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      • KCI등재

        Clinical characteristics and outcomes of obstetric patients transferred directly to intensive care units

        Saad Pirzada,Kimberly Boswell,Jerry Yang,Samantha Asuncion,Fernando Albelo,Amanda Tuchler,Lauren Becker,Allison Lankford,Emad Elsamadicy,Quincy K Tran 대한중환자의학회 2024 Acute and Critical Care Vol.39 No.1

        Background: Medical complications in peripartum patients are uncommon; however, such events in patients already under biological stress can lead to poor outcomes. Often, these patients are transferred to tertiary care centers, but their conditions and outcomes are not well understood. Our study looked at peripartum patients transferred to an intensive care unit (ICU) at an academic quaternary center.Methods: We reviewed charts of adult, non-trauma, interhospital transfer (IHT) peripartum patients sent to an academic quaternary ICU between January 2017 and December 2021. We conducted a descriptive analysis and used multivariable ordinal regression to examine associations of demographic and clinical factors with ICU length of stay (ICU LOS) and hospital length of stay (HLOS).Results: Of 1,794 IHT peripartum patients, 60 (3.2%) were directly transferred to an ICU. The average age was 32 years, with a median Sequential Organ Failure Assessment (SOFA) score of 3 (1–4.25) and median Acute Physiology and Chronic Health Evaluation (APACHE) II score of 8 (7–12). Respiratory failure was most common (32%), followed by postpartum hemorrhage (15%) and sepsis (14%). Intubation was required for 24 (41%), and 4 (7%) needed extracorporeal membrane oxygenation. Only 1 (1.7%) died, while 45 (76.3%) were discharged. Median ICU LOS and HLOS were 5 days (2–12) and 8 days (5–17). High SOFA was linked to longer HLOS, as was APACHE II score.Conclusions: Transfers of critically ill peripartum patients between hospitals were rare but involved severe medical conditions. Despite this, their outcomes were generally positive. Larger studies are needed to confirm our findings.

      • SCISCIESCOPUS

        Methane Hydrates in NatureCurrent Knowledge and Challenges

        Collett, Tim,Bahk, Jang-Jun,Baker, Rick,Boswell, Ray,Divins, David,Frye, Matt,Goldberg, Dave,Husebø, Jarle,Koh, Carolyn,Malone, Mitch,Morell, Margo,Myers, Greg,Shipp, Craig,Torres, Marta American Chemical Society 2015 Journal of chemical and engineering data Vol.60 No.2

        <P>Recognizing the importance of methane hydrate research and the need for a coordinated effort, the United States Congress enacted the Methane Hydrate Research and Development Act of 2000. At the same time, the Ministry of International Trade and Industry in Japan launched a research program to develop plans for a methane hydrate exploratory drilling project in the Nankai Trough. India, China, the Republic of Korea, and other nations also have established large methane hydrate research and development programs. Government-funded scientific research drilling expeditions and production test studies have provided a wealth of information on the occurrence of methane hydrates in nature. Numerous studies have shown that the amount of gas stored as methane hydrates in the world may exceed the volume of known organic carbon sources. However, methane hydrates represent both a scientific and technical challenge, and much remains to be learned about their characteristics and occurrence in nature. Methane hydrate research in recent years has mostly focused on: (1) documenting the geologic parameters that control the occurrence and stability of methane hydrates in nature, (2) assessing the volume of natural gas stored within various methane hydrate accumulations, (3) analyzing the production response and characteristics of methane hydrates, (4) identifying and predicting natural and induced environmental and climate impacts of natural methane hydrates, (5) analyzing the methane hydrate role as a geohazard, (6) establishing the means to detect and characterize methane hydrate accumulations using geologic and geophysical data, and (7) establishing the thermodynamic phase equilibrium properties of methane hydrates as a function of temperature, pressure, and gas composition. The U.S. Department of Energy (DOE) and the Consortium for Ocean Leadership (COL) combined their efforts in 2012 to assess the contributions that scientific drilling has made and could continue to make to advance our understanding of methane hydrates in nature. COL assembled a Methane Hydrate Project Science Team with members from academia, industry, and government. This Science Team worked with COL and DOE to develop and host the Methane Hydrate Community Workshop, which surveyed a substantial cross section of the methane hydrate research community for input on the most important research developments in our understanding of methane hydrates in nature and their potential role as an energy resource, a geohazard, and/or as an agent of global climate change. Our understanding of how methane hydrates occur in nature is still growing and evolving, and it is known with certainty that field, laboratory, and modeling studies have contributed greatly to our understanding of hydrates in nature and will continue to be a critical source of the information needed to advance our understanding of methane hydrates.</P>

      • KCI등재

        Effects of Creative Dance on Students` Self-Expression and Perceptions of Dance

        ( Joung Hwa Lee ),( Han J Lee ),( Bom Mna Ko ),( Boni Boswell ) 한국스포츠정책과학원(구 한국스포츠개발원) 2013 International Journal of Applied Sports Sciences Vol.25 No.1

        While Korean educators have noted anecdotally the value of creative dance, there is a lack of documentation of the effects of creative dance on self-expression in Korean schools. This study explored the efficacy of an eight-week creative dance program to promote self-expression of Korean High School students (N=55). Data collected during and after each creative dance session included a) students` reflective drawings and logs, b) video recordings of program sessions, and c) investigators` field notes. Three art therapists analyzed the participants` drawings using a standard art therapy assessment tool. Investigators analyzed student logs using constant comparative analysis. Comparative analysis was used to examine one type of data(student logs) and compare it with another data source(drawings). Three themes emerged: a) enhancing positive perceptions, b) expanding self-expression, and c) cultivating communication. These results suggested that creative dance can act as a powerful stimulant for students` self-expression via body language.

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