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Incidence of Hypothermia and Factors Associated with Body Temperature Changes during Surgery in Burned Patients (화상환자의 수술 중 저체온 발생 빈도와 체온변화에 영향을 미치는 요인)

  • Bae, Hye-Young;Kim, Hyunjung
    • Journal of Korean Biological Nursing Science
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    • v.18 no.4
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    • pp.231-238
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    • 2016
  • Purpose: The study aimed to evaluate the changes of body temperature and to identify the factors related to changes during surgery in burned patients. Methods: A retrospective study was conducted by reviewing the medical records of 439 adult burned patients who had a surgery under general anesthesia at the Burn Center of a university hospital. Results: After surgery, body temperature of the burned patients declined from $36.6^{\circ}C$ to $35.2^{\circ}C$; 52.2% were hypothermia. There were significant differences in the changes of body temperature according to the participants' characteristics including American society of anesthesiologists physical status, type of burn injury, total burn surface area, range of exposure, operation time, anesthesia time, amount of fluid, blood transfusion, use of tourniquet, and the method of warming therapy. Factors that influence the temperature changes were total burn surface area (${\beta}=0.26$), operation time (${\beta}=0.25$), amount of fluid (0.20), and warming therapy including 'Room temperature setting + Heated circuit + Hot line'(${\beta}=0.09$) and 'Room temperature setting+one of others'(${\beta}=0.08$). Conclusion: Burned patients experienced a decrease of their body temperature during surgery despite of warming therapy. A nursing protocol is needed to provide an appropriate warming therapy based on their characteristics in burned patients.

Risk Factors Associated with HPV Infection in the Female Employees and Employees' Partner (여성 직장인 및 직장인 배우자의 인유두종 바이러스 감염 위험인자)

  • Jang, Tae-Won;Yoon, Ki-Jung
    • Korean Journal of Health Education and Promotion
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    • v.27 no.1
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    • pp.1-8
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    • 2010
  • Objectives: Human papillomavirus (HPV) infection is highly associated with cervical cancer. So, the modification of the risk factors of HPV infection is essential for prevention of cervical cancer. This study was performed to evaluate the risk factors of HPV infection. Methods: HPV test of 12,337 study population conducted using Hybrid-Capture II assay(HC-II) and self-administered questionnaires were collected. The study population was people who visited hospital-based medical screening center from January to December 2007 and all were female employees or employees' partner. Results: In logistic regression analysis, smoking and alcohol drinking were significant factors, with odds ratios of 1.328 (95% CI 1.010~1.746) and 1.644 (95% CI 1.309~2.066), respectively. Nutritional supplements was also significant factor, which odds ratio was 1.161 (95% CI 1.004~1.343). Oral contraceptives was positive association with HPV infection (odds ratio 2.108; 95% CI 1.217~3.652), whereas condom was negative association (odds ratio 0.851; 95% CI 0.740~0.979). Conclusion: HPV Prevalence of 12,377 study population was 11.4%. Smoking, alcohol drinking, nutritional supplements and oral contraceptives were possible risk factors of HPV infection, and condom had possible preventive effect on HPV infection. Further prospective and comprehensive studies about HPV risk factors are required.

Malignant Thymoma Diagnosed by Fine Needle Aspiration Cytology - A Case Report- (세침흡인 세포검사로 진단된 악성 흉선종 - 1예 보고 -)

  • Kang, Kyung-Ha;Sohn, Jin-Hee;Kim, Duck-Hwan;Pang, Sung-Suk;Yang, Seong-Eun;Suh, Jung-Il
    • The Korean Journal of Cytopathology
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    • v.5 no.2
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    • pp.189-193
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    • 1994
  • Malignant thymoma is usually manifested as a mediastinal mass. Occasiomally, these tumors may be associated with a variety of systemic syndromes, such as myasthenia gravis, pure red cell aplasia or hypogammaglobulinemia However, it is generally accepted that thymomas rarely metastasize and the frequency of extrathoracic metastasis has been reported as 1 to 15%. In general, nuclear changes of tumor cells such as enlarged size, irregular shape and altered textures are determining factors in the assessment of the grade of malignancy. We experienced a case of malignant thymoma of anterior mediastinum in a 35-year-old woman. After 3 years, she developed recurrent malignant thymoma in the right supraclavicular area, diagnosed by aspiration biopsy cytology.

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Osteomyelitis following extraction of lower third molar during pregnancy (임신 중 하악 제3대구치 발거후 발생한 골수염)

  • Lee, Sang-Bin;Huh, Kyung-Hoe;Yi, Won-Jin;Kim, Mi-Ja;Lee, Sam-Sun
    • Imaging Science in Dentistry
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    • v.38 no.3
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    • pp.177-182
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    • 2008
  • A 27-year-old female was referred to our hospital postpartum due to rapid aggravation of facial swelling. She was diagnosed with osteomyelitis on clinical, radiological, and histopathological examinations, but the possibility of malignancy was not excluded. Clinical signs and symptoms such as facial swelling and discomfort were improved with four months of antibiotics treatment. This is as case of an osteomyelitis progressed from infected extraction socket in a woman with physiological changes of pregnancy. Decreased immunological response, increased sex hormone and calcium regulatory hormones regulate the response of the bone infection. We report this case for helping the diagnosis of unusual from of osteomyelities in pregnancy and postpartum.

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Juvenile onset acquired myasthenia gravis in a Shih-tzu dog

  • Jung, Dong-In;Park, Chul;Kim, Ju-Won;Kim, Ha-Jung;Kang, Byeong-Teck;Lim, Chae-Young;Kang, Myung-Gon;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.46 no.1
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    • pp.71-73
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    • 2006
  • A 7-month-old female Shih-tzu dog was presented with intermittent trembling, dyspnea, generalized muscle weakness, and unconsciousness after exercise. No remarkable findings were shown in the complete blood counts and the radiographic examination. On serum biochemical profiles, alkaline phosphatase and creatine phosphokinase were mildly elevated. Based on history takings, physical examination, and neurological findings, presumptive diagnosis was made as a myasthenia gravis (MG). Clinical signs of this patient were dramatically improved after administration of neostigmine. The result of acetylcholine receptor antibody test in serum was 0.89 nmol/L and the histopathology of muscle were normal. Clinical sign of the patient evaluated in this study is stabilized with long-term administration of pyridostigmine at this time. This case report here describes clinical and clinicopathological findings of a juvenile onset acquired MG in a Shih-tzu dog.

A Historical Study on the Paradigm Shift of Environment Subject Curriculum in Korea (한국 환경과 교육 과정의 패러다임 변화에 대한 역사적 고찰)

  • Lee, Soon-Chul;Choi, Don-Hyung
    • Hwankyungkyoyuk
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    • v.23 no.1
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    • pp.27-35
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    • 2010
  • The purpose of this study is to find historical paradigm shift of the environmental subject in Korean school curriculum. For the purpose, two research questions guided this study. First, we would like to find out the changes in environmental education curriculum by interpreting the Korean national curriculum. Second, we want to know about the paradigm shift of environment education in Korea. In this study, curriculum documents, teachers' guide books, textbooks, and other educational materials were used for literature review. The results are as follows: First, Robottom and Hart's frame of three paradigms in environmental education research, positivism, interpretivism and social criticism, was suitable in interpreting curriculum. Second, the curriculum of environment subject has substantially changed from 6th to 2007 revised curriculum. Third, while the 6th curriculum was strongly affected by the positivism and education 'about' the environment, the 7th curriculum had been influenced by the interpretivism and education 'in/through' the environment, and the 2007 revised curriculum is under the influence of the education 'for' the environment and social critical paradigm.

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Effects of a Recreation Therapy Program on Mental Health and Heart Rate Variability in Burn Rehabilitation Patients (치료레크리에이션 프로그램이 화상재활환자의 정신건강 상태와 심박동 변이에 미치는 효과)

  • Kil, Myung-Sook;Lee, Mi-Hwa;Lee, Yong-Mi
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.179-187
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    • 2015
  • Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

Effects on Glycemic Control by Continuous Self Monitoring of Blood Glucose in Diabetic Patients (당뇨병환자의 지속적 자가 혈당관리에 따른 혈당조절의 효과)

  • Jang, Gyeong-Wha;Kwon, Myung-Soon
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.104-111
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    • 2010
  • Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.

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Regional Differences of Clothing Consumption Behavior in Korean Adolescents (청소년의 의복소비행동의 지역별 비교연구)

  • 이명희;유경숙
    • Journal of the Korean Society of Costume
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    • v.54 no.5
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    • pp.13-25
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    • 2004
  • The purpose of this study was to understand regional differences of clothing consumption behavior of Korean adolescents. Subjects were 624 male and female high school students in north and south to the Hangang river, Seoul, and those in Kunsan City, Jeonlabuk-Do. The clothing consumption orientation were classified 4 dimensions by factor analysis: brand orientation, others-sensitivity, impulse buying, and advertizement influence. Female students were significantly higher in brand orientation, others-sensitivity, and impulse buying than males. Students in the south Seoul are influenced more than the other two regions by brand orientation, others-sensitivity, and impulse buying. There were significant interaction effects in brand orientation and others sensitivity by sender and region. In the north Seoul students, males demonstrated less brand orientation than females. while south Seoul male students did high others-sensitivity tendency than male of the other regions. Males of north Seoul and Kunsan spent less expense for clothing, but south Seoul students equally in males and females spent the highest for clothing. About one-third of all adolescents had imitated appearance of an entertainer. mostly for hair-styles of them. Major commodities that teenagers purchased on impulse were shirts, pants, shoes, and bags. Since shoes prevailed among purchased famous brands, teenagers seem to be most interested in shoes as far as the brand was concerned in particular. In general, clear differences of gender and region were observed in clothing consumption behavior: male adolescents in the north Seoul and Kunsan City exhibited Passive clothing behavior, whereas south Seoul males and females showed active behavior and gender-equality.

Ancient Mitochondrial DNA Analyses of Ascaris Eggs Discovered in Coprolites from Joseon Tomb

  • Oh, Chang Seok;Seo, Min;Hong, Jong Ha;Chai, Jong-Yil;Oh, Seung Whan;Park, Jun Bum;Shin, Dong Hoon
    • Parasites, Hosts and Diseases
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    • v.53 no.2
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    • pp.237-242
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    • 2015
  • Analysis of ancient DNA (aDNA) extracted from Ascaris is very important for understanding the phylogenetic lineage of the parasite species. When aDNAs obtained from a Joseon tomb (SN2-19-1) coprolite in which Ascaris eggs were identified were amplified with primers for cytochrome b (cyt b) and 18S small subunit ribosomal RNA (18S rRNA) gene, the outcome exhibited Ascaris specific amplicon bands. By cloning, sequencing, and analysis of the amplified DNA, we obtained information valuable for comprehending genetic lineage of Ascaris prevalent among pre-modern Joseon peoples.