• Title/Summary/Keyword: 환자 선호도

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Survey of Clothing Behavior for Breast Cancer Women After Surgery: Comparison Between a Breast-Conserving Surgery Group and a Mastectomy Group (유방암 수술 후 유방 암 여성 환자의 의생활 조사: 유방 보존술과 유방 전절제술을 받은 대상자간의 비교)

  • Oh, Hee-Kyoung
    • Science of Emotion and Sensibility
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    • v.19 no.1
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    • pp.49-60
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    • 2016
  • This study examines the similarities and differences in the clothing habits between a breast-conserving surgery group (68 patients) and a mastectomy group (45 patients). In common, both parties expressed that they did not want to conspicuously display their altered body shape from the surgical procedure, and they also confirmed that they did not want to be treated as breast cancer patients by others. On the other hand, a mastectomy group significantly preferred clothes, bras and breast prostheses which enhance the body silhouette in comparison to the patients who received breast-conserving surgery. However, the patients who received breast mastectomies reported that the bras and breast prostheses available have been expensive with low emotional satisfaction, calling for particular need in specialized clothing for female patients who undergo breast surgery. Hence, this research to further the development of clothes, bras and breast prostheses for Korean women who must undergo breast surgery would be effective in helping to improve body image and quality of life in these women.

Surgical Resection of a Posterior Mediastinal Tumor That Was Previously Treated with Aortic Stent-graft under the Misdiagnosis of Aortic Aneurysm -A case report- (대동맥류로 오인되어 스텐트 그라프트가 삽입되었던 후종격동 육종의 수술 치험 -1예 보고-)

  • Kim, Mi-Jung;Park, Kay-Hyun;Lim, Cheong;Chung, Eui-Suk;Lee, Hae-Young;Choi, Jin-Ho
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.546-549
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    • 2010
  • A 70-year-old man was transferred to our center due to severe epigastric and back pain with the impression of a ruptured thoracic aortic aneurysm. Six months previously, he had undergone insertion of stent graft into the descending thoracic aorta at another hospital. The findings of the computed tomographic scan suggested a rapidly growing malignant mediastinal tumor rather than a ruptured aneurysm. Exploratory thoracotomy confirmed the diagnosis and the tumor was resected along with the portion of the aorta contained in it. This exemplary case should raise the concern against overzealous application of endovascular aortic repair.

Conservative Surgical Treatment of Keratocystic Odontogenic Tumor : A Case Report (각화낭성 치성 종양의 보존적 외과적 치료 : 증례보고)

  • Shin, Seyoung;Yang, Yeonmi;Kim, Jaegon;Baik, Byeongju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.4
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    • pp.328-334
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    • 2013
  • The keratocystic odontogenic tumor (KCOT) is a unique cyst because of its locally aggressive behavior, high recurrence rate and characteristic histological appearance. Various options are available for treatment. While some clinicians advocate aggressive forms of dental treatment, others prefer more conservative therapy. In this study, two types of conservative surgical procedures were performed to treat the tumor; marsupialization and cyst enucleation. The patients showed healing process on conservative surgical treatment and teeth erupted without recurrence. Conservative surgical treatment can be an effective treatment option for young children because of their efforts to preserve teeth and other anatomical structures.

Injury of the Medial Rectus Muscle by Using a Microdebrider During Endoscopic Sinus Surgery: A Case Report

  • Choi, Yoon-Seok;Bai, Chang-Hoon;Song, Si-Youn;Kim, Yong-Dae
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.240-246
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    • 2006
  • A microdebrider is increasingly used in endoscopic sinus surgery. Although it has many advantages over conventional instruments, it has been associated with severe complications. We treated a case of rupture of the left medial rectus muscle after use of a microdebrider during endoscopic sinus surgery in a 50 year-old female patient who complained of binocular diplopia and exotropia. The patient showed marked limitation on adduction and about 40 prism diopters of left exodeviation. The orbital computed tomography showed a bony defect at the left medial orbital wall, and injury of the medial rectus muscle. The exodeviation was corrected after ophthalmologic surgery. We report a case of the rupture of the medial rectus muscle after use of a microdebrider during endoscopic sinus surgery and review the medical literature.

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Evaluation of Photoneutron by Hypofractionated Radiotherapy (소분할 방사선치료 방식에 따른 광중성자 평가)

  • Park, Eun-Tae;Lee, Deuk-Hee;Kang, Se-Sik
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.347-354
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    • 2015
  • Hypofractionated radiotherapy prescribes high dose once. Due to this there's a bad point that patients are exposed much dose in normal organ. But recently the study making up for a limit is continuing. Cause of preference of this kind of development of therapy technic and high-energy photon beam, patients can be exposed to additional radiation. Because photoneutron is created by photonuclear reaction. So, in this study I measured photoneutron and analyzed by DVH amounts of radiation from the treatment plan that was used to acute, metastatic pelvis cancer patients who was treated by hypofractionated radiotherapy applied IMRT. As a result, incidence of photoneutron based on the hypofractionated radiotherapy was not a big difference in proportion to the dose fractionation. Protective effects of normal organ by hypofractionated radiotherapy applying IMRT is relatively high compared to 3D CRT but also photoneutron was in created. So a proper treatment plan and a best therapy should be considerated.

Reconstruction of Myocardial Current Distribution Using Magnetocardiogram and its Clinical Use (심자도를 이용한 심근 전류분포 복원과 임상적 응용)

  • 권혁찬;정용석;이용호;김진목;김기웅;김기영;박기락;배장호
    • Journal of Biomedical Engineering Research
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    • v.24 no.5
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    • pp.459-464
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    • 2003
  • The source current distribution in a heart was reconstructed from the magnetocardiogram (MCG) and its clinical usefulness was demonstrated. MCG was measured using 40-channel superconducting quantum interference device (SQUID) gradiometers for a patient of Wolff-Parkinson-White (WPW) syndrome, which has an accessory pathway between the atria and the ventricles. Reconstruction of source current distribution in a plane below the chest surface was performed using minimum norm estimation (MNE) algorithm and truncated singular value decomposition (SVD), In the simulation, we confirmed that the current distributions. which were computed for the test dipoles, represented well the essential feature of the test current configurations, In the current map of WPW syndrome, we observed abnormal currents that would bypass the atrioventricular junction at a delta wave. However, we could not observe such currents any more after the surgery. These results showed that the obtained current distribution using MCG signals is consistent with the electrical activity in a heart and has clinical usefulness.

Effects of Preferred Music Intervention on Anxiety, Vital Signs and Blood Sugar of Surgical Patients Undergoing Operation Using Spinal Anesthesia (환자 선호도를 고려한 음악중재가 척추 마취 환자의 수술 중 불안, 활력 징후 및 혈당에 미치는 영향)

  • Jung, Hyang-Mi;Park, Mal-Young;Lee, Su-Jin;Kim, Nam-Hee
    • Journal of East-West Nursing Research
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    • v.20 no.1
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    • pp.9-20
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    • 2014
  • Purpose: The purpose of this research was to examine the effects of preferred music intervention on anxiety, vital signs and blood sugar of surgical patients undergoing spinal anesthesia. Methods: A quasi-experimental research with non-equivalent control group non-synchronized design was carried out. Subjects consisted of 40 patients (experimental group 20, control group 20) who were scheduled to undergo surgery with spinal anesthesia. During the operation, music individual patients preferred was provided to the experimental group. The data were collected from July 4 to November 10, 2011 and analyzed with descriptive statistics, t-test, chi-square test, ANCOVA and repeated measured ANCOVA using SAS (ver 9.2). Results: 1) Patient anxiety during the operation of the experimental group was significantly lower than the control group (F=93.77, p<.001). 2) There was no significant difference in diastolic blood pressure (F=.00, p=.979), Systolic blood pressure (F=.19, p=.668), heart rate (F=.00, p=.955), and blood sugar (F=.73, p=.399) between the experimental group and the control group. Conclusion: Letting patients hear their preferred music during surgery is an effective nursing intervention to relieve anxiety of patients undergoing surgery with spinal anesthesia.

The Convergence Effect of Task-Oriented Training and Vibration Stimulation, Transcranial Direct Current Stimulation to Improve Upper Limb Function in Stroke (뇌졸중 환자의 상지기능 개선을 위한 과제 지향적 훈련과 진동 자극, 경두개 직류 전류 자극의 융합 효과)

  • Kim, Sun-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.31-37
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    • 2020
  • The purpose of this study was to investigate the Effect of transcranial direct current stimulation convergence task-oriented training combined with vibration stimulation on hand dexterity and upper limb function in stroke patients. One time 30 minutes 5 times a week for 4 weeks. experimental group of transcranial direct current stimulation convergence task-oriented training combined with vibration stimulation and control group of the task-oriented training combined with vibration stimulation were divided into 10 members. Hand dexterity and upper limb recovery were measured. The experimental group and the control group showed significant improvement in hand dexterity and grasping(p<.05), grasping, and gross movement(p<.05). The experimental group showed a significant improvement in hand dexterity and grasp and grip than the control group. Effect size showed more than small effect in all evaluation items. Based on the results of this study, it is considered that more effective and efficient rehabilitation treatment can be performed in the clinic.

Characteristics of Spatial Environment in Psychiatric Wards through the Analysis by Patient's Preferred Healing Environment in Observational Ward Structure Dividing Staff Area and Patient Area (정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구)

  • Joo, Yongsun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.2
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    • pp.57-64
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    • 2021
  • Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

Efficiency of modified ramped position during the endotracheal intubation (기관내삽관 시 수정된 경사면자세의 효율성)

  • Jung, Sooyeon;Jung, Jun-Ho;Yun, Seong-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.306-308
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    • 2022
  • The purpose of this study is to compare and analyze the sniffing position and the modified ramped position, which was created by using a specially designed instrument, to improve the performance of advanced airway management during endotracheal intubation. The study included 30 students from the Department of Emergency technology, N University, who had completed advanced cardiac life support and advanced airway management. The randomized crossover study was conducted with the students who were randomly assigned into two groups; Sniffing position and Modified ramped position. As a result of the study, the modified ramped position showed better glottal vision than the sniffing posture, and there was a significant difference in speed time. In the subject's subjective ease, confidence, and preference, the modified ramped position showed better results than the sniffing posture. Therefore, it is considered that modified ramped position during endotracheal intubation will help improve the performance of advanced airway management.

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