• 제목/요약/키워드: NNN

검색결과 17건 처리시간 0.034초

NICU Network Neurobehavioral Scale(NNNS, N'S)

  • 한경자
    • 부모자녀건강학회지
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    • 제1권
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    • pp.17-19
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    • 1998
  • NNNS는 정상, 고위험신생아의 포괄적 검사를 위하여 고안된 것으로서 (1) 중추신경계의 통합성을 반영하는 항목들 뿐만아니라 능동 및 수동 근육탄력성과 원초적 반사작용들을 사정하는 고전적 신경학적 항목; (2) 의식상태, 감각 및 상호작용 반응들을 포함하는 행동종목들; (3) 스트레스/위축항목들의 세 부분으로 구성된다. 이와같이 NNNS는 발달과 행동의 성숙, 중추신경계의 통합성 그리고 영아의 스트레스반응들을 사정한다.

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일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인 (Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit)

  • 이은주;최순희
    • 성인간호학회지
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    • 제23권2호
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    • pp.180-188
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    • 2011
  • Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.

SiNx의 band gap 차이를 이용한 MIS 소자의 메모리 특성 (The characteristics of MIS devices using difference between various band gap of the SiNx)

  • 손혁주;정성욱;장경수;김경해;이준신
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 하계학술대회 논문집 Vol.9
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    • pp.197-198
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    • 2008
  • 이 논문에서는 다양한 SiNx의 band gap을 이용하여 MIS 구조의 메모리 소자를 제작하고 이를 분석하였다. SiNx 박막은 증착 가스비에 따라 다양한 band gap을 가지게 된다. 본 실험에서는 $SiH_4$ 가스와 $NH_3$ 가스를 사용하여 SiNx 박막을 증착하였다. n-type 단결정 실리콘 기판위에 다양한 가스비에 따라 단일 SiNx 박막을 증착 및 분석하였고, 이를 이용하여 NNN 구조의 MIS 소자를 제작하였다. 제작된 소자는 4.6 V의 hysteresis roof 폭과 1000 초 후에 84.8 %의 retention 값을 갖는 우수한 메모리 특성을 보였다.

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Magnetic Property of Oxide with the Perovskite Structure, $A_2Fe(III)BO_6$ (A = Ca, Sr, Ba and B = Sb, Bi)

  • 이성옥;조태연;변송호
    • Bulletin of the Korean Chemical Society
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    • 제18권1호
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    • pp.91-97
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    • 1997
  • In the course of magnetic study on several perovskite-type oxides, A2Fe(Ⅲ)BO6 (A = Ca, Sr, Ba and B = Sb, Bi), we have observed a strong irreversibility in their dc-magnetizations. When the structural data and the Mossbauer spectra are considered, such an irreversibility is to be associated with some competitions between the nearest-neighbors (nn) and the next-nearest-neighbors (nnn) in their magnetic sublattices. Particularly, the Mossbauer spectra indicate that Sr2FeBiO6 of cubic perovskite-structure is apparently well ordered crystalline compound. Nontheless this antiferromagnet shows a magnetic property which resembles that of a spin-glass. The strong history dependence is observed below 91 K and the irreversible magnetic behavior is also observed from the measurement of hysteresis loops at 10 K after zero-field-cooled (zfc) and field-cooled (fc) processes. Considering the nn and the nnn superexchanges of almost same order in ordered perovskite, it is proposed that there exists a competition and cancellation of antiferromagnetic and ferromagnetic superexchange between the nearest-neighbors and the next-nearest-neighbors, thus introducing a certain degree of frustration.

N-Nitrosamine과 단순포진성 바이러스가 햄스터의 구강암발생에 미치는 영향에 관한 실험적 연구 (Combined Effect of N-Nitrosamines and Herpes Simplex Virus on Oral Carcinogenesis in Hamsters)

  • JP Hong
    • Journal of Oral Medicine and Pain
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    • 제15권1호
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    • pp.125-132
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    • 1991
  • We have previously reported that simulated snuff dipping in conjunction with type I herpes simplex virus (HSV-1) induced oral malignant changes in hamsters. Present study was designed to investigate the carcinogenic effect of tobacco specific-N-nitrosamines (TSNAs) and HSV-1, alone or in combination, in hamsters. Hamsters were divided into 6 groups and the right buccal pouch mucosa were treated as follows: Grp 1, Control (Mock inoculation) [MI]+Topical Application [TA] of mineral oil[MO] : Grp 2, TA of 1% n'- nitrosonornicotine [NNN] + IM: Grp3, TA of 1% 4-N-nitrosomethylamino-1- (3-pyridyl)-1-butanone [NNK] + MI: Grp 4, HSV-1 inoculation [HI]+TA of MO : Grp 5, TA of 1% N-nitrosonornicotine [NNN] + HI: Grp 6, TA of 1% NNK + HI. TA of MO or TSNAs was initiated 1 day after the MI or HI and given 3 times per week for 20 consecutive weeks. At the buccal pouches were fixed for light microscope examination. No animal s developed tumors or malignant histopathologic changes in the mucosa of the buccal pouches. These data indicate that individual TSNAs, alone or in conjunction with HSV-1 infection, do not develop malignant changes in hamster buccal pouches.

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Polarization of the A-Band Emission from RbCl : Pb$^{2+}$

  • Kang, Jun-Gill
    • Bulletin of the Korean Chemical Society
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    • 제8권2호
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    • pp.115-118
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    • 1987
  • The angular dependence of polarization of the A-band emission from RbCl:$Pb^{2+}$ is measured at 13.4 K to determine the symmetry axes of the $Pb^{2+}-v^-_c$ dipoles. The results indicate that these centers posess tetragonal symmetry. This implies that $v^-_c$ is situated in the next-nearest-neighbor (nnn) position to the $Pb^{2+}$ ion. The polarization ratio of the A-band emission measured at various temperatures is found to be independent of the temperature. The temperature independence of polarization confirms that, for the ion, the Jahn-Teller effect reduced by strong spin-orbit interaction does not give rise to thermal depolarization.

항암화학요법 환자에게 적용된 주요 간호진단, 간호결과 및 간호중재의 연계성 확인 (Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy)

  • 송수미;소향숙;안민정
    • 성인간호학회지
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    • 제26권4호
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    • pp.413-423
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    • 2014
  • Purpose: This study was aimed to identify NANDA-NOC-NIC linkage in cancer patients receiving chemotherapy. Methods: This study was a descriptive study conducted in three steps. First, nursing diagnoses were identified from the electronic nursing records. Second, content validity of nursing diagnoses and outcomes were evaluated. Third, major nursing interventions associated with expected nursing outcomes were collected from 97 nurses who worked in the oncology unit. Data were analyzed using descriptive statistics. Results: Four major nursing diagnoses were identified: acute pain, knowledge deficit, health seeking behaviors, and ineffective protection. Associated with each respective diagnosis, 3 major outcomes (pain level, pain control, and comfort state) for acute pain, 8 major nursing outcomes (diet, disease process, treatment regimen, illness, ostomy care, prescribed activity, health behavior, and infection management) for knowledge deficit, 4 major outcomes (health promoting behavior, health promotion, health belief, and knowledge: health resource) for health seeking behaviors, and 3 major outcomes (fatigue level, immune status, and nutritional status) for ineffective protection were identified. In addition, nursing interventions frequently used in clinical practice for each major nursing outcome were identified. Conclusion: The identified NANDA-NOC-NIC linkage can contribute to improving the applications of nursing process and care plans.

간호학생을 위한 웹 기반 간호과정 프로그램의 개발 및 만족도 평가 (Development and Effects of a Comprehensive Web-Based Nursing Process for Nursing Students)

  • 홍성정;김화선
    • 기본간호학회지
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    • 제18권4호
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    • pp.497-505
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    • 2011
  • Purpose: This study was conducted to develop a comprehensive web-based nursing process program to assist nursing students and to evaluate the effects of the program. Methods: The system provides nursing students with guidelines based on NNN (NANDA, NOC, NIC) when the nursing students conduct a series of nursing procedures on diagnosis-outcome-intervention for a specific symptom. It also maintains and manages nursing processes actually conducted by students for clinical practices, and provides an environment where the patient information and nursing process can be converted into a formatted document for printing. This web-based program was used to surgical patients from April to June 2011. Results: The overall satisfaction rate was 3.64. The item with the highest score was, 'Do you think a web-based nursing process program is necessary?' (3.87), followed by 'Do you want to use this program when you become a nurse and implement the nursing process?' (3.33). Conclusion: These results indicate that implementation of web-based programs needs to be continued as an effective tool, but more research is needed on the best way to implement web-based programs in various clinical setting.

정형외과 간호단위에 적용되는 간호중재 분석 (Analysis of Nursing Interventions used in Orthopedic Nursing Unit)

  • 김혜숙;최순희
    • 기본간호학회지
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    • 제13권1호
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    • pp.33-41
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    • 2006
  • Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.

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식이 sodium 제한 및 식이 sodium 제한에 따른 항고혈압제의 투여가 만성신부전증의 진행에 미치는 영향에 관한 실험적 연구 (Effects of Dietary Salt Restriction on the Development of Renal Failure in the Excision Remnant Kidney Model)

  • 김기혁;김상윤;강용주;맹원재;김교순
    • Childhood Kidney Diseases
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    • 제3권2호
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    • pp.170-179
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    • 1999
  • 목적 : 만성신부전유발 백서에서 식이 sodium 제한이 만성신부전의 진행속도 및 혈압조절에 어떠한 영향을 주는지, 또한 항고혈압제제 (enalapril: E, nicardipine: N)와 병행 투여하였을 매 항고혈압제제 단독투여보다 만성신부전의 진행속도 및 혈압조절에 어떠한 영향을 주는 지를 연구하였다. 방법 : 5/6 신절제술로 만성신부전을 유발시킨 백서를 수술 제 7일부터 무작위로 0.49% sodium 식이군, 0.25% sodium 식이군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine군, 0.25% sodium식이 enalapril군, 0.25% sodium식이 nicardipine군으로 나누고 신절제술 4주, 12주, 16주 혹은 24주에 혈압, 24시간 단백뇨의 변화, 신 조직의 mesangial expansion score(MES) 및 사구체용적의 변화를 비교 분석하였다. 곁 과 : 1) 0.25% sodium 식이군은 0.49% sodium 식이군보다 혈압의 감소를 보였고 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine 군에서는 혈압의 감소가 관찰되었다. 2) 16주째 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine 군은 0.49% sodium 식이군보다 의의있는 단백뇨의 감소를 보였다 (P<0.05). 0.25% sodium 식이군의 16주째 뇨단백은 $78{\pm}16$ mg 이었고 0.25% sodium 식이 enalapril 군, 0.25% sodium 식이 nicardipine군은 각각 $35{\pm}9mg,\;41{\pm}15mg$으로 enalapril, nicardipine 에 의해 뇨단백의 감소를 관찰할 수 있었고, 0.25% sodium 식이군의 24주째 뇨단백은 $82{\pm}10$ mg 이었고 0.25% sodium 식이 enalapril 군,0.25% sodium 식이 nicardipine군은 각각 $54{\pm}3mg,\;76{\pm}11mg$으로, enalapril 에 의해서만 24 시간 단백뇨의 의의있는 감소를 관찰할 수 있었다. 3) 24주째 백서를 희생하여 크레아티닌 청소률을 관찰한 결과 심한 신부전은 관찰되지 않았고, 0.25% sodium 식이 대조군에 비해 0.25% sodium 식이 enalapril군에서 사구체여과율이 증가됨을 관찰할 수 있었다. 4) 신절제술후 남아 있는 신조직무게를 비교하여 보면 24주째 0.25% sodium 식이군, 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군에서 16주째 0.49% sodium 식이군, 0.49% sodium 식이 enalapril군, 0.49% sodium 식이 nicardipine 군보다 의의있게 신조직무게가 증가됨을 관찰할 수 없었다. 5) 0.25% sodium 식이군은 0.49% sodium 식이군과 비교하여 MES의 현저한 감소를 보였고 (0.25% sodium식이군: 12주; $1.97{\pm}0.02$, 24주; $2.06{\pm}0.03$ vs. 0.49% sodium 식이군: 12주; $2.29{\pm}0.09$, 16주; $2.55{\pm}0.16$, P<0.05) 12주 이후에 관찰한 MES는 0.25% sodium 식이군, 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군 세군간의 통계적인 차이는 없었다. 6) 24주에 시행한 0.25% sodium 식이군의 사구체용적은 16주에 시행한 0.49% sodium 식이군의 사구체용적보다 현저하게 감소되어있었다 (0.25% sodium 식이군:24주; $1.58{\pm}0.18{\times}10^6{\mu}m^3$ vs. 0.49% sodium 식이군:16주; $1.98{\pm}0.18{\times}10^6{\mu}m^3$, P<0.05). 24주 0.25% sodium 식이 enalapril군의 사구체용적($1.51{\pm}0.08{\times}10^6{\mu}m^3$)은 16주 0.49% sodium 식이 enalapril군의 사구체용적($1.81{\pm}0.22{\times}10^6{\mu}m^3$)과 비교하여 현저한 감소를 보였다. 12주, 24 주에 관찰한 0.25% sodium 식이군, 0.25% sodium 식이 enalapril군, 0.25% sodium 식이 nicardipine군의 사구체용적은 세군간에 의의있는 차이는 없었다. 결론 : 식이 sodium 제한은 대상성 신비대의 감소를 통해 신손상을 감소시켰고 혈압의 감소에도 도움을 주었다. 식이 sodium 제한과 항고혈압제재 특히 enalapril을 병행투여하였을 때 항고혈압제재 단독투여보다 뇨단백 및 신조직의 대상성 비대를 감소시켰다. 따라서 만성신부전증에서 경도의 저sodium식이가 만성신부전으로의 진행을 지연시키며 혈압의 감소에도 도움이 됨을 알 수 있었다.

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