• Title/Summary/Keyword: Re-intervention

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THE PREVALENCE OF SENSORY DISTURBANCE AFTER IMPLANT SURGERY - RETROSPECTIVE SURVEY OF IMPLANT PRACTITIONERS (임플란트 식립후 하악 신경손상에 대한 후향적 연구)

  • Kwon, Tae-Geon;Kim, Shin-Yu;Kim, Jong-Bae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.4
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    • pp.339-344
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    • 2004
  • The purpose of this study was to evaluate neurosensory disturbance associated with implant surgery performed by implant practitioner (n=47) composed of trained oral surgeon, periodontist, prosthodontist. The incidence, type and duration of sensory disorder were investigated. Anatomical factor of the patient and experience of operator were also evaluated. The result revealed high incidence of inferior alveolar nerve damage (45%) regardless of experience of implant practitioner. The sensory disturbance sustained within 6 months for 61% of cases, which revealed almost normal recovery of nerve function. Initial neurologic sign after nerve damage was not coincide with their consequence of recovery. Half of the practitioners tried surgical intervention to the implants such as removing the fixture, partial unscrewing or re-implant shorter fixture, of which trial regarded as effective measure for 53% of cases. The result indicates that the objective method of sensory nerve evaluation should be introduced to the implant practitioners and the importance of informed consent for possibility of nerve damage in mandibular implant fixation.

The Effects of Manual Therapy and Therapeutic Exercise in Patient with Acute Lumbar Sprain: Case Study (급성 요추염좌에 대한 도수치료와 치료적 운동이 미치는 효과 : 단일사례연구)

  • Lee, Nam-Yung;Song, Hyun-Seung;Kwon, Chun-Suk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.20 no.2
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    • pp.35-42
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    • 2014
  • Background: The purpose of this study was to effect of the manual therapy and pelvic floor muscle exercise interventions in patient with acute lumbar sprain. Based on this, proceed to present an effective physical treatments. Methods: Subject was 55 year old female patient with acute lumbar sprain. Subject was damaged, wash in the morning. Subject was hoping to return to work and Activity daily living (ADL) without pain. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. To solving problem, was conducted in parallel to a manual therapy and therapeutic exercise. Results: To investigate changes in body functions and activities was measured, Visual analog scale (VAS) and Oswestry disability index (ODI), changes in posture, maintain in posture, 10m walk test. The improved results were compared before and three weeks after mediation interventions. Conclusions: Frequency manual therapy and pelvic floor muscle exercise is thought to be an efficient way of patients with acute lumbar sprain.

A Study on Recognition and Attitude of Residents in Seoul City about Air Environment (서울시민의 대기 환경에 관한 인식 및 태도)

  • 이정주;김신도;이경용
    • Journal of Environmental Health Sciences
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    • v.21 no.4
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    • pp.63-74
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    • 1995
  • The objective of this study were to identify the state of re. cognition and attitude of residents in Seoul city about air environment and to identify factors affecting attitude toward air environment. Study object was residents in Seoul city sampled by multistage random proportional sampling. Sample size was 0.0067%(500 persons) of total residents in Seoul city. The results were divided into two parts: (1) descriptive results of recognition and attitude toward air environment, (2) results of factor analysis to classify categories of attitudes toward air environment and regression analysis to identify factors affecting attitude toward air environment. Most of resident in Seoul city recognized that air environment in Seoul city was highly polluted and was not satisfactory. Experience of damage of air pollution was reported in about 70% of residents in Seoul city. More than 60% of residents in Seoul city had concern about air environment. Attitude toward air environment were classified into four categories using factor analysis: Necessity of intervention of local government for air environment conservation, Participation of residents and enterprises for air environment conservation, Optimistic attitude about air pollution, Preference of economy. Factors affecting the above attitudes were knowledge about air pollution, knowledge about policies and institutions related air environment conservation, concern about air environment, educational level, subjective assessment of air environment, sex, marital status. In conclusion this study suggested providing information of air environment in Seoul city to the residents and to educating residents for making positive attitude about air environment conservation.

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The Experience of the 'Sockalee' of Abused Elders (학대받는 노인의 속앓이 경험)

  • Kim, Ki Ryeon;Kim, Myung Hee;Cho, Myung Ok
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.405-415
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    • 2006
  • Purpose: The purpose of this study were to identify the essential component and meaning structure of the experience of 'Sockalee' among abused elders. Method: This study was done using a phenomenological analytic method by Giorgi. The participants in this study were six elders who had the previous experience of 'Sockalee' as abused elders. The data were collected by interviewing the participants from May to September, 2003. Generally, three interviews for one person were performed and each interview lasted for one and half hours. Results: The meanings of 'Sockalee' of abused elders were categorized with seven components. Those are (1) Unsolved family conflicts. (2) Being powerless. (3) Being pushed out. (4) Egocentric situation-recognition. (5) Strengthening egocentric situation-recognition (6) Attempts for re-powerfulness. (7) Release from abuse. (8) Situation recognition with others' position considered. Conclusion: Therefore, the nursing intervention must be focused on the above concerns to accomplish the successful solution for the abused elderly problems, especially approaching from the standpoint of the whole human.

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The Effects of Relaxation Informativeness upon the Anxiety Level of Adult Patients with Cardiac Catheterization (이완술 정보제공이 심도자 검사환자의 불안에 미치는 영향)

  • 김순애
    • Journal of Korean Academy of Nursing
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    • v.17 no.2
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    • pp.110-115
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    • 1987
  • This study was done in order to help alleviate or prevent the anxiety resulting from cardiac catheterization among adult patients. This goal may be re-ached through providing relaxation techenique to the patients. Such an informativeness would make it possible to establish a basis for comprehensive nursing intervention. The results of this study are summarized as fellows: 1. The first hypothesis:“The experimental group with relaxation informativeness will have less score of state anxiety level before cardiac catheterization than the control group without relaxation informativeness”was accepted. (t=3.72, p=.001). 2. The second hypothesis: “The experimental group with relaxation technique informativeness will have less score of distress level during the procedure than the control group without relaxation technique informativeness”was accepted. (t=2.36, p=.023) 3. Additional analysis; It is seen that most cardiac patients were satisfied with precardiac catheterization procedure information provided by medical teams. (experimental group: 90%, control group: 85%) The relaxation technique informativeness contributed to the decrease of anxiety level. Patients showed interest in reusing the relaxation technique informativeness in the event of further need. In conclusion, the researcher thinks that it is necessary that nurses provide Patients with relaxation technique to reduce the anxiety level with cardiac catheterigation. This will enable them to practice effective comprehensive nursing.

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Influential Variables on Intention and Action to Quit Smoking between Adolescent Smokers and Adult Smokers-Based on the Transtheoretical Model (금연의 준비단계 영향변인: 범이론적(Transtheoretical model) 모형을 중심으로)

  • Chang Sung Ok;Kim Eun Ju;Kil Suk Yong;Seomun Gyeong-Ae;Lee Su Jeong
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1410-1419
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    • 2005
  • Purpose: This study identified and compared influential variables on intention and action to quit smoking between adolescent smokers and adult smokers. Methods: For the selection of variables, the transtheoretical theory was used. A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea. Discriminant analysis was used for data analysis Results: The variables of adolescent smokers that predicted an intention to quit smoking were: smoking temptation, self re-evaluation, counter conditioning and stimulus control. The variables that predicted an action to quit smoking were: self-efficacy for smoking abstinence, pros for smoking, self reevaluation, and self liberation. The variables of adult smokers that predicted an intention to quit were: smoking temptation, pros for smoking, cons for smoking, self reevaluation. The variables that self liberation and predicted an action to quit smoking were: self efficacy for smoking abstinence, smoking temptation, and counter conditioning. Conclusions: Developing stage specific smoking intervention methods based on different ways of how individuals make a decision to quit smoking within their contexts needs to be done.

Surgical Treatment of Prosthetic Valve Thrombosis (인공판막혈전증에 대한 외과적 치료)

  • 유영선;최세영
    • Journal of Chest Surgery
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    • v.29 no.12
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    • pp.1337-1341
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    • 1996
  • From September 1989 to March 1996, 13 patients with prosthetic valve thrombosis underwent reoperdtion on 16 occasions. The mean interval between implantation and reoperation was 27.8 months. The anticoagulation status was inadequate in 44% of th Instances. The majority(75%) were in NYHA functional class IV, 6 of them being in shock. Reoperation was performed for valve replacement(15 of 16 occasions) or thrombectomy(1 of 16 occasions) within 3 to 192 hours(mean 33.5 hours). Operative mortality at reoperation was 25%(4 patients). Re-thrombosis occurred In 3 patients. Long-term outcome was satisfactory in all survivors with a mean follow-up of 30.B months. The present results indicate that an early diagnosis and prompt surgical intervention is needed to decrease operative mortality.

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Factors Influencing Falls in Inpatients (입원환자의 낙상 경험에 영향을 미치는 요인)

  • Sung, Young-Hee;Kwon, In-Gak;Kim, Kyung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.200-207
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    • 2006
  • Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and $X^2-test$ were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.

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Physical Therapy Following Arthroscopic Rotator Cuff Repair with Graft Augmentation: A Case Report with Magnetic Resonance Imaging

  • Kim, Hyun-Joong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.463-469
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    • 2021
  • Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.

Fellowship beyond Kinship: Sympathy, Nature and Culture in Mary Shelley's Frankenstein

  • Seo, Jung Eun
    • Journal of English Language & Literature
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    • v.64 no.2
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    • pp.203-217
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    • 2018
  • Both in terms of frequency and importance, sympathy is one of the most central themes that Mary Shelley's Frankenstein (1818) delves into. While not a few critics have written on the subject, one crucially important aspect has been overlooked in the previous discussions of sympathy in Frankenstein: Shelley's critical intervention in the term's long lasting association with the notion of one body from a single origin. Focusing on the novel's central theme of sympathy, my paper addresses this oversight in the existing Frankenstein scholarship. I argue that Shelley's main agenda regarding sympathy in the novel is to problematize the logic of self-reproduction implicit in the notion of sympathy as an essentially familial tie. The reading of the novel as a warning against human violation of nature has been prevalent both in academia and popular culture. Nonetheless, in terms of sympathy, this paper offers an alternative reading in which the novel questions, not valorizes, the naturalization of nature. Far from valorizing the inviolable sacredness of nature, I argue, Frankenstein is a literary project attempting to disassociate sympathy from the natural bond that one is born into, and instead, re-associate it with fellowship as a second-nature to be continuously reinvented and reeducated.