• 제목/요약/키워드: Academic Medical Center

검색결과 436건 처리시간 0.029초

국내 가정간호 사업의 성과 측정 연구의 고찰 (Literature review on the domestic studies of the Outcomes of Home Care Service for 1981-1996)

  • 윤순녕;조명숙;김홍수
    • 가정간호학회지
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    • 제4권
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    • pp.41-52
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    • 1997
  • The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

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채용시 건강진단과 순음청력검사 및 요추부 단순방사선 검사가 근로자 채용에 미치는 영향 - 인천, 경기 지역 2003년 실태 조사 - (The Influence of Preemployment Medical Examination, Pure Tone Audiometry, and Simple Lumbar Spine X-ray Test on the Worker's Employment - The Result of Survey at Incheon Metropolitan City and Gyeonggi Province in Korea, the Year 2003 -)

  • 김경자;한상환;성낙정
    • 한국직업건강간호학회지
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    • 제12권2호
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    • pp.146-155
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    • 2003
  • This study was conducted for investigating the status of management of preemployment health examination and to have an effect on the worker's employment. Health managers of 103 companies in Incheon metropolitan city and Gyeonggi were interviewed by telephone. Of 103 companies, 67(65.1%) said they don't hire the applicants who have an active pulmonary tuberculosis, 80(77.7%) companies said they health HBV carrier is acceptable but active HBV carrier is not 29(28.2%) companies said they don't hire the applicants who have a hypertension or diabetes mellitus, 42(40.8%) companies said they don't hire the applicants who have a hearing disturbance. If HIVD is suspicious in X-ray lumbar-sacral region, 37(78.7% of 47 companies) said they do not hire the applicants. 29(35% of 83 companies) said they cancel the employment of the applicants who are suspicious of noise induced hearing loss on preplacement health examination. From our survey, preemployment health examination was utilizing mainly as a tool for the selection of health employees who don't have a disease. Furthermore, in many companies, additional test items are being included and getting more strict the selection criteria for preemployment health examination. For the right use of preemployment health examination, author suggested that further studies were needed to select the adequate test items and establish the reasonable criteria for preemployment health examination.

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Triangular Resection of the Upper Lateral Cartilage for Middle Vault Deviation

  • Ryu, Gwanghui;Seo, Min Young;Lee, Kyung Eun;Hong, Sang Duk;Chung, Seung-Kyu;Dhong, Hun-Jong;Kim, Hyo Yeol
    • Clinical and Experimental Otorhinolaryngology
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    • 제11권4호
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    • pp.275-280
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    • 2018
  • Objectives. Middle vault deviation has a significant effect on the aesthetic and functional aspects of the nose, and its management continues to be a challenge. Spreader graft and its modification techniques have been focused, but there has been scarce consideration for removing surplus portion and balancing the upper lateral cartilage (ULC). This study aimed to report the newly invented triangular-shaped resection technique ("triangular resection") of the ULC and to evaluate its efficacy for correcting middle vault deviation. Methods. A retrospective study included 17 consecutive patients who presented with middle vault deviation and underwent septorhinoplasty by using triangular resection at a tertiary academic hospital from February 2014 and March 2016. Their outcomes were evaluated pre- and postoperatively including medical photographs, acoustic rhinometry and subjective nasal obstruction using a 7-point Likert scale. Results. The immediate outcomes were evaluated around 1 month after surgery, and long-term outcomes were available in 12 patients; the mean follow-up period was 9.1 months. Nasal tip deviation angle was reduced from $5.66^{\circ}$ to $2.37^{\circ}$ immediately (P<0.001). Middle vault deviation also improved from $169.50^{\circ}$ to $177.24^{\circ}$ (P<0.001). Long-term results were $2.49^{\circ}$ (P=0.015) for nasal tip deviation and $178.68^{\circ}$ (P=0.002) for middle vault deviation. The aesthetic outcome involved a complete correction in eight patients (47.1%), a minimally visible deviation in seven patients (41.2%) and a remaining residual deviation in two patients (11.8%). Pre- and postoperative minimal cross-sectional areas (summation of the right and left sides) were 0.86 and 1.07, respectively (P=0.021). Fifteen patients answered about their nasal obstruction symptoms and the median symptom score had alleviated from 6.0 to 3.0 (P=0.004). Conclusion. Triangular resection of the ULC is a simple and effective method for correcting middle vault deviation and balancing the ULCs without complications as internal nasal valve narrowing.

응급실 간호사의 도덕적 고뇌 대응 경험 (Emergency nurses' experience of coping with moral distress)

  • 이나경;황지인
    • 한국간호교육학회지
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    • 제26권2호
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    • pp.176-184
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    • 2020
  • Purpose: We explored emergency nurses' experiences of coping with moral distress. Methods: A qualitative research design was used. We conducted in-depth interviews with 11 nurses working at a regional emergency medical center in South Korea. Data were analyzed using conventional content analysis. Results: The main theme of nurses' coping with moral distress was "a passive emotion-based response." We also extracted three categories of coping strategies: "uncritical adaptation to anguished situation," "self-justification for not acting," and "flight from ethical decision making." Conclusion: Nurses coped with moral distress in a passive and emotional way, possibly because of perceived incompetence and compliance to an organizational hierarchy. The findings imply that effective approaches to addressing moral distress in emergency nurses are needed at the individual and organizational levels.

슬관절 전치환술 후 하지 근육강화 운동 프로그램 효과 (Effects of a Muscle Strengthening Exercise Program after Total Knee Arthroplasty)

  • 정명실;곽혜선
    • 한국간호교육학회지
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    • 제14권1호
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    • pp.20-29
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    • 2008
  • Purpose: This research was conducted to compare the effects of a muscle strengthening exercise program on pain, straight leg raising ability, passive range of motion, independent walking time and satisfaction with total knee arthroplasty(TKA). Method: A nonequivalent control group posttest only design was used for this study. A total of 62 patients were randomly divided into the experimental group(31) and the control group (31). The experimental group received a 1-hour exercise intervention, while the control group received the usual care. Data was analyzed by t-test using the SPSS/WIN 11.0. Results: The experimental group showed significant improvement in pain score, straight leg raising ability, passive range of motion of knee joint, independent walking time, and the patient's satisfaction. Conclusion: The muscle strengthening exercise program was effective on decreasing pain and increasing mobility and satisfaction in patients with TKA.

여고생의 피임지식과 성 행태 (A Study on Contraception Knowledge and Sexual Behavior in Female High School Students)

  • 이금덕;방경숙
    • 부모자녀건강학회지
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    • 제14권2호
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    • pp.62-68
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    • 2011
  • Purpose: This study was performed to investigate contraception knowledge and sexual behavior in female high school students. Methods: The participants were 382 female high school students from one academic and one vocational school. Data was collected from October to November, 2008 using self report questionnaire. Results: Knowledge on contraception was 5.52 in maximum 14 point scale. Major information source for sexual matters was peers such as friends or sisters. Perception on sexual behavior was different according to major information source. Fifty five percents of students thought that kiss can be permitted, and regarded sexual behavior as natural development. 3.4% of participants had experience of sexual intercourse. Conclusion: It is indicated that perception on sexual behavior can be shaped according to correct information and positive attitude on natural sexual development by health profession. Also, education on contraception would be included in sex education to reduce teenage pregnancy.

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병원간호사의 공감피로 영향요인 (The Influential Factors on Compassion Fatigue in Hospital Nurses)

  • 이현정;민혜숙
    • 근관절건강학회지
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    • 제21권3호
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    • pp.236-245
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    • 2014
  • Purpose: The purpose of this study was to identify influential factors on compassion fatigue in hospital nurses. Methods: A cross-sectional descriptive design was conducted with a survey of 358 general hospital nurses in Busan Gyeongnam area. For data analysis, descriptive statistics, Pearson's correlation coefficients, and multiple regression were performed using SPSS/WIN 18.0 for Windows. Results: The mean score was 28.53 in compassion fatigue. As a result of multiple regression analysis, empathic ability, stress coping strategy, current workplace, and academic background were statistically significant predictors explained 26.0% of the variance of compassion fatigue. Conclusion: It was suggested to consider emphatic ability, stress coping strategy, workplace, and academic background when developing a program available for preventing and easing nurses' compassion fatigue.

석곡(石谷) 이규준(李奎晙)의 "포상기문(浦上奇聞)"과 석곡(石谷)의 대서양(對西洋) 인식(認識) (A Study on Seokgok Lee Gyujoon's Posangkimun(浦上奇聞) and His Perception of the Occident)

  • 박상영;한창현;안상영;이준규;권오민
    • 한국한의학연구원논문집
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    • 제16권2호
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    • pp.65-73
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    • 2010
  • This study is to discuss the content of Posangkimun on the whole and to report the understanding of Seokgok Lee Gyujoon on western civilization. Through the overall analysis of Posangkimun, it is found the following facts: 1. Posangkimun aroused interest of academic circles as it covered theories of western civilization. Most of the introduction to western civilization contained in the book is related to astronomy and geography. Seokgok criticized all the western theories on revolution of the earth, astronomy, continents and oceans on the ground that these theories were not congruous with the teaching of the Oriental sages. 2. Seokgok found the reasons why the West had led the East from 'nationalism' of the West. The nationalism mentioned here were more similar to 'democracy' in modern sense, or rather 'democratism'. What is specially noteworthy is that he did not find the reasons of western advancement from the spiritual issues not from the machine civilization. In this way, Seokgok could avoid the fallacy of throwing away traditional ideas to concentrate in western machine civilization. 3. The content of Posangkimun shows that Seokgok was a person with a very conservative view. Notwithstanding his inclination, he had good knowledge about western theories, most of which were gathered from newspapers and magazines at that time. It means that newspapers and magazines should be treated with more importance when studying Korean intellectuals in late Joseon period or during the time of Japanese forced occupation.

Clinical Analysis of Tennis Elbow - 148 Cases -

  • Cho Duck Yun;Hahm Young Gil;Lee Joon Myoug
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1995년도 학술대회
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    • pp.22-22
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    • 1995
  • One hundred and forty-eight cases of tennis elbow were treated by conservative managements firstly such as rest, medication, immobilization, physical therapy and local steroid injection, from Jan. 1985 to Jun. 1994 at Department of Orthopaedic Surgery, National Medical Center. Among the 148 cases, 16 cases who failed conservative managements, were treated with Nirschl & Pettrone operation. The results were summarized as follows, 1. Among the 148 cases, 110 cases$(74\%)$ were female, and 61 cases$(41.2\%)$ were in the age group 41 to 50, and mean age was 42.3 2. Ninety-nine cases were housewives and only 15 cases were related to sports. 3. The results 116cases$(78\%)$, of conservative treatment were excellent and good 10 fair and failure in 32 cases$(22\%)$, by Nirschl and Peettrone assessment. 4. Among the 16 cases who were treated with Nirschl and Pettrone operation, excellent result was obtained 10 7cases, good in 3 cases, fair in 4cases and failure in 2 cases. 5. Recurrence was developed in 18 cases$(12.2\%)$, and we obtained excellent & good result in 17 cases with both conservative and operative treatment. Above results suggest that the term, tennis elbow is a misnomer because it occurs more commonly in non-athletes such as housewives than in tennis players. So it seems to be a occupational disease rather than sports injury. Now, we propose eliminate of the term, elbow and substitute with terminology that described the true understanding and therapeutic orientation of it.

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