• Title/Summary/Keyword: 환자의 접근

Search Result 959, Processing Time 0.033 seconds

2 Case Reports on Oro-facial Dyskinesia Patients Diagnosed and Treated in Sasang Constitutional Medicine (사상의학적(四象醫學的)으로 접근한 노인성 입얼굴 이상운동증 환자 치험 2례)

  • Park, Jung-Hwan;Kim, Yoon-Ha;Go, Ga-Yeon;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
    • /
    • v.27 no.3
    • /
    • pp.366-377
    • /
    • 2015
  • Objectives This study was designed to report diagnosis and treatment by Sasang Constitutional Medicine to the patients with Oro-facial Dyskinesia. Methods These two patients were diagnosed as Soyangin and Taeeumin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS). Result Oro-facial Dyskinesia was almost disappeared in each patients. the one patient was cured with Chongshimyeonja-tang and Yuldahanso-tang, and the other was cured with Hyeungbangjihwang-tang. Conclusion We can treat Oro-facial Dyskinesia whose cause is mostly idiopathic with the diagnosis and treatment of Sasang Constitutional Medicine.

Removal of Odontogenic Keratinocyst using Versatile Maxillary Window in BCNS (기저세포암 증후군 환자에서 상악동 창과 골편이식을 이용한 치성각화 낭종의 제거 치험례: 접근의 용이성 및 재건의 의미)

  • Moon, Min-Seon;Lee, Hye-Kyung;Jeong, Hii-Sun;Song, Ji-Sun
    • Archives of Plastic Surgery
    • /
    • v.37 no.6
    • /
    • pp.819-822
    • /
    • 2010
  • Purpose: Basal cell nevus syndrome (BCNS), also known as Gorlin syndrome, is a rare autosomal dominant disorder. It is characterized by complex neoplastic syndrome with multisystemic manifestations, involving six major features. This article presents a rare genetic disorder and usage of the author's methods for odontogenic keratocyst, developed in the maxillary sinus. Methods: A 67-year-old man was presented with large calcified maxillary mass and multisystemic manifestations and findings that matched with basal cell nevus syndrome. The calcified maxillary mass was removed via the versatile maxillary window and maxillary bone segment was repositioned. Results: Histopathologic findings revealed that maxillary and mandibular lesions were odontogenic keratocysts and the skin lesions were basal cell carcinoma. Conclusion: Basal cell nevus syndrome is a rare genetic disease that requires surveillance and care for basal cell carcinoma and multisystemic problems. The author's method was satisfactory for maxillary odontogenic keratocyst in the aspect of the approach and reconstruction.

Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea (자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재)

  • Kwon, Shin-Young;Cho, Seong-Jin
    • Journal of Hospice and Palliative Care
    • /
    • v.6 no.1
    • /
    • pp.58-64
    • /
    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

  • PDF

Clinical Approach of Chukyu Pharmacopuncture and Brainspotting Through a Traffic Accident Patient Case (교통사고 환자 증례를 통한 척유약침과 Brainspotting의 임상적 접근)

  • Lee, Do-Eun;Ha, Ji-Su;Park, Hyun-Mee;Youn, In-Ae;Seo, Joo-Hee
    • Journal of Oriental Neuropsychiatry
    • /
    • v.32 no.3
    • /
    • pp.261-273
    • /
    • 2021
  • The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.

Physiotherapy Approach to Patients with Chronic Plantar Fasciitis : Comparison of the Effects of Specific Stretching Exercise and High-Load Strengthening Exercise (만성 발바닥 근막염 환자에 대한 물리치료적 접근법: 특이적 뻗침운동과 고부하 강화 운동의 효과 비교)

  • Choo, Yeon-Ki;Bae, Won-Sik
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.9 no.1
    • /
    • pp.151-161
    • /
    • 2021
  • Purpose : This study was to investigate the effectiveness of ESWT and plantar fascia-specific stretching exercise vs ESWT and high-load strengthening exercise in patients with chronic plantar fasciitis. Methods : The subjects were randomized to extracorporeal shock wave therapy ( ESWT, for 3 weeks) and daily plantar-specific stretching (Group I: Stretch group) or ESWT and high-load progressive strength (Group II: Strength group) performed every second day. The main outcome measures were ultrasound, visual analogue scale (VAS), and Korean Foot Function Index (KFFI). The ultrasound (plantar fascia thickness), pain intensity I, II (the most painful of the day?, the pain when you first step in the morning?) and KFFI (functional performance) were compared between the groups. Results : No significant difference was observed between the groups in the plantar fascia thickness but pain intensity I, II was significantly lower in Group 2 than in Group 1 at only 12weeks and functional performance was also significantly increased in Group 2 compared to Group 1 at only 12 weeks. Conclusion : The high-load strengthening exercise consisting of the progressive exercise protocol, resulted in superior after 12 weeks compared with plantar-specific stretching. High-load strength exercise may aid in a quicker reduction in pain and improvements in functional performance.

Mining Association Rules From Medical Records (연관규칙을 이용한 의료데이터 마이닝)

  • Lim, Junho;Joh, Taewon;Kang, Jaewoo
    • Annual Conference of KIPS
    • /
    • 2010.11a
    • /
    • pp.193-196
    • /
    • 2010
  • 정보화 시대를 거치면서 모든 산업분야에서 대량의 데이터가 생성되고 관리되고 있다. 최근에는 비즈니스 환경의 변화로 인하여 의사결정을 지원할 수 있는 고급 정보에 대한 필요성이 대두되었으며 IT 기술의 발전과 더불어 데이터마이닝에 대한 많은 연구가 활발히 이루어졌다. 데이터마이닝은 금융, 정부, 제조, 유통 등 다양한 분야에서 활용되고 있다. 한편 의료데이터는 다른 산업분야의 데이터와 구별되는 특징이 있는데, 데이터의 이질성과 복잡성, 부정확성과 오류가능성, 불완전성과 윤리 및 법적인 문제, 개인정보보호, 특징 선택의 제한, 모델의 투명성과 설명력에 대한 높은 요구도 등이 그것이다. 이와 같은 이유로 의료데이터에 대한 접근은 제한적일 수 밖에 없다. 그럼에도 병원 전산화를 통해 발생하는 의료데이터의 양은 기하급수적으로 증가하고 있으며, 임상정보를 포함하는 의료데이터는 데이터 자체로도 가치가 매우 크다. 이에 본 논문은 국내 제 3차 의료기관의 2년간 내원환자에 대한 진단데이터를 사용하여 데이터마이닝의 연관법칙을 이용, 상병간의 관계를 연구하고자 하였다. 이를 통해 잠재고객에게는 객관화된 의료지표를 제공하고, 의료기관은 예측 가능한 정보를 종합의료시스템에 활용하여 고객만족도를 높이는 효과를 볼 수 있을 것으로 사료된다.

Theory of Mind in Old Age: A Review from a Neurocognitive Perspective (노년기의 마음이론: 신경인지적 접근)

  • Park, Min
    • 한국노년학
    • /
    • v.30 no.3
    • /
    • pp.743-757
    • /
    • 2010
  • Theory of mind (ToM) is the ability to infer one's own and other people's mental states such as beliefs, desires, and intentions. Although the majority of research in ToM has focused on young children or autistic individuals, several studies have investigated ToM in normal old age and in the demented elderly. This article provides an overview on existent findings of theory of mind in aging populations and suggests future directions for research including applying neuroimaging techniques and real-life tasks. It is still unclear how ToM in aging is associated with other aspects of cognition. However, it is expected that ToM perspective on aging will increase our understanding of aging of cognition and social functioning.

Development of Dementia Service with VR (VR 치매서비스 개발)

  • Han, Jeong-won;Han, Jeong-Ah
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2022.10a
    • /
    • pp.517-519
    • /
    • 2022
  • VR based dementia service is emerged as elderly population is increasing with potential welfare cost. Current Dementia Center cannot solve the complicated problems, including limited size, case management, medical support, medical cost and care cost, and the lack preventive environment. VR based dementia service is suggested from three reasons: First, VR shows easy access and convenience; Second, development of cognitive health is easy and fun; Third, Predictive way of cognitive decline can be possible with Big Data.

  • PDF

Development of ChatGPT-based Medical Text Augmentation Tool for Synthetic Text Generation (합성 텍스트 생성을 위한 ChatGPT 기반 의료 텍스트 증강 도구 개발)

  • Jin-Woo Kong;Gi-Youn Kim;Yu-Seop Kim;Byoung-Doo Oh
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2023.07a
    • /
    • pp.3-4
    • /
    • 2023
  • 자연어처리는 수많은 정보가 수집된 전자의무기록의 비정형 데이터에서 유의미한 정보나 패턴 등을 추출해 의료진의 의사결정을 지원하고, 환자에게 더 나은 진단이나 치료 등을 지원할 수 있어 큰 잠재력을 가지고 있다. 그러나 전자의무기록은 개인정보와 같은 민감한 정보가 다수 포함되어 있어 접근하기 어렵고, 이로 인해 충분한 양의 데이터를 확보하기 어렵다. 따라서 본 논문에서는 신뢰할 수 있는 의료 합성 텍스트를 생성하기 위해 ChatGPT 기반 의료 텍스트 증강 도구를 개발하였다. 이는 사용자가 입력한 실제 의료 텍스트로 의료 합성 데이터를 생성한다. 이를 위해, 적합한 프롬프트와 의료 텍스트에 대한 전처리 방법을 탐색하였다. ChatGPT 기반 의료 텍스트 증강 도구는 입력 텍스트의 핵심 키워드를 잘 유지하였고, 사실에 기반한 의료 합성 텍스트를 생성할 수 있다는 것을 확인할 수 있었다.

  • PDF

How to close diastema : 4 different techniques with composite resin (다이아스테마 해결을 위한 몇가지 테크닉에 대한 고찰)

  • Changhoon Lee
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.32 no.2
    • /
    • pp.69-75
    • /
    • 2023
  • Diastema often does not cause functional problems, but it is not without aesthetic issues. It is considered a serious aesthetic flaw by many patients. Traditional orthodontic and prosthetic treatments have been the mainstream treatment, but there has been an increasing demand for treatment using composite resin. Even though anterior teeth are relatively easy to access and have good visibility, many dentists do not prefer resin-based treatments because they are more complicated and time-consuming than expected. In this article, we will examine four techniques for addressing diastema and discuss their advantages and disadvantages.