• 제목/요약/키워드: Early Assessment

검색결과 1,118건 처리시간 0.041초

결핵 환자의 초치료 중단위험 사정도구 개발 (The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment)

  • 최진옥;성경미
    • 성인간호학회지
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    • 제27권2호
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    • pp.156-169
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    • 2015
  • Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's ${\alpha}$ .95. The final scale was a self-reported four Likert scale including 50 items. Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

I-123 MIBG Cardiac SPECT의 임상적 적응증 (Clinical Application of I-123 MIBG Cardiac Imaging)

  • 강도영
    • 대한핵의학회지
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    • 제38권5호
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    • pp.331-337
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    • 2004
  • Cardiac neurotransmission imaging allows in vivo assessment of presynaptic reuptake, neurotransmitter storage and postsynaptic receptors. Among the various neurotransmitter, I-123 MIBG is most available and relatively well-established. Metaiodobenzylguanidine (MIBG) is an analogue of the false neurotransmitter guanethidine. It is taken up to adrenergic neurons by uptake-1 mechanism as same as norepinephrine. As tagged with I-123, it can be used to image sympathetic function in various organs including heart with planar or SPECT techniques. I-123 MIBG imaging has a unique advantage to evaluate myocardial neuronal activity in which the heart has no significant structural abnormality or even no functional derangement measured with other conventional examination. In patients with cardiomyopathy and heart failure, this imaging has most sensitive technique to predict prognosis and treatment response of betablocker or ACE inhibitor. In diabetic patients, it allow very early detection of autonomic neuropathy. In patients with dangerous arrhythmia such as ventricular tachycardia or fibrillation, MIBG imaging may be only an abnormal result among various exams. In patients with ischemic heart disease, sympathetic derangement may be used as the method of risk stratification. In heart transplanted patients, sympathetic reinnervation is well evaluated. Adriamycin-induced cardiotoxicity is detected earlier than ventricular dysfunction with sympathetic dysfunction. Neurodegenerative disorder such as Parkinson's disease or dementia with Lewy bodies has also cardiac sympathetic dysfunction. Noninvasive assessment of cardiac sympathetic nerve activity with I-123 MIBG imaging nay be improve understanding of the pathophysiology of cardiac disease and make a contribution to predict survival and therapy efficacy.

철도사업 환경성평가서 검토시 주요항목에 대한 분석 (Analysis of Major Environmental Items for Railroad Construction in the EIA Process)

  • 이민주;김민경;이상돈
    • 환경영향평가
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    • 제22권6호
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    • pp.739-744
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    • 2013
  • Recently, railroad construction becomes an alternative considering environmental merits such as mass transportation, safety, economy and energy efficiency. Also railroad can have 3 to 4 times better in economy compared to road construction. However, long line and unavoidable sensitive areas hinders railroad construction often resulted in ecosystem degradation. This paper reviewed 27 cases of EIS submitted during 2003-2006 and reviewed major issues on Animal-Plants and Landscape. Noise-Vibration (13.5%), Water Quality (13.5%), Wastes (10.8%) appeared to be most frequent factors to supplement. Route selection in the railroad is the most sensitive issues so that public participation and hearing should be involved in the early stage of the process and social and cultural factors also must be considered to make a final decision on the railroad route location and selection.

K-CDI 아동발달검사 표준화를 위한 예비연구 (A pilot study for restandardization of CDI( Child Development Inventory) in Korea)

  • 김정미;신희선
    • Child Health Nursing Research
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    • 제12권2호
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    • pp.260-267
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    • 2006
  • Purpose: This pilot study was to develop Korean version of CDI(The Child Development Inventory) and assess the validation and reliability on K-CDI. Method: The K-CDI is assessed by parent-report method that has designed to screen children developmental functioning on 12 months to 6.5 years of age /or older children who are judged to be functioning in the one to six-year range. The inventory assesses areas of child development in the social, self-help, motor, language, letter and number skills. also, it includes various symptoms and behavior problems that young children may have. Participants were 130 children and their mothers who has lived in Seoul or Gyounggi-Do. Data was analyzed on the ratio of item response, Pearson's correlation, and Cronbach alpha. Results: 270 items with 8 sub-developmental realms were confirmed the reliabilities and validity on Korean children. Total 300 items were selected for restandardization. There was a significant correlation between the score of Social Maturity Scale and K-CDI. The corrlation coefficient alpha was .98. Conclusion: This study indicated that CDI is applicable in the clinical and early childhood educational setting for developmental assessment in Korea.

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발전설비 건전성평가를 위한 음향방출 비파괴검사 적용기술 - 제1편 : 음향방출 비파괴검사기술 이론(I) - (Nondestructive Testing and Applications for Integrity Assessment of Power Plant Facilities by Acoustic Emission Technology - Part 1 : The Theory of Acoustic Emission Technology(I) -)

  • 이상국
    • 동력기계공학회지
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    • 제9권1호
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    • pp.5-13
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    • 2005
  • Acoustic emission(AE) is defined as the transient elastic waves thar are generated by the rapid release of energy. The advantage of AE is that very early crack growth can be detected well before a highly stressed component may fail. At present, an exact diagnosis is the most reliable means for determining the soundness of structures during power plant operations. AE monitoring has been applied successfully in power plants to determine mechanical problems, pressure vessel integrity and external valves leaks, vacuum leaks, the onset of cavitation in pumps and valves, the presence of flow(or no flow) in piping and heat exchange equipment, etc. Acoustic emission(AE) technology has recently strengthened its application base, and practitioners' understanding of the technique's fundamentals. This paper introduces the methods of a survey and assessment on AE monitoring applications in nuclear, fossil and hydraulic power plant. The main objective of this paper was to obtain information on various applications of AE technology in power plant.

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Predicting the Invasion Potential of Pink Muhly (Muhlenbergia capillaris) in South Korea

  • Park, Jeong Soo;Choi, Donghui;Kim, Youngha
    • Proceedings of the National Institute of Ecology of the Republic of Korea
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    • 제1권1호
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    • pp.74-82
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    • 2020
  • Predictions of suitable habitat areas can provide important information pertaining to the risk assessment and management of alien plants at early stage of their establishment. Here, we predict the invasion potential of Muhlenbergia capillaris (pink muhly) in South Korea using five bioclimatic variables. We adopt four models (generalized linear model, generalized additive model, random forest (RF), and artificial neural network) for projection based on 630 presence and 600 pseudo-absence data points. The RF model yielded the highest performance. The presence probability of M. capillaris was highest within an annual temperature range of 12 to 24℃ and with precipitation from 800 to 1,300 mm. The occurrence of M. capillaris was positively associated with the precipitation of the driest quarter. The projection map showed that suitable areas for M. capillaris are mainly concentrated in the southern coastal regions of South Korea, where temperatures and precipitation are higher than in other regions, especially in the winter season. We can conclude that M. capillaris is not considered to be invasive based on a habitat suitability map. However, there is a possibility that rising temperatures and increasing precipitation levels in winter can accelerate the expansion of this plant on the Korean Peninsula.

Strengthening Risk Evaluation in Existing Risk Diagnosis Method

  • Wong, Shui Yee;Chin, Kwai Sang;Tang, Dawei
    • Industrial Engineering and Management Systems
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    • 제9권1호
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    • pp.41-53
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    • 2010
  • An existing risk diagnosing methodology (RDM) diagnoses corporate risk for product-innovation projects. However, it cannot evaluate and compare the risk levels of multiple alternatives in the product development stage. This paper proposes a modified risk diagnosis method to fill the gap of risk evaluation in selections of innovative product alternatives and the application of the method will be also illustrated by a case problem on alternative selections in electrical dimmer designs. With RDM as the foundation, a modified RDM (MRDM) is proposed to deal with the problem of selecting innovative project alternatives during the early stages of product development. The Bayesian network; a probabilistic graphical model, is adopted to support the risk pre-assessment stage in the MRDM. The MRDM is proposed by incorporating the risk pre-assessment stage into the foundation. By evaluating the engineering design risks in two electrical dimmer switches, an application of the MRDM in product innovation development is successfully exemplified. This paper strengthens the existing methodology for RDM in innovative product development projects to accommodate innovative alternatives. It is advantageous for companies to identify and measure the risks associated in product development so as to plan for appropriate risk mitigation strategies.

수생 지렁이를 이용한 생태 독성 평가 연구에 대한 고찰 (Ecotoxicological Studies Using Aquatic Oligochaetes: Review)

  • 강혜진;배미정;박영석
    • 생태와환경
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    • 제49권4호
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    • pp.343-353
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    • 2016
  • Oligochaetes distribute widely in freshwater ecosystem, and some species are used as bioindicators for water quality assessment because they are tolerant to organic enrichment. They are acknowledged for potential for environmental health recovery of organic polluted environment. There are a lot of studies on ecology and toxicity assessment using oligochaetes in aquatic environment. In this study, we reviewed literature on ecotoxicology of aquatic oligochaetes. We searched literature from a database 'google scholar' by using keywords such as aquatic, oligochaete, and toxicity. The literature were summarized according to publication years, species, test methods, and chemicals. We obtained 133 articles published from 1953 to 2015 from the database. Among them, 58 papers(43.6% of total) have been published in 1990s. Three species(Lumnbriculus variegatus, Tubifex tubifex, and Limnodrilus hoffmeisteri) have been used most frequently in the study. Different species displayed different toxicological responses to different toxic chemicals. The results on the ecotoxicological study with aquatic oligochaetes revealed the possibility of the development for early warning system using aquatic oligochaetes to monitor aquatic ecosystem disturbance.

Effect of Motor Imagery Training on Somatosensory Evoked Potentials and Upper Limb Function in Stroke Patients

  • Choi, Jongbae;Yang, Jongeun
    • 국제물리치료학회지
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    • 제11권1호
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    • pp.2005-2011
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    • 2020
  • Background: Motor imagery is the mental representation of an action without overt movement or muscle activation. However, few previous studies have demonstrated motor imagery training effects as an objective assessment tool in patients with early stroke. Objective: To investigate the effect of motor imagery training on Somatosensory Evoked Potentials (SSEP) and upper limb function of stroke patients. Design: A quasi-experimental study. Methods: Twenty-four patients with stroke were enrolled in this study. All subjects were assigned to the experimental or control group. All participants received traditional occupational therapy for 30 minutes, 5 times a week. The experimental group performed an additional task of motor imagery training (MIT) 20 minutes per day, 5 days a week, for 4 weeks. Both groups were assessed using the SSEP amplitude, Fugl-Meyer assessment of upper extremity (FMA UE) and Wolf motor function test. Results: After the intervention, the experimental group showed significant improvement in SSEP amplitude and FMA UE than did the control group. Conclusion: These findings suggest that the MIT effectively improve the SSEP and upper limb function of stroke patients.

출혈을 동반한 급성기 허혈성 뇌중풍 환자에 대한 한방치료 증례 보고 1례 (A Case Report of Korean Medicine Treatment for Acute Cerebral Infarction with Cerebral Hemorrhage)

  • 전상우;이기향;강세영
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.999-1006
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    • 2019
  • Objectives: The purpose of this study was to report the improvement of symptoms by Korean medicine in acute hemorrhagic infarction. Method: The patient was diagnosed with a cerebral infarction of the right temporal lobe accompanied by cerebral hemorrhage of the left basal ganglia. He did not receive intravenous thrombolytic treatment. Sunghyangjungi-san-gamibang was initially administered, and Gami-daebo-tang was administered during the recovery phase, together with Uhwangchungsim-won, Simjeok-hwan, and acupuncture. The prognostic observation was conducted using the manual muscle test (MMT), the Korean version of the modified Bathel index (K-MBI), and subjective assessment. Results: After Korean medicine treatment, the K-MBI score was improved from 52 to 93. The MMT score and subjective assessment also showed improvement. Conclusions: For patients who cannot be treated with intravenous thrombolytic treatment, Korean medicine treatment is effective during the early and recovery stages of stroke.