• 제목/요약/키워드: 호학

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Development of a vision sensor for measuring the weld groove parameters in arc welding process (자동 아크 용접공정의 용접개선변수 측정을 위한 시각 시스템)

  • 김호학;부광석;조형석
    • Journal of Welding and Joining
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    • v.8 no.2
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    • pp.58-69
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    • 1990
  • In conventional arc welding, position error of the weld torch with respect to the weld seam and variation of groove dimension are induced by inaccurate fitup and fixturing. In this study, a vision system has been developed to recognize and compensate the position error and dimensional inaccuracy. The system uses a structured laser light illuminated on the weld groove and perceived by a C.C.D camera. A new algorithm to detect the edge of the reflected laser light is introduced for real time processing. The developed system was applied to arbitarary weld paths with various types of joint in arc welding process. The experimental results show that the proposed system can detect the weld groove parameters within good accuracy and yield good tracking performance.

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Relationship among Task Interruption and Task Performance and Burn-out in Emergency Room Nurses (응급실 간호사의 업무중단과 업무중단으로 인한 업무상 문제 및 소진과의 관계)

  • Rhu, Eun-Jung;Lee, Eun-Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.34-43
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    • 2013
  • Purpose: This study was conducted to examine the relationship among task interruption, task performance, and burn-out in nurses working at emergency room. Methods: The subjects of this study were 225 working at emergency rooms of 19 hospitals. Data was collected by using the structured questionnaire, including frequency of task interruption. problems in task performance due to interruption, and burn-out. Results: The average scores of task interruption were 2.06 due to communication, 1.49 due to treatment and record, and 1.39 due to other services (range 1-4). Frequency of task interruption was significantly correlated with task performance and burn-out. Conclusion: Emergency room nurses experienced some task interruption. The task interruption can influence upon task performance and burn-out of emergency room nurse.

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Predictors of Terminal Care Performance of Clinical Nurses for Cancer Patients (암환자를 돌보는 간호사의 임종간호수행에 영향을 미치는 요인)

  • Noh, Seon-Suk;Lee, Chang-Kwan;Sung, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.61-70
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    • 2016
  • Purpose: The purpose of this study was to identify the influences of death perception, terminal care attitude on clinical nurses' terminal care performance for cancer patients. Methods: Data were collected through self-reported questionnaires filled by 526 nurses at a General Hospital in Seoul. Data were analyzed using a multiple regression analysis. Results: Death perception showed a positive correlation with terminal care attitude (r = .45, p < .001), while there was no correlation with terminal care performance. Additionally, terminal care attitude had a positive correlation with terminal care performance (r = .18, p < .001). The explanatory power of nurses' death perception and terminal care attitude toward terminal care performance was 14%. Conclusions: The study results imply that nurses' death perception and terminal care attitude are significant variables affecting terminal care performance.

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The Outcomes of Early Discharge Program for Extremely Low Birth Weight Infants (초극소미숙아를 위한 조기 퇴원 프로그램의 운영 성과)

  • Lee, Eun-Jung;Yi, Young-Hee
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.25-35
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    • 2011
  • Purpose: The purpose of this study was to evaluate the actual outcomes of early discharge program for extremely low birth weight (ELBW) infants. Methods: Medical records of 122 ELBW infants admitted in the neonatal intensive care unit from January 2000 to June 2006 and those of their 112 mothers were analyzed retrospectively. Results: After being applied early discharge program to ELBW infants' mothers, their infants' lengths of stay, gestational age and body weight at discharge, duration of completion of oral feeding, number of emergency room visits after discharge were decreased and number of breast milk feeding was increased. Conclusion: Early discharge program for ELBW infants can be an effective intervention for parents and their ELBW infants contributing to neonatal nursing practices.

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Clinical Characteristics of Coronary Artery Disease Patients by Comorbidity of Diabetes Mellitus (당뇨병을 동반한 관상동맥질환자의 임상적 특성)

  • Choi, Eun-Ha;Song, Mi-Soon
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.1-10
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    • 2011
  • Purpose: The study was conducted to find out clinical characteristics for coronary artery disease patients with diabetes mellitus. Methods: We retrospectively reviewed the electronic medical records which included the data of 6,792 patients, who had been diagnosed coronary artery disease (CAD) such as angina or acute myocardial infarction and admitted to a university hospital in Seoul from January, 2005 to November, 2010. Results: Of the 6,792 patients, 43% had been diagnosed diabetes as comorbidity. The CAD patients with diabetes had lower left ventricular ejection fraction, stayed longer at hospital, and spent on more time from the first symptom to hospital visit than those without diabetes. In addition, they were more likely to have multi vessel coronary artery disease. Conclusion: The CAD patients with diabetes lay on the various factors which can make more worsen condition. Hence, we need to pay attention to specialized nursing care and patient education for the CAD patients with diabetes.

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Advance Directives and the Roles of Advanced Practice Nurses (사전의사결정 제도에 있어서의 전문간호사 역할)

  • Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.91-99
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    • 2010
  • Purpose: The purpose of this literature review was to describe the roles of advanced practice nurses related to advance directives. Methods: A comprehensive literature review was conducted utilizing Pubmed, Ovid, and CINAHL. The key words for search were 'advance directives', 'living wills', 'durable power of attorney', 'advanced practice nursing', 'advanced practice nurse', 'nurse practitioner', and 'nurse specialist'. Research articles published between January 1990 and September 2010 and written in English were included. Review papers and expert's opinion were excluded. Results: Five articles were yielded and analyzed. Among them, two focused on the advanced practice nurses' role during the process of advance directives. The other three presented the outcomes depending on the type of nurses' involvement in each health care delivery system. Conclusion: Recently, Korea established advance directives and expanded to diverse sites. Advanced practice nurses' role in the advance directive decision-making process should be examined and developed in research and practice.

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Palliative Care Models in Intensive Care Units and Nurses' Roles in the Models (중환자실 완화의료 모델과 간호사의 역할)

  • Koh, Chin-Kang
    • Journal of Korean Critical Care Nursing
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    • v.7 no.1
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    • pp.40-46
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    • 2014
  • Purpose: In Korea, about 30,000 people die in intensive care units annually. However, their quality of life at the end-of-life seems very low. The purpose of this study was to describe palliative care models that could be applied in intensive care units and examine nurses' roles in the models. Methods: A conventional literature review was performed focusing on palliative care in intensive care units and nursing roles in the approaches identified. Results: There are two different models regarding the implementation of palliative care approaches in the intensive care unit. Those are the consultative model and the integrative model. Each model has advantages and disadvantages. Therefore, an appropriate model must be chosen according to the setting. Nurses' roles could vary depending on the setting. Conclusion: Palliative care in the intensive care unit is important to improve patients' quality of life. Moreover, nursing roles are important in providing comprehensive palliative care in intensive care units.

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Evidence-based Nutritional Support in the Intensive Care Unit (중환자를 위한 근거중심 영양지원)

  • Yi, Young-Hee;Oui, Mi-Sook
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.79-88
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    • 2010
  • Optimal nutrition serves to maintain normal organ function and to preserve body energy stores to guarantee survival during times of shortage of food. Adequate nutrition of intensive care unit (ICU) patients improves outcome, while malnutrition is strongly associated with increased morbidity and mortality rates among critically ill patients. Previously published researches showed that trials of nutritional support in critical illness rarely fulfill basic quality requirements. Nutrition support plays a vital role in the prevention and treatment of nutritional deficiencies in at-risk, critically ill patients. This paper reviewed the challenges in determining critically ill patients' nutrition requirements including nutrition assessment, determination of caloric requirements then providing them with adequate nutrition support while in the ICU with the guidelines published by Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Nutrition support can be effectively enhanced by using the guidelines.

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Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing (중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발)

  • Park, Myong-Hwa
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.68-78
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    • 2009
  • Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

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Undergoing Noninvasive Mechanical Ventilation (비침습적 인공호흡기 적용 환자의 불편감 연구)

  • Shin, Hyun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.69-80
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    • 2009
  • Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

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