• Title/Summary/Keyword: Standard of Care

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Experiences of thoracic esophagectomy with laparoscopic gastric pull up in thoracic esophageal cancer patient in single center

  • Jun, Jin-Woo;Kim, Wooshik;Park, Jong-Min
    • Korean Journal of Clinical Oncology
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    • v.14 no.2
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    • pp.95-101
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    • 2018
  • Purpose: The standard treatment of esophageal cancer is the Ivor-Lewis operation, which consists of an abdominal phase involving gastric tube formation, and a chest phase involving esophagectomy and anastomosis. We aimed to report our experience of performing thoracic esophagectomy with the laparoscopic gastric pull up (LGPU) technique and its surgical outcomes. Methods: Clinicopathologic data and short-term surgical outcomes of 14 patients who underwent LGPU for thoracic esophageal cancer from August 2008 to May 2016 were retrospectively reviewed. Results: Mean age of the patients was 62.3 years and mean body mass index was $21.7kg/m^2$. Eleven patients had medical comorbidities. Patients' mean American Society of Anesthesiologists score was 2. Mean operation time was 428.5 minutes, with the mean abdominal operation time being 138.9 minutes. There was no open conversion case. Three patients had pneumonia, three patients had surgical site infection, and one patient had subcutaneous emphysema within 30 days after surgery. One patient had minor anastomosis site leakage. There was one 30-day mortality case. One patient with postoperative aspiration pneumonia developed acute respiratory distress disease, and died due to sepsis. Mean postoperative intensive care unit stay was 3.5 days, and mean postoperative hospital stay was 20.6 days. Nasogastric tubes were removed on average at 3.4 days, and mean oral intake time was 3.4 days. Conclusion: If the gastrointestinal surgeon has extensive experience in laparoscopic procedures, LGPU will be a safe and feasible technique for thoracic esophagectomy in patients with intrathoracic esophageal cancer.

Research Records Management in Regional Public Hospital: Focusing on the Cases of Institutional Review Board (IRB) of Incheon Medical Center (지방의료원의 연구기록관리: 인천광역시의료원 임상연구윤리위원회(IRB) 사례)

  • Jiyeon Sim
    • Journal of Korean Society of Archives and Records Management
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    • v.23 no.1
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    • pp.127-132
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    • 2023
  • The Incheon Medical Center Institutional Review Board (IRB), a department that reflects the characteristics of Incheon Medical Center, a medical and public institution, was established in 2013. IRB contributes to performing its role as a local accountable care hospital and protecting researchers and subjects by proving the ethics of research conducted at the medical center. So far, IRB has reviewed a total of 80 research proposals for human subject research and human-derived material research, and it currently exists as an independent department directly under the president of the medical center. This paper aims to explain the registration and preservation of IRB-related records, the maintenance of the Records Management Standard Table and related regulations, and archives, as well as to present limitations and improvements in the disclosure, utilization, and classification of records.

Development of an Occupational Safety and Health (OSH) Guide for Safely Cleaning Contaminated Machinery, Equipment, and Parts Used in the Electronics Manufacturing Process (전자산업 공정에서 사용한 부품, 기계류 세정(cleaning) 작업 안전보건 가이드)

  • Seunghee Lee;Soyeon Kim;Kyung Ehi Zoh;Yeong Woo Hwang;Kyong-Hui Lee;Kwang Jae Chung;Dong-Uk Park
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.4
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    • pp.419-426
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    • 2023
  • Objectives: This study aims to develop an Occupational Safety and Health (OSH) guide for the safe cleaning of contaminated machinery, equipment, and parts used in the electronics manufacturing process. Methods: A literature review, field investigations, and discussions were conducted. An initial draft of an OSH guide was developed and reviewed by experts with significant experience in maintenance work in the electronics manufacturing process in order to refine the guide. Results: Workers involved in cleaning processes with chemicals, solvents, and abrasive blasting can face exposure to a wide range of chemicals, abrasives, and noise. Identifying potential risks associated with each cleaning technique was an essential first step toward enhancing safety measures. The OSH guide comprises approximately eleven to twelve sections spanning 20-25 pages. It includes engineering and administrative protocols systematically organized to address the necessary actions before, during, and after cleaning tasks, depending on the technique. It is recommended that airline respirator masks be used in conjunction with an air purification system to ensure adherence to air quality standard "D" for atmosphere level. The use of an oil-free air compressor is advised, preferably a stationary model that does not rely on fuel sources like diesel. Conclusions: This OSH guide is designed to protect workers involved in maintenance activity in the electronics industry and aligns with global standards, such as those from the International Organization for Standardization (ISO) and Semiconductor Equipment and Material International, ensuring a higher level of safety and compliance.

The Sour Gas Treatment and Removal Technology (사워가스 처리기술 및 제거기술)

  • Kim, Y.C.;Cho, J.D.;Oh, C.S.
    • Journal of Energy Engineering
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    • v.25 no.1
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    • pp.171-176
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    • 2016
  • Sour gas is natural gas or any other gas containing significant amounts of hydrogen sulfide ($H_2S$). Natural gas is usually considered sour gas if there are more than 5.7 milligrams of $H_2S$ per cubic meter of natural gas, which is equivalent to approximately 4 ppm by volume under standard temperature and pressure We have surveyed on the treatment and removal technology of sour gas, sour gas include a lot of hydrogen sulfide($H_2S$), Carbon dioxide($CO_2$), utane($C_4H_{10}$) and mercaptan($C_nH_{4n-1}SH$) etc. We need high technology for development for these kinds of raw gases and we should specially take care of treating and removal of theses raw gases. Therefor we are going to describe about these kinds of raw gases and about methods how to treat these kinds of gases.

Gender Differences in Oral Health Literacy related Factors among Elderly People (성별에 따른 노인의 구강 건강정보 이해능력 관련요인)

  • Lee, Kyu Eun;Yom, Young-Hee;Kim, Sang Suk;Han, Jung Hee
    • Research in Community and Public Health Nursing
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    • v.25 no.1
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    • pp.54-64
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    • 2014
  • Purpose: This study is to measure oral health literacy levels and to identify oral health literacy related factors in elders. Methods: The research design for this study was a descriptive survey design using convenience samples. Data collection was done by using a self-report questionnaire with 321 elders from three welfare centers for the aged and two senior centers located in three cities. Data were analyzed by using percentage, mean, standard deviation, t-test, ANOVA, Scheff$\acute{e}$, Pearson's Correlation Analysis and hierarchical multiple regression with the SPSS Win 18.0 Program. Results: The oral health literacy scores of male elders were higher than those of female elders (t=9.73, p=.002). In hierarchical multiple regression analysis, education levels, smoking and oral health statuses were significant predictors and accounted for 29.8% of the male elders' oral health literacy. For female elders, education levels, health statuses and oral health statuses were significant predictors and accounted for 47.7%. Conclusion: These results suggest that interventions for improving oral health literacy are necessary to enhance elders' ability of self-care management. Also, these results could be used in developing oral health literacy programs.

Data Linkage Method Using LOD in the Healthcare Big Data Platform (보건의료 빅데이터 플랫폼에서 LOD를 활용한 데이터 연계 방안)

  • Lee, Kyung-Hee;Kim, Kinam;Cho, Wan-Sup
    • The Journal of Bigdata
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    • v.4 no.2
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    • pp.195-205
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    • 2019
  • Linked Open Data (LOD) is rated as the best of any kind of data disclosure, and allows you to search related data by linking them in a standard format across the Internet. There is an increasing number of cases in which relevant data are constructed in the LOD form in the global environment, but in the domestic healthcare sector, the disclosure of data in the form of LOD is still at the beginning stage. In this paper, we introduce a case of LOD platform construction that provides services by linking domestic and international related data by LOD method, based on the data of Korean medical research paper data and health care big data linkage platform. Linking all data from each DB into an LOD requires a lot of time and effort, and is basically an infrastructure task that government or public institutions should be in charge of rather than the private sector. In this study, ten domestic and foreign LOD sites were linked with only a portion of each DB, enabling users to link data from various domestic and foreign organizations in a convenient manner.

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An Inquiry into Exercise Behaviors of Middle-aged Women in Korea - A Q-methodological approach - (한국 중년 여성의 운동 생활문화에 관한 탐색적 연구 - Q 방법론적 접근 -)

  • Yeun, Eun-Ja;Ryu, Eun-Jung
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.94-104
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    • 2003
  • Purpose: This study was performed to identify the factors which affected exercise and the perceived exercise behaviors in women according to Q-methodology and to provide basic strategies for health promotion of middle-aged women in Korea. Method: Q-methodology provides a scientific method for identifying perception structures that exist within certain individuals or groups. Thirty subjects in Seoul, Incheon, Chung-buk classified 35 selected Q-statements in to 9 points standard. The collected data was analyzed by using a QUANL pc program. Result: Principal component analysis identified 3 types of exercise behavior of middle-aged women in Korea and named by the researcher. They are called persistent activity preference type, living-exercise preference type, exercise mania type. In persistent activity preference type, the middle-aged women thought activity was very helpful to achieving health and releasing stress or fatigue. Also, they recognized the relationship between physical health and psychological health. In living-exercise preference type, the middle-aged women preferred maintaining stability or nonactivity to intended exercise or activity for health. In exercise mania type, the middle-aged women thought there was no other way to keep her health than to exercise. Conclusion: The findings of this study will provide the health care provider including nurse with useful information. It's very important to offer appropriate exercise intervention to the middle-aged women of each type by taking into consideration the characteristics of individual types.

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Uncertainty and Performance of Infection Control in Caregivers of Vancomycin-Resistant Enterococci Patients (반코마이신 내성 장구균 환자 보호자의 질병 불확실성과 감염관리 수행)

  • Lee, Eunsuk
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.346-357
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    • 2015
  • Purpose: This descriptive study was to examine uncertainty and performance of infection control in the VRE patients' caregivers. Methods: The participants were 82 caregivers who involved with the VRE patients care in D tertiary hospital in D metropolitan city. Data were analyzed with number, percentage, t-test, and ANOVA using SPSS/Win 21.0. Results: The participants' uncertainty was 56.99 and performance of infection control was 35.09. Performance of infection control was significantly different by age (F=121.38, p<.001), education (F=102.77, p<.001), relationship with the patient (F=17.80, p<.001), hours of caring per day (t=3.14, p=.002), and type of family (t=-8.65, p<.001). There was a significant negative correlation between participants' uncertainty and performance of infection control (r=-.96, p<.001). Conclusion: The results of the study will be used to develop nursing intervention program and standard protocol for infection control for the VRE patients' caregivers.

The Future of BlockChain Technology Leading Innovation in the Industrial Ecosystem (산업 생태계의 혁신을 선도할 블록체인 기술의 미래전망)

  • Kim, Jung-Sook
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.324-332
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    • 2018
  • Blockchain technology has the potential to revolutionize trust models and business processes in a variety of industries. However, it is considered to be the initial stage of the system that pursues autonomy rather than efficiency, and it is necessary to monitor and inspect the distributed ledger technology from the price and introduction time as compared with the existing relational DB transaction technology. However, domestic and foreign private sectors have already been activated by applying block-chain technology in the national domain, and the block chain is devoid of doubt that it is an exaggerated technology, characterized by the invariance of the record, transparency, and autonomous execution of business rules. It has begun to be utilized in history, identity, certification and auditing in the financial industry as well as various industries. In this paper, we analyze the problems such as security weakness, insufficient regulatory environment, technical consensus and lack of common standard. In addition, the business sense and possibility of the block chain technology is expected to be the innovation of the industrial ecosystem by entering into the reality system from the concept through monitoring the actual introduction performance in the field of copyright, logistics, health care and environment.

Relation between Internet Game Addiction in Elementary School Students and Student's Perception of Parent-Child Attachment (초등학생의 인터넷 게임중독과 아동이 지각한 부모-자녀 애착과의 관계)

  • Kim, Young-Hae;Son, Hyun-Mi;Yang, Young-Ok;Cho, Young-Ran;Lee, Nae-Young
    • Child Health Nursing Research
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    • v.13 no.4
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    • pp.383-389
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    • 2007
  • Purpose: In this study, the Internet game addiction level was assessed, and parent-child attachment level associated with the addiction was analyzed. Method: From December 5 to 23, 2005, self-reported questionnaire data were collected from 990 Busan City elementary school students of the 5th and 6th grades. The questionnaire consisted of questions about their characteristic features in playing Internet games based on the K-scale developed by KADO. The data were analyzed using the SPSS WIN 10.0 program. Frequency, percentage, arithmetic mean, and standard deviation, $X^2$-test, ANOVA analysis and Scheffe test were used to analyze the data. Results: 1. With regard to the level of Internet game addiction, 71.2% of the students responded that they were general users, and 6.3%, at high risk for addiction. Mean scores were 103.3 for the high-risk group, 77.7 for the potential risk group, and 55.86 for the general user group. The total mean was 63.74. 2. Mean scores for parent-child attachment levels were 97.1 and 99.6 for father and mother, respectively. Conclusion: These results suggest that a collaborative program to educate and counsel parents to increase the parent-child attachment level needs to be established in protection and recovery programs for Internet game addiction.

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