• 제목/요약/키워드: DEC-A assessment

검색결과 38건 처리시간 0.025초

기관 삽관 환자의 구강간호시간에 따른 구강 건강 상태 및 세균집락의 차이 (A Comparison of Different Application Times of Oral Care on Colonies of Microorganisms and Oral Health Status on Intubated Patients)

  • 조영미;채영란;엄재현
    • Journal of Korean Biological Nursing Science
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    • 제17권2호
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    • pp.97-103
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    • 2015
  • Purpose: The aim of the study was to identify effects of oral care protocol on bacterial floras of the oral cavity and oral health status of intubated patients in an intensive care unit. Methods: The participants were 60 intubated patients who were recruited from an intensive care unit of a university hospital from Dec. 28, 2010 to Mar. 25, 2011. The participants were randomly assigned into 3 groups of 20 patients according to the application time of oral care (1-minute oral care, 2-minute oral care, and 3-minute oral care groups). The numbers of bacterial flora colonies in the oral cavity was assessed before and after the oral care. Oral health status was assessed using a Korean version of the Oral Assessment Guide developed by Elier et al. originally. Results: The numbers of bacterial flora colonies were less after oral care than those before the care, but there was no significant differences among the 3 groups after the care. Oral health status was better after the oral care than it was before the care, but there was also no significant differences among the 3 groups. Conclusion: If well-trained nurses perform oral care for 1 minute using a chlorhexidine swab on intubated patients, the numbers of bacterial flora colonies will be reduced and healthy oral status will be maintained.

혈청(血淸)콜레스테롤 농도(濃度)와 본능성고혈압(本態性高血壓), 간기능장애(肝機能障碍) 및 체중(體重)과의 상관관계(相關關係)에 대한 검토(檢討) (A Study on the Interrelation Between Serum Cholesterol level and Essential Hypertension, Liver Disease and Body weight)

  • 김명해
    • 보험의학회지
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    • 제2권1호
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    • pp.135-142
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    • 1985
  • For the past 10 years, the socioeconomic status of our country was markedly improved. Accordingly, our foodintake patterns and other alt parts are preparing to blance with developed countries. Especially, be westernizing or improving our foodintake patterns, we intake much fat diet(animal food) while our physical activities decrease and alcohol consumtion's population, smoking population gradually increase. For such reasons, the population of obese tendency and cardiovascular diseases are increased. According to recent reports, among all death causes in our country, cardiovascular diseases(hypertension, hypertensive cardiovascular diseases, ischemic heart diseases) occupyd top rank, we know. I(the author) studied the inter-relation between serum cholesterol level which is the important factor of the cardiovascular diseases and essential hypertension liver diseases, hyperglycemia, some cardiac problems which are main decline causes in life insurance's medical assessment, and body weight distribution. Studied samples were selected on 4,313 cases(male; 1,791, female; 2,522) who were tested liver function test from June, 11th, 1980 to Dec., 31st, 1983 on our medical department's laboratory. I selected two groups in those cases: one group was serum cholesterol level 180mg/dl over(11% of whole LFT examed cases: No=502 cases), the other group was serum cholesterol level 120-160mg/dl(No= 502 cases). For convenience, the group of serum cholesterol level 180mg/dl over was "A" the other group was "B", I described. All examed persons of LFT were resident m Tae-Jon city in that time. On the result, 1) Decline rate is 10.5% on the "A" group, 5.9% on the "B" group. "A" group reveals 1.8 times higher than "B" group. 2) On decline causes, Essential hypertension is 4.0 times higher on the "A" group than "B", liver function's abnormalities are 2.0 times higher on "A" group than "B" and other diseases are same on "A" and "B". On the "A" group, essential hypertension is considerably higher than "B" group. 3) On the body weight distribution, the cases of 70kg(B.W.) over is 19.7% on "A", 10.6% on "B" group. Obese tendency is 1.8 folds higher on "A" group than "B" group. Studing the result, we find high serum cholesterol concentration is closely related with essential hypertension, obese tendency and liver function's abnormalities on the life insurance's medical examination part, also. On the future, we will more carefully consider the serum cholesterol concentration on our medical examnination and assessment of life insurance, I think.

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흉선종의 수술적 치료 및 예후인자의 평가 (Surgical Treatment and Assessment of Prognostic Factors of Thymoma)

  • 정경영;김길동
    • Journal of Chest Surgery
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    • 제29권7호
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    • pp.734-740
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    • 1996
  • 1981년 1월부터 1994년 12월까지 흉선종으로 세브란스병원에서 수술한 65명의 환자를 대상으로 하였다. 환자중 28명(43.1%)이 중증근무력증을 동반하고 있었으며 마사오카 병기에 의하면 1기 28명(43. 11%), 2기 13명 (20.0%), 3기 22명 (33.8%), 4기a와 4기b가 각각 1명 (1.5%) 이었다. 수술사망은 없었고 완전절제가 48명 (73.8%)에서 가능했으며 수술 후 보조치료는 10명에서 시 행하여졌다. 병리학적분류로 24.6%가 상피세포형, 27.7%가 림파구형, )3.9%가 혼합형이 었다. 5년과 10년 생존율은 각각 87%, 82% 이었으며 흉선종의 수술 후 예후인자는 종양의 국소침윤여부, 종양의 완전절제여부, 흉선암, 병기, 중증 근무력증의 동반 여부였다. 1기 흉선종 환자에서는 재발이 없었다.

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Health-related Quality of Life After Treatment for Malignant Bone Tumors: A Follow-up Study in China

  • Sun, Yong-Jian;Hu, Yan-Jun;Jin, Dan;Li, Jian-Wei;Yu, Bin
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권7호
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    • pp.3099-3102
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    • 2012
  • Aim: We conducted the present study to assess health-related quality of life (HRQoL) among bone cancer patients after surgical treatment in one large teaching hospitals in China, and assess the risk factors for improving the physical or mental HRQoL. Methods: 344 eligible adult patients who were admitted to the hospital with malignant bone tumors during the period of Jun. 2008 to Dec. 2011, and a reference group with 361 health cases was recruited in the same hospital during the same period. All 344 patients were followed up for one year. The HRQoL before treatment and after one year was evaluated with the Medical Outcome Short Form 36 (SF-36). Results: All 8 domains of HRQoL had the lowest scores greatly improved over the first year after discharge. However, the patients still had significantly lower scores in every domain than the reference group one year after discharge. Age and type of surgery were associated with HRQoL in the mental domain. Conclusion: The HRQoL of patients with malignant bone tumors greatly improved one year after the treatment. This study also highlighted the utility of HRQoL assessment for prognostic evaluation of patients after surgical treatment for bone cancer.

Changes of Plasma Tumor Necrosis Factor α and C-Reactive Protein Levels in Patients with Hypertension Accompanied by Impaired Glucose Tolerance and their Clinical Significance

  • Xiao, Qiang;Wang, Lan-Ping;Ran, Zhang-Shen;Zhang, Xin-Huan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3389-3393
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    • 2015
  • Background: Chronic inflammation could affect the occurrence and development of malignant tumors. To explore the levels of tumor necrosis factor ${\alpha}$ (TNF-${\alpha}$) and C-reactive protein (CRP) in patients accompanied by impaired glucose tolerance (IGT) and their clinical significance. Materials and Methods: A total of 210 patients hospitalized in Affiliated Hospital of Taishan Medical University from Jun., 2013 to Dec., 2014 were selected, in which 92 cases were accompanied by IGT. Meanwhile, 80 randomly-selected healthy people by physical examination were as the control. The levels of routine biochemical indexes, plasma TNF-${\alpha}$ and CRP in all subjects were measured. Results: Both systolic and diastolic pressures in hypertension group and hypertension plus IGT group were significantly higher than in control group (p<0.01), but there was no statistical significance between these two groups (p>0.05). The levels of fasting plasma glucose (FPG) and blood glucose 2 h after taking glucose in hypertension plus IGT group were markedly higher than other groups (p<0.01). Homeostasis model assessment-insulin resistance (HOMA-IR), TNF-${\alpha}$ and CRP contents were on the progressive increase in control, hypertension and hypertension plus IGT groups, but significant differences were presented among each group (P<0.01). Hypertension accompanied by IGT had a significantly-positive association with CRP, TNF-${\alpha}$, FPG and blood glucose 2h after taking glucose. Conclusions: The levels of plasma TNF-${\alpha}$ and CPR in patients with hypertension accompanied by IGT increase significantly, indicating that inflammatory reaction in these patient increases, thus suggesting that these patients should be focused regarding cancer prevention.

QuikSCAT 위성 데이터를 이용한 한반도 주변의 해상 풍력자원 평가 (Offshore Wind Resource Assessment around Korean Peninsula by using QuikSCAT Satellite Data)

  • 장재경;유병민;유기완;이준신
    • 한국항공우주학회지
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    • 제37권11호
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    • pp.1121-1130
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    • 2009
  • QuikSCAT 위성의 관측자료를 이용하여 2000년 1월로부터 2008년 12월에 걸쳐 한반도 근해의 풍력자원을 평가 하였다. QuikSCAT 위성은 초단파 scatterometer를 이용하여 해수면 가까이의 풍향과 풍속을 전천후 상태에서 측정한다. 해면으로부터 10 m 높이에서 측정된 풍속을 power law모델을 이용하여 허브 높이에 맞게 외삽 보정하였다. 계산 결과 한반도의 남해와 동해에서 풍력에너지가 상대적으로 우세하다는 것을 알 수 있었다. 풍력 터빈 타워의 설치를 위해 깊은 수심을 피하고 대규모 풍력단지 조성을 위해 남해의 다도해 지역을 피한다면 한반도 서쪽 또는 남서쪽 연안이 대규모 풍력단지 조성에 유리하나 상대적으로 낮은 풍속을 고려한 블레이드 개발을 요한다. 바람 지도를 작성하였으며, 특정 지점에 대한 월별 풍속 변화를 파악하였다. 그리고 풍력에너지 밀도를 이용한 바람장미를 파악하였다.

대학생의 외모 관련 사회문화적 태도 및 사회적 압박감, 스트레스가 신체상 불일치에 미치는 영향 (Effect of Sociocultural Attitudes toward Appearance, Social Pressure and Stress on University Students' Body Figure Discrepancy)

  • 이은미;김유정
    • 한국산학기술학회논문지
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    • 제18권12호
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    • pp.173-181
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    • 2017
  • 본 연구의 목적은 대학생의 외모 관련 사회문화적 태도와 사회적 압박감, 스트레스가 신체상 불일치에 미치는 영향을 파악하기 위함이다. 연구 대상자로 C시와 A시 4년제 대학에 다니는 대학생 363명을 표집하였다. 구조화된 자가보고 설문지를 통해 2016년 10월 27일부터 12월 9일까지 자료를 수집하였다. 자료분석을 위해 SPSS 20.0 통계 프로그램의 기술 통계 및 상관 분석, 다중 회귀분석을 적용하였다. 연구결과에서 신체상 불일치 정도는 여학생의 외모 관련 사회문화적 태도(r=.406, p=.006), 친구에 의한 압박감(r=.197, p<.001), 부모에 의한 압박감(r=.176, p=.002), 스트레스(r=.218, p<.001)와 양의 상관관계가 있는 것으로 나타났다. 신체상 불일치는 친구에 의한 압박감(${\beta}=.159$, p=.007), 스트레스(${\beta}=.186$, p=.002), BMI(${\beta}=.186$, p=.002)가 증가할수록 높게 나타났으며, 이 변수들은 대상자의 신체상 불일치에 대해 10.9%의 설명력을 보였다. 따라서 신체상 불일치를 줄이기 위해서는 대학생들이 건강 유지 목적으로 체중과 스트레스 관리를 할 수 있게 하고, 타인의 시선이나 평가로 인해 상처받지 않고, 긍정적인 자기 인식을 가질 수 있도록 하는 보건교육 및 건강증진 프로그램 개발이 요구된다.

하악골 골절 환자의 치료시 상관절강 세정술의 유용성 평가 (EVALUATION OF EFFICACY OF TMJ ARTHROCENTESIS IN THE PATIENTS WITH MANDIBULAR FRACTURE)

  • 김영균;윤필영;김지홍
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권6호
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    • pp.532-535
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    • 2005
  • The objective of this study is assessment of the efficacy of upper joint space arthrocentesis on prevention of TMJ injury from patient with mantibular fractures. We divided the patients into two groups, one which consist of 24 patients who are taken arthrocentesis while open reduction of mandibular fracture, the other which consist of 27 patients without arthrocentesis from Jan 1999 to Dec 2001. We measured maximum mouth opening, excursive movement range respectively one week, one month, three months later after operation. The patients were instructed to mark on 10 cm VAS for evaluation of TMJ pain during resting, mouth opening, and mastication. We evaluated the signs and symptoms of temporomandibular disorder clinically and radiographically 6 months later. The result of this study is that there is a reduction of pain and increase of range of mandibular motion in both groups but in patients with arthrocentesis there is relatively reduction of pain and increase of range of mandibular motion compared with control group. On the points of 6 months later, temporomandibular disorder occurred in 4 patients (16.7%) in group with arthrocentesis and 13 patients (47.1%) in control group. In conclusion, we think that supplemental therapy such as arthrocentesis is helpful for the recovery of jaw function and prevention of the development of temporomandibular disorder after facial trauma.

목포지역에서의 지역사회 획득 폐렴의 임상적 연구 (A Clinical Investigation of Community-Acquired Pneumonia in Mokpo Area)

  • 윤지호;이동채;이한슬;김병훈;이종효;김지운
    • Tuberculosis and Respiratory Diseases
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    • 제51권1호
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    • pp.17-24
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    • 2001
  • 연구목적 : 목포지역에서 발생하는 지역사회 폐렴의 원인균주, 임상상, 기저질환, 치료경과 등을 알아보기위해 목포가톨릭병원에서 폐렴으로 진단된 환자를 전향적으로 검토하였다. 방 법 : 1995년 12월부터 1997년 3월까지 16개월간 목포 가톨릭병원에서 폐렴으로 진단된 35예의 나이, 성별, 기저질환, 세균학적 검사, 항체검사 및 항생제 치료성적을 증상발현 시기, 흉통, 오한등을 지표로 전형적 폐렴과 비전형적 폐렴으로 구분하여 전향적으로 연구하였다. 결 과 : 대상환자 35예에서 성별빈도는 남자 21예(60%), 여자 14예(40%) 였으며, 연령은 50세 이상이 24예(69%) 였다. 원인균주를 객담, 혈액배양, 특이항체 검사에서 밝혀진 예는 11예였으며, 균주를 관찰할 수 없었던 경우가 24예였다. 기저질환의 경우 10예에서 있었으며 알콜중독, 폐결핵, 당뇨병, 간경화 등이 해당되었다. 치료는 경험적으로 항생제를 사용하여 전예에서 완치되었다. 결 론 : 항생제 개발과 더불어 폐렴의 임상상의 변화, 원인균주의 변화 및 새로운 내성균의 출현 등을 고려할 때, 지역사회 폐렴의 치료는 정확한 원인균주의 동정과 감수성 검사를 바탕으로 시행하여야 하나, 임상적으로는 경험적 치료가 중요하다고 사료되며 더 많은 전향적인 연구가 필요할 것으로 사료된다.

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산업장의 특성별 건강검진과 보건관리 -광주.전남지역- (A Study on the Periodic Medical Examination, and Health Care Management Programs in Industries -Kwang-Ju city and Chonnam Province-)

  • 강혜영;박인혜;최영애;오미성;최희정;유수옥
    • 지역사회간호학회지
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    • 제4권1호
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    • pp.58-66
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    • 1993
  • The purpose of this study was to explore the condition of periodic medical examination, and health care services in industries. This will offer some basic data in developing industrial nursing care requirements. To achieve this goal a self-administered questionnaire (developed by the academic affairs of community health nursing) was provided to the nurses working in 40 industries from Dec 20, 1992 to Jan 20, 1993. The statistical computer package SAS, along with t-test, and ANOVA was used to manipulate the date. The results were as follows : 1. General Characteristics: The greater part of the industries studied were manufacturing company, with over 500 employees. The shift system was used with most companies using one or three shifts, and 75.0% of them were organized with Industrial Safety and Health Committees. 2. Periodic Medical Examination : Most of the workers were receiving periodic medical examination from a designated hospital (96.7%). Of those 15.8% had a close medical examination. In the medical examination 9.4% were evaluated at 'C' and 3.8 were evaluated at 'D'. About 55.0% of those workers received the result of the periodic medical examination individually(95.0%). 3. Special Medical Examination : The rate of those who were receiving special medical examination was 98.4% and about 11.7% were evaluated at 'C' and 3.9% were evaluated at 'D'. Those who had any health problems (54.2%) were receiving follow-up care, 52.4% of them had medical treatment while working. The health care managers in the company consulted 97.1% of them who had any suspicious signs and symptoms of occupational diseases. 4. Health Care Services : The average score of health care services was 13.8 out of a possible 28 point. The score of health education and health assessment, was lower than medical diagnosis and environmental hygiene. There were no significant differences in health care services according to the size of the industries(F=.95, P=.429). The score of health care services was higher in the worker who had better health and showed significant differences (F=4.50, p=.025).

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