• Title/Summary/Keyword: International Patient

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Spontaneous Epidural Hematoma from Skull Base Metastasis of Hepatocellular Carcinoma

  • Woo, Kwang-Moo;Kim, Byong-Cheol;Cho, Keun-Tae;Kim, Eo-Jin
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.461-463
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    • 2010
  • We report a case of an acute spontaneous epidural hematoma (EDH) due to skull base metastasis in a 46-year-old male patient with hepatocellular carcinoma (HCC). The patient presented with the acute onset of severe headache followed by unconsciousness, and computed tomography showed a large EDH in the right temporal and parietal lobes with midline shift. Emergency evacuation of the EDH was performed, and the hemorrhage was determined to be secondary to skull base metastasis of HCC.

An Empirical Study on Traditional, Complementary and Alternative Medicine Usage among Malaysian Cancer Patients

  • Nagashekhara, Molugulu;Murthy, Vasudeva;Mruthyunjaya, Anil Tumkur;Ann, Lim Li
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6237-6241
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    • 2015
  • Usage of traditional, complementary and alternative medicine (TCAM) has gained popularity over the past few years. However, very little is known about TCAM use among Malaysian cancer patients. This study aimed to identify the determinants of TCAM usage among cancer patients with determination of relationships between demographic factors, patient satisfaction with conventional treatment, knowledge on TCAM and healthcare professional influence. Patient's perceptions towards TCAM were also determined. A simple random convenient sampling method was used to recruit 354 patients from Hospital Kuala Lumpur between February to April 2013. All were directly interviewed with a structured questionnaire. In this study, 172 respondents were TCAM users. There was no significant differences between demographic background of respondents in the usage of TCAM. Minimal correlation was found between patient satisfaction with the conventional treatment and usage of TCAM (r=0.091). A poor correlation was found between healthcare professional's influence and TCAM usage (r=-0.213) but the results suggested that increase in influence would decrease TCAM usage. Patient TCAM knowledge correlated negatively with the TCAM usage (r=-0.555) indicated that cancer patients are less likely to use TCAM when they have more TCAM knowledge. Healthcare professionals should be fully equipped with the necessary TCAM knowledge while maintaining patient satisfaction with the conventional treatment. They should also intervene on patient TCAM usage where a potential drug interaction or a harmful adverse event can occur.

Clinical Observation of Cough-induced Rib Fracture Mimicking Chuna Therapy-induced Rib Fracture (추나로 발생된 통증으로 오인된 만성 기침에 의해 유발된 늑골골절 1례)

  • Choi, Young-Doo;Jo, Su-Jeong;Jung, Chan-Yung;Kim, Kyung-Ho;Kim, Kap-Sung;Lee, Seung-Deok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.10 no.2
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    • pp.27-35
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    • 2015
  • Objectives: The purpose of this study is to discriminate the cough-induced rib fracture with chest pain occurred after chuna therapy. Methods: A 68-year-old female patient who is suffering from left chest wall pain with chronic cough was treated by Korean medical treatment and chuna therapy from November 11th 2014 to November 15th 2014. The improvement of the patient's pain was measured by 100 mm Visual Analog Scale (VAS). For diagnosis the rib fracture, we conducted the radiography, computed tomography (CT), and bone scan. Results: After treatment, pain intensity was decreased and the rib fracture was negative in radiography and CT. But, in bone scan, the 5th-8th rib fractures in left side were detected. Conclusions: When the patient with chest pain visit the hospital after chuna therapy, a doctor keep in mind the possibility of coughinduced rib fracture.

3D CT Image Processing for 3D Printed Auricular Reconstruction of Unilateral Microtia Patient

  • Roh, Tae Suk;Yun, In Sik
    • Journal of International Society for Simulation Surgery
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    • v.1 no.2
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    • pp.80-82
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    • 2014
  • Purpose Microtia is congenital anomaly of external ear and the reconstruction method for the external ear of microtia patient was based on autogenous costal cartilage framework. The application of 3D printing technique in medical science has made more possibility of human tissue restoration, and we tried to apply this technique in auricular reconstruction field. Materials and Methods As for unilateral microtia patient, the contralateral side ear is normal and reconstructive surgeon tried to mimic it for reconstruction of affected ear. So, we obtained facial CT scan of microtia patient and made mirror image of normal side ear. Moreover, to make the 3D scaffold based on the mirror image of normal ear and to apply this scaffold for the auricular reconstruction surgery, we included auriculocephalic sulcus and anterior fixation part. Results We could successfully obtain mirror image of normal ear, auriculocephalic sulcus and anterior fixation part for 3D scaffold printing. Conclusions Using this CT image processing and 3D printing technique, we will be able to make the scaffold for auricular reconstruction of unilateral microtia patient, and perform auricular reconstruction in near future.

A Portable IoT-cloud ECG Monitoring System for Healthcare

  • Qtaish, Amjad;Al-Shrouf, Anwar
    • International Journal of Computer Science & Network Security
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    • v.22 no.1
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    • pp.269-275
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    • 2022
  • Public healthcare has recently become an issue of great importance due to the exponential growth in the human population, the increase in medical expenses, and the COVID-19 pandemic. Speed is one of the crucial factors in saving life, particularly in case of heart attack. Therefore, a healthcare device is needed to continuously monitor and follow up heart health conditions remotely without the need for the patient to attend a medical center. Therefore, this paper proposes a portable electrocardiogram (ECG) monitoring system to improve healthcare for heart attack patients in both home and ambulance settings. The proposed system receives the ECG signals of the patient and sends the ECG values to a MySQL database on the IoT-cloud via Wi-Fi. The signals are displayed as an ECG data chart on a webpage that can be accessed by the patient's doctor based on the HTTP protocol that is employed in the IoT-cloud. The proposed system detects the ECG data of the patient to calculate the total number of heartbeats, number of normal heartbeats, and the number of abnormal heartbeats, which can help the doctor to evaluate the health status of the patient and decide on a suitable medical intervention. This system therefore has the potential to save time and life, but also cost. This paper highlights the five main advantages of the proposed ECG monitoring system and makes some recommendations to develop the system further.

Enhancement of Internet of Things (IOT) for Minimizing the Growth Rate of Disease and Cost Reduction

  • SYED ROMAT ALI SHAH;ALI ZAIB KHAN;SOHAIL ANWAR;MUNIB AHMAD
    • International Journal of Computer Science & Network Security
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    • v.24 no.7
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    • pp.202-206
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    • 2024
  • Health Related issues has become a savior diseases as growing rapidly they also causing savior issues if they not cure they lead to even death. Fatal Diseases needed to be controlled at early stages to save the patient lives. The Knowledge related to the disease is also important so that it may be cure as soon as possible and also medicine for the illness is also needed to be supplied immediately so that it can be controlled. Some patients also need a continuous monitoring like aged and someone suffering to some fatal disease .IOT based monitoring system with the application of the Raspberry pi and the usage of the Local Area Network to connect the Doctors, Hospital, and Ambulance service also the pharmacy help to start the treatment of the patient effectively. Also acknowledging the doctors and hospital staff will help to save the life of the patient due to knowledge of the disease. Usage such smart and reliable technology will help to monitor the health condition of the patient at home and also connecting with the doctors through the internet will also acknowledge the doctor about the present condition of the patient. This paper presents the effective use of the smart devices and technology to overcome the disease by using such cost effective technology.

International Trends on Patient-Reported Outcome Measures for Improving Care Quality and Its Implication for South Korea: Focus on OECD PaRIS (의료의 질 향상을 위한 환자중심 건강결과 측정의 국제 동향과 국내 시사점 - OECD PaRIS를 중심으로)

  • Choi, Ji-Suk;Park, Young-Shin;Kim, Jee-Ae;Park, Choon-Seon
    • Quality Improvement in Health Care
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    • v.25 no.1
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    • pp.11-28
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    • 2019
  • Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

Global Medical Service Industry Marketing Establishment Plan through AHP analysis- Focusing on International Medical Service Policy in Goyang

  • Yu, Tae Gyu
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.122-127
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    • 2020
  • After the THAAD crisis, Goyang city's Global Medical Service performance is showing a sharp decline compared to other cities and provinces. In particular, the contraction of participants who can create policy outcomes such as Medical Institutions and Attracting companies has emerged as the biggest problem. Therefore, Goyang City wanted to derive effective marketing policies and establish marketing policies according to their priorities in order to prevent the deaths of the future patient visitor market as well as performance. In order to examine such policy needs more closely, this paper reviewed the Global Medical Service policies of Goyang City based on AHP analysis, and derived a ranking of 28 major policies and preferred policies for each participant. In the future, Goyang City is expected to derive major policy effects by applying the results of this study to the establishment of marketing policies through customized policies for each medical institution type and Patient attraction company.

Effect of Meridian Tendino-musculature Acupuncture on a Patient with Chronic Prostatitis (골반통 및 배뇨곤란을 주소로 하는 전립선염 환자의 경근자법 치험례)

  • Lee, Ji In;Kang, Mi Suk
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.223-232
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    • 2014
  • Objectives : The objective of this study was to report a effectiveness of meridian tendino-musculature acupuncture on the pelvic pain and dysuria in a patient with chronic prostatitis. Methods : A patient with Pelvic pain and Dysuria was treated with acupuncture and moxibustion. Before and After treatment we measured International Prostate Symptom Score(IPSS), National Institutes of Health-Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS). Results : International Prostate Symptom Score(IPSS), National Institutes of Health -Chronic Prostatitis Symptom Index(NIH-CPSI) and Visual Analogue Scale(VAS) scores were decreased considerably after 14 times treatment. Conclusions : It was suggesting that symptoms(pelvic pain and dysuria) of chronic prostatitis could be improved by acupuncture and moxibustion treatment in the view of the meridian tendino- musculature acupuncture.

Remote Reading of Surgical Monitor's Physiological Readings: An Image Processing Approach

  • Weerathunga, Haritha;Vidanage, Kaneeka
    • International Journal of Computer Science & Network Security
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    • v.22 no.7
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    • pp.308-314
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    • 2022
  • As a result of the global effect of infectious diseases like COVID-19, remote patient monitoring has become a vital need. Surgical ICU monitors are attached around the clock for patients in critical care. Most ICU monitor systems, on the other hand, lack an output port for transferring data to an auxiliary device for post-processing. Similarly, strapping a slew of wearables to a patient for remote monitoring creates a great deal of discomfort and limits the patient's mobility. Hence, an unique remote monitoring technique for the ICU monitor's physiologically vital readings has been presented, recognizing this need as a research gap. This mechanism has been put to the test in a variety of modes, yielding an overall accuracy of close to 90%.