• Title/Summary/Keyword: 동시치료

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단 비골건을 이용한 만성 족관절 불안정성의 수술적 치료

  • Park, Yong-Uk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.15-18
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    • 2008
  • Chrisman-Snook 술식은 광범위한 절개 및 비복 신경 손상 우려 등과 함께 기술적으로 복잡하다고 여겨지고 있으나, 단비골건을 전부 희생하지 않고 전거비 인대와 종비 인대를 함께 재건하면서 동시에 이식건의 등장성을 확보할 수 있어 술 후 환자의 만족도가 비교적 높고 재발 가능성이 적은 훌륭한 술식으로 사료된다.

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결핵$\cdot$에이즈 이중감염자를 위한 병동 개설

  • 쓰기다 박선
    • 보건세계
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    • v.42 no.4 s.464
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    • pp.30-31
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    • 1995
  • `94. 8월 요코하마에서 국제에이즈회의가 개최된 것을 기억하는 사람은 드물것이다. 10년만에 처음으로 이 회의가 아시아에서 개최된 것은 폭발적인 유행병의 양상을 보여준 아시아에서의 에이즈대책이 앞으로 중요한 화제가 될 것을 상징하고 있는 것이다. 회의에서 결핵예방회 간부들이 결핵과 에이즈에 대한 동시 치료의 필요성을 호소하고 그것들을 구체화하고자 본회 복십자 병원(동경 기요세시)에 결핵 에이즈 이중감염자의 병동을 개설하게 되었다.

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A Task Assignment Rule for the Registered Nurses of the Emergency Department of Hospital Using Multiple System Attributes (병원 응급실에서 여러 속성을 고려한 간호사 치료태스크 할당 규칙에 관한 연구)

  • Kim, Dae-Beom
    • Journal of the Korea Society for Simulation
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    • v.18 no.4
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    • pp.107-116
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    • 2009
  • Overcrowding in an Emergency Department (ED) of hospital is a common phenomenon. To improve the service quality and system performance of the ED, a task assignment rule for the Registered Nurses (RNs) is proposed in this paper. At each task assignment point, the rule prioritizes all treatment requests based on the urgency which is determined by the multiple attributes such as accomplishment time of treatment task, elapsed time of treatment request, total remain time to patient discharge, and number of remain treatments. The values of partial urgency with a single criterion are determined and then overall urgency is computed to find the most urgent one among current requests with the importance weights assigned to the criteria. Through computer simulation, the performance of the proposed rule is compared with current rule in terms of the length of stay and system throughput in a simplified ED system of the hospital M.

Joint Modeling of Death Times and Counts Considering a Marginal Frailty Model (공변량을 포함한 사망시간과 치료횟수의 모형화를 위한 주변환경효과모형의 적용)

  • Park, Hee-Chang;Park, Jin-Pyo
    • Journal of the Korean Data and Information Science Society
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    • v.9 no.2
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    • pp.311-322
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    • 1998
  • In this paper the problem of modeling count data where the observation period is determined by the survival time of the individual under study is considered. We assume marginal frailty model in the counts. We assume that the death times follow a Weibull distribution with a rate that depends on some covariates. For the counts, given a frailty, a Poisson process is assumed with the intensity depending on time and the covariates. A gamma model is assumed for the frailty. Maximum likelihood estimators of the model parameters are obtained. The model is applied to data set of patients with breast cancer who received a bone marrow transplant. A model for the time to death and the number of supportive transfusions a patient received is constructed and consequences of the model are examined.

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Surgical Treatment of Idiopathic Unilateral Chylothorax - 1 case report - (특발성 유미흉 치험 1례 보고)

  • 신제균;정종필
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.599-602
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    • 1999
  • A 51-year-old woman was transferred from a private hospital for persistent massive left pleural effusion. Available examination methods did not reveal the cause of the disease. The pleural effusion was confirmed as chylothorax by thoracentesis and chest computed tomography. Previous tube drainage and pleurodesis had failed. Therefore we decided on an operative approach. A left thoracotomy revealed nothing abnormal except for the oozing lymph from the mediastinal pleura, which was sutured by 4-0 prolene. Decortication and pleurodesis were done at the same time. Postoperative course was uneventful and no recurrent pleural effusion was recognized for 3 months. Adult Idiopathic unilateral chylothorax with unknown etiology is rare, but this case was successfully treated with an operative method.

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Acupuncture Treatment in a Case with Equine Conjunctivitis (말 결막염에 대한 침 치료 1례)

  • Kim Duck-Hwan;Liu Jianzhu;Choi Seok-Hwa;MacManus Phillip;Jennings Paoraic;Darcy Karl;Burke Fiona;Leorald Nola;Rogers Phil A.M.
    • Journal of Veterinary Clinics
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    • v.23 no.2
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    • pp.180-182
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    • 2006
  • One male Arabian horse, 5-year-old, reared in Gort, Co Galway, Ireland was diagnosed as conjunctivitis. Acupuncture and aquapuncture with dexamethasone were done at BL01, BL02 and ST01, twice a week, and oculo-acupuncture was done into Shangjiao area using with oculo-acupuncture needle for human use. At session 3, there were no lacrimation, ocular discharge and hyperemia in the eye. The present patient was a case with equine conjunctivitis which showed favorable therapeutic response by acupuncture treatment.

요통의 주된 원인이 되는 근육질(Muscle Quality)향상을 위한 재활프로그램 모델개발

  • 라웅칠
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.115-117
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    • 2002
  • 목적: 척추에통증을유발하는주된원인인근육질(Muscle Quality)의저하를향상시키는데있어서비교적안정적인방법(약물혹은수술이아닌요법)을시행하여치료중조직손상과부작용을최소화하면서신속한치료가이루어지는치료방법을찾는데주안점을두었다. 대상및방법: 임상실험기간은6주이었으며대상은평균연령34세(17 $\~$ 42세), 남녀30명,발병된지1년이상지난만성요통환자로서, 치료방법은근육마사지요법과운동요법을선택하였다.1군은근육마사지요법만을시행하였고, 2군은운동요법만을시행하였으며, 3군은근육마사지요법과운동요법을동시에병행하였다. 결과: 유연성측정결과와InBody 3.0에서의체성분결과를토대로분석한결과근육마사지요법만을시행한1군은즉각적인호전현상은보였으나시간경과후6일안으로다시이전의증상이원상복귀되어증상이개선되었다고보기는어려워보였다.한편운동요법만을시행한2군은연령에따른개인차는있었고6주안에만족할만한개선결과를보이지는않았지만증상개선이서서히이루어지고있었다. 그러나근육마사지요법과운동요법을병행한3군은1군과2군의실험결과와2단계이상의통증지수향상이관찰되었다. 결론: 요통의주된원인이되는근육질(Muscle Quality)의향상은근육질에긍정적인영향을주는모든요법중어느한가지를사용하는것보다는보다다각적인치료방법을개발하여적용시킬필요성이있다고사료된다.

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Conceptual Design of a Main Control System for CyberKnife (사이버 나이프 주제어 시스템 개념 설계)

  • Choi, You-Rak;Jeong, Gyoeng-Min
    • Annual Conference of KIPS
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    • 2015.10a
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    • pp.1763-1764
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    • 2015
  • 사이버나이프 시스템은 독특한 형태의 정위적 방사선 치료를 수행하는 로봇 팔을 이용하는 방사선 수술 시스템으로 치료 중 환자의 호흡 등에 따른 신체의 움직임에도 1mm 이내의 오차 범위에서 정확하게 방사선을 조사해야하며, 여러 병소를 동시에 치료할 수 있다. 사이버나이프 시스템은 로봇 팔, 선형 가속기, 병소 위치 추적 장치, 방사선 조사 스케줄러와 같은 다양한 모듈들이 통합된 시스템으로, 이를 통합 제어하기 위한 주제어 시스템이 필요하다. 본 논문에서는 본 연구원에서 개발하고자 하는 사이버나이프 주제어 시스템의 설계에 관하여 기술한다.