• Tuberculosis and Respiratory Diseases
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• 제77권4호
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• pp.193-196
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• 2014

Acute airway obstruction after hemoptysis occurs due to the presence of blood clots. These conditions may result in lifethreatening ventilation impairment. We report a case of obstruction of the large airway by endobronchial blood clots which were removed using bronchoscopic cryotherapy at the bedside of intensive care unit. A 66-year-old female with endometrial cancer who had undergone chemotherapy, was admitted to the intensive care unit due to neutropenic fever. During mechanical ventilation, the minute ventilation dropped to inadequately low levels and chest radiography showed complete opacification of the left hemithorax. Flexible bronchoscopy revealed large blood clots obstructing the proximal left main bronchus. After unsuccessful attempts to remove the clots with bronchial lavage and forceps extraction, blood clots were removed using bronchoscopic cryotherapy. This report shows that cryotherapy via flexible bronchoscopy at the bedside in the intensive of intensive care unit is a simple and effective alternative for the removal of endobronchial blood clots.

• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4653-4658
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• 2015

Background: Palliative therapies have an important role in increasing the quality of healthcare and in dealing with physical and psychosocial problems due to cancer. We here aimed to evaluate the managerial perspectives and opinions of the hospital managers and clinical directors about specialized palliative care centers. Materials and Methods: This study was conducted in two large-scale hospitals in which oncology care is given with medical directors (n:70). A questionnaire developed by the researchers asking about demographic characteristics and professional experience, opinions and suggestions of medical directors about providing and integrating palliative care into healthcare was used and responses were analyzed. Results: Potential barriers in providing palliative care (PC) and integrating PC into health systems were perceived as institutional by most of the doctors (97%) and nurses (96%). Social barriers were reported by 54% of doctors and 82% of nurses. Barriers due to interest and knowledge of health professionals about PC were reported by 76% of doctors and 75% of nurses. Among encouragement ideas to provide PC were dealing with staff educational needs (72%), improved working conditions (77%) and establishing a special PC unit (49)%. An independent PC unit was suggested by 27.7% of participants and there was no difference between the hospitals. To overcome the barriers for integration of PC into health systems, providing education for health professionals and patient relatives, raising awareness in society, financial arrangements and providing infrastructure were suggested. The necessity for planning and programming were emphasized. Conclusions: In our study, the opinions and perspectives of hospital managers and clinical directors were similar to current approaches. Managerial needs for treating cancer in efficient cancer centers, increasing the capacity of health professionals to provide care in every stage of cancer, effective education planning and patient care management were emphasized.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2006년도 추계학술발표대회 논문집
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• pp.103-108
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• 2006

Family day care centers, in apartment complexes, which are popular in korea, have merits as day care centers for young children due to their homey environments, closeness to children's homes, and available outdoor playground utilizing open space in the complexes. Thus, It is great potential to develop design guideline of family day care in apartment which are in demand now, The purpose of this study is to provide basic information for develop of design guideline family day care center. Therefore, this study aimed to investigate important the point of issues that influence the development of design family day care center. The study of the point of issues are environment behavior, Murtha & Lee' User Benefit Criteria, and Pattern theory. As a result, this study provide basic data of develop design guideline of family day care and important data of next study.

• 한국생활과학회지
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• 제19권6호
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• pp.933-943
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• 2010

This study was carried out to investigate the effect of changes in child care technology on mother-child contact by using all sorts of literature such as diaries, documents or statistical data. Child care technologies began to change during the 1960's. Diverse goods and services such as baby dry milk, paper diapers and child care centers have made child care easier and saved a great deal of time. This has also allowed women to participate in labor markets easily despite rearing children. But maternal contact with children have declined due to new goods and services and this trend is especially prevalent in early childhood. It could be supported that the convenience of rearing rather than the needs of children like as attachment to maternity primarily was considered in technological change. From this results it was suggested that we should develop the alternative child care technologies which better reflect children's needs.

• 한국농촌건축학회논문집
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• 제11권3호
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• pp.37-44
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• 2009

There is a rapid increase of child care centers due to the growth of women's social activities and a nuclear family. Child care center is an important part of community facilities for apartment housing complex. This study aims to collect the basic data required to develop the planning standards for the child care centers. This research limited the child care centers which is situated to permanent rental housing complex. Therefore, this research presents the basic design guidelines for the space composition planning of child care centers by grasping the special quality connected with the space composition of child care centers among the community facilities that is located in the permanent rental apartment housing complex.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권6호
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• pp.57-65
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• 1998

According as the population has been having an advanced age, several problems which is due to the physical, spiritual, social and chronic diseases of the aged are occurred. And the necessity of domiciliary care or regional social facilities has come to offer a protection, care and medical services to them. Therefore, this study aims to represent the architectural data of a day-care center through comparative analysis with a foreign one, recognizing the necessity of the day-care center as a part of domiciliary care facilities As the method of this study, the concept and type of day-care services were founded with the operational realities. And the spatial composition of the present condition was investigated and analyzed.

• 의학교육논단
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• 제21권2호
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• pp.73-79
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• 2019

Academic medicine is built from a foundation of education, research, and patient care. Since good patient care results from the application of medical research and continuous education, these three components cannot be separated for medical development to occur. In Korea, many obstacles hinder the achievement of academic medicine, such as an inefficient medical delivery system, limitations of primary care, low insurance prices, and no long-term health care plan. Medical education has changed to outcome-based education, but presented temporal integration status. Governance of healthcare research is not centralized, and Korea is awarded relatively fewer grants than other countries. Medical professors have reached a burnout state due to patient care responsibilities in addition to research and education duties. Many medical systems, including the medical delivery system and insurance problems, may contribute to distrust between doctors and patients. The government is not involved in a long-term health care policy. The multitude of factors mentioned here are hindering the achievement of academic medicine in Korea.

• 한국보육지원학회지
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• 제10권2호
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• pp.319-335
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• 2014

본 연구는 영아기 자녀를 둔 어머니의 어린이집 선택과 관련된 다양한 변인의 영향을 체계적으로 분석하고자 하였다. 이를 위해 어린이집의 대기신청을 통해 최근 6개월 이내 입소한 0~40개월의 영아를 둔 어머니 185명과 현재 대기신청 중이며 자녀가 어린이집을 이용하지 않고 있는 어머니 53명을 대상으로 하였다. 연구 결과 첫째, 어머니들은 어린이집 대기신청 시 국공립어린이집을 선호하는 경향이 있으며, 주된 이유는 보육환경 및 시설의 질적인 우수성 때문인 것으로 나타났다. 자녀를 어린이집에 보내지 않는 어머니는 주변에 자녀를 보낼 만한 어린이집이 충분하지 않으며 질적 수준도 낮은 것으로 평가하였으며, 어린이집을 이용하는 어머니에 비해 지적 성취와 성숙주의를 강조하는 신념을 가지고 있었다. 둘째, 어린이집을 이용하는 어머니들의 경우 자녀의 연령이 어릴수록, 취업모인 경우, 대기신청기간이 길수록, 어린이집의 구조적 요인을 중요하게 여길수록 민간 또는 가정어린이집을 선택하는 것으로 나타났다. 본 연구는 영아기 자녀를 둔 어머니가 어린이집을 선택하는 의사결정 과정에 어떠한 변인들이 우선순위로 작용하는지를 살펴봄으로써 이들의 다양한 보육 욕구를 이해하고, 어린이집의 확충 및 질적 제고를 위한 실효성 있는 정책을 수립하는 데 유용한 기초자료를 제공할 수 있다는 데 의의가 있다.

• 가정∙방문간호학회지
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• 제14권2호
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• pp.65-75
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• 2007

Purpose: This study was conducted to provide fundamental information for policy integration of the home health care system. Methods: Focused review was performed from 8 studies out of 48 literature related to home care needs. Results: Females utilized home care based on hospital and public health centers at a higher rate than males. While there had been more rate of the elderly above 60 year-old at hospital and community based home care, on the other hand below 45 year-old at public health center. The most common disease amongst users in all three types was cerebrovascular disease, the second was cancer based at hospitals, hypertension and arthritis at public health centers. There were more needs for those using artificial respiratory equipment, cancer patients, and puerpera. However, the needs for hospital and community based home care were very similar. Conclusions: Due to similar disease characteristics but varied severity at the three home care based settings, they should be managed with flexibility. Home care curriculum should be developed according to common disease type, and home care services should be strengthened for its expertise.

• 성인간호학회지
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• 제28권5호
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• pp.572-584
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• 2016

Purpose: The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals. Methods: A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study. Results: Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress. Conclusion: Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.