• 제목/요약/키워드: after-school care

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A Treatment Case of Delayed Aortic Injury: The Patient with Posterior Rib Fracture

  • Park, Hyun-Seok;Ryu, Se-Min;Cho, Seong-Joon;Park, Sung-Min;Lim, Sun-Hye
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.406-408
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    • 2014
  • A 66-year-old male patient arrived at the emergency room with a crush injury to his chest. Multiple rib fractures, hemothorax on both sides, left scapular fracture, liver laceration, and retroperitoneal hematoma were found upon the radiologic examination. After closed thoracostomy, the patient had been initially admitted to the intensive care unit, but he was transferred to the general ward on the next day. On the 4th post-trauma day, the patient complained of severe pain and there was bloody drainage through the chest tube. This case is an exploration with the consideration of the possibility of major bleeding and the subsequent repair of the descending thoracic aorta. This case is regarded as a case in which the aorta wall was damaged as the sharp margin of the fractured ribs caused continuous irritation.

다문화가정 미취학 아동의 학교생활적응을 위한 프로그램 개발 및 효과 검증 (Development and Evaluation of School Adjustment Program for Young Children from Multi-cultural Families)

  • 김정현;성미영;정현심;권윤정
    • 한국생활과학회지
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    • 제19권3호
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    • pp.455-469
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    • 2010
  • This study developed and evaluated a school adjustment program for children from multi-cultural families. The program was developed to enhance Korean language ability and adjustment to school for children from multi-cultural backgrounds. 14 preschool children (5 boys and 9 girls) participated in this program. The effect of this program was assessed through a preschool-children's receptive and expressive vocabulary test as well as through a reading ability test. Results showed there was a significant experimental effect (p<.05) in receptive and expressive vocabulary test scores. After the experiment, children showed higher scores in the receptive and expressive vocabulary test than before. Results of the program evaluation revealed this program was helpful for promoting Korean language ability in children and assisted their adjustment to school for children from multi-cultural backgrounds.

선천성 매독에 의한 비면역성 태아수종 1례 (A Case of Non-immune Hydrops Fetalis due to Congenital Syphilis)

  • 정지선;박상우;김천수;이상락;권태찬
    • Neonatal Medicine
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    • 제15권2호
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    • pp.207-211
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    • 2008
  • 저자들은 산전 진찰을 받지않아 매독에 감염되었는지 모르고 지내던 산모에서 태어나, 빈혈, 혈소판 감소증, 자반, 간비종대와 다량의 늑막삼출과 복수가 동반된 미숙아에서 선천성 매독에 의한 비면역성 태아수종으로 진단하여 적절한 치료 후 생존된 1례를 경험하였기에 보고하는 바이다.

한방좌욕제가 산모의 회음절개술후 동통에 미치는 효과에 대한 임상연구 (Clinical trial of Herbal Decoction for Sitz Bath on Postpartum Mother's Perineal Healing)

  • 김동일;권수경;정재철;윤성헌;정재중
    • 대한한방부인과학회지
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    • 제23권1호
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    • pp.97-107
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    • 2010
  • Purpose: This study was designed to verify the effect of Herbal Decoction for Sitz Bath on postpartum mother's perineal healing. Methods: Women who had given birth vaginally and had an episiotomy were included in study. The primary outcome for study was severity of pain, discomfort, rated on a 10-cm visual analog scale from 0("no pain") to 10("worst pain ever"). As a secondary outcome, we also evaluated side effect and "feeling". Results: In clinical trial, perineal pain, perineal discomfort, after-pain were significantly low at postpartum 3th days, respectively. And mothers were satisfied with "Herbal Decoction for Sitz Bath". Conclusion: According to these results, we finally concluded that "herbal decoction for sitz bath" for perineal care could be effective in healing the perineum.

Primary repair of untreated cleft palate in an elderly patient: a case report

  • Lee, Jun Sang;Lee, Jae-Yeol;Kim, Yong-Deok;Song, Jae-Min;Choi, Won Hyuk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권1호
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    • pp.47-50
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    • 2021
  • Untreated adult or elderly cleft lip and palate patients are rarely seen, but studies on delayed primary palatal closure have been performed in the less developed Asian and African countries, where access to medical care is difficult. A 64-year-old woman visited our clinic with untreated cleft palate with a 40×20-mm-wide defect in the medial palate. Two-flap palatoplasty under general anesthesia was performed to close the cleft palate. After 1 month, the result was favorable without any complications including oronasal fistula. Cleft palate primary repair in an elderly patient is rare and has some surgical problems that are associated with a wide range of defects, but good results can be obtained if surgery is performed well with appropriate considerations.

칸디다혈증 이후 잠행성으로 발생한 다발성 흉벽 및 척추 농양: 증례 보고 (Insidious Onset Multifocal Chest Wall and Spinal Abscess Caused by Previous Candidemia: A Case Report)

  • 권다은;김성수;천신혜;김진환;권혜영
    • 대한영상의학회지
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    • 제84권5호
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    • pp.1163-1168
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    • 2023
  • Candida albicans 감염에 의한 농양 형성은 매우 드물며, 흔하지 않은 위치에 비 전형적인 형태로 관찰되는 경우, 영상의학적 진단을 내리기가 쉽지 않다. 저자들은 산후출혈로 집중치료실에 입원하여 칸디다혈증 진단 후 치료를 받고 퇴원했던 젊은 여성에서, 잠행성으로 발생한 다발성의 Candida albicans 흉벽 및 척추 농양 증례에 대해 보고하고자 한다.

일 지역 성인의 구강건강실태에 관한 조사연구 (A study on the status of the Dental Health of Adults)

  • 정영숙
    • 보건교육건강증진학회지
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    • 제17권1호
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    • pp.95-113
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    • 2000
  • The purpose of this study is to investigate the state of the dental health of adults, used self-reporting qestionnaire as objects of 923 residents living in nine districts at random among the sites of eleven town located in a County. The level of knowledge on dental health of adults in a County was 65.6 points out of 100 points, comparatively low. Accodingly, it is necessary for entire adults to have a dental health-related education and get high standard of knowledge. Especially, educational approach should be performed for groups of 40-49 years old, 50-59 years old, above 60 years old, male, no educational background, having only elementary and middle school education, not having any jobs, engaging in agriculture, doing business on their own and so on. When planning the contents of health education, one actually has to include the habit of amalgam, the factor in influencing on dental health as well as show an example such as how to brush teeth, checking point of proper brushing, how to grip toothbrush. The attitude score related to dental heath was 71.2 points out of 100 points, relatively low. Consequently, the change of attitude related the dental health among entire adults is necessary, particularily, the strategical approach is essential to change dental health connected to attitude positively for groups of male, having high school education background, office workers and the civil service. Besides, among dental health related symtoms, more that 30-40% of objects showed negative attitude toward as the following cases; in case that plaque or food debris are attached to the teeth (40.8%), upper and lower teeth do not fit together(40.3%), you cannot sleep well because of toothache(31.0%), more than one tooth fall out(31.0%), you have loosing teeth(30.6%), the approach should be conducted to form attitude that dental care is necessry. The state of dental health through dental health related symtoms was 33.3 points out of 100 points, which was fairly satisfactory. However, dental treatment for the state of dental health should be executed in case of comparison of the dental health state according to general characteristics, the group who are above 60 years old, have elementary school education background, engage in aggriculture who are not good in dental health state as opposed to other groups. Furthermore, there should be dental care needs according to dental health related symtoms, particularly, more than 60-70% of objects have experienced symtoms that plaque or food debris attached to the teeth, tartar is on the teeth so dental treatment should be peformed for a large number of adults. In addition, for the people who have indications that there was a cavity, more than one tooth loss, chilled teeth, toothache when chewing, loose teeth, upper and lower teeth do not fit together, you cannnt sleep well due to the toothach, etc, there should be care through dental treatment. The actual conditions of the hygine of the mouth was relatively good and the difference of the actual state of dental health care in terms of general characteristics showed in only gender; female was more careful in dental health. Comparing the state of oral health synthetically, when they have symtoms, only 34.8% of objects go to a dentist, 60.7% are using passive or negative care such as gargling, tolerating or ignoring. There was many symtoms to care through dental therapy such as plaque or food debris get in between the teeth, tartar on the teeth, teeth are very cold, more than one tooth fallout, loose teeth, there is wrong amalgam, and so on, among symtoms to care passively or negatively. Therefore the education for proper treatment program should be performed. As a result of dental health-related knowlege, attitude, health state, verification of correlation between the actual condition of care, the higher the dental heath-related knowldege becomes, the more positive the dental health-related attitude is, and the state of dental health, that is, the standard of the symtom of dental health diminishes. the care for dental health executed through more active method and the more positive dental health-related attitude is, the more active means they performed. Consequently, the high level of dental health-related knowledge should be necessary, the more positive the dental health-related attitude was, the more active method they adopted, therefore, the program is needed to form attitude related to the dental health positively. As the knowledge on dental health is increasing, the attitude is also positive, after all, the plan to increase the standard of knowledge on dental health should be contrived through education program related to dental health.

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일부 중학생의 보건교육경험에 따른 칫솔질과 손 씻기 실천의 연관성 (Relationship between toothbrushing and hand washing according to health education experience in middle school students)

  • 유자혜;남용옥
    • 한국치위생학회지
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    • 제15권1호
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    • pp.171-177
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    • 2015
  • Objectives: The purpose of this study was to investigate the relationship between toothbrushing and hand washing according to health education experience in middle school students. Methods: The subjects were 480 students of four middle schools in Y region. This is a cross sectional study and the study instrument was adapted from the knowledge, attitude and practice of hand washing and toothbrushing in elementary school students by Jung. Cronbach's alpha was 0.87 in the study. The questionnaire consisted of 5 questions of the general characteristics of the subjects, 5 questions of hand washing knowledge, 3 questions of hand washing behavior, 3 questions of health education experience. Toothbrushing questionnaire consisted of 10 questions of knowledge, 5 questions of behavior, 5 questions of health education experience, and 5 questions of dental health care facilities within schools. Data were analyzed by PASW 20.0 program. Results: Toothbrushing more than three times a day accounted for 76.8%. Those who receiving health education in elementary school accounted for 41.5% and those who had not accounted for 58.5%. Health education experience(75.8%) led to toothbrushing after meal(p<0.05). Those who receiving health education in elementary schools had 1.76 times of toothbrushing after meal than those who had not(p<0.01). Conclusions: Middle school students receiving health education had a tendency to do toothbrushing and hand washing frequently.

농촌지역 초등학교 학생들의 성장도 및 성장운동프로그램 운영 보고 (A Study on the Efficacy of Growth Excercise Program in Rural Elementary School Students)

  • 설재욱;황의형;신미숙;신병철;김선종
    • 대한예방한의학회지
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    • 제14권3호
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    • pp.107-115
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    • 2010
  • Objectives : The purpose of this study is to investigate the efficacy of growth exercise program based on Korean medicine. Methods : We recruited fifty two elementary students in a rural area, and measured height, weight, BMI, WHR, and bone age. Questionnaire on sleep, exercise, symptoms based on Korean medicine was performed. Students exercised TaeGuk(太極) Health Gigong(氣功), a growth exercise program 11 times in 6 weeks. Results : Height, weight, BMI and WHR of the subject students were lower than those in the Korean CDC(Center for Disease Control and Prevention) growth chart. There was significantly negative correlation between time of sleep and bone age(p=0.028), but no correlation between time of exercise and bone age(p=0.668). According to diagnosis based on Korean medicine, many students were in weakness of spleen and lung, and bone age according to deficiency of organ showed no significant difference(p=0.774). Satisfaction, impact on time of exercise after program, ideal time for program and impact on reparticipation of program were strong in the questionnaire after growth exercise program(TaeGuk(太極) Health Gigong(氣功)). Conclusions : Korean medicine promotion of health has a salutary effect on elementary school students in rural area by collecting growth and health data and educating easy exercise based on Taichi.

Immunological Analysis of Postoperative Delirium after Thoracic Aortic Surgery

  • Haein Ko;Mukhammad Kayumov;Kyo Seon Lee;Sang Gi Oh;Kook Joo Na;In Seok Jeong
    • Journal of Chest Surgery
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    • 제57권3호
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    • pp.263-271
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    • 2024
  • Background: Delirium is a recognized neurological complication following cardiac surgery and is associated with adverse clinical outcomes, including elevated mortality and prolonged hospitalization. While several clinical risk factors for post-cardiac surgery delirium have been identified, the pathophysiology related to the immune response remains unexamined. This study was conducted to investigate the immunological factors contributing to delirium in patients after thoracic aortic surgery. Methods: We retrospectively evaluated 43 consecutive patients who underwent thoracic aortic surgery between July 2017 and June 2018. These patients were categorized into 2 groups: those with delirium and those without it. All clinical characteristics were compared between groups. Blood samples were collected and tested on the day of admission, as well as on postoperative days 1, 3, 7, and 30. Levels of helper T cells (CD4), cytotoxic T cells (CD8), B cells (CD19), natural killer cells (CD56+CD16++), and monocytes (CD14+CD16-) were measured using flow cytometry. Results: The median patient age was 71 years (interquartile range, 56.7 to 79.0 years), and 21 of the patients (48.8%) were male. Preoperatively, most immune cell counts did not differ significantly between groups. However, the patients with delirium exhibited significantly higher levels of interleukin-6 and lower levels of tumor necrosis factor-alpha (TNF-α) than those without delirium (p<0.05). Multivariate analysis revealed that lower TNF-α levels were associated with an increased risk of postoperative delirium (p<0.05). Conclusion: Postoperative delirium may be linked to perioperative changes in immune cells and preoperative cytokine levels. Additional research is required to elucidate the pathophysiological mechanisms underlying delirium.