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A Study of Nursing Activities Performed by Nursing Personnel in Postanesthetic Room (회복실의 간호업무에 관한 조사 연구)

  • 최경숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.2
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    • pp.22-30
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    • 1977
  • An analysis of the Nursing activities was carried out during the period of October 6 - 10, 1975 for five days, at postanesthetic room in Seoul National University Hospital. Continuous Time Study method was applied to this study by Observing and checking the activities performed by 8 nursing personnel at head nurse, staff nurse, and nurse aide level. Six nursing Students and 6 staff nurses observed and recorded all activities during the day and the evening for 5 days after certain process of training. Following results were obtained I 1. Percentages of nursing activity os were identified at each level of nursing personnel according to the skill Level 1) Thirty three point forty two Percent of the total head nurse's activities were spent by administrative activities, 21,33% by Clerical activities, 10.63% by Nursing activities, 6.54% by Messenger activities, 4.0% by Housekeeping activities, and 24. 08% by Unclassified activities, 2) Forty point forty two percent of the total staff nurses'activities were spent by Nursing activities, 12.7% by Administrative activities, 8.03% by Housekeeping activities, 3.08% by Clerical activities, 2.03% by Messenger activities, 0.08% by Dietary activities, and 34.19 o/e by Unclassified activities. 3) Thirty six point sixty three percent of the total nurse aide's activities were spent by Messenger activities, 14.4% by Housekeeping activities, 2.2% by Nursing activities, 1.0% by Clerical activities, 0.83% by Administrative activities, and 44.94% by Unclassified activities, 2. Percentages of nursing activities were identified at each level of nursing personnel according to area of activity. 1) Thirty three point ninety six percent of the total head nurse's activities were spent by Unit - Centered activities, 30.26% by Patient - Centered activities, 8.69 % by Personnel - Centered activities and 24.09 o/o by Other - Centered activities. 2) Fifty two point seventy four percent of the total staff nurses' activities were spent by Patient - Centered activities, 11.5 % by Unit -Centered activities, 1.68 % by Personnel -Centered activities and 34.02% by Other - Centered activities. 3) Forty nine point sixty seven Percent of the total Nurse aide's activities were spent by Unit -Centered activities, 5.13% by Patient -Centered activities, 0.27% by Personnel -Centered activities and 44.93%by Other -Centered activities. 3. Percentages of staff nurses' activities were identified at each skill Level according to their shifts. 1) Forty four point eighty one percent of the total day time activities were spent by Nursing activities, 13.62% by Administrative activities, 6.37% by Housekeeping activities, 2.08% by Clerical activities, 1.74 % by Messenger activities, 0.07% by Dietary activities and31.31 o/o by Unclassified activities. 2) Thirty three point eighty seven percent of the total evening time activities were spent by nursing activities, 10.51% by Housekeeping activities, 10.0% by Administrative activities, 4.58% by Clerical activities, 2.46% by Messenger activities, 0.09% by Dietary activities and 38.49% by Unclassified activities, 4. There was no great difference among activities of 5 days.

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A Case Report of Patient with Left Neck Mass and a History of Thyroid and Ovarian Cancer in Head and Neck (갑상선암 및 난소암 병력을 가진 좌측 경부 종물을 주소로 내원한 환자 1례에 대한 증례 보고)

  • Jeong, Yong Jun;Oh, Kyoung Ho;Kwon, Soon Young
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.73-77
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    • 2020
  • Ovarian cancer is common malignant disease with high mortality in the female. However, lymph node metastasis in the head and neck of ovarian cancer is very rare than in para-aortic, pelvic lymph node. A 49-year-old female patient came to our clinic with a left neck mass. After total thyroidectomy and left selective neck dissection for the cervical neck level II, III, IV, V, VI for ovarian cancer and thyroid cancer, she had already undergone chemotherapy (Paclitaxel+Carboplatin) 18 month ago. CT scan showed only lymph node enlargement in left neck level II. Positron emission tomography-computed tomography (PET-CT) revealed a hypermetabolic lesion in same area but no other hypermetabolic lesion, especially in the pelvic and abdominal cavity. Fine needle aspiration cytology revealed metastatic carcinoma. The serum level of CA-125 was elevated to 43.8U/mL, whereas other tumor markers (CA 19-9, CEA) were in the normal range. She underwent a revision of selective neck lymph node dissection for the cervical neck levels I, II, and III, and on the review of surgical pathology, metastatic carcinoma was suspected. Thus, we performed immunohistochemical staining for the tissue; as a result, it was finally diagnosed as metastatic ovarian cancer (positive for CK7, ER and PR, and negative for CK20). Adjuvant chemotherapy (Paclitaxel+Carboplatin) was planned on the tumor board, and the patient successfully received chemotherapy.

Effect of Weight Ball Throw Training on Weight Shifting of Lower Body, Head Speed of Club, and Driving Distance of Amateur Golfers

  • Choi, Woo-Jin;Kim, Tack-Hoon;Oh, Dong-Sik
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.3
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    • pp.111-117
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    • 2017
  • PURPOSE: To determine the effect of weight ball throw training as a preparatory exercise before golf practice for 8 weeks on back muscle strength, weight shifting of lower body, head speed of club, and driving distance of amateur golfers. METHODS: A total of 18 subjects were randomly assigned to the experimental group (n=9) and the control group (n=9), respectively. For the experimental group, Weight ball throw training was provided to the height of waist and shoulder similar to golf swing with the following schedule: 3 kg weight ball throw training from the first week to the 4th week; 5 kg weight ball throw training from the 5th week to the 8th week. Before and after 8 weeks of training, back muscle strength, weight shifting of lower body, head speed of club, and driving distance of subjects in the two groups were measured. RESULTS: The experimental group showed significant differences in rotational back extension torque, weight shifting of lower body, head speed of club, and driving distance during golf swing (p<.05). However, the control group only showed significant difference in driving distance during golf swing (p<.05). Back extension torque, weight shifting of lower body, and head speed of club showed significant differences between the two groups during golf swing (p<.05). CONCLUSION: Weight ball throw training can positively change rotational back muscle strength, weight shifting of lower body, head speed of club, and driving distance of amateur golfers. Therefore, it might be used as an effective warming up exercise for amateur golfers.

Concomitant Chemoradiotherapy as Primary Therapy for Advanced Head and Neck Cancer (진행된 두경부암에서의 항암방사선 동시요법의 치료효과)

  • Lee Joo-Yun;Lee Dong-Wook;Choi Young-Seok;Jin Hong-Ryul;Lee Hyun-Seok;Yeon Je-Yeob;Shin See-Ok
    • Korean Journal of Head & Neck Oncology
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    • v.18 no.2
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    • pp.163-167
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    • 2002
  • Background: To achieve the efficacy and toxic effects of concomitant FP chemoradiotherapy regimen by means of response and survival in patients with advanced head and neck cancer. Patient and Method: Thirty-three previously untreated patients with newly diagnosed advanced head and neck cancer were retrospectively reviewed. Results: Thirty-one patients were evaluable for the tumor response. Total response rate was 93%(complete response 60%, partial response 33%). Disease free survival was 37 month and 3-year overall survival was 63%. Grade 3 or 4 stomatitis was observed in 83% and appeared as the dose limiting toxicity for this regimen. Conclusion: Concomitant chemoradiotherapy with cisplastin and 5-fluorouracil is effective as primary therapy for advanced head and neck cancer. The majority of patients experienced severe stomatitis. Identification of less toxic regiment and improved disease control emerge as important future research goals.

The Research on the Development of Passenger Helmet to Prevent Head Trauma (두부 손상 보호를 위한 승객용 헬멧 개발 연구)

  • Lim, Jeong-Ku;Kweon, Ghi-Sun;Dodge, Robin E.
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.18 no.1
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    • pp.58-63
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    • 2010
  • Introduction : Head trauma is the main cause of death in aircraft crash. In a Michigan study of structurally survivable, fatal accidents, 80% of the fatally injured had received head trauma. We tried to develop a new helmet for passengers, and perform its efficiency test. Methods : An aircraft helmet requires an excellent protection against head trauma, lightness, and small volumes. In addition, it must be wearable, fire resistant, and non toxic when it is burning. We developed two new helmets made from silicone foam which met all theses requirements. One was thin (2.5cm), and the other was thick (6.3cm). These looked like a motorcycle helmet and had only a soft silicone as liner material without an outer hard shell. Therefore we can carry them easily inside aircrafts. The standard test for helmet is Snell's drop test. It measures the impact acceleration of head shaped metal wearing helmet during we drop it at certain heights. Impact sites were total 5 sites (front, back, right, left and top) for each helmet. All these sites were impacted twice. Results : The thickness of impact sites varied from 2.5cm to 6.3cm. The impact acceleration of 2.5cm thickness site when it was dropped from 1.0 meter was 379g. But, that of 6.3cm thickness site when it was dropped from 1.5 meter was only 163g. Unfortunately, both helmets didn't meet the Snell Standard for motorcycle helmets. Discussion : If we add suitable outer hard shell, and change its thickness and design, the efficiency will be increased. A study indicated that helmet could reduce the risk of head trauma up to 85%. We made helmet for passengers in aircraft crash for the first time. If we improve its weak points, it will decrease the frequency of head trauma in aircraft craft.

The Effect of Soru Massage Therapy on Pain of the Head and Neck of Elderly (소루마사지요법이 노인의 두경부 통증에 미치는 영향)

  • Han, Chae-Yeon;Shin, Ji-Hoon;Lee, Mi-Ja
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.8
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    • pp.1265-1270
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    • 2013
  • This study was aimed to analyse the effect of Soru massage therapy on pain of the head and neck of 46 seniors aged over 65. The therapy was given twice a week for eight weeks and a total of 16 sessions for 30 minutes. The results revealed that the pain average on the head and neck of the male and female subjects was statistically significant. For the test group who had a random test, the average of pain on the head and neck of the subjects was statistically significant. Based on the results, Soru massage therapy showed positive results for pain on the head and neck of elderly persons, which indicates that it can improve their health and quality of living. Therefore, this study is an arbitrary alternative therapy which can be applied for the elderly who have pain on the head and neck caused by muscular tension.

Analysis of Disk Filter Head Losses due to the Shapes of Disk Grooves in Drip Irrigation System (점적관개용 디스크 여과기의 디스크 홈 단면 형상에 따른 수두 손실 특성 분석)

  • Jung, Seung-Yeon;Choi, Won;Choi, Jin-Yong;Kim, Maga;Lee, Yoonhee
    • Journal of The Korean Society of Agricultural Engineers
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    • v.60 no.2
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    • pp.25-36
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    • 2018
  • Drip irrigation system is a low energy cost method which can efficiently save and supply water by dropping water slowly on the crop's root zone during crop growth. In the drip irrigation system, disk filters take an important role to physically remove impurity (inorganic and suspended organic) particles present in agricultural water which can cause emitter clogging. For the purpose, both top-and-bottom surfaces of the disk are grooved in micron size flowing from outside to inside. However, many congested flow paths in disk filter media incur higher head loss of inflow water resulting in relatively decreasing velocities depending on operation time than sand and mesh filters. Therefore, it is important to optimize the structure of disk filter in micro irrigation system. The head loss of disk filter media takes also charge of more than 60 % of total head loss in whole disk filter. This study is to find the appropriate cross-sectional shape of the disk groove to minimize the head loss by executing the experiment. The experiment used three disk filters that have similar filter body but have a half-elliptic and two kinds of triangular cross sections. The experimental results showed that the disk filter with half-elliptic cross sections of disk grooves have less head loss than the disk filter with regular triangular one.

Prognostic Significance of Altered Blood and Tissue Glutathione Levels in Head and Neck Squamous Cell Carcinoma Cases

  • Khan, Sami Ullah;Mahjabeen, Ishrat;Malik, Faraz Arshad;Kayani, Mahmood Akhtar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7603-7609
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    • 2014
  • Glutathione is a thiol compound that plays an important role in the antioxidant defense system of the cell and its deficiency leads to an increased susceptibility to oxidative stress and, thus, progression of many disease states including head and neck cancer. In the present study, alterations of glutathione levels were investigated in study cohort of 500 samples (cohort 1 containing 200 head and neck cancer blood samples along with 200 healthy controls and cohort II with 50 head and neck squamous cell carcinoma tissue samples along with 50 control tissues) by high performance liquid chromatography. The results indicated that mean blood glutathione levels were significantly reduced in head and neck cancer patients (p<0.001) compared to respective controls. In contrast, the levels of glutathione total (p<0.05) and glutathione reduced (p<0.05) were significantly elevated in head and neck squamous cell carcinoma tissues compared to the adjacent cancer-free control tissues. In addition to this, pearson correlation performed to correlate different tissue glutathione levels (GSH) with clinical/pathological parameters demonstrated a significant negative correlation between pT-stage and GSH level ($r=-0.263^{**}$; p<0.01), C-stage and GSH level ($r=-0.335^{**}$; p<0.01), grade and GSH ($r=-0.329^{**}$; p<0.01) and grade versus redox index ($r=-0.213^{**}$; p<0.01) in HNSCC tissues. Our study suggests that dysregulation of glutathione levels in head and neck cancer has the potential to predict metastasis, and may serve as a prognostic marker.

Strategies of Cancer Registry against Protecting Personal Health Data (개인 정보 보호에 대한 암 등록 사업의 해결 방안)

  • Park, Bum-Jung;Joo, Hyung-Rho;Park, Il-Seok;Kim, Jin-Whan;Rho, Young-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.147-152
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    • 2007
  • Objectives and Background : Aims of this studies are to collect and analyze the lawful restriction against cancer registration and to suggest the model promoting the cancer registry. Materials and Methods : Total 16 countries, the members of OECD, including the U.S. are evaluated. the status of cancer registration of the evaluated countries are analyzed. The legislated laws, protect the individual's information, of the evaluated countries are analyzed. The cases any registries were impaired with the law to protect privacy are searched and analyzed. Results : All of the evaluated countries have some kinds of privacy protecting laws. For cancer registration, 11 of 16 countries implement some lawful authorities. Some of countries have experienced restriction of registration by the law of protecting individual's health data. All countries have performed cancer registry and 6 of 16 countries have nearly 100% population-based cancer registration. Conclusions : The cancer registry has to be the national effort. The informed consent of the data subjects and the permission of any special institutes are the difference to perform the registration. So, it is necessary to legislate any law supporting the cancer registration and establish any independent institutes to protect the individual's health data and support the cancer registry.

Muscle Properties Analysis of SCM Muscle using Smartphone postures (자세유형별 스마트폰 사용에 따른 목빗근의 근육 속성 분석)

  • Kim, In-Suk;Kim, Kyun-Young;Park, Sang-Gwan;Choi, Young-Woo;Noh, Han-Na;Kim, Jin-A
    • Journal of Korean Clinical Health Science
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    • v.5 no.4
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    • pp.991-997
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    • 2017
  • Purpose. The purpose of this study was to muscle properties analysis of SCM(sternocleidomastoid) Muscle according to posture type when using smartphone. Methods. This study was conducted on 73 college students who are using smartphone. Subjects were analyzed myotonPRO to confirm, prone posture group, stand posture group, drop head above $45^{\circ}$in sit posture on a chair group and drop head below $45^{\circ}$in sit posture on a chair group were measured SCM muscle. The myotonPRO were measured one measurer, total 3 times. Comparative analysis of the each groups were investigated of SCM muscle properties. Results. We found that Frequency, Stiffness, Creep and Relaxation were appeared difference in each posture. F index was increased at drop head below $45^{\circ}$group than stand posture group. S index was increased at drop head above $45^{\circ}$group than prone posture group. C index was decreased at drop head below $45^{\circ}$group and drop head above $45^{\circ}$group than prone posture group. R index was decreased at drop head above $45^{\circ}$group than prone posture group. Conclusions. The muscle properties were appeared difference in each posture of SCM muscle using smartphone.