• 제목/요약/키워드: post-operation

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동영상을 이용한 수술 전 교육이 양성종양 자궁절제술 환자의 통증, 불확실성, 불안과 우울에 미치는 효과 (Effect of Preoperative Education using Multimedia on Pain, Uncertainty, Anxiety and Depression in Hysterectomy Patients)

  • 전수란;박효정
    • 여성건강간호학회지
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    • 제22권1호
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    • pp.39-47
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    • 2016
  • Purpose: The purpose of this study was to examine the effect of preoperative education using multimedia on level of pain, uncertainty, anxiety and depression in hysterectomy patients. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The level of post operation pain, pre and post operation uncertainty, anxiety and depression of both the groups was measured. The experimental group was provided with preoperative education using multimedia on the preoperative day at the hospital. The control group was only given usual care. Data were analyzed using SPSS/WIN version 22.0 program. Results: Experimental group showed lower level of post-operation pain in 1 hour (t=-5.08, p<.001) and 24 hours (t=-5.20, p<.001) but not 48 hours (t=-0.91, p=.368). Uncertainty showed significant interaction effect of Group by Time (F=4.16, p=.018). Conclusion: Preoperative education using multimedia for patients with hysterectomy would be effective in lowering patients' level of pain, uncertainty, anxiety and depression.

양측 성대마비 환자에 대한 $CO_2$레이저 피열연골 내측부분절제술 (Medial Partial Arytenoidectomy by $CO_2$laser for Bilateral Vocal Cord Paralysis)

  • 최홍식;최영준;이용훈;박헌이
    • 대한기관식도과학회지
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    • 제4권2호
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    • pp.219-224
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    • 1998
  • Bilateral vocal cord paralysis can result in severe airway compromise. Over the years a variety of arytenoidectomy procedures have bee described, and one or more of these have been the gold standard for many years. A widely accepted treatment is endoscopic laser total arytenoidectomy. However, vocal results are usually poor. Objective : To evaluate the effect of treatment of endoscopic laser medial partial arytenoidectorny for bilateral vocal cord paralysis Material and Methods : We performed endoscopic medial partial arytenoidceomy with $CO_2$laser for 3 patients with bilateral vocal cord paralysis. The $CO_2$laser is operated with a continuous 7-watt beam in superpulse mode. We compared degree of dyspnea and glottic area of pre-operation with those of post-operation for 3 patients. We analysed aerodynamic study pre-operatively and post-operatively for 1 patient. Results The symptom of dyspnea was improved markedly and the glottic area was widened from 34% to 50% compared with that of pre-operation. The voice quality was slightly decreased. Tracheotomy was not necessary for not-tracheotomized patient and decanulation was possible for tracheotomized patient post-operatively. Cunclusion: The endoscopic laser medial partial arytenoidectomy is a convient and effective method for opening the posterior glottic airway.

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산후조리원을 이용한 산모의 간호요구 및 만족도 (A Study on the Nursing Needs and Service Satisfactory of Users in the Post-Partum Care Center)

  • 정현
    • 여성건강간호학회지
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    • 제5권2호
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    • pp.222-229
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    • 1999
  • These days, as the society has been in the trends of highly industrialized and the family has been downsized, there is remarkably increasing number of women who follow occupation. These changes have made it more difficult for the family to help post-partum mother, which had been performed in side of house. By the help of social believe that during at least 1 month after childbirth professional nursing program is indispensable for both maternity protection and physical-mental recuperation, now many post-partum care centers for post-partum mother have been in operation. Although these post-partum care center have in use for a long time, no study was performed before this study on the same subject. Data were analyzed using by SAS. The results of study are as follow : 1. The general features of the user of the post-partum care center. The predominant band of user's age is extended from 26 to 30. The users are mainly housewives and they are in higher level of incomes and educations. As for the feature of delivery methods, they performed the normal spontaneous vaginal delivery method by 58.0% and the Caesarean operation method by 42.0%. As for the sexuality for babies, 59.3% of infants are male, and 40.7% are female. The highest delivery order of users is first and admission after 1-3days delivery is highest. 2. The results for the investigation into the actual condition of the post-partum care center are as follow : About the main reason for entrance of the post-partum care center was found to be the needs for the better nursing programs for recuperation after childbirth. This demands are also supported by their husbands. The average length of stay in the post-partum care center is 17.6 days and the besides promised expense ; powdered milk, milk-suckers, disposable dippers, skin cares, body shape cares, entrophics, injections. The post-partum have private rooms for mother and infants. Over the half of average expense is 229 million won. They are paying accessory fees the post-partum care center have similar step organization : the nurses, the skin carers, the cleaners. Mostly both ways of feeding powdered milk and breast feeding are in use, and mother's milk is preserved in the night time to be given to infant by nurse in charge. 3. The results of the investigation on users' nursing demand to the post-partum care center and satisfaction are as follow : The ranking order of nursing demand of mothers who used the is that ; infant care demands, environmental demands, emotional and mental care demands, education and training demands. As much as 70% of the respondents have dissatisfaction in nursing program, The ranking order of service satisfaction of mothers who used appears to be higher following order ; satisfaction in infant care demand, satisfaction in physical nursing demand, satisfaction in emotional and mental nursing demand, satisfaction in education and training demand, satisfaction in environment nursing demand. The results of pearson correlation. between nursing demand and service satisfaction of mothers who used are found to be relative noticeable in the level of 0.05. only infant care. The 61.7% of the women who used the post-partum care center. are responding that they will reuse the same post-partum care center again.

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직류용 콘센트-플러그의 초기-후기접점 특성 (Characteristics of Pre-Post Contacts of DC Consent-Plug)

  • 나재호;왕용필;김효성
    • 전력전자학회논문지
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    • 제21권4호
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    • pp.290-295
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    • 2016
  • Socket-outlets and plugs are essential devices that supply electric power into user appliances. During plug-out operation of an engaged plug from the socket-outlet, the consistent arc between the plug and the socket-outlet could develop into heavy fires in DC systems but only a small spark in AC systems. This paper proposes a pre-/post-electrode method to prevent plugs and socket-outlets from melting by sustaining arc energy. To implement the proposed pre-/post-electrodes, an experimental plug is manufactured with two electrodes, in which a post resistance Rs is connected in between. This paper investigates the function of the post resistance Rs, in which the best value of the post resistance Rs is obtained through simulation and experiment.

우체국 서비스품질이 고객만족에 미치는 영향에 관한 연구 (A Study on the Impact of Service Quality on the Customer Satisfaction in the Korea Post Office)

  • 이상석;민상훈
    • 품질경영학회지
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    • 제30권4호
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    • pp.120-136
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    • 2002
  • The CRM is the process of integrated customer management to increase the profitability of firm as a maximizing the consumer's value and supplying the high quality product or service. The Post Information Service Headquarter was recognizing the importance of CRM and constructed the customer relationship management system that based on CRM, steadily has made an endeavor for operating to improve the job operation such as posting, banking and insurance. This research analysed the impact of service quality on the customer satisfaction in the Korea Post Office. First of all, we review the existing literature on measurement of service quality and management. As a result of this review and survey of the employer in post office, nineteen factors emerged as important to the service management of The Korea Post Office; Postal Services, Banking Services, Insurance Services. The regression analysis was utilized for analyzing the influence of service quality factors upon the customer satisfaction. Results show that service quality factors have a statistically significant impact on the customer satisfaction of the Korea Post Office.

안모 비대칭 환자에서 편측 상악 구치부 분절 골절단술과 하악지 시상분할골절단술 및 급속 교정을 이용한 치험례

  • 유정택;송선헌;김수용;김철;박지훈
    • 대한치과의사협회지
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    • 제44권2호통권441호
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    • pp.133-138
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    • 2006
  • This is a report of one case about facial asymmetry involving maxilla & mandible. Le Fort I Maxillary Osteotomy & BSSRO is usually used for facial asymmetry patient involving maxilla & mandible. But Le Fort I Maxillary Osteotomy has demerits about more aggressive technique, more operation times, more discomforts of post operation nasal breathing than Unilateral maxillary Segmental Osteotomy. So we treated one patient successfully using Unilateral Maxillary Segmental Osteotomy, BSSRO & Post - Operation Rapid Orthodontics instead of Le Fort I Maxillary Osteotomy.

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상악동 근치수술후의 상악골 후연의 변화에 대한 방사선학적 연구 (RADIOLOGIC STUDY ON THE POSTERIOR ASPECT OF THE MAXILLA FOLLOWING THE RADICAL OPERATION OF PARANASAL SINUSES.)

  • 박노원;유동수
    • 치과방사선
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    • 제15권1호
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    • pp.59-66
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    • 1985
  • The Purpose of this study is to detect morphological changes of the maxilla following the operation of paranasal sinuses in the orthopantomogram. 1) The measurement of the angle set up by two reference lines which represent posterior aspect of the maxilla and skull base was made. 2) The mean angle in the post-operative patients showed significantly smaller than that in the normal subjects. 3) The forms of posterior aspect of maxilla were classified into 5 types. (flat, convex, concave, uneven and obliterated.) 4) In contrast with the convex type in the majority of normal subjects, approximately half of the post-operative patients showed the concave type. 5) These results may suggest that the superior part of the posterior aspect of the maxilla tend to depress following the operation of these paranasal sinuses.

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유방절제술 환자의 불확실성, 불안 및 대처방식 (Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer)

  • 조옥희
    • 대한간호학회지
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    • 제30권4호
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    • pp.1006-1017
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    • 2000
  • The purpose of this study was to provide basic information for developing a nursing intervention that helps patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of uncertainty and anxiety experienced by mastectomy patients. The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a questionnaire developed by Kim & Yoo (1996). Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression. The results were as follows : 1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those without, and the patient who has 7∼12 months(1 yr.) post operation period had higher than the one below 6months, 25∼36 months(3 yrs.), 37∼60 months(5 yrs.), and over 61 months. 2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low educational background, poor monthly income, experience of chemotherapy, and 7∼12 months(1 yr.) post operation period, but there was no significant difference by general characteristics 3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25∼36 months of post operation period showed significantly lower level of coping than those below 6 months or 37∼60 months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those with the christianity had significantly lower level of coping than those without it. Also, those whose monthly income over 2,010,000 won had significantly higher coping level than those with income of between 1,010,000 and 2,000,000 won. 4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and anxiety. 5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to this, it would explain 66.4% in total when experience of chemotherapy was added.

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디젤 자열개질 가스 내 포함된 $C_2H_4$ 제거를 위한 후개질기 촉매 활성 실험 (Activity test of post-reforming catalyst for removing the ethylene in diesel ATR reformate)

  • 윤상호;배중면;이상호
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2009년도 추계학술대회 논문집
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    • pp.218-221
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    • 2009
  • Solid oxide fuel cells (SOFCs), as high-temperature fuel cells, have various advantages. In some merits of SOFCs, high temperature operation can lead to the capability for internal reforming, providing fuel flexibility. SOFCs can directly use CH4 and CO as fuels with sufficient steam feeds. However, hydrocarbons heavier than CH4, such as ethylene, ethane, and propane, induce carbon deposition on the Ni-based anodes of SOFCs. In the case of the ethylene steam reforming reaction on a Ni-based catalyst, the rate of carbon deposition is faster than among other hydrocarbons, even aromatics. In the reformates of heavy hydrocarbons (diesel, gasoline, kerosene and JP-8), the concentration of ethylene is usually higher than other low hydrocarbons such as methane, propane and butane. It is importatnt that ethylene in the reformate is removed for stlable operation of SOFCs. A new methodology, termed post-reforming was introduced for removing low hydrocarbons from the reformate gas stream. In this work, activity tests of some post-reforming catalysts, such as CGO-Ru, CGO-Ni, and CGO-Pt, are investigated. CGO-Pt catalyst is not good for removing ethylene due to low conversion of ethylene and low selectivity of ethylene dehydrogenation. The other hand, CGO-Ru and CGO-Ni catalysts show good ethylene conversion, and CGO-Ni catalyst shows the best reaction selectivity of ethylene dehydrogenation.

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용융탄산염연료전지(MCFC) 스택의 1200시간 운전 후 분리판 채널부 표면 열화 분석 및 연구 (Study of Corrosion and Post Analysis for the Separator Channel of MCFC Stack after Cell Operation for 1200 hours)

  • 조계현
    • 한국표면공학회지
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    • 제40권3호
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    • pp.149-158
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    • 2007
  • Of all components of MCFC(molten carbonate fuel cell), corrosion of separator is one of the most decisive factor for commercializing of MCFC. In order to provide better understanding of corrosion behavior and morphology for gas channel of separator plate, post-analysis after cell operation for 1200 hours at $650^{\circ}C$ was performed by optical microscope, SEM and EPMA. Intergranular corrosion was observed on gas channel of separator plate. Corrosion product layer was identified as Fe-oxide, Cr-oxide and Ni-oxide by EPMA, and oxide thickness was measured with a $60{\mu}m-150{\mu}m$. Also, gas channel of separator was damaged by severe intergrannular attack with post analysis in consistent with immersion test. Moreover, pitting on the channel plate was observed with a depth of $18{\sim}24{\mu}m$. The results of immersion method are well agreement with post analysis measurements.