• Title/Summary/Keyword: distress type

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Open Heart Surgery for Ventricular Septal Defects - A Report of 29 Cases - (심실중격결손증의 임상적 고찰)

  • Chae, Hurn;Suh, Kyung-Phill;Lee, Yung-Kyoon
    • Journal of Chest Surgery
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    • v.8 no.1
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    • pp.69-74
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    • 1975
  • Twenty-nine cases of ventricular septal defect operated in this department during the period from 1969 to May 1975 were presented. Out of 29 cases, there were 20 cases of type II defects, 8 cases of type I, and one case of type III, and the last case was multiple defect. The anomalies associated with ventricular septal defect were eight in all; three patent ductus arteriosus, one atrial septal defect, one tricuspid insufficiency and an aortic insufficiency. Over all mortality was 17%. The causes of death were complete heart block in a case, respiratory distress due to excessive administration of morphine in one, low cardiac output in two and perforation of the aortic annulus after repair of the ventricular septal defect associated with aortic insufficiency.

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Effectiveness of Home Health Care Service for Elders after Spinal Surgery

  • Jun, Myunghee;Jung, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.1009-1018
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    • 2012
  • Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

A plunging ranula in a child with holoprosencephaly: a case of unique pathophysiology and difficult airway management

  • Watanabe, Takuma;Yokoyama, Atsushi;Shimizu, Satoshi;Bessho, Kazuhisa
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.4
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    • pp.232-236
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    • 2022
  • A ranula is a pseudocyst that originates from the sublingual gland after trauma. Acute cases of ranulas that progress rapidly and cause respiratory distress are rare. Holoprosencephaly is a complex brain malformation caused by incomplete cleavage of the prosencephalon. Children with holoprosencephaly may experience upper airway obstruction due to the associated dentoalveolar malformations and oromotor dysfunctions. We present the case of an eight-year-old female patient with holoprosencephaly and a plunging ranula that manifested as an acute course due to difficult airway management. She required gastrostomy for oromotor dysfunctions related to feeding and swallowing and difficulty managing oral secretions. The sublingual gland and ranula were removed under general anesthesia. Postoperatively, urgent reintubation and close monitoring in the intensive care unit were required due to upper airway obstruction. We successfully managed the patient with close cooperation of a pediatrician and an anesthetist, and no recurrence was observed at the one-year follow-up. A ranula can be caused by trauma to the floor of the mouth in association with lingually inclined mandibular teeth, a type of dentoalveolar compensation seen in maxillary hypoplasia associated with holoprosencephaly. Careful consideration is needed in such cases since airway management can be difficult due to postoperative swelling and oromotor dysfunctions.

A Case of H-type Tracheoesophageal Fistula (H-type 기관식도루 1례)

  • Park, Kuhn;Kim, Young-Du;Keon, Jong-Bum;Won, Yong-Soon;Kwack, Moon-Sub
    • Korean Journal of Bronchoesophagology
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    • v.6 no.1
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    • pp.90-95
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    • 2000
  • Isolated(H-type) tracheoesophageal fistula without esophageal atresia occurs in approximately 4% of esophageal anomalies, and represents the least form of abnormal laryngotracheo-esophageal communication. Its symptoms such as coughing and choking The during the feeding, abdominal distension and recurrent pneumonitis usually start from birth. Diagnosis is made between 4 days to 4 years using the contrast esophagography and/or tracheoscopy. In case of diagnostic delay the postoperative mortality is not negligible and the most common cause of mortality is respitatory problems(infection, respiratory distress). So early diagnosis is essential in the newborn period with high index of suspicion. We report a case of H-type TEF in which operative repair was successful with references to recent literature.

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Congenital Cystic Adenomatoid Malformation [type II] of Lung; A Case Report (폐의 낭포성 유선종 기형;1례 보고)

  • 홍은표
    • Journal of Chest Surgery
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    • v.26 no.8
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    • pp.650-653
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    • 1993
  • Congenital cystic adenomatoid malformation [ C.C.A.M.] is rare, but often fatal congenital lung bud anomaly that causes acute respiratory distress in the newborn infants. In those who survive infancy and early childhood, its clinical manifestations are not unusual to detect. Recently we experienced an infant with C.C.A.M. Type II. The patient was a 7-month-old male, and had been suffering from coughing and fever since 3 months ago. The symptom were not improved with medical treatment and then, exploratory thoracotomy was performed under the impression of infected C.C.A.M. or other congenital cystic disease.The left lower lobectomy was performed, and the postoperative course was uneventful.

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Introduction of PCC Pavement Sections and Associated Research in KHC Test Road

  • Kim, Ji-Won;Kwon, Soon-Min;Lee, Jae-Hoon;Kim, Do-Wan
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.05a
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    • pp.197-203
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    • 2003
  • Korea Highway Corporation(KHC) began the ambitious KHC Test Road construction project from 1997. It is 7.7km long two-lane highway next to the mainline of Jungbu Inland Expressway. The KHC Test Road construction was completed at the December 2002. It is composed of twenty-five PCC test pavement sections. Section design parameters are (1) concrete slab thickness, (2) base type, (3) base thickness (12, 15, and 18cm), and (4) pavement type. Twenty-five PCC test pavement sections contain 1241 sensors to evaluate the behavior of pavement system under traffic load and environmental change. The behavior of pavement systems will be identified by the observation of sensor measurement and pavement distress survey from test pavement sections. The Test Road research outcome will validate the Korean Pavement Design Guide which is develop by on-going funded research from the Ministry of Construction and Transportation.

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Relationship between Subtypes of Attention Deficit/Hyperactivity Disorder Traits and Subscales of Symptom Checklist-90-R among College Students

  • Lee, Seongjik
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.11
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    • pp.127-133
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    • 2015
  • In this paper, we propose that college counselors be more knowledgable of adult ADHD symptoms and develop better understandings of subtypes of the disorder. The findings in this study show that college students with different subtypes of ADHD symptoms experience different types of psychological maladjustment as well as different levels of psychological distress. Specifically, combined-type trait group show the highest levels of each of subscale of SCL-90-R among the other groups (i.e., normal, predominant inattentive subtype, hyperactive-impulsive type). Furthermore, combined typed trait group show significantly higher levels of animosity and paranoid ideation than the others. Therefore, college counselors need to provide effective interventions addressing intense emotion and cognitive distortion among college students with ADHD combined symptoms.

Diabetes and depression

  • Jeon, Eon-Ju
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.27-35
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    • 2018
  • Diabetes and depression are serious chronic conditions. As a result of their increasing prevalence, diabetes and depression, together with population growth and aging, are public health issues. The rate of depression in adults with either type 1 diabetes or type 2 diabetes is high relative to the general population. The coexistence of diabetes and depression has attracted much interest. Although it is unclear whether diabetes and depression are causally linked, most studies have shown that the association between diabetes and depression might be bidirectional. Currently, emotional well-being is becoming an increasingly important aspect of diabetes care and self-management. Psychiatric disorders and diabetic distress among people with diabetes may increase the risk of diabetes complication and mortality. Thus, assessment and appropriate management of depression in people with diabetes should be considered to achieve psychological well-being and optimize medical outcomes.

Social Information Processing according to Sex and Types of Aggression of Children (아동의 성과 공격성 유형에 따른 사회정보처리과정 : 해석단계와 반응결정단계를 중심으로)

  • Kim, Ji-Hyun;Park, Kyung-Ja
    • Journal of the Korean Home Economics Association
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    • v.47 no.1
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    • pp.105-113
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    • 2009
  • The purpose of this study was to explore differences in social information processing according to children's sex and types of aggression in response to instrumental and relational provocation factors. Two hundred and fifty-one 4, 5, and 6 graders were selected from an elementary school in Seoul. To evaluate their social information processing, the Intent Attributions and Feelings of Distress(Crick, 1995; Fitzgerald & Asher, 1987) and Response Decision Instrument(Crick & Werner, 1998) were revised and analyzed. A peer-nomination measure(Crick, 1995; Crick & Grotpeter, 1995) was used to select aggressive groups. Data were subjected to descriptive statistical analysis and multivariate [2(sex: M, F)${\times}$3(type of aggression: overt, relational, overt and relational aggression)] analysis of variance. Findings revealed that children's social information processing patterns were different according to sex and type of aggression. Also aggressive children responded differently in their social information processing according to instrumental and relational provocation factors. Implications of these findings for the role of gender, aggression type, and provocation type are discussed in order to better understanding of children's social information processing.

ANP Inhibits Surfactant Secretion from Isoproterenol Stimulated Alveolar Type II Cells

  • Lee, Young-Man
    • The Korean Journal of Physiology and Pharmacology
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    • v.1 no.1
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    • pp.65-70
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    • 1997
  • In order to investigate the effect of ANP on surfactant secretion from alveolar type II cell(AT II cell) during circulatory derangement in adult respiratory distress syndrome (ARDS), the secretion of surfactant from AT II cells was evaluated in purely isolated AT II cultures from rat lungs. For the simulation of sympathetic stimulation during circulatory derangement, primary AT II cultures were incubatedwith isoproterenol and IBMX. In this isoproterenol stimulated AT II cells, ANP were added in the media for the investigation of effect of ANP on surfactant secretion from AT II cells. For the evaluation of surfactant secretion, $[^3H]-methylcholine$ was incorporated and the level of radiolabelled choline chloride secreted from the cells was determined. As previously reported, isoproterenol and IBMX stimulated surfactant secretion from AT II cells. Isoproterenol showed synergistic increase of surfactant secretion with IBMX in AT II cells. In isoproterenol stimulated AT II cells, physiological level of ANP inhibited the secretion of surfactant in primary cultures of AT II cells. On the basis of these experimental it is suggested that, in association with ciculatory change during ARDS, increased secretion of ANP by the pulmonary edema, hypoxia and congestive heart heart failure might aggravate the symptoms of ARDS by reduction of surfactant secretion from AT II cells.

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