• 제목/요약/키워드: Ilsan

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The Development and Application of Core Fundamental Nursing Skills Improvement Education Program for New Nurses in Comprehensive Nursing Care Ward (간호·간병통합서비스 병동 신규간호사 대상 핵심기본간호술기향상 교육프로그램 개발 및 적용)

  • Choi, Eun Young;An, Kum Hee;Oh, In Ohg;Park, Ai Hee;Park, Min Hyun;Son, Jae Lee;Hong, Na Suk;Yoon, Ho Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.419-429
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    • 2017
  • Purpose: The purpose of this study was to investigate the effect of the development and application of the new nurses' core skill program on the clinical skill, confidence, knowledge and performance of new nurses. Methods: This study was a nonequivalent control group post-test design on 46 new nurses with 3 to 6 months work experience in a general hospital. Data were collected from August 2015 to August 2016. A training program of core fundamental nursing skills was applied on 23 new nurses from 2016 in the experiment group, and an existing training method was applied on 23 new nurses from 2015 in the comparison group. The collected data were analyzed using SPSS/WIN 23.0. Results: The experimental group ($89{\pm}4.29$) showed higher score in practical skill assessment compared to the control group ($85.09{\pm}3.99$) and showed a statistically significant difference (p<001). Conclusion: A training program of core fundamental nursing skills for new nurses proved effective in improving practical skills. Further research on the development of a systemic training program that can improve clinical nursing knowledge and work ability for new nurses according to the extended enforcement of a Nursing Care Integrated Service ward is needed.

A Case of Endobronchial Metastasis from Renal Cell Carcinoma 7 Years after Nephrectomy (근치적 신절제술 후 7년만에 기관지내 전이로 발견된 신세포암 1예)

  • Kim, Do Hyun;Kim, Sun Hye;Kim, Dong Hwan;Na, Hyoung Jung;Lee, Ju Hyun;Lee, Sun Min;Kim, Chong Ju;Kie, Jeong Hae
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.5
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    • pp.496-500
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    • 2006
  • A distant metastasis from a renal cell carcinoma is quite common after a radical nephrectomy. For this reason, a5 year scheduled follow up is recommended. However, a distant metastasis 5 years after the resection is quite rare. We encountered an endobronchial metastasis from a renal cell carcinoma that was discovered 7 years after the radical nephrectomy, and did not present during the 5 year scheduled follow up regimen. We report this case with a review of the literatures.

Analysis of Status and Success Factor of Referral and Return of Patients to Clinics: Focusing on Patients with Endocrinology and Cardiology at a General Hospital in Goyang (진료회송 사업 현황 및 성공요인 분석: 고양시 소재 종합병원급 내분비내과와 심장내과 환자를 중심으로)

  • Park, Hee Sun;Choi, Jung Kyu;Tae, Eun Sook;Choi, Sang Gil;Kim, Eui Hyeok
    • Health Policy and Management
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    • v.32 no.3
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    • pp.323-329
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    • 2022
  • Background: This study aimed to identify the characteristics of the referral and return of patients to clinics in the endocrinology and cardiology departments at the National Health Insurance Service Ilsan Hospital to evaluate the "referral and return of patients to clinics" program and reduce the rate of returning patients. Methods: From May 2018 to December 2020, we identified the number of visits to referral hospitals and hospital usage status at Ilsan Hospital after returning to clinics. We also identified the patients who returned to Ilsan Hospital within 6 months, defined as "failure to transport," among those recommended to be transported to clinics of the Medical Cooperation Center. Additionally, we evaluated the characteristics of the "failure to transport" patients. Results: Among the returning patients, the rate of visiting Ilsan Hospital within 6 months was higher in cardiology than in endocrinology (25.1% vs. 16.7%). Older age, more severe disease, and more number of visits to the department were associated with a high rate of failure to transport. The rate of failure to return was low in cases diagnosed with hyperlipidemia/lipoprotein metabolism disorder. With respect to diabetes, the rate of failure to transport differed according to each type of diagnosis of diabetes. Conclusion: The success rate of the "referral and return of patient to clinics" program differed based on each patient's characteristics, department of visit, and diagnosis. Individualizing according to the visit department and diagnosis is required to ensure successful transfers, and infrastructure expansion and institutional arrangements must be facilitated.

A Case of Compressive Myelopathy due to Ossification of the Cervical Ligamentum Flavum (경추부 황색인대골화에 의한 압박척수병증 1예)

  • Lee, Dong-Ha;Cho, Yong-Jin;Kim, Han-Joon;Hong, Keun-Sik;Cho, Joong-Yang
    • Annals of Clinical Neurophysiology
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    • v.10 no.2
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    • pp.109-111
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    • 2008
  • Ossification of the ligamentum flavum (OLF) usually occurs in the lower thoracic spine, and is rare in the cervical region. We report the case of a 67-year-old woman who presented a seven month's history of progressive weakness and paresthesia in her right upper extremity. MRI and CT scans of the spine revealed the presence of ossified ligamentum flavum from C3-C4. A cervical laminectomy resulted in a good post-operative improvement of muscle strength.

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Treatment of Brachymetatarsia by Distraction Osteogenesis (중족골 단축증의 신연 골형성술 치료)

  • Oh, Hyun-Chul;Lee, Yun-Tae;Ha, Joong-Won;Park, Yung;Choi, Yun-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.42-46
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    • 2005
  • Purpose: To evaluate the efficacy of distraction osteogenesis for fourth brachymetatarsia. Materials and Methods: Seven patients (10 cases) who were treated by distraction osteogenesis for fourth brachymetatarsia from March 2000 to December 2003 were reviewed retrospectively. Results: The average length gain of fourth metatarsus was 16.6 mm (37%) and the average healing index was 50 days/cm. The final results according to AOFAS functional scale were excellent in 8 cases and good in 2 cases. Conclusion: Distraction osteogenesis is an effective treatment for fourth brachymetatarsia in spite of some minor complications.

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A Case of ${\beta}-fluoroethyl$ Acetate Poisoning (Beta-fluoroethyl acetate 음독 1례)

  • Shin, Dong-Wun;Park, Jun-Seok;Kim, Ah-Jin;Roh, Jun-Young;Kim, Kyung-Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.5 no.2
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    • pp.131-134
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    • 2007
  • The emergence of anticoagulant rodenticides in the 1950's resulted in an epochal reduction in the use of all other agents. It is estimated that anticoagulant rodenticides constitute 95 percent of all rodenticides now in use. However, the advent of rodent resistance to these agents has led to a return to use of some other non-anticoagulant types of rodenticides. Older non-anticoagulant rodenticides have been stored in basements, garages, and barns and are still in use in some regions of the United States and in other countries. We report a case of non-anticoagulant rodenticide (beta-fluoroethyl acetate) poisoning.

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Neurolymphomatosis presenting as brachial plexopathy with involvement of cranial nerves

  • Lee, Hye Jung;Kim, Keun Soo;Song, Pamela;Lee, Jae-Jung;Sung, Jung-Joon;Choi, Kyomin;Kim, Bohyun;Cho, Joong-Yang
    • Annals of Clinical Neurophysiology
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    • v.20 no.1
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    • pp.44-48
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    • 2018
  • Neurolymphomatosis (NL) is a rare disease characterized by lymphomatous invasion of the cranial or peripheral nerves by lymphoma. A high suspicion is important due to the various presenting symptoms mandating consideration of many differential diagnoses. We report a case of NL of the cranial nerves and plexus presenting as diplopia, facial palsy, and weakness of the upper and lower limbs in sequence.

Metaplastic Meningioma Overspreading the Cerebral Convexity

  • Choi, Yun-Hyeok;Choi, Chan-Young;Lee, Chae-Heuck;Koo, Hae-Won;Chang, Sun-Hee
    • Brain Tumor Research and Treatment
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    • v.6 no.2
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    • pp.97-100
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    • 2018
  • Meningioma is relatively common, benign, and extra-axial tumor accounting for about 20% of primary brain and spinal cord tumors. The World Health Organization (WHO) classified these tumors into Grade I (benign), Grade II (atypical), and Grade III (anaplastic) meningioma. Grade I meningioma which is slowly growing tumor and have some rare subtypes. Among them, metaplastic subtype is defined as a tumor containing focal or widespread mesenchymal components including osseous, cartilaginous, lipomatous, myxoid or xanthomatous tissue, singly or in combinations. We report a rare metaplastic meningioma overspreading nearly whole cerebral convexity from main extra-axial tumor bulk in the parietal lobe.

Delayed formation of sterile abscess after zygomaticomaxillary complex fracture treatment with bioabsorbable plates

  • Doh, GyeongHyeon;Bahk, Sujin;Hong, Ki Yong;Lim, SooA;Han, Kang Min;Eo, SuRak
    • Archives of Craniofacial Surgery
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    • v.19 no.2
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    • pp.143-147
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    • 2018
  • We present a patient who showed a sterile abscess after facial bone fixation with bioabsorbable plates and screws. He had zygomaticomaxillary complex and periorbital fracture due to falling down. The displaced bones were treated by open reduction and internal fixation successfully using bioabsorbable plate system. However, at postoperative 11 months, abrupt painless swelling was noted on the previous operation sites, left lateral eyebrow and lower eyelid. By surgical exploration, pus-like discharge and degraded materials were observed and debrided. The pathologic analysis revealed foreign body reaction with sterile abscess. This complication followed by bioabsorbable device implantation on maxillofacial bone surgery has been rarely reported in which we call attention to the maxillofacial plastic surgeons.