• Title/Summary/Keyword: Appropriate Hospital

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Diagnosis and treatment of calcific tendinitis of the shoulder

  • Kim, Min-Su;Kim, In-Woo;Lee, Sanghyeon;Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.23 no.4
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    • pp.203-209
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    • 2020
  • Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%-20% are asymptomatic, and 35%-45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

Optimum Angle of Incidence for General Anteroposterior Radiographic Image According to Lordosis angle : For Obese People

  • Kwak, Jong Hyeok;Kim, Gyeong Rip;Cho, Hee Jung;Moon, Sung Jin;Lee, Eun Sook;Sung, Soon Ki
    • International Journal of Contents
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    • v.17 no.1
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    • pp.18-26
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    • 2021
  • The obesity leads to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis. In this study, we will present an appropriate angle of incidence for obese people to reduce the image distortion of L4, L5 during a general anteroposterior radiography examination. To reduce image distortion according to the change of lordosis, the angle of incidence was applied 9 ° and 21 ° to L4 and L5 vertebra body when obesity and low back pain (LBP) perform the general anteroposterior radiography examination.

Multiparametric Functional Magnetic Resonance Imaging for Evaluating Renal Allograft Injury

  • Yuan Meng Yu;Qian Qian Ni;Zhen Jane Wang;Meng Lin Chen;Long Jiang Zhang
    • Korean Journal of Radiology
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    • v.20 no.6
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    • pp.894-908
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    • 2019
  • Kidney transplantation is the treatment of choice for patients with end-stage renal disease, as it extends survival and increases quality of life in these patients. However, chronic allograft injury continues to be a major problem, and leads to eventual graft loss. Early detection of allograft injury is essential for guiding appropriate intervention to delay or prevent irreversible damage. Several advanced MRI techniques can offer some important information regarding functional changes such as perfusion, diffusion, structural complexity, as well as oxygenation and fibrosis. This review highlights the potential of multiparametric MRI for noninvasive and comprehensive assessment of renal allograft injury.

Posttraumatic Delayed Vertebral Collapse : Kummell's Disease

  • Lim, Jeongwook;Choi, Seung-Won;Youm, Jin-Young;Kwon, Hyon-Jo;Kim, Seon-Hwan;Koh, Hyeon-Song
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.1-9
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    • 2018
  • Posttraumatic delayed vertebral collapse, known as Kummell's disease, is increasing in number of patients. This disease is already progressive kyphosis due to vertebral collapse at the time of diagnosis and it causes intractable pain or neurologic deficit due to intravertebral instability. Treatment is very difficult after progression of the disease, and the range of treatment, in hospital day, and cost of treatment are both increased. Clinical features, pathogenesis and radiologic findings of these disease groups were reviewed to determine risk factors for delayed vertebral collapse. The purpose of this article is to suggest appropriate treatment before vertebral collapse for patients with osteoporotic vertebral compression fracture who have risk factors for posttraumatic delayed vertebral collapse.

Sialolithotomy of the submandibular duct using sialendoscopy

  • Lee, Dong-Keon;Kim, Euy-Hyun;Kim, Chang-Woo;Kang, Mong-Hun;Song, In-Seok;Jun, Sang-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.24.1-24.5
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    • 2019
  • Background: Conventionally, indirect radiography has been used to diagnose salivary gland diseases. However, with the development of sialendoscopy, diagnosis and treatment of salivary gland diseases have become more effective. Herein, we report a case of sialolithotomy treated with sialendoscopy and compare it with the existing methods through a literature review. Case presentation: Two patients with a foreign body sensation under the tongue and dry mouth visited the Anam Hospital, Korea University. Radiographic examination revealed salivary stones inside the right Wharton duct, and the patients underwent sialolithotomy under local or general anaesthesia. The stones were totally removed, and there were no postoperative complications such as bleeding or pain. Conclusion: The development of sialendoscopy has enabled better definitive diagnosis of salivary gland diseases compared with the conventional methods; better treatment outcomes can be obtained when sialendoscopy is used in appropriate cases.

A Rare Presentation of Metastasis of Prostate Adenocarcinoma to the Stomach and Rectum

  • Soe, Aye Min;Bordia, Sonal;Xiao, Philip Q.;Lopez-Morra, Hernan;Tejada, Juan;Atluri, Sreedevi;Krishnaiah, Mahesh
    • Journal of Gastric Cancer
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    • v.14 no.4
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    • pp.271-274
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    • 2014
  • Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old African-American man with a history of prostate cancer presented with anemia. He reported the passing of dark colored stools but denied hematemesis or hematochezia. Colonoscopy revealed circumferential nodularity, and histology demonstrated metastatic carcinoma of the prostate. Esophagogastroduodenoscopy showed hypertrophic folds in the gastric fundus, and microscopic examination revealed tumor cells positive for prostate-specific antigen. Bone scanning and computed tomography of the abdomen and pelvis did not show metastasis. It is crucial to distinguish primary gastrointestinal cancer from metastatic lesions, especially in patients with a history of cancer at another site, for appropriate management.

Masticator space abscess in a 47-day-old infant

  • Kim, Eun-Hee;Jeon, Ju-Hee;Shim, Yoon-Hee;Lee, Kyu-Seok;Kim, So-Young;Kim, Eun-Ryoung
    • Clinical and Experimental Pediatrics
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    • v.54 no.8
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    • pp.350-353
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    • 2011
  • A 47-day-old male infant presented with fever, poor oral intake, irritability, and right-sided bluish buccal swelling. Contrast-enhanced computed tomography of the neck showed a round mass lesion of about $2.0{\times}1.5cm$ that suggested abscess formation in the right masticator space. Ultrasound-guided extraoral aspiration of the abscess at the right masseter muscle was successful. Staphylococcus aureus was identified in the culture from the aspirated pus and blood. Appropriate antibiotics were given and the patient recovered. The patient underwent follow-up ultrasonography that showed an improved state of the previously observed right masseter muscle swelling at about 1 month after hospital discharge. A masticator space abscess usually originates from an odontogenic infection in adults. We report a case of masticator space abscess in a 47-day-old infant in whom septicemia without odontogenic infection was suspected.

A Comparative Study on Nursing Practice Environment, Professionalism, and Job Satisfaction according to Hospital Size (병원규모에 따른 간호사의 간호업무환경, 전문직업성과 직무만족의 비교)

  • Lee, Mi Hye;Kim, Jong Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.470-479
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    • 2013
  • Purpose: This study was conducted to investigate and compare the characteristics and relations of nursing practice environment, professionalism and job satisfaction among nurses in general hospitals according to hospital size. Methods: The participants included 314 staff and charge nurses who were working in the general medical/surgical nursing units in one large hospital, three medium sized hospitals, and four small hospitals. Data collected through using self-report questionnaire were analyzed using the SPSS and SAS statistical programs. Results: Nursing practice environment and job satisfaction had significant differences according to hospital size. Both of these scales were highest for medium hospitals and lowest for small hospitals. For all hospital sizes there were positive correlations between each of the variables. Multiple regression analysis showed that both nursing practice environment and job satisfaction were affected by hospital size, but professionalism was not. Conclusion: The results of this study indicate that nursing practice environment and job satisfaction vary with the size of the hospital. Therefore, further study is necessary to identify the work environment variables of nurses for performance management and to implement appropriate policies.

A Comparative Study of a Domestic and Foreign Green Architecture Evaluation Items for a Green Performance Enhancement of Hospital Architecture (병원건축의 친환경 성능 향상을 위한 국내외 친환경 건축물 평가항목의 비교 연구)

  • Lee, Ho-Sung
    • Korean Institute of Interior Design Journal
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    • v.18 no.1
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    • pp.99-107
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    • 2009
  • In order to prepare future green hospital architecture authentication system, this study is a comparative year report to Korean, the United States, Japanese, British, Canadian and Australian green building authentication systems. Also, the United States and Australian Green hospital authentication systems were examined, and the authentication items of hospitals were compared with those of civil architecture. Though the examination and analysis, the portion of indoor environmental quality section commonly shows the average of 20.7 percent in all 6 countries. Especially, IAQ(Indoor Air Quality) among inside IEQ(Indoor Environment Quality) is overwhelmingly much treated in Korea, the U.S.A, Canada and Australia. In Japan, heat, light and sound are the important factors for authentication evaluation, while in the U.K light are more emphasized for the authentication. 'LEED for Healthcare' as a hospital evaluation authentication system subdivided currently most. The system includes the detailed and extensive evaluation items ranging from hospital management, traffic, emission, water resources utilization to integrated design and furnishing. These overseas systems should be carefully investigated, researched and analyzed for an appropriate improvement of domestic green hospital authentication system. Also the current evaluation method of IEQ section of Korean GBCC needs to be modified. That's why the method puts too much importance on IAQ in IEQ section.

Standardized Imaging and Reporting for Thyroid Ultrasound: Korean Society of Thyroid Radiology Consensus Statement and Recommendation

  • Min Kyoung Lee;Dong Gyu Na;Leehi Joo;Ji Ye Lee;Eun Ju Ha;Ji-Hoon Kim;So Lyung Jung;Jung Hwan Baek
    • Korean Journal of Radiology
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    • v.24 no.1
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    • pp.22-30
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    • 2023
  • Ultrasonography (US) is a primary imaging modality for diagnosing nodular thyroid disease and has an essential role in identifying the most appropriate management strategy for patients with nodular thyroid disease. Standardized imaging techniques and reporting formats for thyroid US are necessary. For this purpose, the Korean Society of Thyroid Radiology (KSThR) organized a task force in June 2021 and developed recommendations for standardized imaging technique and reporting format, based on the 2021 KSThR consensus statement and recommendations for US-based diagnosis and management of thyroid nodules. The goal was to achieve an expert consensus applicable to clinical practice.