• 제목/요약/키워드: Point-Of-Care

검색결과 1,141건 처리시간 0.035초

산욕기 과보온으로 야기된 산욕기 발한 과다에 대한 증례 보고 (The cases report of postpartum hyperhidrosis caused by keeping overwarm)

  • 조형래
    • 대한한방부인과학회지
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    • 제18권4호
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    • pp.203-210
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    • 2005
  • Purpose : The keeping warm and avoidance of cold are one of important Korean traditional postpartum care, but sometimes overwarm for example over-bundling, an overheated room or a steam bath cause heavy sweats. I observed and treated three patients complained of heavy sweats, chills, fatigue, malaise, cold sensation and pain caused by keeping overwarm for postpartum care. Although the symptoms have aggravated, they have maintained keeping overwarm because of a belief of Korean traditional postpartum care. The purpose of these cases studies are to report postpartum hyperhidrosis caused by keeping overwarm and to make a point of keeping the appropriate room temperature and humidity during puerperium. Methods : I observed and treated three patients complained of heavy sweats, chills, fatigue, malaise, cold sensation and pain caused by keeping overwarm for postpartum care. I found that a cause of the symptoms was hyperhidrosis by keeping overwarm, and administered herbal medicine and was to keep the appropriate room temperature. Results : After medication of Herbal medicine(補中益氣湯加味方) and keeping the appropriate room temperature, they were improved. Conclusion : Postpartum care is not to keep overwarm but to keep the appropriate room temperature and humidity.

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중환자실 간호사의 임상 적응 경험 (Experience of Clinical Adaptation among Nurses in Intensive Care Unit)

  • 홍진영;손수경
    • 중환자간호학회지
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    • 제17권1호
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    • pp.1-16
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    • 2024
  • Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses' experience of clinical adaptation. Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method. Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was "The harsh adversity faced in the nursing field where life and death are determined" and the core category was "Enduring the adversity of caring for critically ill patients and achieving self-realization." ICU nurses' clinical adaptation process was explained in five phases: "confrontation period," "turbulent period," "seeking period," "struggling period," and "stabilized period." The five phases that affect interventional conditions were "Support from reliable people," "Recognition of administrative and financial support." Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses' clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses' adaptation to critical care.

만성 폐쇄성 폐질환자의 자가관리측정도구 개발 (Development of a Scale to Measure Self-Care for Korean Patients with Chronic Obstructive Pulmonary Disease)

  • 전정자;김애경;최상옥;애정희;최미경;장선아
    • 대한간호학회지
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    • 제33권1호
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    • pp.9-16
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    • 2003
  • Purpose : The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea. Method: Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses. Result: Factor analysis identified eight factors-'maintaining a clean air way', 'taking medication', 'support from family', 'preventing infection', 'managing symptoms', 'breathing exercising', and 'taking in nutrition'. The internal consistency of the total scale was Cronbach's α=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services. Conclusion: The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

Evaluation of End-of-Life Nursing Education Consortium-Geriatric Train-the-Trainer Program in Korea

  • Kim, Boon-Han;Kim, Hyun-Sook;Yu, Su-Jeong;Choi, Sung-Eun;Jung, Yun;Kwon, So-Hi
    • 성인간호학회지
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    • 제24권4호
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    • pp.390-397
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    • 2012
  • Background: Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly. Purpose: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. Methods: Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. Results: Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. Conclusion: The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.

건강포인트제도가 건강관련 생활습관에 미치는 영향 (The Effect of Health Point System on Health-related Lifestyle)

  • 오대규;이혜숙;임준;정원;윤미경
    • 동서간호학연구지
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    • 제18권1호
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    • pp.25-30
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    • 2012
  • Purpose: The purpose of this study was to verify the influence of health point system on the lifestyle among the patients with chronic diseases listed in iCDMS, a project of the Incheon Metropolitan Center for Chronic Disease Control and Prevention. Methods: The data were collected 1,000 persons among the patients listed in iCDMS from March 16, 2009 to December 21, 2010 by telephone survey. The data were analyzed by descriptive statistics, ${\chi}^2$-test, odds ratio and logistic regression with the SPSS 18.0 program. Results: The higher the percentage of the accumulation of the points of necessary medical examinations they have, the better the lifestyle the participants practice moderation in drinking, exercise, and diet (p<.05). Also the higher the percentage e accumulative points of education and visit, the stronger the intention to improve the lifestyle such as for example, receiving the guidance of no smoking, giving up drinking, or being conscious of nutrition and obesity (p<.05). Conclusion: This study suggests that the motivation through an incentive system can increase self-care make an effect on the care of patients with chronic diseases.

Rapid, Sensitive, and Specific Detection of Clostridium tetani by Loop-Mediated Isothermal Amplification Assay

  • Jiang, Dongneng;Pu, Xiaoyun;Wu, Jiehong;Li, Meng;Liu, Ping
    • Journal of Microbiology and Biotechnology
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    • 제23권1호
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    • pp.1-6
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    • 2013
  • Tetanus is a specific infectious disease, which is often associated with catastrophic events such as earthquakes, traumas, and war wounds. The obligate anaerobe Clostridium tetani is the pathogen that causes tetanus. Once the infection of tetanus progresses to an advanced stage within the wounds of limbs, the rates of amputation and mortality increase manifold. Therefore, it is necessary to devise a rapid and sensitive point-of-care detection method for C. tetani so as to ensure an early diagnosis and clinical treatment of tetanus. In this study, we developed a detection method for C. tetani using loop-mediated isothermal amplification (LAMP) assay, wherein the C. tetani tetanus toxin gene was used as the target gene. The method was highly specific and sensitive, with a detection limit of 10 colony forming units (CFU)/ml, and allowed quantitative analysis. While detecting C. tetani in clinical samples, it was found that the LAMP results completely agreed with those of the traditional API 20A anaerobic bacteria identification test. As compared with the traditional API test and PCR assay, LAMP detection of C. tetani is simple and rapid, and the results can be identified through naked-eye observation. Therefore, it is an ideal and rapid point-of-care testing method for tetanus.

스마트폰 기반 형광 smartscope의 입자계수 및 회전하는 나선형 채널의 입자정렬 성능 평가 (Evaluation of Particle Counting by Smartphone-based Fluorescence Smartscope and Particle Positioning in Spinning Helical Channel)

  • 박은정;김수빈;조명옥;김경훈;모히우띤;김선욱;이정훈;김중경
    • 한국산업정보학회논문지
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    • 제20권3호
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    • pp.19-28
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    • 2015
  • 스마트폰의 영상정보처리에 기반한 현장 진단기기 개발을 목표로 입자계수용 형광 smartscope와 DC 모터로 제어되는 입자정렬 시스템을 제작하였다. 크기가 작고 저렴한 비용으로 비전문가도 쉽게 다룰 수 있는 smartscope는 LED, 볼렌즈, 형광필터가 설치된 어댑터가 스마트폰 카메라 앞에 장착되어 전용 애플리케이션으로 형광입자와 형광염색된 백혈구를 계수할 수 있었다. 모터는 안드로이드 스마트폰의 블루투스 무선통신 기능을 통해 제어되었다. 나선형 미세유동채널이 축을 중심으로 회전하는 동안 백혈구와 크기가 유사한 입자가 정렬되는 현상을 관찰하였다. 모터로 회전 방향과 속도가 조절되는 입자 정렬 시스템은 많은 시간이 소요되는 수작업을 최소화하고 시료 전처리 과정을 자동화할 수 있으므로, smartscope와 통합될 경우 스마트폰을 이용한 현장진단기기에 활용될 수 있을 것이다.

현장검사용 멀티스트립 리더기의 개발 및 평가 (Development and evaluation of the multi-strip reader for point of care testing)

  • 김진;전우람;박승우;이창률;이다현;최인택;김주연;서인범
    • 한국콘텐츠학회논문지
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    • 제14권3호
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    • pp.52-58
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    • 2014
  • 현장검사는 환자가 있는 즉석에서 검사하여 결과를 알 수 있으며 신속하고 경제적으로 시행할 수 있는 장점이 있어 널리 이용되고 있다. 특히 면역크로마토그래피법을 이용한 검사 항목은 편리하게 쓰이고 있으나 오류가 발생하여 재확인 할 경우, 판독선이 시간이 경과됨에 따라 재확인이 불가능한 단점이 있고 반응이 약한 경우 판독자에 따라 오류가 생길 수 있다. 이에 검사에 쓰이는 다양한 현장검사용 스트립의 판독이 가능하고 화상을 저장할 수 있는 기능을 가진 멀티 스트립 리더기를 개발하였고, 요 임신검사가 의뢰된 검체를 대상으로 개발된 멀티 스트립 리더기를 평가한 결과 100% 일치된 결과를 보였다. 본 연구에서 개발된 멀티 스트립 리더기는 실제 임상에서 편리하고 경제적으로 사용될 수 있을 것으로 생각된다.

음성신호를 이용한 A16 혈자리와 심장 기능의 연관관계 분석 (Analysis of Association Relationship Between A16 Acupuncture Point and Heart Function Using Voice Signals)

  • 김봉현;조동욱
    • 한국통신학회논문지
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    • 제35권11B호
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    • pp.1651-1658
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    • 2010
  • 최근 들어 삶의 지표가 향상됨에 따라 질병이 발생되지 전에 조기 진단하는 예방, 보건의 건강 패턴이 행해지고 있다. 이와 같은 예방, 보건 분야를 반영하는 대체의학으로 수지침 요법이 널리 사용되고 있다. 따라서 본 논문처리 기술을 이용하여 성장에 해당하는 상응점인 A16 혈자리를 자극하여 심장과 관련된 음성 요소의 변화를 측정하고 상호간의 비교, 분석을 통해 성장 가능의 향상을 측정하였다. 이를 위해 우선 심장 상응점인 A16 혈자리를 자극하기 전과 후의 음성을 수집하였으며 심장과 연관성이 있는 음성 신호 분석 요소인 제2포먼트 대역폭과 지터를 적용한 실험을 수행하였다. 결과적으로, A16 혈자리 자극에 의해 제2포먼트 대역폭과 지터가 낮아지는 결과를 추출했으며 이를 통해 IT 음성 신호 처리 기술을 이용하여 심장 기능이 향상되는 것을 입증할 수 있었다.