• Title/Summary/Keyword: experience report

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A Surgical Treatment of Coronary Artery Occlusive Disease [A Report of 41 Cases] (관동맥 협착증의 외과적 치료)

  • 조범구
    • Journal of Chest Surgery
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    • v.18 no.2
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    • pp.220-231
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    • 1985
  • In selected patients with occlusive lesions of coronary arteries, aortocoronary bypass grafting has been effective in reducing anginal symptoms and in increasing the patients` longevity. Between May, 1977, and December, 1983, 41 patients with coronary occlusive disease received aortocoronary bypass surgery at Yonsei University Medical Center in Seoul. Thirty-three were male and 8 were female. Their ages ranged from 33 to 70 years [average 531.6 years]. Of the 41 patients, 11 suffered from stable angina, 30 suffered from unstable angina and 4 suffered from a variant type of angina. Eleven patients had 1 diseased vessel, 11 patients had 2 diseased vessels, 19 patients had 3 diseased vessels, and 5 patients had a diseased left main coronary artery. A single graft was placed in 5 patients, a double graft was placed in 17 patients, a triple graft was placed in 11 patients and a quadruple graft was placed in 8 patients. Nineteen patients received a sequential graft [40 sites of 20 vessels]. The average internal diameter of the grafted distal coronary artery was 2.380.15, 1.630.13 mm on the left side and 3.200.20, 1.830.21 mm on the right side. Two operative deaths occurred in the early years of our experience. The mortality rate was 4.87% and there were no late deaths. Of the 39 survivors, 30 [76.9%] were Functional Class I [free of symptoms without medication], 7 [17.9%] were Functional Class II and only 2[5.2%] were Functional Class III during the follow up period [653.75 patient-months]. On the basis of this experience, we conclude that coronary artery occlusive disease is occurring in increasing numbers in Korea. Therefore, a concerted effort is needed to detect this disease and to manage the increasing number of patients suffering from it.

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The Influence of Healthy Lifestyle toward Wine Selection Attributes (건강 라이프스타일이 와인 선택속성에 미치는 영향)

  • Choi, Seong-Im;Yim, Eun-Soon;Kim, Chang-Yong
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.478-487
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    • 2014
  • The purpose of this research is to find out how the characteristics of healthy lifestyle and wine selection influence each other, and how healthy life and wine selection themselves influence the overall satisfaction of wine. The data collected for this study was taken from a sample of 285 persons during the period of August 29, 2013 to September 29, 2013. Extrapolating from the data, three different characteristics of a healthy lifestyle were identified: health confidence, health sensibility and a desire for good health. Three different characteristics of wine selection were also identified: wine label, wine experience and wine recommendation. The relations of influence between healthy lifestyle and wine selecting attributes were analysed through canonical correlation and regression analysis. This report concludes that healthy lifestyle and wine selection strongly influence each other and their combination has a significant influence on the satisfaction of wine. Among the different healthy lifestyle characteristics identified, the desire for good health was the primary factor that significantly influenced wine satisfaction. With regard to wine selection, the label of wine and experience of wine were the primary factors that significantly influenced wine satisfaction.

A Study of the side Effect on Ki-gong Therapy (기공병(氣功病)에 관(關)한 연구(硏究))

  • Kim, Kyung-Hwan;Ji, Jeong-Ok;Park, Jae-Su;Kim, Gil-Su;Kim, Tae-U;Pil, Gam-Mae;Kim, Jae-Gyun
    • Journal of Korean Medical Ki-Gong Academy
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    • v.2 no.1
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    • pp.6-22
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    • 1998
  • Recently, not a few study of the Ki-gong therapy, but that is in the point of the view in Taoism and Ki itself. So, it thought that the study in comparison Ki-gong(Taoism) theraphy to Oriental Medicine is insufficient. In this condition, many side effect on Ki-gong therapy are caused by the Ki-gong therapist without qualification. And I thought much of that there are manu description of the Ki-gong therapy and the side effect in the body on the book written Ki-gong, and that there are many relation the Ki-gong therapy without medical experience. Them I give a report of the result that study of the Side effect on Ki-gong therapy. The results were as follows ; In Ki-gong therapy; 1. The side effect is caused by the Ki-gong therapy without harmonized medical experience. 2. In the training of Ki-gong, Body reaction is to classify normal reaction and abnormal reaction. 3. The side effect on Ki-gong therapy is to classify grade I, grade II and grade III. 4. The medical treatment of the Ki-gong therapy's side effect have to use the Oriental Medicine and the Ki-gong therapy by medical experienced therapist.

Study on the Construction of Mathematical Knowledge by Elementary Preservice Teachers (초등학교 예비교사의 수학적 지식 구성에 대한 연구 - 구성주의적 교수실험을 중심으로 -)

  • Na, Gwi-Soo
    • School Mathematics
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    • v.12 no.2
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    • pp.151-176
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    • 2010
  • This research aims to conduct the teaching experiment based on the constructivism to elementary preservice teachers and report on how they construct and develop the mathematical knowledge on ratio concept. Furthermore, this research aims to examine the significances and difficulties of "constructivist teaching experiment" which are conceived by elementary preservice teachers. As the results of this research, I identified the possibilities and limits of mathematical knowledge construction by elementary preservice teachers in the "constructivist teaching experiment". And the elementary preservice teachers pointed out the significances of "constructivist teaching experiment" such as the experience of prior thinking on the concept to be learned, the deep understanding on the concept, the active participation to the lesson, and the experience of learning process of elementary students. Also they pointed out the difficulties of "constructivist teaching experiment" such as the consumption of much time to carry out the constructivist teaching, the absence of direct feedbacks by teacher, and the adaption on the constructivist lesson.

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The Relationship of Self-Directedness, Clinical Practice Experiences and Clinical Practice Satisfaction (간호대학생의 자기주도성, 간호활동경험 및 임상실습만족도간의 관계)

  • Cho, In-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3635-3647
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    • 2014
  • This study was conducted to describe the relationship of Self-Directedness, Clinical Practice Experience and Clinical Practice Satisfaction of Nursing students. The participants were 223 nursing Students in K City who were surveyed using self report questionnaires from December 5 to December 20 and the data was analyzed using SPSS 20.0. There was a significant positive correlation among Self-Directedness, Clinical Practice Experiences and Clinical Practice Satisfaction. The predictors influencing Clinical Practice Satisfaction for Nursing students were Self-Directedness, Clinical Practice Experience and the factors explained 27.8% of Clinical Practice Satisfaction. The results of this study provided a foundation to develop efficient Clinical Practice program to improve Clinical Practice Satisfaction of Nursing students.

Mobile Computed Tomography : Three Year Clinical Experience in Korea

  • Jeon, Jin Sue;Lee, Sang Hyung;Son, Young-Je;Yang, Hee-Jin;Chung, Young Seob;Jung, Hee-Won
    • Journal of Korean Neurosurgical Society
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    • v.53 no.1
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    • pp.39-42
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    • 2013
  • Objective : Obtaining real-time image is essential for neurosurgeons to minimize invasion of normal brain tissue and to prompt diagnosis of intracranial event. The aim of this study was to report our three-year experience with a mobile computed tomography (mCT) for intraoperative and bedside scanning. Methods : A total of 357 mCT (297 patients) scans from January 2009 to December 2011 in single institution were reviewed. After excluding postoperative routine follow-up, 202 mCT were included for analysis. Their medical records such as diagnosis, clinical application, impact on decision making, times, image quality and radiologic findings were assessed. Results : Two-hundred-two mCT scans were performed in the operation room (n=192, 95%) or intensive care unit (ICU) (n=10, 5%). Regarding intraoperative images, extent of resection of tumor (n=55, 27.2%), degree of hematoma removal (n=42, 20.8%), confirmation of catheter placement (n=91, 45.0%) and monitoring unexpected complications (n=4, 2.0%) were evaluated. A total of 14 additional procedures were introduced after confirmation of residual tumor (n=7, 50%), hematoma (n=2, 14.3%), malpositioned catheter (n=3, 21.4%) and newly developed intracranial events (n=2, 14.3%). Every image was obtained within 15 minutes and image quality was sufficient for interpretation. Conclusion : mCT is feasible for prompt intraoperative and ICU monitoring with enhanced diagnostic certainty, safety and efficiency.

Clinical Experience of Mediastinal Tumors and Cysts (종격동 종양과 낭종의 임상 경험)

  • 최준영;옥창대
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.708-712
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    • 1997
  • We report on nine years experience of surgical treatment of mediastinal tumors in 47 patients. Their ages ranged from 5 o 67 years with an average of 36.4 years and the sex ratio of male and female was 1:1.5. The most frequent symptom was chest pain(27.7%), followed by ptosis(14.9%), general weatuless(12.8%) and eight patients(17.0%) were asymptomatic. The most prevalent location of the tumor was anterosuperior mediastinum(63.8%). Pathologically, thymoma(32.9%) was the most common tumor, followed by cyst(21.3%), neurogenic tumor(17.0%), germ cell tumor(12.8%), and mesenchymal tumor(6.4%). Complete removal was achieved in 41 cases of all benign tumors and 3 cases of malignant tumors. All the malignant tumor patients were treated with chemotherapy, radiotherapy or both after surgery. Postoperative complications developed in 4 cases and there was no operative death.

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Illness Representations of Cancer among Healthy Residents of Kolkata, India

  • Das, Lala Tanmoy;Wagner, Christina D.;Bigatti, Silvia M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.845-852
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    • 2015
  • Cancer illness representations and screening history among residents of Kolkata, India, were investigated along with socio-demographic characteristics in an effort to understand possible motivations for health behavior. A total of 106 participants were recruited from community locations in Kolkata, India and completed surveys including demographics, the illness perception questionnaire-revised (IPQ-R), and previous experience with cancer and screening practices. Participants were 51.5% college educated, 57% female, 51.5% full-time employed with average age of 32.7 years (R: 18-60 years). Descriptive statistics were generated for the subscales of the IPQ-R, cancer-screening practices and cancer experience. Correlation analyses were conducted to investigate associations between cancer representations and socio-demographic variables. Univariate ANOVAs were calculated to determine gender differences in IPQ-R subscales and differences between participants who knew someone diagnosed with cancer versus those who did not. While 76% of participants knew someone with cancer, only 5% of the sample engaged in cancer screening. Participants perceived cancer as a serious illness with negative emotional valence. Younger age (r(100)=-.36, p<0.001) and male gender (F(1, 98)=5.22, p=0.01, ${\eta}_2$=0.05) were associated with better illness coherence. Males also reported greater personal control (F(1, 98)=5.34, p=0.02, ${\eta}_2$=0.05) were associated with better illness coherence. Low screening rates precluded analyses of the relationship between illness representations and cancer screening. Cancer was viewed as a threatening and uncontrollable disease among this sample of educated, middle class Kolkata residents. This view may act as a barrier to seeking cancer screening. Public awareness campaigns aimed at improving understanding of the causes, symptoms and consequences of cancer might reduce misunderstandings and fear, especially among women and older populations, who report less comprehension of cancer.

The Effects of Patient Safety Culture Perception and Organizational Commitment on Patient Safety Management Activities in General Hospital Nurses (종합병원 간호사의 환자안전문화인식과 조직몰입이 환자안전관리활동에 미치는 영향)

  • Im, Sun-Ae;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.259-270
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    • 2018
  • This study aimed to identify the effect of patient safety culture perception, organizational commitment on patient safety management activities in general hospital nurses. The data were collected from 191 subjects from August 2 to August 16, 2017 using a structured self-report questionnaires and analyzed using SPSS WIN Version 22.0. The results showed that patient safety management activities had significant correlations with patient safety culture perception and organizational commitment. Also, the influencing factors on patient safety management activities were patient safety culture perception, organizational commitment, and patient safety education experience. These factors explained 33.3% of variance. Therefore, in order to improve the patient safety management activities among general hospital nurses, it is necessary to develop and apply an nursing intervention programs considering patient safety culture perception, organizational commitment, and patient safety education experience.

Effect of Adult Attachment, Attribution of Responsibility, and Self-esteem on Psychological Violence from Intimate Partner in Women (성인여성의 성인애착, 책임귀인, 자아존중감이 친밀한 관계의 심리적 폭력에 미치는 영향)

  • Kwak, Sung-Jung;Woo, Chung-Hee;Kim, Nam-Yi
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.75-84
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    • 2018
  • The purpose of this study was to investigate the effects of adult attachment, responsibility attribution, and self - esteem of adult women on psychological violence in intimate relationships. For the study, we analyzed the data of 137 women collected using self - report questionnaires. The results of the study showed that the higher the level of Age(over 36 years old), love experience(more than 4 times) and attribution of responsibility, the higher the victim of psychological violence. The higher the age (over 36 years old), the love experience(more than 4 times) and adult attachment, the higher the harms of psychological violence. On the other hand, self-esteem showed no effect. Therefore, efforts should be made to reduce the psychological violence of adult women by developing intervention strategies for secure adult attachment enhancement and hostile attribution reduction.