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Analysis of factors that affect drainage volume after expander-based breast reconstruction

  • Lim, Yoon Min;Lew, Dae Hyun;Roh, Tai Suk;Song, Seung Yong
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.33-41
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    • 2020
  • Background Closed-suction drains are widely used in expander-based breast reconstruction. These drains are typically removed using a volume-based criterion. The drainage volume affects the hospital stay length and the recovery time. However, few studies have analyzed the factors that influence drainage volume after expander-based breast reconstruction. Methods We retrospectively analyzed data regarding daily drainage from patients who underwent expander-based breast reconstruction between April 2014 and January 2018 (159 patients, 176 expanders). Patient and operative factors were analyzed regarding their influence on total drainage volume and drain placement duration using univariate and multivariate analyses and analysis of variance. Results The mean total drainage volume was 1,210.77±611.44 mL. Univariate analysis showed correlations between total drainage volume and age (B=19.825, P<0.001), body weight (B=17.758, P<0.001), body mass index (B=51.817, P<0.001), and specimen weight (B=1.590, P<0.001). Diabetes history (P<0.001), expander type (P<0.001), and the surgical instrument used (P<0.001) also strongly influenced total drainage. The acellular dermal matrix type used did not affect total drainage (P=0.626). In the multivariate analysis, age (B=11.907, P=0.004), specimen weight (B=0.927, P<0.001), and expander type (B=593.728, P<0.001) were significant predictors of total drainage. Conclusions Our findings suggest that the total drainage and the duration of drain placement needed after expander-based breast reconstruction can be predicted using preoperative and intraoperative data. Patient age, specimen weight, and expander type are important predictors of drainage volume. Older patients, heavier specimens, and use of the Mentor rather than the Allergan expander corresponded to a greater total drainage volume and a longer duration of drain placement.

Quality and Characteristics of Madeleine That is Helpful for Hypercholesterolemia Using Ginger Syrup (생강청을 활용한 고콜레스테롤혈증에 도움이 되는 마들렌의 품질 및 특성)

  • Lee, Hwa Jung;Park, Eun Bin;Ryu, Soo In;Paik, Jean Kyung
    • The Korean Journal of Food And Nutrition
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    • v.35 no.4
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    • pp.231-238
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    • 2022
  • As cholesterol intake increases, the prevalence of hypercholesterolemia is also increasing. With increasing food selection considering health, consumption of functional foods that can help health is also expected to increase. Ginger is rich in minerals (such as potassium and magnesium) and antioxidants. Antioxidants have been shown to be effective in lowering blood cholesterol levels. Therefore, we would like to produce madeleines helpful for hypercholesterolemia by adding ginger syrup to madeleines recently consumed as desserts. In this study, the quality and characteristics were analyzed after making madeleine by adding ginger syrup at 0%, 5%, 10%, 15%, and 20%. Baking loss was significantly reduced as the addition amount increased (p<0.001). The pH value decreased as the addition amount increased except for the 5% added group (p<0.001). The b value of the chromaticity showed a significant increase from the 5% addition group (p<0.001). Regarding textures, hardness (p=0.006), gumminess (p=0.001), and chewiness (p=0.001) all decreased as the addition amount increased. Regarding antioxidant activity, polyphenol, DPPH, and ABTS values were significantly increased as addition amount increased (p<0.001). Consequently, Madeleine using ginger syrup rich in antioxidants is expected to help health.

The Influence of Nursing Professionalism, Learning Agility, and Nursing Practice Environment on Nurses' Performance in Small and Medium Hospitals (중소병원 간호사의 간호전문직관, 학습민첩성, 간호근무환경이 간호업무성과에 미치는 영향)

  • Kim, Hye-Young;Lim, Su-Jin
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.197-207
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    • 2023
  • Purpose: This study attempted to discern the factors that influence nursing professionalism, learning agility, and the nursing practice environment on the performance of nurses. Methods: Data were collected from 202 clinical nurses who both consented to participate and who have worked for more than one year in one of five small- and medium-sized hospitals located in three regions of Korea. The data were analyzed using the SPSS/WIN 26.0 statistical programs. Results: The nurses' performance showed a statistically significant correlation with nursing professionalism (r=.50, p<.001), learning agility (r=.54, p<.001), and nursing practice environment (r=.37, p<.001). Factors affecting the results of nurses' performance in relation to the subjects are those of learning agility (β=.33, p<.001), nursing professionalism (β=.25, p<.001), clinical career (β=.24, p=.001), education level (β=.16, p=.011), and nursing practice environment (β=.15, p=.016). Conclusion: To improve the performance of nurses in medium-sized hospitals, it is necessary to develop a nursing practice environment, programs, and strategies for enhancing nursing professionalism and learning agility.

Evaluation of Serum Omentin-1, Vaspin, Leptin, Adiponectin Levels in Obese/Overweight Children and Their Relationship With Non-Alcoholic Fatty Liver Disease

  • Esra Akyuz Ozkan;Allahverdi Sadigov;Osman Ozturk
    • Clinical Nutrition Research
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    • v.11 no.3
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    • pp.194-203
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    • 2022
  • To investigate adipokines (vaspin, omentin-1, adiponectin and leptin) and their correlation with hepatosteatosis degree in obese/overweight (O/O) children. We analyzed adipokine levels of 81 children (49 O/O, [body mass index (BMI) > 95th] and 32 non-obese (BMI = 5-85th) admitted to the pediatric outpatient clinic. Serum triglyceride, glucose, low density lipoprotein-cholesterol, total cholesterol, high density lipoprotein-cholesterol, alanine aminotransferase, aspartate aminotransferase (AST), insulin, HbA1c levels and leptin, omentin-1, vaspin, adiponectin levels were studied. O/O children with hepatosteatosis were divided into grades 1, 2 and 3 according to the degree of hepatosteatosis determined by ultrasonography. While AST (p = 0.001), triglyceride (p = 0.006), BMI percentile (p = 0.000), HOMA index (p = 0.002), systolic blood pressure (p = 0.02), leptin (p = 0.001), omentin-1 (p = 0.001), adiponectin (p = 0.001) levels were higher, vaspin level was lower (p = 0.008) in the (O/O) group compared to the controls. There was a positive correlation between HDL and vaspin, and a negative correlation between HDL and omentin-1 in the O/O group. Also it was observed that as the degree of hepatosteotosis increased, leptin (p = 0.004), omentin-1 (p = 0.001) levels were increased. There was no significant change in vaspin level (p = 0.128). The high levels of omentin-1, leptin and adiponectin have an association with the development of hepatosteatosis in O/O children.

Influences of Social Support and Health Promotion Behavior on Aging Anxiety among Middle Aged Women (중년여성의 사회적 지지, 건강증진행위가 노화불안에 미치는 영향)

  • Seo, Jung-Hee;Noh, Yoon-Goo
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.339-347
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    • 2019
  • The purpose of this study was to identify the influence of social support and health promotion behavior on aging anxiety among middle aged women. The sample for this study consisted of 160 women aged 40 to 60 living in C city in Korea. Data were analyzed by descriptive statistics, t-test, One-way ANOVA, Pearson correlation and stepwise multiple regression with SPSS/WIN 23.0. It was found that: (a) aging anxiety had a negative correlation with health promoting behavior(r=-.614, <.001), spousal support(r=-.411, <.001), whereas health promotion behavior had a positive correlation with spousal support(r=.429, <.001) (b) Factors influencing aging anxiety were identified as following; nutrition, stress management, menopause, spousal support with 44.7% explanatory power. In this study, it was found that nutrition, stress management, spouse support, and menopause awareness among middle-aged women lowered aging anxiety. Further research is needed to develop programs that include these variables and to verify their effects.

A study on patients transferred to emergency medical center of university hospital -About reexamination status of patients transferred - (3차 의료기관 응급의료센터로 전원되는 환자에 대한 조사연구 - 중복 재검사에 관한 조사 -)

  • Yoou, Soon Kyu
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.20-32
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    • 1999
  • The purpose of this retrospective research of 603 patients who were transferred to the emergency medical center of university hospital from 1 Jan, 1998 to 31 Jan, 1998 was making of basic data for emergency medical transfer system improvement countermeasure and the point at issue of overlapping reexamination ststus of patients transfered to emergency medical center of university hospital from 1,2 level hospital. The data analysis was done by SPSS, t-test, ANOVA, Pearson correlation. The results were as follows: 1. Male to female ratio was 1.7:1 and peak age group was patients over forties and under nine years of age(70.5%) 2. Traumatic patients were 17.8%, motor vehicle accident patients were 16.7% and Non-traumatic patients were 65.3%. Transferring hospital was divided into 2groups: primary hospital, secondary hospital. The majority was secondary hospital(73.3%). The result of symptom severity classification of patients transferred to 3rd emergency medical center was urgent patients 32.5%, emergency patients 33.58%, non-emergency patients 34.0% 3. Most highest score items amoung overlapping reexamination of patients transfered to emergency medical center of university hospital from 1,2 level hospital were CBC test, simple X-ray (0.93점), CBC test(0.97점), urin test(0.88점), chemistry test(0.94점), simple X-ray(0.98점), CT(0.42점), EKG(0.89점) amoung overlapping reexamination of motor vehicle accident patients were more higher reexamination score than traumatic patients and non-traumatic patients 4. CBC test(P<0.001), urin test(P<0.001), chemistry test(P<0.001), simple X-ray(P<0.001), CT(P<0.01), EKG(P<0.001) amoung overlapping reexamination of patients in 2 level hospital were more higher reexamination score than 1 level hospital patients 5. About symptom severity classification of patients transferred to 3rd emergency medical center, CBC test(P<0.001), urin test(P<0.001), chemistry test(P<0.001), simple X-ray(P<0.01), CT(P<0.001), EKG(P<0.001) amoung overlapping reexamination items in urgent patients were more higher reexamination score than other patients 6. Influencing variation for overlapping reexamination in hospital was CBC test(P<0.001), CT (P<0.001), MRI (P<0.05).

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Effects of Social Support and Self-Efficacy on the Quality of Life of Elderly People

  • Kim, Hyun Seung;Cho, Sung Hyoun
    • Physical Therapy Rehabilitation Science
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    • v.11 no.3
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    • pp.376-383
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    • 2022
  • Objective: This study investigated how social support and self-efficacy affect the quality of life of elderly people with chronic diseases. Design: The study consisted of descriptive survey research. Methods: A questionnaire covering social support, self-efficacy, and quality of life was distributed to 320 elderly people with chronic diseases. Pearson's correlation analysis was performed to examine the correlation between the respondents' social support (family support, friend support, medical support), self-efficacy (confidence, self-regulation efficacy, preference for task difficulty), and quality of life. Multiple regression analysis was also performed to identify the factors affecting the respondents'quality of life. Results: "Friend support" and "quality of life" (r=-636, p<0.001), had a negative correlation, "confidence" and "quality of life" (r=0.827, p<0.001), "self-regulating efficacy" and "quality of life" (r=0.736, p<0.001), and "preference for task difficulty" and "quality of life" (r=0.295, p<0.001)-had positive correlations. Friend support (𝛽=-0.164, p<0.001), confidence (𝛽=0.592, p<0.001), and self-regulation efficacy (𝛽=0.160, p<0.001) were found to affect quality of life. The independent variables showed the following degrees of influence, in order: confidence, friend support, and self-regulation efficacy. Their explanatory power was 73.3% (F=146.844, p<0.001). Conclusions: The quality of life of elderly people with chronic diseases can be improved by formulating health-promotion programs that foster a sense of community.

Factors Affecting Aging Anxiety in Middle Aged Women (중년여성의 노화불안에 영향을 미치는 요인)

  • Kim, Hyun Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.563-573
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    • 2020
  • This study aimed to provide basic data to assist in developing programs to improve the quality of life after identifying the factors affecting aging anxiety among middle-aged women. The subjects were 256 middle-aged women in Korea. Data were collected from March 8 to April 11, 2019, and analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson correlation, and stepwise multiple regression with SPSS/WIN 18.0. This study found that the aging anxiety of the subjects differed significantly according to job and marriage satisfaction. Aging anxiety had a negative correlation with health perceived health (r=-.300, p<.001), resilience (r=-.537, p<.001), satisfaction of married life (r=-.316, p<.001), and self-esteem (r=-.424, p<.000). The factors affecting aging anxiety were as follows: resilience (β=-.47, p<.001), occupation (β=-.19, p=.003), and self-esteem (β=-.19, p=.014) with 36.9% explanatory power (F=14.34, p<.001). To reduce the aging anxiety of middle-aged people, programs will be needed to improve participation in post-middle-aged jobs or social activities and resilience, self-esteem, thereby providing education and mediation that can allow middle-aged women to accept aging positively.

Influencing Factors of Sexual Attitude, Other-Compassion and Attitudes toward Unwed Mothers (간호대학생의 성태도, 타인연민이 미혼모에 대한 태도에 미치는 영향)

  • Jo, Myoung-Ju;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.94-103
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    • 2019
  • The purpose of this study was to identify factors influencing attitudes toward unwed mother on nursing students. Using a structured questionnaire, data were collected from 192 nursing students mothers in one nursing school in Gyeongnam Province in march, 2018. Data were analysed using descriptive analysis, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple stepwise regression with the SPSS/WIN 24.0 program. Attitudes toward unwed mother in nursing students was significantly correlated with sexual attitude(r=-.31, p<.001) and other-compassion(r=-.31, p<.001). The factors that had an effect on attitudes toward unwed mother were sexual attitude(${\beta}=-.29$, p<.001), other-compassion (${\beta}=-.30$, p<.001), and grade (${\beta}=.27$, p=.003); the explanatory power was 24.4%. In developing sex education and compassion program for nursing students, it is necessary to reflect the contents that can enhance attitudes toward unwed mother.

A convergence study the association between addictive smart phone use, dry eye syndrome, upper extremity pain and depression among college students (일 지역 대학생의 스마트 폰 중독사용과 안구건조증, 상지통증 및 우울간의 관계에 대한 융합 연구)

  • Paek, Kyung Shin
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.61-69
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    • 2017
  • This study was to identify the correlation between dry eye syndrome, upper extremity pain, depression and addictive smart phone use among college students. Data were collected from 286 college students using a self-report questionnaire. 15.0% of participants have an addictive smart phone use. There were significant differences by dry eye syndrome(t=-4.38, p<.001), neck pain(t=-2.60, p<.05) and depression(t=-4.15, p<.001) according to the addictive smart phone use. Dry eye syndrome(r=.332, p<.001), neck pain(r=.143, p<.05), hand pain(r=.138, p<.05) and depression(r=.402, p<.001) were positively related to addictive smart phone use. Strategies to diminish depression, and to prevent dry eye syndrome and neck pain in college students will be an important intervention component to prevent addictive smart phone use and health problems in future studies.