• Title/Summary/Keyword: exact methods

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Association of Prescribed Drug intoxication and Neuropsychiatric history (약물 음독과 정신과 과거력의 연관성)

  • Kim, Hyeon-Jung;Kim, Hye-Mi;Kim, Ho-Jung;Cho, Young-Soon;Lee, Myung-Gab;Jun, Duck-Ho;Go, Chan-Young
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.77-80
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    • 2011
  • Purpose: The purpose of this study was to investigate the relationship between patients with a neuropsychiatric history and features of their suicide attempt, in order to analyze the risk associated with psychiatrist prescribed drugs Methods: We retrospectively investigated cases of intentional overdose drug ingestion in patients greater than 14 years of age who visited OO emergency medical center between January 1, 2008 and July 31, 2010. We evaluated patient medical records to ascertain their age, sex, neuropsychiatric history, and components of ingested intoxicant. Information regarding any suicide reattempt was obtained after discharge through follow up telephone survey. SPSS version 13.0 was used for statistical analysis. Fisher's exact test was performed with p<0.05 considered statistically significant. Results: Ninety-six of 209 patients (46%) had a past history of psychological problems. Among those 96 patients with a history of psychological problems, 46(48%) used an overdose of the medicine prescribed by their psychologist in order to attempt suicide. However, for patients without a history of psychological problems, intoxication by neuropsychiatric drugs was insignificant. Neuropsychiatric patients required greater follow up care after discharge and exhibited significantly more suicide reattempts. Conclusion: This study revealed that patients sometimes use the medicine prescribed by their psychologist to attempt suicide. Therefore, an exhaustive plan to control the medicines prescribed to psychiatric patients should be established.

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The Effects of Maternal Health Care Program on Depression, Maternal Role Self-confidence and Delivery Self-efficacy in Pregnant Women (모성건강관리프로그램이 임부의 우울, 모성역할자신감, 분만자신감에 미치는 효과)

  • Kim, Youn Sil;Lee, Yun Jeong;Park, Gyu Hee
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.134-141
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of the maternal health care program on pregnant women's depression, maternal role self-confidence and delivery self-efficacy in a public health center. Methods: This study used a non-equivalent control group quasi-experiment design attempted to verify the effectiveness of maternal health care program. In the experimental group (39 participants), maternal health care program was applied for 120 minutes for 8 weeks, and the control group (40 participants) was provided with a booklet for maternal health care. Data collection was conducted from September 20, 2015 to November 30, 2015. Data were analyzed using ${\chi}^2-test$, Fisher's exact test and t-test. Results: The maternal health care program showed a significant effect on maternal role self-confidence and delivery self-efficacy compared to control group. Conclusion: The maternal health care program conducted at the public health center was found to be effective in improving maternal role self-confidence and delivery self-efficacy. Further development of a program to mediate the depression of the expectant mothers is needed.

Effects of Oral Administration of Herb-combined Remedy of Diabetes Mellitus on Blood Glucose Levels and Anti-oxidative Enzymatic System in Streptozotocin-induced Diabetic Rats (한약복합처방의 경구투여가 Streptozotocin에 의해 유발된 당뇨병 백서의 혈당과 항산화효소계에 미치는 영향)

  • Lee, Eun-Bang;Cho, Myung-Rae;Kim, Jae-Hong;Ryu, Chung-Ryeol
    • Journal of Acupuncture Research
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    • v.25 no.1
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    • pp.57-72
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    • 2008
  • Objectives : The Herb-combined Remedy(HCR) for diabetes mellitus is known as an anti-hyperglycaemic agent. But its exact mechanisms are unclear. The present study was carried out to investigate its anti-hyperglycaemic and anti-oxidative effects in STZ-induced diabetic rats. Methods : Experimental diabetes was induced by injection of STZ(80mg/kg) to ratsvia the peritoneum. The experimental animals were divided into 4 groups : normal group, control group(STZ-induced diabetic rats with no treatment), HCR group(STZ-induced diabetic rats with HCR treatment), MF group(STZ-induced diabetic rats with Metformin treatment). The effects of HCR on STZ-induced diabetes was observed by measuring fasting blood glucose, changes of body weight, food uptake, and water uptake glucose levels in the normal state decline rates in blood glucose levels DPPH free-radical scavenging activity superoxide dismutase in RBC lysate catalase activity in RBC lysate and glutathione reductase activity in RBC lysate. Results : Treatment with HCR regulated blood glucose levels. Treatment with HCR also prevented weight loss in STZ-induced diabetic rats. In addition, oral glucose tolerance decreased following treatment with HCR. Direct anti-oxidative effects on DPPH free-radical scavenging were not observed, but treatment with HCR elevated SOD levels in blood cell lysates from STZ-induced diabetic rats. In addition, the HCR-treatment group showed an elevated tendency to glutathione reductase activity. Conclusions : These results demonstrate that HCR has anti-hyperglycaemic and anti-oxidative effects in STZ-induced diabetic rats.

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Effects of Active Parenting Today based on Goal Attainment Theory on Parenting Stress, Parenting Behavior, and Parenting Satisfaction in Mothers of School-Age Children (목표달성이론에 근거한 적극적 부모역할훈련이 학령기아동 어머니의 양육스트레스, 양육행동, 부모역할만족도에 미치는 효과)

  • Park, Kyung Im;Oh, Sangeun
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.659-670
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    • 2012
  • Purpose: The purpose of this study was to verify effects of the Active Parenting Today (APT) program based on King's Goal Attainment Theory on parenting stress, parenting behavior, and parenting satisfaction in mothers of school-age children. Methods: This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 39 mothers of school-age children (19 in the experiment group and 20 in the control group) who were registered at two community children centers in G city. The experimental group received the APT program (2 hours/session/week) and telephone counseling (2 times/week) for 8 weeks. Data were analyzed using ${\chi}^2$-test, t-test, Fisher exact probability test, and ANCOVA with the SPSS/Win15.0 program. Results: Parenting stress was significantly lower in the experimental group than in the control group. Positive parenting behavior and parenting satisfaction were significantly higher in the experimental group than in the control group. However, negative parenting behavior was not significantly different between the two groups. Conclusion: The results of this study indicate that the APT program based on King's Goal Attainment Theory is useful in reducing parenting stress, creating positive parenting behavior change, and promoting parenting satisfaction in mothers of school-age children.

A Study on Ambiguous Expression for Efficacy of Medicinal Material - Focusing on 'Salchung[殺蟲]' - (의미가 다양한 본초 효능 표현에 대한 고찰 - 본초의 殺蟲 효능을 중심으로 -)

  • Kim, Sanghyun;Kim, Sangkyun;Nam, Boryeong;Lee, Myeong-gu;Lee, Seungho;Jang, Hyunchul
    • The Korea Journal of Herbology
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    • v.30 no.4
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    • pp.45-49
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    • 2015
  • Objectives : Through this study, it would be confirmed that specific expression for efficacy of medicinal material has multiple meanings. And through the methodology to determine the multi meaning, it could be contributed to lighten ambiguous expressions for efficacy of medicinal material.Methods : The premise is that the efficacy and treatment target data are related to each other. Word cloud has been used analyzing the efficacy and treatment target data for medicinal materials. Then classic and modern documents were analyzed by the search.Results : Even though searching all related references as well as comparing the efficacy and treatment target data were done, some medicinal materials having 'Salchung[殺蟲]' as an efficacy are not expected to treat the disease associated with the parasite. Through the analysis of classic and modern documents, it was found that 'Salchung[殺蟲]' is not used only as a means of anthelmintic efficacy. But through the above analysis method some medicinal materials having 'Guchung[驅蟲]' as an efficacy are expected to treat the disease associated with the parasite, and 'Guchung[驅蟲]' seems to be almost used as a means of anthelmintic efficacy.Conclusions : If a certain expression for efficacy of medicinal material is used as a single meaning obviously, ambiguous expressions need to be clear. And if a certain expression for efficacy of medicinal material seems to have multiple meanings, the additional informations are to be supplemented for exact wording.

Patterns of Cancer in Kurdistan - Results of Eight Years Cancer Registration in Sulaymaniyah Province-Kurdistan-Iraq

  • Khoshnaw, Najmaddin;Mohammed, Hazha A;Abdullah, Dana A
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8525-8531
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    • 2016
  • Background: Cancer has become a major health problem associated with high mortality worldwide, especially in developing countries. The aim of our study was to evaluate the incidence rates of different types of cancer in Sulaymaniyah from January-2006 to January-2014. The data were compared with those reported for other middle east countries. Materials and Methods: This retrospective study depended on data collected from Hiwa hospital cancer registry unit, death records and histopathology reports in all Sulaymaniyah teaching hospitals, using international classification of diseases. Results: A total of 8,031 cases were registered during the eight year period, the annual incidence rate in all age groups rose from 38 to 61.7 cases/100,000 population/year, with averages over 50 in males and 50.7 in females. The male to female ratio in all age groups were 0.98, while in the pediatric age group it was 1.33. The hematological malignancies in all age groups accounted for 20% but in the pediatric group around half of all cancer cases. Pediatric cancers were occluding 7% of total cancers with rates of 10.3 in boys and 8.7 in girls. The commonest malignancies by primary site were leukemia, lymphoma, brain, kidney and bone. In males in all age groups they were lung, leukaemia, lymphoma, colorectal, prostate, bladder, brain, stomach, carcinoma of unknown primary (CUP) and skin, while in females they were breast, leukaemia, lymphoma, colorectal, ovary, lung, brain, CUP, and stomach. Most cancers were increased with increasing age except breast cancer where decrease was noted in older ages. High mortality rates were found with leukemia, lung, lymphoma, colorectal, breast and stomach cancers. Conclusions: We here found an increase in annual cancer incidence rates across the period of study, because of increase of cancer with age and higher rates of hematological malignancies. Our study is valuable for Kurdistan and Iraq because it provides more accurate data about the exact patterns of cancer and mortality in our region.

Assessing the Potential of Thermal Imaging in Recognition of Breast Cancer

  • Zadeh, Hossein Ghayoumi;Haddadnia, Javad;Ahmadinejad, Nasrin;Baghdadi, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8619-8623
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    • 2016
  • Background: Breast cancer is a common disorder in women, constituting one of the main causes of death all over the world. The purpose of this study was to determine the diagnostic value of the breast tissue diseases by the help of thermography. Materials and Methods: In this paper, we applied non-contact infrared camera, INFREC R500 for evaluating the capabilities of thermography. The study was conducted on 60 patients suspected of breast disease, who were referred to Imam Khomeini Imaging Center. Information obtained from the questionnaires and clinical examinations along with the obtained diagnostic results from ultrasound images, biopsies and thermography, were analyzed. The results indicated that the use of thermography as well as the asymmetry technique is useful in identifying hypoechoic as well as cystic masses. It should be noted that the patient should not suffer from breast discharge. Results: The accuracy of asymmetry technique identification is respectively 91/89% and 92/30%. Also the accuracy of the exact location of identification is on the 61/53% and 75%. The approach also proved effective in identifying heterogeneous lesions, fibroadenomas, and intraductal masses, but not ISO-echoes and calcified masses. Conclusions: According to the results of the investigation, thermography may be useful in the initial screening and supplementation of diagnostic procedures due to its safety (its non-radiation properties), low cost and the good recognition of breast tissue disease.

Oral non Squamous Cell Malignant Tumors in an Iranian Population: a 43 year Evaluation

  • Mohtasham, Nooshin;Saghravanian, Nasrollah;Goli, Maryam;Kadeh, Hamideh
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8215-8220
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    • 2016
  • Background: The prevalence of non-squamous cell malignant tumors of the oral cavity has not been evaluated in Iran extensively. The aim of this study was to evaluate epidemiological aspects of the oral malignancies with non-squamous cell origin during a 43-year period in the Faculty of Dentistry, Mashhad University of Medical Sciences, Iran. Materials and Methods: In this retrospective study, the records of all patients referred to dental school of Mashhad university of medical sciences in northeast of Iran, during the period 1971-2013 were evaluated. All confirmed samples of oral non squamous cell malignant tumors were included in this study. Demographic information including age, gender and location of the lesions were extracted from patient's records. Data were analyzed using SPSS statistical soft ware, Chi-square and Fisher's exact tests. Results: Among 11,126 patients, 188 (1.68%) non squamous cell malignant tumors were found, with mean age of 39.9 years ranging from 2 to 92 years. The most common tumors were mucoepidermoid carcinoma (33 cases) and lymphoma (32 cases). Non squamous cell malignant tumors occurred almost equally in men (94 cases) and women (93 cases). Most (134 cases) of them were located peripherally with high frequency in salivary glands (89 cases) and 52 cases were centrally with high frequency in the mandible (38 cases). Conclusions: More findings in this survey were similar to those reported from other studies with differences in some cases; it may be due to variation in the sample size, geographic and racial differences in tumors.

Effects of Self-evaluation using Smartphone Recording on Nursing Students' Competency in Nursing Skills, Satisfaction, and Learning Motivations: Focusing on Foley Catheterization (자율실습교육에서 스마트폰 동영상을 활용한 자가평가 학습법이 간호술기 수행능력, 자율실습만족도, 학습동기에 미치는 효과: 유치도뇨를 중심으로)

  • Chang, Eunhwa;Park, Soohyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.118-127
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    • 2017
  • Purpose: The purpose of this study was to identify effects of self-evaluation using smartphone recording on competency in nursing skills, satisfaction and learning motivations in nursing students'. The setting was the open laboratory hours. Methods: A quasi-experimental pre/post-test design was conducted in September 2015. The participants were 82 sophomore nursing students from one University. The experimental group did self-evaluation by watching recorded video clips of their performance. The control group did not have any self-evaluation. The primary outcomes were scores from the foley catheterization checklist, scores from a student satisfaction tool, and scores from a learning motivation tool. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, independent t-test, and paired t-test. Results: There was a significant higher mean score in levels of satisfaction by students in the experimental group compared to the control group (t=2.26, p=.027). In addition, improvement in communication skills by the experimental group was significantly higher than improvement in the control group (t=3.96, p<.001). Conclusion: Findings show that self-evaluation using smartphone recordings has positive effects on increasing both communication skills and satisfaction with practice during open laboratory hours. These results indicate that, self-evaluation using smartphone recording is useful as a supplement to traditional open laboratory education.

Influencing Factors of the Incidence of Delirium in Elderly Patients with Arthroplasty (인공관절치환수술 노인의 섬망 발생 영향요인)

  • Lee, Young-Whee;Im, Hye-Bin;Jeong, Eun-Jeong;Ma, Hee-Sun
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.348-357
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    • 2012
  • Purpose: This retrospective chart review study was carried out in order to examine the frequency of delirium, and to identify the risk factors associated with the development of delirium in elderly patients with arthroplasty. Methods: Data were collected from medical records of patients who received arthroplasty during one and half year in a hospital. Three hundred sixty five patients were selected for the study. The onset of delirium was reviewed based on the result of psychological doctor's consultation or nurse's assessment with Confusion Assessment Method and delirium onset risk factors were examined. Data were analyzed with descriptive statistics, t-test, $x_2$-test, Fisher's exact test and logistic regression analysis. Results: Delirium occurred with 31 patients (8.5%) out of 365 patients who underwent arthroplasty. There were statistically significant differences between incidence of delirium and gender ($x_2$=6.11, p=.025), age ($x_2$=32.81, p<.001), hearing difficulty ($x_2$=8.08, p=.012), albumin level of preoperational day (t=-3.43, p<.001), albumin (t=-2.20, p=.028) and hemoglobin level (t=-2.83, p=.005) of operational day. Age and gender were the most significant predictive factors with regard to the incidence of delirium. Conclusion: Through understanding of these results, nurses will be able to identify those patients who may be at risk for developing delirium in early stages.