• 제목/요약/키워드: Continuing use

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신규간호사의 정맥주입요법 교육 현황과 교육요구도 분석 (The Current Status of Intravenous Infusion Therapy Education for New Nurses and Their Needs for the Education)

  • 윤주희;서민정
    • 임상간호연구
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    • 제26권1호
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    • pp.59-74
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    • 2020
  • Purpose: The purpose of this study is to investigate new nurses' needs for intravenous infusion therapy training by analyzing the current training status. Methods: This study examined the needs for intravenous infusion therapy training with 159 new nurses. The measurement tool consisted of 93 items developed based on intravenous therapy-related studies, and was evaluated on a 4-point Likert scale. For data analysis, SPSS/WIN 25.0 was used, and frequency, percentage, average, standard deviation, paired t-test, were performed. Results: The demand for intravenous therapy education was analyzed using a questionnaire composed of 8 areas, 16 sub-areas, and 93 items. According to the findings, post-ward placement intravenous therapy education(83.7%) is conducted more often than in preliminary education (72.2%). The demand for intravenous infusion therapy education did not differ significantly in preliminary and post-ward placement education (t=-.89, p=.376). While therapy skills were preferred in preliminary education, there were high demands for education content related to blood transfusion, central venous catheter, and drug use in continuing education. As for preferred teaching methods, lecture (38.2%) and simulation (26.7%) were most answered for preliminary education, while a range of methods were preferred for continuing education including lecture (31.1%), clinical practice (20.6%), preceptor training (19.8%), simulation (16.8%), and self-study (11.6%). Conclusion: For efficient training, it is required to provide different education contents and methods for each stage.

우울한 임신 여성의 화상 인지행동치료 프로그램 참여 경험: 탐색적 질적연구 (The experiences of depressed pregnant women participating in a cognitive behavioral therapy program via video communication: an exploratory qualitative study)

  • 이은주;김미정;박영숙
    • 여성건강간호학회지
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    • 제28권4호
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    • pp.275-285
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    • 2022
  • Purpose: This study explored the experiences of pregnant women with depressed mood participating in a group cognitive behavioral therapy (CBT) program using video communication, based on Beck's cognitive theory. Methods: The participants were six pregnant women out of 13 women who had participated in an 8-session group CBT program using video communication for women with depressed mood (Edinburgh Postnatal Depression score of ≥9). Data were collected from February 20 through March 25, 2021. In-depth individual interviews were conducted through a video conferencing platform at 1 month post-baseline. Thematic analysis was done. Results: Three themes, 10 subthemes, and 38 concepts were derived from experiences of participating in the 4-week group CBT program (twice a week). The first theme, entitled "continuing realization" had subthemes of "a negative and instable self," "a selfish judgment that excludes others," and "a strong belief in self-control." The second theme, entitled "attempt to change for restoration" had subthemes of "shift to rational thinking," "freedom from suppressed beliefs," "tolerance of other people," and "courage for self-expression." The third theme, entitled "departure for a positive life," had subthemes of "emotional healing," "faith in oneself," and "reestablishing the criteria for happiness." Conclusion: Pregnant women with depressed mood expressed that continuing realizations and attempts to change supported their transition toward a positive direction of healing. Thus, they were able to change their distorted thinking into rational thinking through CBT using video communication. These findings support the use of group CBT using video communication with pregnant women who have depressed mood.

냉적용 방법에 따른 심부 및 피부온도변화 (Differences in Body Temperatures according to Three Methods of cold Application)

  • 임난영;김진경
    • 대한간호학회지
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    • 제23권2호
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    • pp.157-169
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    • 1993
  • The most effective modality for cold application and the length of the application have not been determined despite many studies about the use of cold. A quasi-experimental study was conducted to examine the most effective modality among three methods of cold application, the most effective length of time for the application and the continuing effect after each type of cold application. Thirty adult patients admitted to medical and neurosurgical unit and with high fever (above 38.2 ℃) were assigned randomly to each of three cold ap-plication methods : (a) ice bag: (b) cold compress; and (c) tepid water sponge bath. Each method was applied to the whole anterior surface except the face and neck with the patient in the supine pos-ition. Rectal temperatures and skin temperatures (mid chest, upper arm, thigh and leg) were measured be-fore each application and every 10 minutes during ,each application for a period of 60 minutes. They were also measured every 10 minutes for 30 minutes after each cold application was finished. The experiments were carried out from Dec. 22. 1992 through Feb. 26, 1993. The data were analysed using means, ANCOVA Sheffe test and Pearson's Correlation Coefficient. The results of this study are as follows : 1. There were no significant differences among the three cold application methods in the reduction of body temperature, 2. Among the ice bag, cold compress and tepid water sponge bath groups, the ice bag proved to be the most effective method for lowering skin temperature while the cold compress was least effective. 3. Both rectal and skin temperature continued to decrease during the 60 minutes of cold application, but the hunting phenomena was not observed at any of the cold application sites. 4. There were no significant correlations between mean rectal and skin temperatures. 5. Skin temperatures according to the cold application sites decreased to a range of 3.46℃ to 5.20℃ (mid chest), a range of 4.48℃ 4.96℃ (upper arm), a range of 3.86℃ to 5.05℃ (thigh), and a range of 5.42℃ -7.12℃ (leg ). 6. In continuing effect after the cold applications were finished, rectal temperatures according to ice bag, cold compress and tepid sponge bath decreased to 0.29℃, 0.23℃ and 0.09℃ respectively, while the mean skin temperatures increased to 2.39℃ , 2.04℃ and 2.22℃ respectively. In this experiment the ice bag was the most effective modality for lowering skin temperature. when-ever cold is applied for systemic effect, the continuing effect of cold should be considered. The determination of the most effective length of time for cold application needs further study.

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우울 발생요인에 관한 이론적 고찰 (Theoretical Models of Causative Factors in Depression : A Review of the Literature for Nursing)

  • 김수지;고성희
    • 대한간호학회지
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    • 제19권2호
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    • pp.173-190
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    • 1989
  • This literature review was undertaken to explore theoretical models of depression for their potential usefulness in nursing research and practice. Depression has bean accounted for by numerous theories or models of causation ; 11 theories selected from psychology, medicine and psychoanalysis and supported by empirical or experimental research were reviewed. These theories identify a variety of precipitating and predisposing factors that may affect the individual's depression. Aggression - turned - inward theory, object loss theory, ego functioning theory, personality organization theory, behavioral theory, learned helplessness theory, cognitive theory, genetic factors, and biological theories conceptualize predisposing factors. Only life stressors theory identifies precipitating facotrs. Each of these theories contributes to an understanding of depression, but many of them use overlapping and interrelated factors. It is also evident from recent. research that there are multiple causes for depression involving an interactive effect among predisposing and precipitating factors that are both biological and psychological in origin. That is, a single theory is not useful, but perhaps a unified theory could be developed that would be helpful to nursing. This review points to the need for continuing development and testing of theories that would integrate the multiple conceptualizations of depression.

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현장가공이 가능한 영구거푸집 개발에 관한 실험적 연구 (An Experimental Study on The Development of Fold Concrete Permanent Form producible at Field)

  • 김형남;최창기;김우재;김성식;정상진
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1999년도 학회창립 10주년 기념 1999년도 가을 학술발표회 논문집
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    • pp.805-808
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    • 1999
  • According to the results of this research, Production of Fold Concret Permanent-Form, was found to be possible by Concrete. The FCP-Form (Fold Concret Permanent-Form) Concrete had Compress strength 300kg/$\textrm{cm}^2$ and banding strength 120kg/$\textrm{cm}^2$. FCP-Form Model was made by the result of the first research. There was no mimute-crack on beam form and The outer surface of form was very smooth, and Those qualities it were made possible hand-made by experiment. With these results, The Production of FCP-Form seemed possible. In the banding load test, P-S showed increase of maxim load 12% than P-R. At the first stage of minute crack, under continuing loading size of crack increased. These phenomena seemed to be based on contribution of stress of inner bars in FCP-Form. In the test of defection. P-S shower about 10% banding load increase than P-R. FCP-Form Concrete was found to be efficient in compressibleness, defection, safety and use of material.

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현장 시공성 개선을 위한 롤타입 건식바닥난방시스템 개발 (A Study on the Development of Rolled Dry Floor Heating System for Improving Workability)

  • 이규동;김준호;정창호;김동우;小川慶一郞
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2012년도 추계 학술논문 발표대회
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    • pp.177-180
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    • 2012
  • Korea residential housing generally use wet floor heating system 'Ondol' which consist of insulation cushioning, lightweight foamed concrete, hot water pipe and mortar on top of reinforced concrete slab. Wet floor heating system's installation process is too complicate and difficult to supervise field for continuing assurance quality. Also, this method has a huge impact on the progress of construction because it take a long time to cure finishing mortar and lightweight foamed concrete. Therefore, it is considered a disturbance factor of reduction of construction duration for enhancing competitiveness. In this study, we conducted an experiment about the radiant heat performance and temperature difference on upper panel of rolled dry floor heating systems which is jointly developed by Kolon global and Sumisho Metalex for remodeling housing, studio apartment and the urban-life housing.

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Application of near-infrared spectroscopy in clinical neurology

  • Kim, Yoo Hwan;Kim, Byung-Jo;Bae, Jong Seok
    • Annals of Clinical Neurophysiology
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    • 제20권2호
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    • pp.57-65
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    • 2018
  • Near-infrared spectroscopy (NIRS) monitoring has been used mainly to detect reduced perfusion of the brain during orthostatic stress in order to assess orthostatic intolerance (OI). Many studies have investigated the use of NIRS to reveal the pathophysiology of patients with OI. Research using NIRS in other neurological diseases (e.g., stroke, epilepsy, and migraine) is continuing. NIRS may play an important role in monitoring the regional distribution of the hemodynamic flow in real time and thereby reveal the underlying pathophysiology and facilitate the management of not only patients with OI symptoms but also those with various neurological diseases.

Performance of Seismic Protective Systems for Super-Tall Buildings and Their Contents

  • Kasai, Kazuhiko
    • 국제초고층학회논문집
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    • 제5권3호
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    • pp.155-165
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    • 2016
  • A much higher level of seismic performance is needed for supertall buildings due to increased demands for their functional continuities and the recognized needs for their continuing emergence in metropolitan areas. This paper analyzes, compares, and contrasts responses recorded during the 2011 Tohoku-oki Earthquake of different supertall buildings featuring conventional and vibration-controlled engineering systems. The superior performance and advantage of the latter are pointed out, and the typical dynamic properties, response characteristics, and effects on the secondary system are discussed. Ongoing efforts to enhance vibration control performance are described, covering the development of specifications, use of performance curves and targeted displacement design, and methods to find appropriate locations of damper installation resulting in a minimized amount of dampers.

불완전한 지식에서 정리증명을 위한 확률추론 (A Probabilistic Reasoning in Incomplete Knowledge for Theorem Proving)

  • 김진상;신양규
    • Journal of the Korean Data and Information Science Society
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    • 제12권1호
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    • pp.61-69
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    • 2001
  • 본 논문은 논리문장으로 표현된 지식을 처리하는 정리증명 과정에서 증명이 완료되기 전에 잠정적 결론을 유도하는 확률추론 기법을 제시한다. 정리증명 과정 중에 베이지안 해석을 이용하여 지식을 갱신하는 방법을 제시하고, 의사결정 방법을 사용하여 시간에 민감한 사안에 대해 신속하게 대처할 것인지 아니면 고의로 미룰 것인지를 결정하는 방법을 밝힌다.

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지연시간을 갖는 계통의 성능 향상을 위한 지식기반 전문가 제어기 설계 (Design of rule based expert controller for time delay systems)

  • 박귀태;이기상;김성호;박태홍;고응렬
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1990년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 26-27 Oct. 1990
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    • pp.117-121
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    • 1990
  • The control process involving pure time delays presents a continuing challenge to the control system engineer. The nonlinear nature of the delay which can be introduced into the system make the use of conventional control algorithms a poor prospect. The Smith Predictor was developed to alleviate this problem. Unfortunately the quality of control achieved with the Smith Predictor is known to be sensitive to modelling errors. Only recently have researchers attempted to quantify the Smith Predictor controller's robustness to modelling errors. In several studies stability boundaries were plotted as functions of errors in parameters. But the research results address the question of performance of Smith Predictor controllers, In this paper, the Rule based Expert Systems for performance improvement of the Smith Predictor controller are developed.

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