• 제목/요약/키워드: Care behavior

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Lowe syndrome 환아의 치과적 치료 : 증례보고 (DENTAL TREATMENTS OF THE CHILD WITH LOWE SYNDROME : A CASE REPORT)

  • 주찬희;김선미;최남기
    • 대한소아치과학회지
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    • 제39권2호
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    • pp.161-165
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    • 2012
  • Lowe syndrome은 X-염색체 반성열성 유전 질환으로 1952년 Lowe 등에 의해 처음으로 보고되었다. 대부분 남성에게 발생하며, 주요 임상증상으로는 선천성 백내장 및 녹내장 등의 안구증상, 정신지체 및 근긴장저하 등의 근신경계 증상, 신장의 기능이상 등이 있고, 정신지체에 의한 행동조절 문제로 인해 전신마취를 시행할 경우 신장 기능 저하에 따른 대사성 산증과 악성 고열 발생의 위험성이 높아진다. Lowe syndrome으로 진단된 10세 2개월 된 남아가 치석이 많고, 칫솔질이 어렵다는 것을 주소로 전남대학교 치과병원 소아치과에 내원하였다. 임상 검사 시 전반적으로 심한 치석의 침착, 법랑질 형성 부전, 변연성 치은염, 영구치의 맹출 지연, 전반적인 치아 동요 등의 소견을 보였으며, 심한 정신지체로 인해 환자의 협조도가 부족하여 진정요법 하에 외래에서 치과치료를 시행하였다. 행동조절의 어려움과 전신마취시의 위험성, 대사장애 처치에 사용되는 각종 약물로 인한 치아착색과 치석형성의 용이함 때문에 Lowe syndrome 환아의 치과적 관리는 특히 예방에 중점을 두어야 한다.

2012년도 경기도 D 중학교 학생들의 치과 진료에 대한 공포 및 불안에 관한 연구 (Dental fear and anxiety of middle school students in D middle school in Gyeonggi-Do, 2012)

  • 최자은;양현주;안소연
    • 대한치과의사협회지
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    • 제51권7호
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    • pp.405-413
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    • 2013
  • Pediatric and adolescent dental anxiety and fear have been researched in the connection with behavior modification for a long time and this dental anxiety can persist until the adult hoods resulting in extreme fear of and avoidance of dental treatments and causes oral health deterioration. However, the domestic researches regarding adolescent dental anxiety and fear are insufficient. For this reason, this study aims to examine the level of fear and the influential factors affecting their dental fear and to utilize the result as the basic materials in the dental management. The subjects were the students from a middle school located in Gyeonggi-Do. The school was selected by convenient sampling and self-answered questionnaire was filled in by the students. The distribution of responses in each category of fear was examined by frequency analysis. The analysis was conducted using cross tabulation in order to examine the difference between male students and female students and using independent sample t-test in order to compare the fear score of each category. The study results showed the fear score of female students for the category 'causing irritation during the dental treatments' was significantly higher in statistics(p<0.05). Therefore, these results should be reflected to the dental care environments in order for the adolescent to reduce the dental anxiety and fear.

치의학 교육의 학습윤리에 관한 연구 (A study on academic integrity in dental education)

  • 김희경;이지현;김성훈;백정화;한중석;류인철
    • 대한치과의사협회지
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    • 제55권3호
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    • pp.215-228
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    • 2017
  • The topic of academic integrity is an important public concern that has emerged in higher education. Recent surveys at U.S. and Canadian dental schools revealed that cheating and plagiarism were significant problems in dental schools. In addition, some schools stated that cheating had increased compared to a decade ago. Various institutional rituals have been implemented to enhance the academic integrity environment of U. S. and Canadian dental schools. Furthermore, the application of honor code which is dealing with ethical issues has been reported to improve the attitudes and behaviors of students. Since there have been no reported studies regarding ethics curricula in Korean dental schools, further studies should be needed to assess academic integrity policies, violations, and the results of the measures in Korean dental schools. Additionally, the challenge to provide professional ethics curricula for dental students must be conducted with respect and humanity for our students and thus, students will be more likely to respond positively to expectations in terms of ethical behaviors. Therefore, the outcome is clearly and undoubtedly link to better care for patients.

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

  • 최승선;안태봉;김우기
    • 한국지반공학회논문집
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    • 제29권11호
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    • pp.129-138
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    • 2013
  • 산업화의 발달과 더불어, 도로 등 교통시설과 건설 장비의 발달로 공장 제작하여 운반 설치하는 프리캐스트 구조물이 급속히 확장되는 추세이며, 2000년 대 부터는 철근콘크리트 옹벽도 프리캐스트 공법이 개발되고 현장에서 적용이 확대되고 있는 추세이다. 본 연구에서는 기존에 항타하여 설치해 온 앵커 파일 옹벽에서 기초에 설치되는 앵커파일을 일반돌기에서 나선형 플렌지 타입으로 설치하여 유압모터를 이용한 압입, 회전 방식으로 설치하고 앵커파일의 형태를 개선하고 이에 따른 기술적 검증과 최적의 적용형태를 도출하였다. 이를 위하여 현장 실규모 시험 및 수치해석적 검증을 수행하였으며, 인발실험 결과 앵커파일은 나선형 플렌지를 설치하는 것이 돌기가 없거나 다른 형상의 돌기가 설치된 파일에 비해 1.5~8배의 높은 인발 저항력을 보였으며, 나선형 플렌지가 설치된 APC옹벽에서 인발 저항력의 증대로 기초와 벽체의 변위도 25% 이상 감소됨을 보였다.

NIC간호중재분류체계를 이용한 수술실 핵심간호중재분석 (Analysis of Core Interventions of Operating Room using Nursing Intervention Classification)

  • 이윤영;박광옥
    • 간호행정학회지
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    • 제8권3호
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    • pp.361-372
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    • 2002
  • Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.

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인터넷 중독 아동이 지각하는 '아버지-자녀' 관계 (The Relationships Between Fathers and Children with Internet Addiction)

  • 이영환;이화숙
    • 한국보육지원학회지
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    • 제9권1호
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    • pp.129-148
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    • 2013
  • 이 연구의 목적은 인터넷 중독 아동이 지각하는 '아버지-자녀' 관계를 알아보고자 하는 것이다. 이러한 목적을 달성하기 위하여 연구자는 인터넷 중독 '위험'으로 판정받은 아동 12명과 직접 만나는 면접 방식을 선택하였다. 이는 아동들이 실생활 속에서 느끼고 경험한 아버지에 대한 느낌과 그들의 주관적인 이야기와 의미에 귀를 기울이기 위해서다. 구체적으로는, 인터넷 중독 이라고 판명된 12명의 아동을 개별적으로 30~40분씩 4회씩 만나 구조 비 구조화된 질문을 통해 심층 인터뷰를 실시, 자료를 수집하고 수집된 자료를 가지고 범주화 분석을 실시하였다. 최종적으로 아동들을 통해 발견된 '아버지- 자녀 관계'는 (1)아버지-자녀 사이 대화의 장벽이 되는 인터넷 (2)바쁜 아버지 대신 인터넷에 관심을 갖는 자녀 (3)인터넷은 아버지와의 어색함을 회피하는 도피처 (4)자녀의 인터넷 사용 통제 불능의 아버지 등이었다. 연구결과에 의거하여 인터넷 중독 아동과 그의 아버지에게 도움이 될 바람직한 아버지 행동방식을 제시하였으며 후속연구에 대해서도 제언하였다.

연령 증가에 따른 영유아 문제행동 발생율 군집화 연구 (A Clustering Study of Young Children's Challenging Behaviors and Occurrence Rate through Age 2 to 5)

  • 유수옥
    • 아동학회지
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    • 제34권6호
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    • pp.57-75
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    • 2013
  • The purpose of this study was to examine changes in the rate of occurrence of challenging behaviors in young children according to their increase in age. The study is based on the responses of teachers in child care centers(N=246). They were asked which 38 types of challenging behavior occur most among ages 2, 3, 4, or 5 in young children's classrooms. The major results of this study were as follows. First, the occurrence rates of young children's challenging behaviors were classified into 5 clusters; decreased(Cluster 1, Cluster 2, Cluster 3), maintained(Cluster 4), or increased(Cluster 5) according to increases in their respective ages. Second, the behaviors such as throwing tantrums and biting, evident in Cluster 1, decreased very rapidly from a very high occurrence rate by age 3. The classroom culture maladjustment behaviors such as running aimlessly around the classroom and shouting, apparent in Cluster 2, had decreased rapidly from a high occurrence rate by age 4. The intentional classroom disruptive behaviors such as dropping objects to create noise and the peer culture maladjustment behaviors studied in Cluster 3 decreased gradually from a rate of medium occurrence by age 5. These results revealed the discontinuity which a few young children exhibit. Third, hurting others, observed in Cluster 4 maintained a low occurrence rate from age 2 until age 5. Using inappropriate language and threatening others in Cluster 5 increased gradually from a low occurrence at 2 to a high rate of occurrence at age 5. By carefully examining the change of young children's challenging behaviors on the basis of objective data in terms of the continuity/discontinuity and increased/decreased rate of diverse challenging behaviors, we will be better able help teachers and parents to plan the instruction, prevention and intervention of young children's challenging behaviors.

대전지역 수유기 여성의 영양섭취 상태와 식행동 (Nutritional Status and Eating Behavior of Lactating Women in Daejeon)

  • 김지선;박명순;이정원
    • 대한지역사회영양학회지
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    • 제16권1호
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    • pp.37-50
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    • 2011
  • Nutrients intake status of 73 lactating women, that is 45 breast feeding (BF), 13 formula feeding (FF) and 15 mixed feeding (MF), living in Daejeon was investigated. Self-recorded food intakes for two weekdays and eating behaviors using questionnaires were surveyed from May to August 2008. Subjects aged $29.2{\pm}3.4$ years and their infants aged $8.2{\pm}3.2$ months. Body mass index of the subjects was $21.0{\pm}3.2$. Of the subjects 23.3% were employed. Daily energy intake was $1953{\pm}391$ kcal. Mean adequacy ratio (MAR) was $0.77{\pm}0.14$ and was higher in FF ($0.86{\pm}0.13$) than in BF ($0.76{\pm}0.11$) and MF ($0.72{\pm}0.18$). Nutrients that over 50% of the subjects took less than estimated average requirement were vitamin A, riboflavin, folate, vitamin C and calcium. And index of nutritional qualities of those 5 nutrients were below one Forty six and sixths percent (46.6%) of the subjects showed GMFVD = 11111 pattern of five food group intakes and 57.5% took meals three times daily, 56.2% skipped often breakfast, and 64.4% dined out two times and more per week. Subjects having lower MAR (< 0.72, n = 24), compared with those having higher MAR (${\geq}$ 0.83, n = 24), showed more skipping daily meals and less frequency of eating-out, and took less legumes, vegetables, fishes, and milk. As the results, intakes of calcium, vitamin A, riboflavin, folate, and vitamin C were insufficient in lactating women, especially in BF and MF mothers. Meal skipping and low intakes of dairy foods, legumes, vegetables, and fishes might have adverse influences on nutritional status of lactating women. Accordingly, nutrition care program for lactating women should be focused on intake of three meals daily and a variety of food.

체질적 간호 이론 정립을 위한 연구 『동의수세보원사상초본권(東醫壽世保元四象草本卷 )』 을 중심으로 (A Study about Construction of Sasang Constitutional Nursing Theory: On the focus 『Dongyi Soose Bowon Sasang Chobongyun』)

  • 유정희;이의주;송일병;고병희;이수경;이향련
    • 사상체질의학회지
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    • 제16권2호
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    • pp.71-83
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    • 2004
  • 1. Objectives The purpose of nursing is to promote health and well-being for all persons. It is connected with Sasang Constitution theory have regard for viewpoint by other's a special quality & individual difference. A nursing is helping behavior to recover health, disease protection & self care ability through health education. There is need for Oriental nursing research continually. 2. Methods This study attempted to develop a fundamental nursing theory for Sasang Constitution on the focus "Dongyi Soose Bowon Sasang Chobongyun". Because the book is important to understand Lee Je-ma's early medical mind and thinking. 3. Results and Conclusions The Sasang Constitution theory lay great emphasis upon health caring medicine to promote health according to self Constitution at normal times, preventive medicine to manage byself body and mind in ordinary times. The way of Sasang Constitutional Nursing Theory is expected to set up a landmark stone in Korean nursing. It is also can product a new nursing theory. In view of 'Nature and Order' is explained inborned general human being who were gifted from nature. On the other hand, in view of 'Knowledge and Deed' based on Constitutions are explained autonomical human being. There are depend on independant control and make efforts themselves or not. It have a connected in four paradigm (human- environment-health- nursing) of nursing theory. The history taking stage claim caring of sick-people before. The ways of assesment for sick-people have to know a process of illness.

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집'으로서의 노인보호주택 사례연구 (Case Study of Assisted Living Facility (ALF) as a 'Home')

  • 김영주
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2002년도 추계학술발표대회
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    • pp.137-142
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    • 2002
  • The purpose of this study was to examine the features that make residents feel “at home” in ALFs in Southwest Virginia and to suggest further policy and design guidelines for better Quality of ALFs as a “home.” For this purpose, residents' needs, experiences, and opinions of the physical environment, the social environment, and the organizational environments such as policies and programs of ALFs were identified. As a multi-case study, five ALFs in Southwest Virginia were studied using constant comparative methos of data analysis. In addition to face-to-face interviews with 25 residents and five administrators of five ALFs, observations were conducted with personal journal. Overall, the five sites selected presented homelike features showing the philosophy of assisted living which combines housing and services. Each facility was designed to be a single-family house or multi-family dwelling in outside appearance. As a whole, residents felt isolation and loneliness and they did not have active interaction with other residents because of diverse background among the residents. However, all of them had close relationships with the staff. The staff's attitude and behavior seemed to influence greatly the residents' feeling “at home.” Despite the provision of diverse activities by the facilities, many residents did not participate in the programs. Most of the residents agreed that the rule and regulations were fair. In spite of high satisfaction with the facility, many people did not think of their current dwelling as a real ‘home.’ As the biggest difference between living in their own homes and living in the ALF, people pointed out a lack of independence, freedom, and autonomy. Residents of ALFs may have reordered their priorities in their current life situation so that safety, security, and care were more important to them than feeling “at home.” Among the three factors --physical, social, and organizational-- that affect the residents' perception of ALFs as a “home, ” many emphasized the importance of social factors such as relationships with the staff and residents, and social support from their family or friends.

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