• Child Health Nursing Research
• /
• 제5권3호
• /
• pp.318-327
• /
• 1999

Oral medication is one of the most frequent treatment in clinical care. and frequently refused by children. Children's refusal spends unuseful time and require nurses'Patience. So this study was attempted to develop token economy Program which Promote children's medication. and to evaluate its' effect to construct the experimental ground. This study was a quasi experimental study under the nonequivalent control group non-synchronized design. The subjects of this study were 48 children who were aged 3-12 years and admitted pediatric ward because of their respiratory disease. Token economy program was consisted of cartoon record paper with stickers which expresses the better medication is taken the more germs die, and gift was given for back up reinforcer. To evaluate this Program. time spent for oral medication was measured six time to both experimental group and control group. and measured the perceived effectiveness of this program by nurses. To determine the effect of the program, the data were analyzed by the SAS 6.12 Program with t-test and mean, standard deviation. The results of this study were as follows: 1 In experimental group, time spent for oral medication was significantly shorter than in control group(t=5.24. p=0.0001). Therefore, the hypothesis of this study was strongly accepted. 2. Nurses perceived this program as an effective one(mean=3.125～3.792). The effectiveness occurred before. during and after medication as well as in parental responses, especially in using verbal dissatisfaction after medication. In conclusion. it was found that the token economy program for admitted children was effective in inducing the children's behavior of oral medication. There was no effectiveness in very highly anxious children Whereas, it is recommended that this program should not be used for such children until they settle down. If the token economy program was made in various situation with creative thinking, it will be very useful nursing measurement, especially in caring for children. To improve the qualify of nursing care, the various programs, which can give joyfulness to stressed patients should be developed.

• 대한치과마취과학회지
• /
• 제8권1호
• /
• pp.1-9
• /
• 2008

Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given. This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.

• 대한간호학회지
• /
• 제35권3호
• /
• pp.441-450
• /
• 2005

Purpose: The purposes of this study were to determine the core nursing interventions in nursing notes and the practice which was perceived by nurses of an oncology unit with patients with terminal cancer. Also, comparing interventions in nursing notes with interventions in perceived practice was done. Method: Subjects were 44 nursing records of patients with terminal cancer who had died from Jan. to Dec. 2002 at C University Hospital and 83 nurses who were working on an oncology unit for more than one year. Data was collected using a Nursing Interventions Classification and analyzed by means of mean and t-test. Results: The most frequent nursing intervention was 'nausea management' in the nursing note and was 'medication administration: oral' in perceived practice. The frequency of nursing interventions in the nursing record was lower than in perceived practice. Conclusion: This study finds that nurses actually practice nursing care, but they may omit records. To correct for omitted nursing records, development of a systematic nursing record system, continuous education and feedback is recommended.

• 대한수의학회지
• /
• 제50권1호
• /
• pp.71-74
• /
• 2010

A trematode species belonging to the genus Prosthogonimus (family: Prosthogonimidae) was collected in August, 2004 from the bursa of Fabricius of a single Little Grebe, Tachybaptus ruficollis, caught in Chuncheon, Korea. Five specimens were collected in total and fluke morphology was examined under using a light microscope. The average parasite size was 5.6 ${\times}$ 3.2 mm (length ${\times}$ width; based on 4 specimens). The genital pore was located on the anterior right margin of the oral sucker. The cirrus sac was strongly sinuous and extended beyond the intestinal bifurcation to the ventral sucker. The prepharynx was extremely short and the pharynx was small. The vitellaria consisted of 6 follicle bunches and extended from the ventral sucker to the posterior of the testes. Finally, the uterus filled the body cavity posterior to the testes. In addition, there were no heavy slings occurred anterior to the testes. Based on these morphological characteristics, the parasites were identified as P. cuneatus. The discovery of P. cuneatus within a Little Grebe constitutes a new host identification and a new geographical record. This is the first reported case of Prosthogonimus infection within wild birds in Korea.

• 한국콘텐츠학회논문지
• /
• 제18권12호
• /
• pp.682-697
• /
• 2018

본 연구는 라디오 매체가 가지고 있는 고유한 특성과 기능을 짚어보고, 그 함의를 살피는 데 목적이 있다. 이를 위해 사라져가는 판소리 중고제를 조명한 라디오 다큐멘터리 <서산 심씨 집안의 소리길>을 대상으로 하여 텍스트 분석을 시도하였다. 방송매체인 라디오는 다큐멘터리 형식을 통해 다음과 같은 결과에 도달하였다. 첫째, 방송매체인 라디오는 음향과 내레이션, 드라마적 재연 등의 요소를 활용하여 소리저장 매체로서 기능한다. 둘째, 방송매체인 라디오는 구술사 인터뷰를 통해 인물의 육성을 녹음하고 기록하는 기록물로서 기능한다. 셋째, 방송매체인 라디오는 판소리의 소리를 학술적으로 고증하는 역할을 하고 있다. 따라서 라디오 매체가 소리저장 매체라는 고유한 특성을 활용하여 전통예술 문화이자, 무형문화재인 판소리를 기록하고 고증하는 매체로서 기능하고 있다는 점을 확인하였다.

• 기록학연구
• /
• 제79호
• /
• pp.121-168
• /
• 2024

기록학의 핵심에는 기록관리가 있다. 기록관리에 충실해야 한다. 그러나 기록관리에 충실할수록 발생하는 역설이 하나 있지 않을까. '책임있는 관리자가 되어, 관리적 차원에서 기록을 효율적으로 관리하는 일'이 그런 기록을 만들고 이용하는 인간이라는 사회적 존재에 대한 관심은 오히려 축소시킨다는 역설. 인간은 왜 기록을 생산하고 이용하는가. 그것은 인간이란 존재가 특이하게도 기록이라는 개념을 가지고 살아가는 존재이기 때문일 것이다. 개념은 '생각의 설계도 같은 것'이다. 기록관리가 발전할수록 가치 있는 기록이 더 많이, 보다 체계적으로 보존되며, 폭넓음과 유효적절함으로 서비스가 되는 것이어서 이 방향성을 의심할 필요는 없다. 그러나 기록관리가 아닌 인간의 시선에서 이런 상황을 관찰하게 되면, 기록관리에 등장하는 인간은 기록을 이용하는 대상으로 제한된다는 것을 알게 된다. 원점에서 재검토한다는 가설에 입각해 인간을 다르게 인식할 경우, 인간과 기록의 관계, 또는 기록과 인간의 관계에 대해 특이한 맥락을 접할 수 있다. 인간은 누구에게도 양도할 수 없는 존엄성을 지닌 존재, 행복을 추구할 권리를 가진 존재, 자유와 평등, 사회적 기본권을 향유하며 살아야 하는 존재라는 규범에까지 이르게 된다면, 요컨대, 헌법적 관점에서 인간을 인식한다면, 기록의 사회적 역할과 방향성에 대해 새롭게 인식할 수 있다. 국내외 헌법과 국내외 인권규범은 인간의 기본권을 최종 규범으로 문서화 하고 있으며, 이를 보장하고 실천하는 것이 국가의 의무임을 명확히 하고 있다. 헌법적 관점에서 기록의 역할은 인간의 기본권을 증식하는 기록실천이다. 또는 인간의 기본권을 옹호하고 지지하며 지원하는 일이다. 인간의 기본권을 증식하는 기록실천은 전문가에게 요구되는 시민의식이기도 하겠지만, 다른 한편으로는 기록학의 직업적 통로가 될 수 있다. 기록관리가 2차선 왕복도로라고 한다면, 기록관리와 인간의 기본권을 증식하는 기록실천이 상호작용하는 것은 4차선 왕복도로를 개척하는 일이라고 할 수 있겠다. 이 글은 헌법적 관점을 기록학의 관점으로 명확히 잡아, 그간 기록관리 안팎으로 전개된 인간의 기본권을 증식하는 기록실천을 점검하고, 이런 기조에서 기록학의 사회적 역할을 재검토한 글이다. 기록학의 사회적 역할에는 기록에 관한 새로운 언어적 규칙을 제공하는 것이 있다.

• 한국전자통신학회논문지
• /
• 제12권4호
• /
• pp.707-714
• /
• 2017

최근 대표적인 구강질환인 치주질환이 심혈관 질환을 비롯한 각종 전신질환과 밀접한 관련성이 있다는 보고가 늘어나고 있다. 그러므로 전자의무기록 의료 환경에서 개인뿐만 아니라 인구집단의 치주질환 상태를 효과적이면서 경제적으로 모니터링 할 수 있는 방법이 필요한 실정이다. 그러나 전통적인 치주검사법인 치주 탐침법은 치과전문가들이 상당한 시간과 노력을 들여서 조사해야할뿐만 아니라 침습적인 방법이기 때문에 이로 인해서 균혈증을 야기 시킬 수 있는 위험이 있다. 따라서 본 연구에서는 치주질환을 스크리닝 하는 대규모 역학조사에서 한국형 치주 자가설문지의 효용성에 대한 평가를 하기 위해 전통적 치주질환 검사 방법인 영상 사진 판독 결과와 비교하여 새로운 진단도구로써의 가능성을 찾기 위해 연구를 진행하였다.

• 대한치과의사협회지
• /
• 제48권7호
• /
• pp.538-546
• /
• 2010

Dental surgical procedures are potentially stress-inducing to not only patients but clinicians especially in case of medically compromised patients. The body response to dental stress involves the cardiovascular, respiratory and the endocrine system. To minimize the stress to the medically compromised patients, the stress reduction protocols should be established. The protocols include (1) Recognize the patient's degree of medical risk (2) Medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Intra-venous sedation during surgical procedures (6) Adequate pain control during therapy (7) Short length of appointment time (8) Contact the patients on the same day. Two cases of Bisphosphonate-related osteonecrosis of the jaws were analyzed. There were 2 women, and the mean age was 70 years (range, 64~74 years). both are medically compromised, with steroids. Both patients were taking an oral bisphosphonate for several years. BRONJ is defined as an area of exposed bone of more than 8 weeks - duration in a patient taking a bisphosphonate for bone disease. Bisphosphonates have been widely prescribed over the last decade for a range of bone diseases, mainly intravenously for bone cancers and orally for osteoporosis. Although it is still controversial as to precisely how the bisphosphonates work, generally it is accepted that they prevent osteoclast action, with consequent cessation of osteoblast activity, so that the bone turnover is markedly reduced or ceased. The aim of this study is to informed the clinicians how to prepare and recognize in case of the BRONJ with medically compromised patients.

• Imaging Science in Dentistry
• /
• 제31권3호
• /
• pp.165-173
• /
• 2001

Objectives : To evaluate the absorbed and effective doses of spiral and computed tomography for the dental implant planning. Materials and Methods: For radiographic projection, TLD chips were placed in 22 sites of humanoid phantom to record the exposure to skin and the mean absorbed dose to bone marrow, thyroid, pituitary, parotid and submandibular glands and nesophagus. Effective dose was calculated, using the method suggested by Frederiksen et al.. Patient situations of a single tooth gap in upper and lower midline region, edentulous maxilla and mandible were simulated for spiral tomography. 35 axial slices (maxilla) and 40 axial slices (mandible) with low and standard dose setting were used for computed tomography. All the radiographic procedures were repeated three times. Results: The mean effective dose in case of maxilla was 0.865 mSv, 0.452 mSv, 0.136 mSv and 0.025 mSv, in spiral tomography of complete edentulous maxilla, computed tomography with standard mAs, computed tomography with low mAs and spiral tomography of a single tooth gap (p<0.05). That in case of mandible was 0.614 mSv, 0.448 mSv, 0.137 mSv and 0.036 mSv, in spiral tomography of complete edentulous mandible, computed tomography with standard mAs, computed tomography with low mAs and spiral tomography of a single tooth gap (p<0.05). Conclusions: Based on these results, it can be concluded that low mAs computed tomography is recommended instead of spiral tomography for the complete edentulous maxilla and mandible dental implant treatment planning.

• Imaging Science in Dentistry
• /
• 제43권3호
• /
• pp.153-161
• /
• 2013

Purpose: To prevent low bone mineral density (BMD), that is, osteoporosis, in postmenopausal women, it is essential to diagnose osteoporosis more precisely. This study presented an automatic approach utilizing a histogram-based automatic clustering (HAC) algorithm with a support vector machine (SVM) to analyse dental panoramic radiographs (DPRs) and thus improve diagnostic accuracy by identifying postmenopausal women with low BMD or osteoporosis. Materials and Methods: We integrated our newly-proposed histogram-based automatic clustering (HAC) algorithm with our previously-designed computer-aided diagnosis system. The extracted moment-based features (mean, variance, skewness, and kurtosis) of the mandibular cortical width for the radial basis function (RBF) SVM classifier were employed. We also compared the diagnostic efficacy of the SVM model with the back propagation (BP) neural network model. In this study, DPRs and BMD measurements of 100 postmenopausal women patients (aged >50 years), with no previous record of osteoporosis, were randomly selected for inclusion. Results: The accuracy, sensitivity, and specificity of the BMD measurements using our HAC-SVM model to identify women with low BMD were 93.0% (88.0%-98.0%), 95.8% (91.9%-99.7%) and 86.6% (79.9%-93.3%), respectively, at the lumbar spine; and 89.0% (82.9%-95.1%), 96.0% (92.2%-99.8%) and 84.0% (76.8%-91.2%), respectively, at the femoral neck. Conclusion: Our experimental results predict that the proposed HAC-SVM model combination applied on DPRs could be useful to assist dentists in early diagnosis and help to reduce the morbidity and mortality associated with low BMD and osteoporosis.