• 제목/요약/키워드: Fever management

검색결과 217건 처리시간 0.023초

肛腸治療의 原理, 常用方法 및 臨床應用에 對한 文獻的 考察 (A Literatural Study on Basements, Methods, Clinical Applications of Anal Therapy)

  • 노훈정;문구
    • 한방안이비인후피부과학회지
    • /
    • 제12권2호
    • /
    • pp.124-145
    • /
    • 1999
  • Anal Therapy is taken valid compound of herb med and has many kinds of treatments. As one of the anal therapy, retention enema is most common and useful way. This study was performed in order to literatural basements of clinical treatments. we had cleared manifest about the origin and literatural basement of anal therapy, methods of management, classification of indication, clinical application and so forth. The results were summerised as follows. 1. It explained relationships between anus and Ojang-yukbu(五臟六腑), Sibie-geongmaek(十二經脈). But in fact the origin of anal therapy is Milgeon-dobub(蜜煎導法) and Jedamjib-dobub(猪膽汁導法) in Sanghan-jabbyungron(傷寒雜病論) of Han Dynasty. 2. The effect of anal therapy can be reached to the destination through theory of the organism which is called Jung-chei theory(整體論) and local medical action. We can find a little in Naegeong(內經), which is basement of Hang-jang therapy. 3. Anal Therapy have Kwanjaogbub(灌腸法), Guhangbub(灸肛法), Dohangbub(塗肛法), Hoonhangbub(熏肛法), Saekhangbub(塞肛法), Youkhangbub(浴肛法), Jwajeombub(坐점法) e.t.c. 4. Anal Therapy is available when person can't taken by mouth. Its benefits are fast effect and low side effect about liver because it is not taken trough liver mostly. 5. Anal Therapy has been used for the treatment of diseases such as stroke, high fever, pneumonia, ulcerative colitis, prostatitis, renal failure, pelvic inflammation. cancer and so on.

  • PDF

경기지역 유기견의 주요 전염성 질병 실태 조사 (A survey of canine infectious diseases in stray dogs in Gyeonggi Province, Korea)

  • 고재형;박미영;신병훈;남영희;구경녀;손주일
    • 한국동물위생학회지
    • /
    • 제43권4호
    • /
    • pp.217-225
    • /
    • 2020
  • This study was conducted to survey pathogens of canine coronavirus (CCV), canine distemper virus (CDV), canine influenza virus (CIV), canine parvovirus (CPV), severe fever with thrombocytopenia syndrome virus (SFTSV), Dirofilaria (D.) immitis, Giardia and antibodies against Anaplasma (A.) phagocytophilum, Borrelia (B.) burgdorferi, Brucella (B.) canis and Ehrlichia (E.) canis among stray dogs in Gyeonggi province. We collected 271 feces, 291 bloods, 311 nasal and ocular swab samples from 311 of dogs in the Gyeonggi province assistance dogs sharing center from January to December, 2019. Among canine infectious disease pathogens, Giardia was highly detected in 46/271 (17.0%) samples. Subsequently, CCV 10.3% (28/271), D. immitis 8.2% (24/291), CPV 4.1% (11/271), CDV 1.0% (3/311), A. phagocytophilum (antibody) 0.3% (1/291), E. canis (antibody) 0.3% (1/291) were detected. Based on the results, this study is expected to provide a useful reference for disease control and management of stray dogs.

Management of a trauma patient with alcohol withdrawal who developed neuroleptic malignant syndrome in Korea: a case report

  • Byungchul Yu;Ji Yeon Lee;Yong Beom Kim;Hee Yeon Park;Junsu Jung;Youn Yi Jo
    • Journal of Trauma and Injury
    • /
    • 제36권3호
    • /
    • pp.249-252
    • /
    • 2023
  • Neuroleptic malignant syndrome (NMS) is a rare but fatal condition, with a high mortality rate. NMS is characterized by altered mental status, fever, myoclonus, autonomic dysfunctions, and elevated creatinine phosphokinase. The clinical manifestations may be confused with alcohol-related symptoms, trauma, sepsis, postoperative agitation, or malignant hyperthermia. A 69-year-old male patient with alcohol withdrawal was admitted to the operating theatre to rule out septic shock due to mesenteric injury after multiple trauma. He was suspected NMS with abrupt increase body temperature to 41.7℃ after haloperidol administration. Active cooling and rapid fluid infusion was done during anesthesia. Delayed diagnosis and treatment of NMS lead to catastrophic result. Therefore, if the patient's past medical history is unknown or clinical symptoms develop that are suggestive of NMS, early treatment must be considered.

저출생체중아 어머니와 정상신생아 어머니의 간호교육요구도 조사 (The Educational Needs of the Mothers of LBW infant and Normal Neonate)

  • 조결자;정연;이군자
    • Child Health Nursing Research
    • /
    • 제3권1호
    • /
    • pp.5-18
    • /
    • 1997
  • This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.

  • PDF

정상 신생아 어머니와 고위험 신생아 어머니의 신생아에 대한 지각 및 교육요구도 비교 (The Educational Needs and Perception of the Mothers of High Risk Infant and Normal Neonate)

  • 이미자;서현선;홍유희;김소연;유은주;박송자
    • Child Health Nursing Research
    • /
    • 제9권1호
    • /
    • pp.18-27
    • /
    • 2003
  • The purpose of this study is to compare the educational needs and perception of mothers of normal neonates and high risk infants. This research was designed as a descriptive study. Data were collected for two months from April 2002 to March 2002. Subjects were 41 mothers of high risk infants and 60 mothers of normal neonates in one general hospital in Seoul participated in the study. Measurement tools used in this study were the educational needs scale developed by Cho Kyoul Ja et al and the neonatal perceptive inventories scale developed by Broussard. They ask mothers to rate each item on a four point Likert type scale. The collected data were analyzed using SPSS 8.0 program. The variables were listed as frequency, mean, standard deviation, X2 test, t-test, ANOVA. The results were as follows: The educational needs of the mothers of primi pregnancy was higher than the mothers of multi pregnancy. The educational needs on management of diseases such as prevention of infection, symptoms of disease, mental development, attachment promotion, congenital metabolism test, management of convulsion, care of vomiting and fever were higher than general care of infants such as immunization, measurement of temperature, hiccough care, follow up care. The informations must be included in nursing intervention program to reduce the mothers' stress level. In conclusion, in order to promote positive mother infant relationship, nurse need to give information and educate the mothers of high risk infant and normal neonate.

  • PDF

항암화학요법 후 퇴원한 암 환자의 증상관리를 위한 전화상담 가이드라인 개발 (Developing Telephone Guidelines for Symptom Management of Cancer for Outpatients with Cancer after Chemotherapy)

  • 박인숙;김은미;오필주;김수진;김혜진;김보경;황은경;박세림;이미정
    • 임상간호연구
    • /
    • 제18권2호
    • /
    • pp.317-328
    • /
    • 2012
  • Purpose: This study was done to provide oncology nurses systemic guidelines designed to perform telephone counseling in outpatient settings treating patients with chemotherapy. Methods: Symptoms which are frequently questioned were identified through case reports recorded by 4 clinical nurse specialists from January 4 to December 31. 2010. Fifteen clinical experts and two hemato-oncologists reviewed the developed draft. Their opinions were synthesized to arrive at consensus on the ideal guidelines. This process confirmed content validity. The two hemato-oncologists also verified the face validity. Results: The six symptoms which were most frequently asked about were identified through 4,644 case reports and concerned pain, fever, skin alteration, nausea/vomiting, stomatitis and diarrhea. Evidence-based telephone triage guidelines for the 6 major symptoms in patients receiving chemotherapy were developed. Conclusion: These guidelines will help oncology nurses from novice to expert incorporate evidence-based telenursing into their practice.

산후조리원의 산모의 신생아 돌보기 교육 요구도와 교육 만족도 (The Educational Needs and Satisfactory about Infant Care of the Mothers in the Post-partum Care Center)

  • 조결자;정연;백승남
    • Child Health Nursing Research
    • /
    • 제6권3호
    • /
    • pp.344-353
    • /
    • 2000
  • This study was designed to compare the educational needs and satisfactory about infant care of the mothers in the Post-partum Care Center for development of the educational program. The subjects for this study were 100 mothers in the Post-partum Care Center in Seoul and Buchon. The data were collected during the period from Feb. to March, 2000. The Educational Need and satisfactory for Infant Care was measured by questionnaire that has developed by researchers. The data were analysed by descriptive statistics, paired t-test using SPSS PC+ WIN. The results were as fellow; 1) The educational needs of the mothers in the Post-partum Care Center were high (mean=4.32). 2) The satisfactory of the mothers in the Post-partum Care Center of educational program of infant care were middle range (mean=3.60). 3) The educational needs of infant cares in the Post-partum Care Center were higher than satisfactory of the mothers in the Post-partum Care Center of educational program of infant care(t=7.71 p=.000). 4) The educational need by content was signs, symptoms and management of disorders(i.g. cyanosis, seizure, fever, etc.) were higher than general care of baby(i.g. feeding, diaper change etc.). In conclusion, when the infant caregiver in the Post-partum Care Center teaching the method of infant care to mother, there should be in consideration of educational need of mother. And its educational contents must be included of mental and emotional development and signs, symptoms and management of disorders.

  • PDF

The Clinical Characteristic and Management of Patients with Nocardiosis in a Tertiary Hospital in China

  • Peilin Liu;Zhiqian Wang;Zijuan Jian;Xuan Liu;Yanming Li;Qun Yan;Baiyun Zhong;Mengting Liao;Xianghui Liang;Wenen Liu
    • Journal of Microbiology and Biotechnology
    • /
    • 제33권5호
    • /
    • pp.574-581
    • /
    • 2023
  • Nocardiosis is an uncommon opportunistic bacterial infection which becomes a significant health problem due to its increasing incidence and high mortality rate. However, many nocardiosis patients are underdiagnosed by physicians. To summarize the clinical characteristics and management of nocardiosis would help with better diagnosis and prognosis of nocardiosis. This retrospective study was conducted based on the medical records of nocardiosis patients between January 2015 and December 2021 in a tertiary hospital in China. Overall, 44 nocardiosis patients with 54 specimens were included. The patients consisted of 26 males and 18 females with a mean age of 50.4 ± 13.2 years. Among 44 patients, 26 (59.1%) were previously given immunosuppressive therapy. Connective tissue diseases (CTDs) were the most common underlying disease (16/44). The most frequent infection sites were the lungs (17/44) and skin or soft tissues (8/44). Common symptoms included cough (23/44), expectoration (18/44), fever (15/44), and subcutaneous abscesses (15/44). Forty-five out of 54 specimens (83.3%) required over 48 hours of culture time for nocardiosis detection. Thirty-six patients were cured or improved, 5 patients were discharged from the hospital due to poor prognosis, and 1 patient died. The average diagnosis time of poor prognosis cases was 19.7 days, which was significantly longer than those of improved or cured patients (7.3 days). Immunosuppressed patients comprise a large part of nocardiosis cases, which is worth attention in clinical practice. Early diagnosis, specifically through prolonged cultivation time of specimen, could help achieve better prognosis of nocardiosis patients.

현대미술에서의 아카이브 담론과 '아카이브 아트'의 재고찰 (Archival Discourse in Contemporary Art and the Rethinking of "Archival Art")

  • 이혜린
    • 한국기록관리학회지
    • /
    • 제24권1호
    • /
    • pp.31-46
    • /
    • 2024
  • 본 연구는 현대미술의 아카이브 담론으로서 '아트 아카이브'와 '아카이브 아트'의 기초 개념을 정리하고, 아카이브적 특성에도 불구하고 미술작품이라는 매체적 특수성으로 인해 기록학에서는 크게 주목하지 않았던 아카이브 아트를 새롭게 고찰한다. 동시대 미술의 새로운 경향으로 받아들여지고 있는 아카이브 아트는 '아카이브 구조나 방법론을 활용하는 미술작품이나 미술실천'을 의미한다. 지금까지 아카이브 아트 관련 연구의 주된 특징은 권력자에 의해 평가 및 선별되었기에 아카이브를 신뢰할 수 없는 대상으로 평가하고, 미술가가 공적 영역에서 소외되고 결락된 역사를 새롭게 구축한다는 점에서 대항서사로 평가하는 것이다. 이러한 접근은 반아카이브적 관점으로 현대 아카이브를 비판하면서도 아카이브를 작품의 핵심적인 정체성으로 내세우는 모순적 특성을 드러낸다. 따라서 지금까지 전개된 주요 논의들은 기록의 진본성을 존중하고 기록 정보를 활용해 자신의 논리를 강화하는 사례를 포괄하지 못하고, 심지어 이들과 대치된다는 점에서 한계를 드러낸다. 본 연구에서는 기록학의 측면으로 아카이브 아트를 재정리해 유형을 분류하고, 각각의 특성을 분석할 것이다. 미술가가 활용한 아카이브 개념을 전통적인 기록학의 측면에서 접근하려는 시도는 미술작품이 지닌 본래의 미적 가치를 인정하면서도 이를 기록학의 연구 대상으로서 확대한다는 점에서 의의가 있다.

응급의료센터를 내원한 환자의 주증상과 주진단 분포에 관한 연구 (Research about chief complaint and principal diagnosis of patients who visited the university hospital emergency room)

  • 이경숙
    • 디지털융복합연구
    • /
    • 제10권10호
    • /
    • pp.347-352
    • /
    • 2012
  • 본 연구에서는 2011년1월1일부터 2011년 6월 30일까지 6개월 동안 대학병원 응급실로 방문하여 내과로 입원한 환자 889명을 조사대상으로 응급의료센터에 방문한 환자의 주호소와 주진단에 대한 분포를 확인하고, 기존의 질병분류 방법인 ICD와 일차 진료를 세부 분류하는 방법인 ICPC를 비교하고자 하였다. 분석방법으로는 환자들의 인구통계학적인 측면을 살펴보기 위해 빈도분석이 시행되었으며, ICD와 ICPC에 따른 주호소 분포를 알아보기 위한 교차분석을 시행하였다. 다음과 같이 분석을 시행한 결과 주증상중 Abdominal pain이 17.7%, dyspnea가 13.5%, Fever가 12.5% haematemesis가 9.8%로 주로 일차의료에서 사용되는 주호소 증상이 전체의 54.5%를 차지하는 것으로 나타나 응급의료센터에서 일차 진료 분류법을 사용하는데 적합한 것으로 예상되었다. 또한 진단명중 abdominal pain의 경우 ICD에서 R10으로 116(18.7%)명이 분류되었지만 ICPC에서는 epigastric(11.5%)과 general(5.8%)로 나뉘어 분류되어 세분화 되는 것으로 나타났다. 즉, 현재 병원에서 시행되고 있는 ICD 분류법 보다는 일차 진료 분석에 초점이 맞춰진 ICPC 분류법이 좀 더 세분된 환자분류에 용이하다는 것을 알 수 있다. 비록 본 조사에 사용된 자료가 1개 병원에 그치고 있어서 자료의 대표성이 확보되기는 어렵지만, ICPC가 응급의료에 있어 분류가 가능하고 기존의 분류법 보다 세분된 환자분류가 용이하다는 점에서 그 의의가 있다.