• Title/Summary/Keyword: Delivery mode

Search Result 173, Processing Time 0.033 seconds

A Study for Identification of Nursing Diagnosis using the Roy's Adaptation Model in Maternity Unit (Roy's Adaptation Model에 의한 모성영역에서의 간호진단 확인연구)

  • Jo, Jeong-Ho
    • The Korean Nurse
    • /
    • v.33 no.3
    • /
    • pp.79-91
    • /
    • 1994
  • The purpose of this study was to identify the meaningful nursing diagnosis in maternity unit and to suggest formally the basal data to the nursing service with scientific approach. The subject for this paper were 64 patients who admitted to Chung Ang University Hospital, Located in Seoul, from Mar. 10, to July 21, 1993. The results were as follows: 1. The number of nursing diagnosis from 64 patients were 892 and average number of nursing diagnosis per patient was 13.9. 2. Applying the division of nursing diagnosis to Roy's Adaptation Model, determined nursing diagnosis from the 64 patients were 621 (69.6%) in physiological adaptation mode and (Comfort, altered r/t), (Injury, potential for r/t), (Infection, potential for r/t), (Bowel elimination, altered patterns r/t), (Breathing pattern, ineffective r/t), (Nutrition, altered r/t less than body requirement) in order, and 139 (15.6%) in role function mode, (Self care deficit r/t), (Knowledge deficit r/t), (Mobility, impaired physical r/t) in order, 122 (13.7%) in interdependence adaptation mode, (Anxiety r/t), (Family Process, altered r/t) in order, 10(1.1%) in self concept adaptation mode, (Powerlessness r/t), (Grieving, dysfunctional r/t) in order. 3. Nursing diagnosis in maternity unit by the medical diagnosis, the average hospital dates were 3.8 days in normal delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 64.6%, (Self care deficit r/t) 13.6% in order, and the average hospital dates were 9.6 days in cesarean section delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 51.6%, (Self care deficit r/t) 15.2%, (Infection, potential for r/t) 9.9%, (Injury, potential "for r/t) 8.1%, (Anxiety r/t) 5.0%, (Mobility, impaired physical r/t) 3.3% in order, and the average hospital dates were 15.8days in preterm labor and majority of used nursing diagnosis, (Comfort, altered r/ t), (Anxiety r/t), (Injury, potential for r/t) in order, and the average short-term hospital dates were 2.5days, long-term hospital dates were 11.5days in gynecologic diseases and majority of used nursing diagnosis, (Comfort, altered r/t). (Self care deficit r/t), (Injury, potential for r/t), (Infection, potential for r/t) in order.

  • PDF

Maternal Factors Affecting Delivery Mode of the Previous Cesarean Delivery Mothers (선행 제왕절개분만 산모의 제왕절개 후 질식분만과 반복 제왕절개분만 관련 요인)

  • Kim, Yun-Mi;Kim, Myung-Hee;Kim, Kyo-Hyun
    • Women's Health Nursing
    • /
    • v.17 no.4
    • /
    • pp.359-368
    • /
    • 2011
  • Purpose: To examine delivery type of mother who have had a previous cesarean and identify maternal factors related to type of delivery. Methods: The study sample included 60,504 mothers who had delivered through cesarean section. Related variables were categorized as sociodemographic factors (age, residence, health insurance type, income level) and clinical characteristics (14 maternal factor, 4 fetal factor and pre-term). For data analysis, $x^2$ and multivariate logistic regression were conducted. Results: Among the 60,504mothers, 3,075 were delivered through Vaginal Birth After C-Section (VBAC) and the VBAC rate was 5.1%. Underage 34, the VBAC rate increased according to age increases up to 3%. Mothers residing in urban areas had VBAC more frequently than mothers in rural area. Mothers in the high and middle income levels had a greater possibility of having VBAC than mothers in lower income levels. A greater likelihood of increase in repeated cesarean section were found in mothers with maternal and fetal factors. Conclusion: Evidence based nursing practice guidelines and education programs for previous cesarean section mothers and health policy are needed to increase VBAC.

Dosimetric Evaluation of Static and Dynamic Intensity Modulated Radiation Treatment Planning and Delivery (세기조절방사선치료에서 조사방법이 빔 파라미터 및 선량에 미치는 영향에 대한 연구)

  • Kim Sung-Kyu;Kim Myung-Se;Yun Sang-Mo
    • Progress in Medical Physics
    • /
    • v.17 no.2
    • /
    • pp.114-122
    • /
    • 2006
  • The two commonly used methods in delivering intensity modulated radiation therapy (IMRT) plan are the dynamic (sliding window) and static (stop and shoot) mode. In this study, the two IMRI delivery techniques are compared by measuring point dose and dose distributions. Using treatment planning system, clinical target volume (CTV) was created as a sphere with various diameter (3 cm, 7 cm, 12 cm). Two IMRT plans were peformed to deliver 200 cGy to the CTV in dynamic and static mode. The two plans were delivered on a phantom and central point dose and dose distributions were measured. The central point dose differences between static and dynamic IMRT delivery were 0.2%, 0.2% and 0.4% when the diameter of CTV was 3 cm, 7 cm, and 12 cm, respectively. The differences In volume receiving 90% of the proscribed dose were 2.7%, 2.2%, and 2.9% for the diameter of CTV was 3 cm, 7 cm, and 12 cm, respectively. For lung cancer patients, the differences in central point dose were 0.2%, 0.2%, and 0.4% when the volume of CTV was 35.5 cc, 296.8 cc, and 903.5 cc, respectively. The differences in volume receiving 90% of the prescribed dose were 2.7%, 4.8%, and 9.1% when the volume of CTV was 35.5 cc, 296.8 cc, and 903.5 cc, respectively. In conclusion, it was possible to deliver IMRT plans using dynamic mode of MLC operation although the loaves are In motion during radiation delivery.

  • PDF

Physiological workload evaluation for the backpack carrying tasks of the soft drink beverage delivery job (음료 운반 등짐 작업의 생리적 작업부하 평가)

  • Chung, Min-Keun;Lee, Yue-Jung;Lee, In-Seok
    • Journal of Korean Institute of Industrial Engineers
    • /
    • v.26 no.2
    • /
    • pp.110-116
    • /
    • 2000
  • The soft drink deliveries are made for a broad line of soft drink products by using a hand truck and the backpack mode of carriage. The workers usually deliver the beverages by backpack mode of carriage, because they feel safe with such a carrying method in stairways. In this study, the physiological workload of backpack carrying was investigated, especially focused on the effects of weight of load and carrying by the stairway. A laboratory experiment was conducted to measure heart rate and oxygen uptake during backpack carrying tasks, and an ergonomic guideline was proposed for such type of task based on the results of the experiment. Eight healthy male subjects performed the backpack carrying of 40kg and 60kg, (1) on the level ground, (2) upstairs and (3) downstairs. The result showed that the stairways caused the increased physiological cost, and that a carrying load of 60kg required significantly higher physiological cost as compared to carrying 40kg. Although backpack carrying has some advantages in the biomechanical aspect, it should be advised to carry a load of less than 40kg, since the task requires a very high physiological cost. During backpack carrying, it is also recommended for a delivery person to make more trips with a light load rather than to make less trips with a heavier load at one trip.

  • PDF

A Multi-Objective Differential Evolution for Just-In-Time Door Assignment and Truck Scheduling in Multi-door Cross Docking Problems

  • Wisittipanich, Warisa;Hengmeechai, Piya
    • Industrial Engineering and Management Systems
    • /
    • v.14 no.3
    • /
    • pp.299-311
    • /
    • 2015
  • Nowadays, the distribution centres aim to reduce costs by reducing inventory and timely shipment. Cross docking is a logistics strategy in which products delivered to a distribution centre by inbound trucks are directly unloaded and transferred to outbound trucks with minimum warehouse storage. Moreover, on-time delivery in a distribution network becomes very crucial especially when several distribution centres and customers are involved. Therefore, an efficient truck scheduling is needed to synchronize the delivery throughout the network in order to satisfy all stake-holders. This paper presents a mathematical model of a mixed integer programming for door assignment and truck scheduling in a multiple inbound and outbound doors cross docking problem according to Just-In-Time concept. The objective is to find the schedule of transhipment operations to simultaneously minimize the total earliness and total tardiness of trucks. Then, a multi-objective differential evolution (MODE) is proposed with an encoding scheme and four decoding strategies, called ITSH, ITDD, OTSH and OTDD, to find a Pareto frontier for the multi-door cross docking problems. The performances of MODE are evaluated using 15 generated instances. The numerical experiments demonstrate that the proposed algorithm is capable of finding a set of diverse and high quality non-dominated solutions.

FARS: A Fairness-aware Routing Strategy for Mobile Opportunistic Networks

  • Ma, Huahong;Wu, Honghai;Zheng, Guoqiang;Ji, Baofeng;Li, Jishun
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.12 no.5
    • /
    • pp.1992-2008
    • /
    • 2018
  • Mobile opportunistic network is a kind of ad hoc networks, which implements the multi-hop routing communication with the help of contact opportunity brought about by the mobility of the nodes. It always uses opportunistic data transmission mode based on store-carry-forward to solve intermittent connect problem of link. Although many routing schemes have been proposed, most of them adopt the greedy transmission mode to pursue a higher delivery efficient, which result in unfairness extremely among nodes. While, this issue has not been paid enough attention up to now. In this paper, we analyzed the main factors that reflect fairness among nodes, modeled routing selection as a multiple attribute decision making problem, and proposed our Fairness-aware Routing Strategy, named FARS. To evaluate the performance of our FARS, extensive simulations and analysis have been done based on a real-life dataset and a synthetic dataset, respectively. The results show that, compared with other existing protocols, our FARS can greatly improve the fairness of the nodes when ensuring the overall delivery performance of the network.

The Analgesic Efficacy and Side Effects of Subarachnoid Sufentanil-Bupivacaine on Parturients in Advanced Labor (지주막하강 수펜타닐과 뷰피바케인의 혼합 투여가 분만 제 1 기 산모의 진통 효과에 미치는 영향)

  • Han, Tae-Hyung;Cho, Yong-Sang
    • The Korean Journal of Pain
    • /
    • v.10 no.1
    • /
    • pp.21-27
    • /
    • 1997
  • Background : Previous studies have proven beneficial in labor analgesia to use subarachnoid sufentanil(alone or with adjuvant) on parturients in early first stage of labor. We designed this prospective study to evaluate analgesic efficacy and side effects of subarachnoid sufentanil plus bupivacaine in women with cervical dilatation of 7 cm greater. Methods : This was an open-label, nonrandomized trial of 32 parturients in late first stage labor who requested labor analgesia. After signing the consent form each patient received subarachnoid sufentanil (10 ${\mu}g$) and bupivacaine (2.5 mg). Patients were asked to rate their verbal pain score (0-10 scale) before regional anesthesia and 5 minutes after subarachnoid injection, and every 20 minutes thereafter until delivery or request for additional analgesia. Blood pressure, pruritus, Bromage motor block score, mode of delivery and need for supplemental analgesics were recorded. Results : Thirty women were included in the study. Mean pain scores (mean${\pm}$SD) were $8.7{\pm}1.0$ pre-spinal, $0.7{\pm}1.5$ 5 minutes post-injection, and remained less than 5 for 130 minutes after spinal injection. Of 30 patients, 24 had unassisted vaginal delivery, 4 instrumental vaginal delivery (vacuum), and 2 cesarean delivery. Of 28 patients who delivered vaginally, 19 did not require supplemental analgesics and had a delivery pain score of 5 or lower. Blood pressure decreased in three patients after spinal analgesia (p<0.05), which necessitated treatment. The Bromage motor block score was 0 in 26 patients and 1 in 4 patients. Pruritus was noted in 22 patients. Conclusion : Subarachnoid sufentanil-bupivacaine provides rapid analgesia for an effective duration of approximately 130 minutes in parturients in late first stage of labor.

  • PDF

The Lubrication Mode Between the Vane Tip and Camring in an Oil Hydraulic Vane Pump with Intravanes. (인트라 베인식 油壓 베인펌프의 베인 先端部 潤滑모드)

  • Jung, Jae-Youn;Kyogoku, Keiji;N
    • Tribology and Lubricants
    • /
    • v.6 no.1
    • /
    • pp.52-56
    • /
    • 1990
  • The Lubrication Mode of line contacts between the vane and camring in an oil hydraulic vane pump with intravanes has been investigated. Variations of the radial acting force of a vane were calculated from previously measured results of dynamic internal pressure in four chambers surrounding a vane, and variations of the lubrication mode were estimated in both the rotational speed range from 500 to 1500 rpm and in the delivery pressure range from 1 to14 Mpa. The results indicate the variations of the radial acting force. It is found that the regimes of lubrication in the vane tip contacts cover rigid-isoviscous to rigid-variable viscosities.

Development of an ionic wind dust collector towards coronavirus reduction in subway stations (지하철 역사 내 코로나 바이러스 저감을 위한 이온풍 집진기 개발)

  • Shin, Dongho;Kim, Younghun;Han, Bangwoo
    • Particle and aerosol research
    • /
    • v.18 no.1
    • /
    • pp.1-8
    • /
    • 2022
  • Since 2019, the corona virus has been continuously affect human life. In particular, in the indoor space where people live, infection by airborne transmission of viruses is a problem. Among them, the spread in the subway, which is the main mode of transport for humans, can be serious. To solve this problem, our research team developed an ionic wind collector to collect and remove corona virus using an ionic wind collector and ozone. In order to apply the ionic wind collector to the subway, it must operate in two modes. Because large amounts of ozone are harmful to the human body. There is a mode that collects bio-aerosol from the air using ionic wind and a mode that inactivates viruses floating in the air by generating a large amount of ozone. As the applied voltage increased, the cleaning ability of the ionic wind collector increased, and the farther the distance between the discharge electrode and the ground plate, the higher the cleaning ability even at low current. In addition, clean air delivery rate (CADR) of an ionic wind collector was up to 5.5 m3/min. As a result of measuring the amount of ozone generated, it was confirmed that 50 ppb to 250 ppb was generated, and it was confirmed that ozone generation was controllable in the ionic wind dust collector.