• 한국간호교육학회지
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• 제20권1호
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• pp.60-70
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• 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.

• 대한의용생체공학회:의공학회지
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• 제22권4호
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• pp.377-383
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• 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.

• 한국임상약학회지
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• 제25권3호
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• pp.138-144
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• 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.

• 한국대기환경학회지
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• 제24권2호
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• pp.162-175
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• 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.

• 센서학회지
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• 제17권1호
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• pp.81-85
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• 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.

• 한국환경생물학회:학술대회논문집
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• 한국환경생물학회 2002년도 춘계공동학술대회 및 심포지움 초록집
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• pp.71-71
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• 2002

• 문화기술의 융합
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• 제9권6호
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• pp.557-561
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• 2023

본 연구의 목적은 의료기관에서 환자가 퇴원하는 병실을 대상으로 직접관찰과 형광표지를 이용하여 환경감시 활동을 통한 환경관리의 효과를 평가하기 위해 시도되었다. 본 연구는 2023년 3월부터 7월까지 병동과 중환자실 퇴실병상을 집중적 환경감시 활동 시행 전 448곳과 시행 후 494곳을 평가대상으로 하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 직접관찰은 집중적인 환경감시 활동 시행전 95.2%, 시행후 98.9%으로 통계적으로 유의하게 증가하였다. 형광표지는 집중적인 환경감시 활동 시행 전 96.1%, 시행 후 98.0%으로 미검출율이 증가하였으나 통계적으로 유의하지 않았다. 본 연구결과를 바탕으로 직접관찰과 형광표지 뿐만 아니라 다양한 환경평가방법을 적용하여 환경관리 효과를 평가하는 것이 필요하다.

• 대한신경집중치료학회지
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• 제11권2호
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• pp.63-70
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• 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.

• 한국대기환경학회:학술대회논문집
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• 한국대기환경학회 2000년도 춘계학술대회 논문집
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• pp.193-194
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• 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.

• 한국수자원학회논문집
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• 제38권5호
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• pp.345-354
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• 2005

국내 산지사면에서의 토양수분의 시공간적 분포를 파악하기 위한 동축 다중체계의 TDR (Time Domain Reflectometry)을 설마천 유역의 범륜사 사면에 구축하고 토양수분 집중 모니터링을 실시하였다. 대상사면을 정밀 측량하여 정밀 수치지형모형(Digital Elevation Model)을 구축하고 흐름분배알고리즘에 적용하여 측정지점을 선정하였고 역 측량을 통한 효율적인 측정 체계를 구축하였다. 2003년 11월중의 380시간 동안의 집중 모니터링을 통한 토양수분 자료를 확보하였다. 확보된 토양수분자료는 대상사면의 지형분석을 통해 구분된 상부, 중부, 하부사면의 변화특성을 보여주고 있다. 물리적 수문 모형의 구성과정에서 중요한 의미를 부여하는 토양수분 실측치와의 유의성을 논의하였다.