• 제목/요약/키워드: intensive development

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고위험산모신생아 통합치료센터 (MFICU) 간호사 임파워링 교육프로그램 개발 및 평가 (Development and Evaluation of Empowering Education Program for Maternal Fetal Intensive Care Unit (MFICU) Nurses)

  • 김증임;박미경;신기수;조인숙;최소영;전은미;김윤미;안숙희
    • 여성건강간호학회지
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    • 제25권3호
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    • pp.345-358
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    • 2019
  • Purpose: This study was conducted to develop an empowering education program for Maternal-Fetal Intensive Care Unit (MFICU) nurses who provide intensive care to high-risk mother and fetus at hospitals, to test effects of the education program on nursing care confidence and nursing knowledge, and to examine program satisfaction. Methods: This study comprised of 2 phases: program development and evaluation. First, we have followed a process of program development to develop and refine an empowering education program for MFICU nurses through collaborative works among clinical obstetrics and gynecology doctors and nurses and academic nursing professors. Second, the empowering education program was provided to 49 nurses and evaluated from July 5 to 6, 2019. Levels of MFICU nursing care confidence and knowledge were measured. Results: The empowering education program included 18 hours of lectures, discussion, and Q & A, which continued for 2 days. This program significantly improved high-risk maternal-fetal nursing care confidence and knowledge of nurses. The program was well met with nurses' education need and goals, and found to be highly satisfactory. Conclusion: The empowering education program was observed to be effective in terms of improve nursing care confidence and knowledge of nurses in MFICU. It is proposed that this program should be open regularly for nurses to obtain and improve their clinical knowledge, confidence, and competency. Further study is needed to develop and run 2-levels of education such as basic and advanced levels based on nurses' clinical background and competency.

Effects of Glucagon-Like Peptide-2-Expressing Saccharomyces cerevisiae Not Different from Empty Vector

  • Zhong, Xi;Liang, Guopeng;Cao, Lili;Qiao, Qi;Hu, Zhi;Fu, Min;Bo, Hong;Wu, Qin;Liang, Guanlin;Zhang, Zhongwei;Zhou, Lin
    • Journal of Microbiology and Biotechnology
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    • 제29권10호
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    • pp.1644-1655
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    • 2019
  • Saccharomyces cerevisiae (S. cerevisiae) and glucagon-like peptide-2 (GLP-2) have been employed to improve the intestinal development of weaned animals. The goal of this study was to determine whether either exogenous S. cerevisiae or GLP-2 elicits major effects on fecal microbiotas and cytokine responses in weaned piglets. Ninety-six piglets weaned at 26 days were assigned to one of four groups: 1) Basal diet (Control), 2) empty vector-harboring S. cerevisiae (EV-SC), 3) GLP-2-expressing S. cerevisiae (GLP2-SC), and 4) recombinant human GLP-2 (rh-GLP2). At the start of the post-weaning period (day 0), and at day 28, fecal samples were collected to assess the bacterial communities via sequencing the V1-V2 region of the 16S-rRNA gene, and piglets' blood was also sampled to measure cytokine responses (i.e., IL-$1{\beta}$, TNF-${\alpha}$, and IFN-${\gamma}$). This study revealed that, on the one hand, although S. cerevisiae supplementation did not significantly alter the growth of weaned piglets, it induced increases in the relative abundances of two core genera (Ruminococcaceae_norank and Erysipelotrichaceae_norank) and decreases in the relative abundances of two other core genera (Lachnospiraceae_norank and Clostridiale_norank) and cytokine levels (IL-$1{\beta}$ and TNF-${\alpha}$) (p < 0.05, Control vs EV-SC; p < 0.05, rh-GLP2 vs GLP2-SC). On the other hand, GLP-2 supplementation had no significant influence on fecal bacterial communities and cytokine levels, but it produced better body weight and average daily gain (p < 0.05, Control vs EV-SC; p < 0.05, rh-GLP2 vs GLP2-SC). Therefore, altered fecal microbiotas and cytokine response effects in weaned piglets were due to S. cerevisiae rather than GLP-2.

정상 신생아 어머니와 고위험 신생아 어머니의 신생아에 대한 지각 및 교육요구도 비교 (The Educational Needs and Perception of the Mothers of High Risk Infant and Normal Neonate)

  • 이미자;서현선;홍유희;김소연;유은주;박송자
    • Child Health Nursing Research
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    • 제9권1호
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    • pp.18-27
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    • 2003
  • The purpose of this study is to compare the educational needs and perception of mothers of normal neonates and high risk infants. This research was designed as a descriptive study. Data were collected for two months from April 2002 to March 2002. Subjects were 41 mothers of high risk infants and 60 mothers of normal neonates in one general hospital in Seoul participated in the study. Measurement tools used in this study were the educational needs scale developed by Cho Kyoul Ja et al and the neonatal perceptive inventories scale developed by Broussard. They ask mothers to rate each item on a four point Likert type scale. The collected data were analyzed using SPSS 8.0 program. The variables were listed as frequency, mean, standard deviation, X2 test, t-test, ANOVA. The results were as follows: The educational needs of the mothers of primi pregnancy was higher than the mothers of multi pregnancy. The educational needs on management of diseases such as prevention of infection, symptoms of disease, mental development, attachment promotion, congenital metabolism test, management of convulsion, care of vomiting and fever were higher than general care of infants such as immunization, measurement of temperature, hiccough care, follow up care. The informations must be included in nursing intervention program to reduce the mothers' stress level. In conclusion, in order to promote positive mother infant relationship, nurse need to give information and educate the mothers of high risk infant and normal neonate.

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E-학습 중심의 TOEIC 집중교육에 대하여 (On Intensive E-learning TOEIC Course)

  • 성태수
    • 한국컴퓨터정보학회논문지
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    • 제18권12호
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    • pp.217-223
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    • 2013
  • 본 논문은 한 대학에서 3년에 걸쳐 실시한 토익 모의고사를 바탕으로 4주간의 집중코스와 한 학기에 걸쳐 진행되는 상시적 토익코스의 점수 분포를 비교하고, 두 프로그램에 참여한 학생 그룹의 능력 뿐만 아니라 사용된 교수용 교재 및 장비를 살펴본다. 해당 대학은 여름방학과 겨울방학을 이용하여 4주간의 토익 집중코스를 개설하고 있으며, 참여 학생들은 오전 9시부터 오후 4시까지 수업에 참가한다. 또한 해당 대학은 매 학기동안 15주간의 상시적인 토익코스를 개설해서 월요일부터 금요일까지 매일 한 시간의 수업을 진행한다. 본 논문은 EFL/ESL 교육에서 교사가 교수 자료, 교수법 및 e-학습을 효과적으로 운용하는 것이 얼마나 중요한지를 보여준다. 상시적으로 개설되는 토익코스는 한 학기동안 75시간 수업이 진행되며, 4주간의 집중코스는 120시간 수업이 진행된다. 이 두 코스의 제한된 시간들은 학생들이 일상생활에서 의사소통을 가능하게 하는데 필요한 충분한 시간이라고 볼 수는 없다. 미래에 학생들이 영어 학습에서 성공적인 향상을 보이기 위해서는 효과적이고 질적으로 우수한 EFL/ESL 집중코스의 개발이 필수적이다.

PECS II block is associated with lower incidence of chronic pain after breast surgery

  • De Cassai, Alessandro;Bonanno, Claudio;Sandei, Ludovica;Finozzi, Francesco;Carron, Michele;Marchet, Alberto
    • The Korean Journal of Pain
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    • 제32권4호
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    • pp.286-291
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    • 2019
  • Background: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%-60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it is not known if the pectoral nerve block (PECS block), which is commonly used for breast surgery, is able to prevent this complication. Our main objective was therefore to detect any association between the PECS block and chronic pain at 3, 6, 9, and 12 months in patients undergoing breast surgery. Methods: We conducted a prospective, monocentric, observational study. We enrolled 140 consecutive patients undergoing breast surgery and divided them in patients receiving a PECS block and general anesthesia (PECS group) and patients receiving only general anesthesia (GA group). Then we considered both intraoperative variables (intravenous opioids administration), postoperative data (pain suffered by the patients during the first 24 postoperative hours and the need for additional analgesic administration) and development and persistence of chronic pain (at 3, 6, 9, and 12 mo). Results: The PECS group had a lower incidence of chronic pain at 3 months (14.9% vs. 31.8%, P = 0.039), needed less intraoperative opioids (fentanyl $1.61{\mu}g/kg/hr$ vs. $3.3{\mu}g/kg/hr$, P < 0.001) and had less postoperative pain (3 vs. 4, P = 0.017). Conclusions: The PECS block might play an important role in lowering incidence of chronic pain, but further studies are needed.

중환자실 간호사의 의사소통능력, 직무만족도, 조직몰입이 간호업무성과에 미치는 영향 (The Effects of Communication Ability, Job Satisfaction, and Organizational Commitment on Nursing Performance of Intensive Care Unit Nurses)

  • 김누리;김성은;장소은
    • 중환자간호학회지
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    • 제15권1호
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    • pp.58-68
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    • 2022
  • Purpose : This study aimed to provide basic data for developing strategies to improve the nursing performance of nurses working in the intensive care unit by identifying the degree of their communication ability, job satisfaction, organization commitment, and nursing performance, and the relation between each of these variables in the intensive care unit by examining the factors affecting nursing performance. Methods : The participants comprised of 150 nurses working in the intensive care unit in two advanced general hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, the Scheffé test, Pearson's correlation coefficients, and multiple regression analysis using the SPSS/WIN 25.0 program. Results : Nursing performance of the participants was positively correlated with communication ability (r=.64, p<.001), job satisfaction (r=.26, p<.001), and organization commitment (r=.29, p<.001). Factors significantly influencing the participants' nursing performance included academic background (𝛽=.16, p=.032) and communication ability (𝛽=.50, p<.001). The explanatory power of these variables for nursing performance was recorded at 49.9% (F=19.04, p<.001). Conclusion : The use of various programs in the hospital and the development of effective communication ability with medical staff and other departments among nurses will help improve nursing performance, cooperation with other departments, and patient care.

21세기 수도권 대기환경 개선과 녹색성장을 위한 제안 (Proposal for Air Quality Improvement and Green Growth in the Seoul Metropolitan Area of the 21st Century)

  • 김영성
    • 한국대기환경학회지
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    • 제28권2호
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    • pp.109-118
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    • 2012
  • Ahead of the second basic plan which starts in 2015, tasks needed to improve air quality and encourage green growth in the Seoul Metropolitan Area have been investigated. To date, many research findings indicate that climate change is ongoing and continues to accelerate in the Northeast Asia due to several factors, including unparalleled anthropogenic air emissions from China. An intensive field study is proposed that would target the Seoul Metropolitan Area and would be conducted in collaboration with the international scientific community. While focused on environmental issues in Korea, this study would also benefit the international community by providing insights that can be applied to address similar problems around the world. In addition to the basic plan's emphasis on improving air quality, there is a need to promote green growth through environment-friendly development. It is proposed that green growth be interpreted as a comprehensive concept, targeting all environmental pollution, rather than being limited to low-carbon goals. It is further proposed that the success of environment-friendly development be measured in terms of risk reduction, energy and resources conservation, economic benefits, and employment expansion.

Analysis of Unequal Distribution of Population Income in Indonesia

  • PRAWOTO, Nano;CAHYANI, Richa Dwi
    • The Journal of Asian Finance, Economics and Business
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    • 제7권7호
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    • pp.489-495
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    • 2020
  • Income inequality is a problem that is not only faced by developing countries such as Indonesia, but also developed countries. The difference lies in the proportion of an inequality that occurs and the solution to the level of difficulty experienced. Thus, this study aims to empirically analyze the unequal distribution of population income in Java island, Indonesia, by including the human development index, open unemployment rate, foreign investment, and the degree of fiscal decentralization. The research model used in this study was multiple linear regression to analyze the panel data with a fixed-effect model approach. The results of the study showed that human development index, open unemployment rate, and the degree of fiscal decentralization had a positive and significant effect on income inequality in Java island. Meanwhile, foreign investment had a negative and insignificant effect on income inequality in Java. It is because the value of the investment is more invested in the capital-intensive sector. The government is expected to be more selective in accepting foreign investments that enter the country, especially in Java, and it should be labor-intensive investments. In addition, the government has to equalize locations for foreign investment without reducing good cooperation with these foreign investors.

Assessment of Employment in the Development of the Distribution and Accessibility of Information Society in Azerbaijan

  • SALMANOVA, Mahila
    • 유통과학연구
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    • 제20권6호
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    • pp.67-74
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    • 2022
  • Purpose: In the current era of rapid development of the information and communication technologies (ICT) sector, the formation of an effective regulatory approach is important. There are some methodological shortcomings and difficulties in the approach system of international organizations that assesses the level of application of ICT in various areas in terms of quantity and quality. The basic element of economic growth differs according to the economic conditions prevailing in the period and the country. While the agricultural sector plays an active role in economic growth or development in an underdeveloped country, in a developed country, capital-intensive and even technology-intensive production is the main element of economic growth. From this point of view, the contribution of information and communication technologies (ICT) to Azerbaijan's socio-economy for the period between 2010-2020 will be examined. Research design and methodology: The unit root test and Granger causality test were applied by taking the CDPPC per Capita, Employment, and Unemployment Rate from the social-o-economic data as the dependent variable, fixed and mobile phone usage and internet usage as the independent variables. The principal results: According to the results obtained; It has been determined that the use of ICT positively affects the socio-economic economic situation.

권역 외상 중환자실 간호사의 교육 현황, 교육 요구 및 간호역량 관련 융합 연구 (A Convergence study on Education Status, Educational Needs, and Nursing Competence of Regional Trauma Intensive Care Unit Nurses)

  • 김경미;김종경
    • 한국융합학회논문지
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    • 제11권3호
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    • pp.321-331
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    • 2020
  • 본 연구의 목적은 권역 외상 중환자실 간호사의 교육 현황, 교육 요구 및 간호사 역량을 파악 하는데 있다. 자료 수집은 5개 권역 외상 중환자 치료센터에 근무하는 123명 간호사로부터 설문지를 수집하였다. 조사 설문지는 외상 중환자실 간호사의 교육 현황, 교육 요구 및 간호사의 역량으로 구성되었다. 연구 분석은 SPSS 21.0 프로그램을 이용하여 서술통계, t-test, One-way ANOVA, Pearson Correlation으로 분석하였다. 연구결과 국내 외상 중환자 간호 교육 참여는 78.9%이었다. 외상 중환자 간호 교육 중요도 결과 '태도'는 3.64, '지식'은 3.52, '기술'은 3.47로 나타났다. 교육 요구도 결과 '지식'은 3.18, '태도'는 3.05, '기술'은 2.97로 나타났다. 간호사의 역량 조사 결과 '윤리적 역량'은 3.62, '심미적 역량'은 3.53, '인격적 역량'은 3.39, '과학적 역량'은 3.37로 나타났다. 결론적으로 현시점에 맞고 적용 가능한 외상 간호교육의 표준화된 교육과정 및 실습위주의 교육개발에 초점을 두는 것이 필요하다. 또한 외상 중환자실 간호사의 전문성과 간호역량증진을 위한 전략모색이 필요하다.