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The Effects of Simulation Education for New Nurses on Emergency Management Using Low-fidelity Simulator (저충실도 시뮬레이터를 활용한 신규간호사의 응급상황관리 시뮬레이션 교육의 효과)

  • Lee, Young Hee;Ahn, Hye Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.3
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    • pp.331-343
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    • 2019
  • Purpose: This study focuses on investigating the effectiveness of simulation education on emergency management using a low-fidelity simulator as related to clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in new nurses. Methods: A pre-post test experimental design of nonequivalent control group was applied. Fifty-five new nurses were recruited, 28 nurses for the experimental group and 27 nurses for the control group. A simulation education for emergency management comprising knowledge lecture, team learning, skill education, team simulation, and debriefing was developed and implemented from Feb. 14 to 27, 2015. Data were analyzed with percentage, average, and standard deviation, chi-square, and t-test using SPSS. Results: The experimental group showed significantly higher knowledge (t=5.81, p<.001), clinical skill performance (t=10.08, p<.001), self-confidence (t=-6.24, p<.001), critical thinking disposition (t=2.42, p=.019), and learning satisfaction (t=4.21, p<.001) for emergency management compared with the control group who had traditional lecture education. Conclusion: The results indicate that a simulation education using a low-fidelity simulator is an efficient teaching method for new nurses to deepen their clinical skill performance, self-confidence, knowledge, learning satisfaction, and critical thinking disposition in learning emergency management.

The Clinical Outcomes of Kyphoplasty for the Treatment of Malignant Vertebral Compression Fractures (전이성 척추 종양으로 인한 압박 골절 환자의 척추 후굴 풍선 복원술의 임상 효과)

  • Kim, Da Mi;Seo, Kyung Su;Park, Eun Jung;Han, Kyung Ream;Kim, Chan
    • The Korean Journal of Pain
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    • v.21 no.3
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    • pp.197-201
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    • 2008
  • Background: Kyphoplasty is a minimally invasive procedure that can stabilize osteoporotic and neoplastic vertebral fractures. We retrospectively evaluated the clinical outcomes of kyphoplasty for the treatment of vertebral compression fractures in cancer patients. Methods: We reviewed the clinical data of 27 cancer patients who were treated with kyphoplasty (55 vertebral bodies) between May 2003 and Feb 2008. The clinical parameters, using a visual analog 10 point scale (VAS) and the mobility scores, as well as consumption of analgesic, were evaluated preoperatively and at 1 week after kyphoplasty. Results: A total 55 cases of thoracic and lumbar kyphoplasties were performed without complications. The mean age of the patients was 66 years. All the patients experienced a significant improvement in their subjective pain and mobility immediately after the procedures. The pain scores (VAS), mobility scores and other functional evaluations using the Oswestry disability score and the SF-36 showed significant differences between the pre- and postoperational conditions. Conclusions: Kyphoplasty is an effective, minimally invasive procedure that can relieve the pain of patients with vertebral compression fractures and these fractures are the result of metastasis.

An Analysis of Novice Teachers' Specialized Content Knowledge for Teaching in High School Calculus Lessons (고등학교 미적분 수업에서 나타나는 초임교사의 교수를 위한 전문화된 수학 내용 지식(SCKT))

  • Koh, Hee Jeong;Choi-Koh, Sang Sook
    • Journal of the Korean School Mathematics Society
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    • v.16 no.1
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    • pp.157-185
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    • 2013
  • This study was to investigate novice teachers' Specialized Content Knowledge for Teaching in High School Calculus Lessons. The lessons of two novice teachers in Kyunggi Do were observed from July, 2011 to Feb. 2012. All observed lessons were audeotaped and transcribed into word files. Their calculus lessons were analyzed into three kinds of knowledge consisting of SCKT. Their SCKT just copied the contents of the textbook and other additional SCKT were not found for teaching. Even though students asked a question that they did not understand, the teacher just repeated the previous contents that already he used. But this study included possible contents of SCKT within the areas these teachers covered so that teachers in school may use for teaching of Calculus. The novice teacher do not have sufficient experience, the program of the college of education and the contents of the teacher certificate-examination should include multi-dimensional approaches in SCKT to pre-service teachers in order to raise better specialized teachers in mathematics.

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The Effect of Neurofeedback Traing on the hearing impairments Student about Emotional (뉴로피드백 훈련이 청각장애 학생들의 정서적 성향에 미치는 영향)

  • Bak, Ki-Ja;Ahn, Sang-Kyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.3897-3903
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    • 2011
  • This study was to examine the effectiveness of neurofeedback training by observing the pre and post brainwave measurement results of about 39(experimental group 25, comparative group 14) student who have shown emotional. The study was examined at S city M dong A hearing impairments student, from Mar. 2009 and to Feb. 2010. The training took place two times a week, for about 40 minutes per session. The tool used to meas ure the psychological reaction was POMS (Profile of Mood State). First, the result confirmed the differences of both attention quotient(L R) and resistance stress quotient(L R). Second,, the results of the analysis show mood state. Therefore, the result of the study shows that there is possibility that NeuroFeedback technique might be positively affecting emotional of the hearing impairments student.

Convergence Effect of Horticulture Activity Program on Self-esteem and School Life Adaptation of Multicultural Adolescent. (원예활동프로그램이 다문화청소년의 자아존중감과 학교생활적응에 미치는 융합효과)

  • Ha, Yoon-Joo;Kim, Eun-A
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.409-416
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    • 2019
  • The purpose of this study was to investigate the effect of horticulture activity program on self-esteem and school life adaptation of multicultural adolescent. A non-equivalent control group pre-post test design with experimental group (n=39) and control group (n=36) was used. The program was conducted from Jan. 2 to Feb. 28, 2017, and the questionnaire was conducted before and after the program. Collected data was analyzed by SPSS(Ver, 24.0), conducting ${\chi}^2-test$, Fisher's exact test, t-test, paired t-test. There were statistically significant increase in self-esteem(t=2.41, p=.021) and school life adaptation(t=3.85, p=.000) by difference between a pretest and a posttest in the experimental group compared to that in the control group. Therefore, the horticulture activity program for multicultural adolescent have a significant effect for better performance of self-esteem and school life adaptation. Also, It was confirmed that the program used for improving adaptability of multicultural adolescent.

Analysis of the Relationship Between the Characteristics of the Wind Damaged Trees and the Wind Caused by Typhoon 'Kompasu' (태풍 곤파스에 의해 발생한 풍도목 특성과 바람과의 관계 분석)

  • Youn, Ho Joong;Park, Ki Hyung;Lee, Myungbo;Won, Myoungsoo;Kim, Kyongha
    • Journal of Korean Society of Forest Science
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    • v.100 no.2
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    • pp.246-255
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    • 2011
  • This study was carried out to investigate the characteristics of wind damaged trees in the Hongneung Arboretumin Korea. Many trees in the Hongneung Arboretum were damaged by the 'Kompasu', the seventh typhoon in the year of 2010 having strong impacts on the central region of Korea. Damaged trees were divided into 3 damage types: windthrow, slanted and broken trees. Most of damaged trees (97.3%) were found at low slope (below 15 degree) or medium slope (15~20 degree). The 45.3% of damaged trees were coniferous and 54.7% were deciduous trees. The wind speed was recorded for the duration of the typhoon from 04:00 AM to 12:00 PM on September 2. The average wind speed and the maximum instantaneous wind speed inside the forest were 1.4 m/sec and 3.5 m/sec, respectively. The highest peak of the average and the maximum instantaneous wind speed inside of forest, 3.4 m/sec and 8.7 m/sec respectively, were recorded at 06:10 AM on September 2. To analyze relationship between wind characteristics and the damage types, the average wind speed and the frequency of wind wave was compared to those of pre-typhoon period (Feb. 13, Feb. 20, Apr. 21, Oct. 16, 2009 and Mar. 20, 2010). The results indicated that the damaged trees were affected by frequent wind wave rather than the wind speed itself. Also average wind direction inside the forest was analyzed to investigate the impact of wind direction on the damaged trees. The wind had mainly blown from SE and SW, and the maximum instantaneous wind direction was SE direction overall. Most of the damaged trees (84.0%) had fallen down to the NW or NE direction. This result showed that the fallen direction of the damaged trees and wind direction was highly related. Therefore, we found that the frequency of wind wave was the main factor of wind damages during the typhoon 'Kompasu' and wind direction was highly related to the fallen direction.

The Phenomenological Study of Kidney Donors학 Experiences (신 공여자 경험의 현상학적 연구)

  • 김정화;유인숙;김명희
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.222-243
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    • 1995
  • The purpose of this study was to present basic data in the nursing practice for the management of living kidney donor by understanding the nature and meaning of kidney donors, experiences. The research subjects were 11 living kidney donors who had donated from Mar 1991 to Feb. 1994 and discharged from the 3 hospitals in Pusan. Data has been collected by Intensive interview with donors. The data analysis has made by phenomenological method of Van Kaam for understanding the phenomenon and meaning of their experiences. The experiences of kidney donors were analyzed into the 4 situations, that is,'motivation of kidney donor', 'decision time to make kidney donation', 'pre-opperation','after donation'. The descriptive expression and common elements were drawn from original data of each situation on the basis of subjects' own words. From each situation, the com-mon elements of kidney donors' experiences were integrated, summarized and described as follows 1. Motivation of kidney donation They wanted to donate their kidney because of empathy of pain on the groung of love to the recipient and with exppectation of successful kidney transplant or as a solution of economic difficulty. 2. Experiences in deciding to make kidney do-nation In deciding to make kidney donation, donors had love toward the recipients. But they experienced conflict too. 3. Experiences before being operated on donated kidney In experiences from deciding to make kidney do nation to preoperation, donors had love toward the recipients. But they also felt anxiety or dissatisfaction. Therefore, they controlled their mind by their faith, support of medical staff or support of society. And they experienced regret for the sociological cognition or financial apprehension. 4. Experiences after kidney donation After kidney donation, donors experienced satis-faction and accompplishment in spite of mental and physical discomfortness, while they felt sense of loss / disappointment, repentance, regret, and apprehension of progress toward their condition. Thus, kidney donors donated their kidney on the ground of empathy and love to the recipient and with expectation of successful kidney transplant. But during the process of kidney donation, they ex perienced conflict, love, anxiety, regret, apprehension of economy. And after donation, they felt sense of satisfaction and accomplishment, while they felt sense of discomfortness, loss / disappointment, re-gret, repentance, or apprehension of progress toward their condition. This result contribute to nurses' role not only for the management of living kidney donors but also for the management of cadaver donors' family.

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A Study on the Effect of Neurofeedback Traing on the hearing impairments Student about Resistance Stress (청각장애 학생들의 일상적 스트레스 저항능력에 뉴로피드백 훈련이 미치는 영향 분석 연구)

  • Bak, Ki-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3318-3324
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    • 2010
  • This study was to examine the effectiveness of neurofeedback training by observing the pre and post brainwave measurement results of about 16(Primary Student 6, middle school student10) student who have shown resistance stress and body stress, mental stress. The study was examined at S city M dong A hearing impairments student, from Mar. 2008 and to Feb. 2009. The methodology used in the study is the Coloring Analysis Program of the Brain Quotient Test. As the brain waves are adjusted by timeseries linear analysis, the brain function quotients can reflect the functional states of the brain. The training took place two times a week, for about 40 minutes per session. The result confirmed the differences of both resistance stress quotient and body stress, mental stress. The results of the analysis show that neurofeedback training plays positive role in changing the brain function. Therefore, the result of the study shows that there is possibility that Neuro Feedback technique might be positively affecting resistance stress of the hearing impairments student, relationship between neurofeedback training and stress among several categories.

Characteristics of Organic Carbon Species in Atmospheric Aerosol Particles at a Gwangju Area During Summer and Winter (여름 및 겨울철 광주지역 대기 에어로졸 입자의 유기탄소 특성)

  • Park, Seung-Shik;Hur, Jai-Young;Cho, Sung-Y.;Kim, Seung-J.;Kim, Young-Joon
    • Journal of Korean Society for Atmospheric Environment
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    • v.23 no.6
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    • pp.675-688
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    • 2007
  • To characterize organic and elemental carbon (OC and EC), and water-soluble organic carbon (WSOC) contents, daily $PM_{2.5}$ measurements were performed in August 2006 (summer) and Jan $11{\sim}Feb$ 12 2007 (winter) at an urban site of Gwangju. Daily size-segregated aerosol samples were also collected for WSOC analysis. No clear seasonal variations in EC and WSOC concentrations were observed, while seasonal differences in OC concentration, and OC/EC and WSOC/EC ratios were shown. The WSOC/OC ratio showed higher value in summer (0.56) than in winter (0.40), reflecting the greater enhancement of secondary WSOC formation at the site in summer. Secondary WSOC concentrations estimated using EC tracer method were in the range $0.0{\sim}2.1\;{\mu}g/m^3$ (average $0.42\;{\mu}g/m^3$) and $0.0{\sim}1.1\;{\mu}g/m^3\;(0.24\;{\mu}g/m^3)$, respectively, accounting for $0{\sim}51.6%$ (average 16.8%) and $0{\sim}52.5%$ (average 13.1 %) of the measured WSOC concentrations in summer and winter. Sometimes higher WSOC/OC ratio in winter than that in summer could be attributed to two reasons. One is that the stable atmospheric condition often appears in winter, and the prolonged residence time would strengthen atmospheric oxidation of volatile organic compounds. The other is that decrease of ambient temperature in winter would enhance the condensation of volatile secondary WSOC on pre-existing aerosols. In summertime, atmospheric aerosols and WSOC concentrations showed bimodal size distributions, peaking at the size ranges $0.32{\sim}0.56\;{\mu}m$ (condensation mode) and $3.2{\sim}5.6\;{\mu}m$ (coarse mode), respectively. During the wintertime, atmospheric aerosols showed a bimodal character, while WSOC concentrations showed a unimodal pattern. Size distributions of atmospheric aerosols and WSOC with a peak in the size range $0.32{\sim}0.56\;{\mu}m$ were observed for most of the measurement periods. On January 17, however, atmospheric aerosols and WOSC exhibited size distributions with modal peaks in the size range $1.0{\sim}1.8\;{\mu}m$, suggesting that the aerosol particles collected on that day could be expected to be more aged, i.e, longer residence time, than the aerosols at other sampling periods.

Statistical Study in 70 Cases for Dizziness Patients on the Effect of Jaeumgeonbi-tang Gamibang (자음건비탕가미방(滋陰健脾湯加味方)을 투여한 어지럼증 환자 70례에 대한 분석 및 고찰)

  • Lee, Jae-Hwi;Shin, Hyun-Su;Kim, Dong-Hyun;Jo, Chang-Hwan;Lim, Seung-Min;An, Joung-Jo;Jo, Hyun-Kyung;Kim, Yoon-Sik;Seol, In-Chan;Yoo, Ho-Rhyong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.1
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    • pp.171-176
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    • 2010
  • Jaeumgeonbi-tang Gamibang is noted as effective method to treat a dizziness in Korean Medicine. The main purpose of this research is analysis of the effects of Jaeumgeonbi-tang Gamibang on dizziness patients. In following research, 70 cases of dizziness patients who treated in Daejeon oriental medicine hospital from Oct, 2004 to Feb, 2009 were researched. The research is focused on clinical efficacy of Jaeumgeonbi-tang Gamibang. This research measured DHI and VAS before Jaeumgeonbi-tang Gamibang were prescribed. And Jaeumgeonbi-tang Gamibang were treated to all 70 patients. Finally DHI and VAS were measured again. Before this research, We had characterized and searched such as age, prevalence period, prescribed dosage, sex, vertigo type, pathological history in 70 patients. And DHI and VAS score were compared each other. The compared characteristic data shows that every cases were effective, in the DHI and VAS comparison, between pre-treatment and post-treatment group, vertigo and dizziness group, man and woman group. but In the age case, some age group were not effective. Conclusion: Most cases, we gained effective results. These result suggest that Jaeumgeonbi-tang might be effective in treatment of dizziness patients although man or woman, vertigo or dizziness.