Thoracic sympathetic ganglion block(TSGB) with alcohol is a traditional method for treating a variety of disease at pain clinics. But it is a difficult block to perform requiring both skill and experience. Therefore, we performed a thoracic endoscopic cauterization to evaluate the efficacy of this method. A patient suffering sever forearm and hand pain due to radius fracture of the right arm, one and half years earlier, was referred to several different orthopaedic department of various hospitals with continued aggravated symptoms. He was then admitted to our hospital's orthopaedic department. Our diagnosis, confirmed by thermography, revealed reflex sympathetic dystrophy. Patients was therefore referred to the pain clinic where treatment consisted of endoscopic thoracic sympathetic cauterization under general anesthesia. Patient was intubated with Robertashow 37 Fr. double lumen tube left sided. Left lateral and slight head up position was applied to make lesion side up. Incisions were made to penetrate trocas 5 mm diamether on 4 th intercostal space along mid axillary line and midclavicular line. Negative pressure suction on ipsilateral lung and CO2 insufflation under 10 mmHg was applied to reduce lung size. Cauterization on thoracic sympathetic chain at T3 level was done under endoscoic guide. 24 Fr. chest tube was inserted. Patient's symptoms cleared and he was satisfied with the results of this treatment.
Purpose: The aim of this study was to explore the elderly women patients' experience of treatment for total knee replacement. Methods: The participants in this study are 10 elderly women age 65 and over who were discharged after total knee replacement. The data were collected from August 5, to September 20, 2012, and it has been done by in-depth interview. Data were analyzed the phenomenological method of Colaizzi. Results: In this study, four categories were extracted: 'Suffering due to intolerable pain', 'A stable mind and body', 'Retrospection about old wounds', 'A desire for a new life'. Conclusion: This study provides the useful basic data to understand the elderly women patients who have experienced total knee replacement. Nursing intervention is required for pain control after surgery in order to improve the quality of life. In addition, nursing care through individual counseling and emotional support during the recovery period is very important. Therefore, various programs should be developed for elderly women patients to help their body recovery as well as psychological support after total knee replacement surgery.
Paco Rabanne, who has created experimental and prophetic avant-garde fashion by cutting edge techniques and revolutionary new materials, is known as one of the most influential fashion designer of modern times. The purpose of this study is to analyze the various factors, including some major artistic movements, which influenced on the formative characteristics of Paco Rabanne\`s fashion design. First, Paco Rabanne\`s fantastic new materials is also influenced by his study in architecture and his own fantasies -which other people can hardly imagine- during his early childhood. Second, light one of the most important element in Paco Ranbanne\`s fashion design, shows some influence of medieval symbols of love and salvation. Third, the artistic trends which influenced on Paco Rabanne\`s fashion include surrealism, opart, and kinetic art. His use of new materials and avant -garde style represents the influence of surrealism. his experimental use of waving plastics and glittering metal during his early period is especially related with opart and kinetic art in the early 1960s which emphasize the artistic effect of light and movement. Fourth, the geometrical figures like triangles, rectangles, and circles represent the influence of Egyptian architecture like pyramids and the geometrical characteristics of Eguptian art. Fifth, Paco Rabanne\`s distinctive use of metal chains in his fashion shows the influence of the chain mail hauberk, the medieval knightly armour. By using the medieval material Paco Rabanne properly expressed the modern person\`s pain and suffering. Sixth, the ethnic elements of Egypt, Africa, Spain, and Japan reflect the experience in his former lives he insists he lived. The ethnic elements of his dresses emphasize the natural vitality and inheritance from the past.
Background: The aim of this study was to investigate the burden experienced by nursing personnel working irregular shifts in Greece and to conduct the first test of a Greek version of the Standard Shiftwork Index (SSI). Methods: A cross-sectional survey was carried out. The SSI was completed by 365 nurses and nursing assistants working shifts, including nights. Results: Female nursing personnel and those suffering from a chronic disease were most affected by working rotating shifts as they had elevated scores on the majority of the SSI scales, such as sleep, chronic fatigue, digestive and cardiovascular problems, general health questionnaire, cognitive and somatic anxiety, shift time satisfaction, engagement and disengagement strategies, languidity, flexibility, and neurotisicm. Nurses with longer working experience and those with family responsibilities also scored higher on some of the SSI scales, such as the sleep, shift time satisfaction, social and domestic disruption, disengagement strategies, morningness, and languidity scales. Conclusion: Shiftwork affects female nurses, those with chronic disease, older age, and domestic responsibilities more severely. Therefore management should take these factors into account when designing work schedules to alleviate the burden caused by shiftwork.
Kim, Jin-Soo;Kim, Jin-Ho;Kim, Il-Ho;Park, Wook;Kim, Sung-Yell
The Korean Journal of Pain
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v.6
no.2
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pp.280-283
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1993
Idiopathic hyperhidrosis is a physically and emotionally distressing symptom, which lacks a precise definition. Although operative and nonoperative methods have been shown to be effective in the treatment of idiopathic hyperhidrosis, limitations, cautions and complications are inherent in their extended use. The purpose of this report is to describe the theraputetic effects of magnetic resonance for managing idiopathic hyperhidrosis. A 28 years old woman had been suffering from profuse sweating on both planter and palmar sides for 15 years. We successfully treated this symptom with the 6 magnetic resonance treatments without any complications. Now she lives well in a condition of normal sweating after the applications. It suggest that short daily periods of exposure to appropriate magnetic resonance can beneficially modulate the balance of autonomic nervous system that are responsible for sympathetic overflow, and that there is an effective window of induced electrical magnetism in which sympathetic function can be controlled in the absence of side effects.
Purpose: This study was to identify factors affecting mammography screening behavior in job women by attitude, social influence and self-efficacy model. Methods: The data were obtained from 171 job women in one residency area by structural questionnaire from March to June 2013 and analysed by using $x^2$-test, ANOVA, Spearman's correlation and logistic regression analysis. Results: The each performance rate was 45.1% in mammography, 44.9% in breast self examination and 48.5% in physical examination. The mammography performance rate in job women showed higher significance in the groups of 1) older age, urban residency, marital status or high economic state, 2) shorter office hours or higher job position, 3) childbirth experience or menopause and 4) preferring soy bean food, practicing regular exercise, suffering chronic disease or receiving radiation therapy. Attitude, social influences and self-efficacy made significant differences in mammography performance. Logistic regression analysis showed that 50 years or older, urban residency, social influences towards mammography and high self-efficacy were significant relationship. Conclusion: In order to increase the mammography performance rate, the intervention strategies are needed to increase positive social influences or self-efficacy and to offer public information to younger age.
The purpose of this study is to examine the requirement for child life support specialist and fetal education for children with cancer. This research presented was composed with three chapters : First chapter, I presented the purpose, scope and definitions of this research. Second chapter, I defined about hospice care service for children with cancer and kind of pediatric cancer. And general characteristics of children with cancer, a understanding character of death and dietary therapy. Lastly, I defined and investigated about spiritual care. Third chapter, I concluded with some of findings and final suggestions based on the results. According to the developmental stages children with cancer are disability of communication competence and more dependence on their parents, therefore parents' decision making were more difficulty. And parents with a child who suffers from a cancer needs a counseling in order to discover the meaning of life. Parents' psychological experience about the caring for their child suffering from pediatric cancer was equal to broken hearts due to shadow of the child's death from time to time. In other words a parents with a child who suffers from a cancer needs comprehensive services such as hospice, consultor as well as wide experienced pediatrician and nurse. Child life support specialist can help them recover and improve their o주 potential strength in behalf of overcoming their difficulties. And pastoral counseling can help them reduce the fear and anxiety about unknown world and death. The systematically developed a school-based counseling program would help children adjust to the difficulties after a perfect cure because of children adjusted to school well when they have good peer relationships.
Purpose: The study aimed to identify factors affecting unintentional injuries at school focusing on violent experiences in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2019). A total of 60,040 students were included in the analysis. Descriptive statistics, χ2 test, and multiple logistic regression were performed, using SPSS version 25.0. General characteristics, gender, school, academic achievement, living with family, socioeconomic status, vigorous physical activity, perceived stress, sleep satisfaction, high caffeine drinking, risky alcohol drinking, smoking, sexual experience, drug use, and safety education, were adjusted for and the relationship between unintentional injuries and violence was analyzed. Results: The results showed 2.4% of the adolescents had experienced violence and 24.7% had suffered unintentional injuries. Violent experiences had a significant effect on unintentional injuries among adolescents. Injuries were 1.93 times higher among adolescents who had experienced violence. Gender, school levels, high-intensity physical activity, stress, sleep satisfaction, high caffeine drinks, dangerous drinking, drug use, and safety education were associated with unintentional injuries among adolescents. Conclusion: Adolescents at high risk of suffering violence and injuries should be identified and assessed preemptively. In addition, it is necessary to implement systematic school health-centered safety education programs in order to prevent violence and injuries.
International Journal of Advanced Culture Technology
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v.10
no.3
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pp.111-119
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2022
Boredom is considered anxiety and is an experience accompanied by a lack of meaning because the need for meaning is not met. It is the pain that people feel without using their mind, and the suffering that people fall into the absence of desire. On the other hand, religious activities give people meaning in life, which reduces the tendency to feel bored. This study investigates whether there is a difference in boredom depending on whether individuals participate in religious activities, and to verify whether the meaning in life mediates the relationships between religious activities and boredom. We predicted that if individuals engaged in religious activities, the meaning in life would increase, and they would be less bored than those who did not. A total of 82 college students participated in this study. Results showed that there were significant differences in the meaning in life and boredom between the two groups according to whether they participated in religious activities or not. The group actively participating in religious activities had significantly higher meaning in life and lower boredom than the non-religious group. Second, the meaning in life significantly mediated the relationship between religious activities and boredom. We conclude that active participation in religious activities can increase the meaning in life and ultimately reduce boredom. Based on the results of this study, the implications and suggestions for follow-up studies are discussed.
Proceedings of the Korean Institute of Building Construction Conference
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2022.11a
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pp.57-58
/
2022
Concrete mix design is used as essential data for the quality of concrete, analysis of structures, and stable use of sustainable structures. However, since most of the formulation design is established based on the experience of experts, there is a lack of data to base it on. are suffering Accordingly, in this study, the purpose of this study is to build a predictive model to use the concrete mixing factor as basic data for calculation using the DNN technique. As for the data set for DNN model learning, OPC and ternary concrete data were collected according to the presence or absence of admixture, respectively, and the model was separated for OPC and ternary concrete, and training was carried out. In addition, by varying the number of hidden layers of the DNN model, the prediction performance was evaluated according to the model structure. The higher the number of hidden layers in the model, the higher the predictive performance for the prediction of the mixing elements except for the compressive strength factor set as the output value, and the ternary concrete model showed higher performance than the OPC. This is expected because the data set used when training the model also affected the training.
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