• Title/Summary/Keyword: Functional Status

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Fontan Operation in a Case of Single Functional Pulmonary Artery (심한 좌폐동맥 형성부전을 동반한 단심실 환아의 폰탄 수술 증례)

  • Kim Joon Bum;Park Jeong-Jun;Park In Sook;Seo Dong Man
    • Journal of Chest Surgery
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    • v.38 no.4 s.249
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    • pp.308-311
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    • 2005
  • The status of pulmonary circulation is regarded with utmost importance for the successful Fontan operation. The absence of unilateral pulmonary artery leads to decreased pulmonary vascular bed and elevated pulmonary vascular resistance which are the risk factors for Fontan operation. A 9-year-8-month-old female patient diagnosed as tricuspid atresia, pulmonary atresia with absent left pulmonary artery flow, received extracardiac conduit Fontan operation using 18 mm Gore-Tex graft. She was discharged on twenty sixth postoperative day with arterial $O_2$ saturation of $70\%$ on room air. On last follow up at 14 months after the operation, she was clinically well with $O_2$ saturation of $91\%$.

A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly (취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.287-298
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    • 2003
  • The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

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Analysis of PICC Inserted Patient Data in a Hospital by IV CNS-Driven Intervention (정맥주입 전문간호사가 삽입한 말초삽입형 중심정맥관(PICC) 사용 결과에 대한 후향적 분석)

  • Park, Jeong-Yun;Park, Kwang-Ok;Baek, Mi-Kyung;Kim, Se-Ra;Kwon, Hye-Li;Yang, Su-Ji
    • Journal of Korean Biological Nursing Science
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    • v.6 no.1
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    • pp.33-42
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    • 2004
  • Background : Intravenous(IV) access is becoming an increasingly important part of health care today. The current drive for clinical effectiveness and cost-effective health care serves to increase the need for reliable vascular access. Venous access devices were developed to overcome problems associated with limited peripheral access and frequent venipuncture in patients with long-term therapy. Although the peripherally inserted central catheter(PICC) have become popular during recent years in USA, its procedure is rare in Korea. Purpose : The goal of this study was to analyze the PICC inserted patient data by IV CNS intervention. Method : A Total of 62 PICCs were inserted into 51 patients by the IV CNS during a 10-month period form November, 14, 2002, to October 2, 2002. Data was obtained retrospectively through chart review. Result : The patient population included 34(54.8%) men and 28(45.2%) women, with a mean age 50.6 years. The main indication for PICC placement was to access vein in poor peripheral venous status(40.3%). The mean served interval for PICC insertions was 16.7 days(range, $2{\sim}61$ days). The reasons for removal were completed therapy in 18 cases(29.0%), patient death in 13 cases(21.0%), and mechanical or functional PICC problem in 10cases(16.1%). The three PICCs removed for presumed infection, and one had only positive tip cultures(0.2%). Conclusion : PICCs are rapidly growing popularity and required an extended course of IV therapy.

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ASSESSMENT OF THE NEEDS OF SELF-CARING RETIREMENT VILLAGE RESIDENTS FOR COMMUNITY SERVICES (RETIREMENT VILLAGE에 거주하는 자가 돌봄이 가능한 노인들의 지역사회 서비스에 대한 욕구 사정)

  • Lee, Hiun-Ju
    • The Korean Nurse
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    • v.37 no.3
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    • pp.62-77
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    • 1998
  • 지역 사회 서비스는 노인들이 질적으로 보다나은 삶을 영위할 수 있도록 돕는 기능을 해야 한다. 적절한 서비스의 공급을 위해서는 지역사회 서비스 욕구 사정의 과정이 우선적으로 요구되어지며, 이에 본 연구는 호주 NSW주 Illawarra지역내의 retirement village에 거주하는 자가 돌봄이 가능한 노인들의 지역사회 서비스에 대한 욕구를 평가하는데 그 목적을 두었다. Illawarra지역내의 여덟개 retirement village에 거주하는 98명의 자가 돌봄이 가능한 노인들을 대상으로 그들의 1) functional status; 2) 지역 사회 서비스에 대한 지식정도; 3) 지역 사회 서비스 사용정도; 4) 지역 사회 서비스 만족도; 5) 잠재적인 지역 사회 서비스 욕구 등에 대한 자가 보고형 설문조사가 이루어졌다. 수집된 자료들은 JMP(for Mackitosh) program으로 통계 처리되었고, computed frequencies가 본 연구의 목표 달성을 위해 주로 사용되었다. 연구 결과를 요약하면 아래와 같다. 1. 평균 연령 76세인 대상자들의 80%이상이 그들의 일상 생활 운영에 다른 사람의 도움을 필요로 하지 않으며 건강상태 또한 양호하다고 자각했다. 2. 90%이상의 대상자들이 지역 사회 서비스를 이용하지 않았다. 3. 70%이상의 대상자가 지역 사회 서비스의 존재에 대해 지각하고 있었다. 4. 60%이상의 대상자가 필요시에는 지역 사회 서비스에 관한 정보를 어렵지 않게 얻을 수 있다고 생각했다. 5. 40%의 대상자가 기존의 지역 사회 서비스에 대한 양과 질에 만족을 나타냈고, 그 외의 대상자들 (60%)은 그 지역 사회 서비스에 대한구체적인 지식이 없다고 보고했다. 6. 25%의 대상자들이 여러 지역 사회 서비스에 관한 관심을 보였다. 결론적으로 대다수의 대상자들은 대부분의 지역 사회 서비스들을 필요로 하지 않았고, 이러한 결과는 현재 자가간호가 가능한 retirement village 거주 노인들에게 당연한 것으로 보여진다. 그러나, 자존감이 강한 노인들에게 서비스 욕구는 자가 돌봄이 건강에 대한 포기정도로 왜곡되어 자각될 가능성이 있는 만큼, 본 연구를 통해 보고된 대상자들의 지역 사회 서비스에 대한 관심도는 고려해 볼만한 가치가 있다고 여겨지며, 이에 노인들의 자존감이 서비스 욕구에 미치는 영향에 대한 연구를 제언하는 바이다.

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Quantitative Evaluation of Median Nerve Motor Function in Carpal Tunnel Syndrome Using Load Cell : Correlation with Clinical, Electrodiagnostic, and Ultrasonographic Findings

  • Kim, Dong Hwan;Park, Sung Bae;Lee, Sang Hyung;Son, Young-Je;Chung, Gih Sung;Yang, Hee-Jin
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.232-235
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    • 2013
  • Objective : Major complaints of carpal tunnel syndrome (CTS) are sensory components. However, motor deficit also impedes functional status of hand. Contrary to evaluation of sensory function, the objective, quantitative evaluation of median nerve motor function is not easy. The motor function of median was evaluated quantitatively using load cell and its correlation with findings of electrodiagnostic study (EDS) was evaluated. Methods : Objective motor function of median nerve was evaluated by load cell and personal computer-based measurement system. All of the measurement was done in patients diagnosed as having idiopathic CTS by clinical features and EDS findings. The strength of thumb abduction and index finger flexion was measured in each hand three times, and the average value was used to calculate thumb index ratio (TIR). The correlation of TIR with clinical, EDS, and ultrasonographic findings were evaluated. Results : The TIR was evaluated in 67 patients (119 hands). There were 14 males and 53 females, mean age were 57.6 years (range 28 to 81). The higher preoperative nerve conductive studies grade of the patients, the lower TIR was observed [p<0.001, analysis of variance (ANOVA)]. TIR of cases with thenar atrophy were significantly lower than those without (p<0.001, t-test). TIR were significantly lower in patients with severe median nerve swelling in ultrasonography (p=0.042, ANOVA). Conclusion : Measurements of median nerve motor function using load cell is a valuable evaluation tool in CTS. It might be helpful in detecting subclinical motor dysfunction before muscle atrophy develops.

Association between dairy product intake and hypertriglyceridemia in Korean adults

  • Park, Seon-Joo;Park, Junghyun;Song, Hong Ji;Lee, Chang-Ho;Lee, Hae-Jeung
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.152-159
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    • 2020
  • BACKGROUND/OBJECTIVES: Hypertriglyceridemia may be a more important predictor of cardiovascular disease in Asian population consuming carbohydrate-rich foods than in Western populations. Dairy products are known to play a beneficial role in obesity, dyslipidemia, and metabolic syndrome, but the results vary depending on gender and obesity. In this study, we investigated the associations between dairy product intake and hypertriglyceridemia in Korean adults. SUBJECTS/METHODS: The participants were selected from the Korea National Health and Nutrition Examination Survey 2007-2012 (KNHANES IV and V). A total of 22,836 participants aged 19-64 years were included in the analysis. A food frequency questionnaire used to determine the frequency of consumption of products (milk and yogurt). Multivariable logistic regression was used to assess the associations between dairy product intake and hypertriglyceridemia. RESULTS: A significantly decreased risk of hypertriglyceridemia was detected in the highest dairy product intake frequency group (≥ 1 time/day) (odd ratio [OR] = 0.79; 95% confidence interval [CI] 0.64-0.97, P for trend = 0.022) compared to that for the lowest dairy product intake frequency group. Among obese participants, the group with the highest intakes of milk (in men, OR = 0.64; 95% CI: 0.46-0.91, P for trend = 0.036) and yogurt (in women; OR = 0.53; 95% CI: 0.29-0.94, P for trend = 0.019) showed inverse associations with hypertriglyceridemia. No associations were detected in normal weight participants. CONCLUSION: The association between dairy product intake and hypertriglyceridemia differed by gender and obesity status. Further prospective studies are needed to confirm these associations.

A Study on the Outdoor Lighting of Campuses on the Ground of the User-Satisfaction (이용자 만족도에 의거한 캠퍼스 옥외조명 연구)

  • Kim Dong-Chan;Min Chang-Ki
    • Journal of the Korean Institute of Landscape Architecture
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    • v.33 no.1 s.108
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    • pp.1-9
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    • 2005
  • The purpose of this study is to form a night-view at a university to satisfy users through case studies of four representative university campuses with analyzing the lighting conditions and facility satisfaction. The result of this study is following. From the present lighting status, there are 664(l9types) lightings at Kyunghee University, 350(17types) at Sungkyunkwan University and 437(l9types) at Ajou University. Main materials of the lightings are metal, iron and stainless. Moreover, most illuminants are white-colored metal-halide lamp. There is no specially designed lighting facility because ready-made goods were used. Furthermore, the locations of lightings are not suitable so some are useless. Most main spatial illuminations are not satisfying outdoor standard, so it can be concluded that the designs of present campuses are not carrying on with-out plans. From the result, present campus lighting does not satisfy the desire of users in aesthetic and functional point of view but consider the luminosity. However, even though the luminosity does not standardize the law. It is because the design does not reflect a suitable standard with desire of users and it does not have a long term plan. Moreover, the campus design has no study about development plan even though it has enough green area which has a potential possibility to overcome the lack of green areas in a city. Therefore, it is needed to design a comprehensive campus plan which satisfies the desire of students and residents with considering promotion of excitement and harmony through adjusting luminosity of the lighting facilities and supplying various lighting resources.

North Korean Submarine-Launched Ballistic Missile (SLBM) and Reaction of Republic of Korea Navy (북한 SLBM 평가와 한국 해군의 대응방안)

  • Yoon, Sukjoon
    • Strategy21
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    • s.39
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    • pp.47-81
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    • 2016
  • This paper has attempted to examine the political and operational contexts within which North Korea's latest acts of nuclear blackmail, its test-firing of an SLBM on April 23rd 2016 and its fourth nuclear test on January 6th 2016, should be understood. Analysis of the KN-11 SLBM and the Sinpo-class SSB is based on official South Korean, US and others sources, especially the ROK MND, as well as other resources from South Korea, US and others. Unfortunately, the results of this exploration are inconclusive: there is simply not enough evidence available at present to either confirm or refute the existence of a functional North Korean SLBM and SSB. Nevertheless, the North Korean determination to possess such assets should not be taken lightly. But even accepting North Korea's claims about its SLBMs at face value, which is undermined by news of apparently unsuccessful follow-up test-firings in November, and probably December 2015, there is little proof that North Korea has yet succeeded in miniaturizing its nuclear warhead, so the most extravagant fears are not yet justified. Taken together with North Korea's latest announcement of a supposed successful SLBM ejection-test, on March 23th 2016, the KN-11 SLBM claims should probably be seen as primarily about proving North Korea's status as a nuclear power, both to exert external political pressure and to bolster internal political support for Kim Jong-un's rule. In conclusion, this paper recommends formulating a preemptive anti-access strategy for the ROKN, proposes acquiring an ASW CV and SSNs to implement submarine strategic deterrent patrols, and urges extending the existing limited AORs to facilitate the preemptive anti-access strategy. Other deterrence options may be suggested, but it is surely significant that the ROKN has recently publically referred to the deployment of an ASW CV and SSNs for the first time.

The Fashion Communication Media and the Beauty of Ideal Body (II)- Focusing on the Beauty of Body - (패션 커뮤니케이션 매체와 이상적 신체미(제2보)- 신체미를 중심으로 -)

  • 김소영;양숙희
    • Journal of the Korean Society of Costume
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    • v.52 no.8
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    • pp.41-54
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    • 2002
  • This study discusses the beauty of the ideal body shown by fashion communication media, and explains how aesthetic aspects of, the body are being expressed in contemporary fashion. The beauty of the body may be considered as the beauty of sexual, controllable or consumable object. First. the most vigorously discussed point about the body is its sexual aspect, the most outstanding of which is the voluptuous and the androgynous beauty in contemporary fashion. Second, the body is an object which has been oppressed or controlled under the name of history. morality. and rationality. The things making us regard the body itself as an aesthetic object may be considered as dynamic and functional beauty Third, the sexual instinct and the body are fetishized as consumer goods, and women's bodies are presented as comsumer objects whose most parts could be restored to exchangeable value. The consumable beauty presented in contemporary fashion is the conspicuous beauty and the decadent beauty. So far, the various aspects of the beautiful body has been considered, based on the beauty of the ideal body shown by the fashion communication media. Man exists through on his body. but it is the embodied and formed body that serves as a means to manifest his social status and cultural ties. A natural body is reformed as a cultural phenomenon in various artificial ways. Popular culture has transmitted a series of new body image by creating and reproducing symbols and images, and has made the ideal body. Now there is not only one standard for the ideal beauty in our society. The standard of the beauty has changed continuously. There has been an aesthetic sense which can represent the times during the process of those changes. The various communication media have played a role of mirror reflecting those changes. The ideal body in contemporary times is no more an abstract media to express classical beauty, but an object directly affecting us, who are living in the crisis of subjectivity and identity.

Status Quo Analysis on the Wearing Practice of Blue Jeans According to Women's Age (연령대에 따른 여성의 청바지 착용실태 조사)

  • Lim, Ji-Young
    • Fashion & Textile Research Journal
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    • v.8 no.4
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    • pp.413-419
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    • 2006
  • This study was performed to analyze the wearing practice and the purchasing characteristics of jeans in order to offer basic data to produce superior jeans made of denim with small flexibility and to improve the wearing comfort. The questionnaire were 236 Korean women from the age of 10th to 50th. For data analysis, descriptive analysis and crosstabs were used. The results were as follows, in the purchasing characteristics, when the women of 10th to 30th decided to purchase jeans they considered fashion, design and price rather than wearing comfort. But the women of 40th to 50th considered that wearing comfort is the most important factor. The 10th is found the best preferred jean is wide straight style, the 20th is straight style, the 30th is boots cut style and the 40th to 50th is straight style. In wearing practice, there was a difference among age groups on the region that felt uncomfortable when wearing jeans. As the age increases, the abdomen size also increases. Most people answered that they mend jeans after purchase for length, without any relation with age. The reason why consumers prefer jeans with middle length between the crotch and waist and also purchase jeans with a short length is because they look refined and neat. This informs us that the short length between the crotch and waist does not match with ease and comfort, which are the images of jeans in the past. Recently premium jean brands are competing to show Low Rise Jeans, which seems like a Premium Jean=Low Rise Jean formula is created. Some manufacture companies are recklessly copying foreign designs that does not fit Korean's body shape. However, as mentioned in this study results, there is a clear difference between designs that they think consider as aesthetic and functional. Therefore, it is considered necessary for developing designs for jeans that can satisfy both aesthetic appreciation and functions for Korean consumer's body shape and each age group.