• 제목/요약/키워드: Individual Giving

검색결과 180건 처리시간 0.024초

섬바디의 건조에 관한 연구 (Study on Seombody Drying)

  • 박경규
    • Journal of Biosystems Engineering
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    • 제1권1호
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    • pp.56-63
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    • 1976
  • An experimental work was conducted to develop an optimum operating system of various hay drying systems ; sun-drying with long hay, sun-drying after chopping, sun-drying after crushing, heated air drying after chopping using batch-type dryer and heated air drying after crushing using tunnel-type dryer. Seombody having 60 cm long and initial moisture content of approximately 79 % in wet basis was used for the experiment. The criteria selected for determining the optimum operating condition were the drying performance rate, the production cost and quality of dried matter of each drying systems. The result of this study are summarized as follows : 1. Drying characteristics of leaves of long stem hay, chopped seombody and crushed one were obtained by maintaining the oven temperature at 70 degrees centigrade. The required drying times for various samples to approximately 15% moisture content in wet basis were about 50 min .for leaves ; 160 min. for crushed hay ; 250 min. for chopped hay ; 340min. for ling hay and more than 360 min .for stems. The drying time of crushed hay was required about 50 % of that for the uncrushed long hay. Such a significant difference of drying of time between the leaf and long stem may indicate that an effective drying of seombody may not be achieved unless any kind of special process treatment for the whole hay is undertaken. 2. In each individual drying system, the following conclusions were drawn: a. After 8 days sun-drying on concrete floor under good days with average tempe\ulcornerrature at $256{\circ}C$ and relative humidity at 55% at 2 P.M., the moisture content of long hay was still above 25 5'~ and the leaf loss during drying caused by wind and rough handling was more than 50 ~G. b. It was possible to dry the chopped seombody by sun-drying down to about 10 % moisture content within 5 days, however, a stock of heat and discolouration phenomena were observed during the drying, which may be due to the increased deposit-density by chopping, resulting in lowering the quality of the dried product. c. Sun-drying for the crushed material by hay-conditioner was required about 4 days to reduce the moisture content to about 10 %, keeping the quality of dried product at good grade. o. The optimum deposit-depth of the chopped seombody in the batch-type dryer used was about 28cm with about 42kg/hr of drying performance rate. However, it was necessary to overturn the materials between the upper and lower layers in order to obtain a good quality of dried product. d. The drying performance rate by the tunnel-type drier was highest among those of drying systems tested, giving the rate of approximately 400kg/day. 3. On reviewing the individual drying system for seombody, it was possible to draw conclusion that the best system was tunnel drying with the crushed seombody as far as the performance rate was concerned. However, the methods gives the highest operational cost. The system for the lowest operational cost with good quality of dried product was the sun-drying with the crushed material. Accordingly, it may be recommended that the system of sun-drying for the crushed seombody may be the most feasible system presently applicable to farm-level operation.

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개심술시 Activated Clotting Time 을 이용한 Heparin 투여 조절에 관한 임상적 고찰 (Control of heparinization by activated clotting time during extracorporeal circulation)

  • 서충헌
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.281-288
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    • 1983
  • Heparinization is an essential step in extracorporeal circulation for open heart surgery. But wide individual variation to heparin effect sometimes makes it difficult to anticoagulate safely or neutralize appropriately. Because the conventional set protocol of heparinization did not consider this individual variation, a new method of control of heparinization was proposed by Dr. Brian Bull in 1974. We compared the group in which a conventional set protocol was used [Control group] with the other in which a new protocol modified from that of Bull was used [ACT group], on the aspects of the dosages of heparin and protamine administered and postoperative bleeding. Our conventional protocol [Control group] consisted of: 1. Initial heparin was given at dose of 350U/Kg into the right atrium prior to bypass. 2. Additional heparin was given every hour during E.C.C., as much as a half of the Initial dose. 3. 600U of heparin was mixed into every 100ml. of priming solution. 4. The protamine dose was calculated by totalling the units of heparin given to the patient and giving 1 .8mg. of protamine per 100 units of heparin. ACT protocol [ACT group] consisted of: 1. Initial heparinization was same as that of conventional protocol. 2. ACT`s were checked before [A point] and 10 minutes after initial heparinization [B point]. With these 2 points, a dose response curve was drawn. 3. Heparin for the priming solution was same as in control group. 4. Every 30 minutes during E.C.C., ACT`s were checked with Hemochron [International Technidyne Corp.]. ACT between 450 and 600 seconds was regarded as safety zone. If ACT checked at a time was below 450 seconds, heparin dose was calculated on the dose-response curve to lengthen ACT to 480 seconds and was given into the oxygenator. 5. About 10 minutes before the term of E.C.C., ACT was checked to estimate the blood heparin level at the time. Then, protamine dose was calculated at dose of 1.Stag per 100 units of heparin. The calculated dose of protamine was mixed into 50 to lO0ml of 5% Dextrose Water and dripped intravenously during the period of 15 minutes. Compared these two groups mentioned above, results were obtained as follows: 1. Mean value of normal ACT checked with Hemochron on 30 preoperative patients was 124 seconds [range 95-145 sec.]. 2. Doses of heparin and protamine given to the patient were decreased in ACT group as much as 32.2% and 62.2% respectively. 3. Postoperative bleeding and transfusion were also decreased in ACT group in 60.5% and 67.1% respectively. 4. Our modified dose-response curve did not cause any problems in the control of heparinization. 5. Initial heparinization [Heparin 350U/Kg] was sufficient for the most patients until 60 minutes under extracorporeal circulation. 6. We used 1.5mg of protamine to neutralize 100 units of heparin. But smaller dose of protamine may be sufficient for appropriate neutralization.

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성인 발달장애인의 도전적 행동 관련 현황 및 종사자의 인식에 대한 연구: 서울시 발달장애인 평생교육센터를 중심으로 (A Study on the Current Status Associated with Challenging Behaviors of Adults with Developmental Disabilities and the Perception of Workers: Focused on Cases at Lifelong Education Centers for the Developmentally Disabled in Seoul)

  • 유수진;이은혜;한정은
    • 한국콘텐츠학회논문지
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    • 제20권12호
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    • pp.383-392
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    • 2020
  • 본 연구는 발달장애인 평생교육센터 성인 발달장애인의 도전적 행동 관련 현황 및 이와 관련한 종사자의 인식을 확인하고자 수행되었다. 이를 위해 서울시 소재 발달장애인 평생교육센터 16개 기관과 종사자를 대상으로 설문조사를, 4명의 센터장을 대상으로 초점집단인터뷰를 실시하였다. 주요 연구결과는 다음과 같다. 첫째 발달장애인 평생교육센터 종사자의 85.4%가 지난 1년 간 도전적 행동으로 인해 상해를 경험한 적이 있으며, 상해를 경험한 종사자는 소진, 심리적 트라우마, 이직을 고려한 적이 있다고 응답하였다. 둘째, 도전적 행동에 대한 기관의 사전대응은 '개별공간 확보', '도전적 행동 유발요인 사전파악'이 각각 87.5%로 가장 많았으며, 후속대응으로는 81.3%의 기관에서 해당 상황에 대한 사례회의 및 슈퍼비전을 진행한다고 응답하였다. 셋째 도전적 행동 대응과 관련한 제안사항으로, 기관차원의 시스템 구축, 유관기관과의 협력이 필요한 것으로 확인되었다.

남아 선호와 출산력간의 관계 (The Relationship Between Son Preference and Fertility)

  • 이성용
    • 한국인구학
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    • 제26권1호
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    • pp.31-57
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    • 2003
  • 본 연구는 다음의 두 가지를 분석하였다. 하나는 전통사회에서 남아선호를 야기했던 아들의 가치, 즉 노후보장과 가계계승이 개인적인 차원에서 설명될 수 있는지 여부이고, 다른 하나는 사회적 차원의 출산율에 영향을 미치는 남아선호의 요소의 하나-즉 강한 남아 선호를 가진 전통사회에서 여성들이 연속 평균 몇 명의 딸을 낳아야 아들에 대한 욕구를 포기하는가에 대한 포기수준-를 밝히는 것이다. 위의 목적을 수행하기 위해, 이중곡선 위험율 모형을 사용하여 1974년 출산력 자료를 분석하였다. 위험율 모형은 일반회귀분석모형보다 모수 추정치가 어긋날 가능성이 더 크기 때문에, 헥크만과 싱어(Heckman and Singer)가 개발한 혼합분포를 사용하여 추정된 계수들의 버팀성(robustness)를 점검하였다. 본 연구의 분석 결과에 따르면, 남아선호에 영향을 미치는 아들의 가치는 개인적인 차원이 아니라, 사회적 차원에서 설명되고 분석되어야 한다. 또 남아선호가 강한 전통사회에서 여성들은 일반적으로 아들을 낳을 때까지 무한정 출산행위를 계속하지 않았다. 평균적으로 볼 때, 1960년대 여성들은 내리 6명의 딸을 낳으면 아들에 대한 욕구를 포기하였다. 즉 아들이 없는 경우 기존 자녀의 수는 그 수가 6명이 될 때까지 부모의 출산행위에 영향을 미치지 않았다. 그러나 아들이 있으면 자녀의 수는 기존 자녀의 수에 상관없이 영향을 미쳤다. 이는 자녀의 수보다 기존자녀의 성구조가 과거 전통사회 여성의 출산행위에 더 큰 영향을 미쳤다는 사실을 의미한다. 오늘날에는 아들을 낳기 위해 내리 5-6명의 딸을 낳는 여성은 거의 없다. 또 우리는 딸만 2-3명 낳고 출산 행위를 멈춘 여성들을 흔히 볼 수 있다. 이는 포기수준이 30-40년 전보다 급격히 감소했음을 말해준다. 이런 포기 수준의 급격한 감소는 사회적 차원의 출산율에 영향을 미치는 남아선호의 영향을 급격히 감소시켰고, 그 결과 전형적인 아들선호국인 우리나라의 출산율이 1980년대 후반이래 대체수준이하에서 머물 수 있었을 것이다. 만약 사회적 차원의 출산율에 영향을 미치는 남아선호의 강도가 약화되지 않았더라면, 2001년도 합계출산율인 1.3과 같은 수준으로는 결코 떨어지지 않았을 것이다.

비즈니스 인텔리전스 시스템의 활용 방안에 관한 연구: 설명 기능을 중심으로 (A study on the use of a Business Intelligence system : the role of explanations)

  • 권영옥
    • 지능정보연구
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    • 제20권4호
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    • pp.155-169
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    • 2014
  • 다양한 빅데이터 기술이 발전함에 따라, 기업의 전략결정에 있어서 과거에는 의사결정자의 직관이나 경험에 의존하는 경향이 있었다면, 현재는 데이터를 활용한 과학적이고 분석적인 접근이 이루어지고 있다. 이에 많은 기업들이 경영정보시스템 중의 하나인 비즈니스 인텔리전스 (Business Intelligence) 시스템의 예측분석 기능을 활용하고 있다. 하지만, 이러한 시스템이 미래의 경영환경 변화를 예측하고 기업의 의사결정을 돕는 조언자 (Advisor)로서 역할을 한다고 가정할 때, 시스템에서 제공하는 분석결과가 의사결정자에게 도움을 주는 조언 (Advice) 의 역할을 하지 못하는 경우가 많은 실정이다. 따라서, 본 연구에서는 미래예측의 문제에 있어 의사결정자가 시스템의 조언을 따르는데 영향을 미치는 요소들과 영향력에 대해 분석하고, 그 결과를 바탕으로 데이터 기반의 의사결정을 보다 적극적으로 지원하는 시스템 환경을 제시하고자 한다. 좀 더 구체적으로는 예측 과정에 대한 자세한 설명이나 근거 제시가 시스템의 예측결과에 대한 의사결정자의 수용정도에 미치는 영향을 연구하였다. 이를 위하여 193명의 실험자를 대상으로 영화의 개봉 주 매출액을 예측하는 업무를 수행하고, 예측에 대한 설명의 길이와 조언자의 유형(사람과 시스템의 조언 비교)뿐 아니라 의사결정자의 개인 특성이 의사결정자의 조언 수용정도에 미치는 영향을 분석하였다. 시스템에서 제공하는 조언 내용인 예측결과와 설명에 대해 의사결정가가 느끼는 유용성, 신뢰성, 만족도가 조언의 수용에 미치는 영향도 분석하였다. 본 연구는 시스템의 분석결과를 조언으로 보고 조언자와 조언에 관한 의사결정학 분야의 선행연구를 접목시켜 경영정보시스템 연구 분야를 확장하였다는 점에서 연구의 의의가 있고, 실무적으로도 데이터 기반의 의사결정을 보다 적극적으로 지원할 수 있는 시스템 환경을 만들기 위해서 고려해야 할 점들을 제시함으로써 시스템 활용을 위한 정책결정에도 도움을 줄 수 있을 것으로 본다.

가상 커뮤니티에서 사회적 자본과 정체성이 지식기여에 미치는 역할: 실증적 분석 (The Role of Social Capital and Identity in Knowledge Contribution in Virtual Communities: An Empirical Investigation)

  • 신호경;김경규;이은곤
    • Asia pacific journal of information systems
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    • 제22권3호
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    • pp.53-74
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    • 2012
  • A challenge in fostering virtual communities is the continuous supply of knowledge, namely members' willingness to contribute knowledge to their communities. Previous research argues that giving away knowledge eventually causes the possessors of that knowledge to lose their unique value to others, benefiting all except the contributor. Furthermore, communication within virtual communities involves a large number of participants with different social backgrounds and perspectives. The establishment of mutual understanding to comprehend conversations and foster knowledge contribution in virtual communities is inevitably more difficult than face-to-face communication in a small group. In spite of these arguments, evidence suggests that individuals in virtual communities do engage in social behaviors such as knowledge contribution. It is important to understand why individuals provide their valuable knowledge to other community members without a guarantee of returns. In virtual communities, knowledge is inherently rooted in individual members' experiences and expertise. This personal nature of knowledge requires social interactions between virtual community members for knowledge transfer. This study employs the social capital theory in order to account for interpersonal relationship factors and identity theory for individual and group factors that may affect knowledge contribution. First, social capital is the relationship capital which is embedded within the relationships among the participants in a network and available for use when it is needed. Social capital is a productive resource, facilitating individuals' actions for attainment. Nahapiet and Ghoshal (1997) identify three dimensions of social capital and explain theoretically how these dimensions affect the exchange of knowledge. Thus, social capital would be relevant to knowledge contribution in virtual communities. Second, existing research has addressed the importance of identity in facilitating knowledge contribution in a virtual context. Identity in virtual communities has been described as playing a vital role in the establishment of personal reputations and in the recognition of others. For instance, reputation systems that rate participants in terms of the quality of their contributions provide a readily available inventory of experts to knowledge seekers. Despite the growing interest in identities, however, there is little empirical research about how identities in the communities influence knowledge contribution. Therefore, the goal of this study is to better understand knowledge contribution by examining the roles of social capital and identity in virtual communities. Based on a theoretical framework of social capital and identity theory, we develop and test a theoretical model and evaluate our hypotheses. Specifically, we propose three variables such as cohesiveness, reciprocity, and commitment, referring to the social capital theory, as antecedents of knowledge contribution in virtual communities. We further posit that members with a strong identity (self-presentation and group identification) contribute more knowledge to virtual communities. We conducted a field study in order to validate our research model. We collected data from 192 members of virtual communities and used the PLS method to analyse the data. The tests of the measurement model confirm that our data set has appropriate discriminant and convergent validity. The results of testing the structural model show that cohesion, reciprocity, and self-presentation significantly influence knowledge contribution, while commitment and group identification do not significantly influence knowledge contribution. Our findings on cohesion and reciprocity are consistent with the previous literature. Contrary to our expectations, commitment did not significantly affect knowledge contribution in virtual communities. This result may be due to the fact that knowledge contribution was voluntary in the virtual communities in our sample. Another plausible explanation for this result may be the self-selection bias for the survey respondents, who are more likely to contribute their knowledge to virtual communities. The relationship between self-presentation and knowledge contribution was found to be significant in virtual communities, supporting the results of prior literature. Group identification did not significantly affect knowledge contribution in this study, inconsistent with the wealth of research that identifies group identification as an important factor for knowledge sharing. This conflicting result calls for future research that examines the role of group identification in knowledge contribution in virtual communities. This study makes a contribution to theory development in the area of knowledge management in general and virtual communities in particular. For practice, the results of this study identify the circumstances under which individual factors would be effective for motivating knowledge contribution to virtual communities.

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간호원의 환자교육 활동에 관한 연구 (Study of Patient Teaching in The Clinical Area)

  • 강규숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.3-33
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    • 1971
  • Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

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유.소아를 위한 포괄적 간호가 그들의 병원생활 적응에 미치는 영향에 관한 연구 (STUDY OF THE EFFECT OF COMPREHENSIVE NURSING CARE ON THE ADJUSTMENT OF CHILDREN TO HOSPITALIZATION)

  • 이자형
    • 대한간호학회지
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    • 제3권3호
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    • pp.97-110
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    • 1973
  • The goal of modern nursing is to provide comprehensive nursing care to patients. If comprehensive nursing care to children (within the hospital setting) is to be provided, consideration of the stage of growth and development of the child is especially important. From clinical observation, it appeared that nurses often disregarded individual requirements of children in giving nursing care. Therefore, the purpose of this study is to show that comprehensive nursing care which is based on an understanding of the growth and development of the child contributes to both the child and the mother's adaptability to the child's hospitalization. Method: Sixty children, three to three year of age, hospitalized at the Yonsei University Pediatric Ward ware studied. From April 1, 1973 to May 5, 1973, children admitted to the hospital were assigned to either an experimental or a compare groups. There were 30 children in each group. The sex and age of the children in each group was similar. In both groups were more male than female children. In the experimental group, each mother stayed with hot child continuously during his hospitalization. In the compare groups, the mother or some other member of the family stayed with the child. Each day on the child's admission the investigator visited the ward from 1-2 P.M. to 9-10 P.M., in order to provide comprehensive care for the experimental -group. The assistance given the nurses by the investigator was in the form of conferences regarding care and in giving direct care to the child and his mother. The compare group of children received nursing care as usually provided by the hospital. The instruments used to obtain the data for analysis were as follows: 1. The fear and anxiety reaction of the child was recorded by observation of the investigator for four areas: 1) separation from parent and relatives 2) reaction to Doctor and Nurse with white gowns 3) reaction to nursing care 4) reaction to injection and tests, etc. 2. Regression in area of eating, sleeping, and elimination were recorded by the investigator by questioning the mother and by observation. 3. Adaptability to the hospitalization was recorded by direct questioning of the children for areas of emotional and social adjustment. For children older than 3 years of age or children not seriously ill, using the simple I. Q. test this was possible for only 35 of the total 60 children. Result: 1. 55 percents of the total 60 children had been prepared by their parents for hospitalization. The children who had received prior preparation accepted hospitalization more readily than those who had received no preparation. (χ²=4.6 Ρ<0.05) 2. On admission 31.7 percent of the children expressed verbal fear of their discase or treatment. 25 percent felt that the disease was due to their mistake. 3. There was a significant difference in the reaction of the child to separation from the parent or relatives between the two groups. The experimental groups showed less anxiety due to separation than the compare group. (χ²=4.34 Ρ<0.05) In both groups there was less anxiety due to separation among school age (6-12 years) children than among preschool age (3-5 years) children. (χ²=9.22 Ρ<0.05) 4. More than half of the children in both groups reacted with fear and avoidance to doctor and/or nurses wearing white gowns. (χ²=0.06 Ρ<0.05) 5. The experimental group reacted more favorably to nursing in general than the compare group. (χ²=4.8 Ρ<0.05) 6. There was no difference in the fear and refused reaction to special tests and/or such as X-rays and injections, etc. between the groups. (χ²=3.77 Ρ<0.05) 7. More children in the compare group showed regressive tendencies in eating, sleeping, and elimination habits than in experimental groups. (χ²=2.3 Ρ<0.05 χ²=3.88 Ρ<0.05 χ²=4.9 Ρ<0.05) 8. There was a significant difference in the adaptability to hospitalization between the two groups. The experimental groups adapted more readily. (χ²=2.02 Ρ<0.05) 9. For children who had higher I.Q. s the adaptability to hospitalization was better regardless of the group. (χ²=5.03 Ρ<0.05) However, because of the small number of cases (60), this finding cannot be extrapolated without further verification. The date demonstrates that there was a greater adaptability to hospitalization by the child when comprehensive nursing care was given. By planning care and applying knowledge of growth and development to meet, nurses are in a position to prevent some of the psychological trauma associated with hospitalization.

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질적 간호에 대한 환자와 가족의 지각 (Perceptions of Quality Nursing care of Patients and Families)

  • 지성애;권성복;박은희
    • 간호행정학회지
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    • 제4권1호
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    • pp.247-275
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    • 1998
  • The purpose of this study was to offer the results of content analysis and qualitative study that explored the perceptions about quality nursing care of patients and families as consumers and to identify the implications of this study for quality nursing care management and research. The data was collected from 12 adult patients and 9 families who were admmitted at medical and surgical nursing unit of one university hospital in Seoul from October, 1996 to January, 1997. Research participants were asked to response "what do you think quality nursing care?" and similar questions during the interviews was performed. Data were analyzed using open coding and content analysis with frequencies and percents of attributes of quality nursing care. Attributes of quality nursing care and meaning of quality nursing care that patients and families perceived were explored. 1. The attributes of quality nursing care that patient and families perceived were categorized into 56 attributes. The highest response rate among the attributes was 'one's heart at ease' (76.2%), and the next high response rates were ranked in order 'consideration' , 'care about' (each 61.9% 'expert skill' (57.1%), 'deal with problem promptly' , 'information offer' (42.9%), 'intimate feeling' (38.1%), 'smile' 'service spirit' , 'do one's best' (each 33.3%), 'frequent visit' (23.8%), 'observe the time' (23.8%), 'direct nursing care' , 'speaking warmly' , give a hope' , 'address kindly' , 'a sense of duty' , 'good facilities' (each 19.0%), 'inquire after a patient health' , 'patient-centered nursing care' , 'showing an example' , 'professional knowledge' , 'careless moraly patient' , 'give encourage to patients' , 'good answer a question' (each 14.3%), 'do not imprudently' , 'do not disregard' , 'broad knowledge' , 'emergency treatment skill' , 'dependability' ,'consolation' giving a sense of security' , 'a self sacrificing spirit' , 'a sense of responsibility' 'hard - working', 'enough disposition of nursing staff (each 9.5%), 'improve patient's pride' and the rest attributes exhibited 4.7%, respectively. 2. The attributes that were identified in patients' data only were 8 categories, 'service sprit' (58.3 %) 'expert knowledge' , 'good answer a question' (each 25.0%), 'hard working' (16.7%), 'a warm character', 'professional attainments', 'do without reserve', 'satisfaction' (each 8.3%), 3. The attributes were identified to families' data only were 31 categories, 'speaking warmly' , 'direct nursing care', 'adress kindly', 'patientcentered nursing care', 'showing an example' (each 33.3%). 'do not imprudently' , 'do not disregard' , 'consolation', 'giving a sense of security', 'broad knowledge' , 'emergency treatment skill', 'dependability' ,'a self - sacrificing spirit', 'a sense of responsibility' (each 22.2%), 'improve patient's pride' , 'without discrimination' , 'show kindness' , 'individual nursing care', 'being with patient' , 'helping' , 'accuracy' , 'without any mistake' , 'love' , 'self - confidence', 'self possession', 'a self - denying spirit' , 'a sense of duty' , 'tighten discipline' , 'disposed room with similar patient to diagnosis', 'compensatory relationship between me dical team' , 'role of connection' (each 11.1 %). 4. The attributes of quality nursing care were integrated into 11 categories that they were 'patientcentered nursing care' (25.1%), 'expertise' (22.1%), 'caring'(18.1%), 'kindness'(11.1%L 'nurse attainments(10.1%), 'sincerity' (7.5%), 'good environment' (2.0%), 'effective organizational management', 'coordination', 'enough nursing staff' ( each 1.0%), 'satisfaction' (0.5%) were showed in the order of the highest rate. 5. The concept of quality nursing care were defined as 'give a satisfaction to patients by patientcentered care based on professional skill and caring with kindness and sincerity'. The description of the meaning of quality nursing care provided by this research participants, patients and families can provide important information for quality nursing care management, medical marketing, education and researches of this field. On the basis of the above findings the following recommendations are made: to suggest to utilize this results for patient care in practice setting, development of quality assessment tool in nursing care, repeat study by the same subjects and method, and to a comparative study by the same method to nurse.

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벼의 자연통풍건조에 있어서 통풍량이 건조에 미치는 영향에 관한 연구 (A Study on Effects of Air-delivery Rate upon Drying Rough Rice with Unheated Air.)

  • 이상우;정창주
    • 한국농공학회지
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    • 제16권1호
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    • pp.3293-3301
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    • 1974
  • An experimental work was conducted by using a laboratory-made model dryer to investigate the effect of the rate of natural forced-air on the drying rate of rough rice which was deposited in the deep-bed. The dryer consisted of 8 cylinderical containers with grain holding screen at their bottoms, each of which having 30cm in diameter and 15cm in height. The containers were sacked vertically with keeping them air-tight by using paper tape during dryer operation. Two separate layers of containers were operated in the same time to have two replications. The moisture contents of grains within each bins after predetermined period of dryer operation were determined indirectly by measuring the weight of the individual containers. The air-rates were maintained at 6 levels, or 5, 8, 10, 15, 18 and 20 millimenters of static head of water. The roomair conditions during dryer operation were maintained in the range of 10-l5$^{\circ}C$ in temperature and 40-60% in relative humidity. The results of the study are summarized as follows: 1. Drying characteristics of the grains in the bottom layers were approximately the same regardless of airdelivery rates, giving the average drying rate as about 0.35 percent per hour after 40-hour drying period, during which moisture content (w. b.) reduced from 24 percent to about 10 percent. 2. After about 40-hour drying period, the mean drying rates increased from 0.163 percent per hour to 0.263 percent per hour as air-flow rates increased from 5mm to 87.16mm of static head of water. In the same time, the moisture differences of grains between lower and upper layers varied from 12.7 percent at the air rate of 5mm of water head to 7.5 percent at the air-flow rate of 20mn of water head. Thus, the greater the air-flow rate was, the more overall improvement in drying performance was. Additionally, from the result of ineffectiveness of drying grain positioned at 70cm depth or above by the air rate of 5mm of static head of water it may be suggested in practical application that the height of grain deposit would be maintained adequately within the limits of air-rates that may be actually delivered. 3. Drying after layer-turning operation was continued for about 30 hours to test the effectiveness of reducing moisture differences in the thick layers. As a result of this layer-turning operation, moisture distribution through layers approached to narrow ranges, giving the moisture range as about 7 percent at air-flow rate of 5mm head of water, about 3 percent at 10mm head about 2 percent at 15mm head, and less than 1 percent at 20mm head. In addition, from the desirable results that drying rate was rapid in the lower layers and dully in the upper layers, layer-turning operation may be very effective in natural air drying with deep-layer grain deposit, especially when the forced air was kept in low rate. 4. Even though the high rate of air delivery is very desirable for deep-layer natural-air drying of rough rice, it can be happened that the required air delivery rate could not be attained because of limitation of power source available on farms. To give a guide line for the practical application, the power required to perform the drying with the specified air rate was analyzed for different sizes of drying bin and is given in Table (5). If a farmer selects a motor of which size is 1 or {{{{1 { 1} over {2 } }}}} H.P. and air-delivery rate which ranges from 8~10mm of head, the diameter of grain bin may be suggested to choose about 2.4m, also power tiller or other moderate size of prime motor may be recommended when the diameter of grain bin is about 5.0m or more for about 120cm grain deposit.

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