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A Study on the Nurse's Recognition and Performance in Intravenous Therapy Management (간호사의 정맥주사 관리에 대한 인식과 수행에 관한 연구)

  • Kim Myung-Hee;Kim Youn-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.207-224
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    • 1998
  • The purposes of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. Tha data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al', CDC' Stanley' and Kurdi' guideline, Cllinical Nurse's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cron-bach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The datas were analized by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient teaching about medication, disinfectional methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance in IV therapy were 'having no time', 'insufficiency of goods', 'unknowing of methods', 'no disadvantage', and 'factors of doctor's doing'. The most important factor was 'have no time', especially item of hands washing. The other factors of hindrance showed high frequency in the following items ; 'insufficiency of goods' in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, 'unknowing of methods' in the certification of drugs compatibility, 'no disadvantage' in the labeling the dressing over the injection site, and 'factors of doctor's doing' in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and alternative plan which are political and financial aids such as setting up the sink, giving of paper towels and necessary goods in the IV therapy for reducing the factors of hindrance for IV therapy management.

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Output-Only System Identification and Model Updating for Performance Evaluation of Tall Buildings (초고층건물의 성능평가를 위한 응답의존 시스템판별 및 모델향상)

  • Cho, Soon-Ho
    • Journal of the Earthquake Engineering Society of Korea
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    • v.12 no.4
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    • pp.19-33
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    • 2008
  • Dynamic response measurements from natural excitation were carried out for 25- and 42-story buildings to evaluate their inherent properties, such as natural frequencies, mode shapes and damping ratios. Both are reinforced concrete buildings adopting a core wall, or with shear walls as the major lateral force resisting system, but frames are added in the plan or elevation. In particular, shear walls in a 25-story building are converted to frames from the 4th floor level downwards while maintaining a core wall throughout, resulting in a fairly complex structure. Due to this, along with similar stiffness characteristics in the principal directions, significantly coupled and closely spaced modes of motion are expected in this building, making identification rather difficult. By using various state-of-the-art system identification methods, the modal parameters are extracted, and the results are then compared. Three frequency-domain and four time-domain based operational modal identification methods are considered. Overall, all natural frequencies and damping ratios estimated from the different identification methods showed a greater consistency for both buildings, while mode shapes exhibited some degree of discrepancy, varying from method to method. On the other hand, in comparison with analysis results obtained using the initial finite element(FE) models, test results exhibited a significant difference of about doubled frequencies, at least for the three lower modes in both buildings. To improve the correlation between test and analysis, a few manual schemes of FE model updating based on plausible reasons have been applied, and acceptable results are obtained. The advantages and disadvantages of each identification method used are addressed, and some difficulties that might arise from the updating of FE models, including automatic procedures, for such large structures are carefully discussed.

Assessment of Imaging Distortion in Magnetic Resonance Imaging for Stereotactic Radiosurgery: Through Phantom Study (뇌정위 방사선수술 시스템을 위한 자기공명영상의 공간적 왜곡의 측정 : 모형실험을 통한 연구)

  • 박선원;한문희;김동규;정현태;송인찬
    • Investigative Magnetic Resonance Imaging
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    • v.4 no.1
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    • pp.7-13
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    • 2000
  • Purpose : To assess the distortion of MRI with the Leksell stereotactic radiosurgery system in variable pulse sequence and imaging plane through phantom study, to find most adequate imaging plane and pulse sequence for stereotactic radiosurgery system. Materials and methods : We made the phantoms for MRI and get images in variable conditions and analyzed the image distortion using image analysis program, and statistically using paired student t-test. Results : The transeverse plane images had acceptable error ranges bless than 1.5mm) in all pulse sequence in both the analysis of fiducial marker in stereotactic G-frame and the phantom study. The coronal plane images had unacceptable large errors (more than 1.7mm) in the analysis of fiducial marker in the stereotactic G-frame, but had corrected small errors (less than 1.5mm) in the phantom study. Conclusion : We find from the phantom study that the present MR machines are adequate for stereotactic surgery system in frequently used pulse sequences, and imaging planes.

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Discharge Assessment Tool in Stroke and Elderly Patients: A Systematic Review (뇌졸중 및 노인 환자의 퇴원 평가도구에 대한 체계적 고찰)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.7-21
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    • 2020
  • Objective : The aim of this systematic review is to analyze the assessment items and tools used for the discharge of stroke and elderly patients and to help select appropriate assessment tools for discharge planning. Methods : The studies included in this review were collected from the PubMed, Medline Complete (EBSCOhost), and Scopus databases from January 2009 to December 2018. A total 22 studies were selected. The research types, the areas and sub-areas of assessment, as well as the assessment tools according to the areas were analyzed. Results : Descriptive research (59.2%) was the most frequent type of research. The 12 main areas of assessment were medical condition, activities of daily living, swallowing function, sensation, mobility, cognition and perception, communication, emotion, home environment, patient knowledge and readiness for discharge, social support, and well-being. Among the assessment tools, the most frequently used tools were Bathel Index; Functional Independence Measure, to assess activities of daily living; Short-Form Health Survey, to assess well-being, and Timed Up and Go test, to assess mobility. Conclusion : This study will help select the assessment areas and tools to be considered at discharge of stroke patients and serve a basis for the development of comprehensive assessment tools for discharge planning.

Manufacture of Immobilization Device (Vac-lok) and the Usefulness of Evaluation for Reproducibility of Patients in the Radiotherapy (환자의 재현성을 위한 고정장치(Vac-lok) 제작과 방사선치료에서 유용성 평가)

  • Lee, Jae-Seung;Kim, Gyoung-Hee;Jeong, Kyu-Hwan;Kweon, Dae-Cheol;Goo, Eun-Hoe;Park, Cheol-Woo;Im, In-Chul;Dong, Kyung-Rae;Chung, Woon-Kwan
    • Journal of Radiation Protection and Research
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    • v.36 no.1
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    • pp.8-16
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    • 2011
  • We manufactured the Vac-lok that can be applied to patient of special body shape and need to special set-up position and evaluated the usefulness in the radiation therapy. The manufacture Vac-lok, It was used EVA resin and biobeadform of a diameter 1.5 mm. carried out the test of functionality, structural and analyzed the relative reproducibility of phantoms and patients. During the total period of radiation therapy, Vacuum pressure bring variety to a very small amount in the test of functionality of the manufacture Vac-lok. But It was a negligible quantity. The manufacture Vac-lok improved the relative reproducibility of phantoms than the existing Vac-lok and tolerance has a confidence less than 4% error. Also, relative reproducibility of patient increased error than phantom in the antero-posterior and lateral plan. However, the maximum set-up error was less than ${\pm}\;2.3$ mm. In conclusion, If tolerance set-up error of radiotherapy is less than ${\pm}\;3$ mm, the manufacture Vac-lok was enough possible to use and improvement of reproducibility, considering supply with the Vac-lok made to measure of special patient that produced at a low price and without delay.

Development of Educational Program of STEAM-based Project for Circle Activities in Middle School: Focused on the Theme of "Photography of Earth" (중학교 동아리활동을 위한 STEAM 기반 프로젝트 교육 프로그램 개발: '지구사진 촬영' 주제를 중심으로)

  • Kim, Hyun-Jung;Kim, Young-Min;Kim, Jin-Yeon;Huh, Hye-Yeon;Kim, Jong-Nam;Kim, Ki-Soo
    • 대한공업교육학회지
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    • v.38 no.2
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    • pp.195-217
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    • 2013
  • The purpose of this study was to develop educational programs of STEAM-based project under the theme of "Photography of Earth" for the circle activities of the creative experiential activity, to be applied this program to them and to identify technology subject self-efficacy and change in attitude toward engineering. In order to achieve the research objectives, this program was applied to middle school student in Cheonan, STEAM-based circle during 9 class instruction. The results of this study are as follows. First, the STEAM program contents for circle activities were selected through utilizing a five-stage design model(preparation, design, development, implementation and evaluation) and analyzing the curriculum. After that we have developed a teaching plan, STEAM-Story, student activity sheets from the viewpoint of cultural fusion and have applied the circle activities of the creative experiential Activity during 4 months. Second, The result of the test(pre- and post-test) about STEAM program that has been developed were different about technology subject self-efficacy and attitude toward engineering. Therefore, we have verified that the effect of the STEAM-based project under the theme of "Photography of Earth" for the circle activities on the attitudes toward engineering and self-efficacy in middle school is effective.

A study on damage mechanism of transition section in cut and cover tunnel using 3 dimensional numerical analysis (3차원 수치해석을 통한 개착터널내 단면변화구간의 손상미케니즘 연구)

  • Park, Jae-Young;Son, Jeong-Hun;Park, Kwang-Lim;Oh, Young-Seok
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.14 no.6
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    • pp.653-666
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    • 2012
  • This study made progress about Demage Mechanism of Transition Section in Cut and Cover Tunnel. For this study, Inspection and test was carried out about Transition Section. After this process, Numerical Analysis was accomplished by 2D, 3D. A result of inspection and test, It couldn't find the reason why the upper slab Demage was detected. So 2D Numerical Analysis was conducted. It was analyzed that the Safety Factor(1.0) was satisfied in 2D. But, the result of 3D Numerical Analysis, The reason was found that the Demage on upper slab was caused by moment change. The Moment was changed by column interval transition. For Retrofitting, Column was added under slab in tunnel. It was found that the addition column decreased upper slab deformation. After this study, It could be find that are important 3D Numerical Analysis as well as 2D Numerical Analysis in case of Transition Section. This Study can help developing construction and maintenance about Tunnel. Finally, It's going to study Retrofitting plans which have minimum influence of Transition Section in Cut and Cover Tunnel.

Factors Influencing the Length of Stay Ischemic Heart Disease Utilizing Medical Information (의료정보를 활용한 허혈성 심장질환의 재원일수에 영향을 미치는 요인 분석)

  • Park, Ji-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.354-362
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    • 2017
  • Due to population aging and westernized lifestyle, ischemic heart diseases are increasing, and Korea has one of the highest lengths of stay for ischemic heart diseases. Since the increase in the length of stay is a major cause of the increase in medical expenses, it is necessary to prepare a plan to manage the length of stay. Accordingly, this study was conducted to identify the factors influencing the length of stay of ischemic heart disease, and provide the elementary resources necessary for the management of the length of stay. The study subjects were 566 ischemic heart disease patients of a tertiary hospital. As the result of the study, first, the number of inpatients with chest pain as the chief complaint was the largest. Second, the average length of stay was 4.89 days, and the length of stay varied depending on the type of ischemic heart disease. Third, the age of over 75 years, diabetes, and dyspnea were the factors increasing the length of stay. Therefore, for management of adequate length of stay for ischemic heart disease, it is important to prevent the progression of illness through blood sugar control for ischemic heart disease patients with diabetes. Also, it is necessary to prepare a system where patients can visit hospitals as fast as possible if they have any symptoms.

A comparative study of bite force associated with remaining bone level in anterior and premolar teeth at periodontal maintenance phase (유지관리기 치주환자의 전치 및 소구치에서 잔존 치조골량에 따른 교합력의 비교 연구)

  • Song, Gyu-Won;Yim, Sung-Bin;Chung, Chin-Hyung
    • Journal of Periodontal and Implant Science
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    • v.32 no.3
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    • pp.643-653
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    • 2002
  • Periodontal supporting tissue goes through destruction by chronic inflammatory periodontal disease as two aspect. One is qualitive aspect such as alteration of periodontium, the other is quantitative aspect such as alveolar bone loss. According to many authors, PDL is responsible for biting force, and there are two mean. for measuring PDL's function - mobility test and biting force test. This study was conducted to compare the biting force with remaining bone level, that is, quantitative aspect of periodontium, in anterior and premolar teeth at periodontal maintenance phase. 17 patients on periodontal maintenance phase during 6 months at minimum were selected for this study. For the same condition, 4 anterior, canine, premolar teeth were tested by MPM-3000 bite-force register at the same time(a.m.l0-12), the same position, the same posture, by the same examiner. Patients of TMI), ill-fitting pros thesis, general disease, malocclusion and the teeth of TFO, absence of opposing teeth, malposition were excluded. Remaining bone level was measured on the panorama X-ray film through 5 level from 1mm below CEJ to root apex. Teeth were examined twice, and bigger one was selected. If the values showed large difference. examinatin was re-done and the mean was selected. The results were as follows ; 1. In the 4 anterior group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.01). 2. In the canine group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 2/5 bone level, maximal biting force is decreased significantly(p<0.01). 3. In the premolar group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.05). From the results of this study, clinicians could utilize these efficiently when they have to determine the proper restorative materials, time for tooth extraction, treatment plan, prognosis.

A Development of Work Item and Duration Estimation Method for 3D Printing based Building (건축물 3D 프린팅 공정 도출 및 공기 산정방식 개발)

  • Park, Hyung-Jin;Seo, Myoung-Bae;Ju, Ki-Beom
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.200-207
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    • 2017
  • 3D printing is making a huge difference to existing industries and is beginning to be applied in the field of construction. 3D printing construction differs from existing construction techniques. Therefore, new construction processes need to be developed. In particular, the accurate construction duration is linked directly to a successful project. A method for estimating the construction duration for 3D printing construction is necessary. In this study, a 3D printing construction process and duration estimation method were derived to prepare for the future introduction of 3D printing in construction. The scope of the study was assumed to be 3D printing equipment capable of pouring concrete, and limited to a frame structure construction. The developed construction period estimation method was applied to the virtual test model. As a result of applying the test model, the construction duration was shortened by approximately 50% compared to the existing construction technique. The method of estimating the construction period developed in this study can be applied to 3D printing constructions in the future and help establish a business plan.