• Title/Summary/Keyword: early intervention

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Acute Mesenteric Ischemia after Aortic Valve Replacement -A case report- (대동맥 판막 치환술 후 발생한 급성 창자간막 허혈 -1예 보고-)

  • Jun, Yang-Bin;Ahn, Young-Chan;Park, Chul-Hyun;Choi, Chang-Hyu;Lee, Jae-Ik;Park, Kook-Yang
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.939-942
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    • 2006
  • Acute mesenteric ischemia after cardiac surgery is a serious complication associated with high mortality. Superior mesenteric artery is most commonly affected artery. Acute obstruction of mesenteric artery generally has an unfavorable prognosis because of late diagnosis. The keys to a successful outcome are early diagnosis and appropriate operative intervention. We successfully treated a patient with acute mesenteric ischemia after aortic valve replacement. Therefore, we report a case with a review of articles.

A Study on Strategies to Galvanize the Anti-aging Industry (항노화산업 활성화 방안에 관한 연구)

  • Jung, Tae-Young;Goh, Young-Gon;Chung, Hae-Joo
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.145-154
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    • 2016
  • Objectives : Because people have increasingly more interest in their quality of life, the anti-aging industry has grown worldwide. The purpose of this study is to suggest strategies for galvanizing the anti-aging industry in Korea. Methods : To accomplish this aim, we explored the definition, classification, problem and activating strategies of the anti-aging industry through a systematic review. Results : From the results, the following suggestions are given: planning a national strategy to galvanize the anti-aging industry, establishing an anti-aging research institute, developing a business model, developing an anti-aging cluster, statistics development and an information system related to anti-aging, training personnel, and legislation. Conclusions : The anti-aging industry has the potential to reduce health expenses through early intervention of diseases due to aging and through activation of the national economy by win-win growth of the industry related to aging. Therefore, understanding the anti-aging industry as well as political support is critical.

Relationships of Child Effortful Control and Problem Behaviors: The Mediating Role of Teacher-child Relationships (남녀 유아의 의도적 통제가 행동 문제에 미치는 영향에 대한 교사-유아 관계의 매개 효과)

  • Kwon, Yeon-Hee
    • Korean Journal of Human Ecology
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    • v.20 no.3
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    • pp.595-609
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    • 2011
  • This study examine the mediating role of teacher-child relationships on children's effortful control and problem behaviors. Boys and girls were analyzed separately. Participants were 221 children(l21 boys, 100 girls; aged 4-5), their mothers and 19 child care teachers. The teachers completed rating scales to measure the perception of teacher-child relationships and the children's problem behaviors. Children's effortful control was rated by the mother's questionnaire. The collected data was analyzed using descriptive statistics, t-tests, Pearson's correlations, and hierarchical multiple regressions. Results indicated that children's effortful control was negatively related to their problem behaviors. In addition, the associations between children's effortful control and their aggressive behaviors were mediated by conflictual teacher-child relationship. Also, the relation of girl's effortful control and her withdrawal behavior was partially mediated by conflictual teacher-child relationship. Finally, the association between boy's effortful control and his withdrawal behavior was mediated by close teacher-child relationship. Results suggest the importance of teacher-child relationships in the context of intervention planning for preschooler's problem behaviors.

Trends in Nursing Research on Sexuality in Korea (국내 간호학에서 성(sexuality)에 관한 연구 경향)

  • Lee, Kyung-Hye;Kim, Sun-Hee;Lee, Sun-Hee
    • Women's Health Nursing
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    • v.14 no.2
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    • pp.83-92
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    • 2008
  • Purpose: This study aimed to analyze the trends in nursing research on sexuality in Korea and to provide guidance to the future research in sexual health. Method: Total 163 published articles in Korea from 2000 to 2007 year were reviewed using a structured analysis form which consists of the domains of nursing journal, research designs, research purpose, research subjects, and the key words. Result: Of those articles, 25.8% was published in J. of Korean Academy of Women Health Nursing and 13.5% in J. of Korean Academy of Community Health Nursing. In terms of the research design, quantitative research methods were commonly used in 88.4% of them which only 6.1% used qualitative methods. The nursing process on purpose were classified assessment(86.3%), nursing intervention(11.3%), and nursing evaluation(2.5%); Most of subjects were early adults(35.3%), adolescents(27.9%), and adults(25.6%); The most frequently reported key words were classified into socio-psychological domain(33.5%), cognitive domain(25.6%), clinical domain(12.6%). Conclusion: Research on sexuality in nursing have been continued. The major key words were founded in socio-psychological and cognitive domains. It is recommended that more various subjects, research methodology, and various key words be investigated.

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The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment (결핵 환자의 초치료 중단위험 사정도구 개발)

  • Choi, Jin Ok;Sung, Kyung Mi
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.156-169
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    • 2015
  • Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's ${\alpha}$ .95. The final scale was a self-reported four Likert scale including 50 items. Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

The Moderating Effect of Teacher-Child Relationship on the Relation between Problem Behavior and Peer Victimization (유아의 문제행동과 또래괴롭힘 피해의 관계에 대한 교사-유아 관계의 조절효과)

  • Kwon, Yeon Hee
    • Korean Journal of Human Ecology
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    • v.22 no.3
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    • pp.391-404
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    • 2013
  • This study examined the moderating role of teacher-child relationship on the relation between children's problem behavior and peer victimization. Participants were 198 children(97 boys, 101 girls; recruited from classes with 5-6 year olds) and their kindergarten teachers. The teachers completed the rating scales to measure the children's peer victimization, problem behavior and teacher-child relationship. The collected data were analyzed using descriptive statistics, t-tests, correlations, and hierarchical multiple regressions. Boys and girls were analyzed separately. Results showed that children's problem behavior had positive relation to their peer victimization. Teacher-child relationship significantly related to children's peer victimization. Hierarchical regression analysis indicated that the interaction of boys' withdrawal behavior and teacher-child closeness predicted boy's peer victimization. Boys' withdrawal behavior, whose teachers demonstrated the lowest level of teacher-child closeness, associated significantly with their peer victimization. Boys' withdrawal and aggressive behavior had significant relation to their peer victimization, especially for the highest level of teacher-child conflictual relationship. Findings suggested the importance of teacher-child relationship in the context of intervention planning for peer victimization.

Surgical Treatment of Infective Endocarditis (감염성 심내막염에 대한 외과적치료)

  • Wang, Ok-Bo;Park, Ju-Cheol
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1055-1060
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    • 1992
  • Clinical experience of 21 patients with infective endocarditis was reviewed. Endocarditis involved the left-sided valve in 16 cases, the right-sided valve in 2, and PDA in the remaining 3 patients. Valve abnormalities included leaflet perforation in 9 patients, chordal rupture in 2,; annular abscess in 6; and aorticoleft atnal perforation in 2. Sixteen patients underwent valve replacement[aortic valve replacement in 7 patients, mitral replacement in 4 and double valve replacement in 5], two had VSD closure with pulmonary valve excision, three had ductus arteriousus closure. The patients were classified into two groups. I ] Healed endocarditis group: including the patients who had completed a planned cou-rseof antibiotic therapy[N=10], II ] Active endocarditis group: patients in which operations were performed prior to completetion of antibiotic treatment course[N=11]. The indications for operation included congestive heart failure, embolism, and persistent sepsis. Organisms were predominantly streptococcus[N=5] and staphylococcus [N=4] followed by candida, moraxella, and E-coli. By NYHA functional classification, all patients were in Class III or IV preoperatively. There was only one operative mortality in patient from group II. All patients substantially, improved postoperatively with NYHA classification in class I or II. This study shows that early surgical intervention in patients with active endocarditis has desirable outcome.

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A study on aerological disorders and performance evaluation of Korean air force pilots (한국 공군 조종사의 직업성 질환 실태 및 임무 수행도에 관한 연구)

  • 변승남;김철수;이동훈
    • Journal of the Ergonomics Society of Korea
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    • v.15 no.2
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    • pp.25-36
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    • 1996
  • The purposes of the present study were: (1) to investigate aeromedical dissorders prevalent among ROK air force pilots and (2) to evaluate their detrimental effects on flight performance. The study examined the eight flight-induced disorders primarily responsible for permanent grounding and flying restrictions. According to the survey of 600 randomly selected pilots, 80.2% of the respondents have experienced low back pain, which was 20% higher than the lifetime prevalence in Swedish male workers. Bradyacusia ranked second (56.0%) resulting from continuous exposure to high aircraft noise. The cardiovascular disorders, the most common cause for permanent grounding of Canadian forces pilots, were found in 16.0% of the Korean pilots. Due to the high prevalence of the disorders, in 1993 the Korean pilots received medical treatments 10 times as many as factory workdes. Compared to the flight performance of Israeli and British pilots in wars, the flight performance of the Korean pilots was found to be inferior. Such poor performance can be attributable to the high incidence rates of disorders. Statistical analyses revealed that the aeromedical disorders were related to personal variables such as age, flight career- related factors, and fatigue. Cigarette smoking and drinking habit contributed to worsening back pain, barotitis media, and pulmonary disorders. More comprehensive research was recommended to identify health hazards, combined with intervention to minimize disorders that could lead to early termination of flight careers or excessive loss of flight time. This study further suggests that aeromedical institutions in Korean air force should be fostered more professionally and financially.

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The Effects of Gum-Chewing on the Recovery of Bowel Movement and Oral Cavity Discomfort after Abdominal Surgery (껌씹기가 개복수술 환자의 장운동 회복과 구강불편감에 미치는 효과)

  • Bang, Sul Yeong;Jung, Gum Ja;Jung, Hye Yeon;An, So Hyeon
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.15-25
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    • 2008
  • Purpose: This study was aimed to investigate the effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Method: The nonequivalent control group, non-syncronized repeated treatment design was used. A total of 99 patients were participated in the study. The 44 patients were in the experimental group and the rest in the control group. The experimental group chewed gum three times a day until they passed gas. As the patient reported gas-passing, bowel movement time, subjective symptoms of oral cavity, and oral status were recorded precisely. The frequency, percentage, $x^2$-test and t-test were analyzed by SPSS PC 12.0. Results: There were significant differences in bowel movement, gas passing, oral cavity symptoms, and oral status scores between the experimental and the control group. Conclusion: The findings of the study demonstrated the fact that gum-chewing helps early recovery from post-operative ileus and thirst. It is because gum chewing stimulates bowel mobility and secretion of saliva. Thus gum-chewing seems to be an effective nursing intervention in reducing post-operative side effects for patients with abdominal surgery.

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Elderly Women′s Grief (여성 노인의 슬픔)

  • 김귀분;이경호;오혜경
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1021-1033
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    • 2001
  • This study sought to find a nursing intervention tool for enhancing elderly women's lives by investigating the causes and the meaning of their grief. Method: This research was derived from a phenomenological tool such as qualitative research design. The data collection took place from December of 2000 until April of 2001 Through systematic interviews and participatory observations of five elderly women attending C welfare center located in downtown Seoul the data was collected. Each interview lasted an hour and a half and was arranged five times. The analysis of this research was conducted using the Giorgi method. Results: \circled1 There was obvious physical and physiological decline caused by aging old; as well as there being spouse health problems, additional physical suffering, signs of senility, and insomnia, \circled2 Further grief was imposed by unpleasant memories of the spouse; infidelity, incapability, and even disregard of her own well-being, \circled3 Then there was pity for children; unfaithful children, uncertain futures of the children, and early death of a child, \circled4 Also, regrettable fate, painful daily acttrities, unreliable factors, bad circumstances, and feelings emptiness were reported, \circled5 Finally, anxiety for the future; ac sense of despair, loneliness, economic hardship, and the fear of imminent death increased grief levels. Conclusion: A variety of programs and social meetings for the elderly to overcome their physiological or psychological crisis should be substantially developed and supported by the government. In order to implement the social welfare for the elderly women, special consideration whether on the governmental level or the personal level, should be devoted to the elderly who live without any financial support or social concern.

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