• Title/Summary/Keyword: intensive observation

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A Field Study on Managing System of Maternity Clinic at Public Health Centers in Seoul (서울시 보건소 모성실 운영실태에 관한 현장 연구)

  • Chung, Yeon-Kang;Kwon, Young-Mi;Kim, Hee-Young
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.259-274
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    • 1995
  • The study is to grasp the problems related to operation of Maternity clinic of public health centers in seoul and needs for public health of community in relation to consumers and providers in order to improve efficiency of community public health for mothers and children. Four pregnancy woman, who receive medical care at the maternity clinic of M public health centers in seoul and understand the purpose of this study, and one nurse who works at the were the objects of this field study. Participating observation and intensive interviews were conducted to collect data. All of them were performed as necessary from time to time since December, 1994, and not during a specific period. Through an data analysis in the order of sector analysis and classification analysis, the data were classified into specific patterns and the results are the following; 1. All of the subjects were using both private hospitals and public clinics, but managing activities prior to delivery were not carried out in accordence with theories for those activities. 2. The subjects showed two types of response to utilizing maternity clinic. they answered that the advantages of the clinic were 'short waiting time for medical treatment', 'medical treatment by female doctors' and 'economical benefit.' Meanwhile, they gave negative response to the problems of 'non-implementation of delivery' 'uncleanness and insufficient facilities', 'limited time of treatment', 'lack of expertise' and 'want of public health education for materity.' 3. Problems related to operation of maternity clinic were 'lack of experts', 'irrational facility structure' and 'absolutely lack budget'. In terms of the status of managing the subjects, 'programs only aimed at attaining the central-government-assigned objects' and 'limited management before and after delivery by non-implementing delivery' were pointed out to be problems. Regarding public health education before delivery and PR relations, 'superficial public health education for maternity' and 'absence of PR programs' were named. In planning and evaluation, 'absence of autonomous planning and evaluation by the clinic itself' was a major problem in operating the clinic. 4. 'Substantial health education and PR', 'supplementation of facilities and eqipment', 'development' and supply of demanded service by the subjects', 'implementation of autonomous programs', and 'reinforcement of supplementary education' were presented as alternatives for efficient opration of maternity clinics.

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Hand Hygiene Compliance of Healthcare Workers in a Children's Hospital (소아병원 종사자의 손 위생 수행)

  • Oh, Hyang Soon
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.186-193
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    • 2015
  • Purpose: The aim of study was to estimate the hand hygiene (HH) compliance of healthcare workers (HCWs) in a children's hospital. Methods: This study was conducted in a hospital which is a tertiary and educational children's hospital with 313 beds and 533 HCWs. Data were collected by direct observation methods from November 1, 2010 to December 31, 2010. Results: A total of 2,999 opportunities for HH were observed, and the overall HH rate was 95.3%. HH rate of the registered nurse, physicians and transferer was 97.7%, 89.2%, and 72.1%, respectively (P<0.001). Among physicians, HH rate of the fellows, professors, residents and interns was 97.5%, 93.9%, 89.7%, and 80.9%, respectively (P<0.001). HH rate in the emergency room, operation room, outpatient department (OPD), and the intensive care unit (ICU) was 97.2%, 97.2%, 95.4%, and 92.5%, respectively (P<0.001). Hand rubbing was the most frequently used (81.1%), and hand washing was frequently used in the case of 'after body fluids exposure risk' (37.7%) and 'after touching patient surroundings' (28.5%). HH methods were not statistically different from each departments (P =0.083), however, they were significantly different according to the World Health Organization (WHO) 5 Moments (P<0.001). Distributions in WHO 5 Moments by the job titles were significantly different (P<0.001). The odds ratio of physicians, ICU and OPD was 0.353 (95% CI, 0.241-0.519), 0.291 (95% CI, 0.174-0.487), and 0.484 (95% CI, 0.281-0.834), respectively. Conclusions: Compliance of HH was different by the job titles and departments. Effective custom-tailored HH programs for each job title and department need to be developed.

Exploration of Submarine Spring Along the Coastal Areas of Busan Metropolitan City (부산 인근 연안해역에서 해저 용천수 유출 탐사)

  • Lee, Yong-Woo;Khim, Boo-Keun;Kim, Sunghan
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.18 no.4
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    • pp.178-185
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    • 2013
  • We measured salinity and $^{222}Rn$ concentration to explore submarine spring along the coastal areas (Mundongri, Icheon-ri, Jukseong-ri, Daebyeon-ri, Yeonhwa-ri, and Dadae-po) including Ilkwang Bay of Busan Metropolitan City in 2009 and 2010. Before field observation, we selected the potential and possible locations of submarine spring based on the lineament distribution and rose diagram analysis. Salinity and radon concentration were measured within the 1~2 km from the coastal lines. Radon activity decreased gradually from onshore to offshore. Vertical profiles of salinity at some stations showed lateral transport of water mass characterized by low salinity. Vertical profiles of salinity in the Ilkwang Bay, which is a unique bay in the south-eastern coastal area of Busan Metropolitan City, also showed the occurrence of low salinity in the bottom seawater. Our results suggest the possible occurrence of submarine discharge of fresh groundwater in the coastal areas around Busan Metropolitan City. In the future, intensive research should be conducted for the exploration methods of submarine spring as well for the possible utility of submarine groundwater as alternative water resources.

Symptomatic Pneumothorax in the Full-term Neonate (만삭 신생아의 기흉)

  • Choi, Woo-Kyoung;Hong, Chan-Eui;Lee, Dong-Jin;Hur, Nam-Jin;Lee, Young-Hwan
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.183-190
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    • 2005
  • Background: This study was performed to evaluate the incidence and clinical characteristics of symptomatic pneumothorax in the full-term neonate. Materials and Methods: We retrospectively reviewed the medical records of 32 symptomatic pneumothorax patients in the full term neonates who admitted to the neonatal intensive care unit in Ulsan Dong Kang General Hospital from January, 2000 to December, 2004. The subjects were divided into two groups according to underlying causes; spontaneous pneumothorax group and secondary pneumothorax group, then each clinical characteristics were assessed. Results: Spontaneous pneumothorax patients were 10(31%) and secondary pneumothorax patients were 22(69%). Overall incidence of spontaneous pneumothorax was 0.4%. Most common cause of secondary pneumothorax was pneumonia. Twelve cases(54.5%) among secondary pneumothorax patients were associated with mechanical ventilator care. Clinical characteristics, courses and managements were similar between two groups, but more shorter duration of admission and chest-tube insertion in spontaneous pneumothorax group Conclusion: The patient with symptomatic pneumothorax needs careful observation and proper management with or without underlying respiratory diseases.

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Installation of Very Broadband Seismic Stations to Observe Seismic and Cryogenic Signals, Antarctica (남극 지진 및 빙권 신호 관측을 위한 초광대역 지진계 설치)

  • Lee, Won-Sang;Park, Yong-Cheol;Yun, Suk-Young;Seo, Ki-Weon;Yee, Tae-Gyu;Choe, Han-Jin;Yoon, Ho-Il;Chae, Nam-Yi
    • Geophysics and Geophysical Exploration
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    • v.15 no.3
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    • pp.144-149
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    • 2012
  • Korea Polar Research Institute (KOPRI) has successfully installed two autonomous very broadband three-component seismic stations at the King George Island (KGI), Antarctica, during the 24th KOPRI Antarctic Summer Expedition (2010 ~ 2011). The seismic observation system is originally designed by the Incorporated Research Institutions for Seismology Program for Array Seismic Studies of the Continental Lithosphere Instrument Center, which is fully compatible with the Polar Earth Observing Network seismic system. The installation is to achieve the following major goals: 1. Monitoring local earthquakes and icequakes in and around the KGI, 2. Validating the robustness of seismic system operation under harsh environment. For further intensive studies, we plan to move and install them adding a couple more stations at ice shelf system, e.g., Larsen Ice Shelf System, Antarctica, in 2013 to figure out ice dynamics and physical interaction between lithosphere and cryosphere. In this article, we evaluate seismic station performance and characteristics by examining ambient noise, and provide operational system information such as frequency response and State-Of-Health information.

Association of the initial level of enteral nutrition with clinical outcomes in severe and multiple trauma patients (초기 경장영양 공급 수준과 다발성 외상 중환자의 임상 경과와의 상관성 연구)

  • Yang, Suyoung;Jung, Seungyoun;Lee, Ji-hyun;Kwon, Junsik;Kim, Yuri
    • Journal of Nutrition and Health
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    • v.55 no.1
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    • pp.85-100
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    • 2022
  • Purpose: This study is aimed to examine the association between initial enteral nutrition (EN) and the clinical prognosis among patients with severe and multiple traumatic injuries, and to investigate whether this association is modified by the patients' catabolic status. Methods: This was a retrospective study of 302 adult patients with severe and multiple traumatic injuries admitted between January 2017 and September 2020 at Ajou University hospital in Suwon, Korea. The initial nutritional support by EN and parenteral nutrition were monitored up to day 7 after admission. Patients were classified into "No", "Low", and "High" EN groups according to the level of initial EN. Multivariable-adjusted logistic regression and linear regression models were used to estimate the association of the initial EN levels at hospital admission with the risk of mortality, morbidities, and levels of nutrition-associated biochemical markers. Results: High EN support was associated with reduced mortality (odds ratio, 0.07; 95% confidence interval [CI], 0.02, 0.32) and lower levels of C-reactive protein (β, -0.22; 95% CI, -8.66, 1.48), but longer stay in the intensive care unit (β, 0.19; 95% CI, 1.82, 11.32). In analyses stratified by catabolic status, there were fewer incidences of hospital-acquired infections with increasing EN levels in the moderate or higher nitrogen balance group than in the mild nitrogen balance group. Conclusion: Our observation of the inverse association between levels of initial EN administration with mortality risk and inflammatory markers may indicate the possible benefits of active EN administration to the recovery process of severe and multiple trauma patients. Further studies are warranted on whether the catabolic status modifies the association between the initial EN and prognosis.

Analysis on the Rainfall Driven Slope Failure Adjacent to a Railway : Flume Tests (강우로 인한 철도 연변사면의 활동분석 : 실내모형실험)

  • SaGong Myung;Kim Min-Seok;Kim Soo-Sam;Lee In-Yong
    • Journal of the Korean Geotechnical Society
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    • v.22 no.5
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    • pp.83-91
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    • 2006
  • Recently, the intensive rainstorm possibly induced by global warming plays a key role on the instability of railway adjacent slopes. The instability of slopes results as covering and loss of railway lines induced by slided soil mass. According to the site investigation on the failed slopes triggered by rainfall, low types of slope failure were observed: shallow, intermediate, gully erosion, and soil-rock interface failures. The observation reveals the different characteristics of slope failure depending on the thickness of soil layer, morphological features of slope, etc. Based upon the observations, flume tests were conducted to analyze the sliding mechanism of each failure. The variables of flume test are soil layer thickness, rainfall intensity, and morphology of slope under the constant condition of the percentage of fine, initial soil moisture content, slope angle and compaction energy. Test results show that shallow failure was mostly observed from the surface of the slope and caused by the soil erosion; in addition, compared to the other types of failure, the occurrence of initial erosion is late, however, the development of erosion is fast. In gully erosion failure, the collected water from the water catchment area helps erosion of the upper soil layer and transfer of residual corestone, which impedes the erosion process once the upper soil layers are eroded and corestone are exposed. The soil-rock interface failure shows the most fast initial erosion process among the failure types. Interestingly, the common feature observed from the different types of failure was the occurrence of the initial deformation near the toe of slopes which implies the existence of surbsurface flow along the downslope direction.

A new warp scheduling technique for improving the performance of GPUs by utilizing MSHR information (GPU 성능 향상을 위한 MSHR 정보 기반 워프 스케줄링 기법)

  • Kim, Gwang Bok;Kim, Jong Myon;Kim, Cheol Hong
    • The Journal of Korean Institute of Next Generation Computing
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    • v.13 no.3
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    • pp.72-83
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    • 2017
  • GPUs can provide high throughput with latency hiding by executing many warps in parallel. MSHR(Miss Status Holding Registers) for L1 data cache tracks cache miss requests until required data is serviced from lower level memory. In recent GPUs, excessive requests for cache resources cause underutilization problem of GPU resources due to cache resource reservation fails. In this paper, we propose a new warp scheduling technique to reduce stall cycles under MSHR resource shortage. Cache miss rates for each warp is predicted based on the observation that each warp shows similar cache miss rates for long period. The warps showing low miss rates or computation-intensive warps are given high priority to be issued when MSHR is full status. Our proposal improves GPU performance by utilizing cache resource more efficiently based on cache miss rate prediction and monitoring the MSHR entries. According to our experimental results, reservation fail cycles can be reduced by 25.7% and IPC is increased by 6.2% with the proposed scheduling technique compared to loose round robin scheduler.

Learning Experiences of the Project Approach in Early Childhood Preservice Teachers (예비유아교사가 경험한 프로젝트 접근법)

  • Yang, Jung-Eun
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.457-467
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    • 2019
  • The purpose of this study is to find out how those taking early childhood preservice teachers experience their learning through learner-centered education and the meaning given by such experiences to grasp their values. Especially, to look into experiences of learning the project approach theory studied and directly experienced, which is one of the early childhood educational approach methods, data on participatory observation, personal interviews, personal reflective journals, activity reports and ect. were collected and analyzed by the current writer, who fully participated in the class. The meaning of early childhood preservice teacher'experiences in the project approach was analyzed from the two aspects of 'my' learning activities and 'teacher's teaching activities. In the aspect of 'my' learning activities, they got indulged through purposeful practices in the process of tackling problems that originated from personal interest and wanted to share the joy of learning they'd had with others. Aware of themselves as doers of behavior and thinking, they were found to be able to focus an 'my' own learning activities based on these learning experiences of theirs. In the aspect of 'teacher's teaching activities, project theories and practices done at the same time helped them internalize the project and they learned possible changes ign the project by experiencing actual cases. To sum up, the project approach has its meaning in that it not only helps teachers learn theoretical knowledge but also have reflective thinking through their experiences as doers of learning and form practical knowledge. Accordingly, it indicates th need for intensive discussion on the project approach as a way to educate pre-teachers or current ones.

A Convergence Analysis of the Ethnographic Method for Doctoral Dissertations in Korea : Focused on Research Participants, Data Collection Methods, and Trustworthiness Criteria (국내 박사학위 논문의 문화 기술적 연구방법에 대한 융복합적 분석 -연구 참여자, 자료 수집방법, 신뢰성 준거를 중심으로-)

  • Oh, Ho-young;Cho, Hong-Joong
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.333-338
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    • 2017
  • Ethnography is concerned about specifically-based behavior and belief and the learned pattern of language and aims to describe and interpret them. Therefore, it is a classical form of qualitative research that was developed by anthropologists who spent for long time in conducting fieldworks within the cultural group. The results of analyzing ethnographic research methods of doctoral dissertations in Korea are as follows. First, the number of research participants in data collection methods was 1-10(32 dissertations, 44.4%), 11-20(18, 25%), 21-30(13, 18.1%), 31-40(2, 2.7%), and others(7, 9.8%). Second, data collection methods were in-depth interview(71, 98.6%), participant observation(70, 97.2%), document data(38, 52.7%), engineering device(12, 16.6%), and others(8, 11.1%). Data collection periods were 3-5 months(7 dissertation, 9.8%), 6-8 months(15, 20.8%), 9-11 months(14, 19.6%), 12-14 months(13, 18.1%), more than 15 months(17, 23.6%), and unpresented(4, 5.4%). Third, trustworthiness criteria were triangulation(46 dissertation, 63.9%), research participants' evaluation of study results 44(61.1%), peer researchers' advice and indication(33, 45.8%), follow-up(25, 34.7%), use of reference(20, 27.8%), reflexive subjectivity(17, 23.6%), intensive observation for a sufficient period(10, 13.9%), in-depth description(7, 9.8%), and others(7, 9.8%).