• Title/Summary/Keyword: head of bed

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An Analysis of Nursing Managerial Competencies;Military Hospital Head Nurses (병동선임간호장교의 간호관리역량 격차분석과 원인조사)

  • Lee, Sun-Mee
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.37-50
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    • 1997
  • The purpose of this study was to identify the gap between need-level and demonstration-level in nursing managerial competencies. In addition, the study proposes solutions to narrow this gap. The results of this study are as follows : 1) The mean score for need-level of each item was 4.0, and for demonstration-level, 3.5. This indicates that military hospital head nurses demonstrate a higher level of managerial competencies than the moderate level on all items. But items which were related to resource/ cost/ information managament, staff development management and professionalism management got relatively low ratings in the need-level. 2) The mean score for need-level of each category was 4.14, and for demonstration-level, 3.53. Categories on the individual dimension got a higher rating than categories on the group or organization dimension in both need-level and demonstration level. 3) The gap between need-level and demonstration-level appeared in all items(p<.05) and categories(p<.001). Although the gap was relatively low, it indicates that it is essential to plan a developmemt program for all nursing management competencies for military hospital head nurses. 4) There were significant differences in the gap between need-level and demonstration-level according to specific characteristics of the subjects. The gap did not appear in many categories on the individual dimension where the number of nursing staff was more than 10, a major grade, ICU head nurse or for head nurses having a long career. 5) Need-level and demonstration-level showed a difference according to specific characteristics of the subjects, because need-level and demonstration-level were higher where the number of nursing staff was more than 10, a major grade, and for ICU or Medical ward head nurses. The categories which showed need-level difference and demonstration-level differences according to specific characteristics of the subjects existed almostly completely in the group and organization dimension. Gap-level differences according to the number of hospital bed existed in only two categories. 6) The general causes of the gap were indicated to be 'Knowledge/ skill/ experience deficit', 'Limitation of rules and systems/ Inappropriate organizational environment' for most items, categories, and dimensions. The results of this study indicate that extensive competency developing strategies must be developed, because a gap was found in all items and categories. Specially, there is a need to concentrate attention on competencies in the group and organizational dimension which had a wider gap level. And it is important to take an individual approach according to the cause for each gap. In order to produce effective competency developing strategies, top managers must have sinsights into the importance of nursing staff development and nursing officer's efforts to develop themselves must be achieved. Further multi-dimensional(education, personnel-policy, nursing/ organizational environment) solutions to the gap must be developed and utilized.

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Measurement of nursing students' sleep using by an automated wireless sleep tracker and subjective sleep scales (간호대학생에서 자동화 무선 수면추적기와 주관적 수면도구를 이용한 수면측정)

  • Kim, Mi Jong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.4
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    • pp.434-443
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    • 2012
  • Purpose: This study was conducted to investigate sleep patterns in nursing students as measured by an automated wireless sleep tracker and self-reported sleep scales. Methods: Data were collected from October, 2011 to May, 2012. ZQ (a symbolic number that measures the quality and quantity of sleep) was calculated from the automated wireless sleep tracker. Pittsburgh Sleep Quality Index-Korean version, Sleep scale A, and sleep satisfaction were used as self-report sleep scales. Female nursing college students (n=37) were recruited by convenience sampling. Before going to bed, they were asked to put on a head-band type sleeping sensor and to move it the next morning. Every student slept 2~4 nights with the sleep tracker. Data were collected for 86 (91.4%) of 94 nights' sleep. The students were also requested to fill in the PSQI-K, sleep scale A, and sleep satisfaction. Results: The only statistically significant correlation was between ZQ and sleep satisfaction (r=.869, p=.026). The biggest obstacle in using this device was putting on the head-band type sensor. Conclusion: Validity of the wireless sleep tracker was verified in part. The usefulness of this device in nursing research and practice was identified. Further evaluation need to be conducted with various populations.

Development of Robot System for Colony Picking (II) - Performance test of the robot system - (콜로니 픽킹 로봇 시스템의 개발 (II) - 로봇 시스템의 성능실험 -)

  • 이현동;김기대;나건영;이영규
    • Journal of Biosystems Engineering
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    • v.28 no.5
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    • pp.449-456
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    • 2003
  • A robot system was developed to pick desired colony. This robot system consisted of an image acquisition process which acquires the image information of colony, an illumination device which irradiates the object once when it gets the image of it, a picking head, a replicating head, a bed for fixing well-plates, and a sterilization device of sterilizing pin stained with colony. Picking pins were washed in an ultrasonic wave washing for takes ten seconds. Picking pins were dipped for sterilizing in alcohol for ten seconds. The time for resterilizing picking pins in a heater was five seconds. This performance test resulted 100% success rate for both the colony picking and the colony replication process. Considering the procedure in which 8 pins were smeared by colony, picked on a well plate, and sterilized as one cycle, the system could carry out one cycle in 110 seconds. It took about 138 minutes to pick around 600 colonies.

Dual Super Cluster Head Underwater Sensor Network Routing Protocol (듀얼 슈퍼 클러스터 헤드 해양 센서 네트워크 라우팅 프로토콜)

  • Chang, Young-Il;Shin, Soo-Young;Prak, Hyun-Mun;Park, Soo-Huyn
    • Journal of the Korea Society for Simulation
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    • v.15 no.4
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    • pp.87-96
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    • 2006
  • Wireless Sensor Network (WSN) is researched in various filed. Underwater Sensor Network (UWSN) is used various purpose such as underwater environment monitoring. But, WSN is researched in the terrestrial that uses mainly radio frequency, The existing terrestrial research is incongruent to apply to underwater. Therefore, we propose UWSN architecture that considers underwater environment. In this paper, UWSN applied cluster technique and functional node constructs. Each cluster collects and sends cluster data. Dual super cluster head receives cluster data and transmits each in the base-station. We implement WSN routing algorithm, and construct test-bed and analyze cluster data receive rate.

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Chemical Effects on Head Loss across Containment Sump Strainer under Post-LOCA Environment (LOCA이후 환경에서 원자로건물집수조 여과기의 수두손실에 대한 화학적 영향)

  • Ku, Hee-Kwon;Jung, Bum-Young;Hong, Kwang;Jeong, Eun-Sun;Jung, Hyun-Jun;Park, Byung-Gi;Rhee, In-Hyoung;Park, Jong-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3260-3268
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    • 2009
  • A test apparatus has been fabricated to simulate chemical effect on head loss through a strainer in a pressurized water reactor (PWR) containment water pool after a loss of coolant accident (LOCA). Tests were conducted under condition of same ratio of strainer surface area to water volume between the test appratus and the containment sump. A series of tests have been performed to investigate the effects of spray, existence of calcium-silicate with tri-sodium phosphate (TSP), and composition of materials. The results showed that head loss across the chemical bed with even a small amount of calcium-silicate insulation instantaneously increased as soon as TSP was added to the test solution. Also, the head loss across the test screen is strongly affected by spray duration and is increased rapidly at the early stage, because of high dissolution and precipitation of aluminum and zinc. After passivation of aluminum and zinc by corrosion, the head loss increase is much slowed down and is mainly induced by materials such as calcium, silicon, and magnesium leached from NUKONTM and concrete. Furthermore, it is newly found that the spay buffer agent, tri-sodium phosphate, to form protective coating on the aluminum surface and reduce aluminum leaching is not effective for a large amount of aluminum and a long spray.

Tracheostomy Performed by a Head and Neck Surgeon Under the Supervision of an Intensive Care Unit Specialists in the COVID-19 Era: A Retrospective Analysis (COVID-19 시대에 중환자실 전담의사 감독 하에 두경부 전문의에 의해 시행된 기관절개술에 대한 후향적 분석 연구)

  • Han, Won Ho;Lee, Yun Im;Baek, Sunhwa;Seok, Jungirl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.97-102
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    • 2022
  • Background and Objectives Tracheostomy is a relatively safe procedure, and the recent emergence of COVID-19 has raised the need to perform tracheostomy immediately in the bed of an intensive care unit (ICU) rather than an operating room. The purpose of this study was to determine the occurrence of complications related to surgical tracheotomy performed in the ICU by an ENT specialist. Materials and Method From March 2019 to January 2022, a total of 101 patients underwent tracheostomy in the ICU. Demographics and complications were classified according to postoperative period. Results Within 24 hours after the procedure, bleeding events were confirmed in 2 patients (2.0%) with mild bleeding. One case (1.0%) of ventricular fibrillation occurred shortly after the procedure. There were no complications from 24 hours to 1 week after procedure. After one week, 4 patients (4.5%) had a local infection, and 3 patients (3.4%) had a tube obstruction. During all follow-up periods, there were no serious side effects such as death, major vascular injury, pneumothroax. No complications were observed throughout the entire period in 6 COVID-19 patients. Conclusion The number of complications of surgical tracheotomy in the ICU performed by a specialist was lower than in previous studies, and there were no complications that delayed treatment or endangered life. The ENT training hospitals should provide sufficient training opportunities for residents to perform surgical tracheostomy and strive to minimize complications associated with the procedure and pre- and post-operative management under the detailed guidance and supervision of specialists.

Study on the Utilization of Sawdust Bedding Barn for Dairy Cows II. Comparision of utilization efficiency of the different depth of sawdust bedding for dairy cows (착유우의 톱밥발효우사 이용 연구 제2보 :착유우 톱밥발효우사의 톱밥상 처리방법에 따른 이용효과 비교)

  • 권두중;권응기;정석근;한정대;정석찬;강승원;강상열;정형섭;장학주
    • Journal of Animal Environmental Science
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    • v.1 no.2
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    • pp.117-124
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    • 1995
  • This study was carried out to investigate the effect of depth of sawdust bedding and ground material in dairy cattle barn. Treatment included the concrete floor with a 10cm or 30cm sawdust and the earth floor with a 30cm sawdust. Eighteen cows were assigned to 3 pens with 16.5㎥/head bedding area. The results obtained were as follows : 1. The temperature of sawdust bed was highest in the earth floor with 30cm sawdust, and the moisture content of sawdust bed was highest in the concrete floor with 10cm sawdust bed. 2. Cows defecate feces 9.2, 8.7 and 9.3 times a day in 10cm sawdust on concrete floor(10S+C), 30cm sawdust on concrete floor(30S+C) and 30cm sawdust on non concrete floor(30S+ NC) respectively. In average, they excreta 9.1 times/day(85.8%) in the sawdust beds and 1.5 times/day(14.2%) in the feeding alley. 3. The ratio of daily water amount deposited vapor to total water amount deposited in sawdust beds was 74.0%, 61.5% and 47.1% in 10S+C, 30S+C and 30S+NC respectively. 4. N.P.K contents in the sawdust beds were higher for 10S+C compared with other treatments. 5. When 30cm of sawdust was applied on the earth ground NO$_3$-N contents in the sawdust bed was 37.7, 14.1 and 15.0ppm in depth of 30, 60 and 90cm under the ground, respectively, indicating some possibility of water pollution.

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Improvement of Efficiency in Surface Washing of Granular Filters (여과지 표면역세척 공정의 효율개선)

  • Ahn, Jong-Ho;Kim, Ja-Kyum;Yoon, Jae-Heung;Shin, Ik-Sang
    • Journal of Korean Society of Water and Wastewater
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    • v.13 no.2
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    • pp.41-46
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    • 1999
  • Backwashing is an important process for the efficient operation of granular filters, and the efficiency of the surface washing among the backwashing processes can affect the filtrations rate and filter run-time. In this study, the efficiency of surface washing is evaluated using real filters for three cases: with surface washing (with and without drainage of water to the surface of filter bed) and without surface washing. As a result, in the case of adopting both the drainage and surface washing, the filter of which condition is initially worse than those of the other filters shows improvement in head-loss development, filtration velocity, filter run-time, and total filtration volume. On the other hand, the conventional method of surface washing rarely has an effect on the filter washing.

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MANAGEMENT OF CHYLOUS FISTULA (CASE REPORT) (CHYLOUS FISTULA의 처치)

  • Jeon, Ju-Hong;Park, Kee-Kwang;Cho, Kyung-Yup
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.202-207
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    • 1995
  • Chylous fistula is a rare complication occurring after radical neck dissection. Previous reports on neck dissection described an incidence of about 1% to 2%. We report a case of chylous fistula that occurred after radical neck dissection for squamous cell carcinoma of left lower gingiva and mandible in a 52-year-old man. We successfully managed the fistula by the following conservative measures : bed rest with head elevation, continuation of closed suction drainage, and dietary management to decrease the rate of chyle formation.

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Analysis and effectiveness of biological thin Layer (Schmutzdecke) on the sand surface in slow sand filtration processes (완속여과 공정에서 표층 생물막 생성 및 제어와 원인조류 규명)

  • Kim, Seong-Su;Park, No-Suk;Kim, Chung-Hwan;Park, Jong-Keun
    • Journal of Korean Society of Water and Wastewater
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    • v.22 no.3
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    • pp.289-298
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    • 2008
  • Because of their simplicity, efficiency, and economy, slow sand filters are appropriate means of water treatment for small water systems. Biological activity within the sand bed have the strongest influence on removal efficiency of pollutants by slow sand filtration. This report investigated the microorganisms(algae) of slow sand filtration pilot plant at Y water treatment plant. Data were collected at inflow and slow sand filtration from May to October, 2007. The results indicated that the light exposure was influenced on microorganism in slow sand filtration according to the formation of algal biofilm. The relative contribution of biomass and accumulated particulates to head loss development in slow sand filters requires further study.