• Title/Summary/Keyword: 성심

Search Result 521, Processing Time 0.026 seconds

Tricuspid Valve Endocarditis (삼첨판막 심내막염)

  • 문광덕;김대영
    • Journal of Chest Surgery
    • /
    • v.29 no.4
    • /
    • pp.440-443
    • /
    • 1996
  • Some tricuspid valve endocarditis can be controlled effectively with specific antibiotic treatment. However, surgical intervention Is necessary when there are continuing sepsis, moderate or severe heart failure, multiple pulmonary emboli, and echocardiographycally demonstrated vegitations. We are repoting a 19 year-old male patient who was admitted for the treatment of infective endocarditis. He previously had an operation for ventriculer septal defect (perimembranous type) about 9 years ago . An echocardiogram showed a large vegetation on the anterior cusp area and a left to right shunt through VSD, which was previously closed with dacron patch. A valve replacement in addition to antibiotic therapy was recommended for the patient. The patient underwent on operation : tricuspid valve replacement was done with 51. Jude medical valve prosthesis (33 mm), and in addition to above procedure, removal of vegetation and direct closure of VSD were done Postoperative echocardiogram showed that replaced tricuspid valve functioned well and vegeta ion and shunt flow were not observed. The patient recovered without complication and discharged at Postoperative day 25. Early aggressive surgical intervention is indicated to optimize surgical results, and this case seems to be a typical right sided bacterial endocarditis, which is caused by residual VSD. We are reporting a case of tricuspid valve endocarditis with a review of the literature. (Korean J Thorax Cardiovasc Surg 1996 ; 29: 440-3)

  • PDF

Risk assessment and variety registration of transgenic crops (형질전환작물의 위해성평가와 품종등록)

  • Lee, Keun-Pyo;Kim, Dong-Hern;Kweon, Soon-Jong;Baek, Hyung-Jin;Ryu, Tae-Hun
    • Journal of Plant Biotechnology
    • /
    • v.35 no.1
    • /
    • pp.13-21
    • /
    • 2008
  • Final regulatory steps for commercialization of transgenic crops are risk assessment and variety registration. The risk assessment of transgenic crops requires broad network of scientists, high cost and long term. Developers of transgenic crops, therefore, face to additional challenges to consider theoretical and strategic aspects on risk assessment. The general concept for risk assessment of genetically modified organisms was derived from chemical risk assessment. Due to the complexity of organisms, however, comparative approaches that are substantial equivalence and familarity have been developed. In practical view, the integration of risk assessment is more difficult than the evaluation of each risk factors involving gene flow, toxicity and allergenicity. Variety registration of transgenic crops requires the results of risk assessment compared with non-GM crops and agronomic data analyzed with standard varieties. For economic and fast commercialization, risk assessment process should combined with condition of cultivation test for variety registration.

Relationship of Children's Perception of Mothers' Parenting Attitude to Self-esteem and School Adjustment in Children with Congenital Heart Disease (선천성심장병 아동이 인지한 어머니의 양육태도와 자아존중감과 학교생활 적응과의 관계)

  • Lee, Hye-Jung;Yoo, Il-Young;Kim, So-Sun
    • Child Health Nursing Research
    • /
    • v.17 no.2
    • /
    • pp.84-90
    • /
    • 2011
  • Purpose: The main purpose of this study was to describe the relationship of mothers' parenting attitude as perceived by the child to self-esteem, and school adjustment of school age children with Tetrology of Fallot (TOF). Methods: In this study a self-administered questionnaire survey was used to collect the data. The participants included 38 children who were registered in a pediatric cardiology clinic in one tertiary medical center. Their ages were between 11 and 15 years. They were diagnosed with TOF, and had no other congenital problems. Data were collected from November 1 to November 30, 2009. After obtaining telephone consent from the mothers and children, questionnaires were mailed to 64 participants and 38 questionnaires were returned. Data were analyzed using Statistical Package for the Social Sciences (SPSS) WIN 15.0 version. Results: There was a significant correlation between perceived parenting attitude, self-esteem, and school adjustment of children with TOF. Conclusion: Children who perceive their mothers' parenting attitude to be more positive also report higher self-esteem and better school adjustment. These findings are similar to other studies done with healthy school age children. However, parents of children with TOF may require different parenting approaches to foster positive self-esteem and school adjustment.

The Trend and Issues of Nursing Research Related to Ischemic Heart Disease Published in Korea (허혈성심질환 관련 국내 간호연구 동향)

  • Lee, Jong-Yul;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
    • /
    • v.8 no.1
    • /
    • pp.89-102
    • /
    • 2003
  • This study attempted to analyze the trend of studies related to IHD(Ischemic Heart Disease). This article reviewed 102 researches on IHD conducted from 1980 to 2003, by examining them according to their characteristics, such as sources by publication period, research design, nursing intervention, outcome of experimental research, and theme of qualitative research. The results were as follows : 1. The number of studies related to IHD has steadily increased year by year since 1985, and that of the articles was the highest during the post-2000 period. Especially, the majority of researches has published since 1995. 2. The 69 studies were degree of all 102 studies related to IHD, and the majority of articles' authors belonged to graduate school. Thirty three studies were non-degree articles. As for study design, the number of quantitative studies were 99 and that of qualitative studies were 3. Non-experimental research design were largely survey and correlational study. 3. Non-experimental study makes up a high proportion of the quantitative study. The most of experimental studies were accomplished after 2000. The main subjects were patients, chart records and general subjects. The majority number of subjects was like this : while the number of non-experimental study was between 51 and 100, that of experimental study was below 50. The number of subject of qualitative study is like this : the number of phenomenology study was 21 and 11, and that of case study is 14. 4. Nursing interventions used in the experimental study comprised teaching program, cardiac rehabilitation program, massage, relaxation, music therapy and providing of sense information. And the most nursing intervention effects included physiological effect, increased self-efficacy, relieved pain and increased quality of life. Most studies proved to have the affirmative effects. 5. The number of qualitative studies related to IHD is like this : the number of degree articles was 2 and that of non-degree articles was 1. Its themes included resources of hope, the experience of coronary artery angiography and the experience of admission at ICU(Intensive Care Unit).

  • PDF

The Relationship Between Socioeconomic Position and the Predicted Risk of Ischemic Heart Disease with Using Health Risk Appraisal (허혈성심질환 예측모형을 이용한 사회경제적 위치와 허혈성심질환 위험도의 연관성)

  • Koh, Dong-Hee;Han, Sun-Shil;Jee, Sun-Ha;Kim, Hyoung-Ryoul
    • Journal of Preventive Medicine and Public Health
    • /
    • v.39 no.4
    • /
    • pp.359-364
    • /
    • 2006
  • Objectives: The object of this study is to assess the relationship between socioeconomic factors and the predicted 10-year risk of cardiovascular disease by using health risk appraisal of ischemic heart disease. Methods: The study population was taken from The 2001 Korea National Health and Nutrition Survey, and it consisted of 1,566 men and 1,984 women aged 30-59. We calculated 10-year risk using the risk function of ischemic heart disease as developed by Jee. The educational level and equivalized household income were dichotomized by a 12 years education period and the median income level. Occupation was dichotomized into manual/non-manual work. We stratified the population by age(10 years) and sex, and then we rated the risk differences according to socioeconomic factors by performing t-tests for each strata. Results: There were gradients of the predicted 10-year risk of ischemic heart disease with the educational level and the equivalized household income, and thet was an increasing tendency of risk differences with age. Manual workers didn't show significant risk difference from non-manual workers. Conclusions: There was definite relationship between low socioeconomic position and the predicted risk of ischemic heart disease in the future.

The Influence of Compassion Fatigue, Compassion Satisfaction and Nursing Organizational Culture on Burnout in Integrated Nursing Care Units Nurses (간호·간병 통합서비스 병동 간호사의 공감피로, 공감만족 및 간호조직문화가 소진에 미치는 영향)

  • Kim, Mi-Soo;Shin, Dong-Soo;Choi, Yong-jun;Lee, Jongeun;Lee, Youn-Jung
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.9
    • /
    • pp.684-695
    • /
    • 2021
  • The purpose of this study was to identify the influence of compassion fatigue, compassion satisfaction and nursing organizational culture on burnout in integrated nursing care units nurses. The participants were 170 nurses working in integrated nursing care units of three general hospitals located in Seoul and Gyeonggi-do. Data were analyzed using independent t-test, ANOVA, Scheffé, Pearson's correlation and stepwise multiple regression analysis. Burnout was significantly different according to turnover intention, job satisfaction, health status. Burnout showed a positive correlation with compassion fatigue and a negative correlation with compassion satisfaction and relation oriented culture. Regression analysis revealed that compassion fatigue, compassion satisfaction, relation oriented culture and age were significant variables affecting the burnout, and the lower the age, the higher the burnout. Therefore, strategies to decrease compassion fatigue and to enhance compassion satisfaction and positive aspects of relation oriented culture for lower age nurses group are needed.

A convergence study of cytotoxicity evaluation of adult dentifrices (성인용 치약의 세포독성 평가의 융합적 연구)

  • Choi, Yu-Ri;Shim, Youn-Soo;Jang, Sun-Ok
    • Journal of Digital Convergence
    • /
    • v.17 no.3
    • /
    • pp.305-312
    • /
    • 2019
  • This study was conducted to effect the cell activity and cytotoxicity of dentifrice. For the study, 6 kinds of general dentifrice, 3 kind of whitening dentifrice, 2 kinds of natural dentifrice and SLS(sodium lauryl sulfate) of positive control group. Immortalized human gingiva fibroblast cell was used for the study, WST test for cell activity and Agar diffusion test for cytotoxicity. Agar diffusion test showed high cytotoxicity in general dentifrice test group and whitening dentifrice test group, but low cytotoxicity in natural dentifrice test group. As a result of cell nucleus staining, cell shape and nuclear activity showed that the highest activity in natural dentifrice group, followed by whitening dentifrice group and general dentifrice group. As a result of this study, the cytotoxicity of different ingredient and according to the use to dentifrice. As a result of this study, we confirm cytotoxicity of kind and components according to the purpose of using dentifrice. Therefore, it is necessary to indicate the detailed ingredients of dentifrice for the smart choice of consumers.

Analysis of Actual Cross-Sectional Area During Scanning According to MRI Bore Size (MRI 보어 구경에 따른 검사 시 실효 단면적 분석)

  • Jeong, Hyunkeun;Jeong, Hyundo;Kim, Seongho;Jeon, Mincheol;Yoo, Sejong;Ko, Hyuncheol;Cho, Yonghyun
    • Journal of Biomedical Engineering Research
    • /
    • v.41 no.6
    • /
    • pp.219-227
    • /
    • 2020
  • In this study, we tried to quantify the actual cross-sectional area inside the bore when scanning by the MRI system with various bore sizes. To this end, a comparative analysis was conducted by both of blueprint of each MRI equipment and actual measurement in the field. As a result of analysis, ACSA(Actual Cross-Sectional Area) in Ingenia CX, Elition X, uMR 780, Omega, Vida, Lumina, Architect, Premier is recorded as 171230, 232150, 242100, 309332, 230760, 230760, 229380 and 235990 ㎟, respectively ACSA% was 60.6, 60.3, 73.0, 70.0, 60.0, 60.0, 59.6, and 61,3%. In addition, DTB (Distance from Table top to Bore top) recorded 400, 407, 445, 495, 405, 405, 405, 403, and 412 mm. Through this study, it was confirmed that there is a difference between the bore size according to each MRI system and the actual cross-sectional area during MRI scanning. Accordingly, if we consider the internal actual area just not bore size at the clinical site, useful diagnostic images can be obtained in the end with better convenience.

Intraoral Scan for Virtual Skull-Dentition Hybrid Images of Young Patients (가상 골격-치열 하이브리드 이미지 생성을 위한 구강 스캐너의 활용)

  • Lee, Joohee;Yang, ByoungEun;Lee, Hyelim
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.49 no.1
    • /
    • pp.57-64
    • /
    • 2022
  • Additional dentition images are needed because the dentitions are distorted in cone-beam computed tomography (CBCT) due to streak artifacts and non-uniformity of the x-ray beam. The purpose of this study is to evaluate the feasibility of improving the dentition image of CBCT scan with intraoral scanner instead of plaster models. Maxilla images from plaster models, two intraoral scanners, and CBCT of 20 patients aged 12 to 18 were used in this study. With one of the intraoral scanners, the full arch was scanned by three segments and combined into a complete full arch. Virtual skull-dentition hybrid images from intraoral scanners were superimposed with the images from plaster models to evaluate the coordinate value difference and distance at reference points. The results showed that the coordinate value difference and distance were smallest with segmented intraoral scan, which showed only 2 ㎛ distance. Intraoral scan may provide good dentition images for virtual skull-dentition images.

Serum Lactate, Creatinine and Urine Output: Early Predictors of Mortality after Initial Fluid Resuscitation in Severe Burn Patients (중증 화상에서 초기 수액치료 이후 소변량, 혈중젖산, 크레아티닌 수치 변화와 이에 따른 사망률 예측)

  • Oh, Seyeol;Kym, Dohern
    • Journal of the Korean Burn Society
    • /
    • v.23 no.1
    • /
    • pp.1-6
    • /
    • 2020
  • Purpose: PL, creatinine and urine output are biomarkers of the suitability and prognosis of fluid therapy in severe burn patients. The purpose of this study is to evaluate the usefulness of predicting mortality by biomarkers and its change during initial fluid therapy for severe burn patients. Methods: A retrograde review was performed on 733 patients from January 2014 to December 2018 who were admitted as severe burn patients to our burn intensive care unit (BICU). Plasma lactate, serum creatinine and urine output were measured at the time of admission to the BICU and after 48 hours. ABSI score, Hangang score, APACHEII, revised Baux index and TBSA were collected after admission. Results: 733 patients were enrolled. PL was the most useful indicators for predicting mortality in burn patients at the time of admission (AUC: 0.813) and after 48 hours (AUC: 0.698). On the other hand, mortality prediction from initial fluid therapy for 48 hours showed different results. Only creatinine showed statistical differences (P<0.05) in mortality prediction. But there were no statistical differences in mortality prediction with PL and UO (P>0.05). Conclusion: In this study, PL was most useful predictor among biomarkers for predicting mortality. Improvement in creatinine levels during the first 48 hours is associated with improved mortality. Therefore, efforts are needed to improve creatinine levels.