• Title/Summary/Keyword: Clinic room

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Health Education Status in Elementary, Middle and High Schools by National Health Education Guidelines (교육과학기술부 고시에 따른 초.중.고등학교 보건교육 실태)

  • Lee, Chung-Yul;Kim, Eun-Gyeong;Oh, Eui-Geum;Ji, Ho-Yeong;Jo, Seon-Nyeo;Jeong, Moon-Hee
    • Journal of the Korean Society of School Health
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    • v.23 no.2
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    • pp.172-180
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    • 2010
  • Purpose: To analyze the current status of health education and problems of elementary, middle, and high schools by national health education guideline. Methods: Study subjects were 991 school health teachers of elementary, middle, and high schools in one province and the data was collected by mail. The data was analyzed by $x^2$-test and Fisher's exact test. Results: The rates of school health education implementation were 99.6% in elementary school, 98.1% in middle school, and 96% in high school. The rates of school health education were reported much higher than former studies. The most barrier in providing school health education was 'health room management during health education'. During health education by school health teachers, the health rooms were managed by other teachers in elementary schools or by locking the health room with announcement memo in middle and high schools. Conclusion: To improve the school health education, higher school health teacher placement and administrative supports for health clinic were recommended.

Delayed Analysis of Hydrogen-Methane Breath Samples

  • Willemsen, Marjolein;Van De Maele, Kristel;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.1
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    • pp.13-20
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    • 2022
  • Purpose: Hydrogen-methane breath tests are used to diagnose carbohydrate malabsorption and small intestinal bacterial overgrowth. The COVID-19 pandemic has driven the modification of procedures as breath tests are potentially aerosol-generating procedures. We assessed the effect of delayed analysis of breath samples, facilitating the at-home performance of breath testing. Methods: Children provided two breath samples at every step of the lactose breath test. The samples were brought back to the clinic, and one set of samples was analyzed immediately. The second set was stored at room temperature and analyzed 1-4 days later. Results: Out of the 73 "double" lactose breath tests performed at home, 33 (45.8%) were positive. The second samples were analyzed 20 to 117 hours after the first samples (41.7±24.3 hours). There was no significant difference in the hydrogen concentration between the first and second sets (Z=0.49, p=0.62). This was not the case for methane, which had a significantly higher concentration in the second breath samples (Z=7.6). Conclusion: Expired hydrogen levels remain stable in plastic syringes if preserved at room temperature for several days. On the other hand, the delayed analysis of methane appeared to be less reliable. Further research is needed to examine the impact of delayed analysis on methane and hydrogen concentrations.

Factors Influencing the COVID-19 Infection Control Practice of Physical Therapists

  • Jang Mi Lee;Changwoo Shon
    • The Journal of Korean Physical Therapy
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    • v.34 no.6
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    • pp.304-311
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    • 2022
  • Purpose: The purpose of this study was to investigate the knowledge, awareness and performance of COVID-19 infection control among physical therapists and to identify the impact factors on performance Methods: Data were collected from March 16th to March 24th in 2022 from the physical therapist's in Busan. Data analysis was conducted on 170 surveys, after excluding 27 surveys that were found to be unsuitable for data analysis. Results: When correlating the study variables, knowledge and awareness were found to have a positive, meaningful correlation with performance. Performance of COVID-19 personal infection control regression analysis showed that the working department (clinic and long-term care hospital), clinical experience, the more knowledgeable, the awareness (personal), and the more clinical experience had significant positive impacts on the performance of COVID-19 infection control. Performance of COVID-19 treatment room infection control regression analysis showed that the working department (long-term care hospital), educational experience, the awareness (treatment room) had significant positive impacts on the performance of COVID-19 infection control Conclusion: The results of this study may be used as basic data for educating physical therapist's working at the COVID-19 response department. This study suggests that physical therapist's need educational programs to improve their knowledge and awareness and performance of infection control against infectious diseases such as COVID-19. Differentiated physical therapists practice education curricula must be developed and provided after understanding the varying characteristic of physical therapist's with different levels of work experience.

Analysis of Radiation Protection, Awareness and Attitude of Radiological Technologist in Mammography Room (유방촬영실에 근무하는 방사선사의 방사선 방어, 인식 및 태도에 관한 분석)

  • Hong, Dong-Hee
    • Journal of radiological science and technology
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    • v.40 no.4
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    • pp.557-565
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    • 2017
  • This study was conducted to investigate the radiation protection, awareness, and attitude of radiological technologists in the mammography room due to the low energy use of breast imaging. Data collection was performed by 222 independent radiological technologists in the breast and breast clinic of six hospitals except Jeju Island. The independent sample t-test and oneway variance analysis were performed. As a result, it was found that the lower the number of men(p<0.05), the age of 30s(p<0.05), the marriage(p<0.05), the work experience of more than 10 years(p<0.05), the working hours of 8 hours(p<0.01), the less the impact of radiation(p<0.01), the more important it was to radiation defense. appear. This is thought to be influenced by the work specificity and work environment of the mammography room, and it will be used as a basic data to raise awareness and act on the exposure through analysis with other factors.

Treatment of a penetrating inferior vena cava injury using doctor-helicopter emergency medical service and direct-to-operating room resuscitation in Korea: a case report

  • Dongmin Seo;Jieun Kim;Jiwon Kim;Inhae Heo;Jonghwan Moon;Kyoungwon Jung;Hohyung Jung
    • Journal of Trauma and Injury
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    • v.37 no.1
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    • pp.74-78
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    • 2024
  • Inferior vena cava (IVC) injuries can have fatal outcomes and are associated with high mortality rates. Patients with IVC injuries require multiple procedures, including prehospital care, surgical techniques, and postoperative care. We present the case of a 67-year-old woman who stabbed herself in the abdomen with a knife, resulting in an infrarenal IVC injury. We shortened the transfer time by transporting the patient using a helicopter and decided to perform direct-to-operating room resuscitation by a trauma physician in the helicopter. The patient underwent laparotomy with IVC ligation for damage control during the first operation. The second- and third-look operations, including previous suture removal, IVC reconstruction, and IVC thrombectomy, were performed by a trauma surgeon specializing in cardiovascular diseases. The patient was discharged without major complications on the 19th postoperative day with rivaroxaban as an anticoagulant medication. Computed tomography angiography at the outpatient clinic showed that thrombi in the IVC and both iliac veins had been completely removed. Patients with IVC injuries can be effectively treated using a trauma system that includes fast transportation by helicopter, damage control for rapid hemostasis, and expert treatment of IVC injuries.

A Case of Congenital Diaphragmatic Eventration Requiring Emergency Operation (응급 수술을 요하는 선천성 횡경막 내번증 1예)

  • Lee, Seock-Yeol;Lee, Seung-Jin;Park, Hyung-Joo;Lee, Cheol-Sae;Lee, Kihl-Rho
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.142-144
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    • 2004
  • A one day old female infant was brought to the emergency room suffering from shortness of breath. An x-ray revealed the gastrointestinal tract in the right thoracic cavity. An emergency operation demonstrated eventration of the diaphragm, and a plication was performed. The baby was discharged without complication and has been followed up in the out patient clinic. Congenital diaphragmatic eventuation requiring emergency operation is rare.

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Speech treatment of velopharyngeal insufficiency using biofeedback technique with NM II; A case report (Nasometer 활용 바이오피드백 기법을 이용한 비인강폐쇄전환자의 치험 사례)

  • Yang Ji-Hyung;Choi Jin-Young
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.1
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    • pp.45-52
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    • 2005
  • Velopharyngeal Insufficiency(VPI); the failure of velum, the lateral wall and the posterior pharyngeal wall to separate the nasal cavity from pharyngeal cavity during speech, can be caused by congenital conditions include cleft palate, submucous cleft palate and congenital palatal insufficiency. Speech problems of VPI are characterized by hypernasality, nasal air emission, increased nasal air flow and decreased intelligibility. These speech problems of VPI can be treated with the surgical procedure, the application of temporary prosthesis and speech therapy. Biofeedback technique with Nasometer is a speech treatment method of VPI that commonly used as one component of a comprehensive procedure for improvement of speech in patients with VPI. In this article describes a case of VPI treated by biofeedback technique with Nasometer; which showed satisfactory result in nasalance and formant analysis after the speech therapy during 9 months.

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Case Report; Esthetic Restorations for Immediate Implantation and Delayed loading on Maxillary Anterior Region (상악전치부임플란트에서의 즉시식립 후 심미수복증례)

  • Lee, Hee-Kyong
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.733-737
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    • 2017
  • Successful osseo-integration of dental implants that Dr. Bronemak reported in 1965 had been ground-breaking research in the restorative dentistry for the missing dentition. Clinical application of dental implants in the restorative dentistry has begun with the role of retention and support for the complete denture, beyond the functional recovery in partially missing area, and succeeds in the cosmetic recovery for anterior missing area. Recently, immediate implantation and loading after the extraction have been preferred by many excellent clinicians especially on maxillary anterior missing area, because they want to prevent from the absorption of residual alveolar bone. But it is hard to decide immediate loading for common clinicians also, because it is difficult for them to convict proper osseo-integration. In this article, immediate implantation and delayed loading case on maxillay anterior region have been introduced and predictable prosthetic procedure for the esthetic result has suggested.

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Radiological Diagnosis of vomitting in infant and children (소아의 구토에 대한 방사선학적 진단)

  • Kim, In-Won
    • Journal of Korea Association of Health Promotion
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    • v.1 no.1
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    • pp.21-25
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    • 2003
  • Vomiting in pediatric patient is frequently encountered problem in emergency room or outpatient clinic. In differential diagnosis, age of the patient or accompanying symptoms should be considered in the differential diagnosis. Accurate diagnosis is very important because surgical treatment is necessary in some of the conditions. Imaging diagnosis of conservative modality such as upper gastrointestinal series or colon study is still important radiological examination in the initial differential diagnosis, but recently ultrasonography offers accurate diagnosis in many situations. The cause of vomiting in pediatric are diverse according to the age group :neonatal sepsis, necrotizing enterocolitis, or hypertrophic pyloric stenosis in neonates : gastroesophageal reflux, viral enteritis, or intussusception in infant: midgut volvulus, appendicitis, metabolic disorders, or increased intracranial pressure also an be the cause. knowledge of radiological findings of normal gastrointestinal tract is important to recognize abnormalities. A discussion of radiological findings in variable surgical conditions to present as vomiting in pediatric patients is offered.

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Cleft Palate Speech - Language Management based on the Multidisciplinary Approach (다학문적 접근법의 구개열 말-언어 관리)

  • Yang, Ji-Hyung
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.2
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    • pp.95-105
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    • 2005
  • Cleft lip and palate is a congenital deformity which needs a professional and consistent management from the birth and along with the physical growth of patients. The patients with cleft lip and palate can have general speech problems with resonance disorders, voice disorders and articulation disorders after the successful primary surgical management and the physical growth. Speech problems of Cleft lip and palate are characterized hypernasality, nasal air emission, increased nasal air flow, and aberrant speech marks which decrease intelligibility. These speech problems of cleft lip and palate can be treated with the secondary surgical procedure, the application of temporary prosthesis and the effective and well-timed speech therapy. The speech and language problems of cleft lip and palate, the general procedures and schedules of the speech assessment and therapy based on the multidisciplinary approach are introduced for the patients with cleft lip and palate, their family and the other members of the cleft palate treatment team.

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