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Work Related Musculoskeletal Disorders and Ergonomic Work Posture Analysis of Operating Room Nurses (수술실 간호사의 작업관련성 근골격계 질환과 인간공학적 작업평가)

  • Lee, Cheonok;Ahn, Younsoon;Kwak, Wooseok;Won, Jong Uk;Lee, Shinyoung;Kim, Chinyon;Roh, Jaehoon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.19 no.3
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    • pp.171-181
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    • 2009
  • This study was carried out to evaluate a musculoskeletal symptom and the work posture of the nurses in an operating room who have worked in the present department for more than one year. The job analysis of operating room nurses for ergonomic work posture analysis is divided into 14 tasks. On the basis of that, a survey research and ergonomic work posture analysis are also carried out. Among 41 operating room nurses of a cancer center in Kyonggi province who responded to the self-administered questionnaire, 20 nurses were observed and videorecorded to apply Rapid Entire Body Assessment(REBA) to ergonomic work posture analysis from April 16, 2007 to May 18, 2007. The results of analysis are as follows. The prevalence rate of musculoskeletal symptoms was 75.6% and its prevalence rates by part of the body are these followings; lower back and leg/foot 43.9%, shoulder 36.6%, neck 34.1%, hand/wrist/ finger 22.0%, arm/elbow 14.6%. In accordance with the results of ergonomic work posture analysis, 4 tasks that have a REBA score of 8 have high-risk levels and require an immediate management. It shows there is a significant correlation with overall musculoskeletal symptoms and objective workloads that are estimated by REBA. In conclusion, the work conditions of operating room nurses should be improved. It is also necessary that inappropriate work postures and ergonomic work conditions are improved to prevent musculoskeletal disorders of operating room nurses.

Study of Clinical Characterized of Acute Myocardiac Infarction Patients on Youth & Adults Age in Emergency Room (응급실로 내원한 청장년층 급성심근경색증 환자의 임상특성 연구)

  • Hong, Hae-Sook;Jang, Yu-Ryang
    • Journal of forensic and investigative science
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    • v.3 no.1
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    • pp.50-59
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    • 2008
  • The purpose of this study was to figure out clinical characteristics in young and adult acute myocardial infarction patients come to emergency room. One hundred fifty four acute myocardial infarction cases were collected and analized from January 2003 to April 2006, especially focused on below the age 50. The results of the study were summarized as follows. The results were proportion up disease occur to women disease rate as men after 50 age and acute myocardial infarction occur to spring and winter most of all. Research for this patients coronary artery condition in cardiac angiography room and coronary artery condition is left anterior descending portion was obstruction and stenosis most of all at that time in emergency room. HDL-cholesterol was not normal range of this patients. About 57.9% patients downward normal range but total cholesterol was very variant condition. Investigated chest X-ray of this patients and result in upward 75% patients was C-T ratio 50% upward condition. And it was shown result from this patients 94. 7% was obesity condition and family history showed mother or father got hypertension or diabete mellitus patients but 42. 7% patients not family history. This patients not going to direct emergency room after via local medical center result in badly condition up. Have got outcomes of youth and adults age patient of acute myocardial infarction come to emergency room. Government and administration have to support advertising this results about acute myocardial infarction condition of nation people. We need to preservation and preventing this disease but if this disease occurrence, to the utmost directly and speedly emergency room for fast therapy.

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The Study of Critical Indicators Development for Establishing Patient Classification System in the ER (응급실의 환자분류체계 확립을 위한 결정지표 개발 연구)

  • Seong, Young-Hee;Seong, Il-Sun;Lee, Seung-Ja;Kim, Jeong-Ha;Moon, Yu-Jeong;Choe, Yeong-Mi;Lee, Jee-Hyang
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.444-453
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    • 2006
  • Purpose: The purpose of the study was to identify critical indicators for the development of efficient patient classification system in a emergency room. Method: This study involved following five steps. Step 1. Selection of the lists direct nursing services in the ER. Step 2. Measurement of the time of direct nursing services from Aug. 31st to Nov. 30th, 2005. Step 3. Classification of the patients according to the nursing care time. Step 4. The determination the critical indicators for different patient classes. Result: Determinate indicators were as follow: 3 items in the first group (vital sign checking, IV route starting, blood sampling), 3 items in the second group (vital sign checking, fluid infusion, blood sampling), 9 items in the third group (I/O checking, $O_{2}$ inhalation, suction, fluid infusion, IV bolus, Central catheter preparation & management, blood sampling, intubation preparation & management, postmortem management), 7 items in the fourth group (EKG monitoring, BP monitoring, $O_{2}$ inhalation, fluid infusion, using the specific drugs, CPR, postmortem management). Conclusion: This study can help future studies which measure nursing services standard time or assigns value to emergency nursing services.

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Comparison of the Effects of Lemon Ice and Water Ice on Decreasing Thirst of the Patients with Nasal Surgery (레몬얼음과 생수얼음을 이용한 구강간호가 비강수술 환자의 갈증 및 구강상태에 미치는 효과 비교)

  • Jung, Hyun Joo;Yun, Ji Young;Park, Jee Eun;Shim, In Suk;Kim, Woon Joung;Lee, Ju Hee;Lee, Mi Ran;Lee, Keum Nam
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.196-204
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    • 2012
  • Purpose: This study was aimed to compare the effects of lemon ice and water ice on decreasing thirst of the patients with nasal surgery. Methods: A nonequivalent control group non-synchronized design was used for the study. The level of thirst and oral assessment were measured. A total of 60 subjects was recruited; 30 subjects for the experimental group in which lemon ice was provided and the other 30 subjects were in the control group in which on water ice was administered. Results: The scores of thirst were decreased in both lemon ice and water ice group. But it appeared that the score of thirst in the experimental group is significantly lower than that of the control group. Moreover, the score of the assessment of the patient's oral cavity was also significantly improved in the experimental group than that of the control group. Conclusion: The lemon ice seems an effective and easy-to-apply intervention in reducing thirst and mouth dryness over water ice in nursing practice.

Changes of egg Quality according to eggshell treatment and storage condition (계란의 난각 처리와 보관 방법에 따른 품질 변화)

  • Lee Sung-Mo;Hong Chong-Hae
    • Korean Journal of Veterinary Service
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    • v.28 no.3
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    • pp.225-234
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    • 2005
  • Egg has been considered as one of the most important food sources in both nutritionally and economically. However, because the hazards of egg flow chains' complexity from producers to consumers and the insufficiency of cold chain systems in Korea are still remained, preventive measures for egg safety should be established. This experiment was carried out to investigate the changes of egg qualify during storage in order to find out the proper storage condition and eggshell treatment. Eggs were stored at cold condition $(5^{\circ}C,\;relative\;humidity;\;RH:\;65\pm3\%)$ and room Condition $(1st: Sep\; 6\~Nov\; 15,\;2001,\; 10\~30^{\circ}C,\;RH\;41\~86\%,\;2nd;\; Dec\;13,\;2001\~Feb\;21,\;2002,\;4\~23^{\circ}C,\;RH\;36\~89\%)$ after eggshell treatment (unwashed, washed and coated egg) during'10 weeks and examined weight loss and interior quality periodically. Weight loss was in decreasing order room washed > room unwashed > cold washed > cold unwashed > room coated > cold coated egg. And, Haugh unit was decreasing order room washed > room unwashed > room coated > cold washed > cold unwashed > cold coated egg. Our findings show that both coated eggs and refrigeration reduces the rate of decline in Haugh units and egg weight. And, washed eggs had lower average Haugh units and a higher weight loss than any of the eggshell treatment in both storage conditions. Conclusively, for washing eggshell, 150 ppm of sodium hypochlorite, regular exchange and temperature control of water should be consistent and also eggs should be dried immediately after washing. Also, national guidelines for temperature and moisture of storage places, transportation and expiration data should be established to keep quality and weight loss of eggs. Storage temperature that is a critical factor in the quality and safety of eggs should be kept under 12'c and labelling of expiration date should be obligatory.

Effect of Fermentation Temperature on Quality of Doenjang (숙성온도가 된장의 품질에 미치는 영향)

  • Kim, Moon-Seok;Kim, Eun-Mi;Chang, Kyu-Seob
    • Korean Journal of Agricultural Science
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    • v.35 no.1
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    • pp.1-9
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    • 2008
  • There were four types of Doenjang fermentation as following conditions for investigation ; 1) low temperature fermentation at $13^{\circ}C$ for 180 days, 2) low temperature at $13^{\circ}C$ for 7 days to room temperature at $30^{\circ}C$ for 10 days, to low temperature at $13^{\circ}C$ for 163 days, and for 173 days, 3) low temperature at $13^{\circ}C$ 7 days to room temperature at $30^{\circ}C$, 4) room temperature at $30^{\circ}C$ for 180 days. There were no changes of moisture, NaCl and total nitrogen content during fermentation period of four types conditions, but pH and amino type nitrogen decreased in room temperature at $30^{\circ}C$ for 180 days. It required 3 times more fermentation period until same quantity of the amino type nitrogen. The low temperature fermentation sample was lower than room temperature fermentation sample in pH and amino type nitrogen. The yeast decreased in low temperature fermentation sample taken 15 to 30 days longer than room temperature sample. The yeast is increased up to 30 days, and decreased little by little. After 60 days, it remained a few without effectiveness on the Doenjang quality. The low temperature fermentation sample showed brighter than room temperature fermentation sample. Different fermentation condition affected Doenjnag quality, especially, low temperature fermentation sample showed bright color in Doenjnag. So low temperature fermentation must be expected as good method for getting high quality Doenjnag.

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Using AHP to Develop a Rehabilitation Room Management Model for Fire Officers at Disaster Sites (재난현장 소방공무원의 회복실 운영모델 개발)

  • Yim, Dong-Kyun;Chae, Jin
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.115-124
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    • 2020
  • The purpose of this study was to provide an operational model of the rehabilitation room for fire officers at disaster sites to improve the safety and resilience of fire officers. Therefore, we analyzed the operation related elements of the rehabilitation room-such as overseas rehabilitation room operation cases and previous studies- and managed different factors including, but not limited to, management and human resources, equipment and facility, and accessibility and convenience factors; afterward, the relative importance and importance of sub-layers in each field were measured. The priority of items for the operation of the rehabilitation room for fire officers at disaster sites was elucidated; after expert analysis, it was found that human resources were the most crucial factor. Finally, it was found that, in descending order, accessibility and convenience, administrative, equipment, and facility factors were also essential. Based on this, we proposed a rehabilitation room operation guideline for disaster sites.

A Study on Characteristic Analysis for Indoor Ventilation Performance of Mechanical Ventilation System (기계 환기시스템의 실내 환기성능 특성 해석에 관한 연구)

  • Ku, Jae-Hyun
    • Journal of the Korean Institute of Gas
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    • v.16 no.2
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    • pp.31-37
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    • 2012
  • This paper describes to analyze the ventilation performance of a room air conditioner for indoor comfort control. An experimental apparatus consists of a test room, the room air conditioner, a tracer gas measurement system, a supply fan and a controller. Ventilation performance as a function of human occupancy is evaluated with supply ventilation air using a tracer gas technique of CO2 gas in the test room. The ventilation performance is evaluated in a step-down method based on ASTM Standard E741-83 and is found to increase with increasing supply ventilation rate. The CO2 gas concentration is decayed rapidly without human occupancy. The ventilation performance without human occupancy increases up to 55% and the ventilation performance with one person increases up to 25% at the supply air of 570 lpm comparing with a natural reduction after one hour. A modeling for ventilation performance of a room air conditioner in a test room is presented using experimental datum.

Nursing Action Analysis of Operation Room Nurse According to Their Career Ladders (수술실 간호사의 경력등급별 간호행위분석)

  • Chae, Su Jeong;Ahn, Jun Hee;Kim, Eun Hye;Kim, Hyo Jung
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.86-98
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    • 2012
  • Purpose: The present study was conducted with the aim of developing a training manual for operation room nurses through an examination of nursing actions in terms of the frequency of performance, importance, and the levels of difficulty. The participants were recruited from the five university-affiliated hospitals according to one's career ladders, resulting in getting 181 OR nurses enrolled. Methods: Researchers developed a questionnaire using a 5-point Likert scale which measuring OR nurses' actions, importance, and the levels of difficulty. The frequencies of performance, importance and the levels of difficulty of nursing action were compared according to their career ladders using one-way ANOVA. Results: The frequencies of performance showed significant differences in 26 items according to the participants' career ladders; the importance in 6 items; and the levels of difficulty in 19 items among the OR nurses' actions. Conclusion: Given the fact that the significant differences were shown in the frequencies of performance, importance, and the levels of difficulty in nursing action across differing work experience, continuous development and application of job training based on one's work experience seem crucial in practice.

The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Operating Room Nurses (수술실 간호사의 환자안전문화에 대한 인식이 안전간호활동에 미치는 영향)

  • Lee, Kyung Hee;Lee, Young Shin;Park, Hae Kyung;Rhu, Jung Ok;Byun, In Seung
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.204-214
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    • 2011
  • Purpose: This study was aimed to provide information on the awareness of patient safety culture and safety care activities among operating room (OR) nurses and to analyze the factors influencing the safety care activities. Methods: For this descriptive research, self-reported questionnaires were administered to 168 OR nurses who were working at the university-affiliated and general hospitals. The collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson's correlation coefficient and Stepwise multiple regression with SPSS/WIN 17.0. Results: The mean score of the awareness on patient safety culture was 3.27 out of 5 points and that of safety care activity was 4.31 out of 5. The statistically significant difference was found between experience of safety education and the awareness on patient safety culture. Also, the scores of safety care activities were significantly different according to OR nurses' position, education levels, and experience of safety education. There was a positive correlation between the awareness of patient safety culture and safety care activity. Their explanatory power on safety care activity was 8.8%, which includes working environment in operating room 3.3% and nursing position 5.5%. Conclusion: Compared to the level of patient safety activities, the OR nurses' awareness on patient safety culture was low. Given the specific characteristics and conditions in each hospital, it needs to increase the OR nurses' awareness on patient safety culture and activities related to patient safety.