• Title/Summary/Keyword: Flow-chart

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Development of Documentation System in Hospital-based Home Health - in one general hospital in the U.S.A. - (병원중심 가정간호 기관의 기록체계개발 - 미국 일개 종합병원을 대상으로 -)

  • Kang Chang-Hee
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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    • pp.58-69
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    • 1992
  • The purposes of this study were 1) to assess the currunt documentation system 2) to identify the problems in communication regarding to documentation 3) to develop new documentation system 4) to suggest effective communication channel using new documentation system Research was conducted by direct observation, chart review, staffs interview and servey. Results were as follows: 1) nursing care plans were not used in ongoing care 2) documentation format was primarily narrative and charting was time consuming 3) documentation did not reflect the nursing process 4) patient records were not used as effective communication tool between case manager and part time nurse 5) difficult access to patient record for nurse manager created inefficiency in coordinating 6) documentation of patient education did not describe the precise contents of education, and the responses of the patients and evaluation To solve these problems, new documentation format was developed. With new formats nurses : 1) use standardized care plan which contains nursing diagnosis, ecpected outcome, time frame for evaluation, flow sheet for updating the plans 2) leave one copy of care plan at patient home for mutual agreement with patent and communication among nursing staffs 3) carry one copy of care plan for updating 4) document and evaluate the patient education using education check list keeping in patient's home 5) document nursing process in focus charting visit report 6) carry one copy of visit report 7) have one copy of visit report which was deligated to part time nurses 8) use documentation in direct communication with part time nurse 9) use beeper and memo to promote communication

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A Study on the Development of Computer Aided Design Software for Interior Architectural Design-From CAD(Computer Aided Design) to Virtual Reality of Transforting (실내 건축 설계를 위한 CAD 소프트웨어 개발에 관한 연구-CAD로부터 가상현실 GRAPHIC PROGRAM으로의 전환을 통하여-)

  • 이남수
    • Korean Institute of Interior Design Journal
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    • no.12
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    • pp.40-49
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    • 1997
  • What's the direction of INTERIOR ARCHITECTURAL DESIGN in 21 Century High Tech\ulcorner The purpose of this research is to show not only practical use of Computer Graphic(CG) as simple tool function, but offering conversation with computer and other ways of method. When we consider poor CG market, investment on the research of VR(Virtual Reality) is the most urgent. The investment on VR will solve various problems. Firstly. It will solve the problems drived from Interior design process by making spatial images like reality. Secondly, It will solve high wages and financial difficulties caused by raise cost funds. Thirdly, It prevents in a road from foreign company that will bring enormous program, caused by opening the domestic market. Also, It help interior designer check in advance the problems in constructure through showing him a supposed imagination including the system and location of equipments. But it is reality that even ordinary American can't offer VR(Virtual Reality) System. We should have noted that it is normal to spend 10 billion won for such presentation as Model House in the large corporation. We must acknowledge that it is such a waist of money nationally. Therefore, investment on CG & VR System is essential in order to save cost more effective presentation & interior design. We will see great result within a year. As we can see, there is huge area we have make develop. One of them is specific technical plan on VR System and study of flow chart. We close with simple methodological way to use VR System and will study Computer System. Which is fitting to CG that we have to solve the link of hardware and software on VR System\ulcorner We know from the cases in other countries that continuous research on this subject has great value for Interior Architectural Design and its effective use. When we try hard not only for methodological use but practical use, the purpose of CG and VR System will be a factor to contribute on this subject for better Interior design & presentation.

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Convergence change in a tunnel face approaching fault zones (파쇄대에 접근하는 터널의 내공변위 변화 해석)

  • Lee, In-Mo;Lee, Seung-Ju;Lee, Joo-Gong;Lee, Dae-Hyuck
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.4 no.3
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    • pp.235-245
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    • 2002
  • The purpose of this study is to figure out the tendency of tunnel convergence during excavation and to present a methodology for the prediction of a fault zone ahead of a tunnel face by analyzing three dimensional displacements in various ways. 3-D numerical analysis was performed to investigate changes of tunnel convergence vectors near a fault zone and to propose a flow chart for predicting fault zones. Results of the site investigation and results of trend line analysis of in-situ data were compared to verify the usefulness of a trend line analysis. It is concluded that the orientation of faults can be predicted by using stereonets and the direction of initial stresses can be predicted from the arm length of a displacement vector as a tunnel approaches fault zones. The results of the trend line analysis coincided with those of the site investigation, and a methodology for the prediction of a fault zone was proposed.

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A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients (중환자 통증 평가 도구에 관한 체계적 문헌고찰)

  • Kim, Eun-Jeong;Hong, Jiwon;Kang, Jiyeon;Kim, Na geong;Kim, NaRi;Maeng, Su-Youn;Park, Hye-Ryeon;Ban, Min Kyung;Yang, Gun Young;Lee, Kyung Suk;Jang, Eun Hye
    • Journal of Korean Critical Care Nursing
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    • v.13 no.1
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    • pp.44-62
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    • 2020
  • Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients. Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.'s the Quality Criteria for Measurement Properties. Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient. Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.

Design of Pultruded I-shape FRP Compression Member (펄트루젼 I형 FRP 압축재의 설계)

  • Joo, Hyung-Joong;Lee, Seung-Sik;Yi, Jong-Seok;Yoon, Soon-Jong
    • Composites Research
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    • v.25 no.2
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    • pp.46-53
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    • 2012
  • Using pultrusion process, FRP composite structural members having various cross-section shapes can be produced with unlimited lengths. Because of such reasons, these members are suitable for the application in the construction field. Especially, this material is highly appreciated if the material is to be used in the corrosive environments such as aquatic or oceanic environments due to its high corrosion resistance. However, design criteria for the FRP structural member are not developed yet. So, the research on the development of design guideline is needed ungently. In order to use the pultruded structural FRP member efficiently, the members are composed of thin plate components, and thus, the member is prone to buckle easily and the buckling is one of the governing strength limit states for the design. In this paper, we present the analytical study results pertaining to the buckling behavior of I-shape FRP compression member. In addition, design procedure and flow-chart are also proposed based on the study results including previous experimental results. Proposed design procedure is similar to that in ANSI/AISC 360-10 with minor modification. Therefore, it is convinced that the structural design of pultruded FRP compression member could be done easily by following design procedure proposed in this paper.

Seismic Behavior of Viscoelastically Damped Steel-Frame Structures (점탄성 감쇠기를 설치한 강구조건물의 지진하중에 대한 거동 연구)

  • 오순택
    • Computational Structural Engineering
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    • v.6 no.1
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    • pp.127-135
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    • 1993
  • This paper summarizes a study on the application of viscoelastic dampers as an energy dissipation device in the frame structure. It can be concluded that, even at high temperatures, the viscoelastically damped structure can achieve a significant reduction of structural response as compared to the case with no dampers added. Empirical formulae for estimating the dynamic properties of the viscoelastic damper are established based on the regression analysis using data obtained from component tests of the damper. The structural damping with added dampers can be satisfactorily estimated by the modal strain energy method and the derived empirical formulae. Numerical simulations using conventional modal analysis methods are also carried out to predict the dynamic response of viscoelastically damped structures under seismic excitations. Comparison between numerical simulations and test results shows very good agreement. Based on the above studies, a design procedure for viscoelastically damped structures is present . This design procedure fits naturally into the conventional structural design flow-chart by including damping ratio an additional design parameter.

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A Study on the Architectural Planning of Material Handling System for the Airborne Infection Isolation Hospitals (호흡기 감염 격리병원의 물류시스템 계획에 관한 연구)

  • Choi, Kwangseok;Kwon, Soon Jung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.2
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    • pp.63-72
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    • 2017
  • Purpose: The purpose of this study is to review the material handling system of the Airborne Infection Isolation Hospitals which is the one of the key elements of infection control and to improve the basic data for the planning and design of those facilities. Methods: Research was conducted by literature reviews and case studies for the material handling system of domestic and foreign Isolation hospitals. Results: The result of this study can be summarized into three points. First, a general isolation unit and a high level isolated unit need to be distinguished in terms of efficiency and safety. In particular, it is desirable that a high level isolated unit have to completely separate clean and soiled circulations, and soiled corridor should be installed by those means. By doing this, the medical staff can observe patient rooms and supply clean materials directly in the clean zone without wearing PPE, so that safety and work efficiency can be improved at the same time. Second, for the safe disposal of wastes, it is desirable to install a dedicated sterilizer per ward and sterilize it at least in the ward. In addition, It is desirable to install a central waste treatment room and a dedicated soiled corridor in consideration of the inadequate handling capacity and emergency situation. Third, the characteristics of material flow chart in the negative pressured isolation hospitals and the corresponding material handling system have been presented. Implications: Infection control is very important in safety, but it is necessary to respond to the symptoms of the patient.

Pseudo Continuous Arterial Spin Labeling MR Imaging of Status Epilepticus (간질중첩증의 동맥 스핀 라벨링 자기공명영상)

  • Yi, Min-Kyung;Choi, Seung-Hong;Jung, Keun-Hwa;Yoon, Tae-Jin;Kim, Ji-Hoon;Sohn, Chul-Ho;Chang, Kee-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.142-151
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    • 2012
  • Purpose : The purpose of this study was to describe arterial spin labeling MR image findings of status epilepticus. Materials and Methods: A retrospective chart review within our institute revealed six patients who had been clinically diagnosed as status epilepticus and had also undergone MR imaging that included ASL in addition to routine sequences. Results: Six patients with status epilepticus were studied by conventional MR and arterial spin labeling imaging. All patients showed increased regional CBF correlating with EEG pathology. Notably, in two patients, conventional MRI and DWI showed no abnormal findings whereas pCASL demonstrated regional increased CBF in both patients. Conclusion: Arterial spin labeling might offer additional diagnostic capabilities in the evaluation of patients with status epilepticus.

The expanded LE Morgenstern-Price method for slope stability analysis based on a force-displacement coupled mode

  • Deng, Dong-ping;Lu, Kuan;Wen, Sha-sha;Li, Liang
    • Geomechanics and Engineering
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    • v.23 no.4
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    • pp.313-325
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    • 2020
  • Slope displacement and factor of safety (FOS) of a slope are two aspects that reflect the stability of a slope. However, the traditional limit equilibrium (LE) methods only give the result of the slope FOS and cannot be used to solve for the slope displacement. Therefore, developing a LE method to obtain the results of the slope FOS and slope displacement has significance for engineering applications. Based on a force-displacement coupled mode, this work expands the LE Morgenstern-Price (M-P) method. Except for the mechanical equilibrium conditions of a sliding body adopted in the traditional M-P method, the present method introduces a nonlinear model of the shear stress and shear displacement. Moreover, the energy equation satisfied by a sliding body under a small slope displacement is also applied. Therefore, the double solutions of the slope FOS and horizontal slope displacement are established. Furthermore, the flow chart for the expanded LE M-P method is given. By comparisons and analyses of slope examples, the present method has close results with previous research and numerical simulation methods, thus verifying the feasibility of the present method. Thereafter, from the parametric analysis, the following conclusions are obtained: (1) the shear displacement parameters of the soil affect the horizontal slope displacement but have little effect on the slope FOS; and (2) the curves of the horizontal slope displacement vs. the minimum slope FOS could be fitted by a hyperbolic model, which would be beneficial to obtain the horizontal slope displacement for the slope in the critical state.

Determination and Predictability of Precipitation-type in Winter from a Ground-based Microwave Radiometric Profiler Radiometer (라디오미터를 이용한 겨울철 강수형태 결정 및 예측가능성 고찰)

  • Won, Hye Young;Kim, Yeon-Hee;Chang, Dong-Eon
    • Atmosphere
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    • v.20 no.3
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    • pp.229-238
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    • 2010
  • The 1,000~500 hPa thickness and the $0^{\circ}C$ isotherm at 850 hPa have been used as the traditional predictors for wintertime precipitation-type forecasts. New approaches are taking on added significance as preexistence method of determination for wintertime precipitation-type exhibits more or less prevalent false alarms. Moreover thicknesses and thermodynamic profiles from ordinary upper-air observation were not adequate to monitor the atmospheric structure. In this regard, Microwave radiometric profiler microwave radiometer is useful in wintertime precipitation-type forecasts because radiometric measurements provide soundings at high temporal resolution. In this study, the determination and the predictability of wintertime precipitation-type were examined by using the calculated thicknesses, temperature of 850 hPa (T850) from a microwave radiometer, and surface observation at National Center for Intensive Observation of severe weather (NCIO) located at Haenam, Korea. The critical values for traditional predictors (thickness of 1000~500 hPa and T850) were evaluated and adjusted to Haenam region because snow rarely occurred with a 1000-500 hPa thickness > 5,300 m and T850 > $-10^{\circ}C$. Three thicknesses (e.g., 1,000~850, 1000~700, and 850~700 hPa thickness), T850, surface air temperature, and wet-bulb temperature were also evaluated as the additional predictors. A simple nomogram and a flow chart were finally designed to determine the wintertime precipitation-type using the microwave radiometer. The skill scores for the predictability of precipitation-type determination are considerably improved and the predictors showed the temporal variations in 12 hours before precipitation. We can monitor the hit and run snowfall in winter successful by realtime watch of the predictors, especially in commutes of big cities.