• Title/Summary/Keyword: Individual recovery

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Double Valve Replacement: report of 5 cases (연합판막질환의 판치환수술)

  • 노중기
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.355-360
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    • 1979
  • Mitral and aortic valve replacement with tricuspid annuloplasty was undertaken in 5 patients out of 38 valvular surgery between the period from Jan. 1977 to May 1979 in the Dept. of Thoracic and Cardiovascular Surgery in Korea University Hospital. All were male patients with age ranging from 18 to 42 years, and preoperative evaluation revealed one case in Class IV, and four cases in Class III according to the classification of NYHA. Preoperative diagnosis was confirmed by routine cardiac study including retrograde aorto- and left ventriculography, and there were two cases with MSi+ASi+Ti, two cases with MSi+Ai+Ti, and one case with Mi+Ai+Ti. Double valve replacement was performed under the hypothermic cardiopulmonary bypass with total pump time of 247 min. in average ranging from 206 min. to 268 min. During aortic valve replacement, left coronary perfusion was done in the first two cases, and cardiac arrest with cardioplegic solution proposed by Bretschneider was applied in the remained three cases. Starr-Edwards, Bjork-Shiley prosthetic valves and Carpentier-Edwards tissue valve were replaced in the aortic area, and Carpentier-Edwards and Angell-Shiley tissue valves were replaced in the mitral area with each individual combination [three prosthetic and two tissue valves in the aortic, and five tissue valves in the mitral area respectively]. Postoperative recovery was uneventful in all cases except one case with hemopericardium, which was managed with pericardiectomy on the postoperative 10th day in good result. Follow-up after double valve replacement of the all five cases for the period from 6 months to 33 months revealed satisfactory adaptation in social activity and occupation with cardiac function of Class I according to the classification of NYHA In all five cases.

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Survey on Status of Food Packaging and Design for Status of Small and Medium Domestic Food Enterprises (국내 중소식품업체의 포장·디자인 기술 관련 현황 분석)

  • Kim, A-Young;Kim, Eun-Mi;Chang, Yoon-Je;Jeong, Seung-Weon;Shim, You-Shin
    • Journal of the Korean Society of Food Culture
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    • v.32 no.1
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    • pp.39-51
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    • 2017
  • The purpose of this study was to analyze the current status relating to food packaging and design for status of small and medium food enterprises. A company survey was conducted from June to October, 2015 and targeted 1300 small and medium domestic food enterprises. Finally, a total of 1300 (recovery rate 100%) useable data were selected. Statistical analyses were performed on the data utilizing the SPSS PASW Statistics 18.0 for Windows, such as descriptive statistics and frequency analysis. According to the results, awareness and importance of food labeling were high, but performance of English inscription of product name was relatively low. The most important reason for food labeling was 'providing correct information on food' 910 (72.8%). Accordingly, a system which can provide the latest information by continuously monitoring mandatory disclosure requirements for types of foods in individual countries is needed.

Reverse Micellar Extraction of Fungal Glucoamylase Produced in Solid-State Fermentation Culture

  • Paraj, Aliakbar;Khanahmadi, Morteza;Karimi, Keikhosro;Taherzadeh, Mohammad J.
    • Journal of Microbiology and Biotechnology
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    • v.24 no.12
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    • pp.1690-1698
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    • 2014
  • Partial purification of glucoamylase from solid-state fermentation culture was, firstly, investigated by reverse micellar extraction (RME). To avoid back extraction problems, the glucoamylase was kept in the original aqueous phase, while the other undesired proteins/enzymes were moved to the reverse micellar organic phase. The individual and interaction effects of main factors (i.e., pH and NaCl concentration in the aqueous phase, and concentration of sodium bis-2-ethyl-hexyl-sulfosuccinate (AOT) in the organic phase) were studied using response surface methodology. The optimum conditions for the maximum recovery of the enzyme were pH 2.75, 100 mM NaCl, and 200 mM AOT. Furthermore, the optimum organic to aqueous volume ratio ($V_{org}/V_{aq}$) and appropriate number of sequential extraction stages were 2 and 3, respectively. Finally, 60% of the undesired enzymes including proteases and xylanases were removed from the aqueous phase, while 140% of glucoamylase activity was recovered in the aqueous phase and the purification factor of glucoamylase was found to be 3.0-fold.

Outcome Indicators of Quality Nursing Care (질적 간호의 결과적 지표)

  • Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.107-118
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    • 1997
  • This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

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Role Adaptation Processes of Family Caregivers with Patients Transferred from Intensive Care Unit to General Ward: Becoming almost a Nurse with Hope and Fear (중환자실에서 일반병동으로 전실하는 환자 가족 돌봄제공자의 역할 적응 과정: 희망과 두려움 속에서 반(半)간호사 되어가기)

  • Kwon, Heui-Kyeong;Song, Misoon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.603-613
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    • 2014
  • Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

Optic Nerve Decompression for Traumatic Optic Neuropathy: A Case Report (외상성 시신경병증의 시신경 감압술을 통한 치험례)

  • Hyun, Kyung Bae;Kim, Sun Ho;Choi, Jong Woo;Kim, Yong Oock;Park, Beyoung Yun
    • Archives of Plastic Surgery
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    • v.32 no.3
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    • pp.389-392
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    • 2005
  • A case of visual loss following cranio-maxillofacial trauma is reported. The patient had acute optic nerve injury associated with a fracture of the right zygomaticomaxillary and fronto-naso-ethmoido-orbital bone and epidural hematoma on the right temporal lobe of brain. Bony fragments compressing the optic nerve on lateral side was identified on computed tomography. Decompression of the optic nerve combined with evacuation of epidural hematoma has been performed via transfrontal craniotomy. The patient had complete recovery of visual acuity without any complications. The role of optic nerve decompression in the management of patients with traumatic optic neuropathy is discussed. Surgical indication is controversial and the procedure should be considered only within the context of the specific indication of the individual patient.

Quality of Life in Patients with Chronic Cardiovascular Disease (만성 심혈관질환자의 삶의 질 의미)

  • Lee, Eun-Hyun;Moon, Seong Mi;Tahk, Seung Jai;Kim, Sun Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.12-23
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    • 2007
  • Purpose: The purpose of the present study was to explore the meaning of quality of life in patients with chronic cardiovascular disease. Methods: A grounded theory method guided data collection and analysis. A total of 16 adult outpatients with chronic cardiovascular disease was participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. A theoretical sampling technique was used to obtain diverse data from many relevant categories. Results: Seven categories were extracted, and they divided into constructing and intervening factors of quality of life. Constructing factors were uncertainty, recovery in the sense of control and maintaining social life. Intervening factors were symptom experiences, social support, taking care of themselves, and reflecting life. 'Keeping restrictive conditions under control' was emerged as a core category. The meaning of quality of life in patients with cardiovascular was explained according to the levels of keeping restrictive conditions under control. Conclusion: The result of this study may contribute for health professionals to understand the quality of life in patients with cardiovascular disease.

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Survival Analysis for Prognostic Factors of Occupational Low Back Pain (직업성 요통 근로자의 장애기간에 영향을 미치는 요인 연구)

  • Kim, Ji-Yun
    • Research in Community and Public Health Nursing
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    • v.17 no.1
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    • pp.17-25
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    • 2006
  • Purpose: The goals of this research are to find out factors influencing the duration of work-related disability and to present implications for policies to prevent delayed recovery. Method: The subjects of this study were 238 workers who had been proved to be industrial disaster victims for occupational low back pain between January 1 2000 and December 31 2003. Kaplan-Meier method was used to estimate the proportion of duration of disability associated with low back pain, and Cox proportional hazards analysis was used to identify factors predicting it. The model distinguished main symptom variables affecting acute(${\leq}90\;days$) and chronic phase of disability (>90 days). Result: Fifty percent of the workers had not recovered in 408 days. The results of Cox regression show that delayed duration of disability was predicted by diagnosis, pain radiation (in chronic phase), sex, the size and labor union of the workplace, scheduled rest, compensation from the company, and operation. Conclusion: Duration of disability associated with compensated low back pain is influenced not only by factors related to the company and compensation system but also by individual factors. Thus, future efforts to reduce duration of disability may need to take into account all these factors.

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Ovarian Development and Reproductive Cycle of the Female Red Tongue Sole, Cynoglossus joyneri (Teleostei: Cynoglossidae) (참서대 (Cynoglossus joyneri) 암컷의 난소발달 및 생식주기)

  • LEE Jung Sick;KIM Sung Yeon;MA Kyung Hwa;HUH Sung Hoi
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.33 no.6
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    • pp.554-558
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    • 2000
  • Reproductive biology of the female red tongue sole, Cynoglossus joyneri was investigated by means of histological methods. Gonadosomatic index (GSI) was the highest in June. Developmental pattern of oocytes was group-synchronous. Egg stalk and yolk nucleus were observed in the early growing oocytes. Reproductive cycle could be classified into the growing ($February{\~}May$), maturation ($May{\~}June$), ripe and spent ($June{\~}August$), and recovery and resting ($August{\~}February$). The absolute fecundity per individual ($TL 28.1{\~}30.8 cm$) was 2,197 and relative fecundity per g body weight was 18.0.

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A Study on the Comparison to Source Profile of the Major Terpenes from Pine Tree and Korean Pine Tree (소나무와 잣나무에서 배출되는 주요 테르펜의 배출특성에 관한 비교연구)

  • 지동영;김소영;한진석
    • Journal of Korean Society for Atmospheric Environment
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    • v.18 no.6
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    • pp.515-525
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    • 2002
  • A field study was conducted to estimate the emission rate of biogenic volatile organic compounds (BVOCs) from pine trees. In addition, the influences of meteological variables on their distribution characteristics have been investigated. A vegetation enclosure chamber was designed and constructed of Tedlar bag and acril. Sorbent tubes made up of Tenax TA and Carbotrap were used to collect biogenic VOCs emitted from each individual tree. Analysis of BVOCs was performed using a GC-FID system. The fundamental analytical parameters including linearity, retention time, recovery efficiency, and breakthrough volume were examined and verified for the determination of monoterpene emission rates. Total average concentration of each component is found to be $\alpha$-pinene (16.5), $\beta$-pinene (4.61) from pine trees, and $\alpha$-pinene (42.4), $\beta$-pinene (18.7 ng(gdw)$^{-1}$ hr$^{-1}$ ) from Korean pine trees. On the basis of our study, $\alpha$-pinene was found to be the major monoterpene emitted from both pine and Korean pine trees which were accompanied by $\beta$-pinene, camphene, and limonene. In ambient air, variable monoterpene compositions of emissions from pine trees were similar to Korean pine trees. Emission rates of monoterpene from each tree were found to depend on such parameters as temperature and solar radiation.