• Title/Summary/Keyword: CARE guideline

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Hematologic Toxicity in Patients Undergoing Radical Anti-cancer Therapy: A Cross-Sectional Analysis of Patients in an Oncology Ward in India

  • Roy, Soumyajit;Mallick, Supriya;Raza, Md. Waseem;Haresh, Kunhi Parambath;Gupta, Subhash;Sharma, Daya Nand;Julka, Pramod Kumar;Rath, Goura Kisore
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3587-3592
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    • 2014
  • Burden of cancer is progressively increasing in developing countries like India which has also led to a steep rise in toxicity due to anti-cancer therapy. A cross-sectional analysis was here conducted for patients with different malignancies (except leukaemia) who while undergoing radical anti-cancer therapy were admitted to our oncology ward from January-July 2013. In a total of 280 patients, the total number of toxicity events was 473. Nine patients expired over this time period. Among the events, grade 2 anaemia the most common (n=189) while the most common grades of neutropenia and thrombocytopenia were grade 4 (n=114) and grade 2 (n=48), respectively. Among the tracable microbial etiologies, gram negative bacteria were the most commonly found pathogens. Treatment interruptions took place in 240 patients (median duration=8.8 days). Prolonged hospital admission, intensive care and artificial ventilation support was needed to be given in 48, 7 and 13 patients respectively. Advanced NSCLC, KPS <70, pancytopenia and artificial ventilation requirement were found to have a significant impact on death. Such studies show the prevailing practice from institutes of our country and may guide us formulating a guideline for managing such toxicities for this part of the world.

A Survey research on Current Situation and Effectiveness of Performance Information in the Hang-Tag of Functional Outdoor Jacket (기능성 아웃도어 재킷의 행택을 통한 성능정보 제공 현황과 유용성 및 대안연구)

  • Lee, Eun Byol;Bang, Gi seong;Yoo, Shin Jung
    • Fashion & Textile Research Journal
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    • v.16 no.5
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    • pp.800-810
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    • 2014
  • In this study, the current status of product information of functional outdoor jackets in the hang-tags was investigated in perspective of consumer protection. Effectiveness and preferred alternatives to hang-tag information were also investigated. For the market survey, 1560 hang-tags from 676 functional outdoor jackets were investigated. For the effectiveness and preferred alternatives, 472 adults in their 20-60's were surveyed. The average number of hang-tags was 2.3 but 5.9% did not provide any product information. The contents included functional property of fabric; quality guarantee; brand introduction; product characteristics; instructions for care/usage; subsidiary material information, and they were different depending on end-use of jackets. Consumers strongly wanted explanations of the terms used in the hang-tag and could not accurately figure out the functions of the products from hang-tag information regardless of expression methods. The percentage of incorrect answer of 'figure/foreign language' method was extremely high. It is a noticeable feature of graph method that customers perceived that the graph was difficult to understand, but the percentage of correct answers was much higher than other methods, implying that graph method was possibly more useful at delivering accurate information to the customers who pursuit information. Customers strongly agreed to need of alternative methods and preferred an unified performance grade from selected functions based on the end-use of products. Customers also wanted to include the information of performance change after laundering. The results could provide practical insights to the consumers, companies, and the government to prepare proper guideline/policies for consumer protection.

Nurses' Knowledge and Performance for the Prevention of Intravascular Catheter-related Infections according to the Strength of Recommendations of Evidence based Guidelines (정맥관 감염예방 근거중심 가이드라인의 권고강도 별 간호사의 지식 및 수행정도)

  • Ryu, Se-Ang;Kim, Yun-Hee;Jang, Keum-Seong;Chung, Kyung-Hee;Choi, Ja-Yun;Yang, Jin-Ju;Park, Soon-Joo
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.546-555
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    • 2012
  • Purpose: The objective of this study was to examine the relationships between nurses' knowledge and performance for the prevention of intravascular catheter-related infections (ICRI) according to the strength of recommendations in evidence based guidelines (EBG). Methods: The total participants were 144 nurses working for medical surgical unit and intensive care unit. Data were collected from July 12 to July 30, 2010 and analyzed by one way ANOVA and Pearson's correlation analysis. Results: The knowledge and performance mean scores were $0.80{\pm}0.17$ and $3.04{\pm}0.31$ for peripheral venous catheter (PVC) management, and $0.83{\pm}0.17$ and $3.00{\pm}0.30$ for central venous catheter (CVC) management respectively. The items of category IA had the highest knowledge score (F=44.70, p<.001) and the items of category II had the highest performance score (F=47.09, p<.001) in PVC management, while the items of category IA had the highest knowledge (F=20.04, p<.001) and performance scores (F=18.20, p<.001) in CVC management. Knowledge and performance scores were significantly correlated in CVC management (r=.24, p=.004), but not in PVC management (r=.03, p=.753). Conclusion: EBG for the prevention of ICRI was not fully implemented in clinical settings. These findings emphasize that clinical professions need to develope strategies to enhance nursing practices with evidence based guideline.

A Comparison of Phenomenological Research Methodology - Focused on Giorgi, Colaizzi, Van Kaam Methods - (현상학적 연구방법의 비교고찰 - Giorgi, Colaizzi, Van Kaam방법을 중심으로 -)

  • 김분한;김금자;박인숙;이금재;김진경;홍정주;이미향;김영희;유인영
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1208-1220
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    • 1999
  • The purpose of this study was to describe the differences in three phenomenological research methods used to understand the experience of families of patients with cancer and so provide as guideline to novices first attempting qualitative research. The subjects were 3 family members - spouse, daughter, daughter-in-law -of cancer patients at S-hospital. Unstructured deep interviews were carried out and taped for further analyzed. Interviews were analyzed using three phenomenological methods ; Giorgi's, Colazzi's, and Van Kaam's. The results are as follows. : The experience of family the analyzed using Giorgi's method showed different characteristics according to the family members' role. According to Colaizzi's method, they experienced burden, a willingness to care, role conflict, thanks to family and significant others, and ambivalence about treatment. Using Van Kaam's methodology, two categories were identified ; change of family function and burden. Themes in change of family function were positive attitude(9), role conflict(6), negative attitude(5), active attitude(2), and passive attitude(2) ; Themes in burden were emotional burden, physical burden, and economic burden. The result from using Giorgi's method were centered or individual characteristics and these results constituteds situational structured description and a general structured description. From Colaizzi's method the focus was on the common experience of all fo the subjects. In Van Kaam's method, subthemes (13), themes(8), and categories(2) were identified. So researchers should choose the qualitative method according to their research goals and methodological characteristics.

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Prevalence of Bacillus cereus from Fried Rice Dishes and Monitoring Guidelines for Risk Management (볶음밥의 Bacillus cereus 위해 수준 및 위해 관리를 위한 모니터링 기준 설정)

  • Chang, Hye-Ja;Lee, Ji-Hye
    • Korean journal of food and cookery science
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    • v.25 no.1
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    • pp.45-54
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    • 2009
  • Contamination levels of aerobic colony counts, coliforms and pathogenic bacteria were tested in fried rice dishes to monitor quality for risk management. The prevalence of Bacillus cereus in dishes from 8 Chinese-style restaurants and 2 institutional foodservices was 10%, and the bacteria's contamination levels was 3.47 log CFU/g. Echerichia coli, Staphylococcus aureus, and Salmonella were not detected in any of the 10 samples. However, for their aerobic colony counts and numbers of isolated coliforms, the samples were 30% and 70% over the microbial criteria, respectively, for ready-to-eat foods presented in the Korean Food Code. This suggests that fried rice dishes, although cooked with oil at high temperature, require special care. For the prediction of the growth curve of B. cereus spp. in the fried rice samples, an experiment design of 3 storage temperatures ($7^{\circ}C$, $35^{\circ}C$, $57^{\circ}C$) x 5 storage times (0 h, 2 h, 4 h, 6 h, 24 h) was applied. The sample exposed to $35^{\circ}C$ showed no B. cereus spp. at 0 h; however, there was a tendency of slow growth (1.0 log CFU/g) after 4 hours of storage and then faster growth at 6 h (3.7 log CFU/g) and 12 h (4.7 log CFU/g), showing a growth rate of 0.56 log CFU/g/hr. These results indicate that fried rice, despite being heat-treated, can become heavily contaminated with B. cereus spp. when held over 2 hours at room temperature. However, the samples stored at $7^{\circ}C$ and $57^{\circ}C$ over 24 hours were not contaminated with B. cereus. Based on these results, management guidelines for controlling B. cereus are suggested.

Recommendation for conducting process of an epidemiological survey in respiratory syncytial virus infection (호흡기세포융합바이러스감염증 역학조사 수행절차 제안)

  • Kim, Dae Soon;Bae, Jong-Myon
    • Journal of Medicine and Life Science
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    • v.17 no.1
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    • pp.29-32
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    • 2020
  • As respiratory syncytial virus(RSV) is transmitted either via directly contact with an infected case or via indirectly contaminated fomites or skin, the major preventive measures are strict hand hygiene, early detection of transmitted sources, and rapid isolation of RSV patients. Especially early detection of hidden cases is the most critical control measure when an index case was notified in a postpartum center. The Guideline of Korea Centers for Diseases Control and Prevention defines potential contacts in an epidemiologic survey as admitted newborns, parents of index cases, center's workers, and visitors for 10 days before the first diagnosis day of index case. However, it needs to classify potential contacts in more detail in order to conduct a successful survey. Authors conducted to search related literatures and appraise the evidences. Firstly, potential contacts would be classified into RSV-related symptomatic contacts(SxC) and asymptomatic contacts. And then, mother, caring workers, and visitors of the index cases among asymptomatic contacts would be defined as the asymptomatic close contacts(ASCC). Finally, the rest would be defined as the asymptomatic regular contacts(ASRC). The defined test using reverse transcription-PCR is applied to SxC and ASCC, and decision of isolation or regular activities are made according to the results. The rapid antigen detection test kits are applied to ASRC. These suggestions might be helpful to detect hidden cases earlier and prevent a further infection.

Research on the Health Protection and Characteristics of Working Conditions and Occupational Safety & Health in the Film and Television Artist (영화방송예술분야 종사자의 직업안전보건 특성 및 건강 보호방안 연구)

  • Yi, Kwan Hyung
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.237-246
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    • 2014
  • The purpose of this study is to identify the overall occupational safety and health status and the characteristics of the workers engaged in the field of the film and television artists, and to take appropriate measures to prevent industrial accidents, profession and working environment, safety recognition and education, safety activities, accident experience, and job stress survey. Survey using a structured questionnaire is to be used for 302 worker directly interview research. Safety awareness level of himself or herself was "middle level" of 3.1 points. Those of colleagues and the general public were evaluated to be low as 2.8 points and 2.5 points, respectively. During the last 12 months, 4.6% of total workers have received an industrial safety health education for work-related accident or disease. Regarding cases of having experienced work-related accident or having been exposed to work-related disease over the past 1 year, 20.2% of total respondents have experienced accident. 16.2% of total respondents have experienced work-related disease. And the workers are approximately one's own subjective feeling of physical symptoms that have appeared. In addition, the film sector workers in particular occupations men than women have higher job stress. Preventive education for industrial safety is required to be expanded and strengthened. Safety education is urgently required in order to prevent, and to reduce accident. Safety and health guideline is required to be developed and disseminated in order to prevent accident in advance. Finally, the actor and their staff members to reduce the stress, mental health care and education carefully needs to be in parallel. Also, when taking measures to reinforce safe work environment, it needs to be protected.

Development of Educational Materials for Management and Prevention of Chronic Hepatitis (만성 B형 바이러스성 간질환의 예방 교육매체 프로그램 개발)

  • Shin, Gye-Young;Lee, Sun-Ock;Kim, Mae-Ja
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.503-512
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    • 2002
  • Purpose: This study was conducted to develop educational materials for preventing type B viral hepatitis infection. Prior to this study, a survey had been conducted to define the educational needs of persons with hepatitis B antigen. Method: Based on the results of the former study and a review of the literature, the content of the educational materials was confined to the transmission cycle and its prevention in type B hepatitis. A professional team that consisted of writers and producers videotaped the lectures provided by professors and instructors in a nursing school. A professional graphic designer produced the leaflet to enhance the visual effects. Results: The contents of the educational materials for type B hepatitis were composed of six parts: (1) the prevalence rate (or morbidity) of type B hepatitis antigen positive and its recent trend, (2) transformation of hepatitis. (3) transmission cycle of hepatitis infection, (4) persons who are susceptible to hepatitis and need a vaccination, (5) preventive approach hepatitis vaccination and the guideline for patients' daily lives for preventing infection and (6) questions and answers. The materials were delivered in the form of lectures, visual charts, graphics, and multi-media. Conclusion: The educational materials developed in this study may provide practical information and knowledge on strategies to prevent type B hepatitis. The educational materials may be utilized in primary health care centers or school health services.

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A Study On Structural Behavior of Anchor Pile Precast Retaining Wall with Screw Shape Flange (나선형 플렌지가 설치된 앵커파일 프리캐스트 옹벽의 구조적 거동에 관한 연구)

  • Choi, Seung-Seon;Ahn, Tae-Bong;Kim, Woo-Ki
    • Journal of the Korean Geotechnical Society
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    • v.29 no.11
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    • pp.129-138
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    • 2013
  • In this study, Anchor Pile Precast Retaining Wall (APC) with screw shape flange was investigated and the results were arranged for designing APC specifications. Since precast materials require special care when they are manufactured, carried or treated, more accurate design and analysis of optimized dimension are needed : thus moment distribution of front foot was checked. Through full-scale field test, form and optimal stiffening shape were obtained and through fracture test with real load, applicable load was reasonably calculated. Research result in this thesis could be used as guideline or standard of designing and constructing Anchor Pile Precast Retaining Wall with screw shape flange.

The Farmers′ health management status compared with different farming types (농업인의 營農유형에 따른 健康管理 상태)

  • 신영숙;정금주;이승교;박양자
    • Korean Journal of Rural Living Science
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    • v.9 no.2
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    • pp.51-62
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    • 1998
  • This study was performed to suggest the health management of farmers compared with different farming types, such as rice plant, livestock, horticulture, orchard and others, for the farmer's health enhancement. For this study, 720 subjects were selected in 8 provinces through cluster method, and relevent caculations for the analysis of the subjects were made SAS program, and tested significance with x$^2$ and F value, those probability levels were 0.1%, 1% and 5%. Among the subjects, aged 40's were 38%, females 66%, elementary graduates (32%), and think of living conditions were average (67%). In the self-consciousness test for health, there was no significant difference of farmers with farming types. In the aspect of agricultural work situation, they took holidays according to the weather conditions or no pressed work to be done. And They took a break “when they feel tired during work”. For the recovery of fatigue, sleeping was chosen as the most favorite (68%) followed bathing (17%). but exercise was the lowest (7%). In the case of working conditions, 74% of them replied they work under average condition, and only 9% of them thought they were under pleasant surroundings. And 37% of them have had healthy food, for health practice and restorative for health. 20% of them have had breakfast irregularly. In addition to the regular meal intake, sufficient re자 and pleasant agricultural working conditions would be necessary for health, and the farmers themselves should recognize the importance and care of health. The project for enhancement of the farmers' health is needed and who should give guideline to have the responsibility for health.

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