• Title/Summary/Keyword: patient characteristics

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Dental and Skeletal Characteristics and Behavioral Aspects of the Patient with Floating-Harbor Syndrome Compared with Twin Sister (Floating-Harbor 증후군 환자와 쌍둥이 여동생의 치성 및 골격성 특성과 행동 양상 비교)

  • Jonghwa, Lim;Gimin, Kim;Jaesik, Lee;Soonhyeun, Nam;Hyunjung, Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.234-240
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    • 2022
  • Floating-Harbor syndrome (FHS) is a rare genetic disorder. This report introduced in a patient with FHS. Distinctive facial characteristics, severe skeletal class 3 malocclusion with underdeveloped maxilla and protruded mandible, congenital missing teeth, microdontia and ectopic positions of maxillary teeth were presented in the patient. In his twin sister, mild skeletal class 3 malocclusion with protruded mandible was observed but congenital missing teeth and microdontia were not observed. High-arched palate, narrow V-shaped maxillary arch compared to wide and ovoid mandibular arch and inverse relationship between the maxillary and mandibular intermolar width resulted in posterior crossbite were confirmed by model analysis of the patient. These were not observed in the twins. Behaviorally, poor cooperation during dental treatment because of mental retardation was observed in the patient.

Patient Safety Teaching Competency of Nursing Faculty (간호대학 교수의 환자안전 교육역량)

  • Ahn, Shinae;Lee, Nam-Ju;Jang, Haena
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.720-730
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    • 2018
  • Purpose: The purpose of this study was to investigate patient safety teaching competency of nursing faculty and the extent of teaching patient safety topics in the nursing curriculum. Methods: A national survey was conducted with full-time nursing faculty in 4-year nursing schools. Regional quota sampling method was used. An online survey was sent to 1,028 nursing faculty and 207 of them were completed. Among the 207, we analyzed data from 184 participants. The revised Health Professional Education in Patient Safety Survey was used. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation analysis, and multiple linear regression analyses. Results: The faculty's self-confidence was lower than their perceived importance of patient safety education. The mean score of teaching patient safety was $3.52{\pm}0.67$ out of 5, and the contents were mostly delivered through lectures. The extent of faculty's teaching varied depending on faculty's clinical career, teaching subjects, participation in practicum courses, and previous experience of patient safety education. The significant predictors of the extent of teaching patient safety were the faculty's self-confidence in teaching patient safety (${\beta}=.39$) during clinical practicum, their perceived importance of patient safety education during lectures (${\beta}=.23$), and the teaching subject (${\beta}=.15$). Conclusion: To enhance the competency of nursing faculty for effective patient safety education, a patient safety education program tailored to faculty characteristics should be developed and continuously provided for faculty. In addition, it is necessary to improve patient safety curriculum, strengthen clinical and school linkages, and utilize various education methods in patient safety education.

Isolation and Bacteriological Characteristics of Spiral form Bacteria from Patient with Epidemic Pulmonary Hemorrhagic Fever (유행성 출혈형 폐염양 질환의 병원균 분리와 세균학적 특성)

  • 이봉기;유주현;이원영;김주덕
    • Korean Journal of Microbiology
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    • v.23 no.3
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    • pp.223-229
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    • 1985
  • We have previously isolated seven strains of spiral form bacteria, which have shown several similar characteristics to Leptospira from patient with epidemic pulmonary hemorrhagic fever and matural paddy water. Further studies have performed to characterize them. All of the isolated bacteria were aerobic, gram negative and spiral form and their growth were completely inhibited at temperature below $13^{\circ}C\;and\;50^{\circ}C$. In sensitivity test to drugs, the bacteria were resistant to the bile salts, 5-Fu and Amphotericine B, but sensitive to the 8-Azaguanine. The isolated bacteria as well as 5 serotypes of Leptospira interrogans reacted the patient sera and it was also shown that antisera from rabbit immunized with the isolated bacteria reacted with 5 serotypes of Leptospira interrogans. These results suggest that the isolated bacteria may belong to the genus Leptospira.

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Treatment Compliance of Antidepressants (항우울제의 복약 순응도)

  • Lee, Moon-Soo;Ko, Young-Hoon;Joe, Sook-Haeng
    • Korean Journal of Biological Psychiatry
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    • v.17 no.1
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    • pp.5-14
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    • 2010
  • Depressive disorder is a chronic disabling condition with recurrent episodes. Medication noncompliance is a significant problem for effective management of depressive disorder. However, compliance with antidepressant medication is poor. There are difficulties in assessing compliance accurately. Various methods for assessing compliance are in use. A patient's compliance with antidepressant may be affected by many factors including the clinical characteristics of depression, pharmacologic properties of antidepressants, patients' characteristics, accessibility treatment, and doctor-patient relationships. For enhancing the treatment compliance, psychotherapeutic considerations in patient-therapist relationship are needed.

Change of Ward Design in Korean Hospital Architecture since 1945 (1945년 이후 한국병원건축 병동부의 변화)

  • Yu, Youngmin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.67-77
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    • 2016
  • Purpose: This paper aimis to analyze the characteristics of ward plan of Korean hospital architecture constructed in each periods and identify the change since 1945. Methods: Literature review was conducted while ward plans for analysis were sellected. And then the important points of ward design were analyzed in each periods. Results: The important points of ward design - type of corridor in ward plan, number of beds per nursing unit, location of nurse station, organization of multi-bed rooms, location of patient toilet, number of day room, concentration and separation of elevator halls for patient and general- were analyzed and the characteristics of change were identified in each periods. Implications: This paper could be a basic data for arranging the history of hospital architecture in Korea.

A Survey on the Nurse Staffing Level and Patient Outcome (일부 종합병원의 간호사 확보수준과 환자결과(Patient-Outcome) 분석)

  • Park, Bo-Hyun;June, Kyung-Ja;Kim, Yun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.4
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    • pp.559-569
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    • 2003
  • Purpose: The purpose was to investigate nurse staffing levels and patient outcomes(nosocomial infection, patient fall, pressure ulcer). Method: The subjects of this study were 305 nurses from 20 general hospitals who worked at 39 medical and surgical wards. Self-reporting questionnaire which was developed by the writer through preceding study was used. In data analysis, SPSS WIN 10.0. program was utilized for descriptive statistics, ANOVA. Result: The mean of patient-to-nurse ration was 5.2:1. 65% among 20 hospitals was over 300 beds, 90 was located in urban area and 55 was private hospitals. Patient-to-nurse ration of hospitals in under 300 beds or rural area or private ownership was lower than hospitals in 300 beds or urban area or public ownership. 89.9 among 39 wards was medical or surgical wards. The mean of length of stay, 8-14 days got a majority and showed higher patient-to-nurse ration. Of the general characteristics, rural was significantly hight to patient fall(F=3.205, p<.05), medical unit was significantly high to patient fall, pressure ulcer(patient fall: F=8.890, p<.001, pressure ulcer: F=3.399, p<.05) and over 15 days was significantly higher than under 14 days of the mean of length of stay. And there was significant relationship between over 6.0:1 and over 4.0:1 to less than 5.0:1(F=4.817,p<.01). Conclusion: This study has shown a relationship between patient-to-nurse ration and patient fall using not objective research tool but self-reporting questionnaire. Therefore further research is needed to study using objective research tool. Based on this study, the effect of nurse staffing levels on patient outcome also has to be studied.

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Effect of Dialysis Nurses' Perception of Patient Safety Risk Factors and Patient Safety Competency on Safety Nursing Activities (혈액투석실 간호사의 환자안전에 대한 위험요인 인식과 역량이 안전간호활동에 미치는 영향)

  • Lee, Jae Jung;Jeon, Mi Yang;Lee, Jung Ja;Kim, Gha Na;Jeong, Da In
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.210-219
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    • 2021
  • Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

Analysis of Intakes and Satisfaction of Patient Foodservice in Mid-Sized Hospital Settings (중소규모병원 입원환자의 병원식 섭취실태 및 만족도 조사)

  • Kim, Ji-Myung;Kang, Bok-Hee
    • Journal of Nutrition and Health
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    • v.44 no.4
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    • pp.326-337
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    • 2011
  • The purpose of this study was to investigate dietary intake and to evaluate patient satisfaction toward the quality of hospital foodservice. Questionnaires were distributed to 203 hospitalized patients in 3 hospitals having 300 beds. The intake rates for served amounts of rice, side dishes, and soup were 72.5%, 68.2%, and 62.6%, respectively. The main reasons for left-overs were 'no appetite' (25.8%) and 'not salty enough' (19.9%). The rate of patients eating outside food was about 33.5%. The average score for quality satisfaction of meal characteristics was 3.34 ${\pm}$ 0.61, and the average score for quality satisfaction of sanitation and service characteristics was 3.58 ${\pm}$ 0.61. 'Seasoning' showed the lowest score and 'temperature' showed the highest score for quality satisfaction of meal characteristics. In the quality satisfaction of sanitation and services, 'explanation of meals' showed the lowest score and 'exactness of meal times' showed the highest score. The patients hospitalized for 10 days showed significantly lower average scores than those hospitalized over 60 days for quality satisfaction of meal characteristics. The patients with 'little appetite' and 'regular appetite' showed significantly lower average scores than those with 'much appetite' for the quality satisfaction of meal, sanitation, and service characteristics. The patients who 'rarely had leftovers' showed significantly higher average scores than those who 'always had leftovers' and 'often had leftovers' for quality satisfaction of meal characteristics. Meal characteristic scores were significantly correlated with age (r = 0.216), length of admission (r = 0.310), appetite (r = 0.251), leftovers (r = 0.233), and intake of soup (r = 0.205). Also, sanitation and service characteristics scores were significantly correlated with age (r = 0.327), education (r = -0.202), length of admission (r = 0.168), and appetite (r = 0.155). Thus, it would seem to be desirable that hospital foodservices improve the taste and seasoning of meals and provide appropriate nutrition education and counseling in mid-sized hospitals.

Some Prosodic Characteristics of Flaccid Dysarthria (이완성 구음마비 환자의 운율적 특성 연구)

  • Kim, Su-Jung;Shin, Ji-Young;Kim, Kee-Ho
    • Speech Sciences
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    • v.4 no.2
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    • pp.141-156
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    • 1998
  • In the previous studies, some characteristics of flaccid dysarthria patients have been studied mainly in two aspects: their difficulties in articulation and their metrical dysfunction. Therapeutic research on the articulation impediment of the patients have been carried out extensively (Yorkston, 1981). However, their phonetic characteristics have been less well-studied. The aim of this paper is to measure and describe some phonetic differences between the normal speaker group (six speakers) and the flaccid dysarthria patient group (six speakers in three different degreed of severity). Two types of short sentences comprising of subject-object-verb, i.e. declarative and yes-no question sentences, were recorded to investigate some phonetic characteristics of these two groups of speakers. The two groups (normal group vs. patient group) show differences in yes-no question boundary tone (H% vs. HL%), pitch range (wide vs. narrow), duration (short vs. long) and intensity (strong vs. weak) of sentence final verb endings in Korean.

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A study on the architectural guideline of the patient room in the geriatric medical center (노인보건의료센터의 다인병실 건축계획에 관한 연구)

  • Yun, Wooyong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.3
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    • pp.17-26
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    • 2011
  • Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.