• Title/Summary/Keyword: Unit Factors

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Nurses Attitudes toward Death, Coping with Death and Understanding and Performance Regarding EOL Care: Focus on Nurses at ED, ICU and Oncology Department (임종 다빈도 부서 간호사의 죽음에 대한 태도 및 대처정도와 생애 말기환자 간호와의 관계 - 응급실, 중환자실, 종양내과 병동 간호사를 중심으로)

  • Seo, Min-Jeong;Kim, Jung Yeon;Kim, Sanghee;Lee, Tae Wha
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.108-117
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    • 2013
  • Purpose: The objectives of this study were to 1) explore nurses' attitudes toward death, coping with death, understanding and performance regarding end-of-life (EOL) care, 2) describe correlations among the above factors, and 3) determine the factors affecting nurses' EOL care performance. Methods: Study participants were 187 nurses stationed at departments that post higher mortality than others such as the oncology department, intensive care unit (ICU) and emergency department (ED). Data were collected from three urban university-affiliated hospitals. Multi-dimensional measure was performed for study instruments such as "attitude toward death", "coping with death" and "understanding and performance regarding EOL care". Data were analyzed by using descriptive statistics, correlation, and multiple regressions. Results: First, nurses showed significantly different attitudes toward death by age, religion, work unit and EOL care education. Younger nurses tend to score low on the understanding of EOL care, and ED nurses' score was lower than their peers at the oncology department and ICU. Second, EOL care performance was positively correlated with attitude toward death (P<0.001), coping with death (P=0.003) and understanding of EOL care (P<0.001). Third, nurses' EOL care performance was affected by work unit (P<0.001) and understanding of EOL care (P<0.001). Conclusion: Because nurses' performance was influenced by their work unit and understanding of EOL care, they should be provided with appropriate training to improve their understanding of death and EOL care according to work unit.

Nursing Work Related to Low Back Pain in Intensive Care Unit (중환자실 요통관련 간호업무특성)

  • Jaehee Lee;Youngshin Song
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.103-110
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    • 2023
  • This study is a descriptive comparative study to identify personal characteristics and nursing work characteristics according to the presence or absence of back pain of nurses in intensive care units in general hospitals and to explore major factors that affect back pain induction. A survey was conducted on nurses in the intensive care unit of a general hospital located in D City, and a total of 100 copies were used for analysis. For data analysis, descriptive statistics, chi-square test, Fisher accurate test, and logistic regression analysis were performed using IBM SPSS 24.0. The study found that 69% of intensive care unit nurses had back pain, 65.2% of which experienced back pain for more than three months in the past year, and 84.1% had back pain after working in the intensive care unit. In the back pain intensity score measured by NRS, 49% answered that they experienced 4 or more points. As factors related to back pain, gender (p=.03) were significant variables in personal characteristics, in the characteristics of nursing work, the number of patient assistance (p=.03) and the number of patient exchanges (p=.01), heavy lifting (p=.04), satisfaction with the condition of the shoes (p=<.001) was found to be a significant variable affecting back pain induction. It is considered that hospital organization and national policies are needed to prevent and manage low back pain in intensive care unit nurses.

A study on the Survey System of a Rural Housing through the Integrated Approaching on Rural Village and Housing (농촌 마을과 주택의 통합적 접근에 의한 농촌주택 조사체계 정립방안 연구)

  • Bae, Woong-Kyoo;Kim, Owen;Jeong, Dong-Seop;Yun, Yong-Woo
    • Journal of Korean Society of Rural Planning
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    • v.20 no.1
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    • pp.77-89
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    • 2014
  • This study intends to establish a system to investigate and analyze various impacting factors to Rural Housings such as the relationship of characteristics of Rural Housings located in a Rural Village to the Village and a Unit Housing, to the External and Internal Spaces inside the Unit Housing and the Village, and to Living Characteristics of the Residents and Space from an integrated point of view. The results of this study are largely summarized as following four kinds. Rural Housing Survey System can be largely classified into three stages, and they are a Preliminary Survey, Basic Survey and In-depth Survey. Along with these, the scope of the survey contents can be divided into a survey result by a unit of village, of land, of housing, and of resident's opinion survey. Secondly, the surveys by village unit are on location properties, Village Identity, Street Network, Land Use, Landscape Features and Public Facilities, and consist of Literature, Discussion and Field Survey. Thirdly, the land Unit Surveys are on a Driveway, Gate Location, Housing Placement, Outer Space Design in a Yard and Outer Space Use Characteristics, and consist of Questionnaire and Field Surveys. For the fourth, the Housing Unit Surveys are on an Internal Space Design and Placement, and consist of Questionnaire and Field Surveys. Finally, the Resident Questionnaire Survey consisted of Entire Discussion Survey and a Household one, and then the Entire Survey was on the Village's History, Village's Characteristics, Cultivation Characteristics and Community Activities while an individual one was on Main Living Characteristics, Satisfaction and Utilization Characteristics.

A Case Study on Active Usage of the Storage Space Outside Housing Unit of Residential Complex (공동주택 세대외부창고의 활성화 방안을 위한 사례 연구)

  • Song, Jihyun;Lee, Hyunsoo
    • Korean Institute of Interior Design Journal
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    • v.27 no.1
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    • pp.58-67
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    • 2018
  • This study aims to analyze the cases of storage space outside housing unit and propose the activation plan. The issue of storage in residential complex has continued to be reported. This is more salient due to the recent preference trend for small houses, the constant increase of living goods and the limitation of the available space inside housing unit. Although more apartment houses are trying to have individual storage in the exterior space to address these issues, there is still a paucity of the related studies and more studies are required. In this study, we conducted on-site investigation and user interview of each case to propose active usage of the storage space outside housing unit. Result of this study shows that the most crucial factor to improve is 'accessibility' in order to activate the storage space. Storage room should be located close to each household or the individual parking space. The second factor is the size and the structure of the storage room. The sufficient space for keeping and taking large objects out are required. The front of the storage room should have a clogged structure to insure privacy. The third is the provision of suitable support programs such as the system that occupants can check remotely what items are in their storage rooms, garage sale, laundry service, auto cleaning system and rental program. Those programs are required for efficient management and activation of space. Another requirement is to improve environmental factors which include maintenance of optimal temperature and humidity, automatic ventilation system, control of individual lights, and security enhancement. Based on the results of the survey, we provide basic data which can be used for practical space planning to activate exterior storage space of the housing unit. Further surveys are required to develop this study by obtaining more data for generalization.

Comparision of Heat Exchanging Performance Depending on Different Arrangement of Heat Exchanging Pipe (II) (열회수장치의 열교환 파이프배치형식별 열교환 성능 비교(II))

  • Suh, Won-Myung;Kang, Jong-Guk;Yoon, Yong-Cheol;Kim, Jung-Sub
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2001.10a
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    • pp.281-285
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    • 2001
  • This study was carried out to improve the performance of heat recovery device attached to exhaust gas flue connected to combustion chamber of greenhouse heating system. Three different units were prepared for the comparison of heat recovery performance; AB-type(control unit) is exactly the same with the typical one fabricated for previous study of analyzing heat recovery performance in greenhouse heating system, other two types(C-type and D-type) modified from the control unit are different in the aspects of airflow direction(U-turn airflow) and pipe arrangement. The results are summarized as follows; 1. In the case of Type-AB, when considering the initial cost and current electricity fee required for system operation, it is expected that one or two years at most would be enough to return the whole cost invested. 2. Type-C and Type-D, basically different with Type-AB in the aspect of airflow pattern, are not sensitive to the change of blower capacity with higher than $25\;m^{3}/min$. Therefore, heat recovery performance was not improved so significantly with the increment of blower capacity. This is assumed to be that air flow resistance in high air capacity reduces the heat exchange rate as well. Never the less, compared with control unit, resultant heat recovery rate in Type-C and Type-D were improved by about 5% and 13%, respectively. 3. Desirable blower capacity for these heat recovery units experimented are expected to be about $25\;m^{3}/min$, and at the proper blower capacity, U-turn airflow units showed better heat recovery performance than control unit. But, without regard to the type of heat recovery unit, it is recommended that comprehensive consideration of system's physical factors such as pipe arrangement density, unit pipe length and pipe thickness, etc., are required for the optimization of heat recovery system in the aspects of not only energy conservation but economic system design.

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Evaluation of Biodiversity Based on Changes of Spatial Scale -A Case Study of Baekdudaegan Area in Kangwondo- (공간스케일 변화에 따른 생물다양성 평가 -강원도 백두대간 보호구역을 대상으로-)

  • Sim, Woodam;Park, Jinwoo;Lee, Jungsoo
    • Journal of Forest and Environmental Science
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    • v.30 no.1
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    • pp.91-100
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    • 2014
  • This research was conducted on the conservation area of Baekdudaegan, Kangwondo under the purpose of evaluating bio-diversity according to the changes of spatial scale, using GIS data and spatial filtering method. The diversity index was calculated based on the information of species of The $5^{th}$ forest type map using Shannon-weaver index (H'), evenness index ($E_i$) and richness index ($R_i$). The diversity index was analyzed and compared according to the changes of 12 spatial scales from Kernel size $3{\times}3$ to $73{\times}73$ and basin unit. As for H' and $R_i$, spatial scale increased as diversity index decreased, while $E_i$ decreases gradually. H' and $R_i$ was highest; each 1.1 and 0.6, when the Kernel size was $73{\times}73$, while $E_i$ was 0.2, the lowest. When you look at according to the basin unit, for large basin unit, 'YeongDong' region shows higher diversity index than 'YeongSeo' region. For middle basin unit, 'Gangneung Namdaecheon' region, and for small basin unit, 'Gangneung Namdaecheon' and 'Gangneung Ohbongdaem' region shows high diversity index. When you look at the relationship between diversity index and Geographic factors, H' shows positive relation to curvature and sunshine factor while shows negative to elevation, slope, hillshade, and wetness index. Also $E_i$ was similar to the relationship between H' and Geographic factor. Meanwhile, $R_i$ shows positive relationship to curvature and sunshine factor, while negative to elevation, slope, hillshade, and wetness index. macro unit diversity index evaluation was possible through the GIS data and spatial filtering, and it can be a good source for local biosphere conservation policy making.

Comparison of Performance Analysis of the Ventilated and Non-­ventilated CIGS BIPV Units (환기 유무에 따른 CIGS BIPV 커튼월 유닛의 성능 비교 분석)

  • Kim, Sang-Myung;Kim, Jin-Hee;Kim, Jun-Tae
    • Journal of the Korean Solar Energy Society
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    • v.37 no.2
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    • pp.47-57
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    • 2017
  • CIGS thin film solar cells are technically suitable for BIPV applications than regularly used crystalline silicon solar cells. Particularly, CIGS PV has lower temperature coefficient than crystalline silicon PV, thus decrease in power generation is lowered in CIGS PV. Moreover, CIGS PV can decrease shading loss when applied to the BIPV system, and the total annual power generation is higher than crystalline silicon. However, there are few studies on the installation factors affecting the performance of BIPV system with CIGS module. In this study, BIPV curtain wall unit with CIGS PV module was designed. To prevent increase of temperature of CIGS PV module by solar radiation, ventilation was considered at the backside of the unit. The thermal specification and electrical performance of CIGS PV of the ventilated unit was analyzed experimentally. Non-ventilated unit was also investigated and compared with ventilated unit. The results showed that the average CIGS temperature of the ventilated curtain wall unit was $6.8^{\circ}C$ lower than non-ventilated type and the efficiency and power generation performance of ventilated CIGS PV on average was, respectively, about 6% and 5.8% higher than the non-ventilated type.

Definitive Concurrent Chemoradiotherapy in Cervical Cancer - a University of Malaya Medical Centre Experience

  • Zamaniah, W.I. Wan;Mastura, M.Y.;Phua, C.E.;Adlinda, A.;Marniza, S.;Rozita, A.M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8987-8992
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    • 2014
  • Background: The efficacy of concurrent chemoradiotherapy in the treatment of locally advanced cervical cancer is well established. We aimed to investigate the long-term efficacy of definitive concurrent chemoradiotherapy for cervical cancer in the University of Malaya Medical Centre. Materials and Methods: A cohort of 60 patients with FIGO stage IB2-IVA cervical cancer who were treated with definitive concurrent chemoradiotherapy with cisplatin followed by intracavitary brachytherapy or external beam radiotherapy (EBRT) boost between November 2001 and May 2008 were analysed. Patients were initially treated with weekly intravenous cisplatin ($40mg/m^2$) concurrent with daily EBRT to pelvis of 45-50Gy followed by low dose rate brachytherapy or EBRT boost to tumour. Local control rate, progression free survival, overall survival and treatment related toxicities graded by the RTOG criteria were evaluated. Results: The mean age was 56. At the median follow-up of 72 months, the estimated 5-year progression-free survival (PFS) (median PFS 39 months) and the 5-year overall survival (OS) (median OS 51 months) were 48% and 50% respectively. The 5-year local control rate was 67.3%. Grade 3-4 late gastrointestinal and genitourinary toxicity occurred in 9.3% of patients. Conclusions: The 5-year PFS and the 5-year OS in this cohort were lower than in other institutions. More advanced stage at presentation, longer overall treatment time (OTT) of more than fifty-six days and lower total dose to point A were the potential factors contributing to a lower survival.

Chemotherapeutic Response and Survival for Patients With an Anal Squamous Cell Carcinoma and Low Hemoglobin Levels

  • Naqvi, A.;Platt, E.;Jitsumura, M.;Evans, M.;Coleman, M.;Smolarek, S.
    • Annals of Coloproctology
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    • v.34 no.6
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    • pp.312-316
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    • 2018
  • Purpose: Anemia is associated with poor treatment results for a variety of cancers. The effect of low hemoglobin levels on long-term outcomes after the treatment of patients with an anal squamous cell carcinoma (SCC) remains unclear. For that reason, this study aimed to investigate the effect of anemia on treatment outcomes following chemoradiation for an anal SCC. Methods: This was a retrospective study of all patients who underwent curative treatment for an anal SCC between 2009 and 2015 at 2 trusts in the United Kingdom. Data were collated from prospectively collected cancer databases and were cross-checked with operating-room records and records in the hospitals' patient management systems. Results: We identified 103 patients with a median age of 63 years (range, 36-84 years). The median overall survival was 39 months (range, 9-90 months), and the disease-free survival was 36 months (range, 2-90 months). During the follow-up period, 16.5% patients died and 13.6% patients developed recurrence. Twenty-two people were anemic prior to treatment, with a female preponderance (20 of 22). No differences in disease-free survival (P = 0.74) and overall survival (P = 0.12) were noted between patients with anemia and those with normal hemoglobin levels. On regression the analysis, the combination of anemia, the presence of a defunctioning colostomy, lymph-node involvement and higher tumor stage correlated with poor overall survival. Conclusion: In this study, anemia did not influence disease-free survival or overall survival. We suggest that the interaction between anemia and survival is more complex than previously demonstrated and potentially reliant on other coexisting factors.

A Study on the Improvement of Evaluation Methods for Roadside Slope Revegetation - Focus on the Cut-soil Slope - (도로비탈면 녹화공사 평가방법의 개선 방안 연구 - 절토부 토사를 중심으로 -)

  • Kim, Nam-Choon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.23 no.6
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    • pp.187-200
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    • 2020
  • Despite the eco-friendly route plan, road slopes were collapsed due to road construction, resulting in human and property damage. To solve this problem, the Ministry of Land, Transport and Maritime Affairs established guidelines in 2009 to conduct a test-bed for slope recording considering the conditions of the site and the ecological environment, and divided them into recording quality and economic evaluation. The following results were obtained by analyzing 183 construction methods of cut-soil sections at 60 sites from 2012 to 2018 for road slope afforestation research. Straw net+seedspray, vegetation media spray method 1T, 3T were used the most, and vegetation media spray method 3T(patent) was excellent in quality, and straw net+seedspray was excellent in economics. As a result of analyzing the market unit price and the construction unit price, vegetation media spray method submitted the construction unit price at up to 60% lower than the market unit price. As a result of the analysis of the key factors of the greening method evaluation, the economic assessment had the greatest influence on all evaluation items. Problems in the evaluation method of revegetation were first identified as problems in the allocation of points and secondly as problems in the evaluation criteria. As for the improvement of the economic assessment criteria, the method was proposed to evaluate the same method based on market unit price when the same method was constructed, and not to conduct an economic assessment if there was a difference in market unit price between methods, or to add weight to the scores. Based on the monitoring data of 60 road slopes, this study drew up problems and improvement measures. However, with regard to scoring, research on appropriate scoring is needed by examining the current status.