• 제목/요약/키워드: Clinic room

검색결과 155건 처리시간 0.032초

성상신경절 차단으로 치료했던 양성 발작성 현기증 1예 (A Case of Benign Paroxysmal Positional Vertigo Treated with Stellate Ganglion Block)

  • 최훈;한영진
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.328-330
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    • 1995
  • A fourty-year-old housewife was admitted to the Department of Ear, Nose, and Throat from the emergency room, because of severe vertigo associated with positional changes of the head. Hallpike maneuver produced typical patterns of bilateral nystagmus consistent with benign paroxysmal positional vertigo(BPPV), and further geotropic rotatory nystagmus with positional change of the head in each direction. Direction of nystagmus reversed when the patients was repositioned upright. Particle repositioning maneuver was administered to her left ear but failed to relieve the severe dizziness associated with the head turning to the right. She was then referred to the patient received 27 SGB treatments and the patients was almost completely healed. It is unusual for the BPPV to occur bilaterally therefore reference concerning the effectiveness of SGB for the treatment of BPPV was difficult to obtain. In conclusion we would like to report the successful treatment of BPPV with SGB.

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Design of a combined cartilage graft crusher, morselizer and holder for use in rhinoplasty

  • Rojdmark, Jonas;Cheema, Mubashir
    • Archives of Plastic Surgery
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    • 제46권3호
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    • pp.282-284
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    • 2019
  • A combined cartilage holder and crusher is described that allows the surgeon to hold, crush, morselize, and suture a single piece or stack of cartilage graft without letting it slip. The customized slit-shaped jaws allow adequate room for the suture needle, while the serrated surfaces hold the cartilage firmly. The use of this instrument is advocated primarily in rhinoplasty for manipulating and suturing a small cartilage graft or a stack of grafts. The use of this instrument may be extended to aesthetic or reconstructive cases where cartilage grafts need to be sutured or shaped, as in eyelid, ear, and nipple reconstruction.

악안면 연조직 외상치료의 최신지견 (Current Concepts in the Treatment of Maxillofacial Soft Tissue Trauma)

  • 김영수
    • 대한치과의사협회지
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    • 제54권10호
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    • pp.790-798
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    • 2016
  • The maxillofacial soft tissue trauma is one of the major causes to visit the emergency room. For the past few decades, however, the basic concept of the repairing the soft tissue wound have not been changed. Therefore, it could be worthwhile to remind the fundamental concepts and practical information belong to the soft tissue injury management. Among the many types of soft tissue trauma, laceration wound which is most frequently met in the clinic will be discussed in this review.

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마음의 방 그리기에 관한 양적, 질적 분석 연구 (The Study on Quantitative and Qualitative Analysis of Mentalizing the Rooms of Mind)

  • 유수양;강형원
    • 동의신경정신과학회지
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    • 제28권3호
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    • pp.275-286
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    • 2017
  • Objectives: To suggest the basis of clinical applications through qualitative and quantitative analysis of mentalizing the rooms of mind in the mindfulness meditation program. It is one of the M&L psychotherapy techniques that enables observing the mind more objectively by structuring, visualizing and embodying state of the mind at the moment of drawing a room of the mind. Methods: In this study, we conducted 5t mindfulness meditation program sessions with 85 college students studying Oriental Neuropsychiatry at the University of Oriental Medical College. Before and after the program, data checked the FFMQ and drew the room of mind. Qualitative analysis by subjects were analyzed using qualitative and quantitative methods. Results: First, results of the quantitative analysis revealed significant difference between pre-and post on describing one of the FFMQ sub-factors. However, there were no statistically significant other factors. Second, qualitative analysis results follow as: It extracted 2 keywords including 'viewpoint as a therapist' and 'viewpoint as a client' and 3 consisting words 'positive response', 'negative response', 'ambiguous response'. Conclusions: Mentalizing the room of mind is the work of visualizing, diagramming, objectifying, and specifying the mind of this moment. It is concerned that the value of clinical use is high as a useful tool to increase concentration of meditation and observe and evaluate changes of mind before and after treatments.

일본 유료 노인홈의 건물 내 층별 실구성의 특성 (Characters on building floor of Japanese elderly house)

  • 이지숙
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2007년도 춘계학술대회 논문집
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    • pp.53-54
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    • 2007
  • It is predicted that Japan will be in super-aged society at 2010. Recently elderly house buildings with self-supporting life and personal care senior house types have supplied over the area. So Elderly house buildings in Japan were studied for characters of room arrangement, through documents and internet from Jan. 2007 to Apr. 2007. Five cases built since 2000 were examined. There were self-supporting life house type, personal care senior house type, convenient facilities, etc. There were not lots of facilities in the building. Generally multi-purpose dining room and general bath room, lots for car and bicycle or restaurant or kindergarten or home helper station or green food shop or day service or moving service or clinic were there. These facilities were shared with local community. The reason of not being many facilities in the building was that the houses were located at urban with good transportation and convenient facilities. The residents in the building were get the utmost of regional facilities and the local people did the facilities in it because scare facilities in the building and fluent facilities in region. So strong community was composed of the residents and local people, on the contrary.

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노인요양시설의 시설구성 현황과 개선방안 (Present State of Institute Composition and Reform Measures of Nursing Homes)

  • 유용식
    • 한국콘텐츠학회논문지
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    • 제9권10호
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    • pp.186-195
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    • 2009
  • 본 연구는 노인요양시설의 시설구성에 관한 실태조사를 통하여, 앞으로 계획되어질 노인요양시설의 시설 구성에 대한 기초자료를 제공하고자 한다. 분석결과 첫째, 복도부분은 5개 시설은 중복도형이고 1개 시설은 확대복도형, 1개 시설은 그룹형으로 나타났다. 둘째, 주거부분은 침실 비율이 가장 높게 나타났으며, 침대식과 온돌식의 크기가 동일한 것으로 나타났다. 셋째, 의료부분은 의료 간호사실과 물리치료실의 비율이 비슷하게 높게 나타났으며, 물리치료실에 대한 호응이 높은 것으로 나타났다. 넷째, 공용부분은 식당 조리실 비율이 가장 높게 나타났으며, 프로그램실로 이동하는데 많은 부담이 있는 것으로 나타났다. 다섯째, 관리부분은 사무실 비율이 가장 높게 나타났으며 1층 로비와 인접 배치되어 있었다. 여섯째, 1인당 소요면적은 3개 시설이 1인당 침실 면적 기준에 미달하는 것으로 나타났다. 일곱째, 시설의 부분별 전체 연면적 비율은 주거부분이 가장 높게 나타났다.

일부 보건소의 재활운동실 이용 만족도에 관한 연구 (Study on the Satisfaction Use of Rehabilitation Exercise Room)

  • 권선숙;권동연
    • 한국보건간호학회지
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    • 제17권2호
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    • pp.203-211
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    • 2003
  • The purpose of this study was to investigate the degree of satisfaction in using rehabilitation exercise rooms in public health centers. A total of 100 subjects were participated in the study who were clients of rehabilitation exercise rooms in two public health centers in one city of Kyunggi Do, Korea. Data were collected from March 1 to 30, 2003 using questionnaire. The data were analyzed using SPSS/PC computer program. The result are as follows : 1. The mean age of subjects was 62.6 years old, and men constituted $67.0\%$ of the participants. Most participants $(64\%)$ were in the middle socioeconomic status, and $(65\%)$ of subjects was diagnosed as stroke. 2. Regarding the source of information about rehabilitation exercise room in public health center, $56.0\%$ obtain information from colleagues or neighbors, and for most participants the time required to travel to rehabilitation exercise room was less than 30min on foot. Among rehabilitation services, Taping therapy $(53.0\%)$ was most frequently used among participants, 3. Sum of all satisfaction score was $71.10(\pm6.60,\;range:\;1-90)$ showed higher level of satisfaction. Cost, reliability, and kindness were main factors that affect the degree of satisfaction among participants. 4. Twenty-four percent of the respondents utilized clinic services in the health centers, and $27.4\%$ stoped rehabilitation services from hospitals and/or clinics due to high cost. 5. In the use of rehabilitation exercise room was positively correlated to age (r=.214, p<0.05) and disease duration(r=.241. p<0.05).

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1인실과 다인실 입원 병상 이용에 관한 병상 선택 요인과 환자 만족도 분석 (Use of Single Bedrooms versus Multiple Bedrooms: Selection Factors and Comparison of Patient Satisfaction)

  • 이근찬
    • 한국병원경영학회지
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    • 제26권3호
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    • pp.68-83
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    • 2021
  • Background: It is widely acknowledged that single bedrooms have many potential advantages compared to multiple bedrooms. However, Korea has a reimbursement system that patients have to pay the additional fee if they will use single bedroom or pay-bed (1-3 bedroom). There is little research on patients' bed selection and relationship between patient satisfaction and bed type in the Korean setting. Methods: Using the 2017 Korea Health Panel (KHP) Survey data, we modified bed type by two dichotomous variables: single bedroom vs. multiple bedroom (2+ bedrooms) and pay-bed (1-3 bedroom) vs. reimbursed bed (4+ bedroom). Multivariate logistic regression is performed to determine the factors affecting the patient's choice of room types. Multivariate regression analysis was conducted to examine how hospital room types are affecting patient satisfaction. Results: Single room and pay-bed (1-3 bedroom) use was influenced by patient age (19- years old), male, a person at work, hospitalizing in a clinic, and birth. After controlling variables of the behavioral model of medical utilization, the association between patient satisfaction and use of single bedroom & pay-bed (1-3 bedroom). Cause of hospitalization, major treatment, and recognition of unnecessary care are statistically significant variables on patient satisfaction. Conclusion: Although the single room is about the standard for newly built hospitals in western countries, it remains unclear that single room or pay-bed (1-3 bedroom) has positive effects on patient's outcomes and satisfaction. In this empirical study, the difference in patient satisfaction by bedroom type was not noticeable. In terms of bed management by hospital staff, securing patient credibility in hospital care is an important task. Patients' perception of whether medical staffs have encouraged unnecessary treatment or tests has a significant impact on patient's satisfaction.

부산.경남지역 보건소 간호사의 보건업무 수행활동에 관한 조사 (A Survey on Health Service Activities of Public Health Nurses in Pusan, Kyung Nam)

  • 황보선;배정하;김봉임
    • 지역사회간호학회지
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    • 제1권1호
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    • pp.115-128
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    • 1989
  • 본 연구는 1987년 1월 5일부터 2월28일까지 부산 경남지역 37개 보건소에 근무하는 보건소 간호사 249명을 대상으로 보건소 간호사의 사업 영역별 업무 수행정도를 측정하고 업무 수행에 영향을 미치는 요인들을 분석하였다. 그 결과는 다음과 같다. 1) 전체 사업에 대한 평균은 2.52이었으며, 그중 사업계획이 3.05로 가장 높았고, 기타 보건사업이 2.07로 가장 낮게 수행하는 것으로 나타났다. 2 ) 근무실별 업무 수행정도를 본 결과 가족계획실은 가족계획 사업 수행이 3.94, 결핵실은 결핵관리 수행이 3.79, 진료실은 질병관리 수행이 3.42, 주사실은 사업계획 수행 계획이 3.76, 모성 영유아실은 산전관리가 3.46, 모자보건센타는 산후관리가 3.63으로 각각 가장 높은 수행 정도를 나타내었다. 3) 보건소 간호사의 업무 수행에 영향을 미치는 일반적 특성 중 연령, 학력, 종교, 근무 부서실, 직무에서 유의한 차를 나타내었다(P<.05).

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서울시 어린이 전문병원 외래진료부의 공간구성방식과 대기공간의 치유환경 구축방안에 관한 연구 (A Study on the Spatial Organization Methods of O.P.D & the Construction of Healing Environment on O.P.D Waiting Area in Children's Hospital in Seoul Metropolis)

  • 김건형;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.37-48
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    • 2010
  • This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.