• Title/Summary/Keyword: Patient Flow

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A Study of Literature Review on Needling Sensation and the Flow of the Needling Sensation (침감(鍼感) 및 침향(鍼響)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim, Sung-chul
    • Journal of Acupuncture Research
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    • v.18 no.3
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    • pp.201-214
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    • 2001
  • Objective : To study needling sensation and the flow of the needling sensation the ancient and the present literatures were reviewed. Results : 1. The needling sensation was getting the Qi and a normal reaction of acupuncture. 2. The flow of the needling sensation was promoted the Qi and normalized the flow of the Qi 3. The needling sensation of a patient expressed soreness, distension, heaviness, numbness, tingling, flushing, fervor, chill, itching, and so forth. 4. The needling sensation of a patient expressed simple or complex syndrome. 5. The needling sensation of a doctor expressed objectively more than the needling sensation of a patient in the hand feeling of a doctor. 6. The doctor was compared good needling sensation and bad needling sensation. 7. The needling sensation and the flow of the needling sensation were processed continuously. 8. The needling sensation and the flow of the needling sensation were connected with a nervous system and expressed variously in the anatomical structure and hand acupuncture tenchnique.

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The Factors Affecting Patient-Flow (환자흐름에의 영향요인)

  • 박재용
    • Health Policy and Management
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    • v.3 no.2
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    • pp.27-80
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    • 1993
  • It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

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CHARACTERISTICS OF OROPHARYNGEAL AIR PRESSURE, AIRFLOW IN CLEFT PALATE PATIENTS (구개열 환자에서의 구강인두압력 및 공기유량에 관한 음성학적 특징)

  • Baek, Jin-A
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.13-20
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    • 2006
  • The articulation disorders associated with velopharyngeal insufficiency (VPI) in cleft palate patients are interested to clinicians particularly. The purpose of this study was to investigate mainly the oropharyngeal air pressure and overall air flow in cleft palate patients. The pressure-measuring catheter was positioned at the midportion of the oropharyngeal cavity with a facial mask. Test words were composed of 9 meaningless polysyllabic words and 17 meaningful words. Aerophone II and Nasometer II were used to measure peak air pressure, mean air pressure, maximum flow rate, volume, phonatory flow rate, nasalance. The data shows that airflow of the cleft palate patient group were higher than those of the control group. Intraoral air pressure of the cleft palate patient group was lower than those of the control group. The first vowel formant and first Bandwidths of the cleft palate patient group were higher than those of the control group.

Patient Flow Monitoring System based on Rheumatic Patient History Data (류머티스 환자 이력 데이터에 기반한 환자 플로우 모니터링 시스템)

  • Kim, Jun Woo;Lee, Sang Chul;Park, Sang Chan
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.10-19
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    • 2014
  • In recent, hospital information systems are widely used to electronically record, manage and share the data collected in hospitals. Such systems have contributed greatly to improving the work efficiency in modern hospitals, however, the collected data concerning the patients should be appropriately processed and reused to provide the healthcare service providers with decision supports. Especially, this paper proposes the patient flow monitoring system for the operations management of the outpatient department for patients with chronic diseases, and discusses the related issues. The proposed system visualizes the standard process model extracted from the patient history data and various performance measures, and this enables the managers to evaluate and enhance the operations of the outpatient clinic. In this paper, the patient flow monitoring system is applied to the rheumatology clinic, and the prototype system optimized for I-pad is illustrated.

Comparison of Peripheral Blood Flow in Post-Stroke Hemiparetic Patients and Normal Person with Doppler Ultrasonography (도플러 초음파 기기를 이용한 편측 부전마비성 뇌졸중 환자와 정상인의 말초 혈류 비교 연구)

  • Han, Deok-Jin;Bang, Chang-Ho;Kim, Sergey;Bae, Young-Min;Shin, Sae-Ron;Yang, Chung-Yong;Lee, In
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.6
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    • pp.1491-1496
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    • 2009
  • Stroke is usually associated with the cerebral blood flow of the central nervous system. However, studies concerning the effects of neurologic sysmptoms induced from stroke on the peripheral blood flow has not taken place sufficiently. To ascertain the feasibility of a blood flow meter adopting to use doppler ultrasonogrphy, under the prospect that hemiparesis induced from stroke may have effect on the peripheral blood flow, the peripheral blood flow velocity was observed. The control group made up of healthy people without any factors capable of effecting the peripheral blood flow velocity, and patient group which consist of hemiparetic people induced from stroke, were recruited. Volumes of recruitment are 21 persons in the patient group, and 29 persons in the control group, but the final numbers of people are 17 and 21 respectively because of the inconsistancy in the method of the test. The non-invasive method of Doppler effect of Ultrasound was used to measure the blood flow velocity. The blood flow velocity in the peripheral part of left and right fourth fingers:dorsal branches of proper palmar digital artery to dorsum of distal phalanges, was measured in the control group and patient group through Doppler Ultrasound. In comparison of the control group and the patient group, the systolic blood flow velocity from the peripheral part of the upper extremity was lower in the patient group than that of the control group. According to such results, it is concluded that hemiparesis induces the reduction of the peripheral blood flow velocity in the systolic phase.

A NUMERICAL ANALYSIS ON BLOOD FLOOD FLOW INSIDE A CAROTID ARTERY WITH THE PATIENT SPECIFIC ARTERIAL GEOMETRY AND BLOOD RHEOLOGY DATA (실제 혈관 형상 및 혈액 특성을 고려한 경동맥 내 혈액 유동에 대한 수치해석 연구)

  • Lee, Sang-Hyuk;Jeong, Seul-Ki;Hur, Nahm-Keon;Cho, Young-Il
    • 한국전산유체공학회:학술대회논문집
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    • 2010.05a
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    • pp.224-227
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    • 2010
  • In the present study, the characteristics of blood flow inside a carotid artery numerically investigated with shear rate specific blood viscosity. To simulate the blood flow with a patient-specific arterial geometry, the geometry of a carotid artery was constructed from 2D rain MRA data. The measured data of blood flow velocity at the common carotid artery were used as boundary conditions of the simulation. For the blood rheology data to be used in the simulation, the patient specific blood viscosity over the whole ranges of shear rate was obtained using $BioVisco^{TM}$. From the numerical results of the blood flow in the carotid artery, the increase of blood viscosity and the decrease of wall shear stress could be found in the carotid bifurcated region, more specifically at the post-plaque dilated region. These characteristics of blood viscosity and wall shear stress can be used more precisely and efficiently to predict the region vulnerable to plaque growht or thrombosis on top of the plaque.

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Performance evaluation study of a commercially available smart patient-controlled analgesia pump with the microbalance method and an infusion analyzer

  • Park, Jinsoo;Jung, Bongsu
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.2
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    • pp.129-143
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    • 2022
  • Background: Patient-controlled analgesia (PCA) has been widely used as an effective medical treatment for pain and for postoperative analgesia. However, improper dose errors in intravenous (IV) administration of narcotic analgesics from a PCA infusion pump can cause patient harm. Furthermore, opioid overdose is considered one of the highest risk factors for patients receiving pain medications. Therefore, accurate delivery of opioid analgesics is a critical function of PCA infusion pumps. Methods: We designed a microbalance method that consisted of a closed acrylic chamber containing a layer and an oil layer with an electronic balance. A commercially available infusion analyzer (IDA-5, Fluke Co., Everett, WA, USA) was used to measure the accuracy of the infusion flow rate from a commercially available smart PCA infusion pump (PS-1000, UNIMEDICS, Co., Ltd., Seoul, Korea) and compared with the results of the microbalance method. We evaluated the uncertainty of the flow rate measurement using the ISO guide (GUM:1995 part3). The battery life, delay time of the occlusion alarm, and bolus function of the PCA pump were also tested. Results: The microbalance method was good in the short-term 2 h measurement, and IDA-5 was good in the long-term 24 h measurement. The two measurement systems can complement each other in the case of the measurement time. Regarding battery performance, PS-1000 lasted approximately 5 days in a 1 ml/hr flow rate condition without recharging the battery. The occlusion pressure alarm delays of PS-1000 satisfied the conventional alarm threshold of occlusion pressure (300-800 mmHg). Average accuracy bolus volume was measured as 63%, 95%, and 98.5% with 0.1 ml, 1 ml, and 2 ml bolus volume presets, respectively. A 1 ml/hr flow rate measurement was evaluated as 2.08% of expanded uncertainty, with a 95% confidence level. Conclusion: PS-1000 showed a flow accuracy to be within the infusion pump standard, which is ± 5% of flow accuracy. Occlusion alarm of PS-1000 was quickly transmitted, resulting in better safety for patients receiving IV infusion of opioids. PS-1000 is sufficient for a portable smart PCA infusion pump.

Comparison of normal and replantation digital blood flow using photo-plethysmography (Photo-Plethysmography를 이용한 정상과 재접합 수지 혈류량의 비교)

  • Nam, Ki-Chang;Kim, Sung-Woo;Rah, Dong-Kyun;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.322-324
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    • 2004
  • Up to the present, digital replantation patients has appealed different symptoms due to blood circulatory failure. But, the level of blood circulatory failure has been evaluated only by clinical symptoms, or angiography. According to the cases of digit replantation is increasing, then objective evaluation methods of the level of blood circulation failure is needed other than patient's subjective symptoms and complaints. Although angiography, doppler, electromagnetic flowmeter, laser blood flowmeter, mechanical blood flowmeter has been used for the evaluation of the blood circulatory failure, the result was affected by time, place, surrounding temperature, patient's body temperature, and even emotion. Therefore, it is pointed out with lack of availability, feasibility and reproducibility. Thus, we compared digital blood flow of dominant hand to non dominant hand, and replanted fingers to opposite normal fingers from developed photo-plethysmography. The average digital blood flow showed no difference in normal digits each other, but, replanted digits showed average of 53% (9 - 100 %) compare to opposit normal digits. As it measure relative blood flow for circulatory failure of tissue such as fingers and toes more sensitively, reliably. In conclusion, it is expected that photo- plethysmography will be very useful for diagnosis, curative effect, prognosis of blood circulatory failure in digital replantation patient.

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Implementation of Non-Invasive Pressurized Cerebral Perfusion Platform (가압식 비침습적 대뇌 혈류 증가 장치의 구현)

  • Lee, Jean;Yu, Hyeong-gon;Kim, Young-kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.05a
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    • pp.171-174
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    • 2017
  • One of the treatments and preventions of strokes such as ischemic stroke is to increase cerebral blood flow. This aims to minimize the size of the stroke by increasing the quantity of blood to the cerebral region circuitously. Several ways to increase cerebral blood flow are a therapy though drugs and through surgery. However these invasive method giving a burden to the patient, the problem of inducing a number of complications were noted. In this thesis, we propose a non-invasive cerebral blood flow augmentation device to compensate for the disadvantages of these invasive treatments. To compensate for the shortcomings of the existing cerebral blood flow device, apply a positive measure of the patient's extremities to measure the blood pressure of the patient's blood pressure and conduct a frontal injection of blood flow to increase blood flow. Although somewhat inadequate blood flow increases compared to conventional devices, blood flow can be significantly increased, which can be selectively.

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Stellate Ganglion Blocks in Atrophic Rhinitis (위축성 비염 환자에서 성상신경절 블록의 치료효과 -증례 보고-)

  • Kim, Seung-Jun;Lee, Woo-Chang;Chang, Won-Sok;Yoon, Duck-Mi
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.231-233
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    • 2001
  • Atrophic rhinitis is characterized by mucosal atrophy, bony absorption, persistent fetid odor and resistance to medical and surgical treatment. Stellate ganglion block (SGB) can be used as a therapeutic modality by improving the regional blood flow through sympathetic blockade. We present a case of a 57 year-old male patient who had been treated unsuccessully for atrophic rhinitis for several years by surgical and conservative measures. The patient presented at our pain clinic with shoulder pain and received stellate ganglion block once or twice a week. He received more than 75 SGBs in addition to the routine conservative treatment for atrophic rhinitis. As the number of blocks performed increased, the patient demonstrated subjective symptom relief. We measured regional mucosal blood flow using a laser doppler flowmeter after the 28th, 63rd and 75th blocks. Nasal mucosal blood flow was improved by 4.9%, 28.8% and 36.3% respectively. We also were able to observe the recovery of mucosal atrophy to an almost normal level by nasal endoscopy. The patient is currently free of symptoms and is being followed up on an outpatient bases.

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