• 제목/요약/키워드: Disc Disease

검색결과 283건 처리시간 0.024초

간호기기 개발수요 조사연구 (A Study on the Demand for Equipent Development in Nursing)

  • 장순복;김의숙;황애란;강규숙;서미혜
    • 대한간호
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    • 제35권2호
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    • pp.71-91
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    • 1996
  • The objectives of thes study were to identify the need for equipment development in nursing, and to determine the priorities for that development. The study was descriptive study done between March 2 and May 30, 1995, in which the subjects, including 421 patients, 223 family members, and 198 nurses from neurosurgery, orthopedic, rehabilitation medicine, internal medicine and intensive care units of nine general hospitals in Seoul, completed a questionnarie developed by the research team. The questionnaire consisted of 35 open and closed questions. Data was analyzed using frequencies and percentages. The results ware summarized as follows: 1) The average age of the nurses was 27.9 years, 48% of the patients were between 20 and 40 years of age, and 17% were over 60. The average lingth of experience for the nurse subjects was four years five months with 36.9%. having over five years experience. The most frequent diagnoses of patients were spinal disc(35.9%), internal medicine disease(26.0%), cerebral vascular accident(16.6%) and spinal cord injury(10%) 2) Many of the nurses(96.4%) reported deficiencies with existing equipment and 96.5% of the nurses, but only 79.8% of the patients, nurses' time. Further, 82.3% of the nurses and 75.8% of the patients felt that the development of new equipment would lead to a decrease in the cost of nursing care. 3) Nurses felt that the greatest areas of inconvenience were patient feeding(71.7%), hygiene(71.2%), caring for a patient confined to bed(70.7%), patient clothing(67.2%), mobility transfers(63.5%) and urinary elimination(52.0%). However, patients and family members listed the following as being the most inconvenient: urinary elimination(58.7%), Hygiene(50.5), feeding(48.4%), mobility transfers(47.1%) and bed care(45.2%). 4) Generally the nurses listed more inconveniences and patients and family members listed more demands for the development of equipment. These included utensils with large handles, and regulators for tube feedings; mattresses that provide for automatic position change and massage, which have patient controlled levers and a place for bed pan insertion; automatic lifts or transfer from bed to wheelchair; equipment to facilitate washing and oral hygiene as well as equipment that will allow patients with spinal cord injuries easy access to showers; a bed pan/urinal for women that is comfortable and effective from which urine can be measured and disposed of easily; disposable dressing sets and tracheostomy care sets and a convenient way of measuring changes in wound size; a safe delivery system for oxygen, a variety of mask sizes and better control of humidity, tracheal material than at present, as well as a communication system for patients with tracheostomies; clothing that will allow access to various parts of the body for treament or assessment without patients having to remove all of their clothing; and finally a system that will allow the patient to control lighting, telephones and pagers. Priority areas for equipment development reported by the nurses were, urinary elimination(58. 7%), hygiene(50.5%), feeding(48.4%), mobility transfers(47..1%), bowel elimination(40.8%). Those reported by the patients family members were feeding(71.7%), hygiene(70.0%), bedcare(70.7%), clothing(67.2%), mobility transfers(63.6%), urinary elimination(52.9%) and bowel elimination(50.5%) Altogether, nurses, patients and family members listed the following as priorities; clothing (178), bed care(144), urinary elimination(92), environment(81), hygiene(70). Further, a health professional forum listed urinary elimination, oxygen delivery, medication delivery, mobility transfers, bed care and hygiene in that order as priority areas. From this study it can be concluded that the first need is to develop equipment that will address the problems of urinary elimination. To do (l)This nurses who are interested in equipment development should organize an equipment development team to provide a forum for discussion and production of equipment for nursing.

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잣나무 정유의 소취효과 및 구강균에 대한 항균활성 평가 (Evaluations on Deodorization Effect and Anti-oral Microbial Activity of Essential Oil from Pinus koraiensis)

  • 황현정;유정식;이하연;권동주;한웅;허성일;김선영
    • 한국자원식물학회지
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    • 제27권1호
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    • pp.1-10
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    • 2014
  • 본 연구에서는 잣나무 정유를 대상으로 GC-MS를 이용한 성분분석, 악취물질에 대한 소취효과 및 구강균에 대한 항균활성을 평가하였다. 잣나무 정유를 GC-MS를 이용하여 정성분석한 결과 ${\alpha}$-pinene이 19.38%로 가장 높은 구성을 차지하였고, 다음으로 3-carene (11.16%), camphene (10.57%), limonene (9.79%) 등의 terpene hydrocarbon류가 대부분을 차지하고 있었으며 이들 특유의 향취 조합으로 인해 잣나무 정유 고유의 향취를 나타내는 것으로 사료된다. 악취물질 4종에 대한 소취력 평가에서는 잣나무 정유를 주입한 1시간 후 75.17%의 ammonia 소취능을 나타내어 4종의 정유 중 가장 높은 활성을 나타냈다. Formaldehyde에 대한 소취력 평가에서는 편백나무와 소나무 정유가 61.67%로 가장 높은 활성을 보였고 잣나무 정유는 23.33%를 나타내었다. Trimethylamine에 대해서는 정유 주입 10분 후 편백나무, 전나무, 소나무 정유가 평균 6.70%로 낮은 활성을 나타낸 반면, 잣나무 정유를 주입함으로서 41.58%의 매우 높은 소취력을 나타내었다. Methylmercaptan에 대해서는 정유 주입 1시간 후 소나무(82.22%), 잣나무(70.56%), 전나무(62.22%), 편백나무(59.44%) 정유 순으로 소취력을 나타냈다. 구강균에 대한 정유 별 항균력 평가에서는 잣나무 정유($2.90{\pm}0.15mm$)는 L. paracasei에 대하여 전나무($1.83{\pm}0.18mm$)와 소나무($1.54{\pm}0.09mm$) 정유보다 강한 항균력을 나타내었으며, S. aureus에 대한 잣나무 정유($2.86{\pm}0.08mm$)의 항균활성 또한 전나무($1.15{\pm}0.20mm$)와 소나무($1.85{\pm}0.08mm$) 정유 보다 높게 나타났다. 특히 S. sobrinus에 대한 항균활성은 편백나무($1.42{\pm}0.01mm$)와 잣나무($1.40{\pm}0.01mm$) 정유를 처리함으로써 강하게 나타났으며 S. mutans에 대한 항균력은 편백나무>전나무>잣나무>소나무 정유 순으로 활성이 나타났다. E. faecalis에 대해서는 소나무($0.79{\pm}0.05mm$)정유만 항균활성을 나타내었다. 이상의 결과로 천연물 유래 잣나무 정유는 악취물질에 대한 소취효과 및 구강균에 대한 항균활성을 가지고 있다는 것으로 판단되며, 이를 활용한 구강탈취제, 구강청결제 등의 개발이 가능할 것으로 사료된다.

후지마비견(後肢痲痺犬)에 대한 봉독(蜂毒) 약침(藥鍼) 및 봉독(蜂毒) 약침(藥鍼)과 한약제(漢藥劑)의 병용치료(倂用治療) : 증례보고(症例報告) (Treatment by Injection-Acupuncture with Apitoxin and Apitoxin Combined by Chinese Herbal Medicine in Patients with Canine Bind Limb Paralysis : Case Report)

  • 전형규;박세근;김덕환;김문호;서금원;서청령;요진재;궐호연;정한문
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.225-228
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    • 2007
  • 개 추간판 디스크 2 증례(症例)를 대상으로 봉독약침 및 봉독약침과 한약제로 각각 치료하였다. 증례(症例) 1은 흉-요추부 추간판탈출증(T11-T12, T12-T13, L3-L4 및 L4-L5)으로 진단(診斷)된 증례이었으며. 증례 2는 흉추부 추간판탈출증(T10-T11 및 T12-T13)으로 진단(診斷)된 증례이었다. 이들 증례에 대하여 봉독약침(0.1 ml/혈위, 총$200{\mu}g$)을 실시(實施)하였으며, 운동요법과 수영요법도 병용하였다. 봉독약침에 사용한 혈위는 GV20-Bai Hui, GB30-Huan Tiao, ST36-Zu San Li, GB34-Yang Ling Quan, ST40-Feng Long, ST41-Jie Xi 및 BL40-Wei Zhong, 병변부 및 압통점이었다. 또한 증례 2에 대하여는 봉독약침과 더불어 Zheng Gu Zi Jin Dan(정골자금단(正骨紫金丹) : 1 g), Shiuh Duann(속단(續斷) .0.2 g), Du Zhong(두중(杜仲) : 0.2 g), Mo Yao(몰약(沒藥 : 0.2 g), Ru Xiang(유향(乳香) : 0.2 g) 및 Pyrite(자연동(自然銅) : 0.2 g)를 각각 총 9일간 경구투여(2회/1일)하였다. 증례 1은 총 4주간 11회 치료, 증례(症例) 2는 총 2주간 6회 치료 후 각각 보행이 가능하였다.