• The Journal of Korean Physical Therapy
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• 제30권3호
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• pp.90-95
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• 2018

Purpose: To investigate the relationship between gross motor capacity and neuromuscular function in children with cerebral palsy (CP) through a short-term intensive intervention. Methods: Twenty-four children younger than 6 years of age (17 boys, 7 girls, mean $age{\pm}standard$ deviation, $42.71{\pm}14.43months$) who were diagnosed with CP underwent short-term intensive treatment for 8 weeks. An evaluation of gross motor function capacity using the gross motor function measure (GMFM-66 and GMFM-88) was performed to measure muscle strength, selective motor control (SMC), and spasticity, factors related to neuromusculoskeletal function. Changes in spasticity, strength, range of motion, selective motor function, and exercise intensity scores were evaluated in terms of the gross motor function classification system (GMFCS) and ages. Results: The GMFM-88 and GMFM-66 scores significantly increased, by $4.32{\pm}4.04$ and $2.41{\pm}1.51%$, respectively, following the 8-week intervention. The change in the GMFM-66 score did not reflect a statistically significant difference in the GMFCS level. However, there was a statistically significant difference in the GMFM-88 score change in individuals at GMFCS Level III, the strength and spasticity of subjects at GMFCS Levels I-II did not significantly differ (p<0.05). The changes in the GMFM-66 scores for strength, SMC, range of motion (ROM), and spasticity significantly differed according to age (p<0.05) in children aged 36 months and older. Overall, there was a statistically significant difference in strength, SMC, and spasticity (p<0.05) before and after intensive short-term treatment. Conclusion: The 8-week short-term intensive care intervention improved the motor function score of study participants, emphasizing the need for early intervention and additional research in this area.

• 한국간호교육학회지
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• 제27권3호
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• pp.261-273
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• 2021

Purpose: This study used a descriptive investigative design to identify educational needs for developmental supportive care for the purpose of establishing a developmental supportive care education program for nurses in neonatal intensive care units. Methods: A survey was conducted on 93 nurses working in neonatal intensive care units located in a metropolitan area, and the collected data were analyzed using descriptive statistics and a paired t-test with the SPSS 25.0 program. For the purpose of analyzing educational needs, we further analyzed data through an importance-performance analysis (IPA) and the Borich needs assessment and the locus for focus models. Results: The average importance of the developmental supportive care of nurses in neonatal intensive care units was 3.74±0.78 out of 5, and the average performance was 3.46±0.81 out of 5. A t-test on the difference between the IPA and Borich needs assessment showed the highest educational need in the categories of 'individualized care', and 'I serve on the Developmental Care Committee at my institution'. In addition, according to the results of deriving the priorities of educational needs using the Borich needs assessment and the locus for focus model, the highest priority was 'I provide appropriate pain management when noxious procedures are necessary'. Conclusion: These findings can be used as basic data to design a developmental supportive care program suitable for nurses in neonatal intensive care units to meet the educational needs for developmental supportive care.

• Tuberculosis and Respiratory Diseases
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• 제79권3호
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• pp.158-164
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• 2016

Background: One to three percent of cases of acute tuberculosis (TB) require monitoring in the intensive care unit (ICU). The purpose of this study is to establish and determine the mortality rate and discuss the causes of high mortality in these cases, and to evaluate the clinical and laboratory findings of TB patients admitted to the pulmonary ICU. Methods: The data of patients admitted to the ICU of Yedikule Chest Diseases and Chest Surgery Education and Research Hospital due to active TB were retrospectively evaluated. Demographic characteristics, medical history, and clinical and laboratory findings were evaluated. Results: Thirty-five TB patients (27 males) with a median age of 47 years were included, of whom 20 died within 30 days (57%). The Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores were significantly higher, and albumin and $PaO_2/FIO_2$ levels were significantly lower, and shock, multiple organ failure, the need for invasive mechanical ventilation and drug resistance were more common in the patients who died. The mortality risk was 7.58 times higher in the patients requiring invasive mechanical ventilation. The SOFA score alone was a significant risk factor affecting survival. Conclusion: The survival rate is low in cases of tuberculosis treated in an ICU. The predictors of mortality include the requirement of invasive mechanical ventilation and multiple organ failure. Another factor specific to TB patients is the presence of drug resistance, which should be taken seriously in countries where there is a high incidence of the disease. Finding new variables that can be established with new prospective studies may help to decrease the high mortality rate.

• 중환자간호학회지
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• 제17권1호
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• pp.68-82
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• 2024

Purpose : This scoping review was designed to identify gaps in knowledge and guide future directions for clinical nursing practices and research on oral hygiene care for endotracheally intubated patients in Korean intensive care units. Methods : We conducted a scoping review using the methodological framework proposed by Arksey and O'Malley. PubMed, CINAHL, RISS, Science On, and DBpia databases were searched. Two reviewers independently selected the studies and extracted data. A total of 445 studies were identified, of which 17 were included in the final analysis. Results : No research has been conducted from 2021 to the present. A total of 12 instruments were utilized in 13 studies to assess the effectiveness of oral hygiene care. All studies investigating the effectiveness of oral hygiene care have consistently documented that chlorhexidine has the most significant effect. The frequency and time of oral hygiene care were each examined in one study. Conclusion : A research study is necessary to develop a measurement tool for assessing the effectiveness of oral hygiene care suitable for endotracheal intubated patients in intensive care units. Interventional studies should be conducted to determine the effects of chlorhexidine and the appropriate frequency and time of oral hygiene care. Thereafter, revision of domestic evidence-based clinical practice guidelines by integrating these results will be necessary.

• Asian Journal of Innovation and Policy
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• 제4권3호
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• pp.381-396
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• 2015

Cyberinfrastructure is a research infrastructure that provides an environment in which research communities can get access to distributed resources and collaborate at unprecedented levels of computation, storage, and network capacity. The Worldwide LHC Computing Grid (WLCG) is a global collaborative project of computing or data centers that enables access to scientific data generated by the Large Hadron Collider (LHC) experiments at CERN. This case study analyzes the WLCG as a model of cyberinfrastructure in research collaboration. WLCG provides a useful case of how cyberinfrastructure can work in providing an infrastructure for collaborative researches under data-intensive paradigm. Cyberinfrastructure plays the critical role of facilitating collaboration of diverse and widely separated communities of researchers. Data-intensive science requires new strategies for research support and significant development of cyberinfrastructure. The sustainability of WLCG depends on the resources of partner organizations and virtual organizations at international levels, essential for research collaboration.

• 에너지공학
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• 제28권4호
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• pp.13-18
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• 2019

The high energy penalty in amine-based post-combustion CO₂ capture process is hampering its industrial scale application. An advanced process is designed by intensive heat integration within the conventional process to reduce the stripper duty. The study presents the technical feasibility for stripper duty reduction by intensive heat integration in CO₂ capture process. A rigorous rate-based model has been used in Aspen Plus® to simulate conventional and advanced process for a 300 MW coal-based power plant. Several design and operational parameters like split ratio, stripper inter-heater location and flowrate were studied to find the optimum values. The results show that advanced configuration with heat integration can reduces the stripper heat by 14%.

• 대기
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• 제13권4호
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• pp.57-70
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• 2003

기상연구소 주요사업 "한반도 악기상 집중관측사업(KEOP)"의 일환으로 2001년 기반공사를 시작하여 2002년 초부터 오토존데, 윈드프로파일러 등 첨단관측장비의 해남기상관측소에 도입 및 설치와 2002년 11월 연구용 도플로 레이더의 (구)무안기상대에 이전 설치로 국가 악기상 집중관측센터는 안정적으로 구축되었다. 이 집중관측센터를 중심으로 기존 기상청 관측망과 연계하여 2002년에 여름철 장마, 태풍 "루사" 그리고 강설과 같은 악기상 집중관측과 국제집중관측프로그램(CAMP/CEOP)에 참여를 위한 고층 및 플럭스 관측자료의 안정적 생산 및 DB 구축 능력 평가를 위한 고층 및 플럭스 집중관측을 국내 대학들과 협력하여 성공리에 실시하였다. 이들 집중관측자료의 초기 분석결과, 국가 악기상 집중관측센터에 설치된 첨단관측장비에서 생산된 관측자료는 악기상 구조 및 발달과정 분석연구 뿐만 아니라 지표 플럭스 연구 활성화에 크게 기여할 것으로 판단되었다. 특히 태풍 "루사" 통과시 오토존데를 이용한 3시간별 고층관측을 통한 태풍 "루사" 중심 구조 분석은 매우 의미 있는 결과로 사료된다. 앞으로 2003년 1월부터 안정적으로 운영되는 윈드프로파일러 자료를 이용하여 악기상 관련 전선 및 하층바람 구조 및 발달 과정 분석을 분석하고, 아울러 연구용 X-밴드 도플러 레이더, 오토존데 관측 자료간의 비교분석으로 윈드프로파일러 관측자료의 정확도를 평가하고자 한다. 광학강우강도계, 마이크로 강수레이더, 연구용 X-밴드 도플러 레이더 그리고 기상청 진도 S-밴드 레이더를 이용하여 악기상 강수시스템의 구조 및 발달 과정 분석할 예정이다. 또한 국가 악기상 집중관측센터는 태풍과 장마, 겨울철 폭설과 한파와 같은 악기상 집중 관측외에 봄과 가을철에 많은 강수를 동반한 저기압 통과시, 황사 발생의 경우 등에 특별관측을 수행하여 특이기상 현상의 이해력을 증진시키는데 활용코자 한다.

• 대한간호학회지
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• 제38권5호
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• pp.656-666
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• 2008

Purpose: The purpose of this study was to develop visions of nursing service, nursing strategies and key performance indicators (KPIs) for an intensive care unit (ICU) based on a Balanced Scorecard (BSC). Methods: This study was undertaken by using methodological research. The development process consisted of four phases; the first phase was to develop the vision of nursing in ICUs. The second phase was to develop strategies according to 4 perspectives of a BSC. The third phase was to develop KPIs according to the 4 perspectives of BSC and the final phase was to combine the nursing visions, strategies and KPIs of ICUs. Results: Two main visions of nursing service for ICUs were established. These were 'realization of harmonized professional nursing with human respect' and 'recovery of health through specialized nursing' respectively. In order to reach the aim of developing nursing visions, thirteen practical strategies and nineteen KPIs were developed by four perspectives of the BSC. Conclusion: The results will be used as objective fundamental data to attain business outcomes for the achievement of nursing visions and strategies of ICUs.

• 대한간호학회지
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• 제40권3호
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• pp.307-316
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• 2010

Purpose: The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards. Methods: A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0. Results: The mean score for RSS was $17.80{\pm}9.16$. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001). Conclusion: By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.

• 복식
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• 제57권3호
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• pp.23-36
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• 2007

It is important that ubiquitous technology changes paradigm of thought, not simple definition in the 21st digital era. Characteristics of ubiquitous computing are pervasive, disappearing, invisible, calm through environment. As IT Technology develops, designers, computer scientists, chemists, performance artists cooperate in order to find out the best way to make desirable digital clothing in the future, with the merit of each part. Digital clothing defines clothes of new generation equipped computer, digital installations. Digital clothing design demands intercept of electromagnetic waves, light-weight and esthetic appearance, for it is attached high-technology equipment near body. The purpose of this study is to analyze design features of digital clothing according to ubiquitous characteristics. The methods of this study are documentary research of previous study and case study. In the theoretical study, ubiquitous characteristics are function-intensive by convergence, interactivity, embedded mobility and human & emotion-oriented attributes. Based on ubiquitous characteristics, digital clothing design classified function-intensive design by convergence, design for Interactivity and multi-sensible & emotion-oriented design, because embedded mobility is a basic element of ubiquitous environment. The early days digital clothing design is function-intensive design, and have esthetic appearances and design for interactivity increasingly. Recently digital clothing design is expressed multi-sensible and emotion-oriented design.