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EMT-Paramedic Student's Attitude to the Disabled (응급구조과 학생들의 장애인에 대한 태도)

  • Choi, Gil-Soon
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.2
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    • pp.85-99
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    • 2011
  • Purpose: The purpose of this study is to examine the EMT student's attitude to the disabled and provide the basic materials of educational program to make them have right awareness and attitude of the disabled. Methods: The subjects of this study were 348 of 339 emergency medical students at three departments of emergency medical in G metropolitan city who gave consent to take part in the research and the data were collected for 10 days from Mar. 2 to 11, 2011. It used DFS (Disability Factor Scale) developed by Siller (1967) and revised and complemented by Lee Jong Nam (1997) after validity and reliability test. Data collected were analyzed with technical statistics, t-test and ANOVA using SPSS/ PC 12.0 Results: The results of this study are summarized as follows. 1. On the question that there are the disabled around the subjects, 74.7% of the respondents answered 'none', and on the question of having concerns on the disabled problems, 61.5% of the respondents answered 'they have no concerns on them'. In addition, on the question of effective methods for improving a negative awareness of the disabled, many of subjects responded the governmental support must be a priority. 2. The subjects' attitude to the disabled scored average 3.13 and they have positive attitude to the disabled. In six sub-areas of attitude to the disabled, tension in contact with the disabled scored 2.90, inferred emotional disorder 2.79, unconditional repulsion 2.78, refusal to friendly relation 2.74, limitation of other functions undamaged 2.66 and distorted identification 2.65. 3. Variable showing a significant difference in the results of analysis according to general characteristics of subjects was age and those who are over '21' showed more positive attitude to the disabled than those who are below '20'. 4. In the results of analysis according to the subjects' disability related characteristics, those who have the disabled in their friends or family and have concerns on the disabled problems have a positive attitude to the disabled. Promotion and education through mass communication for changing the awareness of the disabled into a positive attitude will be most effective. Conclusion: Consequently, positive attitude of EMT student's to the disabled can be fostered by continuous contact with the disabled and their participation in voluntary services in the dimension of individual or school will be important and also the various practical methods such as enlightenment movement and supply of right information through mass communication should be sought.

A Study on the Contamination of Solution with Suction used in Tracheostomy Patients (기관지절개술 환자의 흡인시 사용하는 용액의 오염수준 변화 연구)

  • Lim Yun-Hee;Yu Kwang Soo
    • Journal of Korean Public Health Nursing
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    • v.12 no.2
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    • pp.185-200
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    • 1998
  • It has been contributed to public health that the hospital has multiplied in the aspect of number and has been a large size with development of modern medical science, meanwhile the problem of hospital infection is coming out seriously. Respiratory hospital infection among hospital infections develops, very commonly from patients having taken the operation of intubation or tracheostomy, which results from a big factor that the infection developed from medical appliances used for respiration aids, contamination of solution and infection of medical staff. This study is separated into four steps-the time to use normal saline and distillation water for storaging catheter which are the cause of the infection of solution to store distillation water and catheter, not to say the catheter used when the patient who should get tracheostomy operation takes suction. The purpose of this study is to offer the basic data which are needed to check contamination degree as time goes by and nurse intervention and grope for a new nursing intervention. The target of this study is hospitalized 1D an intensive care unit having 700 sickbeds which is located in IKSAN city and it targeted patients before 7 days passed after an operaion of a tracheostormy. Materials collected were analyzed by SPSS PC+ figures program. The result of this study were as follows ; 1. The gradual contamination levels of the normal saline used In suction are showing that colony increase in proportion to the length of time. 2. while colony increases in normal saline with the lapse of time. distillation water mixed with 5cc of potadine did not show any sign of the formation of colony from its preparation until it was used for 8 hours. 3. Such variables as the period of intubation insertion. the length of hospitalization in I.C.U. the age and the level of contamination of normal saline have no inter-relationship. Therefore. as the length of normal saline used In suction. the contamination level increases with the excelleration of the contamination speed. 4. Regarding the number of suction and the contamination level of the normal saline. We can observe correlation contamination level in the 3 step of suction(mean value:13.4) and the saline which was used for one hours(r=0.702. P=0.00l). four hours(r=0.694. P=0.00l). eight hours(r=0.488. P=0.029). Further we can observe contamination in the 4 step of suction (mean value: 17 .8) well as saline used for eight hours; [for one hours (r=0.64l. P=0.002). four hours (r=0.670. P=0.00l). eight hours (r=0.57 4. P=0.008)]. Thesedays clinics use normal saline by changing it. three times a day. however. the timing of saline change and the current suction methoed should be changed given the one hour used normal saline contamination number 79.850. Regarding the number of suction and the contamination lend of the normal saline.

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A study on the nursing needs of postpartum women during the postpartum period (산욕기 산모의 간호요구 조사)

  • Kim Myoung Hee;Lee Seong Eun
    • Journal of Korean Public Health Nursing
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    • v.12 no.2
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    • pp.122-135
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    • 1998
  • This study was carried out to understand the nursing needs of postpartum women during the postpartum period. The goal of study was to obtain data needed to develop maternal education programs and to improve the nursing quality for postpartum women. A cross-sectional survey design was employed in this study. The subjects were 101 postpartum women who had delivery at 2 general hospitals in Chung-Buk. Korea. Data were collected from Sep. 29 to Nov. 28. 1997 by means of a structured questionnaire. The instrument used for this study was the one which was consisted of revised Maternal Concerns Questionnaire (MCQ) developed by Bull (1979). The data were analyzed through the SPSS/PC+ program by use of frequency, t-test and ANOVA. The results of the study were as follows; 1) The mean score of concerns about 'self' was 2.98 for primipara and 2.80 for multipara but was not statistically significant difference. Among the items of concerns 'for self', 'Being good mothers' was the highest (primipara 3.93. multipara 3.75). 2) The mean score of concerns about 'baby' was 3.64 for primipara and 3.53 for multipara but was not statistically significant difference. Among the items of concerns 'for baby', 'Normal growth and development' was the highest (primipara 3.91. multipara 3.90). 3) The mean score of concerns about 'husband' was 3.33 for primipara and 3.06 for multipara and was statistically significant difference (t=2.11. p=0.03). Among the items of concerns 'for husband', 'Husband being a good father' was the highest (primipara 3.87, multipara 3.77). 4) The mean score of concerns about 'family' was 2.65 for primipara and 2.80 for multipara but was not statistically significant. Among the items of concerns 'for family', 'Change in the family's lifestyle' was the highest(primipara 3.01, multipara 2.93, t=-1.99, p=0.04). 5) The mean score of concerns about 'community' was 2.48 for primipara and 2.42 for multipara but was not statistically significant. Among the items of concerns 'for community'. 'Getting to health care facilities' was the highest (primipara 2.48, multipara 2.42). 6) On considering the relationship between the postpartum women's nursing needs and their general characteristics, 'regularly antenatal care' was statistically significant (t=2.29. p=0.02). In conclusion, recognition of maternal concerns can be used by nurses to identify nursing diagnoses and to develop care plans that reflect the patient's priorities.

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The Relationship among Percieved Social Support, Hope and Quality of Life of Cancer Patients (암환자가 지각한 사회적지지, 희망과 삶의 질과의 관계)

  • Tae, Young-Sook;Kang, Eun-Sil;Lee, Myung-Hwa;Park, Geum-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.219-231
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    • 2001
  • The purpose of this study was to investigate the relationship among percieved social support, hope and quality of life of the cancer patients and to gain the baseline data for development of nursing intervention program for promoting quality of life in cancer patients. The design of this study was a cross sectional correlational survey. The subjects were 220 out and in-cancer patients in 5 general hospitals in Pusan. The data were collected from July 2 to August 1, 2001. The instruments were the Percieved social support scale(16 items, 5 point scale) had developed by Tae(1986), Hope scale(12 items, 4point scale) developed by Nowotny(1989) and Quality of life scale(31 items, 10 point scale) developed by Tae et al.(2000). The data was analyzed by the SPSS/PC+ program using frequency & percentage, item mean & standard deviation, t-test, ANOVA & Scheffe test, Pearson's correlation coefficient. The results of this study was as follows: 1) The item mean score of quality of life was $6.05{\pm}1.16$ (range 0-10). The highest score of subarea of the quality of life was the spiritual wellbeing area ($7.09{\pm}1.63$) and the lowest score was social wellbeing area ($5.53{\pm}1.65$). The mean score of perceived social support was $52.65{\pm}10.32$ (최저 1, 최고 80). The mean score of family support was $32.71{\pm}6.66$ (range 1-40) and the mean score of medical team support was $19.93{\pm}5.95$ (range 1-40). The mean score of Hope was $37.02{\pm}5.64$ (range 1-48). 2) There were statistically significant difference in the score of quality of life according to the life effect of religion(F=3.97, p=0.00), treatment method(F=2.94, p=0.01), area of diagnosis(F= 3.48, p=0.01), stage of disease (F=13.74, p=0.00). 3) There was significant correlation between perceived social support(r=0.44, p=0.000 ; family support ; r=0.334, p=0.000, medical support; r=0.395, p=0.000), hope(r=0.563, p=0.000) and quality of life. In conclusion, there was a significant relationship among perceived social support, hope and quality of life. Therefore perceived social support, hope intervention programs should be developed to improve the quality of life in cancer patients.

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Tyrosinase Inhibitory Activity and Neuronal Cell Protection of Hydrothermal Extracts from Watermelons (수박 열수 추출물의 Tyrosinase 저해능과 신경세포 보호효과)

  • Heo, Da-Jeong;Kim, Su-Jung;Choi, Ae-Ran;Park, Hae-Ryong;Lee, Seung-Cheol
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.10
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    • pp.1707-1711
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    • 2013
  • In our study, each part (flesh, white rind, and green rind) of watermelon was extracted using hydrothermal extraction method at temperatures ranging from 100 to $300^{\circ}C$ at the intervals of 10, 30, and 60 min. We found that hydrothermal treatment has a significant bearing not only on tyrosinase inhibitory activity but also on neuronal cell protection of watermelon parts. The peak tyrosinase inhibitory activity (about 93%) was observed in both the flesh and green rind extracts at $300^{\circ}C$ for 60 min. In addition, we observed that hydrothermal extracts of watermelon parts at $300^{\circ}C$ for 60 min also evidenced significant protection effect for neuronal cell against $H_2O_2$ in a concentrationdependent manner. The results of this study confirm that hydrothermal treatment may be an efficient processing method for the purpose of obtaining potent bioactive substances from watermelon.

The Effects of Muscle Relaxation to The Rheumatoid Arthritis Patients' Adaptation (류마티스성 관절염 환자의 적응에 미치는 근이완술에 효과)

  • Jung, Hyan-Mi
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.31-47
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    • 1994
  • The purposes of this research are to examine the effects of muscle relaxation to the rheumatoid arthritis patients' physiological, psychological, and social adaptation, and to verify that the technique Is an effective tool for improving the patients' adaptation. This research utilized a qusi-experimental design that compares the pre-experiment measures and the post-experiment measures. The subjects of this study were 37 out-patients who were diagnosed for rheumatoid arthritis in P university hospital and K clinic between September 12, 1993 and November 30, 1993. The experimental group consisted of patients treated on Monday, Wednesday and Friday. The control group consisted of patients treated on Tuesday, Thursday and Saturday The pre-experimental survey utilized the following tools. The physiological adaptation was measured by a graphic rating scale for pain and activity of daily living. The psychological adaptation was measured by Zung's depression scale and Rosenberg's self-esteem scale : and the social adaptation was measured by Derogatis' psychosocial adjustment scale. The experimental group received muscle relaxation treatment for 15 minutes per day for the period of 2 weeks, the control group received no treatment and had quiet time. The post-experiment measurement was carried out similar to the pre-experiment survey, SPSS $PC^+$ is used to analyze the collected data. The reliabilities of the measurement tools were examined by Cronbach's ${\alpha}$ coefficients. The homogeneities between the experimental and control groups were tested by t-test and chi-square test, hypotheses were tested by t-test. This research found that the general characteristics between the groups were statistically homogenious. The physiological, psychological, and social adaptation between the groups in the pre-experimental survey were also statistically homogenious. The results of this research can be summarized as follows : 1. Concerning the Physiological adaptation, the experimental group showed a statistically lower pain score than the control group. Thus, muscle relaxation was effective to relieve the pain of rheumatoid arthritis patients (t=-2.95, p=.006). 2. Concerning the psychological adaptation, the experimental group showed a statistically lower depression score than the control group. Thus, muscle relaxation was effective to reduce the patient's depression(t=-4.00, p=.001). 3. Concerning social adaptation, the experimental group showed a statistically higher score for the health maintenance and disease control than the control groups. Thus, muscle relaxation was effective for the health maintenance and disease control (t=2.09, p=.004). This research showed that the muscle relaxation is a nursing intervention that can promote the physiological, psychological and social adaptation of the rheumatoid arthritis patients in terms of short-term and cognitive changes. However, more fundomental changes in behavior and long-term physiology could not be found through such a short-term relaxation treatment.

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Effect of Curcuma longa Hot Water Extract on Activity of Neuronal Cells Related to Oxidative Stress (산화적 스트레스와 관련하여 신경세포의 활성에 미치는 강황 열수추출물의 영향에 대한 연구)

  • Chae, Yong-Byung;Chung, Kyung-Tae;Kim, Sung-Goo;Yoo, Byung-Hong;Kim, Moon-Moo
    • Journal of Life Science
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    • v.22 no.5
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    • pp.657-664
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    • 2012
  • The aim of this study is to screen a therapeutic agent with a cognitive function. The inhibitory effect of $Curcuma$ $longa$ hot water extract (CLWE) on the angiotension-converting enzyme and acetylcholinesterase derived from rabbit lungs and neural cells (PC12), as well as its antioxidant effect, was investigated in this study. Thus, for the first time, the direct scavenging effect of CLWE on DPPH radicals, superoxide anions, hydroxyl radicals, lipid peroxidation, reducing power, and the protective effect of DNA oxidation related to oxidative stress was evaluated in vitro. In addition, it was observed that CLWE especially exhibited a scavenging effect on reducing power and superoxide anions in this study. CLWE showed a protective effect on DNA oxidation produced by hydroxyl radicals. Furthermore, CLWE inhibited the activity of angiotensin-converting enzymes above 0.25%. Additionally, the extract inhibited oxidative stress and inducible nitric oxide in neuronal cells. Therefore, these results demonstrated that CLWE has antioxidant activity and neuronal cell protective effects, suggesting that it may have great potential as a natural source for human health.

Behavioral changes of dental hygiene course students according to oral health knowledge (치위생과 학생의 구강건강 지식과 행동변화)

  • Lee, Eun-Kyoung;Nam, Young-Ok;Kim, Seol-Ak;Kim, Min-Ji;Han, Dong-Hun;Kim, Jin-Bom
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.715-725
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    • 2009
  • Objectives : The purpose of this study was to analyze the influence which the professional dental hygiene education has on the knowledge and behavioral change for oral health to the students in the departments of dental hygiene. Methods : 771 students in the first grade and 646 students in the third grade who were attending the departments of dental hygiene from 12 colleges in Korea were surveyed. The self-administered questionnaires were distributed to the students in the colleges during May and asked them to answer the questions and then recovered them on the spot. The collected questionnaires were analyzed by using a SPSS/PC program and the difference of significance depending on the group of the students was tested by Chi-square test or Fisher's exact probability test. Results : In the number of eating snacks by the students during one day, 2-3 times was the highest, irrespectively of the grade. The rate of the students brushing their teeth after snack was higher in the third-grade students(34.8%) than in the first-grade students(20.8%). As the path of acquiring oral health knowledge, all of the first-grade and third-grade students replied that their school classes had impacted them the most. The rate of toothache experience was a higher tendency in third-grade students compared to the first-grade students(p=0.116). The rate of gingival bleeding experience was lower in the third-grade students than in the first-grade students. The rate of oral prophylaxis experience was higher in the third-grade students than in the first-grade students. In the smoking rate, there was lower in the third-grade students than in the first-grade students. The rate of acknowledging smoking hazard to the periodontal health was higher in the third-grade students than in the first-grade students. Conclusions : This study revealed that the third-grade students of dental hygiene departments who were majoring in dental hygiene had a higher perception of oral health than the first-grade students whose the dental hygiene education period was short.

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The Effects of Physical Function Level and Intensity of Treatment for Rehabilitation on Improvement of Physical Function in Children with Cerebral Palsy: Follow-up Study for 6 Months (뇌성마비 아동의 신체 기능수준과 재활 목적 치료 강도가 신체 기능향상에 미치는 영향: 6개월간 추적연구)

  • Kim, Bu-Young;Yun, Young-Ju;Shin, Yong-Beom;Kim, Soo-Yeon;Oh, Tae-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.27-38
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    • 2018
  • PURPOSE: The purpose of this study was to find out the treatment patterns of Children with cerebral palsy, and to analyze the effect of physical function level and treatment intensity on improvement of physical function in children with cerebral palsy for six months. METHODS: Participants were 126 children (boys 83, girls 43) diagnosed cerebral palsy that the mean age was at 33months, ranged from 8 months to 77 months. We collected data related on demography and disable characteristic, treatment pattern using by questionnaire constructed ourselves for six months on caregivers. The treatment pattern includes, type, frequency, and institute of treatment. We performed the evaluation of Gross Motor Function Measurement (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) between pre and post for six months in order to find out improvement of physical function. We analyzed the effect of physical functional level measured by Gross Motor Functional Classification system, age, treatment intensity on physical function using by repeated measures ANOVA for SPSS PC ver. 22.0. RESULTS: The average of treatment frequency for physical therapy was 5.74 times per week, occupational therapy was 3.96 times, speech therapy was 2.96 times, treatment for accompanying disability was 3.12 times. Physical function level and age was significantly factors affecting improvement of physical function, there was no significant difference according to treatment intensity. CONCLUSION: We suggest that physical function and age might be important factors on improvement of physical function and professional rehabilitation team must consider the appropriate treatment type customized to each children.

The Relationship Between Smoke-Yields and Tipping Materials of the Cigarette (담배 연기발생과 Tipping 재료와의 상관성 연구)

  • Kim, Young-Hoh;Lee, Young-Taek;Kim, Sung-Han;Kim, Chung-Ryul;Kim, Jong-Yeol;Shin, Chang-Ho;Lee, Keun-Hoi
    • Journal of the Korean Society of Tobacco Science
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    • v.20 no.1
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    • pp.131-138
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    • 1998
  • In order to minimize the trial frequency in the new filter cigarette design, we studied the relationship between smoke yield and tipping materials of cigarette. A three levels full factorial design involving filament denier (X1,2.5-3.3d), Porosity of the acetate filter plug wrap (X2, 3,500-16,000CU) and porosity of the tip paper (X3, 400-1,200CU) was used. Three independent factors (Xl, X2, X3) were chosen for their effects on the various responses and the function was expressed in terms of a quadratic polynomial equation, Y : $\beta$o + $\beta$1Xl + $\beta$2X2 + $\beta$3X3 + $\beta$11Xl2 + $\beta$22X22+ $\beta$33X32 + $\beta$12X1X2 + $\beta$13XIX3 $\beta$23X2X3 which measures the linear, quadratic, and interaction effects. Twenty-nine trial numbers were obtained as a results of using a three levels full factorial design and it was analyzed by the multiple regression analysis with backward stepwise in STATISTICA/pc under restricted conditions. Tar yields of the cigarette was affected by porosity of tip paper (0.66), filament denier (0.47) and porosity of plug wrap (0.28) in the decreasing order, and linear effect of tip paper porosity (B3) and filament denier (91) were significant at a level of 0.01($\alpha$). The filament denier and tipping paper porosity interaction F ratio among three factors had a P-value of 0,000041, indicating higher interaction between these factors. Based on the analysis of variance, the model fitted for Tar (Y1) was significant at 5% confidence level and the coefficient of determination (0.96) was the proportion of variability in the data fitted for by the model.

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