• 한국농공학회논문집
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• 제49권6호
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• pp.3-9
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• 2007

Stream flow and water quality were measured and analyzed with respect to flow-weighted mean concentrations (FWMCs) of 21 rainfall events from a forested watershed (Forest Research Watershed: FRW) and two mixed watersheds of agriculture and forest (YuPo-Ri Watershed: YPW and WolGog-ri Watershed: WGW) located in the middle of the North Han River basin. The monitoring of each watershed was one year and conducted between 2004 and 2006. YPW showed more intensive agricultural practices than WGW where traditional practices were common. The average of the 21 FWMCs were in the order of YPF>WGW>FRW and were significantly different from each other at the level of 0.05. It was shown that the land use with intensive agricultural practices produced and discharged more NPS pollutants than that with traditional practices and forest. Specially, SS concentrations from the mixed watersheds were significantly higher than those from FRW. Influencing factors on runoff were analyzed rainfall and watershed area. And rainfall intensity was greater impact on runoff than daily rainfall. Measured water quality indices were shown positive correlations among them in general. However, no significant correlation was shown between COD and nutrients(T-N and T-P).

• 환경영향평가
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• 제18권6호
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• pp.321-330
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• 2009

Spatiotemporal changes in the thermal environment in a large city, Seoul, Korea were analyzed using a thermal index, perceived temperature (PT), to standardize the weather conditions. PT is a standard index for the thermal balance of human beings in thermophysiological environment. For the analysis of PT, the data from long-term monitoring and intensive observations in and around the inner-city stream called 'Cheonggye' in Seoul, were compared with a reference data from the Seoul weather station. Long-term data were monitored by installing two automatic weather stations at 66m (S1) and 173m (S2) away from the center of the stream. Through the analysis of the data during the summer of 2006 and intensive observation periods, it was revealed that the stream's effects on the PT extended up to the distance of the S1 site. In winter, the increase of the PT between pre- and post-restoration was stronger at S1, which was nearer than S2 from the stream. These results suggest that PT can be used as an effective model in analyzing the changes of the thermal environment in relation with the changes of water surface areas.

• Advances in pediatric surgery
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• 제3권1호
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• pp.32-40
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• 1997

A clinical review was done of 31 children with blunt liver injury who were admitted to the Department of Surgery, Kyungpook National University Hospital between 1981 and 1990. Seventeen of the 31 children required laparotomy(11 primary repairs, 4 lobectomies, 2 segmentectomies). There were two deaths after laparotomy, one due to associated severe head injury and another due to multiorgan failure. The remaining 14 children, who were hemodynamically stable after initial resuscitation and who did not have signs of other associated intraabdominal injuries, were managed by nonoperative treatment. Patients were observed in a pediatric intensive care unit for at least 48 hours with repeated abdominal clinical evaluations, laboratory studies, and monitoring of vital signs. The hospital courses in all cases were uneventful and there were no late complication. A follow-up computed tomography of 7 patients showed resolution of the injury in all. The authors believe that, for children with blunt liver injuries, nonoperative management is safe and appropriate if carried out under careful continuous surgical observation in a pediatric intensive care unit.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.306-315
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• 2017

Purpose: This study was conducted to examine psychological empowerment and awareness and performance of Healthcare-Associated Infections(HAIs) control among Intensive Care Unit (ICU) nurses. Method: The data for this study were collected using structured questionnaires from 178 nurses working in the ICUs of four hospitals with more than 500 beds. Results: The subjects'psychological empowerment, awareness and performance of HAIs control were mean over. The subjects'psychological empowerment showed statistically significant differences depending on age, marital status, academic background, clinical career, ICU career, and position and experience in infection control among their general characteristics. Awareness of HAIs control showed statistically significant differences depending on age, gender, marital status, clinical career, and ICU career. Performance showed statistically significant differences depending on age, gender, marital status, and, ICU career. Regarding the subjects' performance of HAIs control, there was a statistically significant positive correlation between psychological empowerment and awareness. Conclusion: It was found that it is necessary to strengthen differential customized training according to the subjects'characteristics for effective HAIs control, and to strengthen the nurses'awareness of HAIs control through systematic evaluation, monitoring, and feedback, as well as continuous education and training.

• Journal of Information Processing Systems
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• 제18권3호
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• pp.302-310
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• 2022

Efficient use of limited blood products is becoming very important in terms of socioeconomic status and patient recovery. To predict the appropriateness of patient-specific transfusions for the intensive care unit (ICU) patients who require real-time monitoring, we evaluated a model to predict the possibility of transfusion dynamically by using the Medical Information Mart for Intensive Care III (MIMIC-III), an ICU admission record at Harvard Medical School. In this study, we developed an explainable machine learning to predict the possibility of red blood cell transfusion for major medical diseases in the ICU. Target disease groups that received packed red blood cell transfusions at high frequency were selected and 16,222 patients were finally extracted. The prediction model achieved an area under the ROC curve of 0.9070 and an F1-score of 0.8166 (LightGBM). To explain the performance of the machine learning model, feature importance analysis and a partial dependence plot were used. The results of our study can be used as basic data for recommendations related to the adequacy of blood transfusions and are expected to ultimately contribute to the recovery of patients and prevention of excessive consumption of blood products.

• Journal of Chest Surgery
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• 제55권4호
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• pp.325-331
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• 2022

Postoperative critical care management for lung transplant recipients in the intensive care unit (ICU) has expanded in recent years due to its complexity and impact on clinical outcomes. The practical aspects of post-transplant critical care management, especially regarding ventilation and hemodynamic management during the early postoperative period in the ICU, are discussed in this brief review. Monitoring in the ICU provides information on the patient's clinical status, diagnostic assessment of complications, and future management plans since lung transplantation involves unique pathophysiological conditions and risk factors for complications. After lung transplantation, the grafts should be appropriately ventilated with lung protective strategies to prevent ventilator-induced lung injury, as well as to promote graft function and maintain adequate gas exchange. Hypotension and varying degrees of pulmonary edema are common in the immediate postoperative lung transplantation setting. Ventricular dysfunction in lung transplant recipients should also be considered. Therefore, adequate volume and hemodynamic management with vasoactive agents based on their physiological effects and patient response are critical in the early postoperative lung transplantation period. Integrated management provided by a professional multidisciplinary team is essential for the critical care management of lung transplant recipients in the ICU.

• Journal of Trauma and Injury
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• 제37권1호
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• pp.79-82
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• 2024

The potential for traumatic brain injury resulting from falling coconuts is frequently overlooked. These incidents can cause focal lesions in the form of brain hemorrhage. Corpus callosum hemorrhage due to blunt trauma from a falling object is rare and typically associated with poor prognosis. The purpose of this report is to detail a case of corpus callosum hemorrhage caused by a coconut fall and to discuss the conservative management approach employed. We report the case of a 54-year-old woman who was admitted to the hospital with symptoms of unconsciousness, headache, and expressive aphasia after being struck by a falling coconut. Notably, hemorrhage was detected within the body of the corpus callosum, as revealed by imaging findings. The patient received intensive monitoring and treatment in the intensive care unit, including oxygen therapy, saline infusion, an osmotic diuretic, analgesics, and medication to prevent stress ulcers. The patient demonstrated marked clinical improvement while undergoing conservative treatment. Despite the typically unfavorable prognosis of these rare injuries, our patient exhibited meaningful clinical improvement with conservative treatment. Timely diagnosis and appropriate interventions were crucial in managing the patient's condition. This report emphasizes the importance of considering traumatic brain injury caused by falling coconuts and highlights the need for further research and awareness in this area.

• 한국지리정보학회지
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• 제27권1호
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• pp.99-114
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• 2024

국내 해안 쓰레기 모니터링은 노동 집약적 방식과 한정적인 조사 범위로 세밀한 분포 확인이 어렵다. 따라서 해안 쓰레기 자료수집의 효율성 증대를 위해 원격탐사 기법을 이용한 연구가 이루어지고 있다. 하지만 국내 원격탐사 기반 해안 쓰레기 모니터링 방안에 대한 기준이 미흡한 실정이다. 본 연구에서는 국내 연구 결과를 기초로 메타분석 방법을 적용하여 원격탐사체 중 드론을 이용한 해안 쓰레기 모니터링 연구 19건에 대해 모니터링 방법과 결과에 대해 분석하였다. 모니터링 방법을 대상으로 데이터 수집 방법, 수집 데이터 정보, 모니터링 대상지 정보에 대해 분석하였으며, 모니터링 결과를 대상으로 모니터링 실태, 탐지대상 및 활용모델에 대해 분석하였다. 또한, 메타분석 결과를 바탕으로 드론을 이용한 해안 쓰레기 모니터링 수행 시 고려 항목과 권장 항목, 수행 기준에 대한 모니터링 기준 항목을 제시하였다. 본 연구 결과를 통해 드론을 이용한 해안 쓰레기 모니터링 운용 기준 마련에 필요한 조건 및 기준을 정의하였으며, 추후 외국 사례 분석 및 현장 적용 결과를 추가하여 국가 차원의 원격탐사체를 이용한 해안 쓰레기 모니터링 지침 마련이 가능할 것으로 보인다.

• 대한간호학회지
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• 제49권6호
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• pp.724-735
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• 2019

Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.

• 임상간호연구
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• 제18권2호
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• pp.251-263
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• 2012

Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using 'the modified Workload Management System for critical care Nurses' (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.