• Title/Summary/Keyword: INTENSIVE MANAGEMENT

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A Review of Forest Development Patten by the Length of Protection Period in Gangwondo Baekdudaegan Mountains (강원지역 백두대간 산림의 보호기간에 따른 임분 발달 양상 검토)

  • Chung, Sang Hoon;Hwang, Kwang Mo;Lim, Seon Mi;Kim, Ji Hong
    • Journal of Forest and Environmental Science
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    • v.30 no.1
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    • pp.133-144
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    • 2014
  • This study was carried out to review the pattern of forest stand development for six Gangwondo Baekdudaegan Mountains which experienced different type and duration of intensive legal protection. Vegetation data from point sampling method were employed to classify community types by cluster analysis on the basis of the importance values of canopy tree species for the study areas. The names of classified communities were given by the composition of dominant tree species. The communities were also compared one another in terms of stand structure by species diversity index. The results indicated that National Parks (Seoraksan and Odaesan) had greater proportion of mixed mesophytic forest type which was supposed to progress further forest succession process so as to have more complex and diversified stand structure. On the other hand, ordinary forest areas (Seokbyeongsan and Deokhangsan) had greater proportion of the forest types which was dominatively composed of Quercus mongolica and Pinus densiflora. The forest types with large amount of these two species would tend to develop for relatively short period of time of 40-50 years after artificial disturbances. Hyangnobong of Natural Protection Area and Hambaeksan of Natural Ecosystem Conservation Area showed intermediate stand development pattern in between National Parks and ordinary forest areas. The period of intensive legal protection of the forest area was positively correlated with species diversity index (R=0.736), and noted that the forest which received intensive protection regulation for longer period tended to show more complex and diversified stand structure.

Ultrasound-guided transversalis fascia plane block versus transmuscular quadratus lumborum block for post-operative analgesia in inguinal hernia repair

  • Fouad, Ahmed Zaghloul;Abdel-Aal, Iman Riad M.;Gadelrab, Mohamed Rabie Mohamed Ali;Mohammed, Hany Mohammed El-Hadi Shoukat
    • The Korean Journal of Pain
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    • v.34 no.2
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    • pp.201-209
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    • 2021
  • Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following non-recurrent inguinal herniorrhaphy.

A Study on the Intensive-Curriculum Improvement of the - Focusing on Social Studies and Ethics - (교과목 집중이수제 연구 -사회·도덕 교과군을 중심으로-)

  • Park, Chang-Eun;Oh, Eun-Joo;Cha, Cheol-Pyo
    • Journal of Fisheries and Marine Sciences Education
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    • v.25 no.5
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    • pp.1224-1237
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    • 2013
  • This study explored the effective ways of managing the intensive-curriculum based on the analysis of current situations in adopting the curriculum at schools. In order to achieve the study goals, interviews with five middle school teachers were conducted and the literature regarding current situations about adopting the intensive-curriculum were analyzed. Based on the study results, effective ways of designing curriculum were discussed and teaching models were developed according to the subject areas.

Factors Affecting Low Back Pain in Nurses in Intensive Care Unit (중환자실 간호사의 요통 영향요인)

  • Sung, Mi-Hae;Seo, Dong-Hee;Eum, Ok-Bong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.3
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    • pp.343-350
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    • 2010
  • Purpose: This study was conducted to identify the factors that influence low back pain in nurses in Intensive Care Units (ICUs). Methods: A descriptive-correlational design was used, with a convenience sample of 116 nurses from one university hospital in Seoul. The data collected were processed using SPSS Window 17.0 Program for actual numbers and percentages, differences in the dependent variable according to general characteristics, and mean, standard deviations, correlation coefficients and multiple regression analysis. Results: The factor influencing low back pain in nurses in ICUs was functional ability (${\beta}$=.652). This one factor explained 41.9% of low back pain in nurses in ICUs. Conclusion: These results show that functional ability was related to nurses' low back pain in nurses in ICUs. These results further suggest that more research is needed to develop program involving functional ability to prevent and management of low back pain in nurses in ICUs.

A Study on the Architectural Planning for Prevention of Nosocomial Infection in Intensive Care Unit (병원감염 방지를 위한 중환자부의 건축계획적 연구)

  • Kim, Sang-Bok;Yang, Nae-Won;Kim, Hong-Kye
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.10 no.2
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    • pp.29-37
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    • 2004
  • Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

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Monitoring and Interpretation of Mechanical Ventilator Waveform in the Neuro-Intensive Care Unit (신경계 중환자실에서 기계호흡 그래프 파형 감시와 분석)

  • Park, Jin
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.63-70
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    • 2018
  • Management of mechanical ventilation is essential for patients with neuro-critical illnesses who may also have impairment of airways, lungs, respiratory muscles, and respiratory drive. However, balancing the approach to mechanical ventilation in the intensive care unit (ICU) with the need to prevent additional lung and brain injury, is challenging to intensivists. Lung protective ventilation strategies should be modified and applied to neuro-critically ill patients to maintain normocapnia and proper positive end expiratory pressure in the setting of neurological closed monitoring. Understanding the various parameters and graphic waveforms of the mechanical ventilator can provide information about the respiratory target, including appropriate tidal volume, airway pressure, and synchrony between patient and ventilator, especially in patients with neurological dysfunction due to irregularity of spontaneous respiration. Several types of asynchrony occur during mechanical ventilation, including trigger, flow, and termination asynchrony. This review aims to present the basic interpretation of mechanical ventilator waveforms and utilization of waveforms in various clinical situations in the neuro-ICU.

Analysis of Questionary Survey Research on the Intensive Major Course in the KNAC (전공심화과정 개설을 위한 설문조사연구)

  • Kang, Y.K.;Hong, K.H.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.10 no.1
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    • pp.137-151
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    • 2008
  • This research was conducted to suggest a policy plan for intensive major course in recurrent education system of KNAC. A survey was answered by students, graduates, field professors and (full-time) professors. The results are summarized as follows; 1. In the item of educational operation system, there were some differences in preference among 4 examinee groups. Students preferred 'semester system', graduates and field professors did 'once per week system', and professors 'cyber+centralized training system'. 2. As entering time, students and graduates preferred 'immediately after graduation'. However, field and full-time professors preferred '1 to 3 years after graduation' that became reality. 3. As board and lodging, all examinee groups wanted 'dormitory in college'. Students and graduates were open to pay educational expenses as a level of national colleges. 4. As a curriculum, the most preferred subject by all groups was 'major field technique', which was followed by 'marketing/sale' and 'farm management' in the order of preference.

A Case study on Intensive Semester of Graduation Design (졸업설계 집중학기제 운영 사례 연구)

  • Kim, Kyeong-Eon;Kang, Seung-Chan
    • Journal of Practical Engineering Education
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    • v.11 no.2
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    • pp.151-158
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    • 2019
  • As the competitiveness of university education and the demand for innovation have increased, a flexible educational system considering the characteristics of universities has become necessary. In particular, in the case of K-university, the intensive semester of Graduation Design, which dramatically improves the educational purpose, content, evaluation, and operation method of the graduate design subject, in order to cultivate a creative engineer capable of actively responding to technological change and solving practical problems. K University's intensive semester of graduation design was operated in two majors in the first semester in 2018, and three majors in the first semester in 2019. A result of survey on the status and effectiveness of intensive semester of graduation design was conducted for participating instructors and students, it was shown that the purpose of introducing intensive semester of graduation design, such as improving the instruction time, the quality of the graduation work and cultivating the competency of the student, was effective.

Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study (중환자실 간호사가 경험한 사람-중심의 관계 돌봄에 대한 해석 현상학적 분석 연구)

  • Jang, Myoung Sun;Kim, Sungjae
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.423-436
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    • 2019
  • Purpose: The aim of the study was to explore nurses' experience of person-centered relational care in the context of critical care. Methods: Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through indepth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data. Results: Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced 'balancing emotions' and 'authenticity' in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory. Conclusion: The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.

Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care (발달지지간호에 대한 신생아집중치료실 간호사의 교육요구도 분석)

  • Shin, Da-Ae;Bang, Kyung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.261-273
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    • 2021
  • Purpose: This study used a descriptive investigative design to identify educational needs for developmental supportive care for the purpose of establishing a developmental supportive care education program for nurses in neonatal intensive care units. Methods: A survey was conducted on 93 nurses working in neonatal intensive care units located in a metropolitan area, and the collected data were analyzed using descriptive statistics and a paired t-test with the SPSS 25.0 program. For the purpose of analyzing educational needs, we further analyzed data through an importance-performance analysis (IPA) and the Borich needs assessment and the locus for focus models. Results: The average importance of the developmental supportive care of nurses in neonatal intensive care units was 3.74±0.78 out of 5, and the average performance was 3.46±0.81 out of 5. A t-test on the difference between the IPA and Borich needs assessment showed the highest educational need in the categories of 'individualized care', and 'I serve on the Developmental Care Committee at my institution'. In addition, according to the results of deriving the priorities of educational needs using the Borich needs assessment and the locus for focus model, the highest priority was 'I provide appropriate pain management when noxious procedures are necessary'. Conclusion: These findings can be used as basic data to design a developmental supportive care program suitable for nurses in neonatal intensive care units to meet the educational needs for developmental supportive care.