• Title/Summary/Keyword: self-discharge

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Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants (극소저출생체중아 어머니를 위한 병원중심의 추후관리프로그램의 효과)

  • Kim, Min Hee;Ji, Eun Sun
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.79-89
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    • 2016
  • Purpose: This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants. Methods: The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using ${\chi}^2$-test, t-test, and ANCOVA with IBM SPSS statistics 20.0. Results: Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group. Conclusion: The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

A Clinical Review of Esophageal Atresia : One Surgeon's Experience (선천성 식도 폐쇄증에 대한 임상적 고찰)

  • Kim, Sung-Sik;Rhim, Si-Youn;Jung, Poong-Man
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.12-20
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    • 2008
  • From 1979 to 2006, fifty eight patients with esophageal atresia were treated by one pediatric surgeon at Hanyang University Hospital. We analyzed the clinical findings and outcome of these 58 patients. There were 30 males and 28 females. Their mean birth weight was $2,960{\pm}400g$ (1,170~4,020 g). The most common type of anomaly was Gross type C (49 patients; 84.5 %). There was no type B. Fifty-two patients underwent definitive surgery. Postoperative complications were as follows: anastomotic leakage in 17 patients (32.7 %), anastomotic site stricture in 15 (28.8 %), gastroesophageal reflux in 10 (19.2 %) and recurrent TEF in 1 (1.9 %). A total of 152 associated anomalies were detected from 48 patients (82.2 %). The cardiovascular system was the most commonly affected (30 patients with 46 anomalies). The VACTERL association was present in 14 patients (24.1 %). Operative mortality was 17.3 % including self-discharge patients after operation.

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Effects of a Maternal Role Promotion Program for Mothers of Premature Infants on Maternal Role Strain, Maternal Role Confidence and Maternal Identity (모성역할 증진 프로그램이 미숙아어머니의 모성역할 긴장, 양육 자신감, 모성 정체감에 미치는 효과)

  • Jang Yung-Sook
    • Child Health Nursing Research
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    • v.11 no.4
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    • pp.472-480
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    • 2005
  • Purpose: Purpose of this study was to identify the effects on maternal role strain, maternal role confidence and maternal identity of a maternal role promotion program for mothers of premature infants. Method: A quasi-experimental non-equivalent pre-and-post test was used to compare the two groups. The data were collected from 62 mothers from September 10. 2003 to August 30, 2004 at Neonatal Intensive Care Unit(NICU) located in S. city and K. city. The maternal role promotion program was provided three times during the period from two-three days after the baby's admission to 1 month after the baby's discharge. The instruments for measurement were the Perceived Role Difficulty & Steffensmeier Scale, Self Confidence Scale and Semantic Differential Scale. Data were analyzed by means of frequency, mean and SD, $x^2$-test and t-test. Results: There were significant differences in maternal role strain level between the experimental and control group (t=2.163, p=.035), in the maternal role confidence between the two groups(t=-5.645, p=.000) and in maternal identity between the two groups(t=-4.923, p=.000). Conclusion: The results of this study indicate that the maternal role promotion program had positive effects in decreasing maternal role strain levels and increasing maternal role confidence and maternal identity.

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Analysis of Functional Independence Status and Home Care Needs among Stroke Patients (뇌졸중 환자의 기능적 독립 상태(FIM) 및 가정간호 요구도 분석)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.149-156
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    • 2005
  • Purpose: The purpose of this study was to analyze functional independence and need for home nursing care in stroke patients. Method: This was a descriptive study. The subjects comprised 117 stroke patients who were supposed to discharge in less than a week. The instruments used for this study were the functional independence measure(FIM) and the need assessment for home nursing care of stroke patients. The data were analyzed using frequency, mean, t-test, ANOVA, and Pearson correlation coefficient. Results: Pearson correlation analysis revealed that there were negative correlations between subcategories of the FIM and the need for home nursing care in stroke patients. Especially, in case of the subjects who recorded lower scores at self-care they showed higher needs for home nursing care in the domain of physical problem and rehabilitation. Conclusion: For the operation of the home nursing care, the protocol for home nursing care is needed to the stroke patients living at home. The FIM instrument is recommended as a useful scale in order to assess the disability for the stroke patients and the need for home nursing care because this one has correlation with the scale of need for home nursing care.

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Development of the Improved Dynamic Model of the Supercapacitor Considering Self-Discharge (자연방전을 고려한 개선된 슈퍼커패시터의 동특성 모델 개발)

  • Kim, Sang-Hyun;Lee, Kyo-Beum;Choi, Se-Wan;Choi, Woo-Jin
    • The Transactions of the Korean Institute of Power Electronics
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    • v.14 no.3
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    • pp.188-196
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    • 2009
  • Due to its high power density, long cycle life and clean nature supercapacitors are widely used for improving the dynamic characteristics of the new and renewable energy sources and extending the battery run-time and life. In this paper improved dynamic model of the supercapacitor is developed by the electrochemical impedance spectroscopy technique. The developed model can be used to accurately estimate the dynamic behaviour of the supercapacitor and calculate the exact capacitance value at a certain state of charges. The model of the supercapacitor in the frequency domain is equivalently transformed into that in the time domain for Matlab/Simulink simulaton. The simulation data shows fine agreements with experimental results, thereby proving the validity and the accuracy of the developed model.

A possible application of the PD detection technique using electro-optic Pockels cell with nonlinear characteristic analysis on the PD signals (포켈스 소자를 이용한 PD 신호의 검출 및 비선형적 해석에 관한 연구)

  • Lim, Y.S.;Kang, W.J.;Chang, Y.M.;Koo, J.Y.
    • Proceedings of the KIEE Conference
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    • 2000.07c
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    • pp.1850-1852
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    • 2000
  • In this paper, new Partial Discharge (PD) detection technique using Pockels cell was proposed and considerable apparent chaotic characteristics were discussed. For this purpose, PD was generated from needle-plane electrode in air and detected by optical measuring system using Pockels cell, based on Mach-Zehnder interferometer, consisting of He-Ne laser, single mode optical fiber, 50/50 beam splitter and photo detector. A qualitative analysis was carried out by drawing Return map for the normalized time series of the detected PD signals. The results are as follows:(a) Fixed points, between 0.7 and 1.0, are appeared clearly in the right upper area of the return map as the increase in the number of obtained data.(b) Considerable periodicity have been remarked even though exact period and length can not be determined.(c) The self-similarity can be also observed inasmuch as the late paths do not follow the previous ones. Accordingly, exact quantitative analysis such as embedding dimension, fractal dimension, and Lyapunov exponents should be carried out for deducing the quantitative properties regarding PD phenomena.

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Feminine Hygiene and Vaginal Douche Practices in Middle-aged Women (중년여성의 여성생식기 관련 위생과 질 세척 행위)

  • Ahn, Sukhee
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.285-294
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    • 2013
  • Purpose: The study was done to survey feminine hygiene and vaginal douche practices in middle-aged women to obtain basic information for public health education. Methods: With a descriptive survey design, 134 middle-aged women who have menstrual period were recruited via convenience sampling. Survey contents were from the study by Czerwinski (2000) regarding feminine hygiene and vaginal douching practices. After obtaining IRB approval, a self-administered structured questionnaire was distributed to study participants. Results: Mean age of middle-aged women was 46.88 years old. Fifty-six percent of the women practiced vaginal douching. Women performed douching with water (68%), commercial products (13%), soap (12%), and vinegar-mixed water (6%) for clean and fresh feeling, removal of unpleasant odor, and removal of vaginal discharge. Vaginal douche practice was significantly related to a history of vaginitis. Conclusion: The study results indicate that most of the women practiced inadequate feminine hygiene especially in douching, suggesting that is important to develop education programs on feminine hygiene practices for women of all ages, especially regarding douching and hand washing before and after changing pads or tampons.

Recent Development in the Rate Performance of Li4Ti5O12

  • Lin, Chunfu;Xin, Yuelong;Cheng, Fuquan;Lai, Man On;Zhou, Henghui;Lu, Li
    • Applied Science and Convergence Technology
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    • v.23 no.2
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    • pp.72-82
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    • 2014
  • Lithium-ion batteries (LIBs) have become popular electrochemical devices. Due to the unique advantages of LIBs in terms of high operating voltage, high energy density, low self-discharge, and absence of memory effects, their application range, which was primarily restricted to portable electronic devices, is now being extended to high-power applications, such as electric vehicles (EVs) and hybrid electrical vehicles (HEVs). Among various anode materials, $Li_4Ti_5O_{12}$ (LTO) is believed to be a promising anode material for high-power LIBs due to its advantages of high working potential and outstanding cyclic stability. However, the rate performance of LTO is limited by its intrinsically low electronic conductivity and poor $Li^+$ ion diffusion coefficient. This review highlights the recent progress in improving the rate performance of LTO through doping, compositing, and nanostructuring strategies.

Surface Modification of WC-Co and SCM415 by the Ion Bombardment Process of Filtered Vacuum Arc Plasma (자장 여과 아크 이온빔 식각 공정을 이용한 WC-Co 및 SCM415 금속 소재 표면 구조 제어 연구)

  • Lee, Seung-Hun;Yoon, Sung-Hwan;Kim, Do-Geun;Kwon, Jung-Dae;Kim, Jong-Kuk
    • Journal of the Korean institute of surface engineering
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    • v.43 no.2
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    • pp.80-85
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    • 2010
  • The surfaces of WC-Co and SCM415 were etched to form a micro size protrusion for oil based ultra low friction applications using an ion bombardment process in a filtered vacuum arc plasma. WC-Co species showed that a self-patterned surface was available by the ion bombarding process due to the difference of sputtering yield of WC and Co. And the increasing rate of roughness was 0.6 nm/min at -600 V substrate bias voltage. The increasing rate of roughness of SCM415 species was 1.5 nm/min at -800 V, but the selfpatterning effect as shown in WC-Co was not appeared. When the SCM415 species pretreated by electrical discharge machining is etched, the increasing rate of roughness increased from 1.5 nm/min to 40 nm/min at -800 V substrate bias voltage and the uniform surface treatment was available.

Variation of hazardous substances in sewage ecotoxicological assessment (하수 원수내 유해물질 변화에 따른 생태독성평가)

  • Seo, Byong-Won;Lee, Ju-Hwa;Lee, Yong-Hoon;Kang, Seon-Hong
    • Journal of Korean Society of Water and Wastewater
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    • v.27 no.5
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    • pp.603-610
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    • 2013
  • According to industrialization, increased toxic chemicals discharge has been causing water pollution. Especially domestic sewage is a major source of water pollution. Sixty percent of the total wastewater discharged is domestic sewage. Self-purification capacity of rivers and streams is drastically reduced by the emission of domestic sewage, industrial wastewater and livestock wastewater. Although domestic sewage is managed by implementing standards and regulations, toxicity effect of domestic sewage to humans and the environment is not yet clearly understood. In this study, by using daphnia magna, the ecotoxicity of domestic swage was assessed. Cl, Cu, Pb, COD, T-N, DO, pH and residual chlorine were investigated as background concentrations. The experiments were conducted with water samples obtained from three local sewage treatment plants. The experiment results indicated that higher level of toxicity corresponds to the higher pollution concentrations. The higher level of combinations of background concentrations such as heavy metals leads to the worse ecotoxicity. Especially, the Cu concentration affects the TU value.