• 제목/요약/키워드: Old patient

검색결과 7,827건 처리시간 0.039초

증례 보고를 통한 생리적 구취증 관리의 예후 평가 방법 제안 (A proposal of an assessment method of physiologic oral malodor care prognosis by a case report)

  • 김영수;최은미;홍해경
    • 대한치과의사협회지
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    • 제57권2호
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    • pp.64-73
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    • 2019
  • Authors have selected a physiological bad breath patient( 62 years old, male ) among the bad breath outpatients who have visited the halitosis control clinic in Korea University Medical Center(KUMC). The patient visited the halitosis control clinic for his oral malodor control, 3 times from April to June in 2018, and in August the patient visited to KUMC malodor control clinic again for his assessment of his two months efforts. Getting the data about the patient's endeavor to get over his physiologic oral malodor and the estimation of the patient's satisfaction level at his oral malodor improvement by a questionnaire method, and the organoleptic level assessment by the dentist, then we could propose an estimation method of the physiologic oral malodor patient care prognosis.

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Prostate spindle cell neoplasm associated with early voiding difficulty after transurethral resection of the prostate

  • Chang Lim Hyun;Jung Sik Huh;Kyung Kgi Park
    • Journal of Medicine and Life Science
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    • 제20권2호
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    • pp.94-98
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    • 2023
  • This report presents the case of 75-year-old men with spindle cell neoplasm. The patient underwent percutaneous nephrolithotomy and transurethral resection of the prostate (TURP) for renal stones and benign prostatic hyperplasia. One month postoperatively, the patient was able to void without any difficulty. Five months later, the patient experienced difficulty voiding and presented to the emergency room with severe pelvic pain. Computed tomography (CT) showed regrowth of the prostate mass into the posterior bladder and penile root. The prostate-specific antigen level remained constant at 1.14 ng/mL during the pre-and postoperative periods. Five months before the TURP operation, the patient's CT scan showed a soft and mildly enlarged prostate with no protrusion into the bladder. Biopsy of the prostate, however, showed a protruding mass, indicative of a spindle cell neoplasm. The patient was subsequently treated with the chemotherapeutic drug adriamycin. Unfortunately, treatment was unsuccessful, and the patient died 18 months later.

가상현실 게임이 노인 뇌졸중 환자의 우울, 대인관계, 삶의 만족도에 미치는 효과 (Effect of Virtual Reality Game on Old Patient's Depression, Relationship and Life Satisfaction)

  • 신경은;오명화;정현애;김희동
    • 재활복지
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    • 제21권4호
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    • pp.101-118
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    • 2017
  • 본 연구는 가상현실 게임이 노인 뇌졸중 환자의 우울, 대인관계, 삶의 만족도에 미치는 효과를 알아보기 위하여 실시되었다. 연구대상은 65세 이상의 뇌졸중 노인 40명으로, 전통적 작업치료만 실시한 대조군과 전통적 작업치료와 2인이 함께 가상현실 게임을 수행한 실험군에 각각 20명씩 무선배치하여 총 12주간 실시하였다. 실험군에게 적용된 가상현실 게임은 Nintendo Wii Sports Resort 프로그램을 적용하였고, 대상자의 심리 사회적요인을 알아보기 위해 우울증 척도 (Beck Depression Inventory; BDI), 대인관계 변화 척도(Relationship change scale; RCS), 삶의 만족도(Life Satisfaction Index-Z; LSI-Z)를 이용하여 실험 전과 실험 후의 평가를 시행하였다. 이에 대한 연구결과는 다음과 같았다. 첫째, 심리 사회적(우울, 대인관계)변화를 살펴본 결과 우울은 두 군 모두, 대인관계는 실험군에서만 통계적으로 유의한 향상을 나타났다(p<.001). 둘째, 삶의 만족도의 변화를 본 결과 대조군(p<.05), 실험군(p<.001) 모두에서 통계적으로 유의한 향상을 보였다. 셋째, 우울, 대인관계 및 삶의 만족도와의 상관관계를 본 결과 우울증, 대인관계는 삶의 만족도와 통계적으로 유의한 상관관계를 보였다(p<.05). 이상의 결과를 정리하면 2인이 함께 수행하는 가상현실 게임이 뇌졸중 노인환자의 심리 사회적요인(우울, 대인관계)과, 삶의 만족도에 유의미한 효과가 있음이 알 수 있었다.

말기 소아 암 환자의 최면치료 1예 (A Case of Hypnotherapy with Terminal Pediatric Cancer Patient)

  • 최휘영;왕순;이수용;김후남
    • Journal of Hospice and Palliative Care
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    • 제3권2호
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    • pp.152-155
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    • 2000
  • The authors reported a case of terminal pediatric cancer patient. The patient was ten-year-old girl, and she was diagnosed as osteosarcoma with multiple metastasis to lung and bones. She was markedly depressed and had severe bone and chest pain. The patient was treated with hypnotherapy once or twice a week for two months. There was marked improvement in pain control and emotional reactions, and the hospice team could establish good rapport with her. Hypnotherapy would be one of the effective treatment modalities in assisting patients.

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황연해독탕가감방 전탕액 도포로 치료한 하복부피진 1례 (External Use of Hwangyeonhaedog-tang Gagambang in the Treatment of Lower Abdominal Dermatitis - A Case Report)

  • 노진환;정은정;문상관;조기호;김영석;배형섭;이경섭
    • 대한한의학회지
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    • 제21권3호
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    • pp.209-212
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    • 2000
  • A 69-year old female stroke patient was admitted on August 7, 1998. She had seborrheic dermatitis on her lower abdomen for 25 years. The patient received many treatments but was unable to find a cure. During her hospitalization for stroke, the patient had trouble sleeping. The doctors hypothesized the dermatitis to be the cause of the sleeping disorder and attempted to treat it. The doctors chose Hwangyeonhaedog-tang Gagambang for treatment and smeared it on the patient's abdomen. After ten days of treatment, the dermatitis disappeared and did not reoccur. The patient's abdomen continued to show no symptoms of dermatitis after being released for 2 years.

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Migration and Coiling of Peritoneal Catheter into the Subgaleal Space : A Very Rare Complication of Subgaleoperitoneal Shunt

  • Yee, Gi-Taek;Han, Seong-Rok;Choi, Chan-Young
    • Journal of Korean Neurosurgical Society
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    • 제54권6호
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    • pp.525-527
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    • 2013
  • Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.

만성 폐쇄성 폐질환자에서 척추 마취후 발생한 경련발작 1례 (A Case of Convulsive Seizure Following Spinal Anesthesia in a Geriatric Patient with COPO)

  • 서일숙
    • Journal of Yeungnam Medical Science
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    • 제5권2호
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    • pp.213-219
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    • 1988
  • 만성폐쇄성 폐질환을 동반한 노인환자에서 척추마취하에서 치골상부 전립선 절제술을 시행하는 도중 척추마취와는 무관한 것으로 사료되는 원인 불명의 경련 발작 및 혈압강하가 초래된 환자가 발생하였기에 그 원인을 규명하고 문헌적 고찰과 함께 보고하는 바이다.

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증류한약과 상담치료로 호전된 불면증 치험 1례 (A case of distillation Herbal medicine and Counseling on insomnia)

  • 심상민;김태수;고영탁
    • 동의신경정신과학회지
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    • 제17권2호
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    • pp.217-225
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    • 2006
  • The Purpose of this study was to investigate the clinical application of distillation Herbal medicine and Counseling Treatment to the insomnia In this case, a female patient, 40 years old, who had an adverse reaction of a Herbal medicine, complained of insomnia. We treated the patient with distillation Herbal medicine and Counseling. we diagnosed her state Rhosangsimbi(勞傷心脾), so we prescribed distillation Gagamguibi-tang(加減歸脾湯) for patient. In result, the patient's hours of sleep was increased to 6 hours from 1 hour. Conclusionally, Distillation Herbal medicine and Counseling Treatment Could be Effective method to treat the patient of insomnia with an adverse reaction of a Herbal medicine.

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반하후박탕으로 호전된 뇌경색 환자의 연하곤란 치험 1례 (A Case Report of Treatment of Dysphagia in a Stroke Patient Treated with Banhahubak-tang)

  • 최현정;서윤정;임지현;유재환
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.253-258
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    • 2018
  • Objectives: The aim of this report is to report the effects of Banhahubak-tang on dysphagia in a stroke patient. Methods: A case of a 67-year-old female stroke patient with dysphagia is presented. The patient was treated with the herbal medicine Banhahubak-tang. Results : After administration of the herbal medicine Banhahubak-tang, dysphagia was improved, which reduced time per meal. Conclusion : Banhahubak-tang was an effective treatment for dysphasia in a stroke patient.

노인보건의료센터의 다인병실 건축계획에 관한 연구 (A study on the architectural guideline of the patient room in the geriatric medical center)

  • 윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제17권3호
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    • pp.17-26
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    • 2011
  • Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.