• Title/Summary/Keyword: Stoma

Search Result 95, Processing Time 0.027 seconds

The Influences of Critical Thinking Ability, Communication Skills, Leadership, and Professionalism on Clinical Practice Ability in Nursing Students (간호학생의 비판적 사고능력, 의사소통능력, 리더십, 전문직관이 임상실무능력에 미치는 영향)

  • Lee, Jia;Jang, Mi Heui
    • Journal of East-West Nursing Research
    • /
    • v.23 no.2
    • /
    • pp.124-133
    • /
    • 2017
  • Purpose: The purpose of this study was to identify factors that affect nursing students' clinical practice ability. Methods: The data were collected from 303 nursing students who had more than 500 hours of experience in clinical practicum at 4 universities in Seoul and the metropolitan area. The instruments consisted of 27 items of critical thinking, 19 items of professionalism, 40 items of self reported leadership, 20 items of communication evaluation tool, and 61 items of nursing practice performance evaluation. Results: For the clinical practicum, most difficult for nursing students were cardiopulmonary resuscitation, fecal enema, stoma care, and blood transfusion. Clinical practice abilities were positively correlated with nursing professionalism(r=.26, p<.001), leadership (r=.16, p=.007) and critical thinking(r=.12, p=.031). Professionalism(${\beta}=.32$, p=.001) was the most significant factor influencing the clinical practice ability of nursing students. Critical thinking was the second largest factor but not significant(${\beta}=.16$, p=.058). Conclusion: The findings suggest that the nursing curriculum should include nursing knowledge and nursing skills as well as various case-based or field-based decision making training programs to cultivate professionalism, critical thinking and other abilities for clinical practice.

A Descriptive Study on Development of an ALARM Sexual Counseling Program for Patients with Ostomy (장루보유자를 위한 ALARM 성상담 프로그램 개발을 위한 조사연구)

  • Park, So-Mi;Kim, Chang-Hee;Hur, Hea-Kung;Kim, Gi-Yon
    • Journal of Korean Public Health Nursing
    • /
    • v.21 no.1
    • /
    • pp.46-56
    • /
    • 2007
  • Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

  • PDF

The Knowledge and Performance Confidence of, and Educational Needs on Ostomy Care among Nurses in Long-Term Care Hospitals (요양병원 간호사의 장루관리에 관한 지식, 수행자신감 및 교육요구도)

  • Yang, Nam Young;Lee, Hye Ran
    • Journal of muscle and joint health
    • /
    • v.26 no.3
    • /
    • pp.270-280
    • /
    • 2019
  • Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

Microspore Division and Plant Regeneration from Shed Pollen Culture in Rice

  • Kim, Hyun-Soon;Kang, Hyeon-Jung;Lee, Young-Tae;Lee, Seung-Yeob;Nam, Jeong-Kwon;Kim, Tae-Soo;Rha, Eui-Shik;Jin, Il-Doo
    • KOREAN JOURNAL OF CROP SCIENCE
    • /
    • v.47 no.1
    • /
    • pp.62-67
    • /
    • 2002
  • An efficient system of rice microspore culture could contribute to the production of genetically modified rice. The microspores were isolated by mechanical or shed methods. The number of microspores per 100 anthers isolated at uninucleate stage was higher than (or similar to) those at binucleate stage in isolation method with pestle or spatular, but microspore divisions were not easily observed on both stages. On the other hand, pollen division in shed pollen culture was observed more frequently at uninuclear than at binuclear stage. Cold pretreatment at 1$0^{\circ}C$ for 10 days resulted in the best multicellular division to produce microcalli at 12.5% efficiency in shed microspores. Heat shock at 33$^{\circ}C$ for one hour before or after pollen shedding enhanced cell division and callus formation. Out of twelve green regenerants, two were haploids and ten were diploids based on the chromosome analysis of root tips. The size of stoma was 12$^{m}$ m in haploids and 15 ${\mu}{\textrm}{m}$ in diploids determined by scanning electron microscope (SEM).

A RADIOGRAPHIC STUDY OF DIFFERENTIAL DIAGNOSIS BETWEEN ODONTOGENIC KERATOCYST AND UNICYSTIC AMELOBLASTOMA (치성각화낭과 단방성 법랑모세포종의 감별에 관한 방사선학적 연구)

  • Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.25 no.1
    • /
    • pp.17-25
    • /
    • 1995
  • The purpose of this study was to obtain some informations for the radiographic differential diagnosis between odontogenic keratocyst and unicystic ameloblastoma in the mandible. The author compared and analysed the clinico-radiographic features of 48 cases of odontogenic keratocyst and 32 cases of unicystic ameloblastoma. The obtained results were as follows : 1. Odontogenic keratocyst and unicystic ameloblastoma occurred the most frequently in the 2nd and 3rd decades, and both lesions occurred with slight predilection in males. The most frequent lesional site was molar area in odontogenic keratocyst(50.0%) and mandibular angle and ramus area in unicystic amelobla-stoma(71.9%). 2. Cortical thinning and expansion were observed with similar occurrences in odontogenic keratocyst(77.l%) and in unicystic ameloblastoma(72.9%). 3. Typical undulating lesional border was observed more frequently in odontogenic keratocyst(79.2%) than in unicystic ameloblastoma(46.9%). 4. Well-defined lesional outline occurred more frequently in odontogenic keratocyst(97.9%) than in unicystic ameloblastoma(53.1%). 5. Root resorption of adjacent teeth occurred more frequently in unicystic ameloblastoma(65.2%) than in odontogenic keratocyst(18.8%) respectively, but loss of lamina dura was frequently observed in odontogenic keratocyst(79.2%). And tooth displacement occurred more frequently in odontogenic keratocyst(50.0%) than in unicystic ameloblastoma(17.4%). 6. Displacement of mandibular canal occurred more frequently in odontogenic keratocyst(75.0%) than in unicystic ameloblastoma(61.5%). 7. Inhomogeneous lesional radiolucency occurred more frequently in unicystic ameloblastoma(53.l%) than in odontogenic keratocyst(39.6%).

  • PDF

Studies on the Nutritional Physiology of Soybean 6. Variatio of Potassium at the Various Position of Leaf on the Main Stem (대두의 영양생리학적 연구 6. 엽위별 가리의 변이)

  • 이순희
    • Journal of Plant Biology
    • /
    • v.17 no.3
    • /
    • pp.127-136
    • /
    • 1974
  • The effect of potassium metabolism on the soybean leaves was studied with comparison of other elements during the successive growing period. The results were as follows; 1. The percentage of potassium content showed remarkable increase not only in the first compound leaf at a stage which was growing vigorously and producing new leaves, but also in the fifth compound leaf at a stage which was taking a active metabolism of nitrogen and carbohydrate but not producing new leaves. However, the percentage of potassium content was decreased in the second compound leaf than in the first one. Such a result could be regarded as a potassium removal from mature leaves into immature and flowing out from stoma through respiration. During the pod-development the percentage of potassium content in the soybean leaf was decreased. 2. If nitrogen, phosphorus and potassium were added excessively in the nutrient solution, the percentage of potassium content in the soybean leaf had increased. The effects of these elements showed a remakable increase in the excessive plot of nitrogen than in that of phosphorus. At early stage the redtarded effect of phosphorus on the growth of soybean could be covered by potassium, however, at late stage it could not. The growth of soybean plant was much more inhibited by potassium, compared with nitrogen and phosphorus. New leaves could not be produced in the potassium deficient soybean plant after the third compound leaf. The normal growth of soybean plant could not be observed if only one element was excessively added to the culture solution, compared with the deficiency of other two elements.

  • PDF

A Case of Creation of Mediastinal Tracheostoma with Unilateral Manubrial Resection as Salvage Operation (구제수술에서 일측 복장뼈자루 절제를 통한 전종격동 기관절개술의 1례)

  • Jeon, Seok Won;Kim, Chang Hoi;Lee, Hae Young;Kim, Sung Won
    • Korean Journal of Head & Neck Oncology
    • /
    • v.32 no.2
    • /
    • pp.29-33
    • /
    • 2016
  • A 65-year-old male visited hospital in the state of tracheostomal recurrence 1 year after total pharyngolaryngectomy. Extensive recurrence around stoma or paratracheal, superior mediastinal area is challenging in treatment, especially in securing airway. We performed mediastinal tracheotomy through resection of unilateral manubrium, some part of sternal side of clavicle and $1^{st}$ rib as the salvage operation for recurrent laryngeal cancer. This procedure could be risky, thus very careful patient selection is required because of a tortuous postoperative course. We would like to present the case that anterior mediastinal tracheostomy could be needed as appropriate palliative means of airway construction in the patients with recurrent laryngeal cancer with lower neck extension with literature review.

First Report of Two Plectus Species (Nematoda: Plectida) from Korea

  • Kim, Jiyeon;Yu, Jeong-Nam;Kim, Taeho
    • Animal Systematics, Evolution and Diversity
    • /
    • v.36 no.3
    • /
    • pp.251-257
    • /
    • 2020
  • The genus Plectus Bastian, 1865 represents a group of free-living freshwater nematodes belonging to the family Plectidae Örley, 1880. However, only one species has been reported thus far from Korea. Plectus aquatilis Andrássy, 1985 and Plectus cirratus Bastian, 1865 are reported for the first time from Korea, from sediments collected from the Nakdong River. Plectus aquatilis is distinguished from other Plectus species by its three longitudinal alae in the lateral field, thin and directed cephalic setae, continuous lip region (head not set-off), and rectangular shaped tail. Plectus cirratus is distinguished from other Plectus species by its large body, two longitudinal alae in the lateral field, larger stoma, and longer tail. Morphological characters and measurements of the specimens generally agree with the original descriptions of Plectus species. Here, the morphological characters (detailed morphometrics) of two species in the genus Plectus are fully redescribed and illustrated using optical microscopy. DNA barcode sequence information from the 18S rDNA gene is also provided for molecular species identification and compared with sequences from other Plectus species available on GenBank.

Surgical Treatment of Postintubation Tracheal Stenosis (기관삽관후 발생한 기관협착증의 외과적 치료)

  • 김치경
    • Korean Journal of Bronchoesophagology
    • /
    • v.3 no.1
    • /
    • pp.61-69
    • /
    • 1997
  • A total of 55 patients underwent surgical managements for postintubation tracheal stenosis from July 1975 through March 1997. All but 8 had received ventilatory assistance. The patients had S cuff lesions, 17 stoma lesions, 7 at both levels, 5 at subglottic lesions. Thirty two patients underwent the sleeve tracheal resection and end-to-end anastomosis. Five patients performed a wedge resection and end-to-end anastomosis. Twenty two patients received the Montgomery T-tube for relief of airway obstruction. Simple excision of granulation tissue was done in 7 patients. Rethi procedures(anterior division of cricoid cartilage, partial wedge resection of lower thyroid cartilage and T-tube molding) were performed in 2 subglottic stenosis patients. And the other subglottic patient was received permanent tracheal fenestration at 1975. The tracheoesophageal fistula patient was done sleeve tracheal resection and end-to-end anastomosis with interrupted double layer closure of esophageal fistula site. Cervical approach was used in 49 cases, cervicomediastinal in 13 cases and median stemotomy In 6 cases. Techniques for obtaining tension-free anastomosis included a cervical neck flexion(15-30$^{\circ}$) in all sleeve resection patients and laryngeal release in one. The length of resection was 1.5 to 5.0 on A total of 41 patients(74.5%) had good(24 patients) or satisfactory(17 patients) results. But in ten cases, the restenosis of anastomosis site which is the most common complication was developed Two of them underwent a second reconstruction and 8 patients required T-tube insertion for airway maintenance. Three patients(5.4%) died. The causes of death were tracheo-innominate artery fistula(2) and sudden obstruction of airway(1).

  • PDF

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

  • Park, Soomin;Park, Kyung-won;Lee, Eun-bee;Sohn, Yongwoo;Jeong, Hyohoon;Kang, Tae-Young;Seo, Jong-pil
    • Journal of Veterinary Clinics
    • /
    • v.38 no.5
    • /
    • pp.244-248
    • /
    • 2021
  • A 10-year-old Thoroughbred mare was referred to the Jeju National University Equine Hospital with roaring, dyspnea, and weight loss. On endoscopic examination, the horse was diagnosed with right arytenoid chondritis. Surgical treatment was selected due to the failure of a previous medical treatment. Permanent tracheostomy was performed in a standing position. The horse was restrained and tied in a proper position in the stock. The cranial parts of the 2nd to 5th tracheal cartilages were resected, as were the associated skin, mucosa, muscle, and cartilages. After the stoma was formed, external mucosa and skin were sutured using a simple interrupted method. The horse was hospitalized for 22 days receiving postoperative care including antibiotics, non-steroidal anti-inflammatory drugs, dressing as required, and was pregnant six months after the surgery. A permanent tracheostomy is thought to be effective in horses with diseases causing upper respiratory tract obstruction.