• Title/Summary/Keyword: Early discharge

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The Relationship among Depression, Self-esteem and ADL in the Case of the Hospitalized Elderly Patients with Chronic Disease (만성질환으로 입원한 노인 환자의 우울, 자아존중감 및 일상생활수행능력(ADL)간 관계연구)

  • Yeo, Yeon-Og;Yoo, Eun-Kwang
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.676-686
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    • 2010
  • Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

Glucose and pH of Oral Secretions in Newborns (신생아 구강분비물의 당과 pH 및 영향 요인 탐색)

  • Kim, Namhee;Ahn, Youngmee
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.353-363
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    • 2017
  • Purpose: Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns. Methods: An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0. Results: Oral glucose was $30.66{\pm}22.01mg/dl$ at birth then increased to $54.77{\pm}27.96mg/dl$ at the third day of life (F=8.04, p<.001) while oral pH decreased from $7.35{\pm}0.36$ to $5.53{\pm}0.39$ during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001). Conclusion: Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.

A clean technology development using the molybdenum dissolution reaction with hydrogen peroxide(II) (과산화수소를 이용한 몰리브덴(Mo) 용해반응에 따른 청정기술 개발에 관한 연구(II))

  • 김재우;홍종순;신대윤
    • Journal of environmental and Sanitary engineering
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    • v.14 no.3
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    • pp.116-122
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    • 1999
  • The purpose of this study is to develop new process named "hydrogen peroxide dissolution method". This process used hydrogen peroxide, which is harmless to human body and oxidize molybdenum wire selectively.The advantages of hydrogen peroxide dissolution method were no discharge of noxious matter when dissolution of molybdenum wire which used as the center supporter, reactions occur in room temperature and easy to recover dissolved molybdenum. This study was aimed at gathering the basic data of molybdenum wire dissolution-recovery process and proposes the reaction condition of molybdenum wire dissolution-recovery process and the factors influencing those reactions. The results were as follows:1. In the dissolution of molybdenum wire, the early condition of reaction was $15^{\circ}C$, and the temperature condition of state was $32^{\circ}C$. 2. 1) In the GSL-60W type, P.W.(Piece weight) was 11.89mg, C.R. was $65.6\Omega$. 2) In the FL-20W type, P.W. was 11.60mg, C.R. was $4.6\Omega$. 3. The molybdenum of process water was treated of a precipitation after dry and after stagnation in the one day, the molybdenum of upper water was treated of precipitation after dry and after congelation.

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Study on the Anti-allergic Effect of Armeniacae Semen Herbal Acupuncture Solution (행인약침(杏仁藥鍼)이 항알레르기에 미치는 영향)

  • Kim, Yu-Seung;Song, Choon-Ho
    • Korean Journal of Acupuncture
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    • v.24 no.4
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    • pp.151-162
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    • 2007
  • Objectives : The purpose of this study was to examine the anti-allergic effect in vivo, and to observe single toxicity in mice of Armeniacae Semen herbal acupuncture solution (ASHA). Methods : We investigated anti DNP IgE-mediated passive cutaneous anaphylaxis in rodents and compound 48/80-induced active systemic anaphylatic shock in mice after treatment at both BL13 with ASHA of 25 ${\mu}{\ell}$(mice) or 50 ${\mu}{\ell}$(rats) 3 times for 5 days. To ascertain safety and toxicity of ASHA, we examined single toxicity test. In single test, three groups were treated with different dosages of ASHA (ASHA250, ASHA500 and ASHA1000) according to on Korean Food and Drug Administration, respectively. We observed attentively motality, abnormal clinical sign, body weight change, and organ weight of mice after ASHA treatment. Results : ASHA inhibited passive cutaneous anaphylaxis and active systemic anaphylatic shock by oral administration. During toxicity experiment period, there was no difference in body weight change, and organ weight among different dose groups. Death were not found in single test i.p. group. (ASHA250, ASHA500 and ASHA1000). Several individuals of single test i.p. group were observed yellow brown discharge around anus in early period after administration. Conclusions : These results indicate that ASHA have inhibition effects on passive cutaneous anaphylaxis and active systemic anaphylatic shock, and suggest that has some toxicity in high dosage.

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Squamous Cell Carcinoma in the Extremities (사지에 발생한 편평상피 세포암)

  • Choi, Il-Yong;Kim, Tai-Seung;Cho, Won-Min;Choi, Chung-Kyu
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.1
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    • pp.98-104
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    • 1995
  • Between April 1982 and July 1991, 14 cases of squamous cell carcinoma of the extremities have been treated at the Department of Orthopedic Surgery, College of Medicine, Hanyang University. The diagnosis was made by clinical symptoms, history, tissue and lymph node biopsy. Age distribution was variable and the average age was 50.2 years old. The frequency was higher in male than female. The most common location arising the carcinoma was lower extremities. The most common etiology of carcinoma was chronic osteomyelitis, then chronic ulcers, burn scars in order. The average duration of illness was 22.8 years. The common clinical manifestations at the time of admission were chronic ulcer, growing mass, draining sinus in order. The choice of treatment consisted of early adequate amputation or radical resection of the focus and irradiation or chemotherapy.

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Stellate Ganglion Block for the Treatment of Pain from Oral Lichen Planus (성상신경절 차단을 이용한 구강내 편평태선의 통증치료)

  • Han, Young-Jin;Choe, Huhn;Shim, Yo-Taek
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.101-103
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    • 1997
  • Common oral lesions of lichen planus (LP) are bilateral lace-like white patches in the buccal and lingual mucosae. Oral LP of chronic erosive and ulcerative forms develop carcinomas among approximately 1% of affected patients. A 64 year old male patient suffering from LP with early verrucous carcinoma on lips, tongue, and hard palate for approximately 8 years was refered to the pain clinic from department of dermatology. He complained of severe pain (VAS 9.5) on lips, oral cavity and left of the face. For 18 consecutive days we performed stellate ganglion blocks (SGB) with 6 ml on his left side of face. Patients pain decreased to (VAS 3.0) after 18 SGB. After a total of 31 SGB patient was discharged free of pain. pain recurred (VAS 3.5) 22 days after discharge. We then performed SGB, twice weekly and pain was effectively relieved after total 54 SGB. But patient needed to take oral analgesics due to nocturnal pain.

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Significant Variables Affecting Follow-up after Psychiatric Consultation in General Medical Units (정신과 자문이 의뢰된 내과 환자들의 추적치료 결정요인)

  • Lee, Sang-Kyu;Kim, Do-Hoon;Son, Bong-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.176-187
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    • 1998
  • This study was performed to identify the significant variables affecting Follow-up after psychiatric consultation in General medical units and the trends of psychiatric consultation at the Hallym University hospital in Chunchon. Subjects of this study were 107 patients from April 1, 1998 to August 31, 1998, who were referred for psychiatric consultation during hospitalization. The results were as follows ; 1) Referral rate of General medical units was 7.5% and ordered Gastroenterology, Cardiology, nephrology, Other part. 2) The rate of total follow-up was 58% and the rate of No-follow-up was 42%. 3) In the cases of referral timing over admission 8th days, the days hospitalized after consultation performed were lengthened, significantly. 4) Common reasons for no follow-up of consultation were 'early- discharge' and 'patient's unwillingness to psychiatric reconsult. 5) Significant variables affecting follow-up were 'treatment recommendation', 'concordance with psychiatric drug recommendation', 'concordance with laboratory recommendation', 'total days hospitalized', 'Days hospitalization after consult was performed' and 'referral reason'.

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A Study on the Semiannual Crops of Wet Paddy Fields by Underdrainage (암거배수에 의한 습답의 2모작에 관한 연구)

  • 송석은;김시원
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.20 no.2
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    • pp.4688-4694
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    • 1978
  • The result which I tried to get double crops of potatoes on the wet paddy fields through the underdrainage of P V.C pipe from March 1977 to June 1977 in Jung cheon-Ri, Jinseong-men, Jinyang gun, Kungsangnamdo are followings.1. During this experimental period, the temperature on the average was 15.67$^{\circ}C$ (yearly mean 14.78$^{\circ}C$ that was suitable in growing potatoes, while the amount of rainfall was not much heavier from middle of April to early in May. Therefore the yield of potatoes in the wet fields was so high. 2. The soil temperature of the treated plot in the underground of 10cm, 30cm, 60cm, 80cm, has risen to 1.38$^{\circ}C$, 1.32$^{\circ}C$, 1.45$^{\circ}C$, 1.28$^{\circ}C$, comparing to the soil temperature in the control plot respectively. 3. The discharge from subdrainage pipes was 0.6751/sec/ha on the average. 4. The treated plot showed better growth than the control plot, and the yield has been increased 424.8%, while they have been preserved to be voluntary from the level of "t" test.

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The Reaserch of Dochangbup (도창법(倒倉法)의 연혁(沿革)과 현대적 응용)

  • Jung, Ji Hun;Han, Bong Jae
    • Journal of Korean Medical classics
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    • v.27 no.1
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    • pp.1-13
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    • 2014
  • Objective : "Dochangbup" is one of the therapies that remove pathogenic qi[邪氣] from the Emetic Method in the Miscellaneous Disorders part of Dongeuibogam東醫寶鑑. It is, in particular, the method of treatment that removes phlegm[痰], the cause of various disorders. Method : Application of "Dochangbup" had a long history in Korea as well. The meaning and application of "Dochangbup" are mentioned in various texts from early Chosun dynasty to the post liberation. Result : In China, there are a lot of medical texts by physicians throughout Ming and Qing Dynasty, with GeZhiYuLun格致餘論 at the top of the list, dealing with the meaning and applicable scope of "Dochang" method and pharmacy of "Hacheongo霞天膏". Most of the physicians are affiliated with Dan Xi School, regarding ZhudanXi朱丹溪 as a suzerain. In "Dongeuibogam", it is mentioned that "Dochangbup" can treat various disorders caused by phlegm. Though, when there is a possibility of harming original qi[元氣] during the treatment or grave deficiency in patients, it is requested to consider tonifying while purging. Conclusion : "Dochangbup" can be applied not only to the disorders mentioned in classical medical texts, like heart pain[心痛], leg disease[脚氣], urine turbidity[小便濁], involuntary discharge of semen[遺精], cough[咳嗽], blood spitting[喀血], but also to metabolic syndrome such as obesity, hypertention and diabetes, commonly found in the modern era.

Improvement Directions for the G-SEED System from the Resident's Perspective - Focused on Certification Assessment Criteria for Apartment Buildings -

  • Choi, Yeo Jin;Lhee, Sang Choon
    • KIEAE Journal
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    • v.14 no.4
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    • pp.19-26
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    • 2014
  • The building section is providing immediate causes for global climate change problems since it takes about 50% of carbon emission, 20~50% of waste discharge, 33% of energy consumption, 40% of resource use, and 17% of water consumption. So, many countries over the world have developed and implemented green building certification systems to assess sustainable performances of buildings since the early 1990s. In korea, the green building certification system to induce the diffusion of sustainable buildings was first introduced in 2002 and developed as an improved version of the G-SEED(Green Standard for Energy and Environmental Design) system in 2013 after major revisions of related legislations. This research conducts a survey targeting residents on an apartment building that was certified as green building and examines the importance of assessment criteria on apartment buildings to certify green buildings using the Analytic Hierarchy Process(AHP) method. And it proposes a new direction on certification assessment standards from the resident's prospective. As a result, assessment criteria such as indoor environment, ecological environment, energy & environment pollution, and maintenance management among 7 main ones turned out important on assessing the G-SEED system for apartment buildings, while criteria such as material & resource, water circulation management, and land use & transportation did relatively unimportant.