• 제목/요약/키워드: data-intensive science

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간호학생이 경험한 시뮬레이션 기반 간호교육의 디브리핑에 대한 내용분석: 호흡곤란증후군 신생아 간호를 중심으로 (Content Analysis of Debriefing after Simulation-based Nursing Education on Respiratory Distress Syndrome in the Neonatal Intensive Care Unit)

  • 강경아;김성희;김신정;이명남
    • Child Health Nursing Research
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    • 제24권2호
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    • pp.208-219
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    • 2018
  • Purpose: The purpose of this study was to explore nursing students' experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies. Methods: Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students' descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos. Results: The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize. Conclusion: This study succeeded in charaterizing learners' experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students' core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

정맥관 감염예방 근거중심 가이드라인의 권고강도 별 간호사의 지식 및 수행정도 (Nurses' Knowledge and Performance for the Prevention of Intravascular Catheter-related Infections according to the Strength of Recommendations of Evidence based Guidelines)

  • 류세앙;김윤희;장금성;정경희;최자윤;양진주;박순주
    • 성인간호학회지
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    • 제24권5호
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    • pp.546-555
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    • 2012
  • Purpose: The objective of this study was to examine the relationships between nurses' knowledge and performance for the prevention of intravascular catheter-related infections (ICRI) according to the strength of recommendations in evidence based guidelines (EBG). Methods: The total participants were 144 nurses working for medical surgical unit and intensive care unit. Data were collected from July 12 to July 30, 2010 and analyzed by one way ANOVA and Pearson's correlation analysis. Results: The knowledge and performance mean scores were $0.80{\pm}0.17$ and $3.04{\pm}0.31$ for peripheral venous catheter (PVC) management, and $0.83{\pm}0.17$ and $3.00{\pm}0.30$ for central venous catheter (CVC) management respectively. The items of category IA had the highest knowledge score (F=44.70, p<.001) and the items of category II had the highest performance score (F=47.09, p<.001) in PVC management, while the items of category IA had the highest knowledge (F=20.04, p<.001) and performance scores (F=18.20, p<.001) in CVC management. Knowledge and performance scores were significantly correlated in CVC management (r=.24, p=.004), but not in PVC management (r=.03, p=.753). Conclusion: EBG for the prevention of ICRI was not fully implemented in clinical settings. These findings emphasize that clinical professions need to develope strategies to enhance nursing practices with evidence based guideline.

후기 미숙아의 모유수유 실천 정도와 모유수유 실천 예측 요인: 재태기간 34주 미만 미숙아와의 비교 분석 (Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age)

  • 장군자;이상락;김현미
    • 대한간호학회지
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    • 제42권2호
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    • pp.181-189
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    • 2012
  • Purpose: This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm ($34{\leq}GA<37$) and preterm infants (GA<34). Methods: A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits. Results: Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score. Conclusion: Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.

수산 음향 기법을 이용한 연안 저서 어군의 시.공간 분포 및 안정성 조사 (Hydroacoustic Survey of Spatiotemporal Stability and Distribution of Demersal Fish Aggregations in the Coastal Region)

  • 강돈혁;이창원;조성호;명정구
    • Ocean and Polar Research
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    • 제30권1호
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    • pp.79-87
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    • 2008
  • Hydroacoustic technique was used to analyze spatiotemporal stability and distribution of demersal fish aggregations in the coastal region to overcome some limitations of the existing methods such as net and diving. The survey was carried out in the Baekeum Bay on the south coast of Korea in January 2007. The bottom depth in the study site ranges from 7 to 25 m. In order to outline aggregations of demersal fish initial scanning using 200 kHz split-beam transducer was randomly conducted over the large area. Having detected fish aggregation in the specific region, intensive acoustic survey of irregular star pattern was carried out along 14 transects across the area in question. The results of the acoustic survey show that all demersal fish aggregations are concentrated about 5 m from sea bottom having a slight slope and remain steady with no spatial or temporal variations during acoustic survey. The hydroacoustic method used in this study offers a new approach to understand vertical and horizontal distribution, spatiotemporal stability, and biomass estimate of demersal fish aggregations in coastal regions. Additionally, the number of individual fish estimated from in situ acoustic target strength data can be used to understand the standing stock of demersal fish aggregation.

PM2.5 예보를 위한 모델 성능평가와 편차보정 효과 분석 (Model Performance Evaluation and Bias Correction Effect Analysis for Forecasting PM2.5 Concentrations)

  • 김영성;최용주;김순태;배창한;박진수;신혜정
    • 한국대기환경학회지
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    • 제33권1호
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    • pp.11-18
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    • 2017
  • The performance of a modeling system consisting of WRF model v3.3 and CMAQ model v4.7.1 for forecasting $PM_{2.5}$ concentrations were evaluated during the period May 2012 through December 2014. Twenty-four hour averages of $PM_{2.5}$ and its major components obtained through filter sampling at the Bulgwang intensive measurement station were used for comparison. The mean predicted $PM_{2.5}$ concentration over the entire period was 68% of the mean measured value. Predicted concentrations for major components were underestimated except for $NO_3{^-}$. The model performance for $PM_{2.5}$ generally tended to degrade with increasing the concentration level. However, the mean fractional bias (MFB) for high concentration above the $80^{th}$ percentile fell within the criteria, the level of accuracy acceptable for standard model applications. Among three bias correction methods, the ratio adjustment was generally most effective in improving the performance. Albeit for limited test conditions, this analysis demonstrated that the effects of bias correction were larger when using the data with a larger bias of predicted values from measurement values.

전문방사선사 제도의 개발에 관한 연구 (A Study on System Model of Clinical Specialist in Radiologic Technology)

  • 최종학;김유현;강희두;오문규;김병도;한승희
    • 대한방사선기술학회지:방사선기술과학
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    • 제23권1호
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    • pp.63-76
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    • 2000
  • License system of radiologic technologists has been started since 1965 in Korea. This study is to explore directions on radiotechnologists' license system classified by subspecialty. For this purpose, the authors surveyed on radiotechnologists' license system classified by subspecialty, with the subject related to radiotechnologic societies. Additionally, data on qualification and license system associated with medical and health care field were collected. The results are as follows. 1. The main body for subspecialty system for radiologic technologists should be the Korea Radiologic Technologists Association and the Association should maintain a close cooperation with radiotechnologic societies. 2. A radiologic technologist should be a basic role once they pass the license examination. In addition, they can get a special qualification by subspecialty in radiologic technology. 3. Radiotechnologists' license system classified by subspecialty will be keep priorities in order and done systematically. Execution order is as follows ; This study proposes that radiotechnologists responsible for ultrasonography, computed tomography(CT), magnetic resonance imaging(MRI) and security management be started for the first stage. For the second stage, radiotechnologists for mammography, angio-cardiography, digital imaging, maxillo-facial and dental radiography, nuclear medicine, radio-therapeutic field should be in force. 4. Professional education course(basic and intensive) and clinical training program have to be made for the eligibility of radiotechnologists' license system classified by subspecialty. 5. Eligibility system of radiotechnologists' license system classified by subspecialty(non-government or government) has to be made. Further more, inquiry commission to investigate eligibility for radiotechnologists' license system should be established.

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Developing a Dynamic Materialized View Index for Efficiently Discovering Usable Views for Progressive Queries

  • Zhu, Chao;Zhu, Qiang;Zuzarte, Calisto;Ma, Wenbin
    • Journal of Information Processing Systems
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    • 제9권4호
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    • pp.511-537
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    • 2013
  • Numerous data intensive applications demand the efficient processing of a new type of query, which is called a progressive query (PQ). A PQ consists of a set of unpredictable but inter-related step-queries (SQ) that are specified by its user in a sequence of steps. A conventional DBMS was not designed to efficiently process such PQs. In our earlier work, we introduced a materialized view based approach for efficiently processing PQs, where the focus was on selecting promising views for materialization. The problem of how to efficiently find usable views from the materialized set in order to answer the SQs for a PQ remains open. In this paper, we present a new index technique, called the Dynamic Materialized View Index (DMVI), to rapidly discover usable views for answering a given SQ. The structure of the proposed index is a special ordered tree where the SQ domain tables are used as search keys and some bitmaps are kept at the leaf nodes for refined filtering. A two-level priority rule is adopted to order domain tables in the tree, which facilitates the efficient maintenance of the tree by taking into account the dynamic characteristics of various types of materialized views for PQs. The bitmap encoding methods and the strategies/algorithms to construct, search, and maintain the DMVI are suggested. The extensive experimental results demonstrate that our index technique is quite promising in improving the performance of the materialized view based query processing approach for PQs.

한국 신장이식 대기자의 심리사회적 평가 및 영향 요인 (Psychosocial Assessment and Related Factors for Kidney Transplantation Candidates in South Korea: A Descriptive Correlational Study)

  • 정혜진
    • Journal of Korean Biological Nursing Science
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    • 제21권4호
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    • pp.249-258
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    • 2019
  • Purpose: The purpose of this study was to assess the psychosocial status of candidates for deceased donor kidney transplantation (DDKT) in South Korea and identify factors associated with high-risk psychosocial status. Methods: The descriptive cross-sectional design included application of a standardized transplantation-specific assessment tool, the Psychosocial Assessment Candidacy Transplantation (PACT) instrument, and review of candidates' medical records. A total of 157 patients awaiting DDKT were recruited from a Korean organ transplantation center. The collected data were analyzed using descriptive statistics and binary logistic regression. Candidates were divided into high- and low-psychosocial risk groups using 3 as the cutoff point of PACT. Results: The mean score for the PACT final rating was 2.10, and the lowest average subscale score was 2.30 for understanding the processes of transplantation and follow up. Poor physical candidacy, especially due to comorbidities, and older age were associated with high psychosocial risk. Conclusion: The results of this study showed that the psychosocial status of Korean DDKT candidates was problematic. Development of systematic management programs for effective clinical strategies in the care of candidates is crucial to maintain their desirable psychosocial status in case of an emergency DDKT operation and improve post-transplantation outcomes. Continuous education is absolutely necessary to enhance understanding of the transplantation process for high-risk psychosocial candidates. Additionally, nurses and transplantation professionals should screen candidates with high-risk psychosocial status early in the process using transplantation-specific assessment tools and provide intensive interventions, particularly for poor physical candidacy patients and older candidates.

도서관 SNS 마케팅 활성화 방안에 관한 연구 (A Study on the Optimization of Library SNS Marketing)

  • 김지은;노영희
    • 한국비블리아학회지
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    • 제24권3호
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    • pp.157-180
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    • 2013
  • 도서관마케팅에 대한 관심이 높아지고 있는 가운데, 국내외 도서관에서 SNS를 마케팅에 활용하는 사례가 늘어나고 있다. 이에 본 연구에서는 도서관 SNS 마케팅의 운영현황 및 문제점 분석을 기반으로 그 활성화방안을 모색하고자 하였다. 연구결과, 도서관마케팅과 도서관 SNS 마케팅에 대한 사서들의 인식은 높게 나타난 반면, 마케팅 전담인력의 부족, 마케팅교육의 부족, 낮은 도서관 SNS의 주당 평균 게시물 업로드 수 및 도서관 SNS 친구(팔로워) 수 등의 문제가 있는 것으로 나타났다. 이를 기반으로 본 연구에서는 도서관 SNS 마케팅을 지속 발전시키고 효과적인 도서관 SNS 운영을 위한 방안을 다섯 가지로 제시하였다. 첫째, 도서관마케팅 전담팀을 구성하여 효과적인 도서관 SNS 마케팅을 수행하게 하고, 둘째, 사서들의 마케팅 교육을 통해 실패없이 도서관 SNS를 운영하게 하며 셋째, 정기적인 자료 업데이트를 통하여 활발한 도서관 SNS를 운영해야 한다. 넷째, 이용자와의 커뮤니케이션을 통하여 이용자에게 필요한 서비스와 정보를 제공해야 하며, 다섯째, 각 SNS의 채널별 특징을 파악한 후 SNS를 효과적으로 운영할 수 있도록 해야 한다.

기계적 혈전제거술을 시행한 허혈성 뇌졸중 환자의 뇌재관류 손상 위험요인과 임상결과 (Risk Factors and Clinical Outcomes of Brain Reperfusion Injury after Mechanical Thrombectomy for Ischemic Stroke)

  • 문지현;최혜란
    • Journal of Korean Biological Nursing Science
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    • 제23권3호
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    • pp.217-226
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    • 2021
  • Purpose: The aim of this study was to investigate the risk factors for brain reperfusion injury in ischemic stroke patients and to analyze the clinical outcomes. Methods: A retrospective study was conducted in 168 patients who underwent mechanical thrombectomy. The data were analyzed using descriptive statistics, t-test, Mann-Whitney U test, Chi-Square test, Fisher's exact test, and logistic regression with IBM SPSS/WIN 24.0. Results: Brain reperfusion injury occurred in 67 patients (39.9%) with a low favored outcome (𝛘2=6.01, p=.014). On multivariable analysis, blood urea nitrogen (Odds ratio [OR]=1.14, 95% Confidence interval [CI]=1.06-1.23), aphasia (OR=6.16, CI=1.62-23.40), anosognosia (OR=4.84, CI=1.13-20.79), presence of both aphasia and anosognosia (OR=7.33, CI=1.20-44.60), and time required to achieve targeted blood pressure (OR=1.00, CI=1.00-1.00) were identified as risk factors for brain reperfusion injury. A statistically significant difference was detected in clinical outcomes, including hemorrhagic transformation (𝛘2=6.32, p=.012), intensive care unit length of stay (Z=-2.08, p=.038), National Institute of Health Stroke scale score at discharge (Z=-3.14, p=.002), and modified Rankin Scale score at discharge (Z=-2.93, p=.003). Conclusion: This study identified the risk factors and presented the clinical outcomes of brain reperfusion injury. It is necessary to consider these risk factors for evaluating the patients and to establish nursing interventions and strategies.