• Title/Summary/Keyword: 입원환자 관리

Search Result 292, Processing Time 0.029 seconds

Home Healing Cases for Gangrene Sores and Diseases Using Fake Energy Salts (Fake Energy Salts을 이용한 욕창 및 질병의 자택치유 사례)

  • Kim, Min-Ju
    • Journal of Naturopathy
    • /
    • v.9 no.2
    • /
    • pp.71-78
    • /
    • 2020
  • Purpose: This study was to present home-care cases of gangrene sores or prevalent diseases using fake energy salt (FES) water containing energy. Methods: The health functional foods used for disease management were FES Water. Each product was Myeongil Leaf powder, dried yeast, propolis, fermented organic calcium, and royal jelly. Changes were investigated after taking this food. Some of them were combined with hospital treatment, and most of them were experienced by patients at home while managing the affected area. Results: One patient with high fever swine flu, who was treated in a hospital, had a fever dropping to the normal range in 2 hours, and one patient with a leg fracture healed in about six weeks, and one patient had bone adhesion in 2 weeks. Patients with rhinitis recovered after taking FES, and the intraocular pressure of patients with damaged retinopathy fell from 40 mmHg to 20 mmHg after taking FES. One patient with postpartum sequelae was said to have improved their aching limbs four days, and a Covid-19 confirmed patient admitted to the hospital was discharged ten days after starting taking FES during treatment. The size of the gangrene sores in 19 subjects initially ranged from 1 to 7 cm. Most of them were alleviated or healed by continuing to manage them at home with health functional food intake and FES for two weeks to a year. Conclusions: The above results are personal experiences and health functions, such as fake energy salts. It was possible to recognize that food was helpful for health promotion, but no final medical diagnosis was made.

Management of Urinary Tract Infections in Children: A Survey of Pediatricians in Daegu City (대구지역 소아청소년과 의사들의 요로감염 관리 실태분석)

  • Lee, Sang Su;Kang, Seok Jeong;Lee, Jae Min;Cho, Min Hyun;Park, Yong Hoon
    • Childhood Kidney Diseases
    • /
    • v.16 no.2
    • /
    • pp.95-101
    • /
    • 2012
  • Purpose: Recently, many evidence-based guidelines for the management of urinary tract infection (UTI) have been developed because of the importance of proper management. However, there is a lack of data regarding how pediatricians manage UTIs in Korea. Therefore, we surveyed pediatricians to determine whether they manage UTIs in an appropriate manner. Methods: A postal questionnaire survey of 78 pediatricians practicing in Daegu city was performed. Subjects were asked about diagnosis, imaging studies, treatment, and prevention of UTIs. Results: Most of the respondents (94.8%) performed urinalysis to diagnose UTI in febrile children with an unknown fever focus. However, many preferred inaccurate collection methods, such as bagged urine collection, and did not obtain urine cultures. The most frequently performed imaging modality was renal-bladder ultrasonogram. Orally administered antibiotics were preferred unless admission was needed. After diagnosis of UTI, the pediatricians usually provided information to caregivers about the disease itself and supplementary treatment. Of the respondents, only 28.6% had their own guidelines for management of vesicoureteral reflux. Conclusion: Most pediatricians suspected UTI in febrile children with an unknown focus appropriately. Nevertheless, the fact that many pediatricians preferred inaccurate urine collection methods and did not perform sufficient imaging studies to detect associated abnormalities likely resulted in overtreatment due to false-positive diagnosis of UTI and a low probability of ruling out genitourinary anatomical problems. To improve the quality of management of UTI, pediatricians should follow scientific and evidence-based guidelines.

Suggestion of A Practical Simple Calculation Method for Safe Transportation Time after Radioactive Iodine Treatment in Patients with Thyroid Cancer (갑상선암 환자에서 방사성옥소치료 후 안전하게 이동할 수 있는 시간을 계산하기 위한 실용적인 간편계산법 제안)

  • Park, Seok-Gun
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.6
    • /
    • pp.3919-3925
    • /
    • 2015
  • When a patient with thyroid cancer is released from isolation after I-131 treatment and return to home using a vehicle, travel time should be controlled to reduce the amount of radiation to accompanying person. As the calculation of appropriate travel time is difficult, there is no patient-specific guideline until now. If we assume that there is no excretion and no physical decay during the relatively short travel time, calculation become quite simple; total radiation dose = dose rate ${\times}$ travel time. Results of this simple calculation and conventional calculation were compared using datum from 120 patients. Travel time calculated by simple method was 56% of conventional method in 0.3 m, 91% in 0.5 m and 96% in 1 m. Simple method was safe. It can be applied easily and also can be applied to the patients with hyperthyroidism treated by I-131.

Predictors on In-hospital Mortality Following In-hospital Diagnosis of Tuberculosis (결핵으로 입원한 환자의 병원내 사망과 관련된 인자)

  • Shin, Su Rin;Kim, Chang Hwan;Kim, Sung Eun;Park, Yong Bum;Lee, Jae Young;Mo, Eun Kyung;Kim, Cheol Hong;Eom, Kwang Seok;Jang, Seung Hun;Kim, Dong Gyu;Lee, Myung Gu;Jung, Ki Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.61 no.3
    • /
    • pp.233-238
    • /
    • 2006
  • Study objectives: To determine the factors associated with mortality after an in-hospital diagnosis of tuberculosis in a region with low levels of HIV coinfection. Methods: From January 2003 to December 2004, all subjects who were > 15 years of age and had received a diagnosis of tuberculosis were registered. The clinical, radiological and laboratory aspects of the patients who died (n=27) were compared with those of an age and gender matched control population(n=54). Logistic regression analyses were carried out, which included age, gender, hospital admission source, initial site of admission, dyspnea, general weakness and initial laboratory data. Results: The mean age of the patients was $60{\pm}16$ years and male patients outnumbered female patients. Univariate analysis identified hemoglobin, blood urea nitrogen, albumin, cholesterol, aspartate aminotransferase (AST), C-reactive protein and the risk factors for tuberculosis to be significantly associated with mortality. Among the characteristics of disease presentation and treatment, emergency department admission, intensive care unit, disease severity, general weakness and dyspnea at the time of admission were associated with mortality. Multiple regression analysis revealed the initial management in the intensive care unit and lower serum albumin to be independently associated with mortality. Conclusion: The markers of disease chronicity and severity appear to be associated with in-hospital mortality. Identifying potentially reversible factors such as malnutrition and respiratory failure suggests specific intervention that might lead to an improvement in the patients' outcomes.

Review of negative-pressure wound therapy (음압 창상 처치(Negative pressure wound therapy)에 대한 문헌적 고찰)

  • You, Ju Lee;Kang, Jae Kyoung
    • Journal of Medicine and Life Science
    • /
    • v.15 no.2
    • /
    • pp.56-61
    • /
    • 2018
  • Advances in medical technology has enabled better management of complicated and chronic wounds. Negative-pressure wound therapy (NPWT) is a novel dressing technique that uses negative pressure to drain exudates and blood from wounds. NPWT increases local blood flow and promotes reduction of edema and wound healing and is suitable for a variety of wounds. It is associated with few adverse effects and shows excellent efficacy and cost-effectiveness. NPWT promotes rapid growth of granulation tissue and wound contraction; thus, it is more advantageous than general dressings as it reduces the size skin of grafts or flaps required for repair, and patients with chronic wounds can be treated as outpatients. We investigated the general usage and mechanism of NPWT, its clinical applications and adverse effects.

A Clinical Study on Case 4, Hospitalized after Total Hysterectomy (자궁적출술 후 입원 관리를 한 환자 치험 4례)

  • Kim, Mi-Rim;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
    • /
    • v.27 no.4
    • /
    • pp.109-120
    • /
    • 2014
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatments on Postoperative symptoms. Methods: The patient was treated with herbal medicine, acupuncture and electronic moxibustion. The efficacy of treatment was evaluated with visual analogue scale (VAS), the degree of symptom relief and presence or absence of symptoms. Results: After hospital care with korean medicine treatments, symptoms such as fatigue, lower abdominal pain, thirst, hot flush, cold hypersensitivity of hands and feet and tinnitus were disappeared. Conclusions: To promote physical strength and reduction of fatigue, intensive hospital care with korean medicine treatment seems to be effective. After discharge, continued outpatient treatment for complications of surgery and menopausal disorder seems to contribute to quality of life and satisfaction for patient who undergoing hysterectomy.

The Influences of Customer Orientation of Service Providers on Relationship Quality and Repurchase Intentions: Applied on Health-Care Service (서비스제공자의 고객지향성이 관계 질 및 재구매의도에 미치는 영향)

  • 배병렬;이민우
    • Asia Marketing Journal
    • /
    • v.3 no.2
    • /
    • pp.21-40
    • /
    • 2001
  • 본 연구는 서비스제공자의 고객지향성이 관계 질(만족, 신뢰 및 몰입) 및 재구매의도에 어떠한 영향을 주는가를 탐색하고자 의료서비스구매자를 대상으로 실증분석한 것이다. 구체적으로 본 연구의 모델을 살펴보면 다음과 같다. 먼저 서비스제공자가 갖는 고객지향성을 최종 결과변수인 재구매의도의 선행변수로 설정하였고, 이러한 고객지향성은 관계 질인 만족, 신뢰 및 몰입을 매개하여 재구매의도에 영향을 미치는 것으로 가정하였다. 이러한 연구모형을 검증하기 위해 종합병원에 입원한 환자 267명을 대상으로 실증분석하였다. 분석결과를 정리하면 다음과 같다. 서비스제공자의 고객지향성은 서비스구매자의 만족에 영향을 주며, 이러한 만족은 신뢰 및 몰입에 영향을 주고, 또한 재구매의도에 직접적으로도 영향을 주는 것으로 나타났다. 그리고 재구매의도는 신뢰 및 만족에 의해서도 영향을 받는 것으로 나타났다. 마지막으로 본 연구애서 얻어진 결과를 토대로 관리적 시사점을 제시하였다.

  • PDF

The Effects of Anger Management Program of the Psychotic Patient : Focus on Video and Tea Gathering (분노관리 프로그램이 정신질환자의 공격성에 미치는 효과 : 동영상과 차모임을 중심으로)

  • Kim, Mi-Heyi
    • The Journal of the Korea Contents Association
    • /
    • v.19 no.11
    • /
    • pp.353-364
    • /
    • 2019
  • The purpose of this study was to investigate effect of psychotic patient after applying anger management video and tea gathering program to psychotic patient. This study was an experimental research and used nonequivalent control-group pretest-posttest design. Study subjects were 16 patients for an experimental group and 16 for a control group-32 in total- who were psychotic patients hospitalized in a closed ward in H mental hospital. The measurement variable is an aggressiveness scale, and the effect of the program was measured once after the video program and once after eight tea gathering. Data Analysis methods were real number and percentage, average and standard deviation, χ2 test, t-test, paired t-test, and Repeated measure ANOVA. The aggression of an experiment group was significantly lower than the control group(F=14.38, p< .001). Aggressive sub-item, hostility (F=8.53, p< .001), anger (F=6.10, p=.004), verbal aggression(F=7.58, p< .001), physical aggression(F=13.92, p< .001) all of tte experiment group was significantly lower than control group. Based on these results, anger management programs can be used as basic data for anger control in psychotic patient or in various groups.

Risk Factors for Primary Multidrug Resistant Tuberculosis (초회다제내성 결핵의 위험요인)

  • Min, Jinhong;Park, Keeho;Whang, Suhee;Kim, Jinhee
    • Tuberculosis and Respiratory Diseases
    • /
    • v.59 no.6
    • /
    • pp.600-605
    • /
    • 2005
  • Background : Primary multidrug-resistant tuberculosis is defined as Mycobacterium tuberculosis isolates that are resistant to at least isoniazid and rifampin in never-been-treated tuberculosis patients, and this malady is caused by the transmission of a resistant strain from one patient, who is infected with a resistant Mycobacterium tuberculosis strain, to another patient. The prevalence of primary multidrug-resistant tuberculosis could be a good indicator of the performance of tuberculosis control programs in recent years. We conducted a case-control study to identify the risk factors for primary multidrug-resistant tuberculosis. Methods : From January 1, 2001 to, June 30, 2003, by conducting prospective laboratory-based surveillance, we identified 29 hospitalized patients with P-MDRTB and these patients constituted a case group in this study. The controls were represented by all the patients with culture-confirmed drug susceptible tuberculosis who were admitted to National Masan Hospital during the same study period. The odds ratios for the patients with primary multidrug-resistant tuberculosis, as compared with those of the patients with drug susceptible tuberculosis, were calculated for each categorical variable with 95% confidence intervals. Results : Multivariate logistic regression showed that the presence of diabetes mellitus (odds ratio 2.68; 95% confidence interval, 1.05-6.86) was independently associated with having primary multidrug-resistant tuberculosis. Conclusion : This study has shown that diabetes mellitus might be one of the risk factors for primary multidrug-resistant tuberculosis.

Clinical Characteristics and Treatment Outcomes of Patients with Pulmonary tuberculosis at a Private General Hospital (한 민간종합병원에서 진단된 폐결핵 환자의 특성과 치료성적)

  • Koh, Won-Jung;Kwon, O Jung;Kim, Cheol Hong;Ahn, Young Mee;Lim, Seong Yong;Yun, Jong Wook;Hwang, Jung Hye;Suh, Gee Young;Chung, Man Pyo;Kim, Hojoong;Lee, Jung Wook;Suh, Jin Sook
    • Tuberculosis and Respiratory Diseases
    • /
    • v.55 no.2
    • /
    • pp.154-164
    • /
    • 2003
  • Background : Until the early 1990's in Korea, treatment outcomes of patients with pulmonary tuberculosis in the private sector were reported to be inferior to those of the public health center under the National Tuberculosis Programme. The purpose of this study was to analyze the clinical characteristics and the treatment efficacy of the patients with pulmonary tuberculosis recently diagnosed at a private general hospital. Materials and Methods : The study included all pulmonary tuberculosis patients diagnosed at Samsung Medical Center and notified to the public health center from August 2000 to January 2001. Results : Of the 232 patients included in the study during a 6-month period, 188 were (81.0%) initial treatment cases and 44 (19.0%) were re-treatment cases. Eighty-three (35.8%) patients had smear-positive sputa, and 27 (11.6%) had smear-negative, culture-positive sputa. Initial sputum examinations were not performed in 47 (20.3%) patients. A six-month, short-course treatment using isoniazid, rifampin, ethambutol and pyrazinamide was prescribed for 31.4% of the patients under the initial treatment. The success rate (cured plus treatment completed) of the initial treatment for the smear-positive patients was 69.1%. Eleven (13.3%) of the 83 patients with smear-positive pulmonary tuberculosis discontinued their treatment without notice. Conclusions : To improve the treatment efficacy and decrease the default rates of the patients with pulmonary tuberculosis in the private sector, further efforts are required in line with the Korean Academy of Tuberculosis and Respiratory Disease Treatment Guidelines and in the implementation of an appropriate model of public-private mix for tuberculosis control in Korea.