• Journal of Korean Clinical Nursing Research
• /
• v.25 no.2
• /
• pp.189-197
• /
• 2019

Purpose: The purpose of this study was to identify the effects of symptom experience and depression on the falls efficacy of elderly patients who were undergoing chemotherapy. Methods: The questionnaires were administered to 105 elderly patients over 65 years hospitalizing for chemotherapy from October 25 to December 30, 2018. The data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlations and Multiple Linear Regression, ursing an SPSS/WIN 22.0 program. Results: Falls efficacy was negatively correlated with the symptom experience (r=-.58, p<.001), and depression (r=-.57, p<.001). Symptom experience and depression were positively correlated (r=.72, p<.001). The significantly influential factors of falls efficacy were age (${\beta}=-.34$, p<.001), symptom experience (${\beta}=-.24$, p=.022), and the history of falls (${\beta}=-.15$, p=.040), explaining 57.0% of the variance in falls efficacy. Conclusion: The main findings of this study can be used as the foundation for developing programs to increase the falls efficacy of elderly patients undergoing chemotherapy.

• Quality Improvement in Health Care
• /
• v.14 no.1
• /
• pp.49-54
• /
• 2008

Background : This study was to reduce incidence of falls by analyzing actual problem and drawing out improvement plan applicable to the clinical practice through operation of the staff nurses-centered fall peer review group. Method : The fall peer review group was composed of 8 nurses having patient nursing experience for over 5 years, and each of fall cases was reviewed and the root cause was analyzed. As a result, it was found that the patients and their families did not fully understandthe content of the education, and the staff nurses did not completely inspect the risk factors of falls and perform immediate intervention when patient's condition changed. Based on the above-mentioned results, improvement activity was conducted for the purposes of consolidating patients education method and supplementing computerized system to support nurses' decision making as well as devices and facilities. Result : As a result of conducting improvement activity in the aspects of education for patients, support of nurse's decision-making, and devices and facilities through operation of the staff nurses-centered fall peer review group, falls decreased by 9.5% compared to before improvement activity. Conclusion : It is concluded that operation of the clinical nurses-centered fall peer review group played a role of promoter to draw out practical and applicable improvement plan to the clinical practice and apply directions of the field-centered, and increased nurses' interest in falls and ultimately, reduced incidence of falls. Therefore the Center will continue to operate the staff nurses-centered peer review group, and recommends participation of nurses who actually take the charge of nursing patients in further analysis of patients' safety accidents.

• Journal of the Korean Geotechnical Society
• /
• v.33 no.3
• /
• pp.5-15
• /
• 2017

In this study, the liquid and plastic limit tests were conducted on Paju clay with Casagarande method (dynamic) and the fall cone test method (static) to find out the effects of test methods and testers on their values. Six testers, who already have the experience of test, participated. As a results of liquid limit tests, the fall cone test method showed 4% smaller liquid limit compared to the value determined by Casagrande method. As the number of tests increased, the fall cone test method showed less variation between testers and the variation range of level of proficiency was also more stable. In the case of one point method, the liquid limit determined by the fall cone test method varied with smaller range compared to the Casagrande. Consequently, the fall cone test provided more stable liquid limit value than that of Casagrande method. For the results of plastic limit tests, there were no difference between Casagrande method and the fall cone test unlike liquid limit test results. In other words, both methods showed that plastic limit reached the average value as the number of tests increased, and the tendency level of proficiency also showed to get better.

• Journal of Trauma and Injury
• /
• v.36 no.3
• /
• pp.187-195
• /
• 2023

Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

• Proceedings of the KAIS Fall Conference
• /
• 2009.12a
• /
• pp.66-69
• /
• 2009

본 논문에서는 도시화, 국토개발 등을 통해 빠르게 달라지고 있는 거주 공간 및 자연환경의 원형을 사이버공간에 친환경적으로 표현하여 3D기반의 환경교육용 소프트웨어를 개발하기 위한 콘텐츠로 조선시대 마을의 거주 공간 및 자연환경의 원형기법을 이용한 3D기술(가상현실, 3D Max)을 이용하여 사이버공간에 재현하는 사이버 체험학습 프로그램을 설계 및 구현하였다.

• Proceedings of the KAIS Fall Conference
• /
• 2011.05a
• /
• pp.211-213
• /
• 2011

본 연구에서는 도시화, 국토개발 등을 통해 빠르게 달라지고 있는 거주공간 및 자연환경의 원형을 사이버공간에 친환경적으로 표현하여 환경교육 학습자료로 활용하기 위한 컨텐츠로 조선시대 마을의 거주공간 및 자연환경의 원형을 3D기술(가상현실, 3D Max)을 이용하여 사이버공간에 재현하는 환경 교육용 가상체험 프로그램을 개발하고자 한다.

• Proceedings of the KAIS Fall Conference
• /
• 2009.05a
• /
• pp.44-46
• /
• 2009

본 논문에서는 도시화, 국토개발 등을 통해 빠르게 변하고 있는 거주 공간 및 자연환경의 원형을 사이버공간에 친환경적으로 표현하고 Quest기반의 환경교육용 3D 가상체험 소프트웨어 설계하여 환경교육 학습자료로 활용하기 위한 콘텐츠로 조선시대 마을의 거주 공간 및 자연환경을 3D 기술을 이용한 환경교육용 가상체험 프로그램을 개발하는데 그 목적이 있다.

• Proceedings of the KAIS Fall Conference
• /
• 2009.05a
• /
• pp.47-49
• /
• 2009

본 논문은 기존의 가상현실을 이용하여 환경교육용 프로그램과의 차별성을 두어 단순히 가상현실을 이용한 전통문화 체험학습이 아닌, 조선시대의 자연환경과 주거환경 모습을 가상현실로 재현하고 각계 전문가의 고증을 통해 작성된 시나리오를 바탕으로 사용자 스스로 현재의 자연환경 변화의 모습과 조선시대의 환경변화 모습을 비교 학습하고 원인과 해결방안을 모색 할 수 있는 환경교육용 가상체험 프로그램을 제작하는데 그 목적이 있다.

• Proceedings of the KAIS Fall Conference
• /
• 2010.05a
• /
• pp.515-518
• /
• 2010

본 논문에서는 도시화, 국토개발 등을 통해 빠르게 달라지고 있는 거주 공간 및 자연환경의 원형을 사이버공간에 친환경적으로 표현하여 3D기반의 환경교육용 소프트웨어를 개발하기 위한 콘텐츠로 조선시대 마을의 거주 공간 및 자연환경의 원형기법을 이용한 3D기술(가상현실, 3D Max)을 이용하여 사이버공간에 재현하는 사이버 체험학습 프로그램을 설계 및 구현하였다.

• Proceedings of the KAIS Fall Conference
• /
• 2010.05a
• /
• pp.552-554
• /
• 2010

본 논문에서는 환경교육용 3D 가상체험 소프트웨어를 설계하여 도시화, 국토개발 등으로 인해 변해가는 자연환경을 3D MAX 와 QUEST 프로그램을 통해 옛 조선시대의 주거 및 자연환경을 가상현실로 재현한다. 본 논문에서 설계된 3D 가상체험 소프트웨어의 설계를 통하여 우리의 주거 및 자연환경 보호를 실천할 수 있도록 도움을 주는 데에 그 목적이 있다.