• Title/Summary/Keyword: Patient well-being

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Treatment for ophthalmic paralysis: functional and aesthetic optimization

  • Kim, Min Ji;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.3-9
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    • 2019
  • Facial nerve palsy has an effect on a person's well-being functionally and psychologically. Therefore, comprehensive patient management is essential. One of the most common uncomfortable and potentially debilitating features is associated with the incapacity for eye closure. Restoration of eye closure is a key consideration during the surgical management of facial palsy. In this article, we introduce simple surgical methods-which are relatively easy to learn and involve the upper and lower eyelids-for achieving eye closure. Correcting upper eyelid function involves facilitating the component of eye closure that is in the same direction as gravity and is, therefore, less complicated and favorable outcomes than correction of lower lid. Aesthetic aspects should be considered to correct the asymmetry caused by facial palsy. Lower eyelid function involves a force that opposes gravity for eye closure, which makes correction of lower eyelid ectropion more challenging than surgery for the upper eyelid, particularly in terms of effecting a sustained correction. Initially, proper ophthalmic evaluation is required, including identifying the chronicity and severity of ectropion. Also, it is important to determine whether or not lateral canthoplasty is necessary. The lateral tarsal strip procedure is commonly used for lower lid correction. However, effective lower lid correction can be achieved with better cosmesis when extensive supporting techniques are applied, including those involving cheek tissue.

Current status of the anterior middle superior alveolar anesthetic injection for periodontal procedures in the maxilla

  • Ahad, Abdul;Haque, Ekramul;Tandon, Shruti
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.1
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    • pp.1-10
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    • 2019
  • Periodontal procedures require adequate anesthesia not only to ensure the patient's comfort but also to enhance the operator's performance and minimize chair time. In the maxilla, anesthesia is often achieved using highly traumatic nerve blocks, apart from multiple local infiltrations through the buccal vestibule. In recent years, anterior middle superior alveolar (AMSA) field block has been claimed to be a less traumatic alternative to several of these conventional injections, and it has many other advantages. This critical review of the existing literature aimed to discuss the rationale, mechanism, effectiveness, extent, and duration of AMSA injections for periodontal surgical and non-surgical procedures in the maxilla. It also focused on future prospects, particularly in relation to computer-controlled local anesthetic delivery systems, which aim to achieve the goal of pain-free anesthesia. A literature search of different databases was performed to retrieve relevant articles related to AMSA injections. After analyzing the existing data, it can be concluded that this anesthetic technique may be used as a predictable method of effective palatal anesthesia with adequate duration for different periodontal procedures. It has additional advantages of being less traumatic, requiring lesser amounts of local anesthetics and vasoconstrictors, as well as achieving good hemostasis. However, its effect on the buccal periodontium appears highly unpredictable.

Brief Summary on Nursing Studies regarding COVID-19

  • Hyun, Sookyung
    • International Journal of Advanced Culture Technology
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    • v.9 no.2
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    • pp.47-55
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    • 2021
  • The coronavirus disease 2019 (COVID-19) pandemic continuously influences on the health and well-being of people and communities worldwide. The purpose of this study was to explore the published research articles in the fields of nursing and health during the COVID-19 pandemic. The research design is an exploratory study. Samples are the abstracts of the articles from a literature database, PubMed, that were published from January 1st, 2020 to April 15th, 2021. We used a MeSH term, 'nursing' and "COVID-19" to retrieve articles that are related to COVID-19. Five hundred and fifty-five articles were retrieved. Two hundred and sixteen articles were excluded as they were not met the inclusion criteria. The total number of articles used in this study was three hundred and thirty-nine. The average number of articles published during the data collection period was 21.9. Seven topics were discovered from the abstracts of the articles: COVID-19 management and guidance; Perinatal COVID-19 and breastfeeding; Nurse; Health service and support; Patient care; Research; and Education and experience. This study revealed some interesting topics from the articles related to COVID-19 and provided some sense of research areas that may be interesting and allow us to develop important research questions about nursing science and nursing practice.

Influential factors of Health-related Quality of Life of Women Merchants at Traditional Markets (전통시장 여성상인의 건강관련 삶의 질에 미치는 영향요인)

  • Bae, Young Sil
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.355-367
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    • 2020
  • Purpose: This study aims to identify factors influencing the health-related quality of life among women merchants at traditional markets. Methods: Participants in this cross-sectional descriptive study included 121 women merchants. Data were collected from May 01 to June 30, 2019 using the patient health questionnaire-9 (PHQ-9), psychosocial well-being index-short form (PWI-SF), subjective health status, and HRQoL. Selected data were analyzed using descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by applying the SPSS/WIN program 22.0. Results: The HRQoL was significantly different by age (F=5.87, p=.001), education (F=2.98, p=.022), working period (F=4.70, p=.004), exercise (t=2.20, p=.030), chronic disease (t=-2.57, p=.011), BMI (F=5.04, p=.008), depression (F=4.70, p=.004), stress (F=7.82, p<.001), and subjective health status (F=7.91, p=.001). Factors influencing the HRQoL for women merchants included BMI (β=-.35, p<.001), subjective health status (β=.33, p<.001), and stress (β=-.18, p=.021). The explanation power of this regression model was 29.8% (F=5.51, p<.021). Conclusion: BMI, subjective health status, and stress affect the HRQoL of the subjects evaluated. Therefore, there is a need for health management programs that may decrease stress, control the BMI, and improve the subjective health status of women merchants at traditional markets.

A Study on the Personalized Smart Home Health-Care IoT Service Design (개인맞춤형 스마트 홈 헬스케어 IoT 서비스디자인 연구: LH 스마트 홈 헬스케어 플랫폼 사례분석 중심으로)

  • Ui Jeong, Park;Jae Boong, Choi
    • Journal of Information Technology Services
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    • v.21 no.6
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    • pp.21-37
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    • 2022
  • Due to the development of technology and medical care following the 4th industrial revolution, the medical paradigm is shifting towards patient-centered medical services. Based on the development of smart home technology, the residential environment is changing into a residential space that cares for and heals the lifestyles and the healthcare of families. As lifestyle changes, the concept of supporting smart home care based on the residential environment is making it possible to build a smart home IoT service design with enhanced accessibility and convenience for medical appointments and well-being lifestyle care. This paper is a study on user-centered health care smart home IoT service design suitable for family members based on the health care, beauty care, exercise care, and customized diet care beyond the conventional concept of health care monitoring. Based on the analysis, this paper proposes a personal care coordinate smart home service design in a human-centered wellness clinic care smart home service design environment. Human-centered wellness clinic smart home IoT service design is meaningful in presenting a vision for research on smart home service design that links hospital-linked and care-linked service industries, which should be considered from the smart home construction planning stage.

Measuring and Evaluating the Work-Related Stress of Nurses in Saudi Arabia during the Covid-19 Pandemic

  • Bagadood, May H.;Almaleki, Deyab A.
    • International Journal of Computer Science & Network Security
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    • v.22 no.3
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    • pp.201-212
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    • 2022
  • Prior to the emergence of Covid-19, Saudi Arabia (SA) had never faced the challenge of dealing with a global pandemic. Significantly, the current crisis has impacted all industries and sectors in the country, including the healthcare system, and has led to an emphasis on human life being more precious and valuable than economic profit. This study focuses on the impact of Covid-19 on the health of nurses, including their quality of life, during 2020. Understanding the position of the nursing profession during the pandemic, including the most effective methods of preventing work-related stress is important. Information was acquired through an online survey method (i.e. self-completion), known as the Expanded Nursing Stress Scale (ENSS), which was distributed to nurses in all regions of SA. It was found that the main aspects impacting nurses' work-related stress include gender, employment type, training, and dealing with infected patients. In addition, they highlight that such stress plays a substantial role in patient safety and nurses' satisfaction at work, as well as the future survival of organizations. The emergence of Covid-19 as a novel infectious disease has increased nurses' uncertainty and work-related stress. The results of this research will provide insights into the views of both nurses and their managers, in order to identify the main indicators of stress.

The Influence of Work-Life Balance and Insomnia Severity on Shift Working Nurses' Health Promotion Behaviors (교대근무 간호사의 일과 삶의 균형과 불면증이 건강증진행위에 미치는 영향)

  • Jo, Hyun Ju;Yu, Juyoun
    • Korean Journal of Occupational Health Nursing
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    • v.33 no.3
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    • pp.109-116
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    • 2024
  • Purpose: This study aimed to identify the influence of work-life balance and insomnia severity on shift working nurses' health promotion behaviors. Methods: Participants were 152 nurses who worked rotating shifts at a general hospital. Data were collected from August 2 to 16, 2023 and analyzed by t-test, ANOVA, Pearson correlation, and multiple regression analysis using SPSS/WIN 25.0. Results: The participants exhibited high insomnia severity and low scores in both work-life balance and health promotion behaviors. Health promotion behaviors were positively correlated with work-life balance but negatively correlated with insomnia severity. The key factors influencing shift-working nurses' health promotion behaviors included work-life balance (β=.37, p<.001) and gender (female) (β=-.17, p=.026), with an explanatoty power of 18% (F=12.35, p<.001). Conclusion: Work-life balance is a significant variable affecting shift-working nurses' health promotion behaviors. The health of nurses is crucial not only for their personal well-being but also for ensuring the patient safety. Therefore, flexible work systems and adaptable health program schedules must be implemented to promote the health of shift-working nurses.

Mental Health and Medical Error among Nursing Staffs at Korean Medicine Clinics: a first survey in South Korea

  • Soo-Hyun Nam;Chan-Young Kwon
    • Journal of Pharmacopuncture
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    • v.27 no.3
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    • pp.253-263
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    • 2024
  • Objectives: Nurses face mental health issues like emotional labor, stress, and depression, increasing the risk of medical errors. This study assesses the mental health and medical errors among nurses in Korean medicine clinics in South Korea. Methods: The cross-sectional analysis involved 83 nurses, examining relationships between emotional labor, stress, depression, cognitive failure, Hwa-byung (HB) (a syndrome of suppressed anger in Korean culture), and medical errors. It identified factors associated with HB and medical errors using multiple regression analysis, presenting their odds ratios (ORs) with 95% confidence intervals (CIs). Results: The findings revealed a current HB prevalence of 19.28% and a 6-month medical error prevalence of 16.87% among participants. The regression analysis showed that higher levels of depression (OR = 1.368, 95% CI = 1.098 to 1.703, p = 0.005), cognitive failure (OR = 1.072, 95% CI = 1.011 to 1.136, p = 0.020), and HB trait (OR = 1.136, 95% CI = 1.005 to 1.284, p = 0.041) significantly correlated with HB presence. Conclusion: This groundbreaking study on this previously under-researched nurse workforce highlights the critical need for comprehensive mental health care, with the objective of significantly enhancing their mental well-being and improving their overall work environment.

Discharge Assessment Tool in Stroke and Elderly Patients: A Systematic Review (뇌졸중 및 노인 환자의 퇴원 평가도구에 대한 체계적 고찰)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.9 no.3
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    • pp.7-21
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    • 2020
  • Objective : The aim of this systematic review is to analyze the assessment items and tools used for the discharge of stroke and elderly patients and to help select appropriate assessment tools for discharge planning. Methods : The studies included in this review were collected from the PubMed, Medline Complete (EBSCOhost), and Scopus databases from January 2009 to December 2018. A total 22 studies were selected. The research types, the areas and sub-areas of assessment, as well as the assessment tools according to the areas were analyzed. Results : Descriptive research (59.2%) was the most frequent type of research. The 12 main areas of assessment were medical condition, activities of daily living, swallowing function, sensation, mobility, cognition and perception, communication, emotion, home environment, patient knowledge and readiness for discharge, social support, and well-being. Among the assessment tools, the most frequently used tools were Bathel Index; Functional Independence Measure, to assess activities of daily living; Short-Form Health Survey, to assess well-being, and Timed Up and Go test, to assess mobility. Conclusion : This study will help select the assessment areas and tools to be considered at discharge of stroke patients and serve a basis for the development of comprehensive assessment tools for discharge planning.

A Patient Presenting with Abnormal Behavior after Wild Plant Ingestion (봄나물 섭취 후 이상 행동을 주요 증상으로 내원한 환자 1례)

  • Ohk Taek-Geun;Kim Yoon-Seong;Park Chan-Woo;Moon Joong-Bum;Choi Ki-Hoon;Seo Jeong-Yeul;Ahn Hee-Cheol;Ahn Moo-Wob;Cho Jun-Hwi
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.1
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    • pp.48-51
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    • 2006
  • With well-being boom recently, the common people, but not experts, are increasingly taking in them directly by picking wild herbs. However, only experts can distinguish between edible vegetables and poisonous herbs from the wild herbs. Especially, it is not even easy for experts to distinguish them only by looking into buds in spring without flowers or fruit. So, sometimes many patients are being carried into the emergency room by the toxic symptom after taking by misunderstanding the poisonous herbs as edible vegetables. For herb intoxication as well as drug intoxication, what kinds of vegetables patients took in, and when and how much they took in them are important information for curing. Of course, in the case of intoxicating in the wild herbs, the patients can have a lot of symptoms and sings-hemodynamic alteration and abnormal neurologic sign as well as gastrointestinal symptoms-according to the kinds of herbs which they took in. Therefore, it is difficult to find the kinds of herbs which they took in through the specific symptoms. Recently we experienced a case with showing typical anticholinergic symptoms after ingestion of Scopolia japonica. As a result, the publicity activities about the wild plants needs because if the person without their previous knowledge take in the poisonous herbs, serious side effects can be produced..

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