• The Journal of Korean Academic Society of Nursing Education
• /
• v.20 no.1
• /
• pp.60-70
• /
• 2014

Purpose: Bedside electrocardiograph (ECG) monitoring is continuously used for assessing patients' cardiac status in intensive care units. However, it has not been explored whether it is used with proper knowledge and nursing practices; if not, its usage will be limited and the risk for compromised patient safety might be significant. This study, therefore, explored knowledge and nursing practices regarding bedside ECG monitoring in nurses working at intensive care units. Methods: Participants in this survey research were a convenience sample of 156 nurses from 25 intensive care units distributed in five hospitals with more than 1,000 beds each in Seoul, South Korea. Results: Participants showed limited and incorrect knowledge and nursing practices. Only 4 (2.6%) participants correctly answered to all electrode placement sites of RA, LA, LL, and V1. Lead II was the most frequently monitored unit regardless of the main purpose of ECG monitoring, and nursing practices to manage noisy signals did not include skin care at the top priorities. Conclusion: Educators and clinicians alike need to make an effort to ensure that a safe level of knowledge and practices for the monitoring is maintained in order to make sure that patient outcomes are not compromised.

• Journal of Biomedical Engineering Research
• /
• v.22 no.4
• /
• pp.377-383
• /
• 2001

In this paper, we present an intensive patient monitoring service through the Internet, which enables medical doctors to watch their patients in a remote site, to monitor their vital signs and to give them some advices for first-aid treatment. The service consists of three service objects: Monitoring Information Service(MIS), Vital Sign Monitoring Service(VSMS) and Multimedia Consulting (MCS). Through the MIS, medical doctors can get information about the patients currently under monitoring, including their names, ages, genders, symptoms, current main complaints and current locations. The VSMS enables medical doctors to monitor in real-time patients' vital signs such as electrocardiogram (ECG), respiration, temperature, blood oxygen saturation (SpO$_{2}$), invasive blood pressure (IBP), and non-invasive blood pressure (NIBP). It also generates alarms when the patients are likely to be in a critical situation. The MCS provides a real-time multimedia desktop conferencing facility for watching patients and instructing attendants to administer some first-aid treatment. We carried out some experiments according to two different scenarios. The intensive patient monitoring service was functioning well in a 100Base-T Ethernet LAN environment.

• Korean Journal of Clinical Pharmacy
• /
• v.25 no.3
• /
• pp.138-144
• /
• 2015

Objective: It is to evaluate the drug interaction monitoring program as a pilot project to develop a pharmaceutical care model in a medical intensive care unit and to analyze the influencing factors of drug interactions. Method: Electronic medical records were retrospectively investigated for 116 patients who had been hospitalized in a medical intensive care unit from October to December in 2014. The prevalence of adverse reaction with risk rating higher than 'D' was investigated by Lexi-$Comp^{(R)}$ Online database. The factors related with potential drug interaction and with treatment outcomes were analyzed. Results: The number of patients with a potential interaction of drug combination was 92 (79.3%). Average ages, the length of stay in the intensive care unit and the numbers of prescription drugs showed significant differences between drug interaction group and non-drug interaction group. Opioids (14.4%), antibiotics (7.2%), and diuretics (7.2%) were most responsible drug classes for drug interactions and the individual medications included furosemide (6.4%), tramadol (4.9%), and remifentanil (4.5%). There were 950 cases with a risk rating of 'C' (84.6%), 142 cases with a risk rating of 'D' (12.6%), and 31 cases with a risk rating of 'X' (avoid combination) (2.8%). The factors affecting drug interactions were the number of drugs prescribed (p < 0.0001) and the length of stay at intensive care unit (p < 0.01). The patients in intensive care unit showed a high incidence of adverse reactions related to potential drug interaction. Therefore, drug interaction monitoring program as a one of pharmaceutical care services was successfully piloted and it showed to prevent adverse reaction and to improve therapeutic outcomes. Conclusion: Active participation of a pharmacist in the drug management at the intensive care unit should be considered.

• Journal of Korean Society for Atmospheric Environment
• /
• v.24 no.2
• /
• pp.162-175
• /
• 2008

Gyeongju, which was the central city of the ancient civilization at Silla Kingdom, has various kinds of stone cultural properties. It is significantly important to preserve historical sources of Korea. However, recent air quality data measured in Gyeongju did not show good air quality level. In order to investigate variation of the concentration of the air pollutants with meteorological condition, an air quality monitoring and an aerosol sampling were conducted during the intensive monitoring period in Gyeongju. Impacts of the meteorological factors on the air pollutants were also analyzed based on the air mass pathway categories using HYSPLIT model and the local wind patterns using MM5 model. The prevailing air mass pathways were classified into four categories as following; category I affected by easterly marine aerosols, category II affected by northwesterly continental aerosols, category III affected by southwesterly continental aerosols, and category IV affected by northerly continental aerosols. The concentrations of the air quality standards were relatively lower during the fall intensive monitoring period. At that time, the easterly marine air mass pattern was dominated. The seasonal average mass concentration of $PM_{10,Opt}$, which optically measured at the monitoring site, was the highest value of $77.6{\pm}28.3\;{\mu}g\;m^{-3}$ during the spring intensive monitoring period but the lowest value of $20.1{\pm}5.3\;{\mu}g\;m^{-3}$ during the fall intensive monitoring period. The concentrations of $SO_2$ and CO were relatively higher when the air mass came from the northwestern continent or the northern continent. The concentrations of ${SO_4}^{2-}$ and ${NO_3}^-$ increased under the northwesterly continental condition. It was estimated that the acidic aerosols were dominated in the atmosphere of Gyeongju when the air mass came from the continental regions.

• Journal of Sensor Science and Technology
• /
• v.17 no.1
• /
• pp.81-85
• /
• 2008

This paper addressed real-time urine monitoring device for intensive care patients. The device was developed to detect and count each urine drop using optical sensor and calculate the current urine output volume and its hourly rate. In experiment, the water volume scale of drainage bottle was observed and compared with the count of the device so that the volume of each drop was found to vary with the dropping rate per minute. From this measurement, the relationship equation was derived to estimate the total water volume from the drop rate (correlation coefficient : r= 0.99). The developed device could be applied to count patient's urine drop successfully. Therefore, this device can be used to monitor intensive care patient's urine status in real-time.

• Proceedings of the Korea Society of Environmental Biology Conference
• /
• 2002.05a
• /
• pp.71-71
• /
• 2002

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.6
• /
• pp.557-561
• /
• 2023

This study aims to assess how effective environmental management can be accomplished through monitoring of environmental conditions in patient discharge rooms within healthcare facilities through direct observation and the use of fluorescent markers. From March to July 2013, this study evaluated 448 check-out beds in wards and intensive care units before and 494 after intensive environmental monitoring activities. The collected data were analyzed using the SPSS 21.0 program. According to the study's findings, direct observation increased from 95.2% prior to the implementation of intensive environmental monitoring activities to 98.9% following the implementation, which was statistically significant. The non-detection rate of fluorescent markers exhibited an increase from 96.1% prior to the commencement of intensive environmental monitoring activities to 98.0% following their implementation. However, it should be noted that this observed increase was not deemed statistically significant. In light of the results of this research, it is imperative to evaluate the effectiveness of environmental management by employing a variety of assessment methods, including direct observation and fluorescent markers.

• Journal of Neurocritical Care
• /
• v.11 no.2
• /
• pp.63-70
• /
• 2018

Management of mechanical ventilation is essential for patients with neuro-critical illnesses who may also have impairment of airways, lungs, respiratory muscles, and respiratory drive. However, balancing the approach to mechanical ventilation in the intensive care unit (ICU) with the need to prevent additional lung and brain injury, is challenging to intensivists. Lung protective ventilation strategies should be modified and applied to neuro-critically ill patients to maintain normocapnia and proper positive end expiratory pressure in the setting of neurological closed monitoring. Understanding the various parameters and graphic waveforms of the mechanical ventilator can provide information about the respiratory target, including appropriate tidal volume, airway pressure, and synchrony between patient and ventilator, especially in patients with neurological dysfunction due to irregularity of spontaneous respiration. Several types of asynchrony occur during mechanical ventilation, including trigger, flow, and termination asynchrony. This review aims to present the basic interpretation of mechanical ventilator waveforms and utilization of waveforms in various clinical situations in the neuro-ICU.

• Proceedings of the Korea Air Pollution Research Association Conference
• /
• 2000.04a
• /
• pp.193-194
• /
• 2000

To investigate the characteristics of fine particles and the relationships between pollutant concentrations and long-range transport patterns in Asia area, continuous every 6-day sampling (case 1) and an intensive field sampling (case 2) had been carried out between March 1998 and July 1999 at Taean, Korea. Anionic ($Cl^{-}$, ${NO_{3}}^{-}$, ${SO_{4}}^{2-}$) and Cationic ($Na^+$, ${NH_{4}}^{ +}, $K^+$, $Mg^{2+}$, $Ca^{2+}$) concentrations of $PM_{2.5}$ particle were analyzed. The major objective of this study is to investigate the relationships between the chemical compounds of $PM_{2.5}$ and the long-range transport patterns during intensive sampling period.

• Journal of Korea Water Resources Association
• /
• v.38 no.5 s.154
• /
• pp.345-354
• /
• 2005

Time Domain Reflectometry (TDR) with multiplex system has been installed to configure the spatial and temporal characteristics of soil moisture at the Bumreunsa hillslope of Sulmachun Watershed. An intensive surveying was performed to build a refined digital elevation model (DEM) and flow determination algorithms with inverse surveying have been applied to establish an efficient soil moisture monitoring system. Soil moisture data were collected through intensive monitoring during 380 hrs in November of 2003. Soil moisture data shows corresponding variation characteristics of soil moisture on the upper, middle and lower parts of the hillslope which were classified from terrain analysis. Measured soil moisture data have been discussed on the context of physical process of hydrological modeling.