• Title/Summary/Keyword: Convalescence

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Circunferential resection and direct end to end anastomosis of mediastinal trachea on a post tracheostomy stenosis (기관절개술후 종격동기관 협착증에 대한 기관절제 단단 문합술)

  • Kim, Se Wha;Park, Hee Chul;Lee, Hong Kyun
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.496-496
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    • 1980
  • A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

Cervicomediastinal cystic hygroma: report of a case (경부 및 상부종격동에 발생한 낭상임파관종 1례)

  • 서충헌
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.503-506
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    • 1980
  • A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

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A Case of Visual disturbance by Blunt Ocular Trauma (외상 후 안혼(眼昏) 환자 1례 보고)

  • Cho, Won-Joon;Hwang-Bo, Min;Jee, Seon-Young;Lee, Sang-Kon;Hwang, Sun-Yi
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.193-200
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    • 2006
  • Ocular injury is one of the commonest causes of eye diseases, but its patterns and incidences are variable according to the environment. Blunt Ocular Trauma is one of causes of ocular injury. Visual disturbance by Blunt Ocular Trauma is rarely reported and we do not know the exact convalescence and healing method of that. We treated a patient suffered from visual disturbance by blunt ocular trauma with herbal medicine, acupuncture, cupping treatment. We diagnosed as Blood stasis and noxious water disease. We report a case of visual disturbance by blunt ocular trauma after treatments, we observed the improvement. Based on this study, it is considered that oriental medical treatment can be applied to the management of visual disturbance.

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A study of serum lipid level and relation between the serum lipid level and coronary aneurysm after kawasaki disease (가와사끼병에서 혈청 지질 대사의 변화 및 관상동맥류에 관한 연구)

  • Chung, Churl Young;Kim, Chang Keun
    • Pediatric Infection and Vaccine
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    • v.2 no.2
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    • pp.186-192
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    • 1995
  • We measured plasma concentrations of high density lipoprotein, total cholesterol and triglycerides in 31 patients with history of kawasaki disease during acute stage and convalescence stage. High density lipoprotein cholesterol and total cholesterol concentrations were significantly lower(P<0.001) in samples taken within 11 days of the onset of illness($28.7{\pm}12.4mg/dl$ and $145.20{\pm}29.60mg/dl$) than in the second samples taken 1-2months after onset of disease($51.5{\pm}15.2mg/dl$ and $175.4{\pm}29.0mg/dl$). Change of triglycerides was not significant. There was no correlation between the serum cholesterol cencentration and coronary aneurysm and continued long term surveillance of much population is necessary to monitor lipid level and their relation to development of premature coronary atherosclerosis.

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Physical Therapy for Post-Myocardial Infarction (심근경색후 물리치료)

  • Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.83-87
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    • 1994
  • The purpose of this paper is to provide an overview of the clinical physical therapy program used at the University of Yonsei Rehabilitation Hospital, for the practicing university trained physical therapists who may be unfamiliar with patients who have suffered a myocardial infarction. The four primary phases of the cardiac physical therapy graded exercise program are: 1) coronary care unit program (phase I), 2) general ward program (phase II), 3) convalescence program (phase III), 4) maintenance program (phase IV). The exercise prescription defines the exercise intensity, duration, frequency, and mode of exercise a after pre- discharge low level graded exercise test(LL-GXT) or symptom limited maximum graded exercise test. A typical exercise routine consists of preparation warm-up exercise, therapeutic exercise, cool-down exercise. Physical therapy is involved in the acute care and rehabilitation of the patient after a myocardial infarction. Therefore, the physical therapist must throughly comprehened the cardiac anatomy, cycle, performance, conduction system, pathogenesis, risk factors, and exercise benefits.

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Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Associated with Acetaminophen Use during Viral Infections

  • Ga-Young Ban;Seun-Joo Ahn;Hye-Soo Yoo;Hae-Sim Park;Young-Min Ye
    • IMMUNE NETWORK
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    • v.16 no.4
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    • pp.256-260
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    • 2016
  • An association between drug treatment for viral infections and severe cutaneous adverse reactions has been noted. We investigated six patients diagnosed with Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) after being prescribed acetaminophen for suspected viral illnesses. Multiplex analysis was performed to measure cytokine levels in sera before and after treatment. IL-2Ra levels significantly decreased during the convalescence phase. Although acetaminophen is relatively safe, the drug can trigger SJS/TEN in patients with suspected viral infections. T-cells and monocytes may be key components of the link between viral infection and acetaminophen-induced SJS/TEN.

Convergence Effective Factors for Work Performance among Returning to Workers with Industrial Accident (산업재해 직업복귀자의 업무수행능력 융합적 영향 요인)

  • Kim, Chae-Bong;Yang, Jeong-Hee;Choi, Bo-Ram;Han, Seong-Min
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.149-157
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    • 2016
  • For workers, industrial accidents exert a bad effect on the productivity, quality of life, and depress the morale. This study aimed to examine the overall influence on job performance of employees who returned to work after industrial accidents. This was a cross-sectional study using the data of 2013 and 2014 Panel Study of Worker's Compensation Insurance (PSWCI), and we performed logistic-regression analysis to analyze an affinity between general characteristics and job performance as independent variable and outcome variable, respectively. As a result, the major factor depressed the job performance were the 1 - 7 degree of disabilities and injuries with convalescence period for 6 to 9month or more than 12 months. In other words, this study shown that job performance was decreased as higher degree of disability and longer convalescence period. Job performance is the factor to identify indirectly worker's successful return to work, and it is important in follow-up of workers who returned to work after industrial accidents. Stable job performance of an industrial disaster victim is the key factor to maintain worker's comfortable and qualitative life as well as increase of productive capacity.

A Study on the Patients Who Attempted Suicide with Drug Intoxication (약물중독 자살환자에서 사망군과 생존군의 비교)

  • Han, Jung-Su;Yun, Seong-Woo;Choi, Sung-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1863-1870
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    • 2013
  • The purpose of this study is when the cases will be found, used as a basic data for clinical severity prediction, and research on suicide prevention. By classifying the group of survival and death about the patients who visit the Emergency Medical Center by attempt suicide by drug addiction, identifying the condition when visiting and results of the treatment after visiting. From June 2009 to May 2011, last two years data that among the drug abusers who visited the Emergency Medical Center in C-University Hospital in Gwang-Ju, only suicidal patients, except with unintentional accidents were collected. The findings, among the drug addiction patients who high age, lower level of education and living alone were the mortality rate was higher. And if who drunk the agricultural chemicals, the convalescence was not good. If the causes of suicide were economic problems and depression, the mortality rate was higher. And when visit hospital, if the consciousness was stupor and semi-coma/coma, the convalescence was not good. As grasp the risk for suicide patients of drug addiction, help on the Prediction of clinical severity, also stamp the appropriate drug education with psychological support is more important on them.

A Study on the Characteristics of Labor Market Transition and Factors Influencing Labor Market Transition of Injured Workers (산업재해근로자 노동시장이행의 성격과 영향요인 연구)

  • Bae, Hwa Sook
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.193-212
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    • 2017
  • This study is purposed to explain the characteristics of injured workers' labor market situation and to analyze the factors influencing labor market transition of those workers. Using the Worker's Compensation Insurance Panel Data ver.1~3 which was surveyed by the Korean Workers' Compensation & Welfare Service in 2013-2015, this study analyzed 1,668 injured worker cases. The study shows that workers who have experience job retention at least once are 36.8% of all, 51.5% of them have experienced re-employment, and 36.9% have done unemployment. One result of the longitudinal analysis is that socio-demographic factors including gender, age, education years, convalescence period, ability on job performance, company size, term of service, temporary employment, daily-workers status before job accident and job training were associated with return to pre-injury job. The other result is that statistically significant factors affecting the probability to be the unemployed are gender, age, levels of disability, convalescence, ability on job performance, term of service before job accident, job rehabilitation service utilization. These findings indicate that we need to develop efficient intervention programs for supporting return-to-work and labor market transition of injured workers.

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Elderly Convalescence Facility Workers' Knowledge About Oral Health and Subjective Oral Health Care is the Degree of the Elderly (노인요양시설 종사자들의 구강보건 지식정도와 노인구강건강관리에 대한 인지정도 연구)

  • Lee, Yeun-Kyoung;Park, Jeong-Ran;Kwon, Sun-Hwa
    • Journal of dental hygiene science
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    • v.10 no.6
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    • pp.425-430
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    • 2010
  • According to the result of examining the recognition on subjective oral health knowledge and elderly oral health management with a self-administered questionnaire survey conducted to 233 workers of elderly care facilities located in Gyeonggi-do, it was shown that their general oral health knowledge level was high while their elderly oral health knowledge was lower than general oral health knowledge. And it was found that respondents answering they had keen interest in the level of oral health knowledge according to the interest in elderly oral health showed a higher level of oral health knowledge than those answering they had no interest in it, which indicated statistically significant difference (p<.001). Regarding the study subjects' elderly oral health management and educational demand, quite a high percentage of 83,7% responded the education is needed. A response that it is appropriate for dental hygienists to give elderly oral health management and the education showed 57.9%, which was the most. Also, it was shown that in the level of oral health knowledge according to the recognition of elderly oral health managers and educators, subjects recognizing that it is needed to be dental hygienists indicated a high level of oral health knowledge, which showed statically significant difference (p<.05).