• 제목/요약/키워드: Corporation Hospital

검색결과 417건 처리시간 0.025초

악교정 수술시 출혈량과 수혈에 관한 임상적 연구 (A CLINICAL STUDY OF THE BLOOD LOSS AND TRANSFUSION ON ORTHOGNATHIC SURGER)

  • 배준수;류정호;유준영;김용관;신동용;이창선
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제20권4호
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    • pp.300-304
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    • 1998
  • Moderns have desire likely to be further good-looking concomitant with a qualitative advancement of the life. With one of this phenomenon, an orthognathic surgery performing at the dept. of oral and maxillofacial surgery have been becoming a more extensively. It's possible to occur many complications during the operations and especially, an excessive bleeding of those may be fatal and so a transfusion is performing for the prevention &management of that. But, because of the rate of increase of an blood-born infection like AIDS via transfusion, nowadays an autologous blood transfusion is interesting to us. We made a comparative study of an amount of blood loss &transfusion using hemoglobin value after classifying the orthognathic surgeries from Feb. '97 to Mar. '98 in single-jaw and doublejaw surgery. And we intended to set a standard against of a routine preoperative cross-matching deciding the amount of predictive homologous blood transfusion according to operative method. Simultaneously, we studied the realization &effectiveness of autologous blood transfusion with some cases, so would like to present. Results: 1. Single-jaw operation can be performed without blood transfusion or with homologous blood transfusion through only blood typing & screening. 2. We commonly transfuse two units of blood with double-jaw operation and an autologous blood transfusion has much more advantage than an homologous blood transfusion. 3. We can reduce charge associated with blood transfusion through precisely preoperative evaluation of patients and proper type of blood transfusion.

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Efficacy and safety of Panax ginseng berry extract on glycemic control: A 12-wk randomized, double-blind, and placebo-controlled clinical trial

  • Choi, Han Seok;Kim, Sunmi;Kim, Min Jung;Kim, Myung-Sunny;Kim, Juewon;Park, Chan-Woong;Seo, Daebang;Shin, Song Seok;Oh, Sang Woo
    • Journal of Ginseng Research
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    • 제42권1호
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    • pp.90-97
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    • 2018
  • Background: Antihyperglycemic effects of Panax ginseng berry have never been explored in humans. The aims of this study were to assess the efficacy and safety of a 12-wk treatment with ginseng berry extract in participants with a fasting glucose level between 100 mg/dL and 140 mg/dL. Methods: This study was a 12-wk, randomized, double-blind, placebo-controlled clinical trial. A total of 72 participants were randomly allocated to two groups of either ginseng berry extract or placebo, and 63 participants completed the study. The parameters related to glucose metabolism were assessed. Results: Although the present study failed to show significant antihyperglycemic effects of ginseng berry extract on the parameters related to blood glucose and lipid metabolism in the total study population, it demonstrated that ginseng berry extract could significantly decrease serum concentration of fasting glucose by 3.7% (p = 0.035), postprandial glucose at 60 min during 75 g oral glucose tolerance test by 10.7% (p = 0.006), and the area under the curve for glucose by 7.7% (p = 0.024) in those with fasting glucose level of 110 mg/dL or higher, while the placebo group did not exhibit a statistically significant decrease. Safety profiles were not different between the two groups. Conclusion: The present study suggests that ginseng berry extract has the potential to improve glucose metabolism in human, especially in those with fasting glucose level of 110 mg/dL or higher. For a more meaningful benefit, further research in people with higher blood glucose levels is required.

병원 급식 식대 급여화에 따른 입원 환자의 급식만족도 조사 (A Study of Hospital Foodservice Satisfaction after Covering Hospital Foodservice in the National Health Insurance)

  • 황라일;권진희
    • 대한지역사회영양학회지
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    • 제13권3호
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    • pp.396-404
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    • 2008
  • This study aimed to evaluate the amount of patients' satisfaction with hospital foodservices among those who were benefited from national health insurance during their hospitalization. A total of 3,094 inpatients from 191 medical institutions were enrolled in this survey. The survey was carried out from July 23 to September 14, 2007 through the face-to-face interview method. All analyses were made using the SPSS software (version 13.0). The mean age of the participants was 53.3 years, 57.0% were women; 34.7% were high-school graduates. Among the respondents, 30.9% stayed in the hospital for $7{\sim}14$ days long, and 52.0% were hospitalized in multi-patient rooms for six persons. The 87.7% of total population had a general diet, and 9.6% selected the food menu that was notcovered by health insurance. In addition, 38.3% of patients regarded the fee of foodservice as inexpensive. Overall, the satisfaction score with hospital foodservice was 3.63 on a Likert-type scale ranging from 1 (extremely dissatisfied) to 5 (extremely satisfied). However, the limitations were indicated including the lack of providing nutritional information and quality of taste. In conclusion, the quality of hospital foodservice might not deteriorate even after enforcement of national payment of medical insurance. Further efforts are required for the diversification of menus and legislative work for improving quality of food service for a successful hospital foodservice policy.

New possibility of chlorogenic acid treatment on skin aging

  • Lee, J.C.;Kim, J.H.;Ahn, S.M.;Chung, J.H.;Lee, B.G.;Chang, I.S.
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 2003년도 Annual Meeting of KSAP : International Symposium on Pharmaceutical and Biomedical Sciences on Obesity
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    • pp.110-110
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    • 2003
  • It is well-documented that decreased antioxidant defense system by ultraviolet(UV) irradiation is the most important reason to induce the skin aging, especially photoaging. Chlorogenic acid(CA), a nonflavonoid catecholic compound, is present in the diet as part of fruits, tea, coffee and wine and has been reported to have anti-inflammatory, antimutagenic and anticarcinogenic activities. In this study, we examined the effects of CA on the UV -induced photoaging. Firstly, we investigated the protective effect of CA on antioxidant defense system in HaCaT human keratinocytes after UV irradiation treatment. UV irradiation decreased antioxidant defence enzyme activities of superoxide dismutase, catalase and GSH contents, which were restored by CA. To elucidate the effect of CA, 1% of CA and vehicle were applied to human buttock skin before and after UV irradiation (2MED). CA prevented UV -induced matrix metalloproteinase-1 mRNA expression and procollagen mRNA depression. And CA also increased CD1a(Langerhans cell) expression significantly. Our results suggest that CA has protective effects on UV -induced photoaging by increasing cellular antioxidant defense system. Therefore, CA may be a useful anti-aging agent for cosmetic purpose.

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생활 스트레스가 경미한 일반 성인에서의 신체적 및 정신적 증상 - 종합병원 건강증진센터 내원자들을 대상으로 - (The Physical and Mental Symptoms of Normal Subjects with Mild Life Stress)

  • 주상희;하은혜;이병욱;전덕인;김영현;송동호
    • 정신신체의학
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    • 제10권1호
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    • pp.48-54
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    • 2002
  • 연구목적: 종합 병원 건강 증진 센터를 내원한 일반 성인들을 대상으로 생활 스트레스, 신체적 및 정신적 증상, 그리고 신체 이학적 지표들을 측정하여 스트레스와의 관련성을 알아보고자 하였다. 방법: 2000년 7 월부터 12월까지 종합병원 건강증진센터에 내원한 성인 남녀 중 186명을 대상으로 하여 생활 스트레스 측정도구, 간이정선진단검사, 건강 검진 문진표를 사용하여 대상들이 지각하는 생활스트레스와 신체적 및 정신적 증상을 조사하였으며, 건강 진단에 통상적으로 시행되는 검사 중 스트레스와 관련이 있다고 생각되어지는 신체 이학적 지표를 선정하여 분석하였다. 전체 연구 대상을 생활스트레스지각의 정도에 따라 스트레스 낮은 군과 높은 군으로 나누어 두 군간에 연구변인들의 유의미한 차이가 있는지 분석하였다. 결과: 스트레스가 낮은 군과 높은 군 사이에 간이정신진단검사의 모든 소항목 점수들은 모두 유의미한 분포의 차이를 보였으며, 주관적인 신체증상에서도 불안, 우울 증상과 그와 관련된 자율신경계 증상들이 유의미하게 분포함을 알 수 있었다 그러나 성인병의 지표라 볼 수 있는 신체이학적 검사자료에서는 두 군간에 유의미한 차이가 없었다. 결론: 생활 스트레스는 일반 성인남녀에서 정신적 증상 및 신체생리 증상들을 야기할 수 있지만, 고혈압, 당뇨병, 고지혈증, 심장병 등의 스트레스성 성인질환으로 진행되기까지는 스트레스가 상당기간 지속되어야 함을 시사하였다.

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방사선 사고시의 의료대책 (Medical Preparedness in Radiation Accidents)

  • 김은실;김종순
    • Journal of Radiation Protection and Research
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    • 제21권3호
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    • pp.201-215
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    • 1996
  • Radiation and radioactive materials serve man in many beneficial ways. Diagnostic X-ray, radiation therapy, and other nuclear medicine uses of radioactivity save thousands of lives each year. Industrial application of radiation, such as radiography, make many manufactured products more reliable and less expensive. Nuclear power plants are producing more electrical power each year and reducing our dependence on imported oil. However, radiation can and dose produce harmful effects particularly as the reault of a radiation accident in which a victim receives as the result of a radiation accident in which a victim receives a large dose. Fortunately such accidents are very rare and recently we need more electric power produced by nuclear power plants. Considering increase of use of radiation or radioactive materials, we have to establish the radiological emergency response system prepared for radiation accidents.

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종골 골절 시 골절편에 의해 발생한 비복 신경의 포착(1예 보고) (Sural Nerve Entrapment by Fragments of Calcaneal Fracture (A Case Report))

  • 이윤태;이태진;김성환;윤한국
    • 대한족부족관절학회지
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    • 제15권1호
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    • pp.44-46
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    • 2011
  • Sural nerve is a sensory nerve that innervates the lateral side of ankle and foot, and the injury of this nerve can be usually caused by surgical approch of calaneal fracture or achilles tendon injury. Entrapment neuropahty of sural nerve caused by bony fragment after calcaneal fracture is not reported, yet. Authors experienced one case that sural nerve injury due to bony fragment after calcaneal fracture and we regard that it is a rare case, so we report this case after reviewing literatures.

시차를 두고 양측 후이개에 발생한 기무라씨병 1예 (Sequentially Developed Bilateral Postauricular Kimura's Disease)

  • 이용주;김창용;남지해;박순형
    • 대한두경부종양학회지
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    • 제29권1호
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    • pp.22-25
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    • 2013
  • Angiolymphoid hyperplasia with eosinophilia(Kimura's disease) is a relatively uncommon chronic benign disorder of unknown etiology, predominantly in the head and neck region and associated with lymphadenopathy or salivary gland enlargement. The treatment options are still controversial including medical therapy, surgery, and radiation. Kimura's disease of bilateral postauricular involvement has rarely been reported. We report a male patient with sequentially developed Kimura's disease involving the bilateral postauricular region and was treated by combined surgical excision and steroid therapy.

Lamotrigine 단독 과량복용으로 발생한 횡문근융해증 (Rhabdomyolysis after Lamotrigine Poisoning: A Case report)

  • 김건배;구홍두
    • 대한임상독성학회지
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    • 제6권2호
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    • pp.142-145
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    • 2008
  • Lamotrigine is a newer anti-epileptic drug for adjunctive treatment of refractory epilepsy, partial seizures, generalized tonic-clonic seizures, and bipolar disorder. Lamotrigine overdose causes serious central nervous and cardiovascular problems, but reports are uncommon. Few lamotrigine overdoses have been described because anti-epileptic drug use is limited and usually used with combination of other anti-epileptic drugs. In addition, most patients visit emergency departments with multi-drug overdoses, so few cases of lamotrigine poisoning alone exist. We had a female patient visit our emergency department a couple of hours after a lamotrigine overdose treated with intravenous hydration and urine alkalization by NaHCO3. She recovered successfully without any evidence of renal injury. However, she developed profound rhabdomyolysis, a previously unreported complication of this medication. We suggest that serial creatine kinase levels should be measured after lamotrigine poisoning.

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의료급여 1종 노인 수급권자의 입원이용 (Hospital Services Utilization in Type-I Medicaid Elderly Beneficiaries)

  • 임승주
    • 동서간호학연구지
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    • 제15권2호
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    • pp.63-70
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    • 2009
  • Purpose: The purpose of this study was to evaluate hospital service utilization by the types of hospitals in Type I Medicaid claims frequently cited by elderly beneficiaries. Methods: Three frequently claimed inpatient diseases were selected: cerebral infarction, hypertension and diabetes mellitus. Relevant data were collected for the year 2008 from the computer database of the National Health Insurance Corporation. The data was analyzed using SPSS by descriptive statistics, ANOVA and coefficient of variation. Results: The coefficient of variance of hospitalization per episode was higher than daily hospital expenditure among hospitals for all three diseases. The coefficient of variance of hospitalization per episode was highest for cerebral infarction. The coefficient of variation of hospital expenditure per hospital day was highest for hypertension. Conclusions: Evaluating of the volume and pattern of hospital service utilization and the appropriateness for hospital admission for Type-I Medicaid elderly beneficiaries is important for Medicaid-based case management.