• Title/Summary/Keyword: Adult stage

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Correlation Between Stress, Coping Patterns and Physical Symptom of Cancer Patient's Caregiver (입원한 암환자 가족원의 스트레스, 대처방법 및 신체증상간의 상관관계)

  • Kim, Hee-Seung
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.317-326
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    • 2001
  • The purpose of this study was to identify correlation of stress, coping patterns and physical symptoms in cancer patient's caregiver. The stress was measured by VAS(Visual Analogue Scale). The coping methods were measured using the modified Ways of Coping Questionnaire by Yang (1998) and the actual physical symptoms were investigated. The phases of patient illness consisted of 1st (initial) stage, and 2nd (recurred) stage and 3rd (terminal) stage based on literature (Lewandowski & Jones, 1988). The data were collected by a survey conducted from March to July, 2000 and which included 196 cancer patients' caregivers from two hospitals in Seoul. The data were analyzed using paired t-test, unpaired t-test, ANOVA, Scheffe test and Pearson correlation coefficient. The results were as follows: 1. The average of caregivers' stress scores was 62.5. Problem-focused coping methods were significantly used more than emotion-focused coping methods by the cancer patients' caregiver. The mean number of caregivers' physical symptom was 1.03. 2. There were significantly high level of stress in women, those who were more than 60 years old, those who had a low education level, those who had no job, those who are patients' wives' and those who are terminal patients' caregiver. There were significantly low levels of coping in women, those who were more than 60 years old, those who had low education levels, those who had no job and those who are patients' wives. There were significantly higher number of physical symptoms in women, and those who have no job. 3. Caregivers' stress was significantly correlated to problem-focused coping methods (r=-.21, p=.006), and physical symptom (r=-.28, p=.0001). In conclusion, attempts to develop nursing interventions for cancer patients' caregiver in women, those who are more than 60 years old, with a low education level, have no job, and are cancer patients' wives could have an improvement on positive coping methods and provide relaxation from stress in the patients' experience.

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Adaptation Experience among Hemodialysis of Women with End-Stage Renal Disease (여성 말기신부전 환자의 혈액투석 적응경험)

  • Park, Eui-Jung;Kim, Young-Hae;Son, Hyun-Mi
    • Korean Journal of Adult Nursing
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    • v.27 no.5
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    • pp.493-504
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    • 2015
  • Purpose: This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method. Methods: Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews. Results: The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life. Conclusion: These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

Atlantoaxial Rotatory Fixation in Adults Patient

  • Jeon, Sei-Woong;Jeong, Je-Hoon;Moon, Seung-Myung;Choi, Sun-Kil
    • Journal of Korean Neurosurgical Society
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    • v.45 no.4
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    • pp.246-248
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    • 2009
  • Atlantoaxial rotatory fixation (AARF) in adult is a rare disorder that occurs followed by a trauma. The patients were presented with painful torticollis and a typical 'cock robin' position of the head. The clinical diagnosis is generally difficult and often made in the late stage. In some cases, an irreducible or chronic fixation develops. We reported a case of AARF in adult patient which was treated by immobilization with conservative treatment. A 25-year-old female was presented with a posterior neck pain and limitation of motion of cervical spine after a traffic accident. She had no neurological deficit but suffered from severe defect on the scalp and multiple thoracic compression fractures. Plain radiographs demonstrated torticollis, lateral shift of odontoid process to one side and widening of one side of C1-C2 joint space. Immobilization with a Holter traction were performed and analgesics and muscle relaxants were given. Posterior neck pain and limitation of the cervical spine' motion were resolved. Plain cervical radiographs taken at one month after the injury showed that torticollis disappeared and the dens were in the midline position. The authors reported a case of type I post-traumatic AARF that was successfully treated by immobilization alone.

Major Hemolymph Proteins and Vitellogenin in Mulberry Longicorn Beetle, Apriona germari Hope

  • Yoon, Hyung-Joo;Mah, Young-Il;Park, Kwang-Ho;Jin, Byung-Rae;Sohn, Hung-Dae;Moon, Jae-Yu
    • Journal of Sericultural and Entomological Science
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    • v.41 no.2
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    • pp.82-86
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    • 1999
  • Hemolymph proteins and vitellogenin from mulberry longicorn beetle, Apriona germari HOPE, were indentified, and their changed were analyzed during the larval-pupal-adult development and in the newly laid eggs. Thres major hemolymph proteins were observed in the hemolymph during the larval-pupal-adult development and the intensity of their proteins was clearly observed during the pupal stage. From SDS-[olyacrylamide gel electrophoresis analysis, molecular weights of three major hemolymph proteins were approximately 74 kDa, 78kDa and 85kDa. Vitellogenin in A. Germati appeared in the hemolymph of only abult female and is considered to be a product synthersized within 10 days after adult emergence. The molecular weight of vitellogenin was consited of a heavy subunit (165 kDa) and a light subunit (40 kDa).

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Changes in Amino Acid Content in Infected Leaves of Spring Barley Plants Resistant to Powdery Mildew at Adult- Plant Stage (흰가루병에 성체식물저항성을 지닌 봄보리의 감염잎에서 아미노산함량의 변화)

  • Hwang Byung Kook
    • Korean Journal Plant Pathology
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    • v.1 no.3
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    • pp.165-168
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    • 1985
  • Ethanol-soluble amino acids in healthy and powdery mildew-infected leaves of the susceptible cultivar Peruvian and the adult-plant-resistant cultivar Asse of spring barley were quantitatively analysed. At I day after inoculation, the levels of amino acids in the infected first leaves of the two cultivars were similar to those of comparable healthy controls. During sporulation, increases in amino acids were more pronounced in Peruvian than those in Asse. The changes in amino acid content in the infected first and fifth leaves were closely related to the number of colonies per leaf. The susceptible cultivar Peruvian showed higher amounts of amino acids in infected first and fifth leaves at all infection intensitives than did Asse.

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The Extracardiac Fontan Operation in Adult -A case report- (성인에서의 심외도관 Fontan 수술 - 1예 보고 -)

  • 배윤숙;정승혁;정성철;김우식;윤소영;이정호;김병열
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.72-75
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    • 2004
  • The Fontan operation is commonly practiced for the physiologic correction of univentricular heart diseases. However, for the patients who have risk factors against this operation, it is recommended to take the initial palliative operation rather than going to the Fontan operation at once. The proper timing to the Fontan operation after palliation is decided by assessing several factors such as patient's age and other risks of maintaining palliative state, etc. Usually, the Fontan operation is done relatively early after palliation stage. Here, we report a 36 years old-adult-female with univentricular heart disease who underwent the successful Fontan operation at 17 years after unidirectional Glenn procedure.

Effects of Crude Protein Levels on Nitrogen Balance in Adult Jindo Dog (사료내 조단백질 수준이 진도성견의 질소균형에 미치는 영향)

  • Kang, Tae-Il;Maeng, Won-Jai;Kim, Myeong-Hwa;Lee, Sang-Rak
    • Journal of Animal Science and Technology
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    • v.51 no.2
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    • pp.155-162
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    • 2009
  • This study was conducted to determine the protein requirement level in adult Jindo dog (Korea Jindo Dog) through nitrogen balance experiments. 12 female dogs aged 36~38 weeks old (for early stage) or aged 45~49 weeks old (for late stage) were fed one of 3 diets containing 17, 19 and 21% of crude protein. Body weight of dogs were measured during the 12 days of feeding trial, and feces and urine were collected last 3 days of the trial period. In early stage of Jindo dog, average daily gain of dogs fed experimental diets containing 17, 19 and 21% of crude protein were -38.33, -16.25 and -12.71g/d, respectively. There was a significant differences between 17 and 21% of crude protein treatments (p<0.05) and calculated retained nitrogen were -0.29, -0.04 and -0.03g/kg$BW^{.75}$/d, respectively. In late stage of Jindo dog, average daily gain of dogs fed experimental diets containing 17, 19 and 21% of crude protein were -34.05, -28.71 and -28.28g/d, and calculated retained nitrogen were -0.33, -0.06 and 0.09g/kg$BW^{.75}$/d, respectively, and were significantly higher (p<0.05) in dogs fed 21% of crude protein diet than those of other dogs. In early stage and late stage of adult Jindo dog, a calculated linear regression equation for nitrogen intake (x) and nitrogen retention (y) were y = 0.7484x-1.18 ($R^2$ = 0.9923) and y = 0.88231x-1.0894 ($R^2$ = 0.9982) and the requirement of crude protein were estimated as 9.85g/kg$BW^{.75}$/d and 7.72g/kg$BW^{.75}$/d from above equation.

Purification and Biochemical Properties of Storage Protein SP-2 in Tobacco Budworm (Helicoverpa assulta Guenee) (담배나방 저장단백질 SP-2의 정제 및 생화학적 특성)

  • 정성은;채순용;김선봉;이형철
    • Journal of the Korean Society of Tobacco Science
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    • v.18 no.1
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    • pp.39-48
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    • 1996
  • A storage protein(SP-2) was confirmed in haemolymph during larval-pupal-adult development of tobacco burdworm(Helicoverpa assulta Guenee), and its biochemical characteristics were investigated. The titer of SP-2 showed a peak at mature larva, decreased gradually through the late pupal stage, and became undetectable at adult period. As the results from electrophoretic mnysis, SP-2 was confirmed to be glycolipoprotein(M.W. 332kDa) relatively stable to heat( $\leq$ 68$^{\circ}C$ ). This storage protein was determined to be a tetramer composed of a single subunit with MW of 83kDa, and the isoelectric point was 5.7. The amino acid composition of the SP-2 was characterized. It has relatively high content of methionine and histidine, whereas the contents of tyrosine and phenylalanine were relatively low.

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The Health-related Experiences of Foreign Wives in Korea (다문화가정 결혼이주여성의 건강 관련 경험)

  • Yih, Bong-Sook
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.477-487
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    • 2010
  • Purpose: The purpose of this study was to explore health-related experiences of the foreign wives. Methods: A qualitative research design was used to understand the health-related experiences of foreign wives. Ten informants were interviewed from December 2007 to December 2009. Results: The health related life experiences of foreign wives were analyzed within a self development process; Choice and struggle, Change and opportunity, and Settlement and expectation. The theme of choice and struggle includes physical and emotional stress in the initial stage of marriage. The second process of change and opportunity focused on the coping strategies of the women having power after knowledge acquisition from the multicultural family support center. The last theme was health and happiness from the women' perspectives. Conclusion: This study has emphasized the health condition of the foreign wives. Since foreign wives are members of Korean society, health care professionals need to design health services to meet their needs.

CLINICAL CASES OF NON-SURGICAL PALATAL EXPANSION ON ADULT PATIENTS

  • Kim, Kyung-Ho;Hong, Hee-Sook;Park, Jun-Ho
    • The korean journal of orthodontics
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    • v.25 no.6 s.53
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    • pp.733-746
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    • 1995
  • In narrow maxillary arch, midpalatal suture can be readily opened in growing children with maxillary palatal expansion. In adult patients, narrow maxilla is generally treated surgically because their growth are deemed completed due to their age. However, in patients under 25, midpalatal suture may not be closed. In addition, maxillary expansion may depend upon the closure of other maxillary sutures, which generally remain open at this stage. The present study attempted suture openings with palatal expansion on 5 female patients in their early 20's. The opening was successful in 4 patients, while only one patient showed no suture opening. In all 4 subjects, no discomfort or pain was present during s\expansion, and the successful suture opening was confirmed on occlusal x-rays. Therefore, for those patients with narrow maxilla in their early 20's, rapid palatal expansion or slow palatal expansion may offer a simple and less complicated option which, if successful, may preclude the need for surgery and thereby circumvent the psychological and financial burdens for the patients.

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