• Title/Summary/Keyword: Hospital Guidance

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Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin

  • Shin, Joo-Hee;Kim, Ryan Jin-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.180-184
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    • 2012
  • Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

The Role of Ultrasound Guided Core Needle Biopsy in Thyroid Nodule (갑상선 결절에서 초음파 유도하 중심생검의 역할)

  • Ryu, Yoon-Jong;Ahn, Soon-Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.1
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    • pp.1-4
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    • 2015
  • Fine needle aspiration cytology(FNAC) holds a main role in assessing thyroid nodules. But nonnegligible rate of thyroid cytology is reported as uncertain, indeterminate or inadequate for diagnosis. Recently, the microhistologic evaluation by core needle biopsy(CNB) under ultrasound sonographical guidance has been reported to show high accuracy for the diagnose of thyroid nodules. Aim of this review was to furnish the state of the art of this topic by summarizing previous published data about indication, diagnostic performance, and complication of CNB in thyroid lesions compared with FNAC

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Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

  • Soneji, Neilesh;Peng, Philip Wenn Hsin
    • The Korean Journal of Pain
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    • v.26 no.2
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    • pp.111-124
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    • 2013
  • Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the anatomy and sonoanatomy of peripheral non-axial structures commonly involved in chronic pain conditions including the stellate ganglion, suprascapular, ilioinguinal, iliohypogastric, genitofemoral and lateral femoral cutaneous nerves. Additionally, the review discusses ultrasound guided intervention techniques applicable to these structures.

Conduits for Coronary Bypass: Vein Grafts

  • Barner, Hendrick B.;Farkas, Emily A.
    • Journal of Chest Surgery
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    • v.45 no.5
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    • pp.275-286
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    • 2012
  • The saphenous vein has been the principal conduit for coronary bypass grafting from the beginning, circa 1970. This report briefly traces this history and concomitantly presents one surgeons experience and personal views on use of the vein graft. As such it is not exhaustive but meant to be practical with a modest number of references. The focus is that of providing guidance and perspective which may be at variance with that of others and recognizing that there may be many ways to accomplish the task at hand. Hopefully the surgeon in training/early career may find this instructive on the journey to surgical maturity.

Major Satisfaction according to Value and Self-efficacy of University Student Majoring in Health Science (전문대학 보건계열 대학생의 가치관과 자기효능감에 따른 전공만족도)

  • Chung, Sin Ho;Kim, Hyunhee;Sim, Sang Hyo
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.2
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    • pp.71-81
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    • 2017
  • Objectives: The purpose of this study was to investigate major satisfaction according to the values and self efficacy of students majoring in health science. Methods: Among the 170 respondents, 25.3% were male and 74.7% were females. The departments were 28.9% of physical therapy, 20.6% of laboratory science, 23.5% of occupational therapy, 14.1% of nursing, and dental hygiene 12.9%. Results: In the present study major satisfaction was significantly higher when the higher self efficacy and significantly lower when the higher value. Conclusions: These results indicate that it is necessary to provide contents and appropriate guidance that can enhance the values and self efficacy in order to improve major satisfaction of students majoring in health science.

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Current Pharmacogenetics in Psychiatry (정신의학에서의 약물유전학 현황)

  • Kim, Il Bin;Lee, Yu Sang
    • Korean Journal of Biological Psychiatry
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    • v.28 no.1
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    • pp.1-6
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    • 2021
  • Pharmacogenetics is opening a new era of precision medicine in psychiatry. Drug-metabolizing enzymes are characterized by genetic polymorphisms, which render a large portion of variability in individual drug metabolism. Dose adjustment based on pharmacogenetics knowledge is a first step to translate pharmacogenetics into clinical practice. However, diverse factors including cost-effectiveness should be addressed to provide clinical recommendation. To address current challenges in pharmacogenetics testing in psychiatry, this review provides an update regarding genotyping (SNP analysis, array, and next-generation sequencing), genotype-phenotype correlations, and cost-effectiveness. The current updates on pharmacogenetics in psychiatry will provide guidance for both clinician and researchers to have a consensus in harmonizing efforts to advance the pharmacogenetics field in a part of precision medicine in psychiatry.

Ultrasound-Guided Regional Nerve Block in Lower Extremity (하지에서의 초음파 유도 국소 신경 차단술)

  • Kang, Chan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.50-59
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    • 2012
  • In the domain of orthopaedic surgery, application of regional nerve block for surgery or pain control in upper and lower extremities has been increased. By performing regional block of popliteal (sciatic), femoral, proximal saphenous nerve and ankle block under guidance of ultrasound, not only the safety, but also success rate of the procedure has increased, and amount of local anesthetics could be used less, too. Since the perineural single injection or continuous catheterization of diluted local anesthetics was performed more precisely and easily by the guidance of ultrasound, postoperative pain could be controlled without complications of PCA such as nausea, vomiting, etc. We will discuss about this ultrasound guided regional nerve block.

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Effectiveness of incisions, and Dressing to increase Medical Quality : In Linear or Sigmoid Incisions, and Liquid Wound Dressing for Computer Image Guided Craniotomy (의료품질의 향상을 위한 두피절개 및 드레싱 방법의 개선 효과 분석 : CT영상안내에 의한 직선형 또는 S자형 두피절개와 액상 드레싱효과)

  • Cho, Joon;Eum, Kee-Soo;Lee, Dong-Kue;Park, Keun-Sang;Kim, Mi-Young
    • Journal of Korean Society for Quality Management
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    • v.34 no.4
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    • pp.40-50
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    • 2006
  • The authors aimed to analyze the quality improvement efficiency of wound dressing with 2-octyl cyanoacrylate(2-OCA) in stereotactic image guided linear or sigmoid incisions in a cohort of consecutive craniotomy patients, and to compare clinical results with those of iodine-dressing and silk sutured patients underwent conventional craniotomy surgery with large pedicle flap incisions without stereotactic guidance. In methods, 26 patients were involved as the study group at one hospital. We retrospectively compared their results with those of 38 consecutive control patients at the same unit. The suggested new medical material, 2-octyl cyanoacrylate(2-OCA), resultantly decreased or prevented the contaminated fluid influx from scalp outside. The mean infection rate for the control group (7.89%) was relatively higher than that of the study group (3.85%). In addition, the use of stereotactic image guided craniotomy was significant to reduce operation time, to simplify operative procedures and to decrease potential risk factors.

A Study on the Design Guidance for Remodeling Small and Medium Hospitals into Nursing Homes in Korea (국내 중.소규모 병원을 노인 요양시설로의 리모델링시 요구되는 디자인 지침에 관한 연구)

  • Park, Hyunjun;Choi, Sanghun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.17-28
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    • 2010
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

Analysis of 119 emergency medical service patient transfer according to demographic and emergency medical system factors (인구학적 요인 및 응급의료시스템 요인에 따른 119구급 서비스 이송 분석 연구)

  • Min-Hee Kim;Jun-Dong Moon
    • The Korean Journal of Emergency Medical Services
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    • v.28 no.1
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    • pp.63-76
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    • 2024
  • Purpose: To analyze trends related to demography and EMS and to provide supporting data for the appropriate deployment of EMS providers. Methods: In this cross-sectional study, data on patients transported by 119 EMS, demographics, and EMS factors were collected using the Korean Statistical Information Service (KOSIS) and the National Fire Agency annual report from 2017 to 2021. Results: During the study period, the total number of patients and those with severe disorders transported via 119 EMS showed an increasing trend. The total fertility rate and population during the same period tended to decrease, and the population density and number of households increased; however, there was a disparity between regions. The main demographic factors affecting the number of patients transported were population density and total fertility rate, while the main EMS factors were the number of ambulances and provision of emergency medical information services(hospital guidance, pharmacy information, and first aid guidance). Conclusion: From the perspective of EMS providers' force deployment, it is necessary to consider population density, population, number of households, total fertility rate, and number of emergency medical institutions and to strengthen the role of diverting the use of 119 EMS by minor patients by providing emergency medical information.