problem obtained plasma Cu below the 65.0 pg% critical deficient value.

Compensation Technique for Current Sensorless Digital Control of Bridgeless PFC Converter under Critical Conduction Mode

  • Kim, Tae-Hun;Lee, Woo-Cheol
    • Journal of Electrical Engineering and Technology
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    • v.13 no.6
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    • pp.2310-2318
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    • 2018
  • Critical conduction mode (CRM) operation is more efficient than continuous conduction mode (CCM) operation at low power levels because of the valley switching of switches and elimination of the reverse recovery losses of boost diodes. When using a sensorless digital control method, an error occurs between the actual and the estimated current. Because of the error, it operates as CCM or discontinuous conduction mode (DCM) during CRM operation and also has an adverse effect on THD of input current. In this paper, a current sensorless technique is presented in an inverter system using a bridgeless boosted power factor correction converter, and a compensation method is proposed to reduce CRM calculation error. The validity of the proposed method is verified by simulation and experiment.

An Evaluation of the Quantitative Risk of Plastic Process Manufacturing Industries by Means of the 4M Method

  • Lee, Dong-Ho;Kim, Jong-In
    • International Journal of Safety
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    • v.6 no.2
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    • pp.8-12
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    • 2007
  • This study includes a case study among plastic process manufacturing companies, based on which, the currently used 4M method is applied in terms of machine, media, man, and management, to conduct quantitative risk evaluation, and thus to contribute to reducing human and material loss as well as preventing accidents in industrial fields. The result of this study is analyzed based on the 4M-risk assessment to find out the hazardous risk elements, and the quantitative evaluation made it predictable the value of risk(frequency $\times$ intensity) in such classified levels as serious risk, critical risk, and intolerable risk. Further, Among the businesses with hazardous risk elements and high frequency of industrial disaster, risk analysis was conducted for each process, and as a result, 38 cases among 76, including those of serious risk, critical risk, and intolerable risk, were improved, and the risk was reduced. Besides, it is thought that with the engineering approach with 4M-Risk Assessment, the attempt to improve safety level contributes to prevention of accidents.

Relationship between Phycoerythrin and Nitrogen Content in Gloiopeltis furcata and Porphyra yezoensis

  • Hiroyuki Mizuta
    • ALGAE
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    • v.17 no.2
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    • pp.89-93
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    • 2002
  • Seasonal changes of pigment compositionin two intertidal red algae, Gloiopeltis furcata (Postels et Ruprecht) J. Agardh, and Porphyra yezoensis Ueda, were investigated. Chlorophyll α and phycoerythrin levels were high during winter, but decreased in late spring or summer, with accompanying discoloration from deep red to green or yellow. This discoloation corresponded closely to the fluctuationof phycoerythrin content. Nevertheless, photosynthesis capacity was maintained by the increasing water temperature in the field, suggesting that large amounts of phycoerythrin are not necessary for photosynthesis. Phycoerythrin conten correlated significantly with nitrogen content in both species when the nitrogen level was greater than the level of critical content (1.30% DW in G. furcata, and 2.26% DW in P. yezoensis), indicating that phycoerythrin plays a more important role in the nitrogen status as a nitrogen pool than that of nitrogen critical content. Furthermore, the dependence level of the alage on phycoerythrin as a nitrogen pool was greater in P. yezoensis than in G. furcata because of the remarkable increase of phycoerythrin content in P. yezoensis with increasing jnitrogen content.

A Critical Analysis of Buyer Authenticated Credit Card Payment Programs: The Online Merchant′s Perspective

  • Ally, Mustafa A.;Toleman, Mark
    • Proceedings of the CALSEC Conference
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    • 2004.02a
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    • pp.75-82
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    • 2004
  • Recently introduced by the major credit card associations as replacements for the decommissioned SET and 3DSET protocols, the new payment models, 3DSecure and UCAF/SPA, have been designed to provide online merchants with a solution to an existing problem in online credit card transactions - the lack of an effective and efficient means of authenticating cardholders. The expected benefits arising from this added level of security from the merchant′s perspective are increased consumer confidence, significant reduction in the levels of fraud and charge backs and "liability shift". Using data gleaned from preliminary interviews, discussion forums and promotional material, we present a critical analysis of the potential barriers and facilitators that will impact on the widespread traction of these programs in the marketplace in the coming years.

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Conceptual Design Based on Scale Laws and Algorithms Sub-critical Transmutation Reactors

  • Lee, Kwang-Gu;Chang, Soon-Heung
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.10a
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    • pp.475-480
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    • 1997
  • In order to conduct the effective integration of computer-aided conceptual design for integrated nuclear power reactor, not only is a smooth information flow required, but also decision making fur both conceptual design and construction process design must be synthesized. In addition to the aboves, the relations between the one step and another step and the methodologies to optimize the decision variables are verified, in this paper especially, that is, scaling laws and scaling criteria. In the respect with the running of the system, the integrated optimization process is proposed in which decisions concerning both conceptual design are simultaneously made. According to the proposed reactor types and power levels, an integrated optimization problems are formulated. This optimization is expressed as a multi-objective optimization problem. The algorithm for solving the problem is also presented. The proposed method is applied to designing a integrated sub-critical reactors.

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