The ethical propensity, professionalism and ethical job behavior of clinical dental hygienists / 대한구강보건학회지

OBJECTIVES: The aim of this study was to the ethical propensity, professionalism, and ethical job behavior of dental hygienists. METHODS: The subjects of this study were 748 dental hygienists, who are working at various types of dental hospitals and clinics around the country, from January 23 to March 30, 2012. Data were analyzed with a t-test, one-way ANOVA, Chi-square, and Stepwise multiple regression analysis SPSS 19.0. RESULTS: As for the ethical propensity of dental hygienists, their idealism scores were 3.87, which was higher than their relativism scores. The ethical job behavior and professionalism scores were higher in absolutists (3.80, 3.40 points) and situationists (3.77, 3.44 points), than subjectivists (3.49, 3.19 points) and exceptionists (3.38, 3.09 points) in the ethical types. The ethical job behavior and professionalism-related common Influence factors was idealism. CONCLUSIONS: The absolutists and situationists with a high tendency of idealism were high in the level of professionalism and ethical job behavior, according to the ethical types.

Unilateral Spinal Anesthesia with Hyperbaric Levobupivacaine and Bupivacaine for Lower Limb Surgery / 대한마취과학회지

BACKGROUND: Levobupivacaine is the isolated S-enantiomer of bupivacaine and may be a favorable alternative to bupivacaine. The author evaluated the clinical efficacy of levobupivacaine relative to bupivacaine in spinal anesthesia. METHODS: The author randomly allocated 40 ASA physical status I or II patients undergoing lower limb surgery to do unilateral spinal anesthesia with 8% glucose bupivacaine 4 mg (n = 20) or 8% glucose levobupivacaine 4 mg (n = 20). Spinal anesthesia was performed at the L3-4 interspace using a 25-gauge Whitacre spinal needle. The lateral decubitus position was maintained for fifteen minutes after injection. RESULTS: Thirty minutes after injection, unilateral sensory block was present in 60% and 40% of cases, and unilateral motor block was observed in 90% and 85% in levobupivacaine and bupivacaine group, respectively. Levobupivacaine group had no differences as compared to bupivacaine group for spinal block resolution. CONCLUSIONS: It was concluded that 8% glucose levobupivacaine 4 mg and 8% glucose bupivacaine 4 mg provided similar spinal block for lower limb surgery without hemodynamic unstability.