• Title/Summary/Keyword: Care phase

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Determination of polyphenolic compounds in grape seed extracts using reverse-phase high performance liquid chromatography

  • Wang, Chong-Zhi;Osinski, Joachim;Shao, Zuo-Hui;Basila, Daniel;Kim, Stephen;Yuan, Chun-Su
    • Advances in Traditional Medicine
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    • v.4 no.4
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    • pp.267-273
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    • 2004
  • Oxidative stress is associated with many kinds of chronic diseases. Antioxidants such as polyphenols are compounds that protect cells against the damaging effects of reactive oxygen species. Grape seeds are considered good resources of polyphenols, and grape seed extracts have a very strong antioxidant effect. In the present study, we established a simple gradient reverse-phase high performance liquid chromatography method to determine polyphenol content from three different grape seed resources. An ODS (2), $150\;{\times}\;3.2\;mm$ column has been employed, and six polyphenols have been determined: gallic acid, protochatechuic acid, (+)-catechin, (-)-epicatechin, procyanidin B2, and epicatechin gallate. Catechin and epicatechin were the main polyphenol compounds in all three extracts. The amount of procyanidin B2 was higher in Extract 1 (from a company of China), while Extract 2 (extracted in our lab) and Extract 3 (from a company of USA) contained higher proportions of epicatechin gallate. For the total polyphenol content, Extract 1 was much higher than that of Extract 2 and 3. The results suggest that the dietary dose of grape seed extracts from different resources should be adjusted according to polyphenol content.

Validity and Reliability of Korean Version of Older Patients in Acute Care Survey (한국어판 급성기 노인 환자 돌봄 측정도구의 타당도 및 신뢰도)

  • Kim, Jung-Min;Jeong, Hyo-Eun;Han, Jeong-Won
    • The Korean Journal of Health Service Management
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    • v.11 no.3
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    • pp.91-104
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    • 2017
  • Objectives : This study was a methodological study to verify the validity and reliability of the translated and modified Older Patients in Acute Care Survey-US (OPACS) tool, which was originally developed by Dikken and his colleagues. Methods : The OPACS was translated into Korean, and the content validity, composition validity, and reliability were verified using 348 nurses working for hospitals with over 200 beds and located in C city, B city, and K province. Results : The analysis showed that the Korean version of the OPACS had of eleven questions in the practice experience section and twelve in the general opinion section for older patients in the acute phase. Cronbach's ${\alpha}s$ were 0.84 for practice experience and 0.81 for general opinion. Conclusions : The study showed that the OPACS could measure the practice and opinion of Korean nurses who cared for elderly patients in the acute phase. The significance of the study was that it provided baseline data information regarding the performance and opinion of these nurses for nursing managers to improve the nursing environment.

A Qualitative Study on the Turnover Experiences of Teachers and Directors of Child Care Centers (보육교사와 시설장의 이직경험에 관한 질적 연구)

  • Lee, Eun-Ju;Yang, Sung-Eun
    • Journal of Families and Better Life
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    • v.30 no.2
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    • pp.121-136
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    • 2012
  • This study is a qualitative research on job transfer experiences of child care teachers and directors of child care centers. The research was conducted on 21 participants: 10 child teachers and 11 directors of child care centers in Seoul and Gyeong-gi province. Focus group interviews were held at the subjects' child care centers in July 2011. Each focus group participated in one interview and the average length of these interviews was 2 hours. Four focus group interviews were recorded and transcribed. The gathered data was analyzed within and across groups according to focus group interview analysis methods. The analysis showed five categories in both the teacher group and the director group. Reorganizing this analysis revealed three phases: before, in the course of, and after the transfer. Further description about the job transfer was given for each phase of the two groups. This research is significantly meaningful in that it brings light to the experiences around job transfer for both groups at the same time.

Can central venous access device care bundles and regular feedback reduce central line-associated complications in pediatric patients?

  • Chaiyakulsil, Chanapai;Pharadornuwat, Onsuthi
    • Clinical and Experimental Pediatrics
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    • v.64 no.3
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    • pp.123-129
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    • 2021
  • Background: The use of indwelling central venous access devices (CVADs) in children can result in complications such as infection, occlusion, and dislodgement. Purpose: To evaluate whether reinforcing CVAD care bundles by using a regular direct feedback system could reduce such complications in children. Methods: The intervention in this retrospective interrupted time-series study was initiated in January 2019. The study was divided into the preintervention (October-December 2018), 3-month postintervention (January-March 2019), and 6-month postintervention (April-June 2019) phases. Risk difference and Poisson regression analyses were used to illustrate the effectiveness of the intervention. Results: The hospital-wide central line-related bloodstream infection rate decreased from 10.0/1,000 catheter-days to 4.5/1,000 catheter-days at 3-month postintervention (P=0.39) and to 1.4/1,000 catheter-days at 6-month postintervention (P=0.047). The central line occlusion rate significantly decreased from 30% to 12.8% (P=0.04) and 8.3% (P=0.002) at 3 and 6 months, respectively. Approximately 7% of CVADs became dislodged during the preintervention phase versus 8.5% (P=0.364) and 3.3% (P=0.378) at 3 and 6 months, respectively. Conclusion: Reinforcing CVAD care bundles with direct feedback could significantly decrease CVAD-associated complications in terms of infection at 6-month postintervention, and occlusion at 3- and 6-month postintervention. Thus, reinforcement and regular direct feedback might improve care quality in children with CVADs.

Analysis of Heat Treatment Process for Large Forgings Considering Phase Transformation (대형 단조품 담금질 과정의 조직 및 응력분포 해석)

  • 이정호;이부윤;전제영;이명렬;조종래
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1996.11a
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    • pp.964-968
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    • 1996
  • The demands of size and quality of large steel shaft forgings for ship building, power plant, steel plant, etc. are rapidly increasing, and some of these productions are manufactured from ingot weighing more than 300 tons. For use as rotating components. shafts require toughness, strength and homogeneity, and therefore are produced through a variety of heat treatments. According to the increase of ingot size, micro- and macrosegregation and also mass effect of the product increase. Thus, special care should be paid to the heat treatment of such large shaft forgings. In this paper, the heat treatment of large shaft forgings such as rotor and back-up roll is calculated using the commercial finite element code SYSWELD. Calculated distributions of temperature and phase are compared with experimental data. The continuous cooling transformation diagram, thermal and mechanical properites of each phase are used. The phase proportion, hardness and residual stress during water quenching are discussed.

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Behavior Patterns of Health Care Utilization in Terminal Cancer Patients (말기암 환자들의 의료이용행태)

  • Han, Tae-Hyung;Cho, Byung-Jin;Shin, Baek-Hyo
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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A development of low frequency electrical nerve stimulator for muscle care and diet (저주파를 이용한 신경자극 치료장치 개발)

  • 정영수;현웅근
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2002.11a
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    • pp.462-466
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    • 2002
  • This paper describes a low frequency electrical nerve stimulator for muscle care. The developed system consist of 8bit low power consumed MPU, voltage boosting circuit converting 9V input to 120V output, repairing circuit for distorted output pulse, LED and buttons for I/O, and electro-chemical pad. The pulse generation algorithm for the muscle care effect is developed with basic pulses such as a single phase rectangle pulse, symmetric rectangle pulse, and depolarized interrupt pulse.

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Nurses Experience of Caring for Dying Patients in Hospitals (임종환자를 돌보는 병원간호사의 경험: 감정에 충실하면서 자신 추스르기)

  • 이명선
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.553-561
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    • 2003
  • Purpose: To develop a substantive theory that represents hospital nurses' experience on caring for dying patients. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 15 hospital nurses participated during the period of 2001-2002. The data were collected by semi-structured individual interviews. All interviews were audio taped and transcribed verbatim. Constant comparative analysis was employed to analyze the data. Result: 'Putting oneself into shape while being faithful to feelings and emotions' emerged as the basic social-psychological process. Three different phases were identified: being faithful to own feelings and behaviors; putting oneself into shape; and mourning death. The first phase includes the categories of 'establishing trust relationships' and 'sympathizing with dying patients and their family members.' The second phase consists of 'controlling feelings,' 'adjusting ethical conflicts,' and 'providing best patient-care,' and 'helping family accept the jeath.' And the third phase consists of 'overcoming sadness' and 'releasing other negative feelings.' Conclusion: The result of this study will help health professionals develop efficient support programs that support nurses caring for dying patients in hospitals. Further study needs to be done to verify findings.

A Concept Analysis on Learning Transfer in Nursing Using the Hybrid Model (혼종 모형을 이용한 간호 학습전이의 개념 분석)

  • Son, Hae Kyoung;Kim, Hyo Jin;Kim, Dong Hee
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.354-362
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    • 2020
  • Purpose: This study aimed to define and clarify learning transfer in nursing. Methods: This study used a hybrid model to analyze the concept of learning transfer in nursing through three phases. For the theoretical phase, learning transfer attributes were identified through a scoping literature review. In the fieldwork phase, in-depth focus group interviews were conducted to develop attributes. Purposive sampling was performed with ten participants(five nursing students, two nurses, three nursing faculty members). In the analysis phase, the attributes and final analysis of learning transfer in nursing were extracted and integrated from the previous two phases. Results: According to the analysis, learning transfer was represented in two dimensions with eight attributes. The development of competency dimension had three attributes: 1) theory acquisition, nursing skills, professional attitude, 2) integration, and 3) analysis competency. The competency change dimension had five attributes: 1) appropriateness in patient care, 2) proficiency in patient care, 3) satisfaction, 4) achievement, and 5) confidence. Conclusion: The concept analysis might provide a basic understanding of learning transfer, a development framework toward a measurement of nursing learning transfer and effective educational nursing strategies.

The Study of the Development of Efficacy Expectation Promoting Program and it효s Effect for Cervical Spinal Cord Injury Patients (경추손상 환자를 위한 효능증대 프로그램 개발과 그 효과에 관한 연구)

  • 황옥남
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.544-555
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    • 1996
  • The Study of the Development of Efficacy Expectation Promoting Program and it's Effect for Cervical Spinal Cord Injury Patients. This study was conducted to develop on Efficacy Expectation Promoting Program (EEPP) based on the Self-Efficacy Theory of Bandura for Cervical Spinal Cord Injury Patient(CSCIP), and invesgated it's effects. The research process of this study was done in three phases. The first phase was an analysis of the patient's life experience. The second phase was to develop an Efficacy Expectation Promoting VTR Tape Program(EEPP) that reflected the life experience of the CSCIPS. EEPP was composed Performance Accomplishment and Vicarious Experience with a home visitation program based on Verbal Persuation, which are all induction modes of efficacy expectation of Bandura. The third phase was an experimental stage. The experimental design was an AB Single Experimental Design. Research subjects were three CSCIPs (cervical area 5-7). The data was collected from 24th June to 22th Oct, 1995. The result of the experimentation showed great increase self-efficacy score, subject self-care score, all competence of daily living score, and social activities. In conclusion, it was found that an EEPP is an effective home nursing intervention technique for rehabilitation of CSCIPs.

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