• Title/Summary/Keyword: Guardian

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Experience of Becoming a Father of a High Risk Premature Infant (고위험 미숙아 자녀의 아버지 되어감 경험)

  • Park, Jeong Eon;Lee, Byoung Sook
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.277-288
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    • 2017
  • Purpose: This study was performed to identify the experience of becoming a father of a high risk premature infant. Methods: Grounded theory was used for this research. The participants were 12 fathers who had premature infants lighter than 2,500g of birth weight, less than 37 weeks of gestational age and having stayed 2 weeks or longer in a NICU right after birth. Theoretical sampling was done to identify participants and indepth interviews were done for the data collection. For data analysis, the process suggested by Corbin and Strauss was used. Results: For these participants the core phenomenon of the experience of becoming a father of a high risk premature infant was 'striving through with belief and patience'. The phenomenon was 'being frustrated in an unrealistic shock'. Contextual conditions were 'uncertainty in the health status of the premature baby' and 'no one to ask for help' and intervening conditions were 'possibility in the health recovery of the premature baby' and 'assistance from significant others'. Action/interaction strategies were 'withstanding with belief in the baby' and 'enduring with willpower as head of the family' and the consequence was 'becoming a guardian of the family'. Conclusion: For the participants, the process of becoming the father of a high risk premature infant was striving through the situation with belief in their babies' ability to overcome the crisis and waiting for the babies' recovery with patience.

Field Performance of a New Fungicide Ethaboxam Against Cucumber Downy Mildew, Potato Late Blight and Pepper Phytophthora Blight in Korea

  • Kim, Dal-Soo;Prak, Hyun-Cheol;Chun, Sam-Jae;Yu, Seung-Hun;Park, Kyong-Ju;Oh, Jeung-Haing;Shin, Kwang-Hoon;Koh, Young-Jin;Kim, Byung-Sup;Hahm, Young-Il;Chung, Bong-Koo
    • The Plant Pathology Journal
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    • v.15 no.1
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    • pp.48-52
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    • 1999
  • Ethaboxam is the first proprietary fungicide developed in Korea, registered in 1998 and commercialized in 1999 by LG Chemical Ltd., Korea. It is a derivative of aminothiazole carboxamide and formulated into 25% wettable powder for practical application in fields. Ethaboxam effectively controlled cucumber downy mildew caused by Pseudoperonospora cubensis, potato late blight caused by Phytophthora infestans, and pepper Phytophthora blight caused by P. capsici, and was superior or comparable to the commercial standards, when foliarly sprayed 3∼5 times until dripping off at approximately 7-day intervals during the growing season. Ethaboxam was required at least 125 mg/liter and 250 mg/liter for effective control of cucumber downy mildew, and potato late blight and pepper Phytophthora blight, respectively. There was not phytotoxicity observed o leaves, stems or fruits of cucumber, potato and pepper from any trial.

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Middle and High School Student' Knowledge Level on First Aid. (중 . 고등학생 응급처치 지식수준에 관한 실태 조사)

  • 홍경용;남철현;최상복;위광복;김기열
    • Korean Journal of Health Education and Promotion
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    • v.18 no.3
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    • pp.77-88
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    • 2001
  • This study was conducted to examine middle and high school students' knowledge level of first aid, health promotion, and safety. Data were collected from 1.165 students from March 6, 2000 to April 4, 2000. The results of this study are summarized as follows. 1. 80.1% of the respondents felt the necessity of first aid. The sources of information about methods of first aid were school (43.9%), mass media (15.6%), and self-study (10.5%). 30.0% of them never learned the methods of first aid. 2. In the case of obtaining information on first aid through mass media, 58.2% of them got it from TV. 7.3% of them obtained it from magazines, while 5.8% of them got it from newspapers. According to their viewpoints of adequate time to teach the methods of first aid, 38.6% of them thought that the methods had to be taught in the primary school and 25.2% of them thought that they had to be taught in the kindergarten. 24.9% of them replied that the methods had to be taught in the middle school, while 11.3% of them replied that they had to be taught in the high school. 3. The points for knowledge of first aid were 98.29:t20.91 on the basis of 150 points (65.5 points on the basis of 100 points). The points showed significant differences in the variables of sex, education level, numbers of siblings, parents' education level, and guardian's occupation.

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Early Biologic Treatment in Pediatric Crohn's Disease: Catching the Therapeutic Window of Opportunity in Early Disease by Treat-to-Target

  • Kang, Ben;Choe, Yon Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.1
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    • pp.1-11
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    • 2018
  • The emergence of mucosal healing as a treatment goal that could modify the natural course of Crohn's disease and the accumulating evidence showing that biologics are most effective in achieving mucosal healing, along with the success of early treatment regimens for rheumatoid arthritis, have led to the identification of early Crohn's disease and development of the concept of catching the therapeutic window during the early disease course. Thus, an increasing number of pediatric gastroenterologists are adopting an early biologic treatment strategy with or without an immunomodulator. Although early biologic treatment is effective, cost and overtreatment are issues that limit its early use. Currently, there are insufficient data on who will benefit most from early biologics, as well as on who will not need early or even any biologics. For now, top-down biologics should be considered for patients with currently known high-risk factors of poor outcomes. For other patients, close, objective monitoring and accelerating the step-up process by means of a treat-to-target approach seems the best way to catch the therapeutic window in early pediatric Crohn's disease. The individual benefits of immunomodulator addition during early biologic treatment should be weighed against its risks and decision on early combination treatment should be made after comprehensive discussion with each patient and guardian.

Pre and Post Operative management of Living Kidney donor - Focus on bioethical aspect - (생체신 공여자의 수술전후 관리에 대한 연구 -윤리적인 측면을 중심으로-)

  • Kim Myung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.2
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    • pp.139-154
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    • 1995
  • The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision. The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephrectomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan. The result of this study, a desirable documents to help the living kidney donor might include following : 1st, identification of the donor and the guardian. 2nd, confirmation of the intension of kidney donor which is based on humanity or not and 3rd, a written oath about Nephrectomy. Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about renal angiography and nephrectomy which required written consent of kidney donor. Further more, the donor should be educated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneaver, pre and post operative complication, the prevention of the complication, the possiblity of rejection phenomenon and loss of the transplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated donor ought to have enough time before a making decision and all these process should be recorded in medical records

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Impact of Job Stress on Turnover Intention among Emergency Room Nurses (응급실 간호사의 직무 스트레스가 이직의도에 미치는 영향)

  • Lee, Yu-Lim;Ahn, Sukhee
    • Journal of muscle and joint health
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    • v.22 no.1
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    • pp.30-39
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    • 2015
  • Purpose: This study was to identify the level of job stress and turnover intention and to explore the impact of job stress on turnover intention among emergency room (ER) nurses. Methods: With a correlational survey design, 155 emergency room nurses were recruited in D metropolitan city. Data were collected using a structured questionnaire including ER-related job stress, turnover intention, and subjects' characteristics from March 18 to March 26, 2013. Results: Overall mean score of job stress was $284.34{\pm}40.60$, indicating higher level of job stress. The highest job stress category was conflict related inside the hospital and transportation team, and followed by matters related the patient and the guardian, conflicts with doctors, and heavy workload. The average score of turnover intention was $15.41{\pm}3.68$, indicating higher intention to quit their jobs. There was a moderate level of positive correlation between job stress and turnover intention (r=.44, p<.001). Turnover intention was high when ER nurses had higher job stress (${\beta}$=.38), were female (${\beta}$=.22), and wished to move to another department (${\beta}$=.17). Conclusion: The most important factor of turnover intention was job stress among ER nurses. Strategies to lower turnover rate for ER nurses should be focused on seeking ways to reduce their job stress.

Survey Research on Factors Inducing Nocturnal Crying (야제(夜啼) 발생에 영향을 주는 요인에 대한 설문 연구)

  • Han, Ju Hui;Kim, Deog Gon;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.27 no.1
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    • pp.26-35
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    • 2013
  • Objectives The purpose of this study is to analyze the factors that cause nocturnal crying. Methods This clinical study has been carried out with 133 infants and children, who visited to the department of Pediatrics, ${\bigcirc}{\bigcirc}$ Oriental Medical Hospital from September 2012 to October 2012. Patient's guardian filled out the questionnaire consisting of pregnancy-birth domain, child care domain, sleep domain, nocturnal crying domain and other domains. We used PASW Statistics 18.0 to analyze each factors by Chi-square test, Fisher's exact test and independent samples t test. Results The prevalence of nocturnal crying between "frequently changing sleep posture group" and "stable sleep posture group" were significantly different (p=0.002, OR=3.557). The prevalence of nocturnal crying between "sleep problem group" and "no sleep problem group" were significantly different (p=0.022, OR=4.052). The nocturnal crying prevalence of the rest of the groups had no significant difference. Conclusions The frequently changing sleep posture increases the risk of nocturnal crying, and the presence of sleep problem increases the risk of nocturnal crying.

Outcomes for Patients with Submucous Cleft Palate Accompanying Hypernasality Treated with Double Opposing Z-plasty (과대비성을 동반한 점막하구개열 환자에 대한 Double Opposing Z-plasty를 통한 수술적 치료 결과)

  • 김현준;김진영;배정호;김광문;최홍식
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.1
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    • pp.81-86
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    • 2000
  • Submucous cleft palate is a relatively uncommon congenital anomaly accompanying velopharyngeal incompetence(VPI). Double opposing Z-plasty has many advantages including prolongation of soft palate, normal midfacial growth, midline scar. We analyzed postoperative results comparing with those of preoperative evaluation by several variables(nasometer, endoscopy, satisfactory scale) in 14 patients treated with double opposing Z-plasty due to submcous cleft palate. Nasalance score in Ah sound, Ma phrase, and Pa phrase decreased 20.23%, 3.25%, and 23.26% in the average, respectively. As a result, hypernasality improved significantly. Closure rate in velum evaluated by endoscopy was increased from 0.44 to 0.76. In objective satisfactory scale checked by each patient's guardian at the postoperative period, much improved in 3, improved in 6, minimally improved in 1, and no difference in 1 was reported. (n=11 patients) Double opposing B-plasty is a good surgical modality in patients accompanying VPI with submucous cleft palate or incomplete cleft palate and will be used more usefully and widely.

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Eosinophilic Polypoid Cystitis in a Cocker Spaniel Dog (코커스파니엘종 개에서 발생한 호산구성 폴립성 방광염)

  • Yoon, Won-Kyoung;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.29 no.3
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    • pp.247-249
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    • 2012
  • An 8-year-old castrated male Cocker Spaniel (weighing 12.0 kg) was referred to the Kangwon National University Veterinary Teaching Hospital, with primary complaints of persistent hematuria. Diagnostic studies revealed neutrophilia, hematuria, proteinuria, abnormal irregular shaped hyperechoic lesion in urinary bladder. The lesion was demarcated from the intact region of bladder and consisted of eosinophils, macrophages, lymphocyte and fibrocytes. Based on the histopathological exam, the case was diagnosed as eosinophilic polypoid cystitis and treated by surgical removal and short-term medical therapy (meloxicam and amitriptyline). The therapy was successful and recurrence has not been occurred.

A Study on the Scattered Dose in Portable Chest Radiography (portable 흉부촬영시 공간산란선량에 관한 연구)

  • Ahn, Bong-Seon;Lee, Hwan-Hyung
    • Journal of radiological science and technology
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    • v.23 no.2
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    • pp.63-67
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    • 2000
  • The purpose of this study is to survey the present status of portable radiography and the result of free space scattered dose rate when taking a radiography at the general hospital or the university hospital in Taejon city. The results were as follows; 1. The number of cases using portable radiography for three years increased to averages 16.2%, 7.7% per year from January 1st in 1996 to December 31st in 1998. 2. The average of distance of adjacent patients was 219.1 cm at the ward. 3. For portable chest radiography, the free space scattered dose rate was 10.5 mSv/hr at 50 cm distance, 1.8 mSv/hr at 100 cm distance, and 0.2 mSv/hr at 200 cm distance. Therefore, in case of portable chest radiography at the ward, the average of distance of adjacent patients is 219.1 cm, so it does not have influence on the adjacent patients. But during the portable radiography, a guardian who is close to the patient, doctor, nurse and radiologic technologists has to set up the shield to prevent from the unnecessary radiation or the distance should be as great as possible from the mobile X-ray equipment.

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