• Title/Summary/Keyword: Appropriate Hospital

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The Clinical Nurses' Knowledge, Attitudes, and Performance on Incontinence Associated Dermatitis (임상간호사의 실금 관련피부염에 대한 지식, 태도 및 수행 정도)

  • Kim, Jung Yoon;Dong, Cha Bun;Lee, Yun Jin;Ju, Myoung Jean
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.114-124
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    • 2024
  • Purpose: Incontinence-associated dermatitis (IAD) is widespread and a common problem in healthcare settings, It is defined as irritation of the perineal skin due to contact with urine, feces, or both. It is one of the major risk factors for the development of pressure injuries are regarded as a quality indicator of nursing care. It is important to understand the knowledge and attitudes of nurses who are primarily responsible for providing appropriate nursing care that includes differentiation of IAD from other skin breakdowns, and appropriate management. Therefore, the purpose of this study was to determine the knowledge, attitudes, and performance of IAD among clinical nurses in Korea. Methods: Data about IAD knowledge, attitudes, and performance were collected from August to November 2022. 656 nurses from six hospitals participated in the study. Results: The mean scores of nurses' knowledge, attitudes, and performance were 17.98±2.91, 76.34±7.85, and 91.53±16.18, respectively. Nurses' knowledge showed a positive correlation in both attitudes (r=0.27, p<.001) and performance (r=0.09, p=.02), and attitudes and performance (r=0.34, p<.001) also showed a positive correlation. Conclusion: To improve the knowledge and performance of nurses, an educational program consisting only of incontinence-related dermatitis is needed, and case-based education and clinical skills education are needed to enhance the ability to differentiate from pressure injury.

The Ligamentotactic Effect on a Herniated Disc at the Level Adjacent to the Anterior Lumbar Interbody Fusion : Report of Two Cases

  • Min, Jun-Hong;Jang, Jee-Soo;Kim, Seok-Kang;Maeng, Dae-Hyeon;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.46 no.1
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    • pp.65-67
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    • 2009
  • The authors report two cases of spontaneous regression of disc herniation at the level adjacent to the anterior lumbar interbody fusion (ALIF) level. This phenomenon may be due to the increased tension on the posterior longitudinal ligament (PLL) by appropriate restoration of the disc height and lumbar lordosis, which is a mechanism similar to ligamentotaxis applied to the thoracolumbar burst fracture.

Dedifferentiated Chondrosarcoma of the Rib Masquerading as a Giant Chest Wall Tumor in a Teenage Girl: An Unusual Presentation

  • Abraham, Viju Joseph;Devgarha, Sanjeev;Mathur, Rajendra Mohan;Sisodia, Anula;Yadav, Amita
    • Journal of Chest Surgery
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    • v.47 no.4
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    • pp.427-430
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    • 2014
  • Chondrosarcoma of the chest wall is a rare primary neoplasm found to occur in elderly men. Patients present with an enlarging, painful, anterior chest wall mass arising from either the vicinity of the costochondral junction or the sternum. Treatment includes wide resection with appropriate chest wall reconstruction. We report an unusual presentation of this uncommon tumor occurring as a huge chest wall mass in a young teenage girl.

Tuberculous Osteomyelitis of the clavicle-A Case Report- (쇄골에 발생한 결핵성 골수염 -1예 보고-)

  • Hong, Ki-Do;Ha, Sung-Sik;Jung, Nam-Sik;Sim, Jae-Cheon;Seo, Se-Ig
    • Clinics in Shoulder and Elbow
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    • v.5 no.2
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    • pp.98-101
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    • 2002
  • The 48 years old female who complained of painful swelling with discharge on the medial end of the left clavicle which has been lasting 3 months. We experienced arare case of tuberculosis that involved only the clavicle without other involvement. Diagnostic disturbance delayed appropriate medical therapy, leading to development of a discharging sinus with secondary infection, which further confused pathologic feature. The ability of this disease to mimic many skeletal pathologies, this has to be included in the differential diagnosis, especially at unusual sites.

Spontaneously Resolved Lumbar Artery Injury after Blunt Trauma

  • Nam, Seung Hyuk;Ryu, Je Il;Cheong, Jin Hwan;Park, Ki-Chul;Ro, Sun Kyun
    • Journal of Trauma and Injury
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    • v.33 no.2
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    • pp.124-127
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    • 2020
  • Major bleeding caused by vascular injuries of the abdominal aorta or its branches after blunt trauma often leads to mortality or major morbidity. We report a case that lumbar artery injury following blunt trauma was spontaneously resolved without any surgical or interventional treatment. Lumbar artery injury after blunt trauma could be treated conservatively without surgical or interventional treatment in a selected case. When an aortic or its branch injury was suspicious, diagnostic angiograms in the setting of interventional treatment may be helpful to decide an appropriate treatment modality.

Pancoast Syndrome Accompanied by Rotator Cuff Tear

  • Nam, Seung Oh;Shin, Dongju;Park, Kihong;Kim, Tae Kyun;Kim, Han Sang
    • Clinics in Shoulder and Elbow
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    • v.18 no.1
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    • pp.43-46
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    • 2015
  • Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.

Spontaneous Splenic Rupture in a Vivax Malaria Case Treated with Transcatheter Coil Embolization of the Splenic Artery

  • Kim, Na Hee;Lee, Kyung Hee;Jeon, Yong Sun;Cho, Soon Gu;Kim, Jun Ho
    • Parasites, Hosts and Diseases
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    • v.53 no.2
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    • pp.215-218
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    • 2015
  • An enlarged spleen is considered one of the most common signs of malaria, and splenic rupture rarely occurs as an important life-threatening complication. Splenectomy has been recommended as the treatment of choice for hemodynamically unstable patients. However, a very limited number of splenic rupture patients have been treated with transcatheter coil embolization. Here we report a 38-year-old Korean vivax malaria patient with ruptured spleen who was treated successfully by embolization of the splenic artery. The present study showed that angiographic embolization of the splenic artery may be an appropriate option to avoid perioperative harmful effects of splenectomy in malaria patients.

Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

  • Choi, Chang Woo;Park, You Kyeong;Shin, Hwa Kyun;Lim, Jae Woong;Her, Keun
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.400-403
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    • 2021
  • A 63-year-old patient was admitted with a sternal fracture and mass. On evaluation, most of the body of the sternum had been destroyed by a tumor. Radical resection of the sternum was performed and part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with mesh, bone cement, and a titanium rib plate system. Reconstruction with this method seemed to be an appropriate procedure to prevent instability of the chest wall.

Real-Time Fluorescence Imaging in Thoracic Surgery

  • Das, Priyanka;Santos, Sheena;Park, G. Kate;I, Hoseok;Choi, Hak Soo
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.205-220
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    • 2019
  • Near-infrared (NIR) fluorescence imaging provides a safe and cost-efficient method for immediate data acquisition and visualization of tissues, with technical advantages including minimal autofluorescence, reduced photon absorption, and low scattering in tissue. In this review, we introduce recent advances in NIR fluorescence imaging systems for thoracic surgery that improve the identification of vital tissues and facilitate the resection of tumorous tissues. When coupled with appropriate NIR fluorophores, NIR fluorescence imaging may transform current intraoperative thoracic surgery methods by enhancing the precision of surgical procedures and augmenting postoperative outcomes through improvements in diagnostic accuracy and reductions in the remission rate.

Sural nerve grafts in subacute facial nerve injuries: a report of two cases

  • Jiwon Jeong;Yongjoon Chang;Kuylhee Kim;Chul Hoon Chung;Soyeon Jung
    • Archives of Craniofacial Surgery
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    • v.25 no.2
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    • pp.99-103
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    • 2024
  • Because facial nerve injuries affect the quality of life, leaving them untreated can have devastating effects. The number of patients with traumatic and iatrogenic facial nerve paralysis is considerably high. Early detection and prompt treatment during the acute injury phase are crucial, and immediate surgical treatment should be considered when complete facial nerve injury is suspected. Symptom underestimation by patients and clinical misdiagnosis may delay surgical intervention, which may negatively affect outcomes and in some cases, impair the recovery of the injured facial nerve. Here, we report two cases of facial nerve injury that were treated with nerve grafts during the subacute phase. In both cases, subacute facial nerve grafting achieved significant improvements. These cases highlight surgical intervention in the subacute phase using nerve grafts as an appropriate treatment for facial nerve injuries.