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The clinical study for the postoperative tracheal stenosis (수술후성 기관협착증에 관한 임사적 고찰)

  • 김기령;홍원표;이정권
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1977.06a
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    • pp.9.1-10
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    • 1977
  • Many etiological factors playa significant role in the development of tracheal stenosis; too high tracheostomy (Jackson, 1921), too small stoma (Greisen, 1966), the treatment with respirator using cuffed tube (Pearson et al., 1968; Lindholm, 1966; Bryce, 1972) and infection (Pearson, 1968). Although the incidence has been reduced due to development of surgical technique and antibiotics, the frequency of tracheal stenosis which produces symptoms after tracheostomy ranges from 1.5 per cent (Lindholm, 1967). In the management of the stenosis, mild cases are treated by mechanical dilatation with silicon tube or stent (Schmigelow, 1929; Montgomery, 1965) combined steroid (Birck, 1970), and in the cases of stenosis causes, these removed under the are bronchoscopy. But in severe stenosis, transverse resection with subsequent end-to-end anastomosis has been used in recent years (Pearson et al., 1968). During about 10 years, 1967 to 1977, a total of 23 patients with tracheal stenosis complicated among the 1, 514 tracheostomies have been treated in Severance Hospital. Now, we have obtained following conclusions by means of clinical analysis of 23 cases of tracheal stenosis. 1. The frequency of tracheal stenosis was 23 cases among 1, 514 cases of tracheostomy (1.5%). 2. Under the age of 5, these are 12 cases (52.2 %). 3. The sex incidence was comprised of 18 males and 5 females. 4. The duration of tracheostomy ranges from 4 days to 16 months. 5. The primary diseases requiring tracheostomy were following; central nerve system lesions 11 cases, upper air way obstruction 10 cases, extrinsic respiratory failure 2 cases. 6. Severe wound infections were only 2 cases. 7. The methods of treatment applied to tracheal stenosis were following; closed observation only 5 cases, nasotracheal intubation combined steroid 5 cases, T-tube stent combined steroid 3 cases, fenestration op. 4 cases, revision 4 cases and transverse resection and end-to-end anastomosis 2 cases.

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An Analysis of Research Trend about Oriental Nursing Published in Korea (한방간호연구 논문분석)

  • Lee, Hyang-Yeon;Kang, Hyun-Sook
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.102-113
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    • 2000
  • The study attempts to analyze the trends of study related with oriental nursing. This article reviewed 81 researches on oriental nursing from 1985 to July 2000, by examining them according to the articles' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and concept, and content of literature review. The findings of the analysis can be summarized as follows; 1. The number of studies related with oriental nursing has progressively increased by year from 1985, and that of articles was the highest during the period between 1995 to 1999. Since the 1990s, the number of articles including thesis and dissertation increased, and a third of subject articles were thesis among them. 2. The majority of research design were survey and correlational studies, and most of them were published in the 1990s. Literature review articles also occupied a certain portion, and most of them were published after 1995. In addition, the research design of dissertation revealed in various types. 3. Nursing intervention used in the experimental study was Dan Jeon Breathing, San-Yin-Jiao (SP-6) Pressure, Percutanous Electrical Nerve Stimulation, Guided Imagery, Diet for Sasang Constitution, Yoga Exercise, Qigong Exercise, Meridian Massage, Bed Exercise Program, Health Contract and Structured Rehabilitation Education. Among the study subjects, patients with chronic illness were at the highest rate, and the most nursing intervention effects presented physiological effect, activities of daily living and relieving pain. In most studies, the affirmative effect proved. 4. The key concept of literature review articles is energy, oriental nursing, health promotion, oriental medicine management of illness and etc. Being important concepts to understand oriental nursing, they confirm similar perspective of oriental medicine and nursing and show simultaneously the importance of nursing considered into the cultural perspective. The summary of the above results shows a tendency that the thesis and dissertation have been relatively considered with various research designs, while the others have focused on literature review. Especially, experimental study proved affirmative effect through various experimental treatment of nursing intervention related with oriental medicine. Besides in the literature review, inquiry of theories and practical perspective, which is necessary for the establishment of oriental nursing, was introduced. However, for the establishment of oriental nursing, more studies are to be required along with development of nursing intervention related with health promotion.

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The Convergent factors influencing of the Middle Aged Women's Perceived Aging (중년 여성들의 노화인식에 영향을 미치는 복합적 요인)

  • Jung, Moon-Sin;Kwon, Hye-Jin
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.493-501
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    • 2017
  • This study aimed to present cosmetic countermeasures for preventing fast aging process in the middle age and accepting healthy aging both physically and mentally by investigating the perception of aging according to the health condition, lifestyle and psychological condition targeting mid-aged women in 40s to 50s residing in Seoul and Gyeonggi-do Province. The data collection period was from July 25 to Sept 1, 2015. The data was analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. It was shown that as the age was higher, the menopause ratio was higher, drinking, exercise volume and hours of sleep were reduced and the stress and psychological pressure were higher. According to the menopausal status, the status of facial aging showed a significant difference (${\chi}^2=39.692^{***}$, p<.001), and it also showed a difference according to the status of leisure (hobby) activity (${\chi}^2=22.470^{***}$, p<.01). Also, as higher the age and closer to the menopause in items including the progress of aging, anxiety about aging and improvement efforts, more negative perception was shown, indicating that it is necessary to prepare cosmetic countermeasures for mid-aged women in like a second puberty 40s to 50s although aging and menopause around 50s are very natural. If a beauty alternative is provided, it will help them to have a successful retirement.

An analysis on Structure Equation Model of Convergent Influence on Academic Burnout of Health Major Students in Studying for TOEIC (보건계열 대학생의 토익 학업소진에 미치는 융복합적인 요인에 관한 구조방정식 모형 분석)

  • Hong, Soomi;Kim, Seung-Hee;Bae, Sang-Yun
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.329-342
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    • 2017
  • This study investigates convergent influence on Self Factors(SF), Stress Factors(STF), Resilience & Control Factors(RCF), Test Anxiety(TA), Learning Flow(LF) and academic burnout among Health College Students in TOEIC class(HCST). The survey was administered to 291 HCST from 1 college located in J area during the period from April 3, 2017 to April 14, 2017. The structured self-administered questionaries were used. With the analysis of covariance structure, we could confirm relationship among the six factors such as SF, STF, RCF, TA, LF and academic burnout. The results of the study indicate that the efforts, to manage these factors, are required to decrease the academic burnout of HCST. Squared multiple correlations, which explain the academic burnout related with the stress from economic pressure and job seeking, test anxiety, learning flow and self factors, were 98.8%. The results are expected to be useful for the development of TOEIC learning curriculum and course to decrease the academic burnout of HCST. In the following study, the analysis about additional factors of influence on academic burnout will be needed.

Factors Associated with Early Death in Patients with Community-Acquired Pneumonia (지역사회획득폐렴에서 조기 사망과 관련된 인자)

  • Park, Hun-Pyo;Seo, Yong-Woo;Lee, Jeong-Eun;Kim, Young-Ho;Jang, Young-Yun;Park, Soon-Hyo;Seo, Chang-Kyun;Jeon, Young-June;Lee, Mi-Young;Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.6
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    • pp.607-613
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    • 2005
  • Background : Early death is an important problem associated with the management of community-acquired pneumonia. However, there is little information on the risk factors associated with it. The aim of this study was to identify the factors associated with early death in community-acquired pneumonia patients. Methods : From January 1999 to July 2004, 1,487 adult patients with community-acquired pneumonia who were admitted to the pulmonary department via emergency center were examined. Early death was defined as those who died within 2 days of hospitalization. The clinical and laboratory aspects of the patients who died early (n = 30) were compared with those of an age and gender matched control population (n = 60). Results : In the early death group, respiratory rate, heart rate, and blood urea nitrogen (BUN) were significant higher (p < 0.05 for all), while the arterial pH, systolic pressure, and $PaO_2$ were significant lower (p < 0.05 for all) than the control. The independent factor significantly associated with early death was tachypnea (OR, 7.049). Conclusion : The importance of an early clinical assessment in emergency center with community-acquired pneumonia needs to be emphasized in order to recognize patients at risk of early death.

Correlations in Appearance, Job-seeking Stress and Job-seeking Anxiety in Undergraduates according to Gender Differences (대학생의 성별에 따른 외모와 취업 스트레스 및 취업불안과의 관계)

  • Cho, Mi Kyoung;Choi, Eun Ji;Lee, Ji Won;Lee, Yu Na;Chae, Ji Young
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.141-150
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    • 2013
  • Purpose: The purpose of this study was to evaluate the differences between the level of satisfaction and concern regarding appearance according to gender, the importance of appearance in job interviews, and the influence appearance has on job-seeking stress and anxiety under the ever-increasing pressure on students to secure employment so that appropriate psychological interventions can be provided to undergraduates. Methods: The survey was conducted on 170 third and fourth year undergraduates in Gyeonggi province from August 31st to September 6th, 2012 to figure out the correlations and differences in variables of appearance satisfaction and concern, and the importance of appearance in job interviews and job-seeking stress and anxiety according to the differences in gender. Data were analyzed by descriptive statistics, independent t-test, two-way ANOVA, and Pearson's correlation analysis. Results: 1. There was difference between the genders for appearance satisfaction and concern. The level of satisfaction was higher in male students while concerns regarding appearance were higher in female students. There was no gender difference regarding the importance of appearance in job interviews, job-seeking stress, and job-seeking anxiety. 2. For the concerns in appearance, there was a significant difference between the genders in appearance management, and gender and the importance of appearance in job interviews showed significant interactive effects. Stress and anxiety from job-seeking did not show significant differences between the genders, but there were common significant interactive effects between gender and grades, gender and employment, and gender and the importance of appearance in job interviews. 3. Both male and female students showed higher job-seeking stress as their job-seeking anxiety was higher. Job-seeking anxiety was higher in male students who had higher concern in appearance, and in female students who placed more emphasis on the importance of appearance in job interviews. Conclusion: As female students perceived appearance in job interviews as important more than male students, their job-seeking anxiety was higher, while male students who showed higher concern in appearance also showed higher level of anxiety in job-seeking. As job-seeking anxiety was higher, job-seeking stress was also higher according to the entire participants, based on this result, methods to decrease job-seeking anxiety should be suggested.

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Grouting Injection Effectiveness of a Permeable Compacting Grout using Permeable Compaction Type Packer (침투다짐형 팩커를 이용한 침투다짐 그라우트의 주입 효과)

  • Park, Sung-Yong;Shim, Houng-Gen;Kang, Hee-Jin;Lim, One-Bin;Kim, Yong-Seong
    • Journal of the Korean Geosynthetics Society
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    • v.16 no.2
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    • pp.149-158
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    • 2017
  • Permeating injection is commonly known as an ideal type of injection in grouting reservoir embankment, yet often-combined permeating and fracturing injection grouting operation can disturb the original soil. A grouting method has been regarded as effective and developed to ameliorate the possible disturbance problem. It involves compaction grouting with low expansive pressure near the injection hole and repetitive injection and compaction with grout material that allows ideal permeating injection. This thesis develops Hybrid Grout (ie. HG grout) that allows various application in any ground condition combined together, has high fineness and low viscosity, and expands permeation injection to silty sand. It researches on the injection effect of permeable compaction grout which is done with PC packer and is a combination of HG grout and expansion agent to obtain permeation compaction effect on the area near grout injection spot by developing Permeable Compaction Type Packer(ie. PC packer). As the developed PC packer, HG grout, and and expansion agent (HI-E) are applied to reservoir embankment reinforcement grouting, possibile permeation compaction effect that satisfies reservoir embankment grouting standard is confirmed according to the research.

Development of Ocean Data Buoy and Real-Time Monitoring Technology (종합관측부이 개발 및 실시간 관측기술)

  • 심재설;이동영;박우선;박광순
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.11 no.1
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    • pp.56-67
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    • 1999
  • It is desired to use a domestically manufactured ocean data buoy for the long-term operational ocean monitoring. The ocean data buoy manufacturing technology was introduced through the research cooperation with the Qingkong University of Taiwan. The introduced ocean data buoy system was further expanded and improved for more efficient application for the marine environmental monitoring in Korea. The size of the ocean data buoy is 2.5 m in diameter, which is smaller compared to the NOAA's 3.0 m discus buoy to allow easy land transportation and ocean deployment as well. From the dynamic response test of the buoy carried out numerically, it was shown that the measurement of waves with period greater than 4 seconds is acceptable. The measurement and control system of the data buoy were improved to increase the number of measuring parameters, to reduce power consumption and to enhance better data analysis and management. Each component of the improved data buoy system was described in detail in this paper. Water quality sensors of water temperature, salinity, DO, pH and turbidity were added to the system in addition to the marine meteorological sensors of wind speed and direction, air temperature, humidity, air pressure and wave. Inmarsat satellite communication system is used for the real-time data telemetry from the buoy deployed offshore. A field performance test of the improved and domestically manufactured buoy was carried out for a month at the open sea off Pohang together with DatawelI's Wave-rider buoy to compare the wave data. The results of the test were satisfactory.

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Relation between Beverage Consumption Pattern and Metabolic Syndrome among Healthy Korean Adults (건강한 한국성인의 음료섭취패턴과 대사증후군의 연관성 연구 -2013~2015년 국민건강영양조사를 바탕으로-)

  • Dennis, Eun Ju;Kang, Minji;Han, Sung Nim
    • Korean Journal of Community Nutrition
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    • v.22 no.5
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    • pp.441-455
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    • 2017
  • Objectives: The purpose of this study is to describe beverage patterns among healthy Korean adults and investigate their association with prevalence and components of metabolic syndrome. Methods: Subjects consisted of 6,927 Korean adults, aged 19-64 years in the $6^{th}$ Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Beverages were regrouped into twelve groups based on food codes and beverage intake (g/day) was assessed by 24-hour recall. Factor analysis was used to obtain beverage patterns. Waist circumference and body mass index (BMI) were used as anthropometric data; fasting blood glucose, triglyceride, high density lipoprotein (HDL), and blood pressure were used as biochemical indicators. The odds ratio (OR) for prevalence of metabolic syndrome and components of metabolic syndrome was assessed using logistic regression analysis. Results: Three beverage patterns were identified using factor analysis: 1) carbonated soft drinks 2) coffee (without added sugar or powdered creamer), and 3) alcoholic beverages. Subjects with high scores for the carbonated soft drink and coffee without added sugar or powdered creamer patterns were younger and subjects with high scores for the alcoholic beverage pattern were older. There were significant differences in gender distribution in all three beverage patterns, with men more likely to have high scores for carbonated soft drink and alcoholic beverage patterns. On the other hand, women were more likely to have higher scores for coffee without added sugar or powdered creamer pattern. Within each pattern, there were significant differences in sociodemographic and lifestyle characteristics such as education, household income, frequency of eating out, and smoking status according to the quartile of pattern scores. Alcoholic beverages and carbonated soft drinks patterns were associated with an increased levels of metabolic syndrome components, but coffee without added sugar or powdered creamer was not associated with any of metabolic syndrome components in healthy Korean adults after adjusting for age, sex, education, BMI, weight management, household income, smoking status, frequency of eating out, and energy intake. Conclusions: Alcoholic beverages and carbonated soft drinks patterns are associated with increased levels of metabolic syndrome components while coffee without added sugar or powdered creamer pattern is not associated with any of metabolic syndrome components in healthy Korean adults.

Effects of Dental Fear on Depression Symptom and Stress in Adults (일부 성인의 치과공포가 우울 증상과 스트레스에 미치는 영향)

  • Park, Eun-Seon
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.203-211
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    • 2017
  • The purpose of this study was to determine the association of some adult dental fear and depression, and stress. Among the patients who came to the dental clinic for periodontal treatment, 68 patients who agreed to participate in the study and who met the selection criteria were included. Dental fear, depression symptom questionnaire, salivary cortisol, which can objectively evaluate blood pressure, pulse, and stress. The results of the analysis showed that depressive symptom was related to 'delayed treatment promise', 'cancellation of treatment appointment', 'increased muscle tension', 'rapid breathing when entering dentistry', 'fear when waiting in the waiting room', 'fear when you smell the hospital', 'fear when looking at the dental clinic', 'fear when seeing the anesthetic needle', 'fear when tooth whistle was heard', 'fear when teeth were removed', and 'total fear of dentistry'(p<0.05). Stress symptoms were higher in 'having sweated in the dentist', 'faster pulse', 'fear of entering the dentist' and 'total fear of the dentist'(p<0.05). Based on these results, it is necessary to study the effective methods to control the depressive symptoms and stress of patients who visit dental clinics, and it seems that continuous management is needed to prepare methods such as relaxation therapy for dental fear patients.