• 제목/요약/키워드: Treatment schedule

검색결과 279건 처리시간 0.031초

관상동맥 중재술후 추적 관상동맥조영술 실천에 대한 조사연구 (A survey on Patients' Compliance with Follow-up Coronary Angiogram after Coronary Intervention)

  • 김유정;박오장
    • 성인간호학회지
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    • 제12권1호
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    • pp.30-39
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    • 2000
  • Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: $61{\pm}15$), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows. 1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy (t=4.13, p<.0001) and compliance with sick role behavior(t=5.66, p<.0001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables (p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence (27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3. The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary restenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake (1.6%). The relative fators on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.

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논 제초제 사용에 대한 농가실태조사 (Fact-finding survey on herbicide use in paddy rice at farmer's level)

  • 이인용;박재읍;박태선;김태완;오병렬
    • 농약과학회지
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    • 제2권2호
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    • pp.119-125
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    • 1998
  • 논잡초의 방제체계 수립, 올바른 논 제초제 사용 및 논 제초제 개발의 기초 자료로 활용코자 전국의 농업인 273명과 농약판매상 172명을 대상으로 논에서의 우점잡초, 선호 제초제, 논제초제의 사용방법 및 약해발생 등을 조사한 결과, 우점잡초는 피, 올방개, 올미, 벗풀 등이였으며, 선호제초제는 농업인의 경우 부타크로르 입제, 피라조설푸론 에칠 모리네이트 입제, 모리네이트 시노설푸론 입제 등이였고, 농약판매상은 피라조설푸론에칠 모리네이트 입제, 모리네이트 시노설푸론 입제, 부타크로르 입제 등이였다. 이들 제초제의 선정기준은 경험이 45%로 가장 많았고, 제초제 사용량은 56%가 기준량을 살포하였으며, 살포시기는 잡초발아전에 제초제를 살포한다는 농업인이 43%이고, 살포횟수도 2회로 체계처리하는 경향을 보이고 있었다. 제초제 살포방법은 응답자의 대부분이 입제는 손으로(62%), 유 액제는 고압분무기로(68%) 사용하였으며, 조사자의 22%가 제초제의 약해를 경험하였고 고압분무기로 약제를 살포한 경우 약해발생 경험이 높다고 하였다. 농가수준에서 제초제 처리후 약해 유발에 대한 통계적으로 유의성이 있는 제초제로는 부타크로르 입제, 에스프로카브 피라조설푸론에칠 입제, 벤설푸론 모리네이트 입제 등으로 분석되었다.

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2005년 농촌 주민들에서 캄보디아와 베트남 여행 중 발생한 세균성이질 (An Epidemiological Investigation on an Outbreak of Shigellosis during Travelling Cambodia and Vietnam among Korean Rural People, 2005)

  • 임현술;이환석
    • 농촌의학ㆍ지역보건
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    • 제34권3호
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    • pp.368-374
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    • 2009
  • 농촌 주민들 32명이 캄보디아와 베트남을 여행하였다. 7일간의 여행 중 8명이 설사를 하였다. 이에 원인과 감염경로를 파악하기 위해 역학조사를 시행하였다. 여행자 32명 전원을 대상으로 방문 혹은 전화로 역학조사를 시행하였으며, 23명의 직장도말 검체를 경상북도 보건환경연구원에서 검사하였다. 또한 여행사를 통해 여행 경로와 일정을 조사하였다. 발병률은 25.0%(8명)이었으며, 그 중 3명은 미생물학적으로 Shigella flexneri(Serotype 3a)에 의한 감염을 확인하였다. 외국에서 감염이 발생하였다고 추정하여 환경가검물을 검사할 수 없었지만 공동매개체로는 세균성이질의 잠복기와 역학적 특성을 고려할 때 앙코르와트에서 사 먹은 생수가 세균성이질 균에 오염된 것으로 생각한다. 가장 흔한 해외 유입 전염병은 물이나 음식을 매개로 하는 전염병이다. 외국을 여행하는 여행자들은 수인성/음식매개 감염병에 대하여 철저히 예방을 하고 여행 후 증상이 있는 경우 신고 및 적절한 치료를 받아야 할 것이다.

간호대학생의 욕구구조에 관한 일 연구 (A STUDY IF PERSONALITY STRUCTURE AND HIERARCHY OF NEEDS IN COLLEGIATE NURSING STUDENTS)

  • 최계영
    • 대한간호학회지
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    • 제4권1호
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    • pp.38-49
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    • 1974
  • Presently, the performance level of the college student has received a great deal of attention, particularly in the area of professional education. The problem of under achievement, especially in areas dealing with science and technology, has gone through considerable investigation by numerous Psychologists and Educators. Thus for, however, they have not been successful in determining conclusively the non-intellectual factors involved. The maladjustment problem of these students has been a thorn in the side of nursing education for some time. This topic has been discussed among nursing educators without any tangible results. Furthermore, the fact that the number of students who withdraw from nursing education programs before graduation has increased. This represents a major problem for nursing education. This problem area had increased attention drawn to it on October 1957, when Russia successfully launched to first satellite "Sputnik" into space. Various studies seem to indicate that factors related to over achievement and under.achievement can be found in the motivation of the students. This study is aimed at testing 3 hypotheses which hopefully will lead to a better understanding of the learning activities of nursing students and to determine some of their nonintellectually personality traits. Hypothesis I: learning activities in nursing students and persona1ity are correlated, there will be significant differences in personality need structures between 4 classes of nursing collegiate students. Sub-hypothesis: There will also be significant differences in the degree of student satisfaction in her major subject. Hypothesis I: If there is a special personality need structure which is required for the clinical learning activity in general, then there will be significant differences between the personality need structures of under-achievers and overachiever. Hypothesis II : If each clinical nursing subject requires different personality need structures, then there will be differences in personality need structure between the different clinical groups Methodology: 1. Tool: A Korean translation and correction of the Edwards Personal Preference Schedule of U.S.A. was used. 2. Subject and Test Method: Subjects were nursing students at Yonsei University, who enrolled for Fall semester of 1971. The Researcher herself executed the test for the test for the class as a group, and the absent students were tested indidually. Out of 307 students, 293 students (95.4%) were reported. 3. Statistical treatment: The mean and standard deviation for each of the 15 personality need variables were computed and the value of T-test was obtained to determine the differences in the personality need structures between each group. Results: 1, For the first hypothesis, the personality need structures between each of the 4 classes and the reported degree of satisfaction in major subject showed significant differences. Therefore the hypothesis I was accepted. 2. The comparison of personality need structure of under-achievers and over-achievers in clinical fields showed significant differences. Thus hypothesis II was accepted. 3. Personality need structure between clinical subject groups showed significant differences therefore the 3rd hypothesis was accepted.

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간호회진과 경구투약시 환자가 선호하는 간호사의 비언어적 온정행위에 관한 연구 (Patient′s Preferances for Nurse′s Nonverbal Expressions of Warmth During Nursing Rounds and Administration of Oral Medication)

  • 김형선;김문실
    • 대한간호학회지
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    • 제20권3호
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    • pp.381-398
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    • 1990
  • Nursing involves deep human interpersonal relationships between nurses and patients. But in modem Korea, the nurse - patient relationship tends to be ritualistic and mechanestic. Patients usually express the hope that nurses be more tender and kind. Patients expect nurses to express their warmth especially through nonverbal behaviour. This study was conducted to identify patients' preferences for nurse's nonverbal expressions of warmth. Through the confirmation of these preferences, nurses may learn how to enhance their interpersonal relationships with patients. Subjects for the study were 73 patients who had been admitted to a university teaching hospital for at least three days and agreed to be interviewed by the investigator. The interactions were studied nonverbal expressions of warmth during nursing rounds and administration of oral medication. The interview schedule was expecially designed by the investigator to measure the nurse's posture, the distance between the nurse and the patient, the nurse's eye contact, facial expression, hand motion and head nodding. Data analysis included frequencies, percentages and X²-test. The results of this study may be summerized as follows : 1. Patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds. Preferred nurse's posture was sitting(50.7%) or standing(49.3%) opposite the patient. Preferred distance between the nurse and the patient was close to the bed(93.2%), less than 1m. Preferred eye contact was directed to the patient's eyes or their affected part (41.1%). Preferred facial expression was a smile(97.3%). Preferred hand motions were light gestures(41.1%). Patients preferred head nodding which approved their own opinions(69.9%). 2. Patient's preferences for nurse's nonverval expressions of warmth during administration of oral medication. Preferred nurse's posture was standing and waiting to confirm that the medication had been taken(58.9%). Preferred distance from the patient was at arm's length, 0.5-1m(64.4%). Patients preferred direct eye contact(58.9%) and a smile(94.5%). Patients preferred that the nurse put the medicine directly the patient's hand(64.4%). Whether the nurse nodded her head or not was not considered important. 3. The relation of general characteristics and patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds and administration of oral medication. During nursing rounds, the age of subjects(p=0.010) and the standard of education(p=0.026) related to the distance between the nurse and the patient. The sick hospital ward related to the eye contact(p=0.017) and facial expression(p=0.010). During administration of oral medication, the age of subjects(p=0.044) and days of hospital treatment (p=0.043) and the sick hospital ward(p=0.0004) related to the facial expression. From this study, nurses can learn what kind nonverbal expressions of warmth are preferred by patients during rounds and administration and thus will enhance nurse- patient interpersonal relationships.

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Axenfeld-Rieger Syndrome 환자의 증례보고 (AXENFELD-RIEGER SYNDROME WITH DENTAL PROBLEM : A CASE REPORT)

  • 성민경;신터전;김영재;김정욱;장기택;이상훈;김종철;현홍근
    • 대한장애인치과학회지
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    • 제8권2호
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    • pp.113-117
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    • 2012
  • 저자는 ARS를 가진 15세 여자 환아에 대한 임상적, 방사선학적 관찰을 통해 다음과 같은 지견을 얻었다. 1. 환아는 Axenfeld-Rieger Syndrome의 안과적 증상인 전안부 형성부전을 나타낸다. 2. 환아의 구강 및 구개악안면 소견으로 다수의 영구치 결손 및 왜소치, 상악 형성 부전, 구치부의 반대교합이 관찰되었다. 3. 환아의 성장에 따른 주기적인 치과적 검진과 추가적인 치료가 필요할 것으로 생각된다.

INFLUENCE OF DIETARY PROTEIN ON THE FRACTIONATION OF SELENIUM IN THE RUMEN OF SHEEP

  • Serra, A.B.;Serra, S.D.;Fujihara, T.
    • Asian-Australasian Journal of Animal Sciences
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    • 제9권5호
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    • pp.557-562
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    • 1996
  • The effects of diets differing in protein content through soybean meal supplementation on ruminal fractionation of selenium (Se) were studied. A $3{\times}3$ Latin square design was used with three Japanese Corriedale wethers (45 kg average body weight), three periods, and three dietary treatment. The three dietary treatments were : Diet 1, without soybean meal supplementation (14% crude protein, CP); Diet 2, with 10% soybean meal supplementation (16.5% CP); and Diet 3, with 20% soybean meal supplementation (19% CP). All the diets had a Se supplementation in the form of sodium selenite at 0.2 mg Se/kg dietary DM. The Se supplement and the concentrate mixture were fed only in the morning before the hay was given. Daily feeding schedule for gay was set at 09:00 and 17:00 h. On the final day of collection period, ruminal fluid samples were obtained at 0.5, 2, 6, 12 and 24 h post-feeding starting at 09:00 h. Total ruminal fluid Se was markedly higher (p<0.05) in Diet 3 than those in Diets 1 and 2 at almost all sampling time except at 24 h. The proportion of Se in soluble protein to the total ruminal Se was higher (p< 0.05) in Diet 3 (40%) followed by Diet 2 (28%) and Diet 1 (21%). The proportion of free inorganic Se to the total ruminal Se was the reverse, especially after two hours where Diet 1 (p<0.05) was higher than the other diets. Bacterial Se was lower (p < 0.05) in Diet 1 than those in Diets 2 and 3 at any sampling time. The highest was observed at 2 h postprandially in all diets with a value of 421, 556, $655{\mu}g/kg$ bacterial DM for Diet 1, 2 and 3, respectively. No differences (p>0.05) were observed on ruminal pH, ammonia and total nolatile fatty acids although increasing protein supplementation tended to decline the ruminal pH and increase ruminal ammonia. This study concludes that increasing dietary protein content by soybean meal supplementation can affect the ruminal Se metabolism.

자원동원성 연구논문 분석 (An Analysis of Resourcefulness Research)

  • 서순림;이은옥;김정희
    • 성인간호학회지
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    • 제13권1호
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    • pp.15-28
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    • 2001
  • The purpose of this study was to identify the trends of resourcefulness researche studies for suggesting the future direction of study. Study design, types of subjects, measurement tools, study concept, and outcome were examined by reviewing 61 research studies published from 1980 to 1999. The results were as follows: 1. There were 24 works in the 1980s and 37 works in 1990, according to the published year of resourcefulness study. Nonexperimental studies like descriptive study, correlational study and comparative study were more frequent than experimental studies. 2. Research studies that consisted of 30- 100 subjects were the most numerous with 27 studies in all. The majority of study subjects was shown as healthy students and depressive patients. 3. Most studies used Rosenbaum's Self Control Schedule(SCS) for assessing resourcefulness. Reliabilities of resourcefulness researches were cronbach ${\alpha}=.70$ or more. According to statisitical tests done for internal validity, SCS was negatively correlated to maladaptation. Factor analysis revealed that the most parsimonious structure was 3 to 6 factors. The total communality variance in the SCS was about 40 %. Other tools used with the SCS were about coping, depression, satisfaction of life and symptoms, self management and health promotion. 4. In correlational studies, concepts like depression, anxiety, and psychological symptoms were related to resourcefulness negatively. Adaptive functioning, life satisfaction and self achievement had positive correlations to resourcefulness. 5. Studies on comparison between a healthy person and depressive patient or smoker and non-smoker were done. There were coping, depression, symptom, self efficacy, health problem and self-control as comparative concepts. 6. Study subjects consisted of depressive patients in 9 of 18 experimental studies. The majority of studies were done with cognitive-behavioral therapy as an experimental intervention. The most effective treatment was revealed in high resourcefulness group. Since the above findings, resourcefulness research increased since 1980 and mostly non-experimental design for quantitative study were done. In the field of nursing, research about resourcefulness was in an initial stage. It is expected that further research needed to be done. Recommendations on the basis of the present research suggest that it is necessary to replicate studies, develop nursing intervention enhancing resourcefulness and apply it to patients with chronic diseases including cancer.

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유아를 위한 공학중심 융합인재교육(E-STEAM)프로그램의 개발 및 효과 (The Development and Effects of STEAM Programs based on Engineering for Young Children)

  • 이수기
    • 한국콘텐츠학회논문지
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    • 제19권11호
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    • pp.211-225
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    • 2019
  • 본 연구의 목적은 공학적 설계과정을 강조하는 공학중심 융합인재(E-STEAM)프로그램을 개발한 후 이를 유아를 대상으로 적용하여 유아의 과학적 문제해결능력과 의사소통능력에 미치는 효과를 알아보는 데 있다. E-STEAM 프로그램을 개발하기 위해 STEAM과 공학교육에 관련된 선행연구와 웹사이트를 참고하여 활동을 구성하였다. 구성된 활동은 전문가와의 협의 과정을 거쳐 최종 활동으로 선정하였다. 개발한 프로그램의 효과를 검증하기 위한 연구대상은 G시에 소재한 K유치원의 만 5세 유아 50명(실험집단 25명, 통제집단 25명)이었다. 실험집단은 7주 동안 E-STEAM활동에 참여하였고, 통제집단은 일반적인 과학 활동에 참여하였다. 연구절차는 예비연구, 사전검사, 실험처치, 사후검사의 순으로 이루어졌다. 연구결과는 다음과 같다. 첫째, 실험집단은 전체 유아의 과학적 문제해결능력에서 통제집단보다 유의하게 점수가 높은 것으로 나타났다. 둘째, 실험 집단은 전체 유아의 의사소통능력에서 유의하게 점수가 높은 것으로 나타났다. 이러한 결과는 유아의 E-STEAM활동 경험이 유아의 문제해결능력과 의사소통능력의 향상에 효과적인 교수학습방법이 될 수 있다는 것을 제안한다.

고용량 방사성옥소 치료의 기본 Protocol 비교 (Comparative Study for Basic Protocol of High Dose Ablation Therapy)

  • 문재승;정희일;이치영
    • 핵의학기술
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    • 제12권3호
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    • pp.147-156
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    • 2008
  • 목적 : 방사성옥소 치료팀에서 이루어지고 있는 모든 행위가 나름대로의 원칙과 규정이 있으므로 단일화 된 모델은 적절한 최적화가 아닐 것으로 생각되나 통일성 있는 기준제시에 접근하고자 함이다. 실험재료 및 방법 : 2007년 11월 5일부터 11월 17일까지 29개 병원을 대상으로 핵의학 담당자에게 설문조사하였다. 설문조사의 내용은 환자에 대한 진료부문, 환자관리, 검사 부문, 폐기물관리, 안전관리 등 5개의 카테고리로 정하였으며 질문에 대한 응답내용을 선택하는 방식으로 조사하였다. 결과 : 2007년 10월 기준으로 전체 30개 병원에서 58개의 병실을 운영하고 있었으며 치료계획에 따른 검사 및 일정관리는 약간의 차이가 있었다. 환자에 대한 교육부문은 의사 및 간호사가 주로 담당하였으며 교육에 대한 환자의 만족도는 높은 것으로 평가되었다. 폐기물 관련 자료와 정기적으로 실시되고 있는 정기 감사로 인하여 각 병원별 폐기물 관리 수행은 원만히 이루어지고 있는 것으로 나타났다. 환자 및 작업종사자들에 대한 안전관리는 원자력법에 근거하여 잘 수행되고 있었으며 치료병실에 대한 오염관리에 대해서 대부분 병원에서 철저하게 수행하고 있는 것으로 나타났다. 결론 : 항목별 자료 수집내용을 충분히 검토하여 현실성 있는 설문조사를 통해 구체적인 표준안이 제시되었어야 하나 그러지 못한 부족함이 많다. 그럼에도 불구하고 본 조사에 대해 임상의 활용도 가치를 응답자 중 70.9%로 비교적 높이 평가해 주심에 감사를 표한다. 향후 본 자료를 토대로 각 항목별 세부사항에 대한 조사와 연구가 필요할 것으로 본다.

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