• Journal of Chest Surgery
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• 제24권11호
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• pp.1045-1057
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• 1991

Over the past four decades after World War II a great deal of data and clinical experiences have been accumulated relating to the diagnosis and surgical treatment of cardiovascular diseases in Korea. Clinical data after the first open heart surgery by Professor Yung Kyoon Lee on August 7, 1959 up to 1984 revealed the total number of cardiovascular surgery in Korea as 13,100 cases performed in 22 institutes with overall hospital mortality of 7.7%[Cardiovascular Surgery in Korea 1985], Publishing committee of the Korean Thoracic and Cardiovascular Surgical Society collected the data of cardiovascular surgical cases in Korea again in between 1985 and 1990 from 38 institutes out of total 42 institutes of open heart centers in Korea. The results are: 1. The survey reply ratio was 90.5%[38 out of 42 institutes]. 2. Of the total 30,061 cases of cardiovascular surgery reported from 38 institutes 1,402 cases were failed as hospital mortality of 4.7%[4.5% of the 21,761 operations for congenital, and 5.2% of the 8,300 operations for acquired heart diseases]. Out of the total congenital cases, 17,303 cases were acyanotic group with a operative mortality as 2.0%, and 4,458 cases were cyanotic group with a hospital mortality as 14.le The incidence of corrective operations for complex congenital cardiac anomalies were increasing recently with decreasing age group. 3. During the year in 1990, 38 institutes performed 5,427 cardiovascular surgery with a hospital mortality of 3.4%. 4. Of the total cumulative 6,458 cases for cardiac valve surgery more than 90% cases were put to prosthetic valve replacement with hospital mortality as 4.8%. And the incidence of re-Do valve surgery was increasing recently as 13.1% in 1990. 5. Coronary artery bypass graft was increasing recently with 7.9% of hospital mortality in total 440 cases. Intracardiac operation for intractable arrhythmia was started since 1987 as 49 cases in total. Experiences on VAD and ECMO were also reported sporadically in recent year. 6. Home made oxygenator[OXYREX] is now in clinical use, and under animal experiment for clinical trial in near future.

• Journal of Chest Surgery
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• 제18권3호
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• pp.371-382
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• 1985

Over the past 4 decades after World War II a great deal of data and clinical experiences have been accumulated relating to the diagnosis and surgical treatment of congenital and acquired cardiovascular diseases in Korea. Clinical data on cardiovascular surgical cases performed in all 22 hospitals for open heart surgery in Korea was collected from it`s starting up to December 1984. The first recorded open heart surgery for a young adult atrial septal defect was performed by Young Kyoon Lee, M.D. on August 7, 1959, Seoul National University Hospital, Korea. And, some scattered reports on cardiovascular surgical cases in it`s early period have changed recently the number of hospitals for open heart surgery and clinical cases enormously in total amount of 13, 100 cardiovascular operations performed on 12, 990 cases up to December 1984. Of the total 13, 100 cardiovascular operations, congenital cardiovascular anomaly occupied 70%. Of the congenital cases, 6, 580 operations for acyanotic group [operative mortality 4.5%], and 2, 489 operations for cyanotic group [operative mortality 20%]. The incidence of congenital cardiovascular anomaly in order of frequency was ventricular septal defect [29%], patent ductus arteriosus [26%], Tetralogy of Fallot [22%], atrial septal defect [8, 6%], pulmonary valve stenosis [3.0%], and endocardial cushion defect [1.1%]. Of the 3, 412 valvular heart disease cases, which occupied 85% of total 4, 031 acquired cardiovascular disease, individual incidence was in mitral 2, 565 [63.5%], double valve 451 [11.1%], and simple aortic valve 351 [8.7%]. Total number of valve replaced, mechanical and tissue, was 2, 795, and 1, 884 for mitral, 808 for aortic, and 103 for tricuspid in position. Operative mortality for prosthetic valve replacement in total was 9.8%. Remained acquired cardiovascular cases chronic constrictive pericarditis [7.9%], cardiac tumor [1.9%], coronary artery bypass [1.8%], cardiac trauma [1.2%] and less than 1% of thoracic aortic aneurysm. Overall operative mortality for open and non-open cardiovascular surgical operation was 7.7% [congenital acyanotic group 3.2%, congenital cyanotic group 19.4%, and acquired group 7.8%]. In conclusion, present status of cardiovascular surgery in Korea is stabilized with accumulation of clinical cases and experiences, and the future in the field of cardiovascular surgery is promising, especially in the infant cardiac surgery and aortocoronary bypass surgery, with abrupt increase of specialized cardiac centers, trained specialists, and expanding social health insurance.

• 디지털융복합연구
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• 제17권9호
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• pp.279-290
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• 2019

본 연구의 목적은 임상현장에서 간호사가 경험하는 의사와의 의사소통을 탐색하고 소통장애 해결 및 효과적인 소통을 위한 방안을 확인하기 위해 "간호사가 경험한 의사와의 의사소통은 어떠한가?라는 질문으로 포커스 면담을 시행하였다. 연구는 각기 다른 임상경험을 가진 간호사 21명을 대상으로 면담 방법을 사용한 질적 연구이며, Downe-Wamboldt의 기준을 사용하여 자료를 분석하였다. 원 자료로부터 의미 있는 구나 문장을 추출하여 4개의 주제모음과 12개의 주제를 도출하였다. 부정적인 의사소통 결과 환자의 치료지연, 사직과 부서이동으로 이어졌으며, 갈등상황을 해결하기 위해서 당사자 간 갈등 해소, 조직적으로 대응, 형식화된 의사소통 방법으로는 인트라넷을 사용했다. 이에 의사와 간호사가 존중하는 분위기를 조성하고, 각 부서에선 소통 문제를 신속하게 파악하여 대처할 수 있어야 한다. 또한, 이를 토대로 간호대학 교육과정에서도 실제적이고 구체화된 의사소통 훈련을 통해 임상현장에서 적용이 가능하도록 의사소통 기술의 훈련을 강화할 것을 제언한다.

• 치위생과학회지
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• 제16권6호
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• pp.449-457
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• 2016

본 연구는 일대일 심층면접을 통하여 임상 치과위생사들의 갈등 경험을 파악하고 치과위생사 갈등 경험에 대해 이해하고자 하였다. 13명의 치과위생사를 대상으로 갈등 경험을 생생하게 심층적으로 파악할 수 있는 질적 연구방법으로 Giorgi의 현상학적 방법으로 분석한 결과, 본 연구에서 나타난 임상 치과위생사의 갈등 경험은 업무 갈등, 대인 갈등, 조직환경 갈등, 갈등 대처를 중심으로 범주화되었다. 첫 번째 범주는 업무 갈등으로 신규 치과위생사로 업무 습득의 어려움이 나타났다. 또한 경력이 있음에도 불구하고 업무역량의 부족함을 느끼고 있으며, 역할이 명확하지 않음에 대한 혼란으로 힘들어 하였다. 치과위생사의 업무가 아닌 업무가 주어질 때, 주어진 역할의 한계에 부딪쳤을 때, 새로운 업무에 대한 요구가 나타났다. 두 번째 범주는 대인갈등으로 직원과의 갈등, 환자와의 갈등, 의사와의 갈등으로 분류하였다. 상사와 동료, 타 직종과의 어려움, 직원의 역량 부족으로 오는 피해로 힘들어 하였다. 환자가 의사와 나를 다르게 대우할 때 회의감을 느끼며, 항상 친절해야 한다는 것으로 감정 노동을 호소하였다. 의사의 권위적인 태도에서 힘들어 하고, 치과위생사를 인정해 주지 않음을 호소하였다. 또한 의사의 진료에 대한 질에 대하여 고민하였다. 세 번째 범주는 조직환경 갈등으로 근무조건, 임신과 출산, 육아에 따른 이해 부족으로 오는 어려움, 선배 치과위생사의 의견과 행동을 무조건 따라야 하는 위계질서 문화, 매출에 대한 부담으로 구성되었다. 네 번째 범주는 갈등 대처로 주위의 지지로 이겨내기, 능동적으로 해결하기, 회피하기, 떠나기로 나타났다. 본 연구에서 참여자들은 업무보다 사람들의 태도나 대우에 민감하게 반응하며 힘들어 하였다. 임상 치과위생사의 갈등 경험에 대한 다각적 접근의 연구가 이루어져야 하며, 임상 치과위생사들의 갈등을 정량적으로 측정할 수 있는 도구의 개발과 갈등과 스트레스를 예방하고 감소시키기 위한 대인관계 훈련 프로그램에 대한 후속 연구가 필요하다.

• 대한간호학회지
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• 제38권4호
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• pp.561-572
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• 2008

Purpose: The purpose of this study was to understand and analyze the experience of hurt and forgiveness of clinical nurses in Korea. Methods: A phenomenological research method guided data collection and analysis. The subjects were a total of 5 nurses who had experienced hurt and forgiveness. Data was collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: The following three common constituents have been found as a retrospective focus based on the primary hurt related to the clinical situation; recognizing their personal values, obtaining their view about forgiveness, as well as their view of self. Conclusion: The results of this study may contribute to health professionals working in various clinical settings to understand Korean nurses with hurt and forgiveness experiences.

• Clinical and Experimental Pediatrics
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• 제57권3호
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• pp.110-116
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• 2014

Cord blood (CB) has been used as an important and ethical source for hematopoietic stem cell transplantation (SCT) as well as cell therapy by manufacturing mesenchymal stem cell, induced pleuripotential stem cell or just isolating mononuclear cell from CB. Recently, the application of cell-based therapy using CB has expanded its clinical utility, particularly, by using autologous CB in children with refractory diseases. For these purposes, CB has been stored worldwide since mid-1990. In this review, I would like to briefly present the historical development of clinical uses of CB in the fields of SCT and cell therapy, particularly to review the experiences in Korea. Furthermore, I would touch the recent banking status of CB.

• Archives of Plastic Surgery
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• 제42권3호
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• pp.267-277
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• 2015

Three-dimensional (3D) printing has been particularly widely adopted in medical fields. Application of the 3D printing technique has even been extended to bio-cell printing for 3D tissue/organ development, the creation of scaffolds for tissue engineering, and actual clinical application for various medical parts. Of various medical fields, craniofacial plastic surgery is one of areas that pioneered the use of the 3D printing concept. Rapid prototype technology was introduced in the 1990s to medicine via computer-aided design, computer-aided manufacturing. To investigate the current status of 3D printing technology and its clinical application, a systematic review of the literature was conducted. In addition, the benefits and possibilities of the clinical application of 3D printing in craniofacial surgery are reviewed, based on personal experiences with more than 500 craniofacial cases conducted using 3D printing tactile prototype models.

• 종양간호연구
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• 제6권2호
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• pp.121-132
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• 2006

Purpose: The purpose of this study was to describe the lived experience of the patients with cancer participating in a clinical trial for the development of a new drug. Method: This study was based on a phenomenological approach. The eight patients participating in a clinical trial were selected as the participations of this study. The data were obtained through in-depth interviews from the participants and were analyzed using the Giorgi method. Results: Essential experiences of the patients with cancer under a clinical trial consisted of anticipating recovery of physical health and a social role, passing the strict criteria of a clinical trial, diminishing economic burden, satisfaction with special treatment receiving, social contribution, concerns about side effects and withdrawal from the clinical trial, conflicts as a participant, pain, limited administration of other treatments, regret for giving up other treatments, strict compliance with instructions, prevention of side effects and maintaining desirable life-style. Integrated units of meaning of these components were hope, good luck, a sense of satisfaction, fear, distress, and the will of self-control. Conclusion: The most essential meaning of the cancer patients participating in a clinical trial was hope. Hope was found to be a primary factor reinforcing the will of self-management. The results of this study can be of great help to the research nurses to understand the lived experience of the patients with cancer and to plan an effective nursing intervention for the patients.

• 대한간호
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• 제35권4호
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• pp.51-56
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• 1996

This research was an attempt to restructure the curriculum of pediatric clinical education on the base of the analysis of the pediatric clnical experience of nursing students acquired according to the traditional hospital-based pediatric clinical education and the evaluation of its results. As the focus of health care changes, pediatric clinical education the future necessitates changes in the traditional clinical experince at all levels. The traditional concentration of clinical experience within an acute care setting must be restructured to include the expanding future roles of the nurse and the changes in the health care structure. In order to meet the need for restructuring, it is inevitably necessary to adopt an organizational design for pediatric clinical experience that is not all traditional. The additional experiences and variety of settings will enhance the quality of pediatric clinical experience. And as a matter of course this organizational change will enhance the student learning experience by giving them the opportunity to observe normal growth and development, preventive health care measures, and the role of the nurse outside the acute care setting. As the nursing's focus changes to meet the challenges of the future the faculty must apply themselves to these changes to prepare students for the future. Students must be ready to fill the many roles that nurses will hold in the future.

• 한국간호교육학회지
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• 제22권4호
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• pp.537-548
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• 2016

Purpose: This study aims to develop a Korean version of a tool to measure uncivil behavior in clinical training to examine the experiences of nursing students. Methods: The "Uncivil Behavior in Clinical Nursing Education Scale" was developed by Anthony and Yastik in 2011. This study procedure was based on DeVellis' instrument development guidelines. Data were collected from 220 senior-year nursing students from four different universities in four different locations. Two hundreds surveys were analyzed using SPSS software and AMOS. Results: Out of 20 questions, 13 were selected after reviewing the content validity, face validity, construct validity, and reliability. The factors of the Korean version scale were specified as "exclusion", "contempt", and "refusal." The general characteristics of the subjects that showed significant differences in the occurrence of incivility were gender, age, transfer student status, level of satisfaction with clinical training, and level of satisfaction with the clinical training environment. Conclusion: The "Korean-Uncivil Behavior in Clinical Nursing Education Scale" was partially modified to account for differences in language and culture, but its validity and reliability were verified. We suggest that nurse educators and supervisors will be able to better understand the relationship between nurses and nursing students in clinical training.