• Title/Summary/Keyword: 외래치료

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A Morphological Study On The Upper Face Of Moire According To The Sasang Constitution (사상체질별(四象體質別) 상안부(上顔部) Moire 형태(形態)의 특징(特徵)에 관한 연구(硏究))

  • Hong, Suck-chull;Lee, Eui-ju;Lee, Su-kyung;Han, Gi-hwan;Kho, Byung-hee;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.10 no.2
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    • pp.271-281
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    • 1998
  • 1. Objective : This research is a study about constitutional diagnosis through the external appearances, especialy it is for finding shape differences of the upper-face pictures of moire, according to the Sasang constitution 2. Method : We have collected 98 cases of femail patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of moire of upper face and measured 50 points. We analyzed shape differences of the upper face according to the Sasang constitution. 3. Results : Analysing the moire of upper face, the characteristics according to sasang constitution presented. 4. Conclusion : Soyangin had a projected part of left upper face compared with taeumin. With the image of moire, the characteristics of upper face according to sasang constitution was found.

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Comparison of Service Usage of Outpatients at Korean Medical Clinics by Regions and Gender (한방의료기관을 이용하는 외래환자의 지역 및 남녀별 치료질병의 우선순위 비교)

  • Lee, Woo-Chun;Choi, Sung-Yong;Lee, Sundong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.41-55
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    • 2014
  • This research has academic significance in that it uses the data from "Research on Usage of Korean Medicine Service and Medicine" to analyze the differences in usage of Korean medicine service by regions and genders on a national scale. The items analyzed were the sociodemographic characteristics, preferences of forms of Korean medicine service by gender and province. The results showed that there were statistically significant differences by marital status, education, occupation, and income (p<.01). Men used service for back pains (23.0%), muscle injuries (20.7%), back sprain (16.5%), ankle sprain (11.2%), and arthritis (10.5%). Women used service for back pains (26.5%), arthritis (18.7%), muscle injuries (12.9%), back sprain (12.1%), and indigestion problems (10.1%). There were statistically significant differences among men and women (p<.01). In the comparison analysis by cities, back pain was the biggest reason (p<.01), but there were differences from city to city; In Gwangju, back sprains (24.4%) and ankle sprains (16.1%) were first and second reasons, while In Ulsan, back sprains were the first reason (29.8%). By province level, back pains were the biggest reason for men, but there were differences by provinces (p<.05); In Chungbuk and Jeonnam, muscle injuries were first (23.7% and 23.9%, respectively). In conclusion, there were differences by cities and provinces in usage of Korean medical service, as well as by gender.

Dental Treatment of a Patient with Alzheimer Disease under Ambulatory General Anesthesia (알츠하이머병 환자의 외래전신마취 하 치과치료)

  • Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong;Han, Hyo-Jo;Shin, Teo-Jeon;Chang, Ju-Hea
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.11 no.2
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    • pp.146-152
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    • 2011
  • Background: Elderly patients with progressive dementia including Alzheimer's disease (AD) are more and more often scheduled to undergo general anesthesia for various pathologies including dental problem. But, there is high risk of deterioration of underlying mental diseases and other co-morbidities. So it is important to implement preventive strategies and take adequate measures to minimize negative perioperative events in these patients. Methods: We reviewed the 17 cases of 11 patients with AD who underwent ambulatory general anesthesia for dental treatment at the clinic for the disabled in Seoul National University Dental Hospital. Results: The mean age was 68 (57-81) years. All of them were diagnosed with AD and some had hypertsnsion, bronchiectasis, urinary incontinence. For anesthesia induction, 3 cases (1 patient) was needed physical restraint, but others showed good or moderate cooperation. Drugs used for anesthesia induction was thiopental (11 cases), propofol (3 cases) and sevoflurane (3 cases). All patients received nasotracheal intubation without difficulties. Mean total anesthetic time was 3 hour 44 min ${\pm}$ 60 min and staying time at PACU was 83 ${\pm}$ 34 min. All the patients except one who showed hypertension discharged without any complication. There was no death or long term hospitalization because of severe complications. Conclusions: If general anesthesia is needed, pertinent diagnostic tests and workup about other medical problems, and appropriate anesthetic planning are essential for safety.

Inflammatory Myofibroblastic Tumor of the Lung in a Child -A case report- (소아에시 발생한 폐 염증성 근섬유아세포종 -1예 보고-)

  • Kim Hee-Jung;Park Chang-Ryul;Jung Jong-Pil;Shin Je-Kyoun
    • Journal of Chest Surgery
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    • v.39 no.4 s.261
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    • pp.332-334
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    • 2006
  • Inflammatory myofbroblastic tumor in the lung is a rare tumor. The etiology is not clear. This tumor in children is a benign tumor rarely presented with local invasiveness, recurrence, distant metastasis or malignant changes can occur. The complete surgical resection is chosen as the optimal management. A 12-years-old boy visited the outpatient clinic with a 4 cm sized pulmonary mass in left upper lung field. The patient underwent left upper lobectomy. Histopathologically, inflammatory myofibroblastic tumor was confirmed. The patient was discharged without any problems and there was no evidence of recurrence during 3 months follow-up.

Benign Metastasizing Leiomyoma of Lung (폐로 전이된 양성 전이성 근종)

  • Cho Suk-Ki;Ryu Kyong-Min;Sung Sook-Whan;Chung Jin-Haeng;Lee Jae-Ho;Kim Young-Bum;Jheon Sang-Hoon
    • Journal of Chest Surgery
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    • v.39 no.4 s.261
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    • pp.335-339
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    • 2006
  • Benign metastasizing leiomyoma (BML) is a rare entity, characterized by the occurrence of multiple smooth muscle nodules in the lung with histologically benign leiomyoma, Both the uterine and pulmonary tumors have been found to express estrogen and progesterone receptors, which suggest that the pulmonary lesions represented metastases from leiomyoma. We experienced a 41-year-old female patient with BML and report here with the literature review.

Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus - 6 cases report - (흉강경을 이용한 동맥관 개존증 수술- 6례 보고 -)

  • Park, Chan-Beom;Kwon, Jong-Bum;Won, Yong-Soon;Park, Kuhn;Park, Kyu-Ho
    • Journal of Chest Surgery
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    • v.34 no.4
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    • pp.351-355
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    • 2001
  • 개흉술에 의한 수술적 폐쇄방법 및 경도관 동맥관 폐쇄술은 동맥관 개존중의 치료방법으로 발전되어 왔으나, 이러한 술식은 개흉술에 의한 합병증, 지속적인 단락 및 용혈의 가능성, 기구의 이동이나 색전증의 발생, 지속적인 단락시 세균성 심내막염 방지를 위한 지속적인 항생제 사용등의 단점이 있어 저자들은 흉강경을 이용한 수술을 시행하였다. 총 6례의 환자에서 흉강경을 이용한 동맥관 개존증 수술을 시행하였으며. 이중 대동맥 외막(adventitia) 박리중 지형이 잘 되지 않았던 1례에서는 소개흉술(minithoracotomy)로 전환하였다. 술 후 이시행한 이학적 검사상에서 모든 환아에 심잡음이 소실되었음을 확인할 수 있었으며, 흉부 방사선 검사상 점진적인 폐혈관음영의 감소를 관찰할 수 있었으며 수술중 동맥관 파열이나 불완전한 동맥관 폐쇄, 기흉, 애성(hoarseness) 등의 합병증은 발생되지 않았다. 환아들은 술후 평균 3.4일째 퇴원하였으며, 퇴원후 외래추적 관찰검사시 시행한 심초음파 검사상 동맥관의 재개통이나, 잔류단락은 관찰되지 않았다. 본원에서는 개흉술 및 경도관 동맥관 폐쇄술의 단점을 방지할수 있으며, 성공적인 동맥관 폐쇄, 작은 피부절개 반흔에 의한 미용적 효과, 짧은 재원기간등의 장점을 가진 흉강경을 이용항 동맥관 결찰술을 시해앟여 문헌 고찰과 함께 보고하는 바이다.

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Posttraumatic Growth in Family Caregivers of Patients with Cancer (암환자 가족돌봄자의 외상 후 성장)

  • Choi, Soon Ock
    • Journal of Hospice and Palliative Care
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    • v.17 no.1
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    • pp.1-9
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    • 2014
  • Purpose: The purpose of this study was to examine posttraumatic growth (PTG) in family caregivers of patients with cancer. Methods: Participants included 201 family caregivers of cancer patients who are treated at outpatient clinics and oncology wards of a university hospital and two general hospitals in Busan, Korea. The study instrument was the Korean version of the posttraumatic growth inventory (K-PTGI). Data were analyzed with descriptive statistics, t test, one-way ANOVA and Scheffe's test using the SPSS 21 for Windows. Results: The mean score of PTG was 3.10. The factor with the highest score was "Changes to self-perception" (3.15), while the one with the lowest was "Increase in spiritual interest" (2.88). There were significant differences in PTG, depending on age, religion, importance of religious life and perceived level of daily difficulties. Conclusion: Family caregivers also experience PTG when their loved ones are diagnosed with cancer. According to these findings, it is necessary to develop a spiritual nursing program to help family caregivers growth from the experience of attending patients with cancer.

Validity and Reliability of the Korean Version of the London Handicap Scale (한국판 London Handicap Scale의 타당도와 신뢰도)

  • Choi, Yoo-Im;Kim, Won-Ho;Park, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5102-5109
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    • 2011
  • The purpose of the this study was to identify validity and reliability of the Korean version of the London Handicap Scale (K-LHS) measuring participation restriction for stroke survivors within outpatient rehabilitation setting. 54 stroke patients participated. The reliability was good with a Cronbach's ${\alpha}$ and intraclass correlation coefficient of .791 and .983, respectively. The results of exploratory factor analysis was that the K-LHS was constructed two factors and explanation power was 72.32%. There are significant correlation between K-MBI and subitems of K-LHS (r=-.454 ~ -.819)(p<.01), except economic item. Because the K-LHS seems to be a valid and reliable, thus, it is considered to be appropriate as a tool to measure participation restriction of stroke patients in clinical practice.

Analysis of Complications of Ambulatory General Anesthesia after Discharge in Patients Who are Taking Anticonvulsant (항경련제를 복용하고 있는 지적장애 환자의 외래전신마취 하 치과치료 후 합병증 발생 조사 연구)

  • Cha, Min-Joo;Seo, Kwang-Suk;Kim, Mi-Seon;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.2
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    • pp.95-100
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    • 2014
  • Background: About 60% of patients with epilepsy showed a variety of complications after returning home. The purpose of this study is to get further information and to help in the anesthetic management of the disable patients with epilepsy. Methods: After searching the outpatient anesthesia list of Seoul National University Dental Hospital clinic of the disabled from September 2010 to March 2012, we found total 83 patient cases who were taking antiepileptic drugs. A nurse of anethesiology department called to the patient's home after general anesthesia and got surveys with questionnaires form filled with complications at home. We enrolled total of 51 patients who agreed to participate this survey. And we also reviewed pre-anesthesia evaluation sheet, anesthesia record, and recovery and discharge record. Results: 11 of 51 (21.6%) patients had seizure convulsion at home within 1 weeks. 33.4% of patients who had at least once seizure attack per week had a seizure attack within 3 days. And 50% of once a month frequency patients had a seizure attack within 1 week. 33% of 1 - 3 seizure attacks per year patient group had a convulsion within 1 week. But there was no seizure attack within 1 week in whom had no seizure attack history during more than 1 year. Conclusions: After dental treatment, patient taking anticonvulsant have so many complications-especially seizure, more than we respected. We need more research about handle these problems.

Dental Treatment of a 3-Year-Old Male Patient with Haddad Syndrome under Outpatient General Anesthesia (Haddad 증후군 환아의 외래 전신마취 하 치과 치료)

  • Jang, Jun-Hyuk;Shin, Teo-Jeon;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Hyun, Hong-Keun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.4
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    • pp.215-220
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    • 2013
  • The co-occurrence of congenital central hypoventilation syndrome (CCHS) and Hirschsprung's disease (HD) is termed Haddad syndrome, which is an extremely rare discorder. It was reported first by Haddad in 1978 and there are approximately 60 cases reported in the worldwide literature. Recent studies described that congenital central hypoventilation syndrome had deep relation to the mutation of the PHOX2B gene in its diagnosis and phenotype. This article presents a case report: Dental treatment of a 3-year-old male patient with Haddad syndrome under outpatient general anesthesia. The special considerations of dental care, especially caries theatment of the patient with Haddad syndrome are discussed.