• 지역사회간호학회지
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• 제11권2호
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• pp.423-440
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• 2000

This research was conducted to identify the following: the home care needs of patients with dementia and the burden on the primary family care giver: to provide basic data required to develop nursing intervention for the care giver: and to suggest recommendations for medical institutions and social services that could reduce the burden on the families of people suffering from dementia. subjects of this research were 53 patients of the two Public Health Centers of Cheju Province who are suffering from dementia and their families. The instrument used in the research was Kuen. Jung Don (1994)' s assessment tool of burden in the primary family care giver who has parents with senile dementia and Yoo. Young Mi(1998)'s assessment tool of home care need. modified by the researcher in the questionnaire by a Likert rating scale. The period of data collection was from February 8. 2000 to March 10. 2000. Collected data was analyzed by SPSS, using mean, standard deviation. ANOVA, t-test and Pearson correlation coefficient. The result of this research was that there was not a significant correlation between the burden on the care giver and the level of dementia, its duration, the patient's ability to perform daily tasks, the period of care giving. and the use of social services, although the lower the patient's ability to perform daily tasks. and the worse the care giver's own health situation, the higher the burden on the primary family care giver. The following suggestions are made based on the results of this research. 1. More than half of the subjects don't use social facilities and services. More publicity and referral efforts are needed about medical institutions. nursing institutions and other facilities that specialize in services for dementia sufferers and their families. 2. Nursing services should include intensive education for the primary care giver in the most important aspects of home care. 3. Further research should be done, and should include data from all parts of Cheju Province.

• Clinical and Experimental Pediatrics
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• 제51권11호
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• pp.1179-1184
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• 2008

목 적: 폐간질기종은 인공호흡기치료를 받는 신생아 호흡곤란 증후군 환아에서 주로 발생하며 낮은 재태 연령, 인공호흡기사용에 있어서의 높은 최대흡기압력 등과 관련이 있다고 알려졌다. 이에 저자들은 자궁내 염증반응을 포함한 폐간질기종에 대한 여러 위험인자들을 알아보고 폐간질기종을 줄일 수 있는 기본 여건 마련과 향후 인공호흡기 치료방향에 도움을 주고자 본 연구를 시행하였다. 방 법: 2000년 3월부터 2007년 2월까지 7년간 대구 파티마병원 신생아 집중치료실에서 신생아 호흡곤란 증후군을 진단받고 폐표면활성제 및 인공호흡기 치료를 받은 183명을 대상으로 하여 폐간질기종의 분류를 시행하였으며 후향적 병력고찰을 통해 각 환아의 특징을 분석하였다. 결 과: 총 183예의 미숙아중 폐간질기종은 17예에서 발생하였으며 폐간질기종이 있었던 군에서 출생 체중, 재태 연령, RDS grade III 이상, 융모양막염, 조기양막파수 모두 통계적으로 의미가 있었다(P<0.05). 인공호흡기 사용기간은 통계적으로 의미가 있었지만(P<0.05), 최대 평균기도압과 최대 흡입산소분압은 의미가 없었다. 폐간질기종은 우측 또는 양측에서 많이 발생하였으며, 발생시간을 보면 대부분이 72시간내에 발생하였다. 폐간질기종이 있었던 군은 대조군에 비해 사망률이 높게 나타났으며 사망원인은 폐기흉이 가장 많은 원인을 차지하였다. 결 론: 폐간질기종의 위험인자로는 인공호흡기치료를 받는 신생아 호흡곤란 증후군 환아에서 낮은 재태 연령과 출생 체중, 그리고 융모양막염과 조기양막파수의 위험인자가 있을 시 최소 생후 72시간동안은 태아를 주의 깊게 관찰하여야 되며 증상이 없을 경우라도 흉부사진을 주기적으로 관찰하면서 폐간질기종 여부를 집중 관찰하여야 할 것으로 사료된다.

• 대한물리치료과학회지
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• 제6권1호
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• pp.905-913
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• 1999

The hand is a part of the body which has various functions and a sophisticated structures bone, Joint, tendon, ligament and logical nerve organ are aggregated densely in the hand of anatomy its functions are delicate. The hand's functions are very important for doing ADL and a worker's As the hand is structure which is used often and commonly it is a site that can be easily damaged by a accident on work. This study was investigated and analyzed by the results from 238 workers who had hand injury and physical therapy from January, 1997 to June, 1998 at Shin-Pung, Jang-Lim industrial complex which is located in Pusan. 1. A hand injury most frequertly happened in worker in their 30's and 20's(66 case, 28%), second was 57 case(24%) their 40's. 2. Among workers suffering from injury, who had one or less than 2 years on the job, a injury most frequently occurred. 3. Scale of workers, A injury most frequently happend in a place where had workers from 10 to 50. 99 workers from that place were 42% of total. 4. Month of occurrence rate in March were the highest compared to other months 40 injury workers in march were 17% of the total. Second was July, and the least was April that injury appeared with 10 workers. (4.2% of the total) 1. Frocture was the most common lesion 82 workers had that lesion(34%) soft tissue rupture was 71 workers who were 30% of total in type of lesion. 2. Of the site of lesion multiple case was the most common in which 57 workers had that lesion it were 24% of the total. The next was the index finger site in which 44 workers were 19% of the total. The index finger was the most common mono-site that can be lesion 36 workers were the middle finger lesion workers who were 15% of the total. Of the joint lesion, PIP was the most in which 76 workers were 44% and in MC 27 workers were 15% of the total. 3. Interval of physical therapy 79 workers from one month to 2 months, was 33% of the total and 174 workers who had therapy below 3 months were 71% 4. Post injury of disablity of the site, phalangeous disability was the most in which 148 workers had that injury and they were 62% of the total of the grade of disability 110 workers who were 46% of the total state from less than 25% disability in hand-function and 59 patients who were 25% had no disability. There were 6 workers (3% of the total) who had over -75%-dibability in the hand-function.

• Journal of Chest Surgery
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• 제31권11호
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• pp.1089-1093
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• 1998

연구배경 : 안면부 다한증의 경우 주로 T1 교감 신경절에서 분포하는 것으로 알려져있어 안면다한증의 경우 T1 교감신경절의 절제가 치료의 원칙이었다. 그러나 T1 교감신경절을 절제하는 과정에서 성상신경절의 손상에 의한 Horner's 증후군의 유발가능성이 많기 때문에 수술방법이 어렵고 수술후의 일시적인 Horner's 증후군의 발생율이 높았다. 재료 및 방법 : 연세대학교 의과대학교 영동세브란스 병원 흉부외과에서는 1997년 3월부터 1998년 3월까지 안면부 다한증환자에서 T1 sympathectomy 한군(group I)과 T2 sympathicotomy 한군(group II)을 비교하였다. 결과 : 수술전 모든 환자에서 안면의 심한 발한증상이 있었으나 수술에 실패한 2례를 제외하고는 수술직후 전례에서 증상소실을 보였다. Group I과 II 의 수술에 대한 만족도, 결과 그리고 보상성다한증의 발생율에서의 유의 있는 차이는 없었으며 Group I 에 비하여 Group II에서 수술 시간이 짧았으며 수술후 합병증, 특히 Horner's 증후군에 대한 발생이 Group I에서 7례 인반면 Group II 에서는 전혀 없었다. 수술후 2개월에서 13개월까지의 추적조사에서 재발은 없었다. 결론 : 안면부 다한증 환자의 치료에서 T2 sympathicotomy는 수술의 결과와 만족도는 T1 symapthectomy 와 같으면서 수술시간의 단축과 Horner씨 증후군과 같은 심각한 합병증을 예방하는 간편하고 안전한 치료방법으로 생각된다.

• 대한한방소아과학회지
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• 제14권2호
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• pp.105-120
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• 2000

Clinical studies were done treated with aroma-therapy in 17cases of patients for suffering sinusitis, who were treated at Dept. of Pediatrics in the Hospital of Daejon from March 2000 to November 2000. The results were as follows. 1. In distribution of sex & age, 70.6% was men and 29.4% women. 47.1% was between 5 and 7 years old, 35.3% within 5 years old. 2. In distribution of the period of the clinical history, 35.3% was over 6 momths, 29.4% of them between 6 and 12 months. 3. In the living environment the apartment was 58.5% and the residental zone is 29.4%. 4. The incurrence of season is winter, 47.0% next is change of season, 29.4%. 5. At night the symptom is the most common, 52.9%. In the morning is the next, 35.3%. 6. In the past history. tinnitus was the best at 38.4%. The otitis media. atopic dermatitis, convulsion disease is next at 15.4%. 7. In the family history. the allergic rhinitis or sinusitis is the most rich at 38.4% and tinnitus is next at 23.0%. 8. In distribution of the chief complain companied with sinusitis, 23.3% was nasal obstruction, each 18.4% of them nasal discharge, cough. 9. In distribution of the duration of therapy, 29.4% was over 6 months, 23.5% between 5-6 months. In distribution of the therapeutic method, 47.1% was treated with western and oriental medicine and 42.1% only oriental medical care. 10. In distribution of the period of improvement of symptom(by X-ray reading), 35.2% was between 2-3 momths, 29.4% between 1-2 months. 11. In emotional change, after aroma-therapy, 82.4% of them felt good. 12. After treatment, 70.6% was excellent, 17.6% was good.

• 대한간호학회지
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• 제25권3호
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• pp.562-580
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• 1995

This research was an attempt to make it possible to provide nursing care and health education meet- ing the need not of care givers but of patients by identifying the nature of patients' self regulation experiences. The specific objective of this study was : 1) to explore self regulation experiences of patients with adult disease. The phenomenological approach in qualitative studies is used to serve this purpose. Colaizzi's method is used for the phenomenological analysis of the data in this study, which were collected from 25 patients hospitalized in the internal medical ward and oriental medical ward of a Seoul hospital, suffering from adult disease such as hypertension, arteriosclerosis and diabetes mellitus. The research was conducted over a period of March to September, 1994. The investigator conducted participated observations and in-depth unstructured interviews which were audiotaped under the permission of patients. The investigator read the data repeatedly to identify and categorize significant statements, formulating meanings, themes and theme clusters. The result is categorized as follows : Self regulation activities, their barriers and predisposing factors of a disease. Thirteen theme clusters of self regulation activities related to health identified were. “maintaining diet regimen”, “maintaining exercise regimen”, “maintaining medication regimen”, “maintaining oriental medical regimen”, “maintaining health monitoring regimen”, “maintaining self effort”, “maintaining religious life”, “maintaining social sup-port systems”, “maintaining peaceful mind”, “maintaining moderation in life”, “maintaining sincere attitude in life”, “maintaining natural life”, and “maintaining folk remedy” This findings confirm the fact that self regulation is complicatedly and diversely influenced by oriental medicine and folk remedy, and Korean traditional ideas melted in Confucianism, Buddhism, Taoism and Shamanism, and modern medical care and western culture. Seven theme clusters of self regulation barriers identified were : "lack of knowledge and self aware-ness", "lack of social supports", "lack of awareness of need in continuous regimen and treatment", "dissatisfaction with hospital and health care provider", "lack of self management ", "lack of will to combat illness", and "overconfidence in folk remedy" Four theme clusters of predisposing factors of a disease were : "cumulation of stressors", "fatalism", "careless life style", and "family history". In conclusion, this. study will prove helpful not only in understanding clients in light of our traditional culture but also in providing them with the kind of nursing care and health education satisfying their demands and particularly cultural needs.

• Journal of Yeungnam Medical Science
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• 제4권1호
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• pp.43-47
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• 1987

7 cases of Acute Gastric Anisakiasis have been reviewed at the Department of Internal Medicine. Yeungnam University Hospital from March, 1983 to December 1986. 1. Of 7 cases, the ratio of male and female was 3:4 and the age 30s occupied most (5 cases) the 50s' followed (2 cases). 2. Chief complains were in order of epigastric pain (6 cases), vomiting (3 cases), Nause (2 cases), Ulticaria (1 case) & epigastric fulling sensation (1 case). 3. In all 7 cases, the causative fish is Astroconcer myriaster. 4. The onset of symptoms was observed within 5 to 7 hours after eating the causative raw fish. 5. Gastrofiberscopic exam was undergo within 18 hours since onset of symptoms. 6. The gastrofiberscopic findings were gastric mucosal edema and redness in all 7 cases. One case also had mucosal erosion. The involved sites of the stomach were in frequency of order, the body (5 cases), the antrum (2 cases). 7. The symptoms of the patients relieved spontaneously without medical treatment after the extraction of the larva with biopsy forcep during gastrofiberscopy. 8. In Korea, many people take raw fish and there may be many patients of Anisakiasis so if much concern and careful observation are paid to whom, with severe cramping epigastric pain after taking of raw marine fish in about 10 hours, we could find out and confirm more patients suffering from Anisakiasis by immediate endoscopic gastrofiberscopy.

• Journal of Gastric Cancer
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• 제12권2호
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• pp.108-112
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• 2012

Purpose: Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer. Materials and Methods: This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was ${\geq}25$, and in 118 patients, it was <25 kg/$m^2$. Results: The mean values of body mass index in the 2 groups were $27.3{\pm}2.2$ and $21.4{\pm}2.3$. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups. Conclusions: Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.

• 여성건강간호학회지
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• 제4권2호
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• pp.203-216
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• 1998

Pain is commonly characterized as a multi-dimensional experience, varing in quality as well as in intensity. So, We need to understand the lived experience of primiparous women in order to provide basic information of nursing care. Therefore, The purpose of the study is to explore the construction of labor pain experience. The data are collected through in-depth interviews of 20 primiparous women in Pusan city from March 1998 to May 1998. Their labor pain experiences conducted 1-2 days after delivery at admission room. Each interview lasted about 25 minutes average. I have interviews one time with each subject. The record was taken with the consent of the subject. Data were analyzed by means of Giorgi's phenomenological analysis methods and categorized according to the similarities of its contents. The investigator read the data repeatedly to identify and categorized themes and main meaning. Eleven themes of labor pain as experienced by these subjects were : 1) fear 2) suffering 3) evasion of pain 4) will power about overcome 5) support need 6) apprehension of parent 7) producing confidence 8) obtain his roles 9) attributing the cause of labor pain to others 10) not feeling of touching 11) ambivalence. Five main meaning identified were : 1) fear 2) evading and confrontation 3) the maturity of personality 4) unreality 5) ambivalence. The significes of this study for nursing are : 1) It enables nurses and other health care providers understand more clearly the lived experience of labor pain. 2) It provides that the way of more effective pain management.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권2호
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• pp.95-103
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• 2024

Purpose: Diarrhea is one of the leading causes of mortality in children living in developing countries. The etiology of acute diarrhea in each healthcare center varies depending on place, time, and population. This study aimed to identify pathogen patterns in human immunodeficiency virus (HIV)-infected and non-HIV children suffering from acute diarrhea, using multiplex real time reverse transcriptase polymerase chain reaction (RT-PCR), in an Indonesian tertiary hospital. Methods: This cross-sectional study was conducted at Dr. Cipto Mangunkusumo National Hospital from March 2019 to April 2020. Results: The study showed that multiplex RT-PCR results were positive in 58.9% of the specimens, with more positive results in HIV-infected children than in non-HIV-infected children (70% vs. 54.7%). Altogether 72 enteropathogens were detected from all specimens. Enteropathogens in non-HIV children with acute diarrhea consisted of bacteria (70.6%) and viruses (29.4%) with a predominance of enteroaggregative Escherichia coli (25.4%), followed by Campylobacter spp. (11.8%), enteropathogenic E. coli (9.8%), Norovirus GII (7.8%), and Clostridium difficile (7.8%). Enteropathogens in HIV-infected children consisted of viruses (57.1%), bacteria (28.6%), and parasites (14.3%) comprising Norovirus GII (24%), Cryptosporidium spp. (14.3%), Campylobacter spp. (14.3%), Norovirus GI (14.3%), and Astrovirus (14.3%). Cryptosporidium spp. was the only parasite found in this study and was found only in HIV-infected children. In non-HIV children with acute diarrhea, most pathogens were invasive bacteria, while in HIV-infected children, more viral and parasite infections occurred, primarily caused by opportunistic pathogens. Conclusion: The pattern of enteropathogens can help clinicians determine further examinations and appropriate empirical antimicrobial therapy for the patient.