• Title/Summary/Keyword: Pre-feb

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A Clinical Study for Pre- and Intraoperative Risk Factors of Hospital Mortality after Mitral Valve Replacement (승모판막 치환술후 조기사망의 술전 및 술중 위험인자에 대한 임상적 고찰)

  • 박승규
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.236-244
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    • 1990
  • To improve the prognosis of mitral valve replacement surgery, analysis and evaluation of pre and intra operative risk factors will be very much valuable. Author studied 205 cases of mitral valve replacement from Feb 1982 to June 1989 for the risk factors of hospital death. 90 patients were male and 115 were female, and age was from 16 to 59 years, Mitral stenosis dominant lesions were 91 cases and regurgitation 114. Suspected risk factors were NYHA functional class, cardiothoracic ratio, implanted valve type and size, operation time, age and sex, thrombus in left atrium, atrial fibrillation, aortic cross clamping time, left ventricular end diastolic and systolic dimension, nephropathy, hepatopathy and respiratory insufficiency. Statistic analysis was performed by X2 test between survivors and death group. Statistical significances as pre and intraoperative risk factors of hospital death after mitral valve replacement were confirmed in those presence of AF on the EKG, NYHA functional class[>IV], cardiothoracic ratio[>70%], and implanted valve size[>33mm]

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Change of Knowledge and Attitude toward AIDS of Soldier through Health Education (AIDS에 대한 보건교육을 통한 일부 사병의 지식 및 태도변화)

  • 홍순이;정문숙
    • Korean Journal of Health Education and Promotion
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    • v.11 no.1
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    • pp.3-15
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    • 1994
  • This study was conducted to investigate changes of knowledge and attitude toward AIDS of soldier through health education. The sample was selected with and experimental group(160 persons who were received health education group) and control group(160 persons who were not received), 20-21 years of age from 320 persons(soldier) who were between in a certain base located in Kyung Gi province. The data was collected from 24th Feb. to 21st April 1993. By questionnaires before and post test for education process about 4 weeks(pre and post test). The results of this study were as follows ; Of 320 soldiers 66.6% had received health education on sex before attending in base, 58.8%(94 persons) of experimental group and 58.1%(93 persons) had experience with sexual intercourse. In characteristics related to sexual intercourse experience, age of first sexual intercourse for experimental group was 19 in highest percentage as 30.0%, 18 in control group, 64.9% of experimental group and 61.4% of control group answered no use condom during sexual intercourse. About the reasons why use condom 51.5% of experimental group answered to prevention of VD and 44.4% of control group answered to prevention of partner's pregnancy in the highest percentage. There was no significant difference between mean score of knowledge level of experimental group and mean score of control group in pre-test. There was significant difference between mean score(15.23) of experimental group and mean score(12.98) of control group(p<0.01) in post-test. The attitude level in pre, post education was mean score 11. There was significant difference between mean score(9.04) of experimental group in pre-test and mean score(9.39) in post education(p<0.05), There was also significant difference between mean score(9.16) of control group in pre-test and mean score(9.60) in post-test(p<0.05), Mean score of perceived susceptability level of experimental group decreased from mean score 2.84 in pre-test to 2.66 in post-test, there was no significant difference between mean score of pre-test and that of post-test in 2 group. There was no significant difference between mean scores of perceived severity of experimental group in pre-test and that in post-test and there was no significant difference between mean score of perceived severity of control group in pre-test and post-test. There was no significant differences between mean scores of perceived benefits to act health behavior of experimental group or control group and pre-test and post-test.

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Effects of Basic Clinical Practice Program in Academic Motivation, Critical Thinking and Clinical Nursing Competence of Nursing Students (기초임상실습프로그램이 간호대학생의 학습동기, 비판적사고 및 임상수행능력 자신감에 미치는 효과)

  • Seo, In-Soon;Oh, Su-Min;Choi, Dongwon;Park, Hee-Ok;Ma, Rye-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2276-2284
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    • 2014
  • The purpose of this study was to identify the effects of basic clinical practice program(BCPP) on academic motivation, critical thinking and clinical nursing competence in nursing students. Thirty-hour BCPP was consisted of the essential of fundamental nursing skills and prior education in nursing lab before first clinical practice. The participants were 228 nursing students and data was collected with self-administered questionnaire during Feb. 18 to Feb. 28, 2013. Study design was one group pre-post test. BCPP was not related with critical thinking. But there were significant differences subcategories of learning motivation like academic stress, test anxiety, depression and self efficacy, and in clinical nursing competence. The results suggest that BCPP is effective to enhance clinical competence for novice of nursing clinical practice.

A Clinical Study for Return to Work after Heart Valve Replacement - A Case Report - (심장판막 치환술후 직업복귀에 대한 임상적 고찰)

  • 김현경
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.967-972
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    • 1991
  • Between Feb. 1982 and July 1990, 173 patients [male: 89, female: 84] Who underwent heart valve replacement for acquired valvular heart disease on the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, were reviewed for return to work after heart valve replacement. The replaced valve were mitral [128, 74.0%], aortic[10, 5.8%], mitral & aortic[35, 20.2%]. Two tricuspid valve replacement were excluded. Several important factors influencing the return to work were age, the employment status before surgery, the number of replaced valve, the pre - op NYHA functional class and cardiac function [ejection fraction]. These factors were closely related to the optimal time of heart valve replacement. It can be concluded that the rate of return to work and the quality of life would be improved if valve replacement were performed at an earlier stage of valvular heart disease.

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Comparative Analysis of Outpatients Visiting Korean Medicine Hospital and Department of Ophthalmology, Otolaryngology & Dermatology of Korean Medicine Pre- versus Post- COVID-19 (COVID-19 전후 단일 한방병원 및 한방 안이비인후피부과 외래 환자들에 대한 비교 분석)

  • Byunghyun Kim;Jundong Kim;GwangYeel Seo;Kyuseok Kim;HaeJeong Nam;YoonBum Kim
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.1
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    • pp.96-109
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    • 2023
  • Objectives : The objective of this study is to predict how future infectious diseases will affect healthcare utilization patterns within korean medicine hospitals and, specifically, departments of ophthalmology, otolaryngology and dermatology of Korean medicine. Methods : We retrospectively analyzed medical records of patients who visited Kyung Hee University Korean Medicine Hospital during Pre COVID-19(from March 1st, 2018 to Feb 29th, 2019) and Post COVID-19(from March 1st, 2019 to Feb 28th, 2022). The data was analyzed by visit type and diagnosed disease code. Results : 1. After the COVID-19 break-out, the number of first visit patients increased but those of revisit patients, total patients, and revisit/first visit ratio decreased in all departments. 2. In Kyung Hee University Korean Medicine Hospital, the decrease rate of the number of total patients diagnosed with diseases of respiratory system(J00-J99) was the highest, while that for diseases of circulatory system(I00-I99) was the lowest. 3. In the department of Ophthalmology and Otolaryngology of Korean Medicine, the decrease rate of the number of total patients with nose disease was the highest, followed by eye disease and ear disease. 4. In the department of Dermatology of Korean Medicine, the number of total patients with dermatitis remained consistent, while the number of total patients with skin appendage disease showed relatively high decrease rate. Conclusions : Severe or chronic diseases showed relatively low decrease rate of the number of total patients. While mild diseases or diseases with high probability of exposure to COVID-19 infection during treatment showed high decrease rate of the number of total patients.

A Study on Improvement of Marital Relationship Program for Immigrant Women's Husbands (결혼이민자 남편의 부부관계향상 프로그램 효과성에 관한 연구)

  • Kim, Oh-Nam;Kim, Kyeong-Shin;Lee, Jung-Hwa
    • Journal of Families and Better Life
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    • v.26 no.1
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    • pp.69-84
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    • 2008
  • The purpose of this study is to develop and evaulate improvement of marital relationship for immigrant women's husbands. They who play important role have much more resources than wifes in Korean society and establish a happier home through trying to adapt marital relationship. It needs to escape focusing on only immigrant education and program and have to extend to immigrants' family members including husband. The program procedure was implemented for 14 immigrant women's husbands every Friday for 2 hours from Feb, 2007 to Mar, 2007. To evaluating effects of program the pre test and post test was analyzed. The program was operated by researcher, center worker and volunteer who have much practiticing experiences about immigrants. The program of sessions is perception of intermarriage, understanding of wife's country culture, open communication, conflict resolution and child rearing attitude. As the results of the analysis, there were significant differences of the increases in the area of perception of intermarriage, open communication and child rearing attitude. Finally, this study suggests that understanding of wife's country culture and conflict resolution of the program be modified by future social work practitioners and researchers in order to make the program more effective.

Effects of a Newborn Care Education Program on Newborn Care Confidence and Behavioral Accuracy of Primiparas in a Postpartum Care Center (신생아 돌보기 교육프로그램이 산후조리원 이용 초산모의 양육자신감과 양육행위 정확도에 미치는 효과)

  • Kim, Hyun-Kyung;Jeong, Ihn-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.125-134
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    • 2007
  • Purpose: The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Method: This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the $X^2-test$, Fisher's exact test, t-test and ANCOVA. Result: The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group. Conclusion: The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.

Management of Esophageal Perforation: Analysis of the Risk Factors Affecting the Outcome (식도 천공의 치료와 예후에 영향을 미치는 인자의 분석)

  • Park, Kyoung-Taek;Han, Il-Yong;Cho, Kwang-Hyun
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.126-130
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    • 2010
  • Background: The esophageal perforation is related to high morbidity and mortality rates if the diagnosis and treatment are delayed. The aim of this study is to evaluate the affecting factors on outcome and prognosis of the patients who suffer from esophageal perforation. Material and Methods: Twenty-six patients were treated with esophageal perforation in our institute from Jan. 1992 to Feb. 2010. We retrospectively reviewed the results of treatment for esophageal perforation to understand the risk factors affecting survival in patients. Results: The subjects are 26 patients suffered with esophageal perforation and the mean age is $52{\pm}17.8$ years old. 16 esophageal perforations were caused spontaneously, 25 cases were treated surgically. The mortality rate is higher in the cases o pre-operative mediastinitis. Conclusion: The shortness time interval until the beginning of treatment should be achieved to reduce the incidence of fatal post-treatment morbidity and mortality.

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Study on the Application of Modular Technologies to Han-ok (한옥의 모듈러 공법 적용에 관한 연구)

  • Lee, Chang-Jae;Lim, Seok-Ho
    • Journal of the Korean housing association
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    • v.23 no.4
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    • pp.49-57
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    • 2012
  • This study was conducted to apply the modular construction method to Han-ok. The modular method, which is differentiated from the existing one, means a construction method that equipments, windows and interior materials are prefabricated as a six-sided object at a plant and then they are assembled at the least process on the spot. As for the theoretical observation, the theoretical basis to apply the modular method to the modular housing and Hanok was divided into environmental and economic aspect. In order to apply the modular method to Hanok, the unit scale and size were selected and the plane of unit module Hanok was developed. And a standard with regard to the unit combination and material lifting transportation method was set and planned. In addition, through the comparison the unit modular Hanok to the existing Hanok, the difference was analyzed and the strength was identified in terms fo design method, structure, construction method, period and cost. In final, the conclusion, with regard to the economic, technical application in future, was drawn through arranging the study contents. The unit modular Hanok to carry out the high-quality dwelling through construction period reduction, standardized construction materials and improved insulation performance can meet the demands for a paradigm of new construction technology.

Effects of Maternal Role Practice Education on Becoming a Mother (어머니 역할 실습교육이 어머니됨에 미치는 효과)

  • Chea, Hyun-Ju;Kim, Sue
    • Women's Health Nursing
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    • v.17 no.1
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    • pp.52-63
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    • 2011
  • Purpose: The purpose of this study was to investigate the effects of education and practice of the maternal role and becoming a mother using the concepts of self-confidence in caring, maternal attachment, and maternal identity. Methods: A non-equivalent control group non-synchronized design was used. Data was collected with the use of self-administered questionnaires from November 2007 to April, 2008. A total of 54 women at a Sanhujoriwon (postpartum care center) participated in the study. The experimental group consisted of 26 women (Nov-Dec), whereas the control group had 28 women (Feb-Apr). Education and practice on the maternal role was given individually and consisted of explanations, demonstrations and practice on breast feeding (day1 to 3), maternal attachment (day 8 to 9), bathing (day 10 to 11) and infant healthcare (day 13 to 14). The experimental group received education and practice on the maternal role while the control group received routine education only. Results: Data collection was done using pre and post questionnaires at admission and fourteen days later. The experimental group showed significant increases in self-confidence in caring (t=-3.31, p=.002) and maternal identity (t=-2.16, p=.036) compared to the control group. Conclusion: Education and practice on the maternal role and being a mother was an effective intervention in increasing self-confidence in caring and maternal identity.