• 제목/요약/키워드: RE100

검색결과 802건 처리시간 0.034초

재원환자의 질환군에 따른 가정간호 요구도 (Needs of Home Care Nursing Services for Hospital Patients)

  • 한성숙;김순례;이소영;권은하
    • 지역사회간호학회지
    • /
    • 제18권1호
    • /
    • pp.165-176
    • /
    • 2007
  • Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

  • PDF

전북지역 양호교사의 업무수행과 자신감과 그에 영향하는 요인에 관한 연구 (A Study on the Factors of the school health Teachers' Self-confidence Affecting the School Nursing Activities in Jeonbuk Province)

  • 양경희
    • 지역사회간호학회지
    • /
    • 제1권1호
    • /
    • pp.582-594
    • /
    • 1989
  • The purpose of this study is to analyze the factors affecting the school health teachers' self-confidence. This study was conducted with 87 school health teachers working in Jeonbuk province, from September to December, 1986, The results are follows; 1. Demographic characteristics of school health teachers 1) Age mean ; 34, range; 23-54 2) School Nursing experience mean; 11 years, range; 0-24 3) Clinical experience mean; 1.5 years, range: 0-13 2. Status of school health resources & nursing activities 1) Personnel resource school health teacher: pupils : 1 : 1,436 'classes=1:31 'general teacher=1:39 2) Budget Total school operating budget: School health budget : 100 : 4.2 (52.2 thousand Won) Half of the school health budget expend on medicine. 3) Clinic 80% of all schools have health clinic seperately. 71.32 of all schools have less than $35m^2$, 23.9%, $36-66m^2$. 4) Only 20% of all schools have organization for health 5) Average of clinic visitor for 1 year; 2,084 Major problem is on digestive system. And other problem: respiratory, skin, musculo - skeletal system, dental problem, etc... 6) Literal message for 1 year; 12 times. For health education (4), vaccination (3), examination of parasites (2), etc... 3. The degrees of the school health teachers' self-confidence 1) Program planning & evaluation; 2.9. 2) Clinic management; 2.8 3) Health education; 2.8 4) Management of school environment; 2.7 5) Health care services; 2.5. 6) Operating of school health organization; 2.3 4. Significances to self-confidence on school health nursing activities 1) Program planning & evaluation: home message (r=.228, p<.05) No. of clinic visitor (r=.220, p<.05) expending time for clinic management (r=.229, p<.05) religion (t: 2.5, p<.05) level of school (F=6.3, p<.005) 2) Clinic management: age of school health teacher (r=-.202, p<.05) school health experience (r=-.211, p<.05) salary step (r=.187, p<.05) expending time for clinic management (r=.315, p<0.1) marital status (t=3.97, p<.005) level of school (F=3,139, p<0.5) 3) Management of school environment: level of school (F=3.899, p<.05) expending time for clinic management (r=-,216, p<0.5) 4) Health care service: age of school health teacher (r=-.186, p<.05) marital status (t= 3.67, pH.005) 5) Health education: expending times for clinic management (r=-.252, p<05) level of school (F=5.343, p<.01) 6) Operating of health organization; age of school health teacher (r=-.258, p<.01)salary step (r=.188, p<.05) Based on the above results, the suggestions are as follows; 1. Need to raise ,appointment rate school health teacher. 2. Need to raise self-confidence on school health nursing activities through the inservice education or re-inforcement. 3. Need to secure adequate budget for school health. 4. Participation of school health teacher and support of school master for school health services are required. 5. Need for use the health clinic seperately, adequate facilities and free utilization by visitors.

  • PDF

$\beta$-Amyloid로 유도된 신경독성에 대한 열다한소탕(熱多寒少湯) 가감방(加感方)의 항(抗)치매효과 (Protection effect of New-Yeolda-Hanso tang against $\beta$-Amyloid Induced Cytotoxicity in NGF-differentiated PC12 Cells)

  • 배나영;양현옥;안택원
    • 사상체질의학회지
    • /
    • 제21권3호
    • /
    • pp.138-153
    • /
    • 2009
  • 1. Objectives: Yeolda-Hanso tang (YH) has long been used as traditional herbal formula in Korea as various diseases. Now we modified Yeolda-Hanso tang (YH) for neurodegenerative diseases treatment and named New-Yeolda-Hanso tang (NYH). We investigated neuroprotective effects of NYH on NGF-differentiated PC12 cells cytotoxicity induced by $\beta$-Amyloid peptide (A$\beta$25-35) and evaluated the ability of NYH to prevent and treat for neurodegenerative diseases via autophagy enhancement. 2. Methods and Results: 1) Protective effect of NYH on PC12 cells cytotoxity induced by A$\beta$25-35. PC12 cells survival was measured by MTT and lactate dehydrogenase (LDH) assay. $20{\mu}M$ $\beta$-Amyloid peptide (A$\beta$25-35) induced cytotoxicity on NGF-differentiated PC12 cells. NYH attenuated the cytotoxic effects of A$\beta$25-35 in a dose-dependent manner. 2) Pharmacological induction of Autophagy by NYH in PC12 cells Autophagy induction and activation was measured by immunoblot assay. Marker of autophagy, LC3 II expression and the ratio of LC3-II/I was slightly increased in the protein treated with YH, and significantly augmented in the protein treated with NYH. NYH-induced increase of LC3-II protein level was inhibited by 3MA. 3) Induction of Autophagy by NYH on A$\beta$25-35-induced injury in PC12 cells In MTT assay, $100{\mu}g/ml$ re-treated NYH attenuated $20{\mu}M$ A$\beta$25-35-induced cytotoxicity in PC12 cells. Protection effect of NYH was blocked by autophagy inhibitor 3MA. In immunoblot assay, $1200{\mu}g/ml$ pre-treated NYH activated autophagy in $20{\mu}M$ A$\beta$25-35-induced cytotoxicity in PC12 cells. The observed effect was partially blocked by 3MA. 3. Conclusions: All the results indicated that NYH possesses neuroprotective potential partially mediated by autophagy enhancement and NYH may be considered to be a promising new herbal formula to prevent and treat for neurodegenerative diseases including Alzheimer's disease (AD).

  • PDF

연료전지와 마이크로 열병합 발전기술 (Fuel cell based CHP technologies for residential sector)

  • 손영목
    • 에너지공학
    • /
    • 제25권4호
    • /
    • pp.251-258
    • /
    • 2016
  • 연료전지는 전기를 발전하면서 동시에 열도 생산하며, 본 고는 이 두 가지를 함께 이용하는 가정용의 마이크로 연료전지-열병합발전(${\mu}FC$-CHP) 시스템에 관한 조사보고서이다. 열병합발전 시스템을 구성하는 몇 가지 방안 중에서 연료전지는 전기와 열 효율을 합쳐 90%가 넘는 가장 높은 에너지 효율을 갖는 시스템을 구현할 수 있어 유용성이 높다. 연료전지에는 크게 다섯 가지 종류가 있으며, 이 중 가정용 ${\mu}FC$-CHP로 적합한 것은 프로톤교환 막연료전지(PEMFC)와 고체산화물연료전지(SOFC)이다. ${\mu}FC$-CHP시스템은 독립전원으로서 송배전 손실을 줄일 수 있고 전기생산단가를 낮출 수 있으며, 오염물질을 배출하지 않는 친환경 기술이란 점 등의 장점이 많다. 단점은 초기 투자비용이 높다는 점인데, 기술의 발달로 제작 단가를 줄여 이를 해결해나가고 있다. 현재는 일본이 시장을 선점하고 있으나 우리나라도 100만대 보급 계획을 가지고 있고, 정부가 반 정도의 설치보조금을 제공하여 시장을 견인하고 있다. 본 고에서는 이와 함께 연료전지와 열병합발전을 연결하는 기술적 내용 및 각국의 동향을 기술한다.

Selection and optimization of nutritional risk screening tools for esophageal cancer patients in China

  • Dong, Wen;Liu, Xiguang;Zhu, Shunfang;Lu, Di;Cai, Kaican;Cai, Ruijun;Li, Qing;Zeng, Jingjing;Li, Mei
    • Nutrition Research and Practice
    • /
    • 제14권1호
    • /
    • pp.20-24
    • /
    • 2020
  • BACKGROUND/OBJECTIVES: Malnutrition has multiple impacts on surgical success, postoperative complications, duration of hospital stay, and costs, particularly for cancer patients. There are various nutrition risk screening tools available for clinical use. Herein, we aim to determine the most appropriate nutritional risk screening system for esophageal cancer (EC) patients in China. SUBJECTS/METHODS: In total, 138 EC patients were enrolled in this study and evaluated by experienced nurses using three different nutritional screening tools, the Nutrition Risk Screening 2002 tool (NRS2002), the Patient-generated Subjective Globe Assessment (PG-SGA), and the Nutrition Risk Index (NRI).We compared sensitivity, specificity, positive and negative likelihood ratios, and Youden index generated by each of the three screening tools. Finally, cut-off points for all three tools were re-defined to optimize and validate the best nutritional risk screening tool for assessing EC patients. RESULTS: Our data suggested that all three screening tools were 100% sensitive for EC patients, while the specificities were 44.4%, 2.96%, and 59.26% for NRS 2002, PG-SGA, and NRI, respectively. NRI had a higher positive likelihood ratio as well as a higher area under the receiver operating characteristic curve compared to those of NRS 2002 and PG-SGA; although, all three tools had null negative likelihood ratios. After adjusting the cut-off points, the specificity and accuracy for all tools were significantly improved, however, the NRI remained the most appropriate nutritional risk screening system for EC patients. CONCLUSIONS: The NRI is the most suitable (highest sensitivity and accuracy) nutritional risk screening tool for EC patients. The performance of the NRI can be significantly improved if the cut-off point is modified according to the results obtained using MedCalc software.

영양적으로 균형 있는 아동급식사업용 도시락의 적정한 용기 크기 및 음식 구성 (Appropriate Size and Dish Combination of Nutritional-Balanced Lunch Boxes Delivered to Children Under the Government-Funded Meal Service Program in Korea)

  • 아사노가나;윤지현;윤보람
    • 대한지역사회영양학회지
    • /
    • 제14권5호
    • /
    • pp.565-575
    • /
    • 2009
  • The purpose of this study was to propose the appropriate sizes and dish combination for nutritional-balanced lunch boxes delivered to children under the government-funded meal service program in Korea. The study was based on the 3 : 1 : 2 Meal Box Magic, a nutrition education method developed in Japan. A total of 290 lunch menus, comprising of 10 day menus from 29 organizations having delivered lunch boxes to children during summer vacation of 2008, were analyzed and used as the base data for lunch box combination. Dishes of the menus were classified into 6 groups: Rice group, Protein side dish group (including meat, fish, egg, and bean dishes), Vegetable side dish group, Kimchi group (including kimchi and jangajji), Soup stew group, and the other group. Nutrient analysis was conducted for 100 ml of these dishes by CAN Pro 3.0 utilizing volume and weight conversion data used for analysis of the Korea Health and Nutrition Examination Survey and those from the Nutrient Composition of Food for Consumers. All the possible combinations of 5 dishes, comprising of 3 dishes from Rice group, Protein side dish group, and Kimchi group, respectively, and 2 dishes from Vegetable side dish group, were made using the frequently served dishes from the respective dish group. Nutrient analysis of each combination was conducted based on the assumption that a lunch box was 600 ml and filled up to 80% by dishes using the volume ratio of 3 : 1 : 1.5 : 0.5 for Rice group : Protein side dish group : Vegetable side dish group : Kimchi group. The mean and standard deviation of energy and nutrients of all combinations calculated by weighting the serving frequency of each dish selected for the combinations were $621\pm81$ kcal for Energy, $22.1\pm5.0$ g for Protein, $120\pm45$ mg for Calcium, $4.1\pm1.1$ mg for Iron, $201\pm130\;{\mu}g$ RE for Vitamin A, $0.34\pm0.10$ mg for Thiamin, $0.27\pm0.10$ mg for Riboflavin, and $24.3\pm9.6$ mg for Vitamin C. The energy percentages from Carbohydrate, Protein and Fat were 66%, 14% and 20%. The analysis results met the nutrition standard of lunch boxes for male elementary students in grades 4 through 6 under the government-funded meal service program regarding calories, nutrients except calcium and riboflavin, and macronutrient distribution ranges. Accordingly appropriate box sizes were suggested for different age and sex groups to meet the respective nutrition standards. In addition, milk or dairy products were suggested to accompany lunch boxes to supplement calcium and riboflavin intake. The method of selecting box sizes and making dish combination suggested in this study could be useful for the organizations preparing lunch boxes under the government-funded children's meal service program where nutrition professionals are not available.

과학위성용 자력계 탑재체 개발에 관한 연구 (DEVELOPMENT OF A FLUXGATE MAGNETOMETER FOR THE KITSAT-3 SATELLITE)

  • 황승현;이동훈;민경옥;신영훈;이대희;최정림
    • Journal of Astronomy and Space Sciences
    • /
    • 제14권2호
    • /
    • pp.312-319
    • /
    • 1997
  • 과학적 목적으로 탑재되는 자력계(magnetometer)는 지구 근접 우주환경을 관측하는데 있어서 필수적인 탑재 체이다. 우주환경의 직접적인 전자기적 변화는 자기장과 전기장의 측정으로 알 수 있다. 실제 관측에 있어서 전기장의 관측은 기술적으로 어렵지만 자기장은 비교적 관측이 용이하다. 따라서 자기장을 측정하는 자력계는 과학위성의 기본적인 탑재 체들의 하나로 인식되어왔다. 본 연구에서는 1998년 7월경에 발사 예정인 우리별 3호의 과학 탑재체인 fluxgate 자력계를 개발한 결과를 보고한다. 우리별 1, 2호에 탑재된 자력계는 단순히 위성의 자세 제어를 위해 제작되었으나, 우리별 3호에서는 자세 제어뿐만 아니라 우주과학 적인 측정을 위한 자력계가 탑재될 예정이다. 우리별 3호는 1998년 7월경에 발사 예정이며 고도는 720km, 궤도는 원형 태양 동기 궤도, 무게는 약 100kg, 전력은 최대 150W이다. 그리고 과학 탑재 체로는 우주복사영향 측정기(Radiation Effect Microelectronics), 고 에너지 입자 검출기 (High Energy Particle Telescope), 정밀 자력계(Scientific Magnetometer), 전자 온도 측정기(Electron Temperature Probe)가 있다. 우리별 3호에 탑재 예정인 정밀 자력계는 기본적으로 우리별 1, 2호에 탑재된 자력계의 회로를 추가 보정 하여 넓은 우주 공간에서 일어나는 자기장 변화 현상을 관측하기에 적절한 분해능인 5nT를 기준으로 개발하였다. 일본의 자력계 전문 회사인 Tierra Tecnica사에서 자력계의 보정(calibration)과 잡음 레벨 시험(noise level test)을 수행하였다.

  • PDF

목탄계 건축자재에 의한 포름알데히드 흡착 (Adsorption of Formaldehyde by Wood Charcoal-Based Building Materials)

  • 이오규;최준원;조태수;백기현
    • Journal of the Korean Wood Science and Technology
    • /
    • 제35권3호
    • /
    • pp.61-69
    • /
    • 2007
  • 실내 공기질 향상을 목적으로 사용되는, 목탄과 모르타르 또는 천연 페인트가 혼합된 건축재료에 대한 포름알데히드 제거효과를 분석하기 위하여, 포름알데히드를 소정의 농도로 조절한 밀폐 용기에 이들 목탄계 건축자재를 넣고 일정시간 동안의 처리 과정을 거친 후 잔류 포름알데히드를 DNPH (2,4-Dinitrophenyl hydrazine) 카트리지를 통해 수집하고 HPLC 분석을 통해 잔류농도를 측정하여 목탄건축자재에 의한 포름알데히드 제거성능을 조사하였다. 목탄 및 목탄 바이오 모르타르의 포름알데히드 흡착 실험결과, 두 시료군 모두에서 목탄 5, 10, 15%를 함유한 시료의 단위중량 당 포름알데히드 제거량은 목탄을 함유하지 않은 시료에 비해 3배 이상 높았으며 포름알데히드 제거율은 약 80~90% 이상이었다. 수성 목탄 페인트의 포름알데히드 흡착 실험결과 또한 비슷하여, 목탄 15, 20, 25%를 함유한 시료의 단위중량 당 포름알데히드 제거량은 목탄을 함유하지 않은 시료에 비해 3배 가량 높았으며 포름알데히드 제거율은 90% 이상이었다. 포름알데히드는 목탄 제조 과정 중 목재의 리그노셀룰로스 성분의 구조변화로 인해 형성된 탄소 골격인 그라핀(Graphene)층 표면이나 가장자리에 형성된 흡착형 'O' 또는 'OH'관능기와 결합하여 흡착되는 것으로 판단된다.

20년 이상 장기저장된 홍삼의 이화학적 특성변화 및 품질안정성 (The Changes of Physicochemical Characteristics and Quality Stability of Korean Red Ginseng (Panax ginseng C.A. Meyer) Stored over 20 Years)

  • 곽이성;한민우;배봉석;안남근;유혜영;박철수;백인호;조병구
    • 생약학회지
    • /
    • 제48권4호
    • /
    • pp.329-338
    • /
    • 2017
  • This study was investigated the changes of quality stability and physicochemical characteristics of the Korean red ginsengs stored for a long times over 20 years. The Korean red ginsengs were stored for 4 to 22 years in canned packaging with polypropylene film and wooden box at room temperatures. The unusal phenomena such as discoloration and pin hole in packaging were not observed. General bacteria showed the vlaues of below 100 CFU/g, coliform groups and molds were not found in any samples stored for 22 year. Any samples also were not detected in mycotoxins. The contents of moisture, ash and crude saponin were the levels of 10.6~11.1%, 3.8~4.2% and 4.1~4.7% during the whole storage periods, respectively. The contents of maltol, which has been known as characteristic flavour and antioxidant of Korean red ginseng, showed remarkably increasing tendency from 0.10 mg/g for 4 years to 2.53 mg/g for 22 years during the storage. The contents of AFG (arginyl-fructosyl-glucose), arginine and free sugar were slightly decreased. Acidic polysaccharide and ginsenoside were not changed significantly during the storage periods. The contents of acidic polysaccharide and total ginsenosides were the 75.1~76.3 mg/g and 15.1~16.6 mg/g, respectively. The sums of ginsenoside-Rg1,-Rb1 and -Rg3s were the ranges of 9.3~9.9 mg/g and PD (ginsenoside-Rb1, -Rb2,-Rc,-Rd,-Rg3s,-Rg3r)/PT (ginsenoside-Rg1,-Rg2,-Re,-Rf,-Rh1) saponin ratios were the levels of 1.4~1.5. These results suggest that Korean red ginsengs stored for long periods show relatively stable quaility stabilities and not significantly changed the contents of ginsenoside and polysaccharide during the storage up to 22 years.

HIPIMS Arc-Free Reactive Deposition of Non-conductive Films Using the Applied Material ENDURA 200 mm Cluster Tool

  • Chistyakov, Roman
    • 한국진공학회:학술대회논문집
    • /
    • 한국진공학회 2012년도 제42회 동계 정기 학술대회 초록집
    • /
    • pp.96-97
    • /
    • 2012
  • In nitride and oxide film deposition, sputtered metals react with nitrogen or oxygen gas in a vacuum chamber to form metal nitride or oxide films on a substrate. The physical properties of sputtered films (metals, oxides, and nitrides) are strongly influenced by magnetron plasma density during the deposition process. Typical target power densities on the magnetron during the deposition process are ~ (5-30) W/cm2, which gives a relatively low plasma density. The main challenge in reactive sputtering is the ability to generate a stable, arc free discharge at high plasma densities. Arcs occur due to formation of an insulating layer on the target surface caused by the re-deposition effect. One current method of generating an arc free discharge is to use the commercially available Pinnacle Plus+ Pulsed DC plasma generator manufactured by Advanced Energy Inc. This plasma generator uses a positive voltage pulse between negative pulses to attract electrons and discharge the target surface, thus preventing arc formation. However, this method can only generate low density plasma and therefore cannot allow full control of film properties. Also, after long runs ~ (1-3) hours, depends on duty cycle the stability of the reactive process is reduced due to increased probability of arc formation. Between 1995 and 1999, a new way of magnetron sputtering called HIPIMS (highly ionized pulse impulse magnetron sputtering) was developed. The main idea of this approach is to apply short ${\sim}(50-100){\mu}s$ high power pulses with a target power densities during the pulse between ~ (1-3) kW/cm2. These high power pulses generate high-density magnetron plasma that can significantly improve and control film properties. From the beginning, HIPIMS method has been applied to reactive sputtering processes for deposition of conductive and nonconductive films. However, commercially available HIPIMS plasma generators have not been able to create a stable, arc-free discharge in most reactive magnetron sputtering processes. HIPIMS plasma generators have been successfully used in reactive sputtering of nitrides for hard coating applications and for Al2O3 films. But until now there has been no HIPIMS data presented on reactive sputtering in cluster tools for semiconductors and MEMs applications. In this presentation, a new method of generating an arc free discharge for reactive HIPIMS using the new Cyprium plasma generator from Zpulser LLC will be introduced. Data (or evidence) will be presented showing that arc formation in reactive HIPIMS can be controlled without applying a positive voltage pulse between high power pulses. Arc-free reactive HIPIMS processes for sputtering AlN, TiO2, TiN and Si3N4 on the Applied Materials ENDURA 200 mm cluster tool will be presented. A direct comparison of the properties of films sputtered with the Advanced Energy Pinnacle Plus + plasma generator and the Zpulser Cyprium plasma generator will be presented.

  • PDF