• Title/Summary/Keyword: Self-observation

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An Ethnographic Study on Eating Styles of Adult Diabetics in Korea (한국 성인당뇨병 환자의 식생활에 관한 문화기술적 연구)

  • Hong Yong-Hae;Cho Myung-Ok;Tae Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.313-322
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    • 2005
  • Purpose: The purpose of this study was to explore adult diabetics' eating styles and factors which influence them. Method: The study adopted an ethnographic method based on a perspective which views the eating style as a cultural phenomenon. Data was collected through a personal interview, participant observation, and documented materials from Oct.2001 to Sept. 2002. In this study, fifteen adult diabetics, with an average age of 57, participated. Data analysis was done by the Spradley's taxonomic analysis technique. Result: The patients' eating styles were rooted in their viewpoint on illness as well as the meaning of food. Eating styles were classified into 4 types: Pathology-centered, symptom-centered, need-centered, and role-centered. Conclusion: A conventional approach to the treatment and management of diabetes did not consider the patient's inner world which may play an important role in the successful management of the disease. We found that it was critical for health care personnel to understand patients' values, beliefs and their way of life in order to facilitate the most successful self-care diet.

Nurses's Experience of Verbal Violence in Hospital Setting (병원 내 간호사의 언어폭력 경험에 관한 연구)

  • Lee, Soon-Hee;Chung, Seung-Eun
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.526-536
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    • 2007
  • Purpose: The purpose of this phenomenological research was to identify nurses's experience of verbal violence from doctor in hospital setting. Methods: The participants of this study were twelve nurses who work at a hospital in Chungbuk. Data was collected through documents, observation, and tape-recorded in-depth interview individually from participants. It was analyzed using the phenomenological methodology by Colaizzi. Results: From significant statements, seven categories were identified as follows: Lowering self-esteem due to authoritative and insulting remarks, Getting angry and being disagreeable due to blunt remarks, Being disgraceful due to broad jokes sexually, Hoping to escape present due to skepticism in their job, Being estranged due to bad feeling, Expressing their anger, and Using various way for improvement of relationship. Conclusion: Nurses's experience of verbal violence was showed nurse-doctor relationship was still vertical, not collaborative and supportive. This vertical relationship would cause conflicts between doctor and nurse. Therefore it is need doctor to be changed the mind that nurse is a professional, and to come up with the plan for enhancing inter-collaborative relationship in order to solve conflict between them.

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One Case of Gait disturbance Managed by appliance of FCST (원인 불명의 보행장애 환자에 대한 FCST 활용 1례보고)

  • Kim, Yong Hyuk;Lee, Young Jun;Jo, Hyun Kyung;Kim, Yoon Sik;Seol, In Chan;Yoo, Ho Ryong
    • Journal of Haehwa Medicine
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    • v.21 no.2
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    • pp.121-125
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    • 2013
  • Objectives : The report intended to estimate effect taken by using FCST(functional cerebrospinal technique) on the patient with one gait disturbance case. Methods : A gait disturbance one case with 2 weeks of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and herbl medicine. Results : After being treates for 2 weeks, the patint's 10mWT were improved. Assessment was made by self assessment of subjective symptoms and clinical observation. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

A Systematic Review of Forest Therapy Programs for Elementary School Students (초등학생 대상의 산림치유 프로그램에 대한 체계적 문헌고찰)

  • Song, Min Kyung;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.300-311
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    • 2017
  • Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

Frog-inspired programmable nano-architectures for skin patches and medical applications

  • Kim, Da Wan;Baik, Sang Yul;Kim, Jungwoo;Kim, Ji Won;Pang, Changhyun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.366-366
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    • 2016
  • Nanoscale observation of attachment systems of animals has revealed various exquisite multiscale architectures for essential functions such as gecko's locomotion, beetles' wing fixation, octopuses' sucking and crawling. In particular, the hierarchical 3-dimensional hexanonal nano-architectures in the tree frog's adhesion is known to have the capability of the enhancement of adhesion forces on the wet or rough surfaces due to the conformal contacts against rough surfaces and water-drainable micro channels. Here, we report that tree frog-inspired patches using unique artificial 3-dimensional hexagonal structures can be exploited to form reversibly enhanced adhesion against various highly curved and rough surfaces in dry and wet condition. To investigate the adhesion effect of micro-channels, we changed the arrangement of microstructure and spacing gaps between micro-channels. In addition, we introduced the 3-dimensional hexagonal hierarchical architectures to artificial patches to enhance to conformal contacts on the various rough surfaces such as skin and organs. Using the robust adhesion properties, we demonstrated the self-drainable and comfortable skin-attachable devices which can measure EKG (electrokardiogramme) for in-vitro diagnostics. As a result, bio-inspired programmable nano-architectures can be applied in versatile devices such as, medical patches, skin-attachable electronics etc., which would shed light on future smart, directional and reversible adhesion systems.

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A Case Report of Acute Nicotine Poisoning from Subcutaneous Injection of Nicotine Solution for Electronic Cigarette (전자담배 용액의 피하 주사에 의한 급성 니코틴 중독 1례)

  • Choi, Jiun;Ko, Dong Ryul;You, Je Sung;Chung, Sung Phil
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.1
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    • pp.60-64
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    • 2017
  • Nicotine-poisoning related to the electronic cigarettes (e-cigarette) is increasing worldwide. Moreover, the American Association of Poison Control Centers has advised the public to use caution with e-cigarette devices and highly concentrated liquid nicotine after a surge in related poisonings. We report here the first case of nicotine poisoning from self-injected e-cigarette fluid in Korea. A 17-year-old male patient subcutaneously injected himself with 0.5 ml of nicotine solution for an electronic cigarette via the dorsum of his hand, after which he complained of nausea, vomiting, dizziness and dyspnea. His vital signs were within the normal range, but his mental status was drowsy. He was admitted for observation and the symptoms disappeared the following day. Sinus bradycardia with a rate of 45/min was observed on the third hospital day, but improved after 6 hours. He was discharged without complications.

An Ethnography on Daily Lives of Nurses in Emergency Departments (응급실 간호사의 일상에 대한 문화기술지)

  • Ha, Jae-Hyun;Park, Hyoung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.4
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    • pp.448-459
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    • 2016
  • Purpose: This ethnographic study was conducted to explore and understand the meaning of the daily life of nurses in emergency departments. Objectives for this study were to identify and describe the true nature of emergency room nurses' daily experience and create a theoretical model based on the findings. Methods: Data were collected through in-depth interviews and participants observation. These data were recorded and transcribed verbatim with consent of the informants, 10 nurses who had cared for patients in emergency rooms. Data were collected between November 2013 and October 2014. Interviews continued until no new information could be identified from transcripts. Data were analyzed using the taxonomic analysis method developed by Spradley. Results: Based on the data acquired from interviews, nurses' cultural domains were classified as 'extensity of emergency room nurses', 'temporality of emergency room nurses', 'relationships among emergency room nurses' and 'becoming an emergency room nurses'. Conclusion: The daily culture of emergency room nurses could be summarized as 'busy daily life amidst confusion'. However, many nurses boosted their self-esteem by taking care of patients' collaboration with fellow nurses. In other words, nurses in emergency room forms a dynamic culture and pursue professionalism, rather than a simple chaotic daily life culture.

A Numerical Analysis of Eddy-Current Electromagnetic Field for the In-Process Measurement of Case Depth in Laser Surface Hardening Processes (레이저 표면경화공정에서 경화층깊이의 실시간 측정을 위한 와전류 전자기장의 이론적 해석)

  • 박영준;조형석;한유희
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.18 no.3
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    • pp.529-539
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    • 1994
  • In laser heat treatment process of steels, the thin layer of substrate is rapidly heated to the austenitizing temperature and subsequently cooled at a very fast rate due to the self-quenching effect. Consequently, it is transformed to martensitic structure which has low magnetic permeability. This observation facilitates the use of a sensor measuring the change of electromagnetic field induced by the hardening layer. In this paper, the eddy-current electromagnetic field is analyzed by a finite element method. The purpose of this analysis is to investigate how the electrical impedance of the sensor's sensing coil varies with the change in permeability. To achieve this, a numerical model is formulated, taking into consideration the hardening depth, distance of the sensor from the hardened surface and the frequency driving the sensor. The results obtained by numerical simulation show that the eddy-current measurement method can feasibly be used to measure the changing hardening depth within the frequency range from 10 kHz to 50 kHz.

The Meaning of Suffering to Teeanger (아동의 고통경험에 관한 연구)

  • Kang Kyung Ah
    • Child Health Nursing Research
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    • v.4 no.1
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    • pp.45-59
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    • 1998
  • Suffering is a human burden that may not be truly avoidable. In order to put that view in perspective we must examine suffering in a form as isolated from self-inflicted behavior as possible. The suffering of a child is one such example. The purpose of this study is to understand the meaning of suffering in the teenager and is to analyze difference of suffering in children and adult. The subjects of this study were 6 childrens (12year-17year) including in-patients and out-patients of a general hospital who were diagnosed as having cancer. The data was collected from October 10, 1996 to April 15, 1997. Qualitative research methods of in-depth interview and participant observation were used for data collection. Data analysis progressed according to the fieldwork phases suggested by the Hybrid Model. According to the results of the study, the meaning of suffering in the teenager can be described as follows : Suffering is an inevitable experience of all human beings. When each child experiences pain and destroying child-adult relationship, suffering in which threaten one's personal integrity is perceived differently among each child depending on their personal inner factors, one's significant others, exterior circumstances and stimuli. Suffering brings severe and unendurable distress which accompany anguish, depression, anxiety and fear. This findings provide data for new insights of suffering. When caring for teenager who experience suffering, nurses need to consider the influence of suffering. Moreover, appropriate nursing interventions aimed at relieving suffering need to be developed.

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Effect of Acupotomy Therapy on Lateral Epicondylitis Diagnosed by Ultrasonography (초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고)

  • Lim, Na-Ra;Lim, Jin-Young;Kim, Dong-Woung;Lee, Jong-Deok;Kim, Sung-Chul
    • Journal of Pharmacopuncture
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    • v.14 no.2
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    • pp.53-59
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    • 2011
  • Purpose: This observation was to report the clinical effects of acupotomy in treating lateral epicondylitis. Methods: Three patients diagnosed with lateral epicondylitis were treated with acupotomy. Two were male and one was female. The improvement of symptom were evaluated by visual analog scale (VAS) and self-consciousness symptoms of Cozen test. Results: After one treatments, patient's chief complaint and the pain near the lateral epicondyle while cozen test were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has significant effect in improving symptoms of lateral epicondylitis. As though we had not wide experienced in this treatment, more research is needed.