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Kim Kiung,Kim Yunhee 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The purpose of this study is to retrospectively analyze the content of nursing interventions applied to patients with thoracic injury who visited trauma emergency room (TER) or emergency room (ER). Method(s): Of the 3,938 trauma patients admitted to this hospital between January 1, 2019, and December 31, 2020, we enrolled 320 adult patients with thoracic injury (94 to TER, 226 to ER) who met the inclusion criteria. The patients’ data acquired from electronic medical record were analyzed their general and clinical characteristics of the subjects, and nursing interventions Result(s): While there was no statistical difference of injury mechanism between thoracic injury patients who visited TER and ER, there was difference in length of stay (p<.001), treatment outcome (p<.001), and level of consciousness (p<.001). Average thoracic AIS (Abbreviated Injury Scale) score and average ISS (Injury Severity Score) of thoracic injury patients who visited TER were 3.13 and 13.54, respectively, which were higher than that of the patients who visited ER with statistical difference (p<.001). Numbers of nursing actions applied on were 4,819 (TER) and 3,944 (ER), which were classified into 5 domains, 18 classes, 56 interventions. The most domains of interventions carried out in both emergency rooms were Physiological: basic, and Physiological: complex. Classes carried out more in TER included Elimination management, Drug management, and Skin/Wound management, while Crisis management and Thermoregulation were not carried out in ER. The most interventions carried out in both emergency rooms were vital signs, pain management, and teaching. On average, 16 more types of interventions were carried out in TER than ER. Conclusion(s): This study demonstrated characteristics of thoracic injury patients and nursing interventions by emergency room type. Based on these results, standardized nursing interventions are expected to be applied to thoracic injury patients visiting TER and ER.
Kim, Jong Min,Hur, Yoon Hyung,Jeong, Jae Won,Nam, Tae Won,Lee, Jung Hye,Jeon, Kiung,Kim, YongJoo,Jung, Yeon Sik American Chemical Society 2016 Chemistry of materials Vol.28 No.16
<P>Directed self-assembly (DSA) of block copolymers (BCPs) with a high Flory Huggins interaction parameter (chi) provides advantages of pattern size reduction below 10 nm and improved pattern quality. Despite theoretical predictions, however, the questions of whether BCPs with a much higher chi than conventional high-chi BCPs can further improve the line edge roughness (LER) and how to overcome their extremely slow self-assembly kinetics remain unanswered. Here, we report the synthesis and assembly of poly(4vinylpyridine-b-dimethylsiloxane) BCP with an extremely high chi-parameter (estimated to be approximately 7 times higher compared to that of poly(styrene-b-dimethylsiloxane) - a conventional high-chi BCP) and achieve a markedly low 3 sigma line edge roughness of 0.98 nm, corresponding to 6% of its line width. Moreover, we demonstrate the successful application of an ethanol based 60 degrees C warm solvent annealing treatment to address the extremely slow assembly kinetics of the extremely high-chi BCP, considerably reducing the self-assembly time from several hours to a few minutes. This study suggests that the use of BCPs with an even larger chi could be beneficial for further improvement of self-assembled BCP pattern quality.</P>
응급실 유형에 따른 흉부외상환자의 특성과 간호중재분류체계를 활용한 간호중재 분석
김기웅(Kim, Kiung),김윤희(Kim, Yunhee) 한국기초간호학회 2021 Journal of korean biological nursing science Vol.23 No.4
Purpose: The purpose of this study was to analyze the content of nursing interventions applied to patients with thoracic injury who visited a trauma emergency room (TER) or an emergency room (ER). Methods: Of 3,938 trauma patients admitted to this hospital between January 1, 2019 and December 31, 2020, 320 adult patients with thoracic injury (94 to TER, 226 to ER) who met the inclusion criteria were enrolled. Patients’ data were acquired from their electronic medical records. General and clinical characteristics of these subjects along with nursing interventions were analyzed. Results: There were statistically significant differences in the length of stay, treatment outcome, and level of consciousness between thoracic injury patients who visited TER and ER. Average thoracic Abbreviated Injury Scale score and average Injury Severity Score of thoracic injury patients who visited TER were 3.13 and 13.54, respectively, which were significantly higher than those of patients who visited ER. The numbers of nursing actions applied was 4,819 for TER and 3,944 for ER, which were classified into five domains, 18 classes, and 56 interventions. The most domain of interventions carried out in both TER and ER was physiological: complex. Classes including Crisis management and Thermoregulation were not carried out in ER. On average, 16 more types of interventions were carried out in TER than in ER. Conclusion: This study demonstrated characteristics of thoracic injury patients and nursing interventions by emergency room type. Based on results of this study, standardized nursing interventions need be applied to thoracic injury patients visiting TER and ER.