• 간호행정학회지
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• 제5권2호
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• pp.209-224
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• 1999

I have practiced this reserch for the purpose of proposition of basic data for amendment and addition of computer system after I surveyed the degree of abilities and satisfaction on the computerization in nursing\ practice. Subjects were collected from September 1 to September 30, 1998. Study subjects are 151 clinical nurses who are working at university hospital in Chonbuk area. Study instrument consists of 116 questionnaire which was developed by Kim H. K(1998). The data were analized number, mean ,t-test, ANOVA by using SPSS. The study results are as follows: 1. Most of the nurses who answered the questions were educated computerizing(96%). The abilities of computer program utilities were the most in inputting data(74%). The program nurses wanted computerizing education was wordprocess, dealing internet and statistics. 2. As for applying parts of computer system in nursing, the most nurses were Dr's order check (96%), treatment activity(91.4%), medication(89.4%), lab. test(87 .4%), transfering department(85.4%), transfering room(79.5%), diet(71.8%), discharge (70.2%), Barcord Sticker(70.2%) , reservation(62.2%) in order that were all conected order system mutually to other part. It showed that computer system was not applied for treating the original nursing work such as nursing record (13%), duty scheduling(6.0%) , nursing process(4.6%) , Q.I(1.3%), nursing research(1.3%), education(1.3%), 3. As for the benefit when computer system is applied for, the most respondence was promptness of work and convenience(90.6%) , exactness of work (82.8%), offering information exactily and efficiently(36.3%), offering good quality of nursing (6.0%) in order. 4. The degree of contentment on computerizing in nursing practice showed average 3.24%. The best marking item is that they are eager to participate in the computer education. Next, the automatic output of label and giving the number automatically is to prevent loss and mentioned items of patient registration from being changed(3.95) and to prevent mistakes possibly happening because of doctor's difficult order(3.85). 5. The problems which may happen to in nurses' utilization of computerization for the nursing practice showed average 3.18. The most problem is that the practice may stop because of the problem of computer itself(3.67), and the next, the indication of act can be imperfect(3.66) , manual training may overlap because of incomplete computerization (3.60), practical education for the computerizing is lack(3.41), and the computer literate nurses are lack(3.40) . 6. Study subject's contentment by age was significant difference(F=3.10,P=0.0119). Study subject's contentment by job posision was significant difference(F=6.001P=0.0034) I will propose the following according to the above results. The domain of original nursing practice is urgernt. Manual and indication of act should be made before long in computer obstacle. Nursing department should support the nurses so that they could receive the education needed for the nurses themselves.

• 여성건강간호학회지
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• 제8권3호
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• pp.345-357
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• 2002

The purpose of this study is to find out how the Father Class, which is being practiced at a hospital located in Seoul, influences on fathers' level of knowledge and confidence of postpartal mother and newborn care. Research design was quasi-experimental study using non equivalent experiment and control group. The data, questionaires, were collected from Sep. 13, 2001 to Oct. 31, 2001 through e-mail, telephone and mail, after discharge from S hospital located in Seoul, where the experimental group was educated at the Father Class and control group didn't take part in the class. The objects were the fathers who have the first baby through normal delivery or C-sec delivery including experimental group 48 persons and control group 52 persons. Four instruments were the revised ones of Lee Mi Kyoung's(1990) and Kwak Yon Hee's tool based on the resources of direct interviews of fathers and one expert, professor. The reliability of four instruments were Cronbach's $\alpha$ scores .85 -93. Data were analyzed by SPSS 10.0 program using $x^2$-test, and t-test and, One- way ANOVA, and Pearson correlation, etc. The results of this study are as follows; 1.The two groups were confirmed as a homogeneous group by showing no significant difference statistically at the level of 5%. 2.The results of proving the hypothesis are followings: 1)The first hypothesis, "the fathers who participated in the Father Class will have the higher level of knowledge about postpartal mother care than the fathers who didn't" was accepted by significant difference statistically (p=0.000). 2)The second hypothesis, "the fathers who took part in the class will have the higher confidence in postpartal mother care than the fathers who didn't", was supported by significant difference statistically (p=0.000). 3) The third hypothesis, "the fathers who attended the class will have the better knowledge about taking care of newborn than the others", was accepted by significant difference statistically (p=0.000). 4)The fourth hypothesis, "the fathers who participated in the class will have the higher confidence in newborn care than others," was supported by significant difference statistically (p=0.000). 3.The further analysis showed whether they participated in Prenatal Birth Preparing Class influenced on the father's level of knowledge and confidence in postpartal mother and newborn care. In conclusion, the Father Class is the effective nursing intervention strategy that can help new fathers attain father and husband roles by enhancing the level of confidence in and knowledge of the postpartal mother and newborn care.

• 한국콘텐츠학회논문지
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• 제16권10호
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• pp.196-205
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• 2016

본 연구의 목적은 2006년부터 2012년까지의 질병관리본부의 퇴원손상심층조사 자료를 바탕으로 결핵환자의 환자 특성과 입원 및 질병관련 특성, 의료기관 특성에 따른 의료이용 현황과 치료결과에 영향을 미치는 요인을 파악하고자 한다. 본 연구는 질병관리본부에서 제공하는 퇴원손상심층조사자료를 활용하였고, 제6차 한국표준질병사인분류(KCD-6)의 중분류상 퇴원시 주진단 코드와 부진단 코드가 결핵(A15.0~A19.9)인 환자를 추출하여 총 8,305건을 최종 분석에 사용하였다. 본 연구에서 수집된 자료는 통계 프로그램 SPSS 20(Statistical Package for the Science)을 이용하여 빈도분석, 교차분석(chi-square test)과 로지스틱 회귀분석을 실시하였다. 연구결과는 먼저, 환자 특성과 치료결과가 호전되었는지의 관련성에 있어서는 연령그룹이 20-39세, 40-64세, 65세 이상과 의료급여의 결핵환자가 호전될 확률이 모두 통계적으로 유의하게 높았다(p<0.000). 그 다음, 입원 및 질병관련 특성과 치료결과와의 관련성 분석에서는 A16, A17, A19(p<0.000)와 A18(p<0.002) 모든 결핵코드와 재원일수가 31-90일(p<0.000)과 91-180일(p<0.041)인 경우에 호전될 확률이 통계적으로 유의하게 높았다. 마지막으로, 의료기관 특성과 치료결과의 관련성 분석에서는 300-499(p<0.008), 500-999(p<0.011), 1,000병상 이상(p<0.015)과 도지역(p<0.041)의 경우 호전될 확률이 통계적으로 유의하게 높았다(p<0.015). 결과적으로 결핵환자 발생시 철저한 접촉자 조사 및 예방치료, 정기적인 검진을 통한 조기 발견 방안 등 정부에서도 성공적인 결핵환자관리 프로그램을 지원하고 이를 적절하게 뒷받침 할 수 있는 단기적 뿐만 아니라 중장기적으로 종합적인 정책을 추진해야 한다.

• 한국산학기술학회논문지
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• 제14권12호
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• pp.6447-6454
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• 2013

기존 해수취수시스템의 경우 해수오염, 부유물질, 취수의 불안정 및 유지관리의 어려움 등으로 인해 해수취수의 어려움이 발생하곤 하였다. 이와 같은 단점을 극복하고자 매설식 해수취수시스템을 개발하여 격포항에 설치하였다. 본 연구에서는 새로운 시스템의 거동을 검토하고자, 수질관측 및 3차원 수치모의 실험을 수행하였다. 이 취수시스템에 대하여 총 5회에 걸쳐 COD, 총질소, 총인, PH 그리고 부유물질에 대하여 수질분석을 수행한 결과, COD, 총질소, 총인, PH의 경우 취수 전 후 저감 효과는 미미하였다. 그러나 부유물질의 경우 수산용수 1급 5 mg/L 이하로 정화되는 효과가 나타났다. 수치모형은 유한체적법 기반의 CFX 모형과 RNG $k-{\epsilon}$ 알고리즘을 선정하였으며, 여과사, 외부관 지름 및 두께를 재현하기 위해서 다공성 알고리즘을 적용하였다. 수치모의 실험을 수행한 결과, 2중관 구조가 내외부관 사이의 공간에 의해 압력의 분포를 균등하게 하여, 흐름 상태나 안정적인 취수측면에서 유리한 것으로 분석되었으며, 취수관을 다열 배치하였을 때 중앙 취수관과 비교하여 양쪽 취수관에서 유량이 0.98배로 감소하였지만 유동의 간섭현상은 발생하지 않았다.

• 항공우주시스템공학회지
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• 제12권4호
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• pp.49-56
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• 2018

본 논문에서는 소형 압전유압펌프 브레이크 시스템의 성능해석 및 실험을 수행하였다. 먼저 브레이크 시스템의 구성을 위해 브레이크 부하 구성품의 3-D 모델링을 수행하였고, 상용 프로그램인 AMESim을 이용한 모델링을 진행하였다. 브레이크 시스템 모델링에는 플로팅 타입의 캘리퍼를 부하로 활용하였다. AMESim 시뮬레이션을 통해, 부하 압력과 체크밸브 변위 및 무부하 상태에서의 유량을 계산하였으며 브레이크 부하의 추가에 따른 성능해석 및 동특성 변화를 확인하였다. 브레이크 시스템의 성능 실험을 위해 부하를 고정시키는 치구를 제작하였고, 무부하 상태에서의 유량 및 부하 압력 형성 실험을 수행하고 시뮬레이션 결과와 비교하였다. 실험 결과, 최대 부하압력은 130Hz에서 약 73bar, 최대 유량 발생은 145Hz에서 약 203cc/min로, 중소형 무인기 브레이크 시스템에 적용가능성을 확인하였다. 또한 시뮬레이션 결과와 실험결과의 오차는 부하 압력과 토출 유량에서 각각 6%, 5% 정도이며, 모델링이 브레이크 성능해석에 효과적으로 활용될 것으로 판단된다.

• Journal of Chest Surgery
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• 제52권6호
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• pp.392-399
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• 2019

Background: The surgical strategies for carotid endarterectomy (CEA) vary in terms of the anesthesia method, neurological monitoring, shunt usage, and closure technique, and no gold-standard procedure has been established yet. We aimed to analyze the feasibility and benefits of CEA under regional anesthesia (RA) and CEA under general anesthesia (GA). Methods: Between June 2012 and December 2017, 65 patients who had undergone CEA were enrolled, and their medical records were prospectively collected and retrospectively reviewed. A total of 35 patients underwent CEA under RA with cervical plexus block, whereas 30 patients underwent CEA under GA. In the RA group, a carotid shunt was selectively used for patients who exhibited negative results on the awake test. In contrast, such a shunt was used for all patients in the GA group. Results: There were no cases of postoperative stroke, cardiovascular events, or mortality. Nerve injuries were noted in 4 patients (3 in the RA group and 1 in the GA group), but they fully recovered prior to discharge. Operative time and clamp time were shorter in the RA group than in the GA group (119.29±27.71 min vs. 161.43±20.79 min, p<0.001; 30.57±6.80 min vs. 51.77±13.38 min, p<0.001, respectively). The hospital stay was shorter in the RA group than in the GA group (14.6±5.05 days vs. 18.97±8.92 days, p=0.022). None of the patients experienced a stroke or restenosis during the 27.23±20.3-month follow-up period. Conclusion: RA with a reliable awake test reduces shunt use and decreases the clamp and operative times of CEA, eventually resulting in a reduced length of hospital stay.

• Journal of Trauma and Injury
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• 제27권2호
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• pp.13-19
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• 2014

Purpose: In general, X-ray examinations are not recommended for radial head subluxation (pulled elbow) patients. The purpose of this study was to determine the frequency of X-ray examinations and to investigate the factors associated with the decision to perform an X-ray examination on a patient with a pulled elbow. Methods: Patients who visited the pediatric emergency department (ED) of one tertiary hospital from January 1, 2011, to December 31, 2012, with a diagnosis of radial head subluxation at discharge were enrolled in this study. Through retrospective chart reviews, factors that could have influenced the decision to perform an X-ray examination and their statistical relevance were analyzed. Results: A total 308 patients were enrolled, and 101 patients (32.8%) underwent X-ray examinations. Among the 252 patients with a typical pulled elbow, 65 underwent X-ray examination. This result showed statistical significance compared to atypical pull-elbow group (25.8% vs. 64.3%, p<0.001). Factors associated with the decision to perform an X-ray examination were analyzed using the Chi-square test and the Fisher's exact test. The mechanism of injury and consultation with an orthopedic surgeon (p=0.001) showed statistical significance. In the multivariable logistic regression, the odds ratio (OR) for the injury mechanism was 4.7 (95% CI: 1.8~8.8, p<0.001) and that for consultation with an orthopedic surgeon was 8.0 (95% CI: 1.6~40.7, p=0.004). Conclusion: One third of patients with a pulled elbow underwent X-ray examination, and patients with an atypical mechanism of injury underwent more frequent X-ray examinations than did patients with a typical mechanism of injury. The factors that could have influenced the decision to perform an X-ray examination were mechanism of injury and consultation with an orthopedic surgeon.

• 부모자녀건강학회지
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• 제5권2호
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• pp.129-144
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• 2002

This longitudinal quasi-experimental research was conducted to develop parent role education program and to evaluate the effect of this program for mother-infant interaction, childrearing environment and infant development. The subjects were the healthy infants weighing over 2,500gm at birth, whose gestational age was more than 37weeks, and their healthy mothers. The sample consisted of eighteen mother-infant dyads for intervention group and sixteen dyads for control group. Data were collected from March 15th in 1999 to Jun 20th in 2000. The intervention group received programmed education consisted of discharge education, telephone counselling, and home visiting care. But control group were collected data without programmed education. In this study, the Nursing Child Assessment Teaching Scale(NCATS) devised by Barnard was used to determine the mother-infant interaction, HOME was used to determine the childrearing environment, and Griffiths mental development scale was used to determine the infant development. The data were analyzed using SPSS Win using chi-square test, t-test, and repeated measure ANOVA. This study was focused on the results of twelve months time point. Summaries of the results were as follows: 1. There was no significant difference in mother-infant interaction(NCATS) between intervention group and control group. But both of two groups showed significantly higher in interaction score at twelve months than at six months in the subscales of social-emotional growth fostering, and responsiveness to caregiver. 2. There was no significant difference in childrearing environment(HOME) between two groups at twelve months. But when each subscale of HOME was examined, intervention group showed higher scores in the dimensions of maternal involvement with child(p=.001), and maternal emotional-verbal responsivity(p=.048). 3. There was no significant difference in GQ of the Griffiths mental development scale between two groups, although significant difference was found in performance subscale. 4. Infant development at twelve months showed significant correlation with mother-infant interaction and childrearing environment at six months, although mother-infant interaction and childrearing environment at twelve months did not show significant correlations with infant development at twelve months. 5. Developmental scores at six months showed significant correlations with variety in daily stimulation, and mother's emotional, verbal responsivity, whereas developmental scores at twelve months showed significant correlations with acceptance of child behavior at six months, and appropriate play material at twelve months. In conclusion, the maternal education program for primipara showed long term effect in some categories in organizing the childrearing environment, and fostering the infant development. We suggest further study and implications of parent role education program for high risk parents such as parents in low economic status or with premature babies.

• 전기화학회지
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• 제11권4호
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• pp.289-296
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• 2008

산업용 밀폐형 니켈수소전지에 사용되는 수산화니켈 및 수소저장합금 전극에 대해 반쪽전지 시험에 의한 전기화학적 특성을 조사하고, 대용량 밀폐형 니켈수소전지를 제작하여 전지의 충전 효율 및 내압 특성에 대해 평가하였다. 전기화학적 특성 실험은 전지의 충방전 사이클에 따른 전지 내압 상승 억제를 목표로 수산화니켈 전극 및 수소저장합금 전극에 대해 전위주사법을 이용하여 수행하였다. 전위주사법 실험 결과, 수산화니켈 전극의 프로톤 산화 환원 반응 양태, 산소발생 거동, 그리고 수소저장합금 전극의 수소화 반응 특성을 명확히 파악할 수 있었다. 또한 산소 과전압이 높은 수산화니켈 분말과 수소 활성화 특성이 우수한 수소저장합금 분말을 사용하여 제작한 130 Ah 니켈수소전지의 충전 효율은 1 C 전류로 충전 시 98% 수준이 얻어 졌으며 과충전 시 전지 내압이 4 atm 이하로 유지됨을 확인하였다. 그리고 충방전 사이클에 의한 전지 보존 용량도 약 400 사이클에서 약 95% 수준으로 그 특성이 우수함을 알 수 있었다.

• 한국화재소방학회논문지
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• 제24권6호
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• pp.61-68
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• 2010

이 논문에서는 주택화재 예방을 위해 10년 이상 전지의 교체 없이 지속적으로 유지가 되도록 회로 설계된 저소비 전력의 단독경보형 정온식감지기의 연구.개발 경험을 기술하고자 한다. 구현된 감지기는 우선하여 일본에 적용되도록 개발한 것이다. 국내에서는 주택용 화재감지기를 위한 별도의 규정이 적용되지 않고 단독경보형감지기의 규정으로 적용되고 있어서 별도의 규정을 두고 있는 일본의 사례가 인용되어 있다. 이를 위해 먼저 국내의 법적 현황, KFI 규격과 JFEII에 대한 시험 규격 비교 검토가 수행되었다. 감지기의 경보는 버저와 표시 LED를 통해 표현된다. 감지기 구현 시에 소비전류를 줄이기 위해 대기전력이 극히 적은 MCU를 적용하고, MCU의 슬립상태와 감시상태의 동작을 적절히 제어하여 평균적인 소비 전류를 최소화하도록 하였다. 정온식감지기에서 온도 검출을 위해 응답성이 빠른 서미스터를 적용하고, 감지기의 자동시험기능과 경보정지 기능도 설계에 반영하였다. 전류소비를 줄이기 위해 고려해야 할 부분에 대해서 언급이 되어 있으며, 주요한 부분에 대한 전자회로를 나타내었다. 구현 사례로서 감지기의 서미스터 동작 특성 분석 결과가 나타나 있고, 구현된 감지기의 소비 전류 측정값과 상용 전지 방전특성의 분석을 통해 10년 이상 동안 전지의 교환 없이 적용 가능함을 보여주고 있다.