• Title/Summary/Keyword: experience report

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Quality of Pediatric Nursing Care: Concept Analysis (아동간호의 질에 대한 개념분석)

  • Choi, Mi-Young;Bang, Kyung-Sook
    • Journal of Korean Academy of Nursing
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    • v.40 no.6
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    • pp.757-764
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    • 2010
  • Purpose: This paper is a report of a concept analysis of 'quality of pediatric nursing care', Methods: Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Results: Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were 'child and parent's expectation about pediatric nursing care', 'previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were 'meet child and parent's needs' and 'better health outcomes.' Conclusion: 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

Estimation of Running Safety of Electric Multiple Unit for Commute use in Incheon International Airport Railway (인천국제공항철도 통근형 차량의 주행안전성 평가)

  • Seo, Jung-Won;Hur, Hyun-Moo;Kwon, Seok-Jin;Lee, Dong-Hyung;Kwon, Sung-Tae;Hong, Yong-Ki;Park, Ok-Jeoung;Ham, Young-Sam
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.56-61
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    • 2006
  • For the safety of railway, it should be evaluated for the running safety by measuring the derailment coefficient. Although railway has run the fixed and maintained rail, some of railway is derailed. This report shows the results that performed the static load test, wheelset manufacturing for test, main line running test on the basis of the derailment theory and experience. It is executed main line test into more than 110km/h for estimating the running safety of Incheon Int'l Airport EMU. As the test results, could confirm the curving performance and running safety of Incheon Int'l Airport EMU from the results of the wheel unloading, lateral force, derailment coefficient etc. Derailment coefficient was less than 0.8, and lateral force allowance limit and wheel load reduction ratio were enough safe.

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Infant Day-Care and Family Factors on Maternal Behavior (영아보육 및 가족변인이 어머니의 앙육행동에 미치는 영향)

  • 박성연;고은주
    • Journal of the Korean Home Economics Association
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    • v.41 no.7
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    • pp.91-106
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    • 2003
  • Multiple features of infant day-care are explored, including age of entry, quantity, quality and stability of day-care. And relative contribution of day-care and family factors on maternal behaviors are examined. Data were gathered from 299 mothers who have infants aged under 36 months using self-report questionnaires. Results show that more than 40% infants enter day-care before 6 months of their life and about 85% of infants have far more than 30 hours of care a week. Half of the infants experience different day-care arrangements more than once. Compared to the other types of day-care, frequency of day-care arrangement change and quality of care are highest in private child-care centers. A series of Hierarchical regression results reveal that quality of day care is negatively related to mothers' control behavior whereas positively related to mothers' responsive behavior. But in general, family and child characteristics play a greater role in mothers' parenting behaviors than infant day-care characteristics.

A Treatment Experience of Focal Hyperhidrosis in Sacrococcygeal Region -A report of two cases- (천미골 국소 다한증 환자의 치료 경험 -증례 보고-)

  • Yoon, Kyung Bong;Kim, Won Oak;Yoon, Duck Mi;Lee, Yoon Chang;Park, Joon Hee;Hong, Nam Geun
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.89-91
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    • 2005
  • Essential hyperhidrosis is a socially disabling and emotionally embarrassing condition. Localized excessive sweating in the sacrococcygeal region is a rare form of focal hyperhidrosis. Although numerous treatment options exist, including botulinum toxin and sympathetic neurolysis, there has been no generally accepted form of treatment. The following cases describe the successful reduction of excessive sweating in the sacrococcygeal region, without side effects, after local applications of topical glycopyrrolate and the use of fast drying clothes.

A Clinical Experience of Direct Extension to Parotid Gland of Cutaneous Squamous Cell Carcinoma (귀밑샘을 침범한 피부 편평세포암종의 치험례)

  • Lim, Hyo Seob;Kim, Jong Myung;Chung, Jai Ho
    • Archives of Plastic Surgery
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    • v.32 no.5
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    • pp.641-644
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    • 2005
  • Cutaneous squamous cell carcinoma has a high incidence. However, regional metastasis occurs infrequently because skin cancer is usually recognized and treated early. We report the case of squamous cell carcinoma around the earlobe in a 74-year-old male patient. The cutaneous squamous cell carcinoma invaded ipsilateral parotid gland directly without lymphatic spreading. Wide excision was made with 1.5 cm margin and immediate reconstruction was performed with radial forearm fasciocutaneous free flap. During operation facial nerve was preserved. No recurrence was noted for 5 years and the patient was satisfied with good aesthetic result. Cutaneous squamous cell carcinoma spreads to the parotid gland usually through lymph nodes and there are few reports of invasive organ damage by direct invasion. We experienced a case of direct invasion to parotid gland without lymph node involvement of cutaneous squamous cell carcinoma and treated the cancer adequately with wide excision and free flap coverage.

Incidence of the Rice Root-Knot Nematode, Meloidogyne graminicola, in Guangxi, China

  • Luo, Man;Li, Bing Xue;Wu, Han Yan
    • The Plant Pathology Journal
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    • v.36 no.3
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    • pp.297-302
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    • 2020
  • Root-knot nematodes (Meloidogyne spp.) are the most destructive group of plant-parasitic nematodes. Plants infected by Meloidogyne spp. develop above-ground symptoms, stunting, yellowing, nutrient deficiencies, and gall formations with typical hook-shaped root tips. Infected plants experience yield losses. During 2018-2019 survey, leaf chlorosis rice plants were found in 206 fields of 67 counties in Guangxi, China, around 30 days after transplanting. Galls and hooked tips on the roots and pear-shaped females were observed. About 32.04% of fields were infested with the nematode. The nematodes were identified as Meloidogyne graminicola base on morphological and molecular analysis. To the best of our knowledge, this is the first report of M. graminicola on rice plants in Guangxi, China. The results of this study urge the discovery of resistant cultivars and the development of management strategies.

Soft tissue sarcoma in neurofibromatosis type 1: A rare case of malignant peripheral nerve sheath tumor of the skin

  • Chung, Young Hun;Jang, Jin Woo;Cho, Jae Young
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.92-96
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    • 2020
  • Malignant peripheral nerve sheath tumor (MPNST) is a rare and often aggressive soft tissue sarcoma originating from the sheaths of peripheral nerves. Approximately 50% of MPNSTs occur in patients with neurofibromatosis (NF). These tumors often present as deep soft tissue lesions, arising from the nerve plexuses of the extremities or from the nerves extending from the trunk. They rarely occur in the skin, especially in patients with NF. Herein, we report our experience with an MPNST of the skin in a patient with NF.

Mediastinal lipoma and liposarcoma (종격동 지방종 및 지방육종: 3례 보고)

  • Kim, Won-Gon;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.375-380
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    • 1983
  • The lipomatous of the mediastinum are fairly uncommon tumors. Since 1971, two patients with proven mediastinal lipoma and one primary liposarcoma of the mediastinum have been treated at the Seoul National University Hospital. This report reviews our experience with the review of literature. Case 1.: A 3 year old body revealed a huge round homogenous mass density in the posterior mediastinum in routine chest X-ray. The tumor mass, lipoma, was successfully removed and postoperative course was uneventful. Cases 2.: An asymptomatic 24 year old male was operated on with the preoperative diagnosis of mediastinal lipoma. His preoperative chest X-ray and CT films showed a huge anterior to middle mediastinal tumor, right, with fat density. There is no postoperative problem after successful removal of the tumor mass. Case 3. : A 24 year old female was hospitalized with the complaints of cough and chest pain. A mediastinal mass was removed, which proved to be a liposarcoma on pathologic examination. About one year later, she was found to have recurrent liposarcoma in the right chest area at the OPD follow-up. She was lost to follow-up since then.

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The Surgical Management of Aspirated Foreign Bodies in Airways (기도내 이물의 외과적 처치에 관한 연구)

  • Kim, Ju-Hyeon;Kim, Sam-Hyun
    • Journal of Chest Surgery
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    • v.14 no.4
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    • pp.331-338
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    • 1981
  • The inhalation of a foreign body into the tracheobronchial tree is a child is a life-threatening accident. Forgotten foreign bodies In the airways cause chronic pulmonary infections, allergic asthma, bronchiectatic changes, and lung abscess Foreign bodies that cannot be grasped by bronchoscopic forceps should be removed by thoracotomy and bronchotomy. This report describes our experience In 16 patients who were treated to remove inhaled foreign bodies from the airways after repeated bronchoscopies had been unsuccessful from 1963 to 1981 at the department thoracic surgery of Seoul National University Hospital. The surgical procedures are as follows: 12 patients bronchotomy, 2 patient pneumonectomy, 2 patients lobectomy. In these cases, the foreign bodies are 8 metallic material, 3 plastic material, 1 bean, 1 black snail, and 3 cases of no records. Bronchotomy must be performed as soon as possible in order to avoid more advanced pathologic changes In the Involved lung, such as bronchiectasis, fibrosis or abscess.

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Thoracoplasty and Myoplasty for Operative Treatment of Postpneumonectomy Empyema - A Case Report - (전폐절제술후 발생한 농흉의 흉곽성형술과 근성형술을 이용한 수술치험 -1례 보고-)

  • 윤양구
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.851-856
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    • 1989
  • Initial successful treatment of postpneumonectomy empyema depends to a large extent on adequate dependent drainage of the empyema sac and the use of antibiotics. But definite control of the infected space remains a disturbing and controversial area in the field of thoracic surgery. A 55-year-old man had a right pneumonectomy for tuberculosis with the development of postoperative thoracic empyema and in October 1973. Postoperatively, an empyema developed and the condition was managed with closed drainage and an open window thoracostomy. He was transferred to our institution in October 1988, and underwent thoracoplasty for the obliteration of the empyema space, resulting in a remaining space. The remaining space after thoracoplasty was obliterated by myoplasty using a rotation flap of splitted pectoralis major muscle three months later. He was discharged with uneventful course 12 days after operation, and continues to do well 3 months following operation. Our experience shows that thoracoplasty and myoplasty offer an effective alternative method of management of post-pneumonectomy empyema.

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