• Title/Summary/Keyword: Physical disturbance

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A Study on the Classification of Nursing Diagnoses by Student Nurses (간호학생이 내린 간호진단 분석에 관한 연구)

  • Min, Soon
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.457-471
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    • 1995
  • This research was done to promote improvement of practical application of nursing diagnoses and to improve the quality of nursing. The subjects of this research were 156 second year students of C junior nursing college who were giving adult patient care. The nursing diagnoses of 312 reports were analyzed using NANDA. In these case reports only nursing diagnoses were considered, of which there were a total of 982. In the data analysis the 9H of the nursing students' nursing diagnoses matched with 105 NANDA nursing diagnoses, Of these, the most frequent diagnoses were pain(165, 17.48%), anxiety(101, 10.70%), alteration in nutrition(83, 8.79%) , sleep disturbance (67, 7.10%), in activity intolerance (67, 7.10%), ineffective breathing pattern(51,5.40%). The etiology for the students' nursing diagnoses were compared with NANDA's nursing diagnoses by frequency. The most frequent etiology for the nursing diagnoses of pain was a biological etiology(50, 31%), for anxiety, situation crisis(58, 57.43%), for alteration in nutrition, indigesion(23, 27.71%), for sleep disturbance, external etiology(25, 37.32%), for activity intolerance, immobile position(22, 32.84%), for ineffective breathing pattern, pain(35, 68.63%), and for ,impaired physical mobility, pain(31, 65.96%). The most frequent etiology for constipation was inadquate digestion of water and cellulose (16, 34.78%), for fluid volume felicity, loss of body fluid (21, 52.50%), for impaired skin integrity, external etilogy(16, 43.24%), for impaired physical mobility, pain(22, 62.86%) , for knowledge deficits, cognition disturbance(9, 27.27%), for ineffective air way clearance, secretion obstruction(14, 48.27%) , for impaired gas exchange, loss of transport ability of blood oxygen(9, 37.50%) , and for powerlessness, therapy environment (5, 22.73%). The number of nursing diagnoses by pattern was exchange(16), moving(6), feeling(4), choosing(4), relating(3), communication(1), perceiving(1), knowing(1), valuing(1).

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Changes in Stress, Occupational Stress, and Subjective Health Problems of Novice Female Nurses: Secondary Data Analysis (여성 신규간호사의 스트레스, 직무 스트레스와 주관적 건강문제 변화: 2차 자료 분석)

  • Choi, Ji Yun;Ki, Ji Son;Kim, Kyeong Sug;Kim, Soyeon;Choi-kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.131-139
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    • 2022
  • Purpose: This study aimed to examine the changes in stress, occupational stress, and subjective health problems of novice female nurses within the first 18 months of work. Methods: This was a longitudinal study conducted with a secondary data analysis based on the Shift Work Nurse's Health and Turnover (SWNHT) study. The participants were 178 female novice nurses who participated in all 3 data collection activities (on the first day of orientation before ward placement [T0], 6 months after work [T1], and 18 months after work [T2]). The stress, occupational stress, 8 subjective health problems (upper musculoskeletal pain, leg/foot discomfort, depression, anxiety or emotional disorder, sleep disturbance, headache, gastrointestinal disorder, menstrual disorder, and others), and the greatest health problem during the study period were measured, respectively. Data were analyzed using SPSS 26.0 to obtain descriptive statistics. Results: The subjective health of novice female nurses were found to be poor at T1 compared to T0 on both physical (upper musculoskeletal pain, leg/foot discomfort, and sleep disturbance) and psychological health problems (depression and stress). However, the psychological health problems of the participants were alleviated at T2 whereas; physical health problems persisted until T2. Conclusion: Novice nurses had poor health problems 6 months after work. Sleep disturbance and musculoskeletal pain persisted although other health problems such as depression and stress were alleviated over the period. Strategies to prevent and manage different health problems of novice female nurses at different work duration are urgently needed.

A Case of Woman with Histrionic Personality who Suffered from Chronic Gastrointestinal Dysfunction (만성 위장장애를 호소하는 히스테리성 성격의 여자)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.101-108
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    • 1993
  • A case of a 38 year-old woman with histrionic personality who had chronic epigastric pain, dyspepsia and alternating bowel habit for more than 10 years was presented in detail on its course of two times of admission and follow-up. The diagnosis was thought as psychophy-siological disorder or gastrointestinal motility disorder of undefined etiology rather than hypo-chondriasis or Briquet's syndrome. She was characterized by sustained illness behavior and combined several physical illnesses. i.e. tuberculosis. anemia and hepatic stone. These physical diseases led to a blurring of psychological and physical boundaries regarding symptom formation. The points on consultation from medical part to psychiatric department were discussed and the supposed causal mechanisms in non-organic functional gastrointestinal disturbances were also reviewed. Physical and psychological modalities for the treatment and the abnormal illness behavior were mainly emphasized in this case.

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Influencing Factors on Fatigue in Patients Undergoing Radiotherapy for Breast Cancer (방사선 치료를 받는 유방암환자의 피로 영향요인)

  • Chung, Bok-Yae
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.97-106
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    • 2005
  • Purpose: This descriptive correlation study was to identify the influencing factors on fatigue of patients undergoing radiotherapy for breast cancer. Method: One hundred twenty-six breast cancer patients were recruited from a radiotherapy clinic of two university hospitals. Data were collected using a package of questionnaires consisting of the Symptom Experience Scale, mood disturbance scale, and Social Support Scale. Results: The mean score of the fatigue, physical status, emotional status, and social support was 4.18, 21.96, 100.95, and 3.70, respectively. Family support and health profession support were 3.94 and 3.47, respectively. Fatigue and physical status, fatigue and emotional status, physical status and emotional status were found to have statistically positive correlations. But emotional status and social support were found to have statistically negative correlation. Stepwise multiple regression analysis showed that the influencing factors on fatigue were emotional status, marital status, and physical status which explained 64.4% fatigue of breast cancer patients.

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Orthodontic treatment of an eruptive disturbance of the mandibular first permanent molar (하악 제1대구치 맹출 장애의 교정치료)

  • Kim, Tae-Kyung;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.227-237
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    • 2005
  • Eruptive disturbance of the permanent lower first molar is an uncommon condition caused by physical barriers on the eruption path or failure of the eruptive mechanism. Once eruptive disturbance of the permanent lower first molar is diagnosed. treatment should be started as soon as possible to establish a normal eruption pathway and to avoid any detrimental effects on the developing occlusion A case of primary retention of the mandibular first permanent molar treated with operculectomy and forced eruption which showed good treatment results and stability is described

Flutter Control of Flexible Structure under Random Atmospheric Disturbance (불규칙한 대기교란을 받는 유연한 구조물의 플러터 제어)

  • Oh, Soo-Young;Kim, Yong-Kwan;Cho, Kyoung-Lae;Heo, Hoon;Cho, Yun-Hyun
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2000.06a
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    • pp.1210-1215
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    • 2000
  • Investigation is performed on the stability of general form of dynamic system under colored noise random disturbance whose damping and stiffness are varying in irregular manner along time, which is a preliminary result in the course of research on the characteristic and the control of the stochastic system. Adopted physical model is airfoil under random atmospheric disturbance, which becomes a "time-varying system" whose the governing equation is derived via F-P-K approach in stochastic sense. Control performance and effect of 'Heo-stochastic controller for colored noise' is studied. Also stochastic feature of flutter boundary is discussed as well.

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An Experimental Study on the Control of Stochastic Dynamic MIMO System using the Smart material (다중입출력 확률계의 지능재료를 이용한 제어에대한 실험적연구)

  • Cho, Kyoung-Lae;Kim, Yong-Kwan;Oh, Soo-Young;Heo, Hoon;Pak, Sang-Tae
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2000.06a
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    • pp.1292-1297
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    • 2000
  • For dynamic system under the external irregular disturbance, a performance of the controller designed by using of the 'Heo-stochastic control methodology' is investigated by simulations and experiments. MIMO Flexible cantilever beam, sticked with piezoceramics used as a sensor and actuator, under the irregular disturbance at bottom is modelled in physical domain. Dynamic moment equation about the system is derived through both the Ito's stochastic differential equation and Fokker-Planck-Kolmogoroff equation and also system's characteristics in stochastic domain is analyzed. In this study, the controller suppresses the amplitude of the system's moment response to the external disturbance. MIMO PI controller('Heo-stochastic MIMO PI controller') is designed in the stochastic domain and the response characteristics are investigated in the time domain

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Gait Improvement after Botulinum Toxin Injection in a Patient with Piriformis Muscle Syndrome (이상근 증후군에서 보툴리눔 독소 주사 후 보행의 호전)

  • Choi, Soojin;Bang, Myeong Hwan;Park, Jung Hyun
    • Clinical Pain
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    • v.19 no.1
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    • pp.49-53
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    • 2020
  • Piriformis muscle syndrome is a condition that causes direct muscle pain around piriformis muscle or sciatica from irritated sciatic nerve and the diagnosis remains debatable. The main treatment is symptomatic relief from conservative therapy such as medication and piriformis stretching exercise, and various therapeutic injections including local anesthetic, corticosteroid, botulinum toxin can be considered for diagnostic and therapeutic purposes. In this case, a 54-year-old male who had sciatica and gait disturbance showed piriformis muscle hypertrophy in the pelvis MRI. From imaging studies, electrodiagnostic study and physical examination, he was diagnosed with piriformis muscle syndrome. He underwent trigger point injection and botulinum toxin injection into the piriformis muscle, and pain and gait disturbance significantly improved. This case reports a case of piriformis muscle syndrome with clinical symptom of gait disturbance, which was improved by botulinum toxin injection.

Effects of a Self-Help Program including Stretching Exercise on Reduction of Symptom in Patients with Fibromyalgia (신장운동을 포함한 자조관리프로그램이 섬유조직염환자의 증상완화에 미치는 효과)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.5 no.1
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    • pp.39-56
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    • 1998
  • This study was an quasi-experimental study, done to identify factors Influencing the reduction of symptoms in patients with fibromyalgia. The primary purpose of the study was to develop a Self-Help Program suitable for patients with fibromyalgia in Korea. The secondary purpose was to identify the effects of a Self-Help Program which included stretching exercise. This study was carried out between Feb. 24 and July 8, 1997 and patients in the study Included out patient diagnosed with fibromyalgia based on the criteria developed by the American College of Rheumatology(1990) and H, University which is a tertiary patient care clinic for Rheumatism. The experimental group included 38 patients who were residents of Seoul or Kyungi province, and a control group of 38 patients who were residents of other areas. The control patients were matched to the experimental group patients and they were selected considering the number of tender points on the Fibromyalgia Impact Questionnaire score and a score of self-efficacy. The experimental group participated in a Self-Help Program based on the American Arthritis Foundation(1995) guidelines. The program participants participated in a small group which consisted of 12-15 members attending the program once a week, for 6 weeks with each program lasted two to two and a half hours. The stretching exercise was carried out in each patient's home every day following the video tape exercise provided by the researcher, and the researcher provided encouragement and concern to the patients by calling them once a week. The number times the exercise was performed was divided by the number of participants to calculate the percentage of performance and determine the amount of exercise. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. The degree of pain was converted to scores based on the Visual Analog Scale, the number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Depression was measured by CES-D and physical disability, sleep disturbance, fatigue, and anxiety of patients with fibromyalgia were measured by the Fibromyalgia Impact Questionnaire. The level of the exercise performance was converted to scores using the number of times the exercise was performed following the video tape prepared by Association of Rheumatology Health Professionals. Data were analyzed by SPSS windows and the results ire described below. 1. The experimental group which participated in the Self-Help Program showed higher efficacy scores than the control group when both groups were analyzed for depression and the number of tender points as common variables(F=9.146, p=.003). 2. The experimental group which participated in the Self-Help Program showed lower scores than the control group, for pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety. These symptoms of fibromyalgia can all be seen to have subsided(F=9.483, p=.003 : F=32.680, p=.001 ; F=11.104, p=.001, F=5.344 : p=.024, F=7.630 : P=.007, F=15.6512, p=.003 : F= 7.5412, p=.008). 3. In the experimental group, the self-efficacy score for the first three weeks showed a positive correlation with the exercise-performance score for four to six weeks (r=.387, p=.043). 4. In the experimental group, the relationship between the level of exercise-performance and the reduction of symptoms showed a significant correlation only to physical disability(r= -.500, p=.001). 5. In the experimental group, the relationship between the self-efficacy score and pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety score showed inverse correlations and thus, a reduction of symptoms occured when the self-efficacy score increased(r=-.325, p=.004 ; r= -.253, p=.027, r=-.452, p=.001 : r=-.434, p=.001 ; r=-.316, p=.005 ; r=-.460, p=.001 ; r=-.397, p=.014). Therefore, self-efficacy improved following the Self-Help Program including the stretching exercise. It was also found that physical symptoms (pain, number of tender points, level physical disability) and psychological symptoms (depression, fatigue, sleep disturbance, anxiety) were reduced. Moreover, It was found that the higher the self-efficacy, the the higher the degree of achievement of goals set for the stretching exercises. In addition, the level of exercise-performance influenced the level of physical disability, one of the symptoms of fibromyalgia. Accordingly, the conclusions from this study are that exercise-performance and the reduction of symptoms is achieved through promotion of self-efficacy. Therefore, it is proposed that are the Self-Help Program including stretching exercises is an appropriate nursing intervention for the reduction of symptoms of fibromyalgia.

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A Study on Medium Voltage Power Supply with Enhanced Ignition Characteristics for Plasma Torch

  • Jung, Kyung-Sub;Suh, Yong-Sug
    • Proceedings of the KIPE Conference
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    • 2010.07a
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    • pp.242-243
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    • 2010
  • This paper investigates a power supply of medium voltage with enhanced ignition characteristics for plasma torch. Series resonant half-bridge topology is presented to be a suitable ignition circuitry. The ignition circuitry is integrated into the main power conversion system of a multi-phase staggered three-level dc-dc converter with a diode front-end rectifier. The plasma torch rated for 3MW, 2kA and having the physical size of 1m long is selected to be a high enthalpy source in waste disposal system. The steady-state and transient operations of plasma torch are simulated. The parameters of Cassie-Mary arc model are calculated based on 3D magneto-hydrodynamic simulations. Circuit simulation waveform shows that the ripple of arc current can be maintained within ${\pm}10%$ of its rated value under the existence of load disturbance. This power conversion configuration provides high enough ignition voltage around 5KA during ignition phase and high arc stability under the existence of arc disturbance noise resulting in a high-performance plasma torch system.

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