• 제목/요약/키워드: intensive observation

검색결과 210건 처리시간 0.03초

자가보고 능력이 없는 중환자의 통증사정을 위한 한국어판 Critical Care Pain Observation Tool의 신뢰도와 타당도 검증 (Reliability and Validity of a Korean Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients Unable to Self Report)

  • 이희옥;김연수;이창옥;허성이;권인각
    • 중환자간호학회지
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    • 제6권1호
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    • pp.1-10
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    • 2013
  • Purpose: The purpose of this study was to examine the reliability and validity of a Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: Data were collected from a convenience sample of 30 critically ill patients admitted to a medical ICU in a hospital. The CPOT was tested at before, during and 20 minutes after changing a position and suction. Upon establishment of content and translation equivalence between the English and Korean version of CPOT. Results: The interrater reliability was found to be acceptable with the kappa coefficients of .76-1. The construct validity of the pain scores were increased from 0.43 to 2.5 in changing a position (t=-8.60, p<.001)and 0.1 to 3.23 (t=-9.36, p<.001) in suctioning. The pain scores were decreased from 6.06 to 4.01 in changing a position (t=-10.19, p<.001) and 6.45 to 4.13 (t=-10.39, p<.001) in suctioning. The concurrent validity the correlations between pain scores and physiological indicators, and a increased in Heart rate before and after changing a position (r=.65, p<.001). Conclusion: The CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal a medical ICU patients.

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Ka-band 구름레이더와 천리안위성으로 관측된 운정고도 비교 (Comparison of Cloud Top Height Observed by a Ka-band Cloud Radar and COMS)

  • 오수빈;원혜영;하종철;정관영
    • 대기
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    • 제24권1호
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    • pp.39-48
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    • 2014
  • This study provides a comparative analysis of cloud top heights observed by a Ka-band cloud radar and the Communication, Ocean and Meteorological Satellite (COMS) at Boseong National Center for Intensive Observation of severe weather (NCIO) from May 25, 2013 (1600 UTC) to May 27. The rainfall duration is defined as the period of rainfall from start to finish, and the no rainfall duration is defined as the period other than the rainfall duration. As a result of the comparative analysis, the cloud top heights observed by the cloud radar have been estimated to be lower than that observed by the COMS for the rainfall duration due to the signal attenuation caused by raindrops. The stronger rainfall intensity gets, the more the difference grows. On the other hand, the cloud top heights observed by the cloud radar have been relatively similar to that observed by the COMS for the no rainfall duration. In this case, the cloud radar can effectively detect cloud top heights within the range of its observation. The COMS indicates the cloud top heights lower than the actual ones due to the upper thin clouds under the influence of ground surface temperature. As a result, the cloud radar can be useful in detecting cloud top heights when there are no precipitation events. The COMS data can be used to correct the cloud top heights when the radar gets beyond the valid range of observation or there are precipitation events.

Analysis of the Thermal Dome Effect from Global Solar Radiation Observed with a Modified Pyranometer

  • Zo, Ilsung;Jee, Joonbum;Kim, Buyo;Lee, Kyutae
    • Current Optics and Photonics
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    • 제1권4호
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    • pp.263-270
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    • 2017
  • Solar radiation data measured by pyranometers is of fundamental use in various fields. In the field of atmospheric optics, the measurement of solar energy must be precise, and the equipment needs to be maintained frequently. However, there seem to be many errors with the existing type of pyranometer, which is an element of the solar-energy observation apparatus. In particular, the error caused by the thermal dome effect occurs because of the thermal offset generated from a temperature difference between outer dome and inner casing. To resolve the thermal dome effect, intensive observation was conducted using the method and instrument designed by Ji and Tsay. The characteristics of the observed global solar radiation were analyzed by classifying the observation period into clear, cloudy, and rainy cases. For the clear-weather case, the temperature difference between the pyranometer's case and dome was highest, and the thermal dome effect was $0.88MJ\;m^{-2}\;day^{-1}$. Meanwhile, the thermal dome effect in the cloudy case was $0.69MJ\;m^{-2}\;day^{-1}$, because the reduced global solar radiation thus reduced the temperature difference between case and dome. In addition, the rainy case had the smallest temperature difference of $0.21MJ\;m^{-2}\;day^{-1}$. The quantification of this thermal dome effect with respect to the daily accumulated global solar radiation gives calculated errors in the cloudy, rainy, and clear cases of 6.53%, 6.38%, and 5.41% respectively.

기관지확장증의 외과적 치료 (Surgical Observation of Bronchiectasis)

  • 이동준;김찬용
    • Journal of Chest Surgery
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    • 제11권3호
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    • pp.260-264
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    • 1978
  • Sixty-one bronchiectatic patients were reviewed who were treated by surgical intervention in the Department of Thoracic and Cardiovascular Surgery, Chonnam University Hospital during the recent 14 years from January of 1965 to August of 1978. 1. Various pulmonary resection was performed; lobectomy was 55.5%, lobectomy and segmental resection 20.6%, bilobectomy 13.1%, lobectomy, segmental resection and thoracoplasty 4.9% and pneumonectomy was 3. 2%. 2. The most common associated disease was pulmonary Tbc, its frequency was 47.5% and next was chronic bronchitis [31%]. 3. The postoperative complication was observed in 19.6% [12 cases] and the most common was wound infection. 4. The possibility of recurrence was relatively high in the cases of residual lesion and it needs more intensive medical care. 5. The surgical result was satisfactory in 86.9% (53 cases), slight improvement in 4.9% (3 cases) and the mortality rate was 1.6% (1 case).

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Hydronephrosis during Conservative Treatment for a Renal Injury Patient

  • Kim, Maru;Kim, Joongsuck;Kim, Sung Jeep;Cho, Hang Joo
    • Journal of Trauma and Injury
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    • 제30권2호
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    • pp.47-50
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    • 2017
  • A 21-year-old male visited our emergency room. He could not remember the mechanism of injury. He was found beside a motorcycle. Initial vital sign was stable. Observation and conservative treatment were planned at the intensive care unit (ICU). On the third day at ICU, he complained sudden flank pain. It was colicky and hard to control. Without the pain, he had no specific symptom, sign, or laboratory findings. On computed tomography, renal pelvis was filled with hematoma which induced hydronephrosis. Double-J catheter and percutaneous nephrostomy was implemented by an intervention radiologist. Hematome in the renal pelvis was aspirated during the procedure. Symptom of the patient was subsided after the procedure. He was discharged without specific complications.

대형증발계 증발량의 일 변화 (Short-term Variation in Class A Pan Evaporation)

  • 이부용
    • 한국농림기상학회지
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    • 제4권4호
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    • pp.197-202
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    • 2002
  • A new method is used to estimate the amount of water evaporation from Class A Pan with higher precision and accuracy. The principle of method is to detect the weight change of a buoyant sinker resulting from a change in water level of Class A Pan. A strain-gauge load cell is used to measure the weight change. Field observation of evaporation was done at Pohang Meteorological Station from June 24 to August 4, 2002. By using this new method, it is possible to measure hourly evaporation accurately even under a strong solar radiation and wind disturbance, enabling a direct comparison of evaporation with other meteorological elements. At night, under low humidity and high wind speed conditions, more evaporation was recorded than during daytime. Maximum evaporation rates observed during this period exceed 1.0 mm/hour under the sunny and windy conditions with low humidity. To understand relationships between meteorological elements and latent heat flux at ground level, we suggest intensive held experiments using high accuracy evaporation recording instruments with hourly time interval.

성상신경절차단 후 생긴 심한 후인두 혈종 -증례보고- (A Severe Retropharyngeal Hematoma after Stellate Ganglion Block -A case report-)

  • 이강훈;윤덕미
    • The Korean Journal of Pain
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    • 제21권1호
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    • pp.62-65
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    • 2008
  • A 73-year-old man with sudden sensory neural hearing loss received a stellate ganglion block. Two hours after the block, the patient complained of newly developed neck discomfort. After an additional two hours, the neck swelled up gradually and neck pain and dyspnea developed. A plain radiograph of neck revealed narrowing of the upper airway; a tracheostomy was performed and the dyspnea was improved. On the next day, the pain site extended to the right scapula and a CT image revealed a huge retropharyngeal hematoma. Hematoma evacuation and bleeder ligation were then performed and the patient was discharged on the fourth day after admission without any complications. A practitioner should always remember to educate the patients about possible complications and undertake intensive observation when performing procedures, even in patients who do not initially present with a compromised airway.

아동 발달연구에 있어서 미시발생적 방법의 실과 허 (Merits and Limitations of Microgenetic Method as a Means of Studying Developmental Change)

  • 전명남
    • 아동학회지
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    • 제22권1호
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    • pp.97-107
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    • 2001
  • This study argues the nature of the microgenetic method in respect to child development research and explores its merits and limitations. The microgenetic method focuses on observations that span the entire period from the beginning of developmental change to the time it reaches a relatively stable state. This produces a high density of observations relative to the rate of change in the phenomenon. In this way, observed behavior may be used in intensive trial-by-trial analysis. The microgenetic method is superior to other methods in the possibilities for observing developmental changes as they occur, examining various aspects of change, detecting variability in behavior, and flexibility in application regardless of theoretical perspectives. Limitations of this method include reliability problems due to repeated observations, artificiality relative to the natural situation, inconsistency of short-and long-term change, and demands on children's motivation for participation in research.

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3 차원 모델을 통한 단일 박테리아의 주화성 연구 (Development of a Three-Dimensional Chemotaxis Model for a Single Bacterium)

  • 송지환;김동철
    • 대한기계학회논문집A
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    • 제33권1호
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    • pp.56-63
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    • 2009
  • Cell migration is one of the essential mechanisms responsible for complex biological processes. Intensive researches have begun to elucidate the mechanisms and search intriguing conditions for efficient control of cell migration. One general mechanism that is widely applicable for cells including Escherichia coli, amoebae and endothelial cell is chemotaxis. The single cell study for bacterial chemotaxis has an advantage over studies with the population of cells in providing a clearer observation of cell migration, which leads to more accurate assessments of chemotaxis. In this paper, we propose a three-dimensional model considering a single bacterium to study its chemotaxis. The semi-implicit Fourier spectral method is applied for high efficiency and numerical stability. The simulation results reveal rich dynamics of cell migration and provide quantitative assessments of bacterial chemotaxis with various chemoattractant gradient fields.

3 차원 주화성 모델 개발을 통한 흡착형 세포의 동적특성 연구

  • 송지환;김동철
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1638-1642
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    • 2008
  • Cell migration is one of the essential mechanisms responsible for complex biological processes. Intensive researches have begun to elucidate the mechanisms and search intriguing conditions for efficient control of cell migration. One general mechanism which is widely applicable for cells including neutrophil, Escherichia coli and endothelial cell is chemotaxis. Especially, understanding the chemotactic mechanics of cell crawling has important implications for various medical and biological applications. The single cell study for chemotaxis has an advantage over studies with the population of cells in providing a clearer observation of cell migration, which leads to more accurate assessments of chemotaxis. In this paper, we propose a three-dimensional model considering a single crawling cell to study its chemotaxis. The semi-implicit Fourier spectral method is applied for high efficiency and numerical stability. The simulation results reveal rich dynamics of cell.

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