• Title/Summary/Keyword: 장기 환자

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Development of Automatic Analysis of Biological signals for u-Health Care Services (u-Health Care 서비스를 위한 환자의 생체신호 자동 분석 및 시스템 구현)

  • Shin, Dong-Min;Shin, Dong-Kyoo;Shin, Dong-Il
    • Proceedings of the Korean Information Science Society Conference
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    • 2012.06a
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    • pp.319-321
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    • 2012
  • u-Health Care 시스템은 장기요양 환자 및 만성질환 보유자에게 의료비 절감 및 수준 높은 의료서비스를 제공 할 수 있는 방안이다. 이러한 의료 서비스를 제공하기 위해 필요한 구성으로 본 논문에선 생체신호 취득 단말기, 신호를 전송하는 스마트폰, 신호를 분석해 환자의 건강 기저선을 분석 할 수 있는 서버로 나뉠 수 있다. 본 논문에서는 이러한 환자에게서 체온, 혈압, 혈당, 산소포화도, 맥박, 심전도, 근전도에 해당하는 생체신호를 수집하는 u-Health Care 시스템을 구성하고 환자의 생체신호를 숫자형 데이터, 심전도, 근전도로 분류해 환자의 생체신호를 분석, 건강이상 상태를 파악하는 자동 분석 시스템을 구현 하였다.

생명 연장의 신기원 간이식

  • 한국간협회
    • 간의등불
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    • s.18
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    • pp.16-23
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    • 2001
  • 치료 불가능한 말기 간질환 환자에게 새로운 간을 심어주는 수술을 하여 생명을 구하고 더 나은 삶을 누릴 수 있게 하는 간 이식에 대하여 알아본다. 아울러 한국 장기 이식의 현주소와 그 미래, 산 자와 죽은 자에 대한 보고서이기도 한 간 이식은 의학의 차원을 넘어 생명의 존재 가치에 대한 진지한 질문을 던져줄 것이다.

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Roles of Primary Health Care Facilities for AIDS Control (AIDS관리를 위한 일선보건의료기관의 역할)

  • 최성엽
    • Korean Journal of Health Education and Promotion
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    • v.5 no.1
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    • pp.21-24
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    • 1988
  • 1. 보건소와 관리 중심 기관의 기능상의 직결이 필요하다. 2. 환자 및 양성자의 자발적 피관리 참여를 유도한다. 3. 일차 계획적인 전문진료 기관의 선정 및 그에 관한 국가 보조가 요망된다. 4. 현실적이고 장기적인 국민에 대한 에이즈 보건 교육 및 홍보가 필요하다. 5. 에이즈 관리에 관련된 실무 근무자들의 실무 교육이 필요하다. 6. 에이즈에 관련된 과학적 연구의 향상을 위한 적극적이고 장기적인 후원이 필요하다.

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Secondary Esophageal Reconstruction for Esophageal Atresia (식도 폐쇄증 환자에서 치험한 2차 식도 재건술)

  • Sa, Young-Jo;Park, Jae-Kil;Jeon, Hae-Myung;Moon, Young-Kyu;Sim, Sung-Bo;Lee, Sun-Hee
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.671-674
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    • 2008
  • Jejunum and fasciocutaneous and myocutaneous flaps are theoretically recommended as esophageal substitutes in reconstruction of the esophagus after several occurrences of failed reconstruction. However, other esophageal substitutes should also be considered. Secondary esophageal reconstruction was successfully performed on a 24-year-old woman who had a history of cervical, thoracic, and abdominal operations and esophageal stricture secondary to several failed reconstructions for esophageal atresia and tracheo-esophageal fistula 21 years prior. The esophageal reconstruction was done subcutaneously by end-to-side anastomosis at the left cervical area using a deformed stomach graft. The patient was discharged with the ability to consume a regular diet after the operation.

Characteristics of Physiological Variables(EDR, EMG) in Biofeedback Treatment (바이오피이드백 치료에서 나타나는 신체변수(EDR, EMG)의 특성)

  • Seo, Man-Kil;Han, Woo-Sang;Lee, Kyung-Kyu;Yu, Bum-Hee;Lee, Yu-Ri;Kim, E-Yong;Kim, Hyun-Woo
    • Sleep Medicine and Psychophysiology
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    • v.6 no.1
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    • pp.38-45
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    • 1999
  • Objectives: We explored the characteristics of physiological variables such as electrodermal response(EDR) and electromyography(EMG) in patients with insomnia, panic disorder, and other anxiety disorders. we aimed to decide the minimum sessions in biofeedback treatment to make the treatment effective and examine the effects of long-term biofeedback treatment by measuring the physiological variables. Methods: Thirty seven outpatients who received biofeedback treatment were divided into 3 groups according to the number of biofeedback sessions(patients who received 4-5 sessions, who received 6-9 sessions, and who received more than 10 sessions). We measured mean and delta values of EDR and EMG levels, and the Hamilton Anxiety Rating Scale(HARS), and Slef-Relaxation Inventory(SRI) in all patients. Data were analyzed by t-test and repeated measures analysis of variance. Results: The mean and delta values of EDR and EMG levels were not different among the 3 groups during the first 4 biofeedback sessions. However, patients who received more than 10 biofeedback sessions had higher baseline mean EDR value(F=2.233, p=0.036) in the first session, compared with other patients. In patients who received more than 10 biofeedback sessions, mean EDR was significantly reduced after $5^{th}$ session(F=10.41, p<0.01). They showed significant improvement in SRI scores at 12th biofeedback session(t=2.726, p<0.05) and in HARS scores at $6^{th}$(t=3.10, p<0.05) and $12^{th}$ biofeedback session(t=10.93, p<0.001). Conclusions: Wesuggest that patients should receive more than 5 biofeedback sessions to experience internal cues and get a good clinical response to biofeedback treatment.

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Long Term Experience of Mitral Valve Replacement (승모판치환수술의 장기 임상성적)

  • 조용길;류지윤
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1102-1110
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    • 1996
  • Between Oct. 1985 and July 1995, 230 patients underwent mitral valve replacement. There were 77 men and 153 women whose mean age was 35.7 years, range 9 to 62 The concomitant operations were 40 aortic valve replacements(17.4%), 25 tricuspid annuloplasties(10.4%), 8 aortic valve replacements & tricuspid annuloplasties(3.5%), 2 tricuspid valve replacements(0.9%) and others, We used 139 mechanical (76 51. Jude medical, 33 CarboMedics, 30 Sorin) and 91 tissue 386 Carpentier-Edwards, 5 lonescu-Shiley) valves. The early postoperative complications occurred in 28 cases. There were 8 low cardiac output syndrome, 5 pleural effusion, 3 significant arrhythmia, 2 cardiac rupture and others. There were 6 early hospital deaths (2.6%) due to low cardiac output syndrome(2), arrhythmia(2) and ventricul r rupture(2). The cuAmulative notal follow-up period was 764. 4 patient-years with a mean of 4).9 months. The long term follow-up information was available for 212 patients(94.6%). There were 21 cases of valve-related complications. Prosthetic valve failure(10), anti-coagulation related bleeding (5), prosthetic valve endocarditis (4), and thromboembolism (2) occurred at rates of 1.3, 0.7, 0.5, and 0.3%Ipt-yr respectively. Late death occurred In 5 cases (0.7%/pt-yr) associated with prosthetic valve endocarditis (2), heart failure (2) and anti-coagulation related bleeding (1). There was no difference in the rate of freedom from prosthetic valve failure between the mechanical and tissue valve group at 6 years (100%), but there was significant difference at 9 years between the tissue (34.4%) and mechanical valve (100%) group (p=0.032). Actuarial survival rates were 98. 8% in tissue valve. 9).7% in mechanical valve group and 96.6% in total patients at 9 years.

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