• 성인간호학회지
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• 제28권5호
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• pp.546-558
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• 2016

Purpose: This study aimed at the effectiveness to investigate the performance of evidence-based pain assessment and management guidelines. Methods: Participants were 140 nurses at the med-surgical units. Data were collected in early July, 2014 using Registered Nurses Association of Ontario (RNAO) guideline (2007) revised and validated by Hong and Lee (2012) and analyzed by descriptive statistics, t-test, ANOVA using SPSS/WIN18.0. Results: The score of performance of pain assessment guideline was higher than the score of pain management. Categories with high score were pain screening, parameter of pain assessment, documentation, assessment of opioids side-effects, and record of pain caused intervention. Categories with low score were comprehensive pain assessment, multidisciplinary communication, establishing a plan for pain management, consultation and education for patients and their families, and education for nurse. Non-pharmacological management was the lowest one. Conclusion: Assessing and managing pain is a complex phenomenon. It might be useful if institutions host training programs to ensure that nurse are better able to understand and implement pain assessment and management. Since non-pharmacological management is less likely to be used by nurses it may be helpful to include these methods in a training program.

• 한국보육지원학회지
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• 제12권6호
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• pp.79-102
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• 2016

The purpose of this study was to identify school adjustment groups by applying a Latent Profile Analysis(LPA) and to investigate the effects of children's emotional problems and study habits on determining the membership of these groups. LPA and multiple logistic regression were conducted using the data of 2,200 third-graders from the Korean Children and Youth Panel Study. The results are listed as follows. First, four school adjustment groups were identified: adjustment, approach to adjustment, maladjustment risk, and maladjustment group. Second, accomplishment value and mastery goal orientation were relatively strong predictors of membership of the school adjustment groups. Time management was also a significant variable that predicted the membership of maladjustment or the maladjustment-risk group. Third, attention problems and depression were the most consistent predictors of membership of maladjustment or the maladjustment-risk group. Physical symptoms and social withdrawal were also significant. Based on the results, implications for intervention to promote early school adjustment were discussed.

• 한국조리학회지
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• 제20권5호
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• pp.84-92
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• 2014

Present study classified body composition to 4 groups categorized as sarcopenic obesity (SO), sarcopenic nonobesity (SNO), nonsarcopenic obesity (NSO), and nonsarcopenic nonobesity (NSNO) and then was performed to investigate that body composition associated with food consumption frequency as well as MS in individual aged 60 years or older. Body mass index and an appendicular skeletal muscle mass (ASM) divided by weight (Wt) of < 1 standard deviation (SD) below the sex-specific mean for young adults were used to define obesity and sarcopenia. A total of 1,433 subjects (658 male and 775 females) 60 years or older from the fifth Korea National Health and Nutritional Examination Survey 2010 participated in this study. One of the interesting findings was that the association of the prevalence of MS with body composition was higher in women than man. Other finding was that there were different food frequency and food preference according to 4 different groups between men and women. In addition, men are much more influenced by food than women. In conclusion, body composition changes were more related with food frequency in elderly men (60 years or older) than women. Women had a higher prevalence of MS than men, suggesting early nutritional intervention in elderly women may help them prevent body composition changes.

• 대한간호학회지
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• 제21권2호
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• pp.195-203
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• 1991

Correlations among body weight and sociodemographic factors, including life - style were tested as social determinants of health in a sample of 5,201 adults in Korea. The aim of this study was to determine the extent to which sociodemographic variables and life-style associated health behaviors explain body weight distribution. A second aim was to explain the relation of body weight and health status to stress the importance of body weight as an early risk indicator of health status. The canonical correlation between the weight distribution(underweight and overweight) and the independent variables was 0.29, 17% of the total variance was explained. Perceived health level represented the highest contribution(canonical coefficient 0.82) to body weight. Sociodemographic factors such as sex, economic status, and life-style factors such as smoking, exercise, regular meais and sleep showed comparatively high contributions to body weight. The relevance of body weight for health status including the rate of chronic disease and the rate of medical utilization was significant. Especially, underweight was clarified as being mere important than overweight to morbidity level and medical utilization. These findings suggest that perceived body weight is an important indicator of health status and is thus a valuable variable to be considered for nursing intervention and health education related to the promotion of health.

• 대한두경부종양학회지
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• 제16권1호
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• pp.20-25
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• 2000

The medicinal leech, Hirudo medicinalis, has been used for salvage of the venous-congested flap following reconstructive surgery, with increasing frequency during the last two decades. Medicinal leech therapy is a safe, efficacious, economical, and well-tolerated intervention. The flap salvage with leeching occurs in approximately 70% of cases, and leeches need to be used as early as possible. At the time of the bite, evacuation of blood and injection of the leech saliva products, including anticoagulants and inhibitors of platelet aggregation, maintain capillary circulation of the flap, and then venous capillary return is established across the wound by angiogenesis. One of the salivary products, hirudin, represents the first parenteral anticoagulant introduced since the discovery of heparin. We analyzed two cases in which flap salvage with leeching was attempted, and reviewed medicinal leech therapy on the basis of our experiences and literature review. This has not been documented in the head and neck surgery literature in our country.

• 대한간호학회지
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• 제39권3호
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• pp.433-445
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• 2009

Purpose: The purpose of this study was to assess changes in pain, fatigue, anorexia, anxiety and quality of life(QOL) in patients with cancer who were on chemotherapy. Methods: Symptoms and QOL were examined both before chemotherapy and after 2 cycles of chemotherapy. The participants were 76 cancer patients receiving chemotherapy in one of 7 hospitals. Results: The patients experienced a mean of 2.22-2.23 symptoms out of 4 symptoms. Patients who were female, or suffered from breast or colorectal cancer experienced more symptoms. Fatigue at present, and most severe fatigue and anorexia in the previous 3 weeks increased significantly. Anxiety and QOL decreased significantly after 2 cycles of chemotherapy. Number of symptoms, anorexia at present, most severe anorexia in past 3 weeks, and anxiety had negative correlations. QOL before chemotherapy showed a positive correlation with QOL after 2 cycles of chemotherapy. In a regression analysis, anxiety, QOL at baseline, income, and the most severe pain in the past 3 weeks were significant predictors of QOL. Conclusion: Physical and psychological factors were significant predictors of both QOL and each subscale, and these factors correlated with each other. These results demonstrate the needs for early assessment and intervention from the start of chemotherapy to decrease symptoms and improve QOL.

• 대한가정학회지
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• 제49권1호
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• pp.17-25
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• 2011

This study examined the impact of academic achievement and maternal differential treatment on academic self-concept among adolescent siblings. The sample consisted of 438 students attending middle schools in Seoul (M = 15.2 yrs.), who had a sibling. Data were analyzed using Structural Equation Modeling. Academic achievement compared with a sibling and maternal differential treatment had direct effects on academic self-concept, indicating that children with higher academic achievement scores than their sibling and with perceived maternal differential treatment reported a significantly higher academic self-concept. Also, the relationship between academic achievement as compared with a sibling and academic self-concept was mediated by maternal differential treatment. These findings could be used in educational settings as a basis for improving the academic self-concept of early adolescents.

• 대한족부족관절학회지
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• 제8권1호
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• pp.111-113
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• 2004

In neurogenic equinovarus deformity, surgical intervention such as tendon transfer or osteotomy can be expected to improve symptoms. However, in rare cases of hereditary spastic paraplegia, the deformity and paralysis gradually progress. So limited operation and early post-operative rehabilitation are preferred to aggressive operation. We would like to report our clinical experience with one case of hereditary spastic paraplegia patient with reference review. A 40 year-old male, given tendon transfer of ankle and foot and tendo achilles lengthening 10 years ago, complained about aggravated spastic paraplegia which resulted in dynamic equinovarus and limited walking ability since his operation. Family history showed limited walking ability of his father with gradually progressing spastic paralysis and he was diagnosed as hereditary spastic paraplegia type I. We had performed a limited operation such as tendo achilles and tibialis posterior lengthening to induce plantigrade standing and walking with crutch. As a result, the patient was able to maintain a stabilized standing posture and walk after the operation. Hereditary spastic paraplegia presents with a progressive paralysis which limits rehabilitation after tendon transfer, and the symptoms can be aggravated. Therefore, considering potential hereditary neurogenic disorders in paients with equinovarus deformity and performing limited operative procedures seem to be important.

• 대한정형도수물리치료학회지
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• 제13권2호
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• pp.96-101
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• 2007

There are increasing needs for welfare in industrial environments in modern society. Industrial health is one of the most important components of industrial welfare, and it includes maintenance and improvement of physical, mental, and social health of the workers, elimination of factors threatening workers, prevention and early intervention of industrial diseases. In this regards the importance of industrial physical therapy is increasingly recognized and the need of physical therapy in industrial field is increasing. The authors surveyed and analyzed the curricula of the departments of physical therapy to promote development of curriculum or program for educating specialized industrial physical therapists. There are 40 institutes opening the department of physical therapy, 4-year courses in 17 and 3-year courses in 23. Only 2 institutes have subjects that are directly related to industrial health. This means that specific educational program for specialized industrial physicaltherapists is not established yet though there are many needs for industrial health and physical therapy in industrial fields. But many topics or knowledge of industrial health or physical therapy are scattered in several subjects. So we suggest the needs of systematic reorganization of specific curriculum that including ergonomics and prevention and treatment of industrial diseases for education of specialized industrial physical therapist.

• Child Health Nursing Research
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• 제16권2호
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• pp.164-174
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• 2010

Purpose: The purpose of this study was to evaluate the physical growth and developmental status of infants and children of married immigrant women. Methods: The participants were 92 infants and children aged from birth to 6 yr whose mothers were married immigrant women living in one rural area. Physical growth and developmental status were evaluated by using anthropometric assessment, and Korean Denver II developmental screening test. Results: Of the participants, 10.8% were below the 3rd percentile for weight, 13.0% for length, 5.4% for head circumference, and from 69.6% to 79.3% were distributed below the 50th percentile on growth charts. Further, 18.5% were classified as having questionable development. Factors related to low physical growth in infants and children were mother's weight and mother's level in Korean language classes. Conclusion: The physical growth and developmental status of children is vulnerable and serious. The study results suggest a need for regular growth and developmental evaluations. Political support is important for these mothers. In addition, there also is a need to develop early intervention strategies to promote growth and development of the infants and children of these married immigrant women.