• Title/Summary/Keyword: care right

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Effects of Low Intensity Exercise Program with Telephone Coaching on Physical Fitness (전화코칭을 동반한 저강도 운동 프로그램이 방문건강관리 노인의 체력에 미치는 효과)

  • Kim, Sang-Hee;Lee, Ji-Hyun;Koh, Kwang-Wook;Ha, Hyun-Bo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.4
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    • pp.457-466
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    • 2008
  • Purpose: The purpose of this study was to determine the effects of low intensity exercise program with telephone coaching on the physical fitness of elderly people who are receiving home visiting nursing care. Method: This study was conducted using a non-equivalent control group pretest-posttest design. The participants were 61 elders. Elders (34) in the experimental group performed low intensity exercise and of these 16 received telephone coaching. The low intensity exercise program consisted of stretching, muscle strengthening with an elastic band, massage, and ball exercise, five days a week, for sixteen weeks. Data were collected from July 2007 to December 2007. $x^2$-test, ANCOVA with SPSS WIN 11.0 program were used to analyse the data. Results: There were statistical differences in the right grasping power in the right hand (p=0.021), Raising behind of right arm (p=0.006), Raising behind of left arm (p=0.007). Conclusion: These results indicate, that a low intensity exercise program with telephone coaching can help improve physical fitness in elders receiving served home visiting nursing care.

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Isolated Spinal Accessory Nerve Palsy from Volleyball Injury

  • Holan, Cole A.;Egeland, Brent M.;Henry, Steven L.
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.440-443
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    • 2022
  • Spinal accessory nerve (SAN) palsy is typically a result of posterior triangle surgery and can present with partial or complete paralysis of the trapezius muscle and severe shoulder dysfunction. We share an atypical case of a patient who presented with SAN palsy following an injury sustained playing competitive volleyball. A 19-year-old right hand dominant competitive volleyball player presented with right shoulder weakness, dyskinesia, and pain. She injured the right shoulder during a volleyball game 2 years prior when diving routinely for a ball. On physical examination she had weakness of shoulder shrug and a pronounced shift of the scapula when abducting or forward flexing her shoulder greater than 90 degrees. Manual stabilization of the scapula eliminated this shift, so we performed scapulopexy to stabilize the inferior angle of the scapula. At 6 months postoperative, she had full active range of motion of the shoulder. SAN palsy can occur following what would seem to be a routine volleyball maneuver. This could be due to a combination of muscle hypertrophy from intensive volleyball training and stretch sustained while diving for a ball. Despite delayed presentation and complete atrophy of the trapezius, a satisfactory outcome was achieved with scapulopexy.

One Case of Effect of Dilantin in Terminal Cancer Patient Complained of Hyperthemia on Upper Right Extremity (상지의 열감을 호소한 말기 암 환자에서 dilantin의 효과를 본 1예)

  • Yeom, Chang-Hwan
    • Journal of Hospice and Palliative Care
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    • v.1 no.1
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    • pp.65-68
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    • 1998
  • The neuropathic pains are not well controlled by common analgesics and opioid drugs in terminal cancer patients. The types of these pains are divided within the two cages, one is due to continuous central sensitization and the other is due to paroxymal peripheral sensitization. The mechanism of continuous central sensitization is the activity of dorsal horn neurones that are activated by C-fiber input. The tricyclic antidepressants, non-tricyclic antidepressants, and oral local anaesthesia probably produce analgesic effects in neuropathic pains through suppression of this activity. The mechanism of paroxymal peripheral sensitization is the hyper-excitability of peripheral neurones. The neuropathic pains due to peripheral sensitization respond relatively the anticonvulsants and baclofen that stabilize membranes and suppress paroxymal electrical discharge. The patients was a 38-year-old female who complained of hyperthemia on upper right extremity. The symptom of this patient was improved with anticonvulsant(dilantin 600mg).

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How Should Medical Education Be Planned for Medical Students' Future? (의과대학생이 만날 미래, 어떻게 준비할 것인가?)

  • Jeong, Jihoon
    • Korean Medical Education Review
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    • v.16 no.3
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    • pp.141-146
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    • 2014
  • This study focused on investigating the future medicine and health care industry paradigm shift and suggesting the right direction for the medical education system in order for students to be better prepared in the near future. Here, I will discuss four issues related to the future of medicine: Health 2.0, digital health, personalized medicine, and innovations of the public healthcare system. Every issue has lessons for medical education and teaching for students who major in health professions. However, it is obvious that the present is an important period of time as, currently, we are at an early stage in the future health care environment. Recently, there have been rapid transformations in various fields of medicine. Therefore, if we fail to lead medical education in the right direction, medical students will suffer from major problems in coping with these changes.

Surgical Treatment of A-V Fistula Following Lumber Laminectomy (요추 추굴절제술후에 발생한 동정맥루의 외과적 치료 -증례보고-)

  • 장택희
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.399-401
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    • 1994
  • We experienced one case of surgical treatment of A-V fistula between the right common iliac artery and the right common iliac vein after lumbar laminectomy. The average vascular surgeon does not have extensive experience with this disorder owing to its rarity. Arteriovenous fistula of the aorta and its major branches present an unparalleled challenge in patient care. Because of their central location, blood flow through these fistulas may be massive;the associated complications are usually dramatic, resulting in severe refractory congestive heart failure, massive venous hypertension, or extensive hemorrhage during an illfated surgical repair.For this reason, it behooves one to become well acquainted with the problem in order to avoid morbid complications and thus ensure optimal patient care.

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Differences in Lower Extremity Electromyographic Responses Based on Foot Position and Swing Phase in Golf Driver Swings

  • Young-Jin Chi;Hwan-Jong Jeong;Byung-Kwan Kim
    • International journal of advanced smart convergence
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    • v.12 no.4
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    • pp.426-433
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    • 2023
  • The purpose of this study was to investigate the muscle activity of the lower extremity during driver swing in three-foot positions (Feet Open Stance, Feet Straight Stance, Lead Foot Open Stance). The electromyograms of gastrocnemius, tibialis anterior, and vastus lateralis during swing were measured and analyzed in three sections (take away - back swing, back swing - down swing, and down swing - follow swing). There was no significant difference in muscle activity according to foot position. Muscle activity according to phase was significantly higher in right gastrocnemius and tibialis anterior, and the left and right vastus lateralis in down swing - follow swing. In conclusion, the difference in muscle activity according to foot position is insignificant, and it is considered that the muscle activity to maintain the balance of the body increases toward the end of swing.

The CPR Educational Program Effect of Infant CPR Immediate Remediation for Child Care Teachers (보육교사 대상의 영아 심폐소생술 현장교정교육의 효과)

  • Kim, Il Ok;Shin, Sun Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.508-517
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effectiveness of infant CPR (Cardiopulmonary Resuscitation) immediate remediation[LAB2]. Methods: This is a quasi-experimental study with a non-equivalent comparison group pre-post test design. Participants were 73 child care teachers in J district in Seoul. The experimental group (35) received immediate remediation with video learning [LAB3]for infant CPR education and the control group (38) received video learning only. We investigated confidence of infant CPR and tested single-rescuer infant CPR performance depending on a checklist (8 items). Data were collected before and right after to evaluate the confidence of infant CPR and before, right after and 2 weeks after the education to evaluate the skill performance and final acceptance. Results: There was a significant increase in confidence of infant CPR in the experimental group and control group. There was a statistically significant difference in the degree of skill performance between groups according to the amount time (F=10.58, p<.001). The degree of skill performance was tested two weeks after the education and immediate remediation was 5.35 times more effective compared to the video image demonstration (B=1.677, p<.001). Conclusion: The findings provide the necessity of immediate remediation education of infant CPR to increase confidence and skill performance ability.

A Study on the Perceptions of Teachers on the Implementation of the Ordinance for Guaranteeing Right to Play and the Practice of Play: Focusing on the Ordinance of the Jeollanam-do Office of Education (놀 권리 보장조례의 이행과 놀이 실행에 관한 교사의 인식 연구: 전라남도 교육청 조례를 중심으로)

  • Kim, Jeong Wha
    • Korean Journal of Childcare and Education
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    • v.16 no.6
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    • pp.1-17
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    • 2020
  • Objective: The purpose of this study is to examine whether the 'Ordinance for Guaranteeing Children's Right to Play' is has been implemented well and investigate play practice in elementary school. Methods: For this study, a survey was conducted on 319 elementary school teachers in Jeollanam-do. Results: First, elementary school teachers' perception of the enactment of the 'Ordinance on Children's Right to Play' is high. And their perception is positive about the effect of the 'Ordinance on Children's Right to Play'. Second, among the roles of the Office of Education, play-related training and club support were relatively low. The role of the elementary school director was relatively low in the analysis and disclosure of play performance. Third, the time that children mainly play in school is the middle play time. The sufficiency and safety of play spaces differed by region. Fourth, the contents to be added to the 'Ordinance' are securing play space, budget support, and mandatory play time. Conclusion/Implications: In the future, 'Ordinance on Children's Right to Play' should go through a process of improvement so that children's play is realized as a right.

Endobronchial Metastasis of Epithelioid Sarcoma

  • Kim, Seo-Yun;Lee, Ji-Yeon;Lee, Yeon-Joo;Park, Sung-Soo;Koo, Hyeon-Kyoung;Lee, Sang-Min;Yim, Jae-Joon;Yang, Seok-Chul;Yoo, Chul-Gyu;Han, Sung-Koo;Shim, Young-Soo;Kim, Young-Whan
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.5
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    • pp.423-427
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    • 2011
  • Epithelioid sarcomas are rare soft tissue sarcomas with a high tumor grade and high local recurrence and metastasis rates. Although the lung is the most common site of metastasis, endobronchial metastasis hasn't been reported yet. We now report a case of epithelioid sarcoma with endobronchial metastasis. A 28-year-old man had recurrent pneumothorax and underwent wedge resection. He presented at our hospital with hemoptysis, dyspnea, and chest pain. Chest computed tomography revealed left pneumothorax, multiple lung nodules and endobronchial lesions at the right lower basal lobe. Bronchoscopy showed a hemorrhagic mass obstructing the bronchus of the right lower basal lobe. Magnetic resonance imaging revealed multiple nodular lesions in the left thigh muscles. The bronchoscopic biopsy of the endobronchial lesion and the muscle biopsy of the thigh showed the same feature epithelioid sarcoma. This is the first case report of an epithelioid sarcoma with endobronchial metastasis that was diagnosed by bronchoscopic biopsy.

Evaluation of Pharmacy Students' Attitudes Toward Pharmaceutical Care and Career Choices Following Interdisciplinary Inpatient Clerkships (약대생의 약료에 대한 인식과 실무실습-진로선택의 상관성에 관한 연구)

  • Shin, Sooyoung;Lee, Sukhyang
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.2
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    • pp.80-89
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    • 2014
  • The study objectives were to investigate the attitude of Ajou University pharmacy students toward pharmaceutical care and to identify their perceived barriers to its provision. Secondarily, their career choices and influential factors for career decision were assessed. Method: A cross-sectional survey of Ajou University pharmacy students in all professional years was conducted in May 2014. Results: Over 2 weeks, a total of 123 students participated in the study (100% response rate). All respondents agreed that pharmaceutical care is the right direction for the provision to be headed and that pharmaceutical care will improve patient health. However, professional year was inversely associated with the degree of positive attitude toward pharmaceutical care. Highly perceived barriers to pharmaceutical care included poor image of pharmacist's role in society (67%) and lack of access to the patient medical record in the pharmacy (65%). Work environment, benefits, and salary were top three influential factors for career plans, and $6^{th}$ year students considered salary most important. Patient-oriented practices (hospital and community pharmacy) were the most preferred career choices among $6^{th}$ year students. Conclusion: Pharmacy clerkships appeared to have a positive influence on career choices of those students. Efforts should be exerted to improve pharmacy clerkships and to promote pharmaceutical care.