• Title/Summary/Keyword: 낮병원

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Ethical Dilemma and Professionalism of Long-term Care Hospital Nurses (요양병원 간호사의 윤리적 딜레마와 전문직업성)

  • Choi, Eun-Young
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.153-163
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    • 2018
  • The purpose of this study was to investigate nurses' ethical dilemma and professionalism in long-term care hospitals. Participants in this study were 210 nurses working in 14 long-term care hospitals. Data analysis was done using SPSS / WIN 24.0 program. As a result of this study, the ethical dilemma of the nurse was moderate. The highest sub-area was 'nurse-patient relationship' and 'respect of life and human rights' was the lowest sub-area. The professionalism of the subjects was moderate, and the score of 'sense of mission' area was the lowest. Nursing ethics guidelines should be developed that reflect the ethical dilemma of nurses in long-term care hospitals, and will provide the right values for the ethical dilemma that nurses face in their workplace. When planning the nurses' professionalism education, it is necessary to have a strategy to enhance the sense of mission by emphasizing beliefs and values about nursing care.

Precautions and Suggestions for Transcranial Doppler Ultrasonography (뇌혈류초음파검사에서의 주의사항 및 제안)

  • Kun-Woo KANG;Eui-Jeong LEE;Hyun-Kyung LEE;Eun-Son LEE;Yang-Hee LIM;Hyung-Tae HAN
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.219-226
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    • 2023
  • Transcranial doppler ultrasonography (TCD) applies a low frequency of 2 MHz to measure the blood flow velocity and waveform within the skull. Medical technologists at several hospitals are conducting these examinations, and education is being imparted in many schools and academic societies. However, the skill of the tester is of utmost importance when performing TCD. Technicians who are conducting the procedure for the first time have trouble locating the blood vessels, and some experienced personnel are worried because too many blood vessels are present. Since this procedure does not directly look at and measure blood vessels, there are several limitations and difficulties. Therefore, this study aims to provide some help by introducing precautions and suggestions for TCD technicians conducting the test.

Metastatic Renal Cell Carcinoma Manifesting as a Gastric Polyp on CT: A Case Report and Literature Review (CT상 고혈관성 위용종으로 보이는 전이성 신세포암: 증례 보고 및 문헌 고찰)

  • Hyun Jin Kim;Beom Jin Park;Deuk Jae Sung;Min Ju Kim;Na Yeon Han;Ki Choon Sim;Yoo Jin Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.425-431
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    • 2022
  • Gastric metastasis from renal cell carcinoma (RCC) is extremely rare, occurring in 0.2% of all RCC cases. Owing to its low prevalence, metachronous gastric metastasis from RCC may be underdiagnosed, and the imaging findings have not been well-established. Herein we present a case of metastatic RCC manifesting as a gastric polyp in a 70-year-old female along with a literature review on the imaging findings of gastric metastases from RCC. In patients presenting with gastric hyper-enhancing polypoid masses, metastasis from RCC should be considered as a differential diagnosis.

Influence Factors on Health of Dental Hygienist by Dental Office's Indoor Air Quality (치과위생사의 병원실내공기질에 의한 건강영향요인)

  • Park, Myung-Suk;Choi, Mi-Suk;Ji, Dong-Ha
    • Journal of dental hygiene science
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    • v.8 no.1
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    • pp.35-42
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    • 2008
  • This survey was compared and analyzed about the primary factor that dental office's working environment effect on physical subjective symptom and based on self-filling survey, 656 dental hygienists on July through August 2006, and analyzed using descriptive statics, ANOVA and Multiple Regression Analysis. The result of satisfaction degree of hospital working environment was pretty low about office air condition. Most people have complained that office's air quality makes it difficult to their work and mentioned that they were sore and dull all over the back, shoulder, and neck. The odor is major factor to be satisfied with office environment. Proper ventilates the way open the window more often was essential to maintain fresh indoor air quality and keep the extraction materials by separator and sealing tightly for remove the odor. Other factors were temperature, lighting fixture, ventilation facilities, and freshness of air. Dental hygienist was unsatisfied with hospital air condition and this polluted air condition was the cause of physical subjective symptom in work place. Furthermore, this research would be applied for improvement of working environment by decreasing of indoor air pollution.

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A Study on the Dental Hygienists' Reactions to Noise When Occurred in Dental Clinic (치과병원에서 발생하는 소음에 대한 치과위생사의 반응)

  • Choi, Mi-Suk;Ji, Dong-Ha
    • Journal of dental hygiene science
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    • v.9 no.4
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    • pp.453-459
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    • 2009
  • The purposes of this research were to evaluate the relationships of between characteristics of noise and annoyance of dental hygienist by noise in dental clinic. To investigate the dental clinic workers' reactions to noise when occurred in dental clinic, the noise level test in dental clinic and questionnaire were taken. As a result of noise evaluation, It shows that the range of noise level was 67.7~78.3dB(A) and frequency was very high (more than 4KHz). It's seem to be begins occurrence of stamina-loss, contraction of peripheral blood vessel, decrease of adrenocortical hormones. Most of respondents were affected by noise: 67% of respondents were nervous about noise and the rest of respondents were bearable. Analysis by NR-curve showed that it was exceed the noise permit level in working space. As a result of correlation - test, the more exposed dental hygienist to noise, the more felt the unpleasantness and fatigue. It's hard to sufficient explanation to patients about the dental treatment. So it's thoughts that insufficient explanation will negative impact on the patients' satisfaction and increase competitiveness in dental clinics. To remedy a unpleasantness and fatigue of noise in dental hygienist, it's considered that making an offer the ear protection and choosing the low noise-vib. equipment and using the masking effect. Therefore, It can be provide a pleasant working environment with dental hygienist and It will have a great advantage to dental clinics to improve their competitiveness.

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Biologic rationale of cancer treatment with hyperthermia (고온온열치료장치를 사용한 종양치료의 생물학적 원리)

  • 김명세
    • Proceedings of the Korea Electromagnetic Engineering Society Conference
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    • 1999.07a
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    • pp.47-55
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    • 1999
  • 고온온열치료는 radiofrequency, ultrasound , microwave, 원적외선 등을 이용하여 신체의 부분 혹은 전신을 4$0^{\circ}C$ 이상으로 가열하여 암을 치료하는 방법이다. 우리나라에 도 입된 15기의 기계중 현재까지 사용되고 있는 것은 대부분이 radiofrequency를 사용하는 기 계이며 현재 고신의대, 동아의대, 부산메리놀병원, 여의도 성모병원, 영남의대, 전주예수병원 등에서 환자치료에 사용하고 있다. 고온 온열치료제(hyperthermia)는 직접 암세포를 죽이는 작용, 방사선치료나 항암제치료와 병행하여 그 효과를 증강시키는 작용으로 크게 나눌수 있 다. 직접 암세포를 죽이기 위하여는 43$^{\circ}C$이상의 고온을 사용하여야 하나 인체에서는 42.5$^{\circ}C$ 이상으로 가온하기가 쉽지않아 4$0^{\circ}C$~42$^{\circ}C$ 정도의 온도에서 방사선 치료나 항암제 치료효과 를 증진시키는 작용을 임상에서 주로 사용하고 있다. 특히 방사선 치료와 병합 사용시 그 효과가 뛰어나 간암, 난소암, 대장 직장암, 식도암, 위암, 자궁암, 전립선안, 췌장암, 폐암등, 거의 모든 암에서 부작용을 증가시키지 않으면서 그 효율을 1.1-6.14배나 증가시킨다고 보 고되고 있어 지난 10여 년간 제자리걸음을 하고 있는 암의 치료에 희망을 주고 있다. 방사 선 치료와 병합시 효과를 증대시키는 기전은 1)세포의 핵 합성기 (S-phase)는 방사선 치료 에는 매우 저항력이 강하여 잘 죽지 않으나 고온온열치료에는 예민함으로 암세포는 정상조 직에 비해 산소가 부족하여 염기성대사(anaerobic metabolism)를 많이 함으로 그 부산물인 유산 (lactic acid)이 많이 생성됨으로 정상조직보다 pH가 낮아 암 조직이 정상조직에 비해 고온온열치료에 더 잘 듣는 원인이 된다. 3) 영양이 부족한 상태의 세포는 고온온열치료에 훨씬 예민하다. 4) 암조직은 혈관상태가 정상조직에 비해 좋지 않음으로 정상조직보다 쉽게 가온이 되며, 일단 가온된 온도는 잘 식지 않음으로 정상조직에 비해 훨씬 효율적이다. 5)고 온온열치료는 4$0^{\circ}C$~43.5 $^{\circ}C$정도에서만 이 작용이 일어남으로 정상인체에서 43$^{\circ}C$이상의 가온 은 쉽지 않음으로 이 효과는 암조직에서 주고 일어나게 된다. 6)고온온열치료는 방사선치료 후에 생기는 손상의 재생을 억제함으로 방사선의 치료효과를 높인다. 7)38.5$^{\circ}C$~41.5$^{\circ}C$의 낮 은 온도에서도 암조직의 산소 상태를 호전시켜 방사선 치료효과를 증대시키는 역할을 한다.

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Effect of Turfgrass Height and Aeration on Pathogenicity of Entomopathogenic Nematodes to White Grubs in Golf Courses (골프장에서 잔디의 예고와 통기작업이 곤충병원성선충의 굼벵이 방제효과에 미치는 영향)

  • Lee Dong-Woon;Choi Woo-Geun;Lee Sang-Myeong;Choo Ho-Yul;Kweon Tae-Woong
    • Korean journal of applied entomology
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    • v.45 no.1 s.142
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    • pp.67-74
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    • 2006
  • Korean entomopathogenic nematodes were introduced into cultural management of turfgrasses to enhance white grub control in golf courses for saving labour and expenses and contribution to giving safe playing and working places for golfers and superintendents by environmentally friendly control strategy. The turfgrass height influenced efficacy of entomopathogenic nematodes. Efficacy was higher at short turfgrass both in pot using Galleria mellonella larvae and in golf courses using 2nd instar of Exomala orientalis and Ectinohoplia rufipes as baits. Aeration increased the efficacy of entomopathogenic nematodes which were lower virulent. Pre-aeration was more effective than post-aeration. Exomala orientalis larval population was reduced 80.4 and 66.0% in the pre-aeration and post-aeration with entomopathogenic nematode, Steinernema carpocapsae Pocheon strain compared to 35.4% in the no aeration treatment.

Risk Factors for Depression of Patients with Tuberculosis in Tuberculosis Specialty Hospital (결핵전문병원에 입원한 결핵환자의 우울증위험인자)

  • Wang, Jung-Hyun;Park, Chul-Soo;Kim, Bong-Jo;Lee, Cheol-Soon;Cha, Boseok;Lee, So-Jin;Lee, Dongyun;Seo, Ji-Yeong;Ahn, InYoung;Baek, Jong Chul;Kang, Hyung Seok;Moon, Sung Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.114-120
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    • 2015
  • Objectives : This study aimed to investigate the risk factors of depression for patients with tuberculosis(TB). Methods : A total of 57 patients with TB were recruited. All participants completed the Becks Depression Inventory-II for evaluating depressive symptoms. The risk factor for depression was analyzed by binary logistic regression analysis. Nomogram was performed for probability of depression. Results : Low body mass index(BMI, OR 0.801, 95% CI 0.65, 0.98), interruption of treatment for TB(OR 5.908, 95% CI 1.19, 29.41), past history of depression(OR 24.653, 95% CI 1.99, 308.44) were associated with increased risk for depression. The calibration curve for predicting probability of survival showed a good agreement between the nomogram and actual observation(Original C-index=0.789, bias corrected C-index=0.754). Conclusions : The result of the present study indicate that low BMI, interruption of treatment for TB, and past history of depression were risk factors for depression in patients with TB. The psychiatric intervention may be needed to prevent depression if the patients with TB have risk factor during treatment for TB.

Relationship of job-satisfaction due to Radiographer's Job-Characteristics and Job-Stress (방사선사의 직무특성 및 직무스트레스에 따른 직무만족도의 관계)

  • Lee, Mi-Hwa
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.408-415
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    • 2015
  • This study investigated the job-satisfaction of the Radiographer's job-characteristics and job-stress. A total of 213 Radiographer were surveyed using a self-administered questionnaire. The 105 questionnaires consist of general characteristics, job characteristics, occupational stress, and job satisfaction. The job satisfaction was categorized into 3 sub-scales; psychological variables, environmental variables, and structural variables. The occupational stress was categorized into 8 sub-scales; physical environment, job demand, insufficient job control, interpersonal conflict, job insecurity, organizational system, lack of reward, and occupational climate. 30 years old than 30 years later, people are highly rewarding than a low person, this person is lower than people with high sense of duty, place the larger the size of Seoul, hospital than fat, than people who do not have turnover intention this, job insecurity, organizational structure, inadequate compensation, workplace culture, physical environment, people with low job satisfaction is higher than men were. As such there is a need to identify the cause because otherwise indicated differences in job satisfaction.

A plan to Improve the Ratio of CPR done by the General Public using Smart-phone Location-Based Service APPs (스마트폰의 위치기반서비스 앱을 활용한 일반인 심폐소생술 시행률 향상방안)

  • Han, Seungtae
    • Journal of the Society of Disaster Information
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    • v.11 no.2
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    • pp.183-190
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    • 2015
  • When patients have acute cardiac arrest before they are hospitalized, the ratio of CPR done by the general public is directly related to patient survival ratio. However, compared with that of advanced nations, our nation has low patient survival ratio due to its low ratio of CPR done by the general public. To improve this situation, the current study conducted a pre-survey targeting 3,800 general public to find how to apply an emergent medical system using smart phone location-based service. According to its outcome, first, they have a high level of CPR experience while their recognition of CPR generality is low. Second, their self-confidence in doing CPR significantly differ according to their age, academic achievement and occupation yet with generally low self-confidence. Third, their participation in the emergent medical system using location-based service APPs is high, and has co-relation to their will for CPR, self-confidence in CPR and experience in CPR training.