• Title/Summary/Keyword: Consultations

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Nurses' Experiences of Ethical Dilemmas and their Coping Behaviors in Intensive Care Units (중환자실 간호사가 경험하는 윤리적 딜레마와 대처행위)

  • Park, Young Su;Oh, Eui Geum
    • Journal of Korean Critical Care Nursing
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    • v.5 no.2
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    • pp.1-14
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    • 2012
  • Purpose: This study was aimed to describe ethical dilemmas and types of coping behaviors among nurses who worked in intensive care units (ICUs). Methods: Data were collected by 2 focus group interviews with 12 ICU nurses in an academic affiliated hospital in Seoul, Korea. All interviews were tape-recorded and transcribed, and data were analyzed by modified qualitative content analysis. Results: Three themes emerged from the focus group interviews: "Respect for Persons (2 contents)", "Beneficence (13 contents)", "Justice (1 content)". Coping behaviors against the dilemmas were consultations with the doctors or colleagues, acceptance, guilt, reflection, forgetting, endurance, and frustration. Conclusion: The results of this study help us to understand ethical dilemmas that nurses experienced in ICUs and their coping behaviors. It would be useful to develop education programs for nurses in ICUs to support coping strategies for ethical dilemmas.

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An Analysis of the Factors Affecting the Interaction between University and Industry (산학협동(産學協同)에 영향(影響)을 주는 요인분석(要因分析) - 문헌(文獻) 분석(分析)을 중심(中心)으로 -)

  • Min, Chang-Kee
    • Journal of the Korean Institute of Educational Facilities
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    • v.2 no.1
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    • pp.15-26
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    • 1995
  • This paper discussed non-physical factors, such as the level of use of organizational channels and the level of R&D investment of the firm. It also explored physical factors such as the distance between the university and industry, transportation conditions between the two, and the availability (surplus capacity) of professors' or firms' research facilities that would affect the interaction such as the contacts in connection with research grants and consultations by professors to high-tech firms. This paper pointed out that the use of organization channel, the level of R&D investment, the availability research facilities of the university and high-tech firm, transportation conditions between the two, subject matter compatibility between professors' areas of expertise and firms' industrial activities, professors' (or staff) research capabilities and professors' (or staff) research times affect the interaction between the university and industry. It also found that the distance between the university and industry affects the interaction between the two in the opposite direction.

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How to cope with the Spaghetti Trap of multiple FTAs effectively (다양한 형태의 FTA 체결에 따른 Spaghetti Trap에 대한 효율적 대응방안)

  • Choi, Chang-Hwan
    • International Commerce and Information Review
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    • v.12 no.4
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    • pp.509-535
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    • 2010
  • This paper examines the Spaghetti bowl effect that different tariffs and rules of origin in multiple FTAs have resulted in increasing the significantly additional burden for business when it comes to apply for the use of FTA preference. The wide spread of FTAs in the several years, from 2003 to 2010, has been the most important trade policy development in economically important Korea. Korea presently has 5 FTAs in effect, and made 3 additional agreements which will be expected to take effect in next year. With the study result and expecting a growing number of FTAs in Korea in a next decade, the international trading firms will face rise of transaction costs for enterprises, particularly small- and medium-sized enterprises(SMEs) to cope with multiple tariffs and rule of origins in FTAs. To help mitigate negative effects and facilitate a more SEMs to use the FTA preference, providing new computer programs system, increasing the awareness of FTA provisions, improving business participation in FTA consultations, and SME support in light of education, and financial support are needed.

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SangHanUiDam(桑韓醫談) & interchange in ancient oriental medicine between Korea and Japan (『상한의담(桑韓醫談)』과 한일의학문화교류(韓日醫學文化交流))

  • Cha, UngSeok;Kim, NamIl;An, SangU
    • The Journal of Korean Medical History
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    • v.17 no.2
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    • pp.73-98
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    • 2004
  • In this study, we took a look at Joseon's Korean-Japanese Medical Science Cultural Exchange Context through SangHanUiDam(桑韓醫談). SangHanUiDam(桑韓醫談)'s contents mainly include patient treatment and consultations on medical theory, starting from distinguishing medicine. Like the views many scholars that studied Joseon Diplomatic Missionary hold, even in SangHanUiDam(桑韓醫談)'s Medical Science Cultural Exchange, Japan shows great enthusiasm in taking in Joseon's medical culture.

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MOVING FORWARD WITH RADIOACTIVE WASTE MANAGEMENT IN THE UK

  • Atherton, Elizabeth;Mathieson, John
    • Nuclear Engineering and Technology
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    • v.39 no.6
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    • pp.697-702
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    • 2007
  • Radioactive waste has been produced in the UK for many decades. Since the 1950' s much of this has been associated with civil nuclear power production and the nuclear weapons programme. There have been a number of unsuccessful attempts in the UK since the 1980s to deal with the waste and find suitable sites for its disposal. However, the UK Government has addressed this and in 2001 introduced the "Managing Radioactive Waste Safely" programme. The aim of this was to make decisions on the long-term radioactive waste management policy through stakeholder engagement. In 2006, it adopted a policy of geological disposal for higher activity wastes and following further consultations, is now at the stage of choosing how that policy should be implemented.

Intravenous Patient-controlled Analgesia Has a Positive Effect on the Prognosis of Delirium in Patients Undergoing Orthopedic Surgery

  • Heo, Dae Young;Hwang, Byeong Mun
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.271-277
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    • 2014
  • Background: Postoperative delirium is relatively common. However, the relationship between intravenous patient-controlled analgesia (IV-PCA) and delirium has not been thoroughly investigated. The aim of this study was to evaluate the effects of IV-PCA on the prognosis of postoperative delirium in patients undergoing orthopedic surgery. Methods: Medical records of 129 patients with postoperative delirium were reviewed. Patients were divided into two groups according to whether they used IV-PCA with fentanyl and ketorolac. The IV-PCA group consisted of 73 patients who were managed with IV-PCA; the NO-PCA group consisted of 56 patients who were managed without PCA. Results: Incidences of multiple psychiatric consultations and prolonged delirium were significantly lower in patients using IV-PCA with fentanyl and ketorolac than in those without PCA. Conclusions: We recommend the use of IV-PCA for pain control and management of delirium in patients with postoperative delirium.

A Study on the Developement of a Computer-Assisted Program for Elementary School Foodservice(II)-Based on Nutrition Management- (초등학교 급식운영을 위한 컴퓨터 프로그램 개발에 관한 연구(II)-영양관리를 중심으로-)

  • 이경혜;허은실
    • Korean Journal of Community Nutrition
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    • v.5 no.2
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    • pp.217-224
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    • 2000
  • The purpose of this study is to develop a computer-assisted nutrition counseling program for dietitians in elementary school foodservice. The program consists of four menus. The first menu is to assess the general status of the body, such as ideal body weight, obesity index, and physical development based on age, sex, height, and weight. The second menu is a dietary analysis program with respect to the Korean recommended dietary allowance. The third menu can be used for nutrition counseling to give suggestions about food habits and physical activities. The fourth menu is the data printing function to give consultations for clients which can be used for monitoring. This program can help dietitiants to provide nutrition counseling in the practice of elementary school food service.

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The Case Study of the Nutrition Services for Patients as a Result of the Changes in Food Services Management (병원급식의 위탁 운영에 따른 영양서비스 변화에 대한 사례연구)

  • 이승림;장유경
    • Korean Journal of Community Nutrition
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    • v.8 no.1
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    • pp.83-90
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    • 2003
  • The purpose of this study was to investigate the relationship between changes in the Department of Nutrition and patient satisfaction, following the changes in Food Services Management. Statistical data analyses were completed using the SAS/Win 6.12 program. The results can be summarized as follows. The working environment for dietitians and cooking and meal serving assistants was improved following to a change catering of food service management. The number of dietitians who worked in medical nutritional therapy and food services was increased from one to four, and the number of dietary consultations and meal rounds were increased 2.5-fold and 5-fold, respectively after the change services were implemented. Among the 10 items included in the patient satisfaction questionnaire, "Taste of meals" (p< 0.01) and "Satisfaction of offered menus" (p < 0.01) showed significantly higher scores before the catering. "Kindness of meal sewing assistant" this increase was not statistically significant, showed increased satisfaction after the catering, however.n after the catering, however.

Case Report of Hypertension Patient by Community Health Practitioner (보건진료소의 고혈압 환자 간호사례)

  • Park, Do Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.1
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    • pp.17-22
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    • 2019
  • Purpose: This study was done to describe a community health practitioner's nursing case study for a hypertension patient. Methods: For this purpose, data were collected through interviews and nursing records. The nursing process was carried out from January to March in 2019. Results: For this patient, blood pressure was checked 5 times and total cholesterol test was performed 5 times over 41 consultations. Even though the patient was 84 years old, he was very interested in health. When the blood pressure and cholesterol level measured by community health practitioner were high, he was embarrassed by the recommendation to get a hospital checkup. After referral to a medical clinic and hospital, he was satisfied with the results of the tests and medical treatment, and constantly practiced daily walking exercise. Conclusion: It is very important for community health practitioners to assess patient symptoms correctly and refer the patient timely to manage complications.

Characteristic features of fungus ball in the maxillary sinus and the location of intralesional calcifications on computed tomographic images: A report of 2 cases

  • Lee, Jae-Hoon;Lee, Byung-Do
    • Imaging Science in Dentistry
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    • v.50 no.4
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    • pp.377-384
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    • 2020
  • This report presents 2 cases of sinus fungus ball and describes the characteristic radiographic features of fungus ball in the maxillary sinus. Two female patients, aged 62 and 40 years, sought consultations at a dental hospital for the treatment of dental implants and tooth pain, respectively. Panoramic radiography and small field-of-view(FOV) cone-beam computed tomography (CBCT) did not provide detailed information for the radiographic diagnosis of fungus ball due to the limited images of the maxillary sinus. Additional paranasal sinus computed tomographic images showed the characteristic features of fungus ball, such as heterogeneous opacification and intralesional calcification of the maxillary sinus. The calcified materials of the fungus balls were located in the middle and superior regions of the maxillary sinus. It is necessary to use large-FOV CBCT for the detection of calcified materials in the upper maxillary sinus to confirm the diagnosis of fungus ball.