• Restorative Dentistry and Endodontics
• /
• 제10권1호
• /
• pp.177-181
• /
• 1984

This study was to confirm the influence of intracanal instrumentation whether the pulp infection could be extended to periapical tissue. Fifty three teeth (24 badly decayed and infected, 29 sound teeth) were employed for this experiment and grouped as follows; 1. The specimen taken from the tip of 12 infected pulp in which reamer was inserted to the canal up to apical 1/3 and cultured as long as 48 hours. After 24 hours culture 11 cases were positive and 1 ease was negative but the time of incubation elapsed as 48 hours a negative case turned to positive. 2. Broth immersed paper disc was placed for 1 minute on the tip of 12 infected teeth with a reamer inserted to the apical end and cultured as usual manner in the incubator. At 24 hour culture the growth was significant in 9 cases and after 48 hours total 12 cases were positive. 3. Reamer was inserted to apical 1/3 on 14 sterile pulp canals and specimens obtained from the root tip were cultured for 24 and 48 hours. The results on both group were negative. 4. Similar maner with No.3 except reamer tip was rest exactly at the apex revealed only 2 cases of positive at 48 hour culture. 5. The tip of 24 reamers which reached to apical 1/3 and apex of infected canal were cultured for 24 and 48 hours. At 24 hour culture the growth was evident. 6. The tip of 14 reamers which inserted to apical 1/3 of sterile canal showed negative at 24 hour culture. The 15 cases of the tip which reached to the apex of sterile canal were found negative except 3 positive cases at 48 hour culture.

• 한국보건간호학회지
• /
• 제1권1호
• /
• pp.45-61
• /
• 1987

This Study was an attempt to estimate the optimum numbers of Operating Room Nursing Manpower by measuring the amount of service hours required by the patients in Operating Room in relation to the service amount actually provided by the nurses. The major concern of this study was placed on the measurement of Nursing Service Requirements by using the Operating Room (O. R) Patient Acuity System recently developed by M. M. Hart to classify the O. R. patients into four groups according to the degree of the complexity of operative procedure and some other elements which increase nursing activities in respect of patient care; Acuity IV group is the one requires nursing services most, on the other hand Acuity I requires least. nu sing The objectives of this study were as follows; 1. To analyze functions of the nursing personnel in O. R. by time unit and to estimate the average time a nurse can activate for productive functions. 2. To measure the actual amount of nursing times provided by nurses to the surgical patients. 3. To develop a patient classification system in order to measure the amount of Nursing services required by the patients. 4. To calculate an appropriate number of nursing manpower to meet the needs of the patients. In order to conduct the research both selected nurses and patients in 'S' University Hospital were Studied by utilizing the O. R. Patient Acuity System as well as the Classification Chart developed by Association of Operating Room Nurses (A. O. R. N) as a means of classifying functions of O. R. nurses. That is; Functions of the 10 selected O. R. nurses observed during the period of June 30 to July 4, 1986, whereas the amount of nursing services required by or provided to the 974 patients who had received surgeries during the period of June 9 to July 4, 1986. The results of this study were as follows; 1) The actual working hours per a nurse averaged 6.7 hours a day. 2) Each nurse's daily routine schedule consists of $71.4\%$ for Technical Functions, $16.1\%$ for Nonprodective Functions, $6.6\%$ for Assessment and Evaluation, $3.9\%$ for Overseeing and Supervision and the rest $2.0\%$ for Patient Preparation respectively. 3) Preoperative waiting time per a patient was 24.1 minutes on the average; for the first case was 10.7 minutes, whereas for the following cases was 32.0 minutes. 4) Total Operation time for the 974 patients during the period of observation for this study amounted to 2759.6 hours, weekly hour was equivalent to 689.9 hours, Whereas daily operation time averaged 130 hours. Meanwhile the average operation time per patient was 2.8 hours ; for the case of Acuity IV was 5.6 hours, 5. 1 hours for the case of Acuity III, 2.3 hours for Acuity II and 1.1 hours for Acuity I. 5) According to the O. R. Patient Acuity System, $64.5\%$ of the whole patients belonged to Acuity II, $23.7\%$ to Acuity III, 11. $3\%$ to Acuity IV and $0.7\%$ to Acuity I respectively. 6) Required amount of nursing times based on the preoperative waiting time and operation time was 7167.8 person hours, which showed that $5.5\%$ of them needed for preoperative nursing care, whereas the rest $94.5\%$ for intraoperative nursing care. In terms of the O. R. Patient Acuity System, $49.7\%$ of total nursing service requirements was needed for Acuity II patients, $27.4\%$ for Acuity III patients, $17.2\%$ for Acuity IV patients and $0.2\%$ for Acuity I patients. 7) The rate of the nursing services provided against the required nursing times was about $81.4\%$ on the average; some departments, like those of Plastic Surgery, Otolaryngology and Ophthalmology whose patients mostly belonged to Acuity II recorded hegher provision rate than average, whereas other departments of Thoracic Surgery. Neurosurgery and Orthopedic Surgery whose patients belonged to Acuity III and Acuity IV as well as Acuity II recorded lower provision rate than average. 8) Subsequently, required numbers of nursing manpower was 10.7 nurses additionally. Based on the above findings the following recommendations will be made; 1) this study recommends, develops. and adopts an accurate and realistic O. R. Patient Acuity System which can help measure the nursing service requirements objectively to elicit the rationales of allocation of nursing personnels. 2) this study proposes storongly place nurses who take the role of preoperative nursing care exclusively for the waiting patients in O. R. and shortening their waiting time by close communication between the designated O. R. and the ward.

• 대한지역사회영양학회지
• /
• 제8권3호
• /
• pp.270-279
• /
• 2003

Middle and high school students in Korea spend a lot of time at school. In other words, many Korean teenagers spend most of their time studying, and have little time for other activities, such as physical workouts. Fewer physical activities, and consumption of many snacks, etc. may lead to overweight or obesity in some teenagers. This study was conducted to find out the activity levels of teenagers' in order to calculate their daily energy expenditures. A total of 1,192 students (461 middle school students and 731 high school students) who lives in either a city or a country area were recruited for this study. One-day Activity Diaries were collected using questionnaires and analyzed by means of SPSS /win. The participating students spent about 7 hours 24 minutes resting including sleeping; 6 hours 28 minutes studying ,4 hours 4 minutes in leisure activities , 1 hour 32 minutes in personal hygiene activities such as washing, dressing and undressing, etc., 50 minutes on transportation : and 23 minutes on household chores such as cleaning, doing the laundry, etc. The average activity factor was 1.49. That of middle school female students was the lowest at 1.47, followed by middle school male students at 1.48, high school female students at 1.49, and high school male students at 1.51. The daily energy expenditure of middle and high school male students was 2,289 kcal and 2,600 kcal, respectively. That of female students was 1,959 kcal and 2,067 kcal, respectively.

• 성인간호학회지
• /
• 제27권2호
• /
• pp.233-241
• /
• 2015

Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.

• 한국음향학회지
• /
• 제15권2호
• /
• pp.61-71
• /
• 1996

본 논문에서는 음성합성을 위한 대화체(회화체) 음성의 triphone 단위 데이터베이스 구축에 대하여 보고한다. 특히 본 연구는 방송 매체를 이용하여 대화체 음성을 수집하고 3차에 걸친 대화체 표기(transcription)작업을 거쳐 triphone 단위의 분할 및 음성기호층 단계의 레이블링을 목표로 진행되었다. 수집된 총 10시간 방송분량중 6시간 분량을 데이터베이스 구축에 사용하였으며, 나머지 4시간은 예비 분으로 수집되었다. 낭독체 음성 데이터베이스 구축과는 여러 면에서 다른, 대화체 음성 데이터베이스 구축을 위한 음성 데이터 수집에서부터 triphone 단위 레이블링까지의 과정을 본 논문에서 기술하고, 보다 체계적이고 일관성있는 대화체 음성 데이터베이스 구축을 위해 필요한 계획 및 요구 사항에 대해서 논하고자 한다.

• 대한핵의학회지
• /
• 제29권1호
• /
• pp.31-40
• /
• 1995

휴식/부하 Rb-82 PET으로 평가한 심근혈류와 부하/휴식 Tc-99m-MIBI SPECT 심근혈류평가소견을 비교하였다. 관상동맥질환에 이환된 23명의 환자와 6명의 정상인에서 휴식기 Rb-82 PET을 촬영한후 디피리다몰 부하를 가하면서 Rb-82 PET을 촬영하고 Rb-82주사와 동시에 주사한 Tc-99m-MIBI의 SPECT를 1시간 후 촬영하였다. 4시간 후에는 휴식기 Tc-99m-MIBI SPECT 촬영을 하였다. 수직, 수평장축과 세 단축상에서 29개의 분절들의 관류점수를 정상부터 결손까지 5개 등급으로 나누어 점수판정하고 동맥영역별 점수는 합산한 값을 영역의 점수로 삼았는데 점수 2점인 분절이 둘 이상 또는 3점인 분절이 하나이상일 때 해당 관상동맥의 협착이 유의하다고 보았다. 46개의 동맥영역이 협착된 동맥에 의해 혈류공급을 받는 심근인데 이중 78%가 Rb-82 PET에서 확인되었고, 67%가 Tc-99m-MIBI SPECT에 이상을 나타냈다. 12명환자는 CABG 수술후의 환자였는데 이환동맥 28개 영역 중 14 영역이 Rb-82와 Tc-99m-MIBI에 모두 정상으로 판명되었다. 부하기심근분절은 모두 709 분절이 비교가능하였는데 이중 Rb-82와 Tc-99m-MIBI 분절혈류점수가 일치한 것이 72%이었고 휴식기 825 분절중에는 80%가 점수등급이 일치하였다. 휴식기 Rb-82 혈류점수가 Tc-99m-MIBI 보다 작은 경우가 9%, 큰 경우가 11%이었고 부하기 Rb-82 점수가 Tc-99m-MIBI보다 작은 경우가 9%, 큰 경우가 20%이었다. Spearman의 순서상관 분석에 Rb-82 PET의 분절점수와 Tc-99m-MIBI SPECT의 분절점수 사이에 구한 상관계수 rho는 부하기에는 0.7(p<0.005), 휴식기에는 0.5(p<0.005) 이었다. 기울기는 Tc-99m-MIBI SPECT 분절점수/Rb-82 PET분절점수로 표현한 상관기울기는 부하기 0.7, 휴식기에 0.9이었다. 좌전하행동맥영역의 기울기는 Tc-99m-MIBI SPECT/Rb-82 PET 분절점수비로서 1보다 컸고 46동맥중에서 7동맥영역이 Tc-99m-MIBI SPECT 에서 휴식기 결손의 정도가 심했다. 부하기와 휴식기의 점수의 차가 허혈정도를 나타낸다 할 때 Rb-82 PET에 더 크게 나타났다. 이 심근분절혈류감소 비교 결과로 보아 Rb-82 심관관류 PET 검사가 하루안에 시행하는 부하/휴식순서의 Tc-99m-MIBI 심관관류, SPECT 보다 더 큰 허혈부위를 찾아주며, 부하 4시간후 휴식기 Tc-99m-MIBI SPECT에 휴식기 Rb-82 PET 보다 더 큰 결손이 관찰됨을 알았다.

• 기본간호학회지
• /
• 제14권3호
• /
• pp.280-287
• /
• 2007

Purpose: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP). Method: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels. Results: Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group. Conclusion: These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.

• 한국직업건강간호학회지
• /
• 제23권1호
• /
• pp.20-27
• /
• 2014

Purpose: This study was conducted to identify the association between emotional labor and job stress in bus drivers, as well as to propose management strategies for job stress. Methods: The study was conducted in February 2013 and involved 182 bus drivers working in the Gyeonggi area. Results: emotional labor was $9.5{\pm}2.34$ on average, and job stress was higher than the median of the same indicator among Korea's workers in the areas of physical environment, job autonomy, and relationship conflicts. Factors that affected job stress was lower if the subjects' Higher values for emotional labor indicated a higher level of job stress. Conclusion: To reduce among drivers, the following measures are necessary: increase the comfort of the driver's seat within the vehicle, provide adequate rest between bus headways, provide comfortable in-house rest facilities, and establish physical training spaces to reduce musculoskeletal disorders as well as programs for reducing back pain. In addition, relationship conflicts may be relieved by increasing job autonomy as much as possible, by granting autonomous control of working hours and bus headways, as well as by banning long work hours. Moreover, various club activities, exercise programs, and counseling programs that workers can be involved in together may be beneficial. This study is significant in that it identified the relationship of the bus drivers' emotional labor and job stress, which has previously been ignored as a research topic. Through its results, this study provides baseline data for the preparation of management strategies that can address the job stress of bus drivers.

• 한국의류산업학회지
• /
• 제18권3호
• /
• pp.351-362
• /
• 2016

Domestic sewing industry is showing signs of a redevelopment and the demands of the sewing technician are gradually increasing. This study would investigate the opinions of sewing technicians about job environments and training situation in order to solve the shortage of sewing manpower. As a result of a survey with 100 sewing technicians, of the pay systems, the salary system showed the highest satisfaction and preference. Their satisfaction with pay was low. There was a tendency that they work on Saturdays and national holidays, and their satisfaction with the number of holidays was low. Most worked for 10 to 11 hours per day, and they showed low satisfaction with their working hours. There were no places to rest in the company. They showed law satisfaction with the air and vent. The sewing technicians were concerned about respiratory and musculoskeletal diseases because of the working and workplace environment and needed places to rest, vent facilities, and spacious and comfortable spaces. The total lead-time that they were sent to the field as skilled workers was 1 to less than 2 years; they received training from seniors; and the training period, mostly, was 6 months to 2 years. Most of the sewing technicians surveyed had the expertise, did not feel the necessity of retraining related to their tasks, and did not have any willingness to take reorientation due to a lack of time even with their tasks.

• 한국항해항만학회지
• /
• 제38권5호
• /
• pp.479-484
• /
• 2014

본 연구에서는 승선 중인 해기사의 피로도 유발요인에 대한 현황과 개인별 피로도 자각증상 항목들에 대한 실태를 파악하기 위하여 설문조사를 실시하고 그 결과를 선종별로 분석하였다. 설문조사 분석결과 선종별로 많은 해기사들이 수면과 휴식시간의 부족을 겪고 있음을 확인할 수 있었고, 수면을 방해하는 요인은 다양하지만 특히 날씨, 선체의 운동 및 진동, 소음, 거주시설 등 환경적 요인이 많이 작용하는 것을 파악하였다. 그리고 일부 선종의 경우는 하루 평균 10시간 이상 당직근무를 수행하고 있었으며, 과다한 업무로 기인한 스트레스와 더불어 많은 피로감을 느끼는 것으로 조사되었고, 영역별(육체적, 정신적, 감정적) 피로도 증상 측정항목에 대해서 일부항목의 경우는 많은 해기사들이 상당한 피로도 증상을 경험하고 있는 것으로 분석되었다.