• 제목/요약/키워드: OPD

검색결과 208건 처리시간 0.024초

경추 증후군 환자에서 상부경추변위에 대한 임상적 고찰 (Clinical study on deviation of upper cervical of patients with cervical syndrome)

  • 조명제;김동일;박쾌환
    • Journal of Acupuncture Research
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    • 제17권3호
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    • pp.188-198
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    • 2000
  • Objectives : We perform this study for help to recovery of cervical syndrome by analyzing structural deviation and cervical curvature in upper cervical vertebrae and definiting functional change through cervical body heat change in cevical lesion which is estimated by DITI. Methods : From sep. 1st. 1998 to aug, 31th. 1999, I make an experiment with the 102 OPD patients of this hospital vertebral-joint center, which were judged as a cervical syndrome and confirmed in upper cervical deviation by motion palpation and then were taken cervical simple X-ray and cervical thermograpy. Results : In the classfication of upper cervical deviation, AS deviation took 98% and abnormal cervical curvature took 68%. in the Chief complain neck-shoulder pain took 78%. In the results of DITI, average value of all objects show $032{\pm}0.18$ as a meaning result. Conclusions : In medical treatment of cervical syndrome, this result shows necessity of keeping pace with remedy of upper cervical deviation and medical treatment of functional change and We can learn necessity of detailed assessment through continual clinical examination.

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병원중심 가정간호 뇌혈관질환자의 중증도별 서비스 특성 및 비용 분석 (Analysis of Services and Cost in CVA Patients by Severity in Hospital-based Home Health Care)

  • 장인순;황나미
    • 대한간호학회지
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    • 제31권4호
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    • pp.619-630
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    • 2001
  • Purpose: The purpose of this study was to analyze the differences in terms of services and cost between CVA without typical diseases (Group I), and CVA with typical diseases (Group II), in their Hospital-based home health care. Method: The subjects of this study were 308 CVA patients who used home care nursing during the second phase demonstration project of their hospital-based home health care. Results: The results of the study was as follows 1. Group II had more home visit (15.3/12.7) (p>0.05), and cases of death when home care (16.8/11.4) (p<0.05). 2. Group II needed more services than Group I such as bladder irrigation, skin care, bed sore care, glycerin enema, finger enema, lung care, urine sugar test, monitoring and surveillance of fluid infusion and R.O.M exercise (p<0.05). 3. The variables that showed statistical significance in the regression analysis were family style, OPD visit, level of consciousness, patient's state on termination of home care, and some extend of home health care services (R2=0.373, 0.205). Conclusion: Home nursing care needs to be planned by severity in Hospital-based home health care for CVA patients.

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말기 환자에서 사망 전 의료비 지출 현황과 환자관리 대책

  • 김기경
    • 호스피스학술지
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    • 제5권1호
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    • pp.26-32
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    • 2005
  • Purpose: To know for what the medical expenditure had been used and to seek the way how it can be efficiently redistributed, I investigated total medical expenditure according to the time period to death in the expired patients for recent 2 years. Methods: 21patients were enrolled in this study. Total medical expenditure including benefit charge and non-benefit charge charged to patients in in-patient department(IPD) and out-patient department(OPD) was counted according to the period for one year by death. Results: 94.7% of the total medical expenditure had been payed for admission-related expenditure and 89% during period 3 and 4 for 6months before death, which may be due to the more days of admission during those periods. 70.1% of the total expenditure had been charged on the admission-fee, room charge, diet, and administration of the fluid, medicines, and blood etc. Conclusion: Majority of medical expenditure has been used in the affairs being unable to improve the survival or quality of life of patients and during the periods closer to death. Here, it would be needed heartily to look for the best ways in detail how the idea of hospice can come true through nation-wide and social consensus.

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약침(藥鍼)(상식(傷食)1호)이 비만(肥滿)에 미치는 효과(效果)에 관한 임상적(臨床的) 고찰(考察) (A Clinical Study for the Influence of Herbal Acupuncture Therapy(Sangsik no.1) on Obesity)

  • 김영신;신용욱;이선구;권기록;차윤엽
    • 대한약침학회지
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    • 제4권2호
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    • pp.57-63
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    • 2001
  • Objectives : The Purpose of this study was to evidence the effect of Herbal Acupuncture therapy(Sangsik no.1) by comparing body fat and obesity degree of Group B(group of Herbal acupuncture therapy and general obesity treatment) with Group A(group of non-Herbal acupuncture therapy and general obesity treatment) in twenty four patients who have received OPD treatment at Sang Ji oriental medical hospital and chiefly diagnosed obesity from June 2000 to September 2001. Methods : We checked the change of Obesity degree with Inbody 3.0. Results and Conclusions : Two groups were no significance, but remarkably showed a significant decrease in Percent Body Fat. According to the above results, it is considered that Herbal Acupuncture therapy(Sangsik no.1) showed a significant decrease in Percent Body Fat, but Others were no significance.

Biodegradation of Organophosphate Pesticide Using Recombinant Cyanobacteria with Surface- and Intracellular-Expressed Organophosphorus Hydrolase

  • Chungjatupornchai, Wipa;Fa-Aroonsawat, Sirirat
    • Journal of Microbiology and Biotechnology
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    • 제18권5호
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    • pp.946-951
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    • 2008
  • The opd gene, encoding organophosphorus hydrolase (OPH) from Flavobacterium sp. capable of degrading a wide range of organophosphate pesticides, was surface- and intracellular-expressed in Synechococcus PCC7942, a prime example of photoautotrophic cyanobacteria. OPH was displayed on the cyanobacterial cell surface using the truncated ice nucleation protein as an anchoring motif. A minor fraction of OPH was displayed onto the outermost surface of cyanobacterial cells, as verified by immunostaining visualized under confocal laser scanning microscopy and OPH activity analysis; however, a substantial fraction of OPH was buried in the cell wall, as demonstrated by proteinase K and lysozyme treatments. The cyanobacterial outer membrane acts as a substrate (paraoxon) diffusion barrier affecting whole-cell biodegradation efficiency. After freeze-thaw treatment, permeabilized whole cells with intracellular-expressed OPH exhibited 14-fold higher bioconversion efficiency ($V_{max}/K_m$) than that of cells with surface-expressed OPH. As cyanobacteria have simple growth requirements and are inexpensive to maintain, expression of OPH in cyanobacteria may lead to the development of a low-cost and low-maintenance biocatalyst that is useful for detoxification of organophosphate pesticides.

외상에 의해 동시에 발생한 가성 좌심실류와 하행 대동맥류의 치험1례 (Traumatic Aneurysm Involving Left Ventricle and Descending Thoracic Aorta)

  • 이서원;이계선
    • Journal of Chest Surgery
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    • 제30권6호
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    • pp.617-620
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    • 1997
  • 외상에 의한 흉부손상중 좌심실류와 하행대동맥류는 매우 드문데 그 이유는 아마도 대부분의 환자가 사고 당시 즉시 사망하기 때문일 것이다. 본 예는 5세 남자 환아로 버스에 치어 급성호흡부전과 폐부종으로 인한 ARDS 로 다발성 장기부전이 발생하여 뇌경색과 신부전의 합병증이 동반되어 치료후 퇴원하여 외래 추적조사중 심초음파 검사상 좌심실류와 전자자기공명(hm))상 좌심실류 및 하행대동맥류 진단하에 외상후 74일만에 전순환 정지하에 좌심실류절제술과 하행대동맥류절제술 및 인조혈관대체술을 시행하였으며, 술후 환자는 특별한 문제없이 퇴원하였다.

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돼지의 유구낭충(有鉤囊蟲)에 관(關)한 혈청학적시험(血淸學的試驗) (Serological Diagnosis for Swine Cysticercus Cellulosae Infection in Korea)

  • 전영;이택주
    • 대한수의학회지
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    • 제25권1호
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    • pp.77-89
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    • 1985
  • The agar gel precipitation(AGP), indirect hemagglutination(IHA) and indirect enzyme immunoassay(IEIA) tests were used to detect antibodies in pigs naturally infected with Cysticercus cellulosae in Jeju. The results obtained were summarized as follows: 1. Sera collected from pigs naturally infected with Cysticcrcus cellulosae did not react in AGP test. 2. In the IHA test for swine cysticercosis, the peak titers observed were between 1:20 and 1:160 and non-specific reaction was recognized with a few samples among control sera. 3. In the IEIA test, optical density(OD) values were obtained the best results under the condition of OPD-substrats are reacted at room temperature for 5minutes. The OD values of greater than 0.2 were determined as positive and the high titers in positive sera ranged from 1:40 to 1:1,080. 4. Antibodies to swine cysticercosis were detected by IHA and IEIA tests but the latter was more sensitive and specific than the former. 5. In the preparation of Cystisercus antigens, saline extract which was prepared the precipitate of internal membrane treated ultrasonicator were better results than other antigens for serological tests. 6. Amounts of protein in antigens was not related in direct proportion to results of serological reaction.

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입원환자의 낙상 경험에 영향을 미치는 요인 (Factors Influencing Falls in Inpatients)

  • 성영희;권인각;김경희
    • 기본간호학회지
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    • 제13권2호
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    • pp.200-207
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    • 2006
  • Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and $X^2-test$ were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.

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임상 간호사의 금연중재에 대한 태도와 금연정책 참여의 중요성에 대한 인식 (Attitudes to Smoking Cessation Interventions and Importance of Participation in Tobacco Control Policy Among Clinical Nurses)

  • 신성례;김애리
    • 기본간호학회지
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    • 제13권2호
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    • pp.294-303
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    • 2006
  • Purpose: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. Method: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation, Results: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. Conclusion: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

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Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support

  • Kokoroko, Emmanuel;Sanda, Mohammed A.
    • Safety and Health at Work
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    • 제10권3호
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    • pp.341-346
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    • 2019
  • Background: Although the concept of workload is important to nursing practice, only a few nursing researchers have focused on the issue of workload within the nursing context. Knowledge of how the dynamics of workload affects the job stress of nurses working in a specific unit or department in a hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship. Methods: A cross-sectional survey design was used, and questionnaire was used to collect data from a sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression. Results: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect). Conclusion: The finding reiterates the adverse effect of workloads on employees' health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.