• Title/Summary/Keyword: Chart review

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Prediction of Newborn Birthweight by the Measurement of Fundal Height and Gestational Period (임신기간 및 자궁저높이를 이용한 신생아 체중 예측)

  • Cho, Moon-Suk;Park, Young-Sook
    • 모자간호학회지
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    • v.1
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    • pp.34-44
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    • 1991
  • The purposes of this study were to predict newborn birthweight by use of gestational period and fundal height and to identify growth curve of fundal height according to gestational period and growth curve of newborn birthweight according to fundal height. The subjects for the study were 802 women who delivered the normal newborn babies at Seoul National University Hospital from Sep. 1, 1981 to Aug.31, 1986. The data were collected bit chart review and analyzed nth SPSS program. The results of study were as follows : 1. The multiple regression equation ($R^2$=0.416) used for the prediction of newborn birthweight was y=(newborn birthweight, kg)=-4.421+0.075$x_1$(fundal height, cm)+0.053$x_2$(gestational period, weeks)+0.016$x_3$(abdominal girth, cm)+0.010$x_4$(maternal height, cm) 2. The growth curve of fundal height according to gestational period was obtained by polynomial regression. The regression equation was Y(fundal height, cm)=-36.78+18.58$log_ex$(gestational period, weeks) The growth curve of newborn birth weight according to fundal height was obtained by polynomial regression. The regression equation was Y(newborn birthweight, kg)=-8.09+3.27$log_ex$ (Fundal Height, cm) 3. In the following subgroups no significant difference was found in fundal height : engaged vs. nonengaged presentation, and nulliparous vs. multiparous women.

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Clinical and Endoscopic Features of Colonic Anisakiasis in Korea

  • Joo, Sae Kyung;Kim, Ji Won;Kim, Byeong Gwan;Kim, Won;Lee, Jae Kyung;Lee, Kook Lae
    • Parasites, Hosts and Diseases
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    • v.57 no.4
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    • pp.411-416
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    • 2019
  • To analyze the clinical and endoscopic features of colonic anisakiasis. A retrospective chart review of 20 patients with colonic anisakiasis, who were diagnosed by colonoscopy at 8 hospitals between January 2002 and December 2011, was performed. Patients' mean age was $53.6{\pm}10.74years$. Seventy percent patients were men. Acute abdominal pain was a common symptom that mostly developed within 48 hr after the ingestion of raw fish, and which lasted for 1-28 days. Sixty percent patients had ingested raw fish before the diagnosis of colonic anisakiasis and 40% patients were incidentally found to have colonic anisakiasis during the screening colonoscopies. Leukocytosis and eosinophilia were each found in 20% of the patients. In all patients who underwent colonoscopy, the worms were removed with biopsy forceps, except in 1 case, and a definite diagnosis of anisakiasis was made. In some cases of colonic anisakiasis, colonoscopy may be helpful in the diagnosis and treatment to avoid surgical intervention.

A Study on the Hyperlink Structures of the Official Websites of TV Networks: Analysis Focus on ABC, BBC, NHK, and KBS

  • Kweon, Sang-Hee;Kim, Se-Jin;Kang, Bo-Young;Kweon, Hea-Ji
    • Journal of Internet Computing and Services
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    • v.20 no.2
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    • pp.77-91
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    • 2019
  • This paper explores the hyperlink structures of the official websites for the following terrestrial TV networks: ABC(US), BBC(UK), NHK(Japan), and KBS(Korea). These websites were selected and visualized to analyze the hyperlink structure and examine the connection relations among the TV networks. A total of 4378 data was collected through the Voson site and were analyzed with NodeXL. Results shows that NHK's network demonstrates a good network structure at a quite high level, holding more related websites than BBC. We discovered that ABC TV network has the largest effect with the largest number of out-links. Surprisingly, structures of BBC and NHK were quite similar, overcoming geographical and cultural differences. Thus, both TV networks were seen to be progressive and open. On the contrary, ABC and KBS were considered to be relatively conservative. A comprehensive review of the "category points" combination chart revealed that NHK's official website has the widest variety of hyperlinks. The shortest distance of a hyperlink between a website type and a TV network meant that the TV network has a larger number of links to those website types than other TV networks do. The result may provide Internet users to efficiently select TV network web pages according to the types of information they want to find out.

A Study on the Counseling Practice for Obesity in Korean Medicine Clinics and the Satisfaction for Counseling Manual for the Standardized Management of Obesity in Korean Medicine (한의 일차의료기관에서 한의 비만 상담 표준매뉴얼을 활용한 한의 비만 상담 내용 분석 및 사용자 만족도에 관한 연구)

  • Han, Kyungsun;Kim, Sungha
    • Journal of Korean Medicine for Obesity Research
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    • v.20 no.2
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    • pp.131-137
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    • 2020
  • Objectives: Korean Medicine Doctors (KMDs) have treated patients with obesity using a holistic approach with a multicomponent approach on counseling. However, there is currently no data regarding KMDs' counseling practices for weight loss. We conducted a retrospective chart review to better understand the Korean medicine counseling practice for weight loss. Methods: Twenty-one KMDs were involved in this project as practitioners. The contents of counseling were categorized based on patterns according to the counseling manual for the standardized management of obesity in Korean Medicine. Results: The counseling was conducted based on the theory of Korean medicine and the contents of counseling were different from patterns. However, the quality of the counseling were different from each KMD, and the counseling were focused on evaluating patient conditions and not on providing specific recommendations for lifestyle changes. Conclusions: Therefore, specific guidance of counseling for healthier lifestyle and dietary habits, and the training of the standardized manual training are needed.

Effect of Delayed Clozapine Initiation on Acute Treatment Response in Treatment-Resistant Schizophrenia (클로자핀의 지연된 사용이 치료저항성 조현병 환자의 급성기 약물 반응에 미치는 영향)

  • Yang, So Yung;Choi, Jung-Kyu;Park, Sunyoung;Park, Jaesub
    • Korean Journal of Schizophrenia Research
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    • v.24 no.2
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    • pp.52-59
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    • 2021
  • Objectives: Recent studies have reported that delayed initiation of clozapine can affect clinical response in patients with treatment-resistant schizophrenia (TRS). This study aimed to explore the relationship between delayed initiation of clozapine and acute treatment response. Methods: Sixty-five inpatients with TRS who started clozapine for the first time were included through a retrospective chart review. Acute treatment response was defined as a 30% reduction in the Positive and Negative Syndrome Scale score or a Clinical Global Impression of Improvement score of 1 (very much improved) or 2 (much improved) at 4 weeks after initiating clozapine. Results: After meeting the TRS criteria, the mean delay for initiating clozapine was approximately 13.8 months. The delay was shorter in patients who showed a better response to clozapine in logistic regression analysis (p=0.037). Conclusion: Our findings suggest that reducing the delay in initiating clozapine increases the effectiveness of clozapine in patients with TRS.

Role of Esophageal High-Resolution Manometry in Pediatric Patients

  • Prachasitthisak, Noparat;Purcell, Michael;Krishnan, Usha
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.4
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    • pp.300-311
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    • 2022
  • Purpose: Dysphagia, vomiting and feeding difficulties are common symptoms, with which children present. Esophageal function testing with high resolution manometry can help in diagnosing and treating these patients. We aim to access the clinical utility of high-resolution manometry of esophagus in symptomatic pediatric patients. Methods: A retrospective chart review was done on all symptomatic patients who underwent esophageal high-resolution manometry between 2010 and 2019 at Sydney Children's Hospital, Australia. Manometry results were categorized based on Chicago classification. Demographic data, indication of procedure, manometric findings, and details of treatment changes were obtained and analyzed. Results: There were 62 patients with median age of 10 years (9 months-18 years). The main indication for the procedure was dysphagia (56%). Thirty-two percent of patients had a co-morbid condition, with esophageal atresia accounting for 16%. The majority (77%) of patients had abnormal manometry which included, ineffective esophageal motility in 45.2%. In esophageal atresia cohort, esophageal pressurization was seen in 50%, aperistalsis in 40% and 10% with prior fundoplication had esophago-gastric junction obstruction. Patients with esophago-gastric junction obstruction or achalasia were treated by either pneumatic dilation or Heller's myotomy. Patients with ineffective esophageal motility and rumination were treated with a trial of prokinetics/dietary texture modification and diaphragmatic breathing. Conclusion: Esophageal high-resolution manometry has a role in the evaluation of symptomatic pediatric patients. The majority of our patients had abnormal results which led to change in treatments, with either medication, surgery and/or feeding modification with resultant improvement in symptoms.

Analysis of Healthcare Quality Indicator using Data Mining and Decision Support System

  • Young M.Chae;Kim, Hye S.;Seung H. Ho
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.352-357
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    • 2001
  • This study presents an analysis of healthcare quality indicators using data mining for developing quality improvement strategies. Specifically, important factors influencing the inpatient mortality were identified using a decision tree method for data mining based on 8,405 patients who were discharged from the study hospital during the period of December 1, 2000 and January 31, 2001. Important factors for the inpatient mortality were length of stay, disease classes, discharge departments, and age groups. The optimum range of target group in inpatient healthcare quality indicators were identified from the gains chart. In addition, a decision support system was developed to analyze and monitor trends of quality indicators using Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. In the future, other quality indicators should be analyze to effectively support a hospital-wide continuous quality improvement (CQI) activity and the decision support system should be well integrated with the hospital OCS (Order Communication System) to support concurrent review.

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A Comparison of Smooth and Microtextured Breast Implants in Breast Augmentation: A Retrospective Study

  • Joo Hyuck Lee;Jae Hyuk Jang;Kyung Hee Min
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.160-165
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    • 2023
  • Background The number of cosmetic and reconstructive surgeries that use breast implants is increasing in Korea. Recently, it has been reported that breast implant-associated anaplastic large-cell lymphoma is related to textured breast implants, and interest in classification according to the texture of breast implants is increasing. However, there is currently no clear and unified classification. In particular, the definition of "microtextured" is highly varied. In this study, we retrospectively investigated and analyzed the clinical outcomes of smooth and microtextured breast implants. Methods A retrospective chart review of all patients who underwent breast augmentation surgery with smooth and microtextured silicone gel implants between January 2016 and July 2020 was performed. We retrospectively analyzed implant manufacturer, age, body mass index (BMI), smoking status, incision location, implant size, follow-up period, complications, and reoperation rate. Results A total of 266 patients underwent breast augmentation surgery, of which 181 used smooth silicone gel implants and 85 used microtextured silicone gel implants. Age, BMI, smoking status, implant size, and follow-up period were not significantly different between the two groups. Similarly, complications and reoperation rates were not significantly different between the two groups. Conclusion It is important to provide information regarding the clinical risks and benefits of breast implants to surgeons and patients through a clear and unified classification according to the texture of the breast implant.

Risk Factors for Mutidrug-Resistant Organisms Carriage Among Home Health Nursing Patients (의료기관 가정간호 대상자의 다제내성균 보유 위험요인)

  • Park, Min-A;Jang, Jung Sook;Cho, Young Yi;Choi, Ji Yeon;Lee, Jong-Eun
    • Journal of Home Health Care Nursing
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    • v.30 no.2
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    • pp.155-162
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    • 2023
  • Purpose: This study was conducted to identify the status and risk factors for the carriage of multidrug-resistant organisms carriage in home health nursing patients. Methods: This retrospective study enrolled 122 participants who received home health nursing and analyzed the data obtained from chart review and diagnostic tests for multidrug-resistant organisms carriage from January 2019 to January 2021. Results: Multivariate analysis revealed that surgical procedures in the preceding year, injectable antibiotic use in the preceding month, pressure ulcer, and indwelling nasal tubes were significantly associated with multi-drug resistant infection. Conclusions: Infection-control strategies need to be developed and customized for use in the home health-nursing service for patients who are carriers of multidrug-resistant organisms.

Clinical analysis of factors affecting the failure of free flaps used in head and neck reconstruction

  • Beom Jin Lim;Jin Yong Shin;Si-Gyun Roh;Nae-Ho Lee;Yoon Kyu Chung
    • Archives of Craniofacial Surgery
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    • v.24 no.4
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    • pp.159-166
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    • 2023
  • Background: Free tissue transfer is the preferred method of reconstructing head and neck defects, with a success rate of approximately 95%. Although flap failure is uncommon, it has a major impact on patient morbidity and diminishes quality of life, making it is important to investigate the causes of flap failure. Methods: This retrospective chart review analyzed patients who underwent free tissue transfer during head and neck reconstruction at a single institution between 2016 and 2021. Results: During the study period, 58 patients underwent 60 free flap procedures. Revision surgery was needed in 14 patients. Subsequent free flap surgery was performed in one patient, and three free flaps (5%) could not be salvaged. Cardiovascular disease was significantly associated with flap failure, and venous congestion (thrombosis) was the most common reason for revision surgery. Conclusion: Cardiovascular disease clearly emerged as a factor related to the failure of free flap surgery, and this issue warrants particular attention in patients for whom free tissue transfer is planned.