• Title/Summary/Keyword: 어린이 병원

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Experience of Conflict in Three Shift Nurses Rearing more than Two Kids: Phenomenological Study (어린 두 자녀를 둔 3교대 간호사의 양육 갈등 경험: 현상학적 연구)

  • Kim, Jeung-Im;Yeom, Jeong Won;Park, Sun-Kyung;Jeong, Hyun-Hee;Min, Uhm-Joo;Park, Sun Hwa;Lee, Jung-Mi;Yeom, Young-Sun
    • Women's Health Nursing
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    • v.24 no.3
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    • pp.252-264
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    • 2018
  • Purpose: To understand the essentials of rearing conflict experience by three shift nurses in advanced general hospitals. Methods: The design was a qualitative research of phenomenology. Participants were 7 shift nurses working in advanced general hospitals who were rearing young children. Data were collected individually through in-depth interview on their life experiences. Data were analyzed by Colaizzi's phenomenological methodology. Results: Eighteen themes were drawn from 256 meaningful experiences and these themes were integrated to six theme clusters. The most influencing themes were 'Regret that I cannot satisfy even the slightest wish', 'Fail to care for kids', and 'Mutual feeling to care giver between appreciation and inconvenience'. Other themes were as follows: 'Body and mind are broken', 'The need for a three-shift system to support nurses who are rearing children', 'Doing my best for work and child rearing'. Conclusion: The nature of three-shift nurses working in advanced hospital and caring kids is explained as 'lives with conflict' between work and home. This study suggests it is necessary to establish a 24-hour care center for 3-shift nurses to keep working while rearing their children.

NURSING PROBLEMS OF THE INPATIENTS WITH CONDUCT DISORDER (행동장애 입원환아의 간호문제)

  • Im, Sook-Bin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.116-124
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    • 1991
  • Nursing problems of 48 hospitalized patients with Conduct Disorder at a Child-Adolescent psychiatry inpatient were analyzed by reviewing nursing records. The results showed that the problems such as ineffective individual coping, impaired social interaction, disturbance in self-concept, potential for violence, alteration in parenting, altered growth and development were continued from early to later phase of the hospitalization and the other problems such as self-care deficit, anxiety, sleep disturbance, altered nutrition, hyperthermia were temporary. The etiologic factors related to these problems were underdeveloped ego, low self-esteem, dysfunctional parent-child relationship, some situational crises in family and handicap like mental retardation or epilepsy. Therefore nursing approach for the patients with Conduct Disorder should focus on ego growth and improvement of interpersonal relationship through systematic and long-term nursing plans and interventions for these patients and their family.

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A Case of Pulmonary Inflammatory Myofibroblastic Tumor (폐 염증성 근섬유 아세포종 치험 1예)

  • Na, Kook-Joo;Yu, Ung;Hong, Sung-Bum;Choi, Yong-Sun;Kim, Byong-Pyo;Kim, Sang-Hyung;Ahn, Byong-Hee
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.102-104
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    • 2004
  • Inflammatory myofibroblastoma is a solid tumor, occurring mainly to children and young adults, and occupying 0.7% of total isolated pulmonary nodules. Since 1973, several cases about inflammatory myofibroblastoma have been reported. Firstly, this tumor was found in lungs. Then, tumors have been founded and reported in mesentery or cardioesophageal region. Histologically, this tumor can be classified as a benign tumor. However, since this tumor has two characteristics showing malignancy, that is, local invasion and recurrence, malignancy can not be completely excluded. Recently, a patient with pulmonary inflammatory myofibroblastoma underwent surgical resection without any signs or symptoms of recurrence.

Dental treatment of a Down syndrome patient with acute lymphoblastic leukemia : a case report (급성 림프구성 백혈병을 앓고 있는 Down syndrome 환자의 치과치료: 증례보고)

  • Kim, Jung-Woo;Kim, Chong-Chul;Lee, Sang-Hoon;Jang, Ki-Taeg;Kim, Jung-Wook;Kim, Young-Jae;Shin, Teo-Jeon;Hyun, Hong-Keun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.2
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    • pp.103-106
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    • 2011
  • 다운 증후군(Down syndrome, Trisomy 21)은 가장 흔하게 나타나는 증후군으로 대략 1/1000의 확률로 태어난다. 세 개의 유전적 유형이 있지만, 95% 정도가 3개의 21번 염색체를 갖는 비분리 염색체 유형이다. 주된 구강 증상으로는 거대설, 균열설, 과잉치, 결손치, 왜소치, 유치와 영구치의 맹출지연 그리고 이에 따른 부정교합 등이 있다. 75%의 환자에서는 어린 나이에 치주질환에 이환되기 쉬우며, 치아우식증에는 낮은 이환율을 보인다는 보고가 있다. 급성 림프구성 백혈병(Acute Lymphoblastic Leukemia)은 주로 어린이에서 나타나며, 특히 다운 증후군 환자에서의 발병율은 정상인에 비해 20배 높다. 치은비대와 출혈의 양상이 주로 나타나며, 간혹 상악골과 구개골에 종괴가 관찰 되기도 한다. 본 증례에서는 서울대학교치과병원 소아치과에 내원한 환자 중 급성림프구성 백혈병을 앓고 있는 다운 증후군 환아가 있어 이를 보고하고자 한다.

Conceptual Relationship between Elements of Spatial Expression and Proxemics - Focused on the Case of Total Healing Environment of Children's Hospital - (공간표현요소와 프로세믹스 개념 간의 연관성 - 어린이 병원의 총체적치유환경사례 중심으로 -)

  • Woo, Jung-Hoon;Kim, Kwang-Ho
    • Korean Institute of Interior Design Journal
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    • v.23 no.4
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    • pp.111-119
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    • 2014
  • This papers is to find out the design theory of total healing environment through the studies on the mutually complementary roles of proxemics, which is the objective and numerical design indicator in the analysis of space and the spacial expression theory, which is the subjective and intuitive design indicator. 3 factors in the elements of total healing environment have the following relationship. And 8 behavioral affordance factors in the elements of spatial expression have the following mutual relationships; The physical factor of total healing environment has the relation with the work&study(+) and circulation(+), the psychological factor has the relationship with the rest(-),visual sequence(-),social exchange(+),refreshment(-) and meditation(-). In addition, the social factor of total healing environment has the relation with the circulation(+),social exchange(+) and community(+). And the work&study(+) and rest(-) of the refuge have the relation with the intimate distance and personal distance, the circulation (+) and visual sequence (-) of the flow has the relationship with the social distance. In addition, the social exchange (+) and the refreshment (-) of the prospect have the relation with the near public distance and the community (+) and meditation (-) of the void have the relation with the far public distance. According to the analysis, the cases in 5 children hospital were studied and the characteristics of total healing environment was evaluated for the spatial proxemics.

A Study on Position of the Mental Foramen in Children Using Panorama (파노라마를 이용한 어린이의 이공 위치에 관한 연구)

  • Jo, Eunjeong;Lee, Jewoo;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.183-189
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    • 2019
  • The purpose of this study was to investigate the changes of the position of the mental foramen according to age by using panorama of children with mixed and early permanent dentition. 180 panorama of 6 to 13-year-old boys and girls were analyzed and PiView(Infinitt, Korea) program was used. The horizontal position of the mental foramen was evaluated by the relative position of the teeth. The vertical position of the mental foramen was evaluated by the ratios between the distance from the center of the mental foramen to the inferior border of the mandible and the distance from to the alveolar crest to the inferior border of the mandible. The mental foramen was horizontally located in the anterior aspect of the second primary molar(premolar), and vertically slight below the half of mandibular body. As the age increased, it moved to the posterior and the downward and showed a significant correlation with age.

The Effect of Oral Motor Facilitation Technique(OMFT) on Oral Praxis of Down Syndrome Child : Case Study (구강운동촉진기술이 다운증후군 아동의 구강실행기능에 미치는 효과 : 단일 사례 연구)

  • Min, Kyoung-Chul;Seo, Sang-Min
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.153-160
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    • 2021
  • Goal of this study is to introduce newly developed Oral Motor Facilitation Technique(OMFT), to identify effect of oral motor therapy on oral praxis and oral function of Down syndrome child. OMFT is comprehensive oral motor therapy for improving sensory adaptation, oral sensori-motor function, oral motor coordination of oro-facial structure by therapist's direct manual stroking. Subject was 10years old down syndrome boy. Treatment was practiced 8 times, 15minutes per time, from May to July, 2020. Oral praxis, drooling, quality of chewing ability were tested before and after treatments. Every single items of Oral Praxis Test was increased. Severity and frequency of drooling were decreased. Quality of chewing ability is improved. Through this case study, we can find the positive effect of OMFT on oral praxis, drooling, chewing ability of Down syndrome child.

A Study on the Visual Cognitive Characteristics of the Spatial Configuration in Children's Rehabilitation Hospitals - Focused on the Pediatric Rehabilitation Outpatient and Therapy Areas - (어린이 재활병원 공간구조의 시지각적 특성 연구 - 소아재활 외래진료부 및 재활치료부 영역을 중심으로 -)

  • Cho, Min-Jung
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.10
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    • pp.83-94
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    • 2018
  • In many theoretical and empirical studies on the design issues of therapeutic healthcare facilities, spatial configuration that promotes users' wayfinding behavior, has been emphasized as a significant factor to mitigate stressful experiences and to enhance restorative quality in the healthcare environment. This is also applicable to the healthcare setting for children. However, not much evidence has been reported with regard to the relationship between spatial configuration and wayfinding behaviors in this specific setting. Moreover, healthcare facilities for children with physical disabilities need more attention to provide easy wayfinding due to various physical restrictions. The aim of this study is therefore, to unfold the relationship between spatial configuration and visual cognitive qualities of outpatient spaces in the selected children's rehabilitation hospitals in Seoul, by examining visual cognitive attributes such as visibility, accessibility, and intelligibility. In the first phase, the spatial layout of the hospitals was analyzed, with an emphasis on the major outpatient areas such as the entrance lobby, doctors' examination, and physical therapy zones. In the second phase, a space syntax tool was implemented to examine visual cognitive characteristics of the spatial configuration. The spatial configuration parameters measured were integration, integration core, visual isovist field continuity, correlation between integration and step depth, and the correlation between integration n and integration 3. As a result, the integration was higher in the hall type configuration. Circulation intersections acted mostly as integration cores for better visibility. Some areas showed the lack of continuity in the visual isovist fields overlap and irregular correlation between integration and step depth. The intelligibility was higher in the circulation area and social interaction spaces such as a cafe, reception waiting, and therapy waiting areas. Based on the analysis, design implication and possible future improvement were discussed to enhance wayfinding experiences in the hospitals for children with physical disabilities.

Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report (섬유 강화형 포스트를 이용한 치관 파절된 치아의 재부착: 증례보고)

  • Kim, Yu-Ri;Jung, Kyoung-Hwa;Son, Sung-Ae;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.251-258
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    • 2021
  • Dental trauma is very common in children and relatively young people, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. If the fractured segment is available and there is close approximation of the segment to the remaining tooth, reattachment of the fractured segment is a feasible option. This treatment offers several advantages, including the reestablishment of function, aesthetics, shape, shine and surface texture, in addition to the original contour and alignment of the teeth. The following cases present two different complex crown fracture cases that were treated using tooth fragment reattachment with fiber-reinforced composite post.

Program Evaluation using the RE-AIM Framework: A Systematic Review and Application to a Pilot Health Promotion Program for Children (RE-AIM 프레임워크를 이용한 프로그램 평가: 체계적 고찰과 어린이 대상 건강증진 프로그램 평가)

  • Lee, Ji-Eun;Shim, Jae Eun;Kim, Kirang;Kang, Jae-Heon;Hwang, Ji-Yun
    • Korean Journal of Community Nutrition
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    • v.27 no.4
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    • pp.296-308
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    • 2022
  • Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.