• Title/Summary/Keyword: awareness of the consequences

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Diagnostic challenge and management of intraosseous mandibular hemangiomas: a case report and literature review

  • Jorge, Maria Isabel Sanchez;Brinkmann, Jorge Cortes-Breton;Corchon, Aranzazu Gonzalez;Ocana, Rosa Acevedo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.4
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    • pp.321-326
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    • 2021
  • Hemangioma is a benign tumor characterized by the proliferation of blood vessels. Although it often appears in soft tissues, its occurrence in bone tissue, particularly the mandible, is extremely rare. A 32-year-old female sought attention at the dental clinic complaining of a painless swelling in the posterior region of the left side of the mandible. A panoramic radiograph and computed axial tomography scan were taken, showing honeycomb and sunburst images, respectively, in the affected area. The patient underwent a biopsy, which led to the diagnosis of intraosseous hemangioma. Having assessed the characteristics of the lesion, it was decided to perform complete excision including safety margins, followed by an iliac crest bone graft to reconstruct the mandible. Awareness of the possible clinical and radiographic presentations of intraosseous hemangioma is considered important, as non-diagnosis could have severe consequences given its possible relation to dental structures.

Ingestion and surgical retrieval of an endodontic file: a case report

  • Devon Marta Ptak;Elinor Alon;Robert Bruce Amato;Julia Tassinari;Adrian Velasquez
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.32.1-32.8
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    • 2023
  • Ingestions and aspirations of foreign bodies are rare, but do occasionally occur during dental treatment. Although reports exist, few include photos demonstrating the extensive surgical intervention that may be necessary to manage such events. Perhaps this lack of visualization, and associated lack of awareness, is one of the reasons some clinicians still provide nonsurgical root canal therapy (NSRCT) without a rubber dam. This case report outlines the medical treatment of a 30-year-old male who initially presented to a general dentist's office (not associated with the authors) for NSRCT of their mandibular right first molar. A rubber dam was not used for this procedure, during which the accidental ingestion of an endodontic K-file occurred. The patient was subsequently hospitalized for evaluation and treatment, consisting of numerous imaging studies, endoscopic evaluation, and surgical removal of the file from his small intestine. The ingestion of foreign bodies, and the associated complications, can be reduced through the routine use of a rubber dam, which is considered the standard of care for NSRCT. This case graphically illustrates the potential consequences associated with deviating from the standard of care and should remind clinicians that a rubber dam is necessary for all cases of NSRCT.

A Conceptual Analysis of LGBTQ Cultural Competence for Nurses

  • Min Kyung KIM
    • International Journal of Advanced Culture Technology
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    • v.11 no.4
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    • pp.255-262
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    • 2023
  • The purpose of this study was to clarify the concept of LGBT cultural competence in nurses. This study used Walker and Avant's 8 steps of conceptual analysis. The specific steps are: (1) selecting the concept, (2) selecting the purpose of concept analysis, (3) identifying the scope of concept use, (4) identifying the determinant attributes of the concept, (5) presenting model cases, (6) additional cases of the concept (boundary cases, opposite cases, and related cases), (7) identifying antecedents and consequences, and (8) presenting empirical evidence. As a result, five attributes of nurses' LGBT cultural competence were identified in the final 12 articles: cultural experience and cultural acceptance, cultural knowledge, cultural attitude and awareness, and cultural skills. Antecedents included diversification of society, heteronormative healthcare environment, continuing education and training, intercultural understanding, and open-mindedness. Outcomes of cultural competence were identified as reducing LGBT health inequalities and providing quality care. In conclusion, this study contributes to providing a basis for improving the quality of nursing care by providing more culturally appropriate care to the target population through conceptual analysis and understanding of nurses' LGBT cultural competence. Furthermore, it is necessary to continue research on the development of tools to measure nurses' LGBT cultural competence and the development of nursing intervention programmes that can be applied in nursing practice.

The Consequences of Data Fabrication and Falsification among Researchers

  • KANG, Eungoo;HWANG, Hee-Joong
    • Journal of Research and Publication Ethics
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    • v.1 no.2
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    • pp.7-10
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    • 2020
  • Purpose: The experience by a researcher highlighted steps is guided by a specific ethical codes of conduct. The purpose of the current study is to discuss the fabrication and falsification of data as the key ethical misconduct committed by many researchers focus on their causes and impact in the research field. Research design, data and methodology: To obtain suitable textual resource, the current study used content analysis to closely take a look at the fabrication and falsification based on prior research in the realm of publication ethics. As a result, the current authors could collect and understand adequate textual data from appropriate prior resources. Results: The Research misconduct is a common practice in different countries across the world. Based on the findings from this study, data fabrication or falsification have a grievous impact on all the stakeholders of a study. The unethical behavior affects the parties concerned both psychologically and financially. Conclusions: It is, therefore, recommended that researchers should be held accountable. This can be done through different means, including raising awareness of vulnerability to data fabrication and falsification. The government and research institute should also advocate for effective policies guiding research studies across the world.

A Qualitative Study on the Adaptation Process of Middle-Aged and Elderly Couples with Retired Husbands (남편의 은퇴 이후 중노년기 부부의 적응과정에 관한 질적 연구)

  • Lee, Ju Yeon;Kim, Deuksung
    • Human Ecology Research
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    • v.53 no.2
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    • pp.179-193
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    • 2015
  • This study examined the retirement adaptation process for middle-aged and elderly couples. Twelve couples who had experienced retirement were recruited by theoretical sampling. Data were collected through in-depth interviews and analyzed through the grounded theory approach of Strauss and Corbin (1998). This study showed the results of 124 concepts, 41 sub-categories and 17 categories indicated through an open coding process. As a paradigm in axial coding, the causal conditions in the adjustment procedures of elderly couples whose spouses are retired were 'retirement preparation,' 'retirement acceptance,' and 'marital satisfaction.' A central phenomenon was 'crisis and conflicts of twilight couples.' The contextual conditions that correspond to this phenomenon were 'psychological separation from adult children,' 'division of household labor,' and 'economic status.' The action/interaction strategies to control the phenomenon were 'recognition of marital relationships,' 'conflicts coping,' 'resolution methods,' and 'self-reflection.' The intervening conditions that facilitate action/interaction strategies were 'attitudes of husbands,' 'mutual awareness of couple,' 'health status,' and 'support systems.' The consequences were 'readaptation of marital relationships,' and 'unresolved conflicts,' and 'trying alone.' This research classified middle-aged and elderly couples' adaptation into three types such as mutual effort, separation & resignation, and conflicts vestige. The findings provide basic information to develop a retirement adaptation program for the middle-aged and elderly.

The Process of Acceptance of Complementary and Alternative Therapies (CATs) among Nurses: Grounded Theory Approach (간호사의 보완대체요법 수용과정에 관한 연구: 근거이론 접근)

  • Kim, Ae-Kyung;Lee, Young-Shin;Kim, Hyun-Jung
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.669-680
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    • 2013
  • Purpose: This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea. Methods: Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction. Conclusion: The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.

Adaptation Experience of Living Kidney Donors after Donation (생체 신장 공여자의 공여 후 적응 경험)

  • Kang, Da-Hai-Som;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.271-282
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    • 2016
  • Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

A Concept Analysis of Cultural Nursing Competence (문화간호역량 개념 분석)

  • Jeong, Geum Hee;Park, Hye-Sook;Kim, Kyung Won;Kim, Young Hee;Lee, Sun Hee;Kim, Hyun-Kyoung
    • Women's Health Nursing
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    • v.22 no.2
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    • pp.86-95
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    • 2016
  • Purpose: The aim of this study was to conduct a concept analysis of cultural nursing competence. Methods: Cultural nursing competence was analyzed using Rodgers' evolutionary concept development method. A literature search using the keywords "cultural nursing competence", "intercultural nursing competence", "cultural nursing", "cultural health nursing", and "cultural competence" was conducted in PubMed, CINAHL, ERIC, and RISS on material published before 2015. Database and bibliographic searches yielded 35 records. Results: Cultural nursing competence comprised cognitive, affective, and behavioral domains. The critical attributes of the concept were sensitivity, equality, and activity. The analysis identified the following dimensions: awareness, openness, and coherence. The consequences of cultural nursing competence were personal satisfaction and social justice. The definition contained competence on both an individual and social level. Conclusion: Cultural competency enhances quality of care by narrowing health disparities and increasing client satisfaction. The concept analysis of cultural nursing competence may offer an acceptable framework which can be used to develop psychometric tools of this concept and provide guidelines in nursing practice.

Experience of Alopecia in Adults: A Grounded Theory Approach (성인의 탈모경험: 근거 이론적 접근)

  • Lee, Su Jung;Kim, Ae-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.3
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    • pp.185-196
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    • 2018
  • Purpose: The purpose of this study was to investigate the alopecia experience in adults and to explain the process of their experiences. Methods: Using a grounded theory methodology, 18 interviews were performed with fourteen men and four women, 34~57 years of age, suffering from alopecia. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "inescapable fetters". adults with alopecia engaged in three stages: embarrassment, seeking solution, and acceptance phase. Causal conditions were a vicious cycle of stress, biological factors and poor life style. Contextual conditions were recognition of irreversibleness, negative social awareness, and marriage. The central phenomenon of the adaptation process among the adults with alopecia was withdrawn life due to negative body image. Action/Interaction strategies included rely on medical treatment, efforts to take good care of hair, research for information treatment, efforts to cover up hair loss, and mind control. Intervening conditions were time cost, economic cost, support of surrounding people. Consequences was burden of unfinished lifetime homework. Conclusion: When caring for these adults, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.

Safe clinical photography: best practice guidelines for risk management and mitigation

  • Chandawarkar, Rajiv;Nadkarni, Prakash
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.295-304
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    • 2021
  • Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.