• Title/Summary/Keyword: Emergency Nursing

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Analysis of the contents related to health education of the 7th education course for elementary schools (제7차 초등학교 교육과정의 보건교육 관련내용 분석)

  • Kim, Young-Ju;Kim, Jung-Soon
    • Journal of the Korean Society of School Health
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    • v.16 no.2
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    • pp.71-84
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    • 2003
  • This study was attempted to offer the basic data required for composing a systemic education contents for health by analyzing the contents related to health education shown in the guidebook for teachers and the schoolbook for students of all grades in the current 7th education course for elementary school. The objectives and data were totally 162 copies which were 90 copies of national schoolbook for 1~6 grades and 72 copies of guidebook for teachers used in elementary schools in the 7th educational course. The standards of selection for the contents related to health education including in each schoolbook were divided into 11 themes using the health care model suggested by Kim, Hwa Joong(1995) in the guidebook for health curriculum for elementary middle high schools. The results of this study are as follows: Firstly, the total hours of health education suggested in the 7th educational course for elementary school were 274 hours and it was 6.2% of the total class of 4,442 hours. Secondly, the contents about health education were distributed into 9 subjects of The right livelihood, The wise livelihood, The cheerful livelihood, Korean, Morals, Society, Science, Physical education, and Practical course etc. Physical education had the most contents about health education and there was nothing in Mathematics, Music and Arts. Thirdly, contents about health of regional society and environmental health were the most of 53 hours(19.3%), and contents about understanding of health were the least of 4 hours(1.4%). Fourthly, contents included equally in every grades were those about safety and emergency response, health of home and society, health of regional society and environmental health.

The impact of caudally administrated tramadol on immune response and analgesic efficacy for pediatric patients: a comparative randomized clinical trial

  • Sayed, Jehan Ahmed;Elshafy, Sayed Kaoud Abd;Kamel, Emad Zareif;Riad, Mohamed Amir Fathy;Mahmoud, Amal Ahmed;Khalaf, Ghada Shalaby
    • The Korean Journal of Pain
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    • v.31 no.3
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    • pp.206-214
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    • 2018
  • Background: Immune responses appear to be affected by anesthetics and analgesics. We investigated the effects of caudal tramadol on the postoperative immune response and pain management in pediatric patients. Methods: Sixty ASA-I pediatric patients aged 3-10 years undergoing lower abdominal surgery. Patients were randomly assigned either to a caudal bupivacaine (0.25%) group (group B), or a group that received caudal tramadol (1 mg/kg) added to the bupivacaine (0.25%) (group T). Both were diluted in a 0.9% NaCl solution to a total volume of 1ml/ kg. The systemic immune response was measured by collecting blood samples preoperatively, at the end of anesthesia, and at 24 and 72 hours postoperatively, and studied for interleukin IL-6, C-reactive proteins (CRP) cortisol levels, and leucocytes with its differential count. Postoperative pain was assessed along with sedation scales. Results: Postoperative production of IL-6 was significantly higher in group B at the end of anesthesia, than at the $24^{th}$ hour, and at the $72^{nd}$ hour in group B and group T, respectively. The immune response showed leukocytosis with increased percentages of neutrophil and monocytes, and a decreased lymphocyte response rate within both groups with no significant differences between the groups. Cortisol and CRP were significantly higher in group B. Conclusions: Adding tramadol to a caudal bupivacaine block can attenuate the pro-inflammatory cytokine response, Cortisol, and CRP in children undergoing lower abdominal surgery.

Evaluation of Clinical Usefulness of Critical Patient Severity Classification System(CPSCS) and Glasgow coma scale(GCS) for Neurological Patients in Intensive care units(ICU) (신경계 중환자에게 적용한 중환자 중증도 분류도구와 Glasgow coma scale의 임상적 유용성 평가)

  • Kim, Hee-Jeong;Kim, Jee-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2012.05a
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    • pp.22-24
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    • 2012
  • The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$, .734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$, .612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

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A Concept Analysis of Prisoner Corrrection (수형자 교정에 대한 개념분석)

  • Jung, Hyun-Ok;Han, Seung-Woo
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.357-366
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    • 2018
  • The purpose of this study is to provide data for the development of a nursing intervention program by analyzing the concept of prisoner correction. From April 1st, 2016, to July 30th, the research literature on all domestic and international prisoner correction from 2011 to 2015 were searched using PubMed and NDSL RISS. 37 documents were analyzed according to conceptual analysis method procedures by Walker and Avant. In order to promote a positive attitude toward life through internal reflection of prisoner correction, individual characteristics for improvements in problem solving abilities, social adaptation abilities, re-socialization and the protection of the people and society to inmates displaying anti-social and moral behaviors that violated the law. The purpose of this study was to establish a desirable direction for prisoner correction, and provide a theoretical basis for the development of a nursing intervention program.

A study on the pedicatric accident (응급실 내원 아동에 대한 분석)

  • Son In-A
    • Journal of Korean Public Health Nursing
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    • v.14 no.2
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    • pp.332-341
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    • 2000
  • Children's accident is a largely preventable public health problem. Little is known. however, about population-based incident and outcome of pediatric accident. From 1997.9 through 1998,8. admission data from emergency center in I city were collected. 1418 patient from 0 through 13 years of age were selected. All children with unintensional accidental problems were identified through coded sheet which categorizes epidemiologic characteristics. The specific purposes of this study are analysis about the characteristics of pediatric accidents. And it aims to produce the basic data necessary for accident prevention policy development. The results of this study were as follows; 1. The number of male children$(62.6\%)$ were higher than female children$(37.4\%)$ 2. The age group from 1 to 3 years represents the highest proportion$(45.4\%)$ of every accidents except on traffic accident. 3. The highest proportion of accident were as follows occured during the June-August$(34\%)$, Sunday$(22.6\%)$, and 17-21 p.m. $(37.2\%)$ 4. The main causes of accident include general trauma$(70.9\%)$, environmental accident$(l6.8\%)$. and traffic accident$(l2.1\%)$, 5. Preschool age group represents more than half$(65.4\%)$ of traffic accident. 6. environmental injury includes burns $(46.6\%)$, foreign body$(43.6\%)$, exposure to poisonous materials$(6.3\%)$. and bite(3.3) This results could be used to develope prevention programs and assist in accident prevention system development. And also these data substantiate that accident prevention program decrease safety-related injury rate in preschool age group must be concentrated on enhancing access to a system to have a significant effect. Furthermore, it is necessary for accident prevention. So several suggestions are described here: 1. Development of parent's educational program for accident prevention and safety education should be done actively. 2. Home safety surveillance system should be initiated. 3. The initiation of children's accident report system could be contribute the analysis and the reduction of accident.

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A Discriminant Analysis Study on Selection of Delivery Place and Delivery Attendants in Korean Rural Remote Area (판별분석 기법을 이용한 농촌지역 산모의 분만장소 및 분만 개조자 선정에 관한 연구)

  • 한경애
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.44-52
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    • 1986
  • Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2% in comparison to Cmax(56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

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Application of Blended learning in human anatomical education for Nursing science students (간호학과 학생들을 위한 해부학 교육에서 혼합강의의 적용)

  • Kim, Jee-Hee;Kim, Kyeong-Uoon;Park, Jeong-Hyun
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.163-165
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    • 2011
  • 본 연구에서는 해부학강의에 있어 혼합강의의 적용가능성을 평가하였다. 2007~2009년 매 1학기동안 강원대학교 의과대학 간호학과 학생(n=143)을 대상으로 해부학강의를 가상강의 9회, 면대면 강의 3회, 사체해부실습 2회로 구성된 혼합강의로 실시한 후 설문을 통해 자기평가요인(만족도, 난이도, 흥미도, 유용성, 평가의 적절성, 학업성취도, 운영의 적절성, 이론실습연계성), 학업성취별 자기평가요인, 자기평가요인간의 상관관계를 분석하였다. 자기평가요인의 난이도는 평균$2.96{\pm}0.63$점으로 전반적인 강의수준은 적절했던 것으로 나타났고 나머지 모든 요소들은 평균 3.82~4.21점 사이로 평가되어 간호학과에서 해부학강의를 위한 혼합강의의 적용이 매우 긍정적인 것으로 나타났다. 학기종료 후 화보한 최종성적을 기준으로 세 그룹(상위, 중위, 하위)으로 나누어 자기평가요인과의 관계를 분석한 결과, 모든 요소에서 통계적으로 유의하지 않았다(p>0.05). 자기평가요인 간의 상관관계는 난이도와 전공연계성의 유용성(r=0.300, p<0.0003),혼합강의의 유용성(r=0.210, p<0.0137), 평가의 적절성(r=0.323, p<0.0001), 이론실습연계성(r=0.216 0.0097)이 높을수록 상관성을 보였다, 만족도, 전공연계성의 유용성, 혼합강의의 유용성, 이론실습연계성에서는 학업성취도를 제외한 모든 요소에서, 흥미도는 난이도와 학업성취도를 제외한 모든 요소에서 유의성 있게 높은 상관성을 보였다. 하지만 학업성취도에서는 평가의 적절성을 제외한 다른 요소에서는 연관성을 보이지 않아 성적과 관련해 영향을 미치는 요소가 없다는 것으로 판단되어지며 본 연구를 위해 도입된 강의구성이 해부학의 균형 있는 학업성취를 유도할 수 있는 수업방식이라 판단되었다. 결론적으로 본 연구를 통해 해부학강의에 있어 혼합강의의 우수한 교육효과를 알 수 있었고, 간호학과만이 아닌 최근 급증하고 있는 의료-보건계열의 다양한 전공자를 위한 적용, 확대로 해부학지식의 질적 향상과 강의수요에 비해 부족한 해부학 전공 교수진들의 교육 부담을 경감할 수 있는 효과적인 교수법으로 활용가치가 있다고 사료된다.

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Antibacterial effect of medicinal plants against Helicobacter pylori (헬리코박터 파이로리균에 대한 약용식물의 항균 효과)

  • Lee, Jae-Hyeok;Kim, Jeong-Suk;Park, Jeong-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.447-451
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    • 2019
  • The study was designed to investigate the antibacterial effect of Helicobacter pylori against 32 medicinal plants commonly used as health foods. The medicinal plants used in this study were 32 kinds of medicinal plant extracts using the disk diffusion method for H. pylori activity, which can be eaten every day by everyone. Amoxicillin sodium (150 mg / ml, Ildong Pharmaceutical) and Metronidazole 50 mg / ml) was used as a control group. We measured the area of the transparent area and evaluated that the larger the area, the more effective it is for H. pylori. As a result of this study, the clear zone of inhibition was highest at $372.90mm^2$, second was $358.30mm^2$, and Chungho was $348.32mm^2$. The positive control group, Metronidazole (50 mg / ml CJ), was $503,29mm^2$. In the future, the development of antimicrobial materials of various medicinal plants is expected to be effective for the inhibition of H. pylori.

Survival-related Factors in Patients with Traumatic Acute Subdural Hematoma (외상성 급성 경막하 혈종 환자의 생존 관련 요인)

  • Ha, Hey-Jin;Woo, Sang-Jun;Lee, Seung-Woo
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.285-291
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    • 2021
  • This study is a retrospective study attempted to determine the factors that influence the survival of patients with traumatic acute subdural hematoma. The study subjects were 207 patients with traumatic subdural hematoma who visited the emergency room from January 2017 to February 2019 at C University Hospital in G Metropolitan City. Data analysis was using the SPSS 23.0 program, and χ2-test, t-test, and logistic regression analysis. As a result of the study, the factors affecting the survival of the subjects were under disease, complications, and initial GCS. Therefore, it is necessary to establish a medical system to check the subject's history and to train medical staff to prevent complications. In addition, it is necessary to improve the transfer system so that the GCS of the subject can be measured from the stage before transfer to a medical institution and transferred to a hospital that can be treated quickly.

Effect of Celeriac Extract on the LPS-Induced Production of Pro-inflammatory Cytokines by RAW 264.7 cells (셀러리악 추출물의 LPS로 유도된 전 염증성 사이토카인 생성에 미치는 영향)

  • Lee, Jae-Hyeok;Jeong, Hyun-Ju;Park, Jeong-Sook
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.295-300
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    • 2021
  • This study was conducted to investigate the effect of Celeriac Extract on the production of pro-inflammatory cytokines. Inflammation is caused by pro-inflammatory cytokines TNF-α, IL-6, IL-1β and mediators such as free radicals. We investigated the effect of Celeriac Extract (1ug/mL, 10ug/mL, 100ug/mL) on the production of proinflammatory cytokines such as TNF-α, IL-6, IL-1β and NO by lipopolysaccharide (LPS)-stimulated RAW 264.7 cells. These results demonstrated that Celeriac Extract inhibited the production of TNF-α, IL-6 and NO, without cytotoxicity significantly. Therefore, these findings suggest that Celeriac Extract may attenuate inflammatory responses via inhibition of production of pro-inflammatory cytokines and NO.