• 대한간호학회지
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• 제47권3호
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• pp.392-405
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• 2017

Purpose: This study aims to develop a self-reflection program for nurses who have experienced the death of pediatric patients in the intensive care unit and to evaluate its effectiveness. Methods: The self-reflection program was developed by means of the following four steps: establishment of the goal through investigation of an initial request, drawing up the program, preliminary research, and implementation and improvement of the program. The study employed a methodological triangulation to evaluate the effectiveness of the program. Participants were 38 nurses who had experienced the death of pediatric patients (experimental group=15, control group=23); they were recruited using convenience sampling. The self-reflection program was provided over 6 weeks (6 sessions). Data were collected from April to August, 2014 and analyzed using t-tests and content analysis. Results: The quantitative results showed that changes in personal growth (t=-6.33, p<.001) and burnout scores (z=-2.76, p=.005) were better in the experimental group compared to the control group. The qualitative results exhibited two themes, namely "personal growth" and "professional growth", and ten sub-themes. Conclusion: The self-reflection program developed by this study was effective in helping nurses who had experienced the death of pediatric patients to achieve personal growth through self-reflection, and it was confirmed that the program can be applied in a realistic clinical nursing setting. Furthermore, it can be recommended as an intervention program for clinical nurses.

• 식품보건융합연구
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• 제6권3호
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• pp.23-29
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• 2020

Blood transfusion in the neonatal period remains a therapeutic act, that no one dares to consider it as perfectly innocuous and that it is advisable to make rare, considering its risks as well immunological as infectious. The present work is a retrospective study, conducted in neonatal intensive care unit, in the University Hospital MOHAMED VI, Marrakech, during the period from January 1^st to December 31^st, 2019. All newborns were included in this work, who received one or multiple transfusions of red blood cells (RBC). Our study covered 60 neonates with a total of birth: 794 neonates, with a prevalence of 7.55%, hospitalized for various indications (60% of newborns were at term, 31.7% premature and 8, 33% were post-mature. The majority of transfusion procedures were performed during the first week of life. This is explained by the frequency of haemolytic anemias by fœto-maternal incompatibility. The main indications for transfusion were haemolysis, anemic syndrome and haemorrhagic syndrome. The average number of transfusion episodes was 1.95 +/- 1.47 per patient. Newborns were polytransfused in 18.33% of cases. A single transfusion accident was found in our study. However, we did not observe a correlation between the maternal diseases, the state of the newborn, and the transfusional indication.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2012년도 학술발표회
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• pp.18-18
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• 2012

In Japan, about 67% of the land is covered by forests and about 41% of them consist of plantations. About 35% of the plantations consist of old-aged plantations of older than 50 yearsand the percentage is projected to 67% in ten years' time. Although the trees of these plantations are supposed to be cut for timber production, most of them remain unmanaged and thus overcrowded mainly due to declining domestic forest industry. Since the forests are mostly located in headwater watershed, there are growing concerns about the degradation of water resources by these unmanaged plantations. To understand the ecohydrological processes in these plantations and examine the effect of intensive 50-60 % thinning to increase infiltration rate and reduce overland flow and soil erosion by recovering understory vegetation, the JST-CREST project "Development of Innovative Technologies for Increasing in Watershed Runoff and Improving River Environment by the Management Practice of Devastated Forest Plantation (Representative: Yuichi Onda)" has been launched since 2009. The ultimate objective of this project is to provide potential scenario to enhance low flow discharge in drought period and reduce turbid material in high flow period. We have been conductingintensive field observation campaign in five research sites across Japan. In Fukuoka site, integrated ecohydrological observations have been conductedin two contrastive watersheds since 2010. Intensive 50% thinning was conducted from January to April 2012 and comparative studies of ecohydrological processes before and after thinning have been started. The interim results from all the sites of this project will be presented in the 3rd International Congress for Forest and Water in a Changing Environment held in Fukuoka during 18-20 September, 2012 (http://www.forest.kyushu-u.ac.jp/~ecohydrol/3ForestWater/index.html).

• 기본간호학회지
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• 제13권3호
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• pp.510-519
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• 2006

Purpose: To develop and validate a scale suitable and efficient scale for use in clinical practice as to assess pain in premature infants. Method: Pain indicators identified by observation of preform infants. A cohort of preform infants was studied prospectively to determine the construct validity, inter-rater reliability, and internal consistency of the scale. The PIPS uses four indicators of pain: corrected gestational age, heart rate, oxygen saturation, behavioral state. The validation study included 45 premature infants with gestational age of 37 weeks or less. Results: The inter-rater reliability of the PIPS was acceptable, with Pearson correlations ranging from.720 to.970. Internal consistency was high: Cronbach's alpha coefficients ranged from.551 to.653. There was a strong correlation between the PIPS and PIPP scores (each researcher's r=.743, each indicator's r=.914). Although gestational age showed no association between these factors and the sum, the other variables were positively associated with the sum. Time needed to calculate PIPS scores is was less than Premature Infant Pain Profile (PIPP) scores(p<.000). Conclusion: The validation data suggest that the PIPS is appropriate and efficient for assessing pain in premature infants. Further studies are required about to determine appropriate interventions for each pain score on the PIPS.

• 중환자간호학회지
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• 제1권1호
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• pp.73-83
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• 2008

Purpose: Purpose of this study was to analyze the nursing focuses for standardization of ICU nursing records. Methods: The data were collected from 1,000days'nursing records of 197 ICU patients at a tertiary hospital in Seoul. Nursing focuses were unified at the consulting group meeting and they were cross-mapped with the NANDA nursing diagnoses. Results: The 62 nursing focuses in 7 NANDA categories were extracted from nursing record. Among total nursing focuses 41 correspond to the NANDA nursing diagnoses and 21 were added to ICU nursing focuses. The 10 most frequently used nursing focuses are 'Ineffective airway clearance', 'Impaired gas exchange', 'Ineffective tissue perfusion: cardiopulmonary', 'Ineffective breathing pattern', 'Ineffective tissue perfusion: renal', 'Ineffective infant feeding pattern', 'Risk for impaired skin integrity', 'Hyperthermia', 'Impaired skin integrity', 'Decreased cardiac output', Conclusion: Nursing focuses list of ICU was extracted from the result of this study. These nursing focuses might form a framework for development of research-based assessment guideline and care plans for ICU patients through standardization of nursing records.

• 중환자간호학회지
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• 제14권3호
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• pp.141-156
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• 2021

Purpose : This study aimed to systematically review the preventive interventions for delirium in Korean intensive care unit (ICU) patients and evaluate their efficacy. Methods : For this systematic review and meta-analysis, we searched the literature and selected studies from data sources that included the RISS, KISS, National Central Library, National Assembly Library, DBpia, Science on, MEDLINE, and Cochrane Library. We used Cochrane's revised tool for risk of bias in randomized trials and non-randomized studies of intervention tools to assess the quality of the selected studies. The effect size of the intervention was calculated as odds ratio (OR) and standardized mean difference (SMD). Results : Preventive interventions reported in 23 studies with a total of 4,799 ICU patients were effective in reducing the occurrence of delirium (OR=0.64, 95% CI : 0.49~0.91, p=.011), but not the duration (SMD=-0.22, 95% CI : -0.51~0.08, p=.148). As a result of a subgroup analysis, non-pharmacological interventions were effective in reducing the occurrence of delirium (OR=0.66, 95% CI : 0.47~0.94, p=.020), while pharmacological interventions had no effect (OR=0.68, 95% CI : 0.33~1.40, p=.295). Among the non-pharmacological interventions, multi-component intervention had the largest effect size (OR=0.38, 95% CI : 0.26~0.55, p<.001). Conclusion : Non-pharmacological interventions were effective in reducing the occurrence of delirium. We recommend the development and application of multi-component interventions to prevent delirium in the Korean ICU patients.

• 실천공학교육논문지
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• 제13권2호
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• pp.243-249
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• 2021

대학 자체로 선정한 대학 고유의 핵심 6개 역량들 중에서 측정된 부족한 사항들을 강화시켜 교육 목표에 도달하기 위해, 학생 융합적 사고 역량과 자기 계발 역량을 최대화하는 집중 이수형 과목 형태로 공학 관련 전공 콜라주 과목을 신설하였다. 학부/학과간 공유형 교육과정으로 진행하였고, 2020학년 1,2학기 각각에서 2개 이수 집단(전기전자제어공학부 전자공학전공; 26명, 광공학과; 28명) 54명을 대상으로 공통된20개 문항들의 설문 결과를 종합, 분석하였다. 그 결과 응답자75% 이상이 장소와 시간에 자유로운 온라인 학습에 긍정적이었고, 녹화된 동영상 학습 시간내 추가적인 상호작용 활동들과 팀티칭(team teaching) 방식을 보강한 집중 이수 형태는 학습 효과를 극대화할 수 있다고 판단한다.

• 중환자간호학회지
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• 제15권3호
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• pp.115-127
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• 2022

Purpose : This study aimed to investigate sleep parameters and to identify differences according to respiratory support therapy, sedation, and pain medication in intensive care unit (ICU) patients. Methods : In this observational study, sleep parameters were measured using actigraphy. We observed 45 sleep events in 30 ICU patients receiving respiratory support therapy. We measured the sleep parameters, time, efficiency, and wakefulness after sleep onset (WASO). The differences in sleep parameters according to the respiratory support therapy were analyzed using the Mann-Whitney U test. Results : The average daily sleep time of the participants was 776.66±276.71 minutes, of which more than 60% accounted for daytime sleep. During night sleep, the duration of WASO was 156.93±107.91 minutes, and the frequency of WASO was 26.02±25.82 times. The high flow nasal cannula (HFNC) group had a significantly shorter night sleep time (𝑥²=7.86, p =.049), a greater number of WASO (𝑥²=5.69, p =.128), and a longer WASO duration (𝑥²=8.75, p =.033) than groups of other respiratory therapies. Conclusion : ICU patients on respiratory support therapy experienced sleep disturbances such as disrupted circadian rhythm and sleep fragmentation. Among respiratory support regimens, HFNC was associated with poor sleep parameters, which appears to be associated with the insufficient use of analgesics. The results of this study warrant the development of interventions that can improve sleep in ICU patients receiving respiratory support, including HFNC.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 1999년도 하계종합학술대회 논문집
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• pp.1103-1106
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• 1999

Telegram is an indispensible information & telecommunication system to our daily life. VTS(Voice Telegram System) under intensive research is intended to enhance exchanging capability of information & telecommunication by adding voice media to existing telegram system. Overall configuration and necessary core technologies of the system were investigated for its development. Among those many technologies in need, the technology of compressing and recording data is most critical to the development of cheap hardware. This is so called vocoder algorithm and is the core technology of voice information system. So, here, vocoder algorithm now being studied will be introduced.

• 진공이야기
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• 제1권4호
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• pp.10-13
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• 2014

Since the development of 9.7% efficient long-term stable solid state perovskite solar cell in 2012, intensive study on perovskite solar cell has been performed. As a result, power conversion efficiency (PCE) has reached 20.1%. In-dept study on perovskite light absorber enabled understanding of origin of superb photovoltaic performance of perovskite solar cell. In this article, historical evolutions of perovskite solar cell along with key physical properties enabling high PCE are presented. Several important results for development of high efficiency perovskite solar cell are introduced. Finally, in-present research issues and future direction for solving these issues are discussed.