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박건,윤정섭,김용환,조규도,박재길,왕영필,김세화,이홍균,Park, K.,Yoo, J.S.,Kim, Y.H.,Jo, K.D.,Park, J.K.,Wang, Y.P.,Kim, S.W.,Lee, H.K 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery Vol.24 No.2
Clinical experience of 48 acute pericarditis with effusion was reviewed and presented. There were 28 male and 20 female patients ranging from 3 years to 77 years old. Malignant effusion; Twenty patients had underlying malignancy. These etiologies were lung ca[8 patients, 40%], breast ca[7 patients 35%], lymphoma[2 patients, 10%], esophageal ca[1 patients, 5%], stomach ca[1 patient, 5%], ovarian ca[1 patient, 5%]. Uremic effusion; 15 patients with renal failure required surgical intervention. Traumatic effusion; 7 patients had traumatic pericarditis. These etiologies were stab wound [5 patients, 71.4%] and aspiration[2 patients, 28.6%]. Pyogenic effusion: 6 patients had pyogenic pericarditis. These etiologies were empyema thoracis[3 patients, 50%], liver abscess[2 patients, 33.3%], pneumonia[1 patient, 16.7%]. The patients were treated by pericardiocentesis, subxiphoid tube drainage, pericardiectomy: 4 of them underwent pericardiocentesis; 37, subxiphoid tube drainage; 5, pericardiectomy. We conclude that subxiphoid tube pericardial drainage was effective for treatment of pericardial effusion.
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찾아가는 동주민센터 방문간호사의 감정노동경험: 젠더와 공간의 구조적 요인을 중심으로
박건 전남대학교 간호과학연구소 2021 Nursing and Health Issues(NHI) Vol.26 No.1
Purpose: The purpose of this study was to explore the emotional labor experiences of home visiting nurses in reaching-out community centers focusing on place and gender. Methods: Ten home visiting nurses in Seoul were recruited for the study. Data were collected through in-depth individual interviews. Results: First, the change of place is not simply a spatial change from the healthcare institution to the home. The spatial change affects the mission, or role, of the home visiting nurse, and there are also expectations and attitudes about home visiting nurses. During this kind of change, gender specific sociocultural norms and stereotypes affect the emotional labor of home visiting nurses. Second, gender is related to ignorance and violence faced by home visiting nurses. This type of experience increases the emotional labor of theses nurses. Partial amelioration of the working environment cannot solve this situation. Conclusion: This study suggests that institutional and sociocultural changes are needed, in order to transform the asymmetric inter-relationship between home visiting nurses and citizens into an equal inter-relationship. Key Words: Home visiting nurses, Emotional labor, Place, Gender, Sexual violence, Symmetric inter-relationship
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보건 경영학 분야의 국가자격증 제도에 관한 탐색적 연구: 장례서비스를 중심으로
박건,박화규 한국경영교육학회 2012 경영교육연구 Vol.27 No.4
A funeral in Korea is a ceremony for celebrating, sanctifying, and remembering the life passed away. Funerary customs and processes comprise the complex of beliefs and practices used by a culture to remember the dead. They vary widely between religious affiliations within cultures and funerary service management is the new demands of the current times produced for burial life cycles to be met. Recently, as the educational institution found that there is a need to strengthen education quality as in the field of funeral ceremony management the education-advanced nations considered the eduction to be another domain area. Also they made an effort to reconsider the educational quality in addition to reconstruction of management system. However, the traditional way of educational management system in Korea ignores educational reform and utility in spite of changes of public needs. In this paper, we tried to construct funeral ceremony educational framework focussed on as one of the service management categories to meet the organizational extension, franchise or network-driven collaborations, and public marketing. 본 연구는 보건의료 경영의 새로운 세부적 관심분야로 대두되고 있는 장례서비스 경영학 및 관련 자격증 도입과 향상을 위한 제안을 함으로써 초기 도입과정에서의 혼란을 피하고, 선진 장사문화 발전에 기여하고, 대학 학과 운영과정은 물론 국가자격증 제도정착을 위하여 필요한 교육제도의 검토, 장례 경영지도사의 역할 및 규정, 교육과정, 교육기관 등에 대한 규정 등 관련하여 총괄적인 절차와 내용을 수립하는 것을 목적으로 하였다. 이를 위한 연구방법으로는 관련 문헌 검토, 국내외 유사 사례 검토, 현장 전문가회의 및 자문회의, 장례 경영지도사 교육과정 관련 표적집단면접법(focus group interview) 분석, 교육기관 등 현지조사와 더불어 외부전문가 자문을 통하여 그 교육방법, 자격관리 및 교육방법을 제시하였다.
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A Case of Maxillary Actinomycosis
박건,조석현,이근영,김경래 대한비과학회 2010 Journal of rhinology Vol.17 No.2
Actinomycosis is a very rare infectious disease caused by Actinomyces, which are gram-positive, predominantly anaerobic, non acid-fast bacillus. Actinomyces are normal flora in the upper and lower aerodigestive tracks but can become pathogenic after mucosal injuries such as tooth extraction and trauma to the mouth or jaw. Actinomycosis of the maxillary sinus is very difficult to diagnose due to its low incidence and lack of characteristic clinical findings. We recently experienced a case of maxillary actinomycosis in a 78-year-old immunocompetent male who underwent endoscopic sinus surgery 10 months previously and a molar tooth extraction 3 months previously. CT scans showed soft tissue density with a focal calcification and flexible fiberscopy indicated a brown-colored mass at the maxillary sinus floor. The maxillary sinus lesion was removed by sinus irrigation through the ostium and histopathology confirmed sulfur granules compatible with actinomycosis. The patient was treated with a 6-month course of oral augmentin-clavulanate. A diagnosis of actinomycosis should always be considered in a patient with unilateral intractable maxillary sinusitis, focal calcification in CT scans, and a history of molar tooth extraction.
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