• Title/Summary/Keyword: 이차 예방

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Exercise for reducing and controlling lymphedema in Women with breast cancer: A systematic review and meta-analysis (여성 유방암 환자의 림프부종 감소와 조절을 위한 운동의 효과: 체계적 고찰과 메타분석)

  • Kim, Kyung-Hee;Oh, Ki Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.512-520
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    • 2016
  • Breast cancer is the most common malignancy in women, and lymphedema is one of the most common postoperative complications of breast surgery. Exercises are usually prescribed to prevent this occurrence. On the other hand, conflicting results regarding the effects and timing of such exercises have been reported. This study reviewed systematically the contemporary literature, peer-reviewed publications, and web sites of professional organizations that examined exercise for lymphedema prevention or therapy to determine the effects of exercise on lymphedema providing the best evidence for the treatment of patients. Exercise or training groups have strategies that appear to reduce the development of secondary lymphedema and altering its progression compared to the control group. Advances in cancer treatment, cancer and exercise research, and lymphedema management require physicians to have a basic understanding of the current evidence to provide the appropriate patient education and specialist referral.

Comparative Study on Suicidal Ideation Factors between the Elderlies Living Alone and the Elderlies Cohabiting (독거노인과 비독거노인의 자살생각 영향 요인 비교)

  • Lee, Dong-No;Chun, Dong-Il
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.138-145
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    • 2020
  • The purpose of this study is to identify factors influencing suicidal ideation for the elderly living alone. Utilizing the identified factors as the base data, the study aims to develop community programs for suicide prevention. This research is a secondary analysis of the 2017 national survey, 'Survey on the Elderly,' conducting logistics regression analysis on the data collected on 10,299 elderly aged 65 or older living in 17 general residential facilities as of 2017. The analysis reveals that 10.5% of the elderly living alone have contemplated suicide. The frequency of suicidal ideation was attributed to such factors as gender, age, chronic disease, depression and experiences of abuse and discrimination. To prevent suicide among the elderly, therefore, active management from both public and private sectors are needed for early detection of chronic diseases and depression.

Relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women (폐경 여성의 비만 및 신체활동과 골관절염 유병의 관계)

  • Chae, Hyunju
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.217-225
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    • 2020
  • This study was a secondary analysis research using data from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), 2017 to identify the relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women. The subjects were 1,516 menopause women aged over 19 years who participated in the KNHANES VII-2, 2017. Data were downloaded from the KNHANES website and analysed through complex sampling design data analysis using IBM SPSS 21.0 program. Prevalence of osteoarthritis is 1.88 times higher in women with body mass index (BMI) above pre-obesity and non-abdominal obesity and 1.98 times higher in women with BMI above pre-obesity and abdominal obesity than in women with BMI normal or low weight and non-abdominal obesity. These results indicate that obesity prevention and management should be provided to prevention of osteoarthritis for menopause women and obesity should be considered body mass index and abdominal obesity.

Aortoenteric Fistula -one case report- (대동맥장루 -1예 보고-)

  • Kim, Hyuck;Jung, Tae-Yol;Ban, Dong-Gyu;Chung, Won-Sang;Kim, Young-Hak;Kang, Jung-HO;Jee, Heng-Ok;Lee, Chul-Bum;Kwon, Oh-Jung;Kim, Kyung-Soo
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.176-179
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    • 2001
  • 이차성 대동맥장루는 아주 드물며 대동맥-장골동맥의 재건수술의 중대한 합병증으로 발생할 수 있다. 이 질환은 진성 대동맥장루와 paraprosthetic enteric fistula 로 분류할 수 있다. 이러한 합병증의 예방, 진단 및 치료는 추구해야할 문제로 되어 있다. 염증성 가성동맥류로 복부대동맥 및 장골동맥을 인조혈관으로 치환한 후 41개월에 내시경으로 Paraprosthetic enteric Fistula로 진단되어 수술을 시행한 39세 남자환자를 치험하였기에 보고한다.

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Embryologic Discussion of the Median Raphe Cyst: Two Cases Report (회음정중봉선 낭종 2례의 발생학적 고찰)

  • Bae, Sang-Ho;Mun, Ki-Hak;Jung, Hee-Chang;Park, Tong-Choon;Jang, Woo-Young
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.367-371
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    • 1996
  • Median raphe cyst is known as congenital lesion of the perineum and genitalia, but its etiology is unclear. Most investigators believe that the median raphe cyst represent defects in the embryologic developement of the male genitalia. Simple surgical excision is effective in most cases. We report our experience with two cases of median raphe cyst without specific symptoms. Even though median raphe cyst is asymptomatic, surgical therapy is worth applicable because it relieve a patient from cosmetic and psychotic problem.

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The Effect of Discrimination Experience on Job Engagement in Office Workers (사무 종사자의 차별경험이 직무열의에 미치는 영향)

  • Kim, Duck Jin;Lee, Hyun Ju
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.996-1007
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    • 2020
  • The purpose of this study was to investigate the general characteristics, working condition, discrimination experience and job engagement of office workers and to examine the effect of discrimination experience on job engagement. This study was the secondary analysis of date from the fifth Korean Working Conditions Survey and the subjects included 6,718 office workers. Collected data were analyzed using descriptive statistics, x2-test, t-test, and complex samples general linear model(CSGLM). As a result, job engagement was high when they never experienced discrimination. Based on the results of this study, in order to improve job engagement of office workers, manage to prevent discrimination in the workplace should be included.

Treatment of Pulmonary Hypertensive Crisis Using ECMO - A Case Report - (성인의 선천성 심질환 수술 후 발생한 폐동맥 고혈압 위기증에서 체외막 산소화 장치를 이용한 치험 - 1례 보고 -)

  • 최재성;김기봉
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.664-667
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    • 2002
  • Extracorporeal membrane oxygenation(ECMO) provides stable oxygenation to prevent elevation of pulmonary vascular resistance and bypasses a significant part of cardiac output to the pulmonary vascular bed to reduce pulmonary perfusion pressure. In addition, ECMO prevents right heart failure and low cardiac output by means of ventricular assist and reduction in volume load to right ventricle. As a result, ECMO can be used for the treatment of pulmonary hypertensive crisis after surgery for congenital heart disease, especially when it is refractory to conventional measures. We report a case of postoperative pulmonary hypertensive crisis, developed in a 37-year-old male with patent ductus arteriosus with secondary pulmonary hypertension, which was successfully managed including ECMO.

Impact of Risk Factors, Autonomy Support and Health Behavior Compliance on the Relapse in Patients with Coronary Artery Disease (관상동맥질환 위험요인, 자율성 지지 및 건강행위 이행이 관상동맥질환자의 재발에 미치는 영향)

  • Park, Ae Ran;So, Hyang Sook;Song, Chi Eun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.32-40
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    • 2017
  • Purpose: The purpose of this secondary data analysis was to identify factors influencing a relapse among patients with coronary artery disease (CAD). Methods: Of 250 participants enrolled in the original study 75 were selected as there was no relapse for more than one year following the initial treatment and 54 were selected because there was a relapse. Data were analyzed using ${\chi}^2$ test, t-test or F test to determine if there were any significant differences in the study variables relative to the status of relapse. Predictors were calculated by logistic regression. Results: Autonomy supported by healthcare providers was the significant predictor for relapse in patients with CAD. Patients with low autonomy supported by healthcare providers was 3.91 times more likely to relapse than patients with high autonomy supported. Patients with diabetes were at greater risk of recurrence. Conclusion: Secondary prevention of CAD is a major task for patients with CAD. Behavioral strategies for cardiovascular risk reduction are essential and autonomy supported by healthcare providers should be included in their strategies.

Pathological Observation on the Swine Carcass (돈지육에 대한 병리학적 관찰)

  • Jeon Sung Hwan;Lee Cha Soo
    • Journal of the korean veterinary medical association
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    • v.30 no.7
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    • pp.424-437
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    • 1994
  • The pathological observation was carried out on the swine carcasses, which were slaughtered from the abattoir in Pusan and purchased by a meat processing company, for a year. The results obtained were as follows ; The examined carcasses were 13,083 pigs a

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안등창익(安藤昌益)의 의학사상(醫學思想)

  • Park, Mun-Hyeon
    • Journal of Korean Medical classics
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    • v.21 no.1
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    • pp.303-315
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    • 2008
  • 안등창익(安藤昌益)(1703-1762)시일본강호시대적의사(是日本江戶時代的醫師), 야시독창이진보적사상가(也是獨創而進步的思想家). 비시의학적시대(卑視醫學的時代), 타주장여의론병제고의술혹의도적사회지위(他主張與醫論병提高醫術惑醫道的社會地位). 타사료(他寫了)"자연진영도(自然眞營道)"전정료대어의학원리화치방기술상참신적철학기초. 타적의학사상불시종병론출발(他的醫學思想不是從病論出發), 이시종생명론출발적(而是從生命論出發的), 즉생명시자연적창조물(卽生命是自然的創造物). 타인위유어사회적모순(他因爲由於社會的矛盾), 대자연화인회생병(大自然和人會生病), 나착사회병리학적기초(拿着社會病理學的基礎), 사병인론체계화(使病因論體系化). 이차병인시제기관관계적고취(而且病因是諸器官關係的告吹), 호성적부조(互性的不調), 인차타나출농정호성관계적호성치료론(因此他拿出弄正互性關係的互性治療論). 창익부정종장부론도삼초화심포적존재(昌益否定從藏腑論到三焦和心包的存在), 병중시위화비특이적기능. 인이주장별유분개적사장사부론(因而主張別有分開的四臟四腑論). 창익강조자연치유법적의학사상(昌益强調自然治癒法的醫學思想), 중시예방의학(重視豫防醫學), 재치료상현현출소극적일면(在治療上顯現出消極的一面). 재가상비판전통적의학론(再加上批判傳統的醫學論). 타이독창적자연철학위기초(他以獨創的自然哲學爲基礎), 당확립신적의학방법론시(當確立新的醫學方法論時), 사호범료조지과급적착오(似乎犯了燥之過急的錯誤). 상차여차(尙且如此), 타적독창사상도현재부단몰유피망기(他的獨創思想到現在不但沒有被忘記), 다소재의학분야상유열렬적후계자화지지자시(多少在醫學分野上有熱烈的後繼者和支持者是), 아문응해요주목적일면(我們應該要注目的一面).

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