• 한국간호교육학회지
• /
• 제24권1호
• /
• pp.5-15
• /
• 2018

Purpose: The purpose of this study was to investigate the knowledge and practice of patient-controlled analgesia use and management (PCA-UM) among nurses. Methods: Data were collected from 182 nurses employed by four general hospitals having more than 300 beds in Daejeon. The data were collected using self-report questionnaires from November 4 to November 20, 2015. Collected data were analyzed using descriptive statistics, t-test, and ANOVA. Results: The average nurses' knowledge about PCA-UM was 14.8 points out of 20. PCA-UM knowledge was significantly higher for nurses with experience in PCA education (t=3.55, p<.001). Most participants (91.2%) wanted to get PCA training, 86.8% of them provided PCA education to patients after surgery. Approximately 62% of participants regularly evaluated the level of consciousness of patients with PCA. Conclusion: Findings indicate that the knowledge and practice of PCA-UM among nurses were insufficient to provide safe and effective pain management to postoperative patients with PCA. Therefore, it is concluded that it is necessary to develop standardized PCA education programs for nurses to provide safe and effective pain management to postoperative patients with PCA.

• 한국환경보건학회:학술대회논문집
• /
• 한국환경보건학회 2002년도 춘계 국제 학술대회
• /
• pp.16-19
• /
• 2002

This study was carried out to establish the standardized analysis method in order to decide accurate concentrations of hazardous metals in the air. Acid decomposition method used usually was compared to microwave digestion method. Comparing results of tested background concentration in blank filter, we found that the magnitude of element concentration was Na, Ca, K, Mg, Al and Ba by order. The element concentrations of Glass fiber filter were higher than those of Quartz fiber filter, and the number of undetected components in Glass fiber filter was lower than that in Quartz fiber filter. Thus it is supposed that the concentration of background elements in Glass fiber filter was higher than those in Quartz fiber filter The extraction rate of microwave digestion method was superior to those of acid decomposition method during the test of blank filter as well as SRM of NIST. In case of the SRM of NIST, the average extraction efficiency of acid decomposition Method and microwave pretreatment is 53.8∼82.7％, 81.3∼97.1％, respectively. This result might be caused by the closed system of Microwave, which make outflow and loss of components less. Also microwave digestion method has other merits such as the minimization of time, reagents, and contamination. Furthermore, if the extraction condition, extraction time and used acids are optimized, the better results will be represented.

• Clinical and Experimental Pediatrics
• /
• 제51권9호
• /
• pp.922-934
• /
• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

• 중환자간호학회지
• /
• 제3권2호
• /
• pp.13-22
• /
• 2010

Purpose: This study was intended to examine the effects of educating the Ventilator-Associated Pneumonia (VAP) control for the nurses working in the intensive care unit (ICU). Methods: The study was conducted using one group pre-post test research design. The education on infection control was provided to 31 nurses working at the medical and surgical ICUs. A comparison was then made in terms of the degree of performing infection control a month before, two weeks after, and three months after the education respectively. The incidences of VAP at the medical and surgical ICUs were compared for 3 months before and after the education. Results: The average performance scores between before and after the education showed statistically significant differences. Compared to three months before, the incidence of VAP after the education was decreased slightly from 5.48 to 1.88 per 1,000 ventilator days. Conclusion: It is necessary to continue the VAP education, specifically on infection prevention and control methods and the consistent evaluation of its effects as well as the development of standardized educational program should be approached extensively in further studies.

• 성인간호학회지
• /
• 제29권2호
• /
• pp.177-189
• /
• 2017

Purpose: A meta-analysis was conducted to identify the effect of cognitive improvement programs for the elderly with mild cognitive impairment (MCI) in Korea. Methods: Five databases, as well as relevant reference lists, of studies published from 2000 to 2016, were searched. Fourteen studies were identified. Quality assessments of included studies were conducted using the Scottish Intercollegiate Guidelines Network checklist. An R program was used to analyze effect sizes and to identify possible sources of heterogeneity among studies. The potential for publication bias was investigated using a funnel plot, Egger's regression test and sensitivity analysis. Results: The total effect size was large (Standardized Mean Difference [SMD]=1.44, 95% CI: 1.11~1.77), with cognition based intervention (SMD= 1.77, 95% CI: 1.26~2.29) and exercise intervention (SMD=1.13, 95% CI: 0.82~1.44). Statistically significant moderators were identified intervention type by meta-ANOVA analyses. Finally, no significant evidence of publication bias was found. Conclusion: There is clear evidence that cognitive improvement programs can greatly enhance cognition in elderly with MCI. Future research should examine the effects of non-pharmacological interventions targeting elderly populations with mild-to-severe cognitive impairment in order to develop and enhance the effectiveness of cognitive improvement programs in Korea.

• 한국전문물리치료학회지
• /
• 제17권2호
• /
• pp.10-16
• /
• 2010

This study was undertaken to develop the scapulometer, a measuring tool for scapular winging, and to determine the reliability of scapulometer. Thirty subjects with scapular winging greater than 2 cm participated in this study. Two examiners measured scapular winging using the scapulometer. Standardized measurement position of each subject was as follows: neutral position of shoulder and wrist, $90^{\circ}$ flexion of elbow, and cuff weight of 5% and 10% of body weight (BW) to neutral wrist. The interrater and intrarater reliability were calculated with an intraclass correlation coefficient (ICC) with 95% confidence interval (CI) and standard error of measurement (SEM) at 5% BW and 10% BW. The level of scapular winging was tested between 5% BW and 10% BW with a paired t-test. The interrater reliability was shown to be high at 5% BW (ICC(2,k)=.955, 95% CI=.900~.979, SEM=.07) and at 10% BW (ICC(2,k)=.968, 95% CI=.930~.985, SEM=.06). The intrarater reliability was shown to be high at 5% BW (ICC(2,k)=.921, 95% CI=.842~.961, SEM=.09) and at 10% BW (ICC(2,k)=.906, 95% CI=.813~.954, SEM=.10). The level of scapular winging was significantly different between 5% BW and 10% BW. Conclusively, it is demonstrated that the scapulometer is an objective and qualitative measurement tool for scapular winging.

• 대한치과기공학회지
• /
• 제29권2호
• /
• pp.129-140
• /
• 2007

The purpose of this study was to evaluate the titanium castability (internal porosity) between pressure type casting machine & centrifugal casting machine with air-vent or not. Internal porosity is a well-known problem in dental titanium casting, resulting in inferior mechanical properties of dental restorations. To evaluate the castability, the square plate was chosen. 40 plate patterns($20{\times}20{\times}1.8mm$)were attached to funnel-shaped sprue. Then 20 plate patterns were attached air-vent. They were invested in titanium investment material and cast in a pressure type casting machine(20castings) and centrifugal casting machine(20castings). Each group were divided with air-vent(10castings) or not(10castings). The titanium castings were evaluated by radiographic photograph for the location of the internal porosities. The percentage porosity of each specimen was determined using standardized digital radiographs. The results were analyzed with analysis of variance and t-test for paired comparison between two groups.

• 한국응급구조학회지
• /
• 제22권2호
• /
• pp.23-33
• /
• 2018

Purpose: To investigate the perception of paramedic students about core competence and methods of disaster response. Methods: A self-reported questionnaire was completed by 210 paramedic students in Jeollado from March 2 to April 2, 2018. It comprised 57 questions on topics such as general characteristics (6), related experience (11), cognition of core competence (15), and knowledge of disaster response methods (25). Data were analyzed by means of a frequency analysis, a t-test, an ANOVA, and the Pearson's correlation coefficient using SPSS WIN 21.0. Results: The average score of the participants on disaster response core competence was 3.21. The statement "In case of a disaster, I know the duties of medical staff" scored the second highest, at 3.58, and "In the case of disaster, I can conduct the basic treatment" scored the highest ar 3.59. The average score for the disaster response methods was 3.31. Within the section, the statement "I know what I need to do in the case of burn patients" scored 3.59 and "I know what I need to do in the case of a cardiac arrest patient" scored the highest at 3.93. Conclusion: It is necessary to develop a training module considering the diverse types of disasters and a standardized education program for simulation similar to real-life situations.

• Child Health Nursing Research
• /
• 제7권4호
• /
• pp.511-518
• /
• 2001

This study is to identify the characteristics of the growth and deveolpment, and to assess Obesity Index, BMI and Kaup Index of infants paticipated in a healthy breast-feeding contest. The subjects of this study were 94 breast- feeding infants, ages from 6 to 8 months. Their weight and height were measured and compared with Korean Standards. Their developmental state was tested by DDST(Denver Develop- mental Screening Test) standardized in Korea. The data were analyzed by using the SPSS-WIN 10.0. The result is as follows : 1. The weight of infants was more than Korean Standards, but the height was less. 2. There were statistically significant differences in Obesity Index, BMI and Kaup Index. Obese infants estimated by Obesity Index were about 10％, but by BMI and Kaup Index were 35.1％ and 27.7％. 3. Spearman's rhos of Obesity Index and Kaup Index, Obesity Index and BMI, and Kaup Index and BMI were individually 0.526, 0.528 and 0.753. In conclusion, BMI should be added to the criteria for assessing healthy breast-feeding infants.

• 한국안전학회지
• /
• 제33권1호
• /
• pp.142-147
• /
• 2018

This study aims to analyze and discuss the accidents based on the level of traffic culture (LOT). In pursuing the above, LOT are divided into three categories based on the standardized index of traffic culture. Also, this study focuses on developing the accident models using GLM (generalized linear model). The main results are as follows. First, the null hypotheses that the ratios of fatal and serious injured persons (FSI) are the same over categories are rejected. Second, as the common variables, the ratio of turn signal usage and elderly population are analysed to be impacted to the ratio of FSI. Third, the traffic culture indicators among 5 accident factors which give impact to 'high level' are judged to affect the reduction of FSI. Fourth, compared to other levels, the traffic law violations among 7 accident factors of 'medium level' are estimated to influence the increase of FSI. Finally, in 'low level', the increasing ratio of traffic culture index compared to that of previous year and the number of hospital beds per person are evaluated to be significant to reducing the ratio of FSI. This study can be expected to give some policy implications to regional traffic safety policy-making.