• Title/Summary/Keyword: Treatment support

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Cardiopulmonary Resuscitation and Pediatric Advanced Life Support for Pediatric Dentist (소아치과의사를 위한 심폐소생술과 소아고급생명구조술)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.243-255
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    • 2017
  • Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

A Study of the Relation Between Perceived Family Support and Social Adjustment of Discharged Patients with Chronic Mental illness (퇴원한 만성 정신 질환자가 지각한 가족지지와 사회적 적응과의 관계 연구)

  • 현명선
    • Journal of Korean Academy of Nursing
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    • v.22 no.3
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    • pp.352-361
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    • 1992
  • This study was designed to identify the relation between the perceived family support and social adjustment of discharged patients with chronic mental illnesses. The subjects for this study were 50 patients with chronic mental illnesses receiving out-patient treatment at one general hospital and one private hospital in Seoul. The data were collected during the period from April 25, 1991 to May 27, 1991. The perceived family support was measured by the Family Support Scale developed by Hyun Sook Kang. A questionnaire which was developed by Weissman was modified by the author of this study to measure the Social Adjustment. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients, using the SPSS program. The results of this study can be summarized as following ; 1) For the perceived family support, the mean was 2.63 points and the source of family support was almost always the mother. 2) For the social adjustment level, the mean was 2.62 points, and the results showed the best social adjustment was in the area of parental role and family adjustment, and the poorer adjustment was in the area of work and leisure. 3) The relationship between the perceived family support and social adjustment revealed a significant correlation.(r=.38, p<.05) Therefore the hypothesis “the higher the level of perceived family support, the higher the social adjustment level” was accepted. In conclusion, the study revealed that family support is an important factor related to the social adjustment level in patients with chronic mental illnesses.

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Determination of Information and Support Needs of First Degree Relatives of Women with Breast Cancer

  • Andic, Saadet;Karayurt, Ozgul
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4491-4499
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    • 2012
  • Background: Breast cancer is the most frequent type of cancer among women in the world and the most common cause of deaths from cancer in females. In Turkey, breast cancer comes first in the list of the most frequent ten cancer types seen in women. As the incidence rate of breast cancer is high, many women having breast cancer in the family experience the breast cancer at secondhand. This study was carried out in an attempt to determine the information and support needs of women whose first-degree relatives have breast cancer and to what extent these needs are met. Methods: The research sample consisted of 156 women. Questionnaire Form and Information and Support Needs Questionnaires were used as the data collection tools. Results: Information need score averages ($x^-:3.72{\pm}0.19$) of women included in the research sampling were found to be higher than their score averages of support needs ($x^-:3.24{\pm}0.41$). Conclusion: Information needs which were indicated by women as very important were related to treatment, symptoms of breast cancer and breast self examination (BSE), while support needs which were indicated by women as very important were learning how to perform BSE, women's anxiety for themselves and their relatives regarding breast cancer and having their breasts examined by a health professional. It is recommended that nurses and other medical staff should give information to women whose first-degree relatives have breast cancer about the disease, its etiology, scanning, diagnosis, treatment options and protection as well as prevention.

Effects of Treadmill Training on Gait of Stroke Patients : A Systematic Review (트레드밀운동이 뇌졸중 환자의 걷기기능향상에 관한 문헌연구)

  • Kang, Kwon-Young;Ko, Tae-Sung
    • Journal of Korean Physical Therapy Science
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    • v.15 no.3
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    • pp.73-79
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    • 2008
  • Background : Treadmill training has been proposed as a useful adjunct to conventional physical therapy to restore ability to walk after stroke. The purpose of this study to inform clinical practise by evaluating the research evidence for the effectiveness of treadmill training after stroke. Methods : We searched to the effectiveness of any form of intervention for effect of treadmill training by Dankook University electronic library databases of Medline, Embase, Cinahl, Amed and PEDro combined with a hand search of papers published in relevant peer-reviewed journals. Any type of study relevant to the topic published in English during time period from 1980 to 2007 was included. Results : The literature search identified 35 studies. The included studies enrolled a total of 374 subjects. 1. Treadmill retraining without partial body weight support might be more effective than no treatment at improving gait velocity, get up and go time, gait endurance and step length symmetry. 2. Treadmill retraining with partial body weight support might be more effective than no treatment in improving step length symmetry, gait velocity, gait endurance and balance. 3. Treadmill retraining might be more effective with partial body weight support than without it at improving gait velocity and motor improvement as measured by The Stroke Rehabilitation Assessment of Movement(STREAM). 4. Treadmill retraining without partial body weight support may be no different from physiotherapy and increase gait velocity to conventional gait therapy. 5. Treadmill retraining with partial body weight support may be no different from physiotherapy for gait velocity, motor recovery and balance. Conclusion The review suggests that although treadmill training of gait, especially with partial body weight support, might Improve gait parameters and functional mobility, unless treadmill training is directed at Improving gait speed it might be no more effective than conventional physical therapy at improving gait parameters.

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Effects of Respiratory Muscle Strengthening Training on the Pulmonary Function in Chronic Stroke Patients on an Unstable Support Surface (불안정한 지지면에서의 호흡근 강화훈련이 만성 뇌졸중 환자의 폐기능에 미치는 영향)

  • Lee, Myoung-Ho;Kim, Myoung-Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.2
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    • pp.75-82
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    • 2022
  • PURPOSE: This study examined the correlation between the pulmonary function and respiratory muscle strengthening training on an unstable support surface and a stable support surface in stroke patients. METHODS: The study subjects were 22 stroke patients undergoing central nervous system developmental rehabilitation treatment. After excluding six dropouts, eight people in the experimental group and eight people in the control groups were classified by random sampling. Both groups performed central nervous system developmental rehabilitation therapy and were provided a 10-minute break. The experimental group was provided with an unstable support surface using Togu, and the control group was trained to strengthen the respiratory muscle in a stable support surface. Respiratory muscle strengthening training was conducted three times per week for 20 minutes. Before and after each group of experiments, a nonparametric test Wilcoxon signed rank test, and a Mann Whitney U-test analysis were used to analyze the variations between the two groups. All statistical significance levels (α) were set at 0.05. RESULTS: Both groups showed increases in the pulmonary function but showed significant differences only in the experimental group. There was a significant difference in the peak expiratory flow between the two groups. CONCLUSION: Central nervous system development rehabilitation treatment for patients with an impaired nervous system and respiratory muscle strengthening training on unstable support surfaces are effective in improving the pulmonary function of stroke patients. Therefore, they are expected to be applied to physical therapy programs to help various functional activities.

Korean Medical Doctors' Perception Survey Regarding the Establishment of an Oriental Medicine Support System for Sexual Violence Victims (성폭력 피해자 한의의료지원시스템 구축을 위한 한의계 인식 조사연구)

  • Kim, Jae-won;Cho, You-kyung
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1179-1192
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    • 2019
  • Objectives: The purpose of this study was to prepare basic data to build an Oriental medicine support system for sexual violence victims through a survey on perceptions of Korean medical doctors about sexual violence. Methods: From 18 September 2019 to 24 September 2019, the online survey was conducted by both Korean medical doctors and students of the Korean Medical College. Thereafter, a quantitative statistical analysis was conducted on data from a total of 1,011 respondents, including 749 doctors and 262 students. Results and Conclusions: Many of the doctors and the students who answered were not fully aware of public services and legal systems related to sexual violence. Most Korean doctors had very little experience in treating victims of sexual violence. Most respondents thought that the number of designated Oriental medicine institutions for sexual violence victims should increase, and related education and Oriental medicine manuals would be essential. Most respondents said that information about trauma treatment would be essential. In addition, the Korean medicine group showed overall good scores in the perception of sexual violence. However, there were statistically significant differences in perception between males and female, and among age groups. We hope that this study could be used as basic data for establishing an Oriental medicine support system for sexual violence victims.

Image Processing System based on Deep Learning for Safety of Heat Treatment Equipment (열처리 장비의 Safety를 위한 딥러닝 기반 영상처리 시스템)

  • Lee, Jeong-Hoon;Lee, Ro-Woon;Hong, Seung-Taek;Kim, Young-Gon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.6
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    • pp.77-83
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    • 2020
  • The heat treatment facility is in a situation where the scope of application of the remote IOT system is expanding due to the harsh environment caused by high heat and long working hours among the root industries. In this heat treatment process environment, the IOT middleware is required to play a pivotal role in interpreting, managing and controlling data information of IoT devices (sensors, etc.). Until now, the system controlled by the heat treatment remotely was operated with the command of the operator's batch system without overall monitoring of the site situation. However, for the safety and precise control of the heat treatment facility, it is necessary to control various sensors and recognize the surrounding work environment. As a solution to this, the heat treatment safety support system presented in this paper proposes a support system that can detect the access of the work manpower to the heat treatment furnace through thermal image detection and operate safely when ordering work from a remote location. In addition, an OPEN CV-based deterioration analysis system using DNN deep learning network was constructed for faster and more accurate recognition than general fixed hot spot monitoring-based thermal image analysis. Through this, we would like to propose a system that can be used universally in the heat treatment environment and support the safety management specialized in the heat treatment industry.

Postural stability test of double leg support and single limb stance (양발로 선 자세와 한발로 선 자세의 자세안정도 검사)

  • Kwon, Mi-Ji
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.851-860
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    • 1998
  • The purpose of this study was to quantitatively observe changes in postural stability of double leg support and single limb stance. Thirty-six healthy subjects participated in the study. Postural stability were examined using Dynamic Balance System. Each trial was 25 sec in duration. Each of 6 conditions{double leg support and single limb stance ; eyes open in stable platform, eyes closed in stable platform, eyes open in dynamic platform) evaluated effect of visual, vestibular, proprioceptive system. Center of balance found for displacement to the left along the X axis in double leg support and to the forward on left toe in single limb stance. Sway index was the lowest in double leg support with eyes open in stable platform and the higher in single limb stance with eyes closed in stance platform. We believe that reliable and valid measures should be used to determine the contributing factors of our client's postural problems so that we can design the most effective treatment possible.

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Research on Current Execution of Customer Support Knowledge Management System of Medical Appliances Industry

  • Chung, Yi-Chan;Tsai, Chih-Hung;Tien, Shiaw-Wen;Lin, Lin-Yi
    • International Journal of Quality Innovation
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    • v.8 no.3
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    • pp.46-70
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    • 2007
  • Customer Support Knowledge of Customer Support Organization is one of the important assets of enterprises and "Customer Support Knowledge Management" is also the critical aspect of Business Knowledge Management; however, the attributes of Customer Support Knowledge are complicated, diverse, renewed rapidly and difficult to be managed. Thus, in order to design a successful Customer Support Knowledge Management System, apart from the consideration of "human" and "information technology" aspects, the concerns of attributes and Customer Support Knowledge and industry characteristics should be involved for meeting the requirements of Customer Support Organization and allowing the organization to acquire the competitive advantage of "Differentiation Service". This research used the "Customer Support Knowledge Management System" in a high-tech industry as an example and treated the end users of medical instruments in different types of hospitals in Taiwan which have received the support service of our company in recent six months as the population. The end users were mostly the nursing executives or ultrasonic wave technical personnel in intensive care unit and they had similar educational background and incomes and adopted the medical instruments such as physical supervision system, ultrasonic wave system, heart start or ECG machine produced by our company; the research method was to randomly treat the investigation results of the telephone customers' satisfaction from respective 30 end users in the population three months before and after this system execution as the samples and use hypotheses to validate if the end users' customer satisfaction significantly improved in terms of "Remote Support," "On-site Support," "Service Turn Around time," "Technical Competence" and "Manner" in order to understand the influence and managerial significance of execution of "Customer Support Knowledge Management System" on Customer Support Organization.

A Study on the Space Composition for Department of Delivery in Regional Public Hospital (지역거점 공공병원의 분만부 공간구성에 관한 연구(1))

  • Park, Kyeong Hyeon;Shin, Hwa Kyoung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.3
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    • pp.47-54
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    • 2022
  • Purpose: This study presents the analysis on space usage of delivery departments in regional public hospitals. The results intention is to achieve improvement of the delivery environment for the mothers and newborns regarding exposure prevention and efficient infection control. The purpose of this study is to provide fundamental data for architectural plans and guidelines for the delivery department. Method: The investigation and analysis were based on research papers, legal systems, public medical statistical data, and the architectural floor plan drawing. For research, 20 regional public hospitals with an operating delivery room were excluded. Regarding data accessibility, 15 regional public hospitals were selected. Results: To overcome the increased vulnerability of the delivery department, the research results of basic data is provided for the establishment to address urgent needs and rapid response. Thus, the research results are as follows: Firstly, the delivery department needs to respond promptly according to the type of patients. For example, in a case of emergency surgery, a connected circulation plan with the related departments is needed. Secondly, for the environment of the delivery area, alleviating anxiety is imperative for pregnant patients and guardians, labor, childbirth, and recovery. Therefore, these needs must be addressed for treatment space and circulation. Lastly, the delivery department is classified into three areas for analysis: access area, treatment area, and support area. In most of the delivery departments of the 15 selected hospitals, there is no space for the access and support area except for the labor and delivery rooms in the treatment area. For the access area, a waiting area, changing room for pregnant women and guardians, and a storage space for contaminated linens are required for infection prevention, safety, and efficiency. For the treatment area, childbirth processes and circulation should have space reserved for labor, delivery, recovery, examination, and treatment. In preparation for an emergency during childbirth, emergency response measures and supporting space needs to be established. For the support area, circulation and rooms are to be designed for medical staff support, activity space, storage and transportation of equipment, and urgent medical treatment. Implications: Along with the low fertility rate and the decrease of medical institutions that operate delivery departments, for the purpose of establishing a public medical service system and a healthy medical environment for mothers and newborns, the researched information demonstrates basic data on space plan of delivery departments in regional public hospitals.