• 제목/요약/키워드: intensive observation

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중환자 통증 평가 도구에 관한 체계적 문헌고찰 (A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients)

  • 김은정;홍지원;강지연;김나경;김나리;맹수연;박혜련;반민경;양근영;이경숙;장은혜
    • 중환자간호학회지
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    • 제13권1호
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    • pp.44-62
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    • 2020
  • Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients. Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.'s the Quality Criteria for Measurement Properties. Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient. Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.

신생아중환자 분류도구 개발을 위한 간호활동 규명 및 표준간호시간 조사연구 (A Study on Identifying Nursing Activities and Standard Nursing Practice Time for Developing a Neonatal Patient Classification System in Neonatal Intensive Care Unit)

  • 고범자;유미;강진선;김동연;복정희;장은경;박선자;오순자;최윤진
    • 임상간호연구
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    • 제18권2호
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    • pp.251-263
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    • 2012
  • Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using 'the modified Workload Management System for critical care Nurses' (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.

The Impact of Mechanical Ventilation Duration on the Readmission to Intensive Care Unit: A Population-Based Observational Study

  • Lee, Hyun Woo;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • 제83권4호
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    • pp.303-311
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    • 2020
  • Background: If the duration of mechanical ventilation (MV) is related with the intensive care unit (ICU) readmission must be clarified. The purpose of this study was to elucidate if prolonged MV duration increases ICU readmission rate. Methods: The present observational cohort study analyzed national healthcare claims data from 2006 to 2015. Critically ill patients who received MV in the ICU were classified into five groups according to the MV duration: MV for <7 days, 7-13 days, 14-20 days, 21-27 days, and ≥28 days. The rate and risk of the ICU readmission were estimated according to the MV duration using the unadjusted and adjusted analyses. Results: We found that 12,929 patients had at least one episode of MV in the ICU. There was a significant linear relationship between the MV duration and the ICU readmission (R2=0.85, p=0.025). The total readmission rate was significantly higher as the MV duration is prolonged (MV for <7 days, 13.9%; for 7-13 days, 16.7%; for 14-20 days, 19.4%; for 21-27 days, 20.4%; for ≥28 days, 35.7%; p<0.001). The analyses adjusted by covariables and weighted with the multinomial propensity scores showed similar results. In the adjusted regression analysis with a Cox proportional hazards model, the MV duration was significantly related to the ICU readmission (hazard ratio, 1.058 [95% confidence interval, 1.047-1.069], p<0.001). Conclusion: The rate of readmission to the ICU was significantly higher in patients who received longer durations of the MV in the ICU. In the clinical setting, closer observation of patients discharged from the ICU after prolonged periods of MV is required.

Development of Innovative Technologies for Enhancing Low Flow Discharge and Reducing Turbid Material from Overcrowded Forest Plantations by Intensive Thinning in Japan

  • Otsuki, Kyoichi;Kasahara, Tamao;Onda, Yuichi
    • 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).

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환자 가족의 중환자실 일기 체험 (The Lived Experiences of Patient's Families with the Intensive Care Unit Diary)

  • 정유진;류성숙;신현정;이영희
    • 중환자간호학회지
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    • 제16권1호
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    • pp.28-43
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    • 2023
  • Purpose : Intensive care unit (ICU) diaries have been implemented across the international ICU community. This study aimed to comprehend the meaning and nature of the lived experience of patients' families using the ICU diary in Korea. Methods : This qualitative study adopted van Manen's hermeneutic phenomenology. The participants comprised eight women and two men who were the family members of patients in the ICU for more than three days. Data were collected using in-depth interviews and observation from July 2018 to January 2019. Results : Patients' families who experienced the ICU diary recognized it with six beings according to time: a good idea, forgotten stuff, burdensome work, touching service, my stuff, and a thing in the memory. The ICU diary had three essential meanings for the families: communication, solace and hope, and a record of life. These findings were rearranged according to van Manen's fundamental existential, and the lived things and lived others were remarkably confirmed. Conclusion : Patients' families experienced various ICU diary forms over time and recognized an ICU diary as a means of communication. Therefore, the ICU diary is expected to be used as an intervention between families and healthcare providers in the ICU to support mutual communication.

2023년 여름철 폭염 집중관측을 통한 서울 도심환경 조건에 따른 기온 및 노면 온도의 변화 특성 (Characteristics of Changes in Air and Road Temperatures Induced by Environmental Conditions in the Urban Region of Seoul Through an Intensive Observing Period (IOP) of Heatwaves in the Summer of 2023)

  • 나성준;한상대;김제원;박문수;김백조
    • 한국환경과학회지
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    • 제33권1호
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    • pp.75-85
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    • 2024
  • An intensive observing period (IOP) of heatwaves in the urban region of Seoul in the summer of 2023 was carried out to understand the changes in air temperature and road temperature induced by environmental conditions. The temperature observed at eight points with different urban environmental conditions was compared with the temperature by the KMA/AWS to analyze the characteristics of change in air temperature by height and the change in road temperature according to environmental conditions and road sprinkler. The comparison of the average temperature observed in different urban environmental conditions with the temperature observed at KMA/AWS showed that the air temperature in asphalt and open space sites was 0.7 to 2.3℃ higher and that the one in bus stops was 0.9 to 2.3℃ higher. In terms of temperature deviations depending on residential type, the temperature in highly populated areas was about 0.1 to 0.8℃ higher than that of apartment complexes. In addition, regardless of the size of a park, the temperature in the park was lower than the temperature in dense housing areas and apartment complexes. In asphalt and residential areas, the road temperature was higher than the temperature at a height of 150 cm, Conversely, road temperature was lower than air temperature in a shaded shelter and large park. In addition, after spraying a surface road, the road temperature immediately dropped by about 3 to 4℃; however, after about 20 minutes, it rose again to the previous road temperature. This change in road temperature appeared only for the temperature of 30 cm height.

대규모 주택단지내의 인공구조물에 의한 승온화효과에 관한 연구 (On the Warming Effects due to Artificial Constructions in a Large Housing Complex)

  • 김해동;이송옥;구현숙
    • 한국환경과학회지
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    • 제12권7호
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    • pp.705-713
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    • 2003
  • In mid-August 2002, under clear summer pressure patterns, we carried out an intensive meteorological observation to examine the warming effects due to artificial constructions in a large housing complex. We set an automatic weather system(AWS) at two places in a bare soil surface within a limited development district and an asphalt surface within a large apartment residence area, respectively. As a result of observation, it became clear that the difference of the surface air(ground) temperature between the bare soil surface and its peripheral asphalt area reached about 4$^{\circ}C$(13$^{\circ}C$) at the maximum from diurnal variation of surface temperatures on AWS data. Through the heat balance analysis using measurement data, it became clear that the thermal conditions at two places are dependent on the properties of surface material. The latent heat flux over the bare soil surface reached to about 300 W/㎡, which is more than a half of net radiation during the daytime. On the other hand, it was nearly zero over the asphalt surface. Hence, the sensible heat flux over the asphalt surface was far more than that of the bare soil surface. The sensible heat flux over the asphalt surface showed about 20∼30 W/㎡ during the night. It was released from asphalt surface which have far more heat capacity than that of bare soil surface.

비점착성 지반상 팽이기초 적용에 따른 지지특성 (The Bearing Capacity Characteristics of Top Base Foundations in Cohesionless Soils)

  • 김찬국;김학문
    • 한국지반공학회논문집
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    • 제26권7호
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    • pp.135-145
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    • 2010
  • 최근까지 국내에서는 팽이기초에 관한 연구가 미흡하였고, 지반조건에 맞는 설계기준이 마련되어 있지 못하여 일본의 설계기준을 그대로 사용하고 있는 실정이다. 이로 인해 기존 팽이기초의 지지력식은 과소하게 예측되는 문제점이 있다. 따라서 본 연구에서는 실제크기의 1/5 스케일로 축소한 모형실험을 수행하였으며, 국내에서 이루어 진 100여개 현장의 재하실험 결과를 근거로 강도특성(N값), 지하수영향, 팽이기초의 파괴형상을 고려하여 보다 합리적으로 팽이기초의 지지력을 예측할 수 있는 식을 제안하였다.

Standard Calibration for Broadband and Narrowband Filters of KHAO 0.4 m Telescope

  • Ahn, Hojae;Jeong, Inhwan;Paek, Gregory S.H.;Lee, Sumin;Kim, Changgon;Pak, Soojong;Shim, Hyunjin;Im, Myungshin
    • 천문학회보
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    • 제46권2호
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    • pp.76.1-76.1
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    • 2021
  • Maemi Dual Field Telescope System (MDFTS) is a dual telescope system located at Kyung Hee University. The system consists of 0.4 m telescope and 0.1 m telescope for wide-field observation. The 0.4 m telescope provides photometric observation which covers a field of view of 21'×16'. It has been used for various purposes with Johnson-Cousins UBVRI broadband filter system, e.g., SomangNet and Intensive Monitoring Survey of Nearby Galaxies. In this poster, we present the standard calibration result for our broadband filter system. Also, we suggest a new usage of the KHAO 0.4m telescope which is narrowband photometry by demonstrating the standard calibration of H-alpha filter. For flux calibration, not only R filter but also V filter is used for compensating the central wavelength discrepancy between R filter and H-alpha filter.

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The strategy to catch more early light curves of supernovae

  • Hwang, Jeeun;Im, Myungshin;Paek, Gregory S.H.
    • 천문학회보
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    • 제46권2호
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    • pp.71.3-72
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    • 2021
  • The Intensive Monitoring Survey of Nearby Galaxies (IMSNG) is a high cadence observation program monitoring nearby galaxies at < 50 Mpc with high probabilities of hosting supernovae (SNe). The current number of main IMSNG targets is 60, but with new wide-field facilities joining IMSNG, there is a possibility of increasing the likelihood of catching the early light curves of SNe among galaxies in the vicinity of the main targets. To test the feasibility of the expansion of the sample galaxies, we examine how much the probability of catching SNe increases by adjusting the field of view of the RASA36 telescope which is one of the IMSNG facilities with a large field of view of 6.25 deg2. We calculate supernova rates (SNRs) of galaxies within the FoV that contains main IMSNG galaxies from the stellar mass and star formation rate of the galaxies. Based on the SNRs of these galaxies, we find the best pointing of the telescope towards the highest SNR region. As a result, we present improved total SNR, with respect to the ordinary pointing on average where the IMSNG main target is placed at the center of FoV. The actual observation should be followed to test the effect of this strategy.

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