1.An Evaluation Study of the Practical Application of Preceptorship in an Ordered Elective Clinical Nursing Practice.
Journal of Korean Academy of Fundamental Nursing 2005;12(2):195-205
PURPOSE: This study was done to use preceptorship in an ordered elective clinical nursing practice and to evaluate the effects on student nurses, nurses managers and preceptors. METHOD: The participants in this study were 208 students who were majors in the department of nursing, G college located in Inchon Metropolitan City, 54 nurse managers and 187 preceptors from 11 general hospitals. The instrument was a questionnaire which included general characteristics of participants, and 21 items to evaluate the ordered elective clinical nursing practice on a scale of 1 to 4. Data were collected from October 23 to November 7. 2004. Data analysis was done using SPSS WIN with the following statistics: frequency, percentage, mean, standard deviation, and ANOVA. RESULTS AND CONCLUSIONS: The results of data analysis were as follows: There were meaningful differences in the evaluation scores of the ordered elective clinical nursing practice with preceptors between students (3.33+/-.39) and nurse managers (3.33+/-.28) and preceptors (3.23+/-.38). Evaluation scores for the ordered elective clinical nursing practice with preceptors were categorized as follows: necessity and appropriateness, practice control and management, material for practice, practice report assignment and evaluation, practice ability improvement and connection with getting a job, and contribution to the hospitals.
Hospitals, General
;
Humans
;
Incheon
;
Nurse Administrators
;
Nursing Education Research
;
Nursing*
;
Preceptorship*
;
Surveys and Questionnaires
;
Statistics as Topic
2.Revision Arthroplasty with Cementless Total Hip Replacement
Young Min KIM ; Chin Youb CHUNG ; Suk Kee TAE
The Journal of the Korean Orthopaedic Association 1985;20(5):785-796
It is well known that the incidence of revision arthroplasty for the loosened total hip has been progressively increasing recently. And the problem is that the loosening rate of revision arthroplasty for the failed total hip replacement is much higher as compared with that of primary total hip replacement. In revision arthroplasty, Amstutz, in 1982, reported 9% incidence of mechanical failure and 43% incidence of femoral and 61% incidence of acetabular progressive radiolucencies with follow-up for an average of 2.1 years, and Pellicci, in 1985, reported 29% incidence of failure for total hip replacement that have been revised once in the radiolucent zone with the follow-up for an average 8.1 years, and Kavanagh, in 1985, reported that probable loosening occurred in 25% of revised acetabular components with follow-up for an average of 4.5 years. Cementless total hip replacement is successful in more than 90 of the primary cases for the last 5 years in our department. Therefore, not only in primary total hip replacement but also in the revision, it seems to be reasonable to perform the cementless total hip replacement as an alternative, particularlly, in young age group. During the period from April 1982 to December 1984, we have revised 12 loosened total hip replacement with cementless type. Average follow up was 1 year and 7 months. The age range of the patients was 23 to 64. The results are very promising without any evidence of loosening in all cases.
Acetabulum
;
Arthroplasty
;
Arthroplasty, Replacement, Hip
;
Follow-Up Studies
;
Hip
;
Humans
;
Incidence
3.Ultrasonographic assessment of instability in CDH.
In Ho CHOI ; Duk Yong LEE ; In One KIM ; Chin Youb CHUNG ; Jong Soo JIN ; Sung Soo CHUNG
The Journal of the Korean Orthopaedic Association 1991;26(2):531-537
No abstract available.
4.The effect of tibial lengthening on the muscle in rabbits: A histopathologic and histomorphometric study.
Duk Yong LEE ; In Ho CHOI ; Chin Youb CHUNG ; Phil Hyun CHUNG ; Sug Jun KIM
The Journal of the Korean Orthopaedic Association 1993;28(3):1305-1319
No abstract available.
Rabbits*
5.Comparative Analysis of Structural, Process, and Outcome Indicators for Evaluating the Quality of Nursing Care.
Young Sook KIM ; Hae Soon KIM ; Chung Youb KIM
Journal of Korean Academy of Nursing 1998;28(1):17-25
This study was done to evaluate the quality of clinical nursing care using the variables of structure, process, and outcome and to analyze the relationship between the variables. This study also explored which variables are validating indicators to evaluate the quality of nursing care. The results analyzed by multiple regression showed that, generally structural variables did not contribute to the variance in outcome scores, but process variables of nursing care contributed significantly to the outcome variable of patient satisfaction. A combination of structure and process variables more than structural variables alone. Also, patient satisfaction and hospital preference were significantly related to each other. Therefore, if nursing quality evaluation relies solely upon on structural variables such as number of available nurses and workload, it would be inaccurate because process variables of nursing care are strongly related to outcome variables and the two categories of structure and process variables helped to strengthen the relationships. Thus, it is important to focus on variables of structure, process, and outcome together in evaluating nursing care quality.
Nursing Care*
;
Nursing*
;
Patient Satisfaction
6.Prevalence of Paranasal Sinus Opacification in Infants and Children without Overt Sinusitis using Computed Tomography.
Sung Hoon CHUNG ; Jae Hyoung KIM ; Eui Dong PARK ; Hyung Jin KIRN ; Pil Youb CHOI
Journal of the Korean Radiological Society 1994;30(3):573-577
PURPOSE: To evaluate the prevalence of the opacification of paranasal sinuses and to correlate the prevalence and severity of the sinus opacification with presence of upper respiratory infection (URI) in infants and children using CT. MATERIALS & METHODS: We analyzed CT scans of 162 children aged under 16 who have no signs and symptoms of paranasal sinusitis. Both sides of maxillary and ethmoidal sinuses were evaluated. We scored from 0 to 3 according to the degree of soft tissue opacification of each sinus and then summed up the scores of each sinus. We divided the children into 5 groups according to their age. We paid particular attention to the following respects: 1) the prevalence of the opacification of the paranasal sinuses in each group; 2) the difference in the prevalence between the children with and without URI ;3) the correlation between the severity of the sinus opacification and the presence of URI. RESULTS: Of 162 children, one or more paranasal sinus opacification was noted in 76(47 %):31(65%) less than 1 year old;11(52%) between 1 and 2 years old;16(53%) between 2 and 6 years old ;15(28%) between 6 and 12 years old;and 3(33%) above 12 years old. In children less than 1 year old, no significant difference in the prevalence of the sinus opacification was found between URI-positive(71%) and URI-negative(58%) subgroups. In chilren between 1 and 12 years old, although the prevalence of the sinus opacification in URI-positive subgroups was much greater than that in URI-negative subgroup, statistically significant difference was noted only in children between 2 and 6 years old. As to the correlation between the severity of the sinus opacification and the presence of URI, these was a statistically significant difference in children between 2 and 6 years old and between 6 and 12 years old. CONCLUSION: Although the exact pathophysiology is not fully understood, the opacification of the paranasal sinuses is not an uncommon finding at CT in children without the signs and symptoms of sinusitis. We think that the clinical correlation is essential in determining the diagnosis and treatment plan in cases that the sinus radiographs or CT scans show the abnormal findings.
Child*
;
Diagnosis
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Humans
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Infant*
;
Paranasal Sinuses
;
Prevalence*
;
Sinusitis*
;
Tomography, X-Ray Computed
7.Magnetic resonance imaging in Legg-Calve-Perthes' disease.
In Ho CHOI ; Chin Youb CHUNG ; Kun Young PARK ; Duk Yong LEE ; In Ho SEONG ; In Won KIM
The Journal of the Korean Orthopaedic Association 1993;28(1):364-375
No abstract available.
Magnetic Resonance Imaging*
8.Reconstruction of the hip koint in old unreduced developmmental dislocation of the hip in late childhood and adolescence.
Duk Yong LEE ; In Ho CHOI ; Chin Youb CHUNG ; Young In LEE ; Jin Sup YEOM ; Han Soo KIM
The Journal of the Korean Orthopaedic Association 1992;27(4):880-889
No abstract available.
Adolescent*
;
Dislocations*
;
Hip*
;
Humans
9.Bilateral total Knee Replacement Arthroplasty
Sang Cheol SEONG ; Won Joong KIM ; Dae Geun JEON ; Chin Youb CHUNG
The Journal of the Korean Orthopaedic Association 1990;25(1):203-210
In patients disabled by severe rheumatoid and degenerative arthritis of both knees, bilateral total knee arthroplasty(TKA) afforded much functional improvement in pain relief and function. Postoperative results of bilateral TKA was described as being similiar to those observed among patients with single joint replacement. The purpose of this study is to evaluate the etiology and postoperative result of bilateral TKA performed on 32 knees in 16 patients at Department of Orthopedic Surgery, Seoul National University Hospital from Mar. 1985 to Oct. 1988. In our series, there were 15 females and only 1 male, their mean age was 53 years. Duration of follow up was ranged from 1 to 4 years and 5 months being average 1 year and 6 months. The results were as follow. 1. Cheif complaints were pain in 18 cases(100%) and difficulty in walking in 15 cases(82%). 2. Preoperative etiology was rheumatoid arthritis in 11 cases and degenerative arthritis in 7 cases. 3. Knee joint function by HSS(Hospital for Special Surgery) knee rating score was increased from 44.6 points preoperatively to 81.2 points postoperatively. 4. The tibiofemoral angle was changed from 1.4 degree varus to 4 degree valgus. 5. The prothesis type used were PFG(Press Fit Condylar) in 22 knees, Miller-Galante in 8 knees, AMK in 3 knees, PCA in 2 knees and unicompartmental type in 1 knee. 6. Complication were 1 case of knee fusion due to concomittant tuberculous arthritis and mild joint effusion in 6 knees. 7. Bilateral one-stage arthroplasty may be considered as an alternative procedure.
Arthritis
;
Arthritis, Rheumatoid
;
Arthroplasty
;
Arthroplasty, Replacement, Knee
;
Female
;
Follow-Up Studies
;
Humans
;
Joints
;
Knee
;
Knee Joint
;
Male
;
Orthopedics
;
Osteoarthritis
;
Passive Cutaneous Anaphylaxis
;
Seoul
;
Walking
10.Our Experience on Leg Lengthening by the Ilizarov Technique: A Preliminary Report on the First Seventeen Patients
Duk Yong LEE ; In Ho CHOI ; Chin Youb CHUNG ; Kye Hyoung LEE ; Han Soo KIM
The Journal of the Korean Orthopaedic Association 1990;25(6):1611-1623
Ilizarov device is a circular external skeletal fixator with crossed transfixation wires and connecting rods. Its stability depends on the tension in the wire and the spatial orientation of the fixator frame. It provides extreme versatility for correction of three dimensional complex deformities including angulation, rotation, shortening and translation. In an attempt to identify the various factors that contributed to the outcome and the complications of lengthening, we reviewed the first 19 cases of leg lengthening by the Ilizarov technique in 17 patients with leg length inequality or dwarfism. Simultaneous correction of the three dimensional deformities was also aimed at in 13 patients, and osteosynthesis of congenital pseudarthrosis of the tibia in 2 patients. Follow-up periods averaged 1.6 years, ranging from 1 year to 2.8 years. The results were summarized as follows : 1. The amount of lengthening averaged 5.2cm, ranging from 2.0cm to 9.8cm. 2. The percentage increase was 27%, ranging from 9% to 58%. 3. The average healing index (month/cm) was 1.3months/cm and it was higher in the groups that had premature consolidation, complete osteotomy, single level corticotomy and neurologic compromise as compared with the groups that had adequate corticotomy, double level corticotomy and no neurologic complication. 4. The desired lengthening was obtained in 14 cases. Simultaneous correction of the deformities and osteosynthesis for nonunion were also achieved satisfactorily during lengthening. 5. There were sixteen cases of problems (84%), which were pin tract inflammation (7 cases), Transient senrory change (3 cases), knee joint flexion contracture (2 cases), nut breakage (2 cases). There were thirteen cases of obstacles (68%), which were equinus deformity(5 cases), premature consolidation (3 cases), pathologic fracture (3 cases), and delayed consolidation (2 cases). There was only one ture complication case. In conclusion, the Ilizarov technique was very effective for leg lengthening in children, particularly when three dimensional deformities were combined with leg length shortening. But a thorough knowledge of the Ilizarov technique and meticulous care during lengthening are mandatory to prevent the pitfalls and complications.
Child
;
Congenital Abnormalities
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Contracture
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Dwarfism
;
Follow-Up Studies
;
Fractures, Spontaneous
;
Humans
;
Ilizarov Technique
;
Inflammation
;
Knee Joint
;
Leg Length Inequality
;
Leg
;
Nuts
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Osteotomy
;
Pseudarthrosis
;
Tibia