• Title/Summary/Keyword: Patient's position

Search Result 574, Processing Time 0.026 seconds

A pitch variation of knee joint sound (슬관절음의 피치변동)

  • Lee, S.O.;Kim, K.S.;Seo, J.H.;Song, C.G.
    • Proceedings of the KIEE Conference
    • /
    • 2005.10b
    • /
    • pp.376-378
    • /
    • 2005
  • In this study, we have evaluated and classified arthritic pathology using the acoustical analysis of knee joint sounds. Six normal subjects and 11 patients with knee problems were enrolled. Patients were divided into the 1st patient group which required an orthopeadic surgery and the 2nd patient group of osteoarthritis. During sitting and standing periods, subjects' active knee flexion and extension were monitored. Fundamental frequency, mean amplitude of pitch, jitter and shimmer were analyzed according to the position and the joint angle. The result showed that the fundamental frequency of the 2nd patient group and standing position was higher than the others, and that the pitch of sounds changed unstably.

  • PDF

A Study of the Ethical Values of Korean Nurses (임상간호사들의 윤리적 가치관에 관한 연구)

  • 성미혜
    • Journal of Korean Academy of Nursing
    • /
    • v.29 no.3
    • /
    • pp.551-562
    • /
    • 1999
  • The purse of this study is to identify whether ethical values of Korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of the literature and interview of nurses in the clinical settings. Ethical problem are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee (1990). The analysis of data was done by Pearson's correlation coefficient, t-test and anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical value of nurse-patient relationship slightly took up the deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formlulate higher ethical values.

  • PDF

PANORAMIC IMAGE OF MANDIBULAR CONDYLE ACCORDING TO HEAD POSITION (두부 위치에 따른 하악 과두의 파노라마상)

  • Kim Jeong Hwa;Choi Soon Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.20 no.2
    • /
    • pp.219-225
    • /
    • 1990
  • Panoramic radiography is convenient in clinic and visualizes those areas which other technique do not give. But the technique has limitation of image distortion which results from the relationship of the ramus to the focal trough and from the direction of the central ray. This study is, using 7 dry skulls, to determine the effect of rotation of patient's head on reducing those distortion and determine the magnification ratio of images of mandibular condyle in rotated patient head position. The obtained results were as follows: 1. Generally, in panoramic radiography the anterolateral portion of the mandibular condyle was best to be visualized. 2. There are no significant difference between the image readability of anteromedial portion and that of anterocentral portion of the mandibular condyle. 3. Anterolateral portion of the mandibular condyle was better visualized in rotated head position by 20 degree or horizontal condylar inclination than in conventional position or in rotated head position by 10 degree. 4. The magnification ratio of the anteroposterior diameter in the image of mandibular condyle was least in the rotated head position by horizontal inclination of the mandibular condyle and was largest by 20 degree.

  • PDF

Clinical Approach of Chukyu Pharmacopuncture and Brainspotting Through a Traffic Accident Patient Case (교통사고 환자 증례를 통한 척유약침과 Brainspotting의 임상적 접근)

  • Lee, Do-Eun;Ha, Ji-Su;Park, Hyun-Mee;Youn, In-Ae;Seo, Joo-Hee
    • Journal of Oriental Neuropsychiatry
    • /
    • v.32 no.3
    • /
    • pp.261-273
    • /
    • 2021
  • The purpose of this study was to introduce effects of Chukyu pharmacopuncture and Brainspotting on knee pain, headaches, and acute stress disorder of a patient with a traffic accident. We treated a patient with Chukyu pharmacopuncture and Brainspotting. Numerical rating scale (NRS), Range of Motion (ROM), Hyperextension Position (HEP), Effusion (Eff), Patella Compression Test (PCT), Frontal Flexion Position (FFP), McMurray (MCM), Lateral Joint Line Tenderness (LJLT), Medial Joint Line Tenderness (MJLT), Anterior Drawer Test (ADT), Lachman Test, Varus/Valgus stress, Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), Pittsburgh Sleep Quality Index (PSQI), Core Seven Emotions Inventory Short Form (CSEI-S), Subjective units of disturbance scale (SUDs), and Heart rate variability (HRV) were used to evaluate the patient. After the patient was treated by Chukyu pharmacopuncture and Brainspotting, the patient showed improvement in NRS, physical examination, and psychological symptom assessment. These results indicate that Chukyu pharmacopuncture and Brainspotting are effective on knee pain, headache, and acute stress disorder after a traffic accident.

Lung Cancer Found in the Patient with Thoracic Postherpetic Neuralgia -A case report- (흉부 대상포진후 신경통 환자에서 발견된 폐종양 -증례 보고-)

  • Kim, Sun-Hee
    • The Korean Journal of Pain
    • /
    • v.11 no.2
    • /
    • pp.335-337
    • /
    • 1998
  • This is a case report of a 69 years old non-smoking male patient with a lung cancer who presented with postherpetic neuralgia on the left T2, 3 and 4 dermatomes. This pain was aggravated in supine position. The patient did not have any other symtoms or signs to suggest the possibility of a lung cancer. Patient's baseline laboratory findings were essentially normal. Routine chest X-ray revealed hazy densities in the left apex. Further evaluation with chest CT confirmed the presence of a lung cancer corresponding to the densities seen on the chest X-ray.

  • PDF

The observation of the patient's Position that affects the Dyspnea of the Cardiac Patients (심장질환 환자에 있어 체위가 호흡곤란에 미치는 영향에 대한 관찰)

  • 김현희
    • The Korean Nurse
    • /
    • v.5 no.3 s.23
    • /
    • pp.107-113
    • /
    • 1966
  • Fourty cases. of dyspneic patients Chiefly from cardiac origin, were studied for the purpose of tests of relieability from the distress by positional changes of the patient using hospital bed. Followings were the results. 1)Respiration and pulse rate were

  • PDF

A Methodological Approach on the Evaluation of Patient Satisfaction: Focused on the Importance Performance Analysis(IPA) (환자만족도 평가에 대한 방법론적 접근: IPA기법을 중심으로)

  • Park, Jae-San
    • Health Policy and Management
    • /
    • v.18 no.3
    • /
    • pp.1-17
    • /
    • 2008
  • The measurement and management of patient satisfaction has become one of the key issues in the last two decades. Hospitals must thoroughly understand the needs of their customers and design products and health services that meet and exceed their expectations. The importance-performance analysis(IPA) is a widely used analytical technique that yields strategies for managing customer satisfaction in a variety of applications. IP A is a two-dimensional grid based on customer-perceived importance of quality attributes and attribute performance. Depending on the interplay of these two dimensions, four strategies can be derived. The aim of this study is to develop the management strategies for improving patient satisfaction in university hospitals using the I-P analysis. The attributes on inpatient service quality in 4 university hospitals was investigated using the Martilla and James(l977)' s a mean adjusted I-P grid where the axes of the grid cross at the average rating point of all items. The patient satisfaction questionnaires were completed by 600 hospital inpatients. The main statistical methods are path analysis and IPA with SPSS 12.0 and AMOS 4.0 statistical softwares. The two attributes, physician and medical service, administrative staff kindness attributes position in first quadrant(Keep Up the Good domain). The nurse and nursing service attributes position in second quadrant(Possible Overkill domain). The two attributes, convenience of check-in service, facilities and physical environment position in third quadrant(Low Priority domain). Finally the quality of inpatient service(food etc.) attributes position in fourth quadrant(Concentrate Here domain). These findings show various implications on the development of strategies in university hospitals in the future. It was determined that quality of inpatient service(food etc.) need to concentrate more on investments. These investments include a taste, price, proper provision of food service and quick response of pain management. A low priority was given to investment in streamlining the check-in process of inpatient and hospital facilities and physical environment in the long run.

Aortic Root Replacement with Pulmonary Autograft in Patient with Subaortic Abscess and False Aneurysm in Left Ventricular Outflow Tract -Report of A Case- (동맥근 농양 및 좌심실유출호 가성 심실류 환자에서 폐동맥 자가이식편을 이용한 대동맥근부치환술 -1례 치험 보고-)

  • 장병철
    • Journal of Chest Surgery
    • /
    • v.28 no.7
    • /
    • pp.704-707
    • /
    • 1995
  • The use of the patient`s pulmonary valve for replacement of the patient`s diseased aortic valve was introduced and developed by Mr. Donald Ross. The long term benefits of having a normal, fully viable, trileaflet semilunar valve in aortic position was demonstrated. A 38 year old male had histories of failures of previously implanted aortic prosthetic valves twice and evidence of progressive heart failure. At operation, aortic root abscess was found; the abscess extension to adjacent structures and partial valve dehiscence had occurred. The patient underwent replacement of the aortic root with autologous pulmonary valve, autologous pericardial patch repair of left ventricuar outflow tract and recontruction of the right ventricular outflow tract and pulmonary artery with prosthetic valved conduit. Postoperatively, the patient recovered well. Postoperative doppler echocardiography demonstrated minimal central regurgitation in new aortic valve. Aortic root replacement with pulmonary autograft in a patient of recurrent aortic root abscess and false aneurysm of left ventricuar outflow tract was experienced and reported with follow up echocardiography.

  • PDF

Surgical and Occlusal Treatment of TMJ Internal Derangement (교합 및 외과적 치료를 이용한 악관적 내장증의 치험례)

  • Hwang, Kyung-Ryong;Ann, Jae-Jym;Chang, Se-Hong
    • The Journal of the Korean dental association
    • /
    • v.25 no.7 s.218
    • /
    • pp.657-664
    • /
    • 1987
  • The purpose of this article is to report a case of internal derangement of TMJ which was successfully managed with surgical and occlusal treatment. The Obtained results were summarized as follow: 1. The patient surgically operated via high condylectomy with meniscoplasty to correct anteriorly displaced meniscus. 2. During operation, the junction area of bilamina zone and meniscus was easily identified and resected using microscopy. 3. The mandible was relocated into therapeutic position with occlusal splint. 4. The occlusal rehabilitation with selective grinding and prosthodontic treatment was done so that the new patient's intercuspal position should correspond to the therapeutic position.

  • PDF

Clinical Case study of Conservative Caring Method to Abnormal Knee Flexion in Standing Position (기립상태에서 비정상적 무릎관절 굴곡에 대한 보존적 치료 임상사례연구)

  • Cho, Il-Young
    • The Journal of the Korea Contents Association
    • /
    • v.9 no.1
    • /
    • pp.323-330
    • /
    • 2009
  • Objectives: There are many reasons to restrict extension of knee. Unless we can find any structural deformities from patients, we don't have any clue of helping this condition except give them some instruction of exercise of strengthening anterior thigh muscles and releasing extensor muscle group of lower extremities. In this study, the author reports new case, using technique of releasing restriction of knee movement based on Sacro Occipital Technique. Method: From the day of notifying 14yrs. old patient's extension restriction of knee, it had have 7 trials of having S.O.T category Ⅰ. technique procedure. Result: The patient can stand without extension restriction of knee. Conclusion: In many case, muscle soft tissue work helps releasing hamstring tension so that we can make patient stand with straightly extended knee position but if this method is not working then S.O.T category Ⅰ. technique procedure may be considerable to improve this condition.