• 제목/요약/키워드: Embarrassment

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Surgical Treatment of An Unnoticed Postemetic Esophageal Perforation With Thai Method (Thal 술식으로 치료한 Boerhaave 증후군 -1예 보고-)

  • Lee, Jae-Dong;Lee, Jong-Tae;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.935-940
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    • 1988
  • Perforated esophagus is a surgical emergency; it is the most serious and frequently the most rapidly lethal perforation of the gastrointestinal tract. Contamination of the mediastinum and often a pleural cavity with corrosive fluids, food material and bacteria leads to cardiorespiratory embarrassment, shock, major fluid losses and fulminating infection. Despite the improved diagnostic and treatment modalities, a perforation or leak from the esophagus remains a major source of morbidity and mortality. When esophageal perforation occurs, a successful outcome can be expected only when it is diagnosed soon after the event and repaired early. Esophageal perforations have a poor prognosis after delayed surgical treatment. With the use of the Thai onlay gastric patch method, a case of postemetic spontaneous perforation of the esophagus was successfully managed 6days after the event.

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Delayed Sternal Closure After Heart Surgery in Neonate (신생아 개심술후 지연 흉골봉합)

  • 성시찬
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.977-982
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    • 1995
  • Early repair of complex congenital heart malformation may lead to life-threatening respiratory and hemodynamic embarrassment on sternal closure. We performed delayed sternal closure in nine neonates to avoid a fatal outcome in these situations. Primary elective open sternum was used in 8 [66.7% and primary sternal closure in 4 [33.3% of the 12 patients studied. one patient with primary sternal closure underwent delayed sternal reopening in the intensive care unit. Of the 9 patients with open sternum, 2 patients died of low cardiac output and acute renal failure respectively before delayed sternal closure. 7 patients could undergo delayed sternal closures 3 days after initial operation. The mean age at open cardiac procedure was 14.3 days [range 3 to 30 and mean preoperative weight was 3.4kg [range 2.8 to 4.1 . The aortic cross-clamping time was longer in the group with open sternum than the group with closed sternum [p=0.042 . There was no morbidity and mortality related to delayed sternal closure. Given the low morbidity and potential benifits, this technique should be used in neonates after open heart procedures when postoperative mediastinal compression produces frank low cardiac output or respiratoy compromise during a trial of sternal closure.

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Recognition according to gender of sexual harassment in the office (직장내 성별 성희롱 인식에 관한 연구)

  • 이재순;두경자
    • Journal of Family Resource Management and Policy Review
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    • v.6 no.2
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    • pp.1-14
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    • 2002
  • The purpose of this study was examine and clarify the recognition according to gender of sexual harassment in the office. The samples were consisted of 250 employees in a seoul headquarter and 13 branches of S bank. the data were analyzed using percentage, frequency, mean, 1-test, F-test and ANOVA. The results of this study were as follows; 1) female workers recognized sexual harassment as severe problem, but male workers as minor and trivial things. 2) workers recognized the cause of sexual harassment as female low position in the office and sexual distinction 3) workers recognized sexual harassment type as visual, verbal and physical harassment. 4) workers recognized the main assaulters of sexual harassment as male senior workers and co-workers. 5) worker recognized place of harassment as times of workers' dining together. 6) worker recognized the victim of sexual harassment was apt to experience anger, hurt of self-respect, shame and embarrassment. 7) female workers recognized necessity of sexual education but male workers none of it.

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Self-Collection Tools for Routine Cervical Cancer Screening: A Review

  • Othman, Nor Hayati;Zaki, Fatma Hariati Mohamad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8563-8569
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    • 2014
  • Sub-optimal participation is a major problem with cervical cancer screening in developing countries which have no organized national screening program. There are various notable factors such as 'embarrassment', 'discomfort' and 'no time' cited by women as they are often also the bread winners for the family. Implementation of self-sampling methods may increase their participation. The aim of this article was to provide a survey of various types of self-sampling tools which are commonly used in collection of cervical cells. We reviewed currently available self-sampling devices and collated the advantages and disadvantages of each in terms of its acceptance and its accuracy in giving desired results. In general, regardless of which device is used, self-sampling for cervical scrapings is highly acceptable to women in most of the studies cited.

The Trade-Agreement Embarrassment

  • Ethier, Wilfred J.
    • East Asian Economic Review
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    • v.17 no.3
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    • pp.243-260
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    • 2013
  • The dominant academic literature about trade agreements maintains that they are only about national terms-of-trade manipulation and not at all about purely political concerns. Non-academic economists, commentators, and diplomats by contrast think that trade agreements are all about political concerns. There are two substantive and important distinctions between the two views. i Practitioners maintain that policymakers care virtually not at all about the terms of trade or about trade-tax revenue. ii Practitioners, unlike academics, maintain that trade-agreement negotiations themselves change the underlying political economy. Observation of actual trade policy measures, though not conclusive, suggests that the practitioners are right and that the academics are wrong.

Reasons for Adopting Weak Opinions in Islamic Jurisprudence

  • Alharthy, Meshal Qabbas
    • International Journal of Computer Science & Network Security
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    • v.22 no.8
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    • pp.323-327
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    • 2022
  • The field of this study is in Islamic jurisprudence. Taking the preferred saying is contrary to the original, and takes it if necessity or need arises. There are reasons for adopting the preferred saying that were mentioned in this research so that the mufti and jurist know when to take the preferred saying, and when to act with the most correct saying. The origin is the work of the jurist and mufti by saying the most correct. If the necessity or the need that prompted the mufti to take the preferred saying ceases, then he returns to work with the most correct saying, and gives it precedence over the most preferred opinion. The researcher recommends that this topic be given more attention from researchers, and that it is taken care of in jurisprudential developments; So that the embarrassment of the nation is lifted, and the jurists clarify the legal ruling on emerging issues.

Enablers of the Adoption of Mobile Banking: From Economic-Psychological-Social Perspectives

  • YunJi Moon
    • Asia pacific journal of information systems
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    • v.30 no.1
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    • pp.72-93
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    • 2020
  • With the proliferation of smart devices, mobile banking has become increasingly important. Customers can manage their banking needs without desktop computers or a face-to-face meeting with bank tellers. However, contrary to expectation of wide-spread use of mobile banking, several factors restrict its adoption. The purpose of this study is to explore what factors affect positively or negatively the adoption of mobile banking from economic (operational competence, convenience, mental accounting), psychological (hope, self-efficacy, optimism, resiliency) and social perspectives (normative social pressure, embarrassment avoidance). This paper suggests that three enablers would consequently affect a customer's perceived utilitarian and hedonic value in mobile banking, followed by trust and intention to use. In testing the hypothesized research model, survey and analysis of a structural equation model using Amos are conducted. The findings emphasize that banks need to focus on perceived utilitarian and hedonic values when considering economic, psychological and social enablers most salient to customers in order to promote greater adoption of mobile banking services.

The Hospital Life of the Patient with Femoral Neck Fracture (대퇴경부 골절 환자의 입원 생활)

  • Kim, Kyung-Ja;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.1
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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Knowledge, Attitudes and Behavior of Bangkok Metropolitan Women Regarding Cervical Cancer Screening

  • Chaowawanit, Woraphot;Tangjitgamol, Siriwan;Kantathavorn, Nuttavut;Phoolcharoen, Natacha;Kittisiam, Thannaporn;Khunnarong, Jakkapan;Supawattanabodee, Busaba;Srijaipracharoen, Sunamchok;Thavaramara, Thaovalai;Pataradool, Kamol
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.945-952
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    • 2016
  • Purpose: To assess knowledge, attitudes and cervical cancer screening behavior of Bangkok Metropolitan women. Materials and Methods: Thai women, aged 25-to-65 years old, having lived in Bangkok for 5 years or more were invited to participate in the study. After signing informed consent, all women were asked to complete a self-questionnaire (Thai language) with literate assistance if needed. The questionnaire was divided into 3 parts: (I) demographic data; (II) knowledge about cervical cancer screening; and (III) behavior and attitudes, towards cervical cancer screening. Adequate screening was defined as women who had ${\geq}$two cervical cancer screening tests except women aged 25-30 years who may have only one screening, and the last screen was within 5 year or had had regular screening. Results: Of 4,339 women, there were 1,857 (42.8%) with adequate screening and 2,482 (57.2%) with inadequate screening. Significant factors associated with inadequate screening included age < 45 years, pre-menopausal status, family monthly income <625 USD, no reported sexual intercourse, nulliparous, no knowledge, lack of awareness and poor attitudes. Three major reasons provided by women for inadequate screening were no symptoms (54.4%), fear of pain (33.2%), and embarrassment (34.6%). Conclusions: Personal features, knowledge, and attitudes influence screening behavior of Bangkok Metropolitan women. The three most common reasons of women for not undergoinging screening are no symptoms, fear of pain, and embarrassment. These factors should be the focus of attention to improve coverage of cervical cancer screening in Bangkok.

A Clinical Study on 4 Cases of Tremor Patients with Acupuncture Treatment (침(針)과 한약(韓藥) 치료(治療)를 통한 진전 환자 4례(例)에 대한 증례보고)

  • Shin, Hyun-Kwon;Kong, Hyun-Woo;Park, Se-Jin;Seo, Joo-Hui;Kim, Joo-Won
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.267-276
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    • 2005
  • Tremor is a rhythmic, involuntary muscular contraction characterized by oscillations(to-and-fro movements) of a part of the body. The most common of all involuntary movements, tremor can affect various body parts such as the hands, head, facial structures, vocal cords, trunk, and legs; most tremors, however, occur in the hands. Tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and social embarrassment. The clinical study was carried out the 4 patients with tremor who were treated in Dong Seo Medical Center from 1 January 2005 to 31 August. The results were summarized as follows. Tremor has relation to liver according to Jangbu theory. So we performed acupuncture treatment(Ganseonggyeok) and Herbal medication on tremor. After our treatments, tremor and some other symptoms were improved.

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