• Title/Summary/Keyword: Nursing studies

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A Case on Risperidone-Induced Tardive Dyskinesia (Risperidone 유발 지연성 운동장애 1례(一例))

  • Kim, Hun-Soo;Kim, Hyun-Sil;Min, Byung-Kun
    • Korean Journal of Biological Psychiatry
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    • v.5 no.1
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    • pp.129-133
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    • 1998
  • Objective : Base on clinical practice, the authors report a case of tardive dyskinesia arising during the course of treatment with resperidal. Methods : This article was review and analysis of a case on risperidone-induced tardive dyskinea. Results : Mrs K, a 51-year-old woman with a 1-year history of schizophrenic disorder, gradually developed tardive dyskinetic movement of the mouth, lip, and tongue over a 4 month period(From July, 1996 to June, 1997) while taking risperidone. Initially she was treated with haloperidol and alprazolam. However, the haloperidol was subsequently discontinued because of EPS developed. From 11th March, 1997, she was observed to have a severe form of tardive dyskinesia involving her tongue, lip, and mouth. After risperidone was withdrawn at 9th May 1997, her tardive dyskinetic movement was disappeared. Conclusions : This is, to our knowledge, the first report of the onset of tardive dyskinesia in a patient taking risperidone. However, additional controlled studies of specific questions are needed ; e.g., the dose-response curves for produce tardive dyskinesia and the mechanism of producing risperidone-induced tardive dyskinea and so on.

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A Profitability Analysis of Sixteen Oriental Medicine Hospitals (한의과대학부속 한방병원의 손익분석 - 2007~2009년도 7개 대학의 16개 부속한방병원을 중심으로 -)

  • Lee, Woo-Cheon;Lee, Sun-Dong;Kim, Jin-Hyun
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.2
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    • pp.145-155
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    • 2011
  • The purpose of this paper is to review the profitability of sixteen university hospitals of oriental medicine during 2007~2009. Data was collected from 16 hospitals that reveal financial statements to the public and the hospitals were classified into 7 groups. Net sales and COGS per 100 beds of the 7 groups were analyzed to measure profitability and as a percentage of net sales, the rates of personnel expenses, maintenance costs, and material costs were evaluated. The results showed that six groups had consecutively recorded net loss in medical services and differences in profitability among 7 groups were substantial. The analysis showed the profitability was significant for medium-sized hospitals. The rates of personnel expenses in net sales were above 50% in 6 groups with net loss and one group with net profit was 45%. This result indicate the rate of personnel expenses in net sales could be the main factor affecting profitability and further studies are recommended to analyze the determinants of profitability in oriental medical hospitals.

Recovery of an Injured Corticospinal Tract in a Patient With Infarction on the Corona Radiata

  • Lee, Sook;Lim, Hyoung-Won;Yeo, Sang-Seok
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.78-80
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    • 2015
  • Purpose: Many studies have attempted to elucidate the motor recovery mechanisms of stroke. In the current study, we report on a patient with infarction who showed recovery of an injured corticospinal tract (CST), using diffusion tensor imaging (DTI). Methods: A 20-year-old male presented with severe paralysis of the left extremities following an infarction in the right corona radiate and basal ganglia. The patient showed good motor recovery as much as being able to manipulate object using his left hand and could walk independently on stairs at 9 months after onset. Results: At 1 month after onset, the right CST showed decreased fiber volume due to the partial injury at the level of the corona radiate, and no (motor evoked potential) MEP was evoked from the right hemisphere. By contrast, the results at 9 months showed increased fiber volume of the right CST and the amplitude of MEP had improved to normal range on TMS. Conclusion: These results suggest that the severely injured right CST and MEP amplitude had been recovered during 9 months. Therefore, this result has important implications for brain plasticity and brain rehabilitation in patients with infarction.

Breast Cancer Awareness among Saudi Females in Jeddah

  • Radi, Sahar Mahmoud
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4307-4312
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    • 2013
  • Breast cancer is the most frequent malignancy of women worldwide. It is the leading cause of female cancer related disability and mortality. In Saudi Arabia breast cancer ranks first among cancerous diseases in females. In the Gulf region, and especially in Saudi Arabia, few studies have been conducted to address breast cancer awareness. The purpose of the current study was therefore to investigate the level of breast cancer awareness among Saudi females in Jeddah, focusing on knowledge of breast cancer warning signs, risk factors, screening programs and breast self-examination (BSE). The design of this study was an exploratory correlational analysis. The sample comprised 200 Saudi females aged 20 and older living in Jeddah. Data were collected using face-to-face interviews. Breast cancer awareness was measured using a modified Arabic version of the Breast Cancer Awareness Measure (Breast CAM) version 2. Descriptive statistical analysis, Pearson's Product Moment correlation coefficients and ANOVA test were used to answer study questions. Out of 200 participants, 50.5% were aware of breast lump as a warning sign of breast cancer, 57.5% claimed that family history was risk factor, 20.5% had undergone breast screening, 79% heard about BSE, and 47.5% knew how to perform BSE. Findings indicated that Saudi females level of awareness of breast cancer is very inadequate. Public awareness interventions are needed in order to overcome an ever-increasing burden of this disease among Saudi females.

A Review of Factors in Elderly Health-Promotion Behaviors (노인의 건강증진 행위와 관련된 변수분석)

  • Jeon, Jae-Kyun;Mun, Mi-Suk
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.107-114
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    • 2001
  • Recently the number of elderly have been increasing at a rapid pace in Korea. Accompanying this aged society are numerous health problems. Whit this in mind health-promotion behaviors such as physical activity. good nutrition and stress management are vitally important to the elderly in reducing the risk of Health problems, maintaining health and improving the overall quality of life. Health promotion programs for the elderly must be developed. The purpose of th is study was to determine influential cognitive factors on health-promotion behaviors and the effects of previously implemented Health promotion programs. For this, previous studies were reviewed and analyzed. The results were as follows. 1. Cognitive factors on health-promotion behaviors were internal locus of control, perceived health status, self-efficacy, concerns about health, social support, attending social activities. 2. Components of health promotion programs were exercise and health education. Exercise was performed in most programs. The effects of exercise programs were improved flexibility, muscle strength. balance, cardiopulmonary function and elevated ability of daily living, perceived health status, quality of lift and a decrease depression. The results strongly suggest that complex health promotion programs should be developed. Health promotion programs need to include exercise, health education, health counseling and social activities. We have to consider cognitive factors on health-promotion behaviors.

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Fat Embolism Syndrome - Three Case Reports and Review of the Literature

  • Grigorakos, Leonidas;Nikolopoulos, Ioannis;Stratouli, Stamatina;Alexopoulou, Anastasia;Nikolaidis, Eleftherios;Fotiou, Eleftherios;Lazarescu, Daria;Alamanos, Ioannis
    • Journal of Trauma and Injury
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    • v.30 no.3
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    • pp.107-111
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    • 2017
  • The fat embolism syndrome (FES) represents a condition, usually with traumatic etiology, which may pose challenges to diagnosis while its treatment usually requires supportive measures in the intensive care units (ICUs). The clinical criteria, including respiratory and cerebral dysfunction and a petechial rash, along with imaging studies help in diagnosis. Here we present three case reports of young male who developed FES and were admitted to our ICUs after long bones fractures emerging after vehicle crashes and we briefly review FES literature. All patients' treatment was directed towards: 1) the restoration of circulating volume with fresh blood and/or plasma; 2) the correction of acidosis; and 3) immobilization of the affected part. All patients recovered and were released to the orthopedic wards. The incidence of cases of patients with FES admitted in our ICUs records a significant decrease. This may be explained in terms effective infrastructure reforms in Greece which brought about significant improvement in early prevention and management.

Job satisfaction and organizational commitment among emergency medical technicians (응급구조사의 직무만족도와 조직몰입도에 관한 연구 - 광주·전남 응급구조사를 중심으로 -)

  • Hwang, Hee-Jin;Kim, Jin-Sun;Chong, Ji-Yon
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.5-17
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    • 2004
  • A descriptive-correlational study was conducted to examine the job satisfaction and organizational commitment of emergency medical technicians(EMTs) and to identify the relationship between job satisfaction and organizational commitment. Subjects of this study werw 85 EMTs who passed first grade qualification examination and work at hospitals or fire stations in Gwangju and Chonnam province. Data were collected using a structured questionnaire by a postal survey from Sept. 10 to Oct. 20, 2003. For data analysis, descriptive statistics, ANOVA. t-test, and Pearson Correlation were used. The mean score of subjects' job satisfaction was 3.04 and the mean score of organizational commitment was 3.33. There was no significant differences on job satisfaction and organizational commitment by general characteristics of subjects. Job satisfaction was significantly differed by their careers as a EMT, current working place, and types of duty. Organizational commitment was significantly differed by their current working place, types of duty, and level of mean allowance. There was statistically significant positive correlation between job satisfaction and organizational commitment. These findings provide implications to improve job satisfaction and organizational commitment for EMTs. Further studies are recommended.

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A Study on the Space configuration and Area of the Standard Ward in General Hospital in China (중국 종합병원 표준 병동부 공간구성 및 면적에 관한 연구)

  • Lyu, Cheng;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.2
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    • pp.55-64
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    • 2018
  • Purpose: The ward division is a representative part of the hospital, where a variety of user activities are performed. Users can be broadly categorized as patients and carers, visitors, and medical staff (doctors and nurses). The relationship between these two is a major issue with ward planning as the patient's place of life centers around the hospital room and the task of the clinical workforce centers around the nursing station (NS). Against this backdrop, the study divides the ward units of the General Hospital of China into patient areas, medical team areas, supply areas, and public domain, with the focus on the ward areas affecting most significantly in the hospital patients. Methods: The theoretical advance studies of the standard ward unit are identified by the associated guidelines, articles, and documentation. Results: This study is a summary analysis of relevant regulations, reference literature, and drawing data from the target hospital. Further work is expected to be undertaken, including further surveys and observational surveys, to produce more detailed results. Implications: It is expected that the research in this paper will provide an effective reference for the future research of China General Hospital Ward department, so as to promote and improve the work system of China General Hospital Ward department.

Capacitated Location and Allocation Models of Long-Term Care Facilities

  • Song, Byung Duk;Ko, Young Dae;Morrison, James R.;Hwang, Hark
    • Industrial Engineering and Management Systems
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    • v.12 no.3
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    • pp.190-197
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    • 2013
  • People are living longer than ever before. As a result, life expectancy is going up and the demand of long-term care facilities is increasing in most countries. The facilities provide rehabilitative, restorative, and skilled nursing care to patients or residents in need of assistance with activities of daily living. This study deals with the capacitated location and allocation problem of long-term care facilities in a city that consists of a finite number of regions. Assuming that in each region candidate locations for three types of facilities are already given, two integer programming models are developed under the closest assignment rule reflecting the demand characteristics of the facilities. Both the location and type of the facilities to be built become decision variables. To show the validity of the models, numerical problems are solved with commercial software, CPLEX. Also, sensitivity studies were conducted to identify relationships between the system parameters.

Effects of Astragali Radix Extracts on the Elastase Activity and DPPH and NO Scavenging Activities (황기(黃芪)의 elastase 활성과 DPPH, NO 소거능에 미치는 영향)

  • Mou, Jong-Cheng;Lee, Se-Na;Kim, Myung-Gyou;Kim, Myoung-Hee;Kim, Hyung-Jun;Jo, Hak-Jun;Leem, Kang-Hyun
    • The Korea Journal of Herbology
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    • v.26 no.1
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    • pp.59-63
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    • 2011
  • Objectives : Elastic fibers are found in the skin, lungs, arteries, veins and other structures. The defects of elastic matrix aggravate hypertension which is associated with alteration in the great arteries, arteries, and arterioles. The elastase inhibitors were undergoing in clinical studies about emphysema and pulmonary hypertension. This study was designed to investigate the effect of Astragali Radix extracts (AR) on elastase activity and anti-oxidative effects. Methods : The elastase inhibitory activity and DPPH (1,1-diphenyl-2-picrylhydrazyl) and NO free radical scavenging activities of AR were measured. Results : The elastase activity was significantly inhibited by AR. The significant DPPH and NO free radical scavenging activities were observed in AR as well. Conclusion : AR showed the anti-elastase effects and anti-oxidative activities in vitro. These results suggest that AR may be a possible drug for the treatment of pulmonary emphysema and pulmonary hypertension.