• Title/Summary/Keyword: Patient guideline

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Simulation Study for Feature Identification of Dynamic Medical Image Reconstruction Technique Based on Singular Value Decomposition (특이값분해 기반 동적의료영상 재구성기법의 특징 파악을 위한 시뮬레이션 연구)

  • Kim, Do-Hui;Jung, YoungJin
    • Journal of radiological science and technology
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    • v.42 no.2
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    • pp.119-130
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    • 2019
  • Positron emission tomography (PET) is widely used imaging modality for effective and accurate functional testing and medical diagnosis using radioactive isotopes. However, PET has difficulties in acquiring images with high image quality due to constraints such as the amount of radioactive isotopes injected into the patient, the detection time, the characteristics of the detector, and the patient's motion. In order to overcome this problem, we have succeeded to improve the image quality by using the dynamic image reconstruction method based on singular value decomposition. However, there is still some question about the characteristics of the proposed technique. In this study, the characteristics of reconstruction method based on singular value decomposition was estimated over computational simulation. As a result, we confirmed that the singular value decomposition based reconstruction technique distinguishes the images well when the signal - to - noise ratio of the input image is more than 20 decibels and the feature vector angle is more than 60 degrees. In addition, the proposed methode to estimate the characteristics of reconstruction technique can be applied to other spatio-temporal feature based dynamic image reconstruction techniques. The deduced conclusion of this study can be useful guideline to apply medical image into SVD based dynamic image reconstruction technique to improve the accuracy of medical diagnosis.

Telephone Inquiries to the Ophthalmology Nursing Unit and Nursing Interventions Through Telephone Consultations (3차 종합병원 안과병동의 전화 상담 중 전화문의 내용 및 간호중재에 대한 조사 연구)

  • Lee, Hyun-Jung;Park, Hyeoun-Ae
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.157-167
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    • 2009
  • Purpose: This study examines the patient problems and nursing interventions during telephone consultations by nurses in an ophthalmology nursing unit. Methods: The data were collected during telephone consultations. A total of 13 nurses consulted 170 patients between September 29 and November 30, 2008 at a tertiary teaching hospital. Problems were raised by the patients and nursing interventions were provided to the patients by the nurses. The SPSS program was used to analyze the data. Results: There were 228 telephone inquiries by 170 patients. The problems were categorized into four groups based on a literature review and validated by 14 nurses: physical symptoms, medications, administrative matters, and follow-up care. Interventions provided by the nurses were categorized into six groups: instructing patients; providing information; providing background knowledge; assuring the patients; referring to the patients to other ancillary departments; and delivering doctor's orders. Conclusions: Nurse interventions for a specific patient problem varied depending on the nurse providing the consultation. The participating nurses expressed the need for a common protocol for telephone consultations. Thus, it would be beneficial to develop a guideline for telephone consultations to minimize practice variations among nurses.

Evaluation of Adherence to the CARE (CAse REport) Guidelines of Case Reports in the Journal of Korean Medicine Rehabilitation (한방재활의학과학회지에 게재된 증례보고의 CARE (CAse REport) 지침 준수에 대한 평가: 2016년 이후 발표된 논문들을 중심으로)

  • Ahn, Jonghyun;Ko, Junhyuk;Kim, Seyoon;Kim, Soojeon;Bae, Jun-hyeong;Yoon, Ye-ji;Lee, Hansol;Chang, Hokyung;Kim, Hyungsuk;Chung, Seok-hee;Lee, Jong-soo;Kim, Sung-soo;Chung, Won-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.75-85
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    • 2019
  • Objectives This study was perfomed to assess the adherance to CARE (CAse REport) guideline of case reports in the Journal of Korean Medicine Rehabilitation Methods We searched the case reports published in the Journal of Korean Medicine Rehabilitation from January 2016 to April 2019 in the database of oriental medicine advanced searching integrated system (OASIS). Then we evaluated the quality of the searched case reports based on the CARE guideline. Results Totally 31 papers were selected after the screening the case reports by the inclusion and exclusion criteria. The report rate of the sub-items of the CARE guideline was 78.26% at the maximum, 60.87% at the maximum, and 70.97% on the average. The following items were reported only in less than 50% of them; 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered' 'Prognostic characteristics', 'Follow-up and Outcomes', 'Patient Perspective', 'Informed Consent' Conclusions This study is expected to contribute to the overall improvement of the level of case reports in the Journal of Korean Medicine Rehabilitation.

Rt. Pneumonectomy in a Lung Cancer Patient with Poor Pulmonary function Test - A Case Report - (폐 기능검사가 불량한 2기 폐암환자에서 시행한 우전폐절제술 - l예 보고 -)

  • Jin, Ung;Lee, Sun-Hee;Chon, Jin-Young;Hong, Sung-Jin;Sim, Sung-Bo;Park, Jae-Kil;Kwack, Moon-Sub
    • Korean Journal of Bronchoesophagology
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    • v.6 no.2
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    • pp.192-195
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    • 2000
  • Pulmonary function test is used as a guideline for safe pulmonary resection without complications. Usually FEVl lower than 1 liter is considered as a contraindication of lobectomy. Therefore, the curative operation of resectable lung cancer can not be performed in the case of poor pulmonary functions. Nowadays, there are some arguing points about the value of preoperative PFTs before the pulmonary resection. We performed a right pneumonectomy for stage H lung cancer in a patient with poor lung function test; FVC 2.17L, FEVl 0.97L, FEVl/FVC 44%, FEF 25-75% 0.42L/sec, MVV 28L/min, TLC 5.18L, RV 2.99. During 4 months follow up, the patient had been tolerable. The follow up PFTs at postoperative 3 months 18 days showed up as follows; FVC 1.20L, FEVI 0.63L, FEVl/FVC 53%, FEF 25-75% 0.31L/sec, MVV 25L/min, TLC 3.80L, RV 2.33L.

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Exercise program in cardiac rehabilitation (심장재활에서의 운동 프로그램)

  • Kim, Jwa-Jun;Kim, Dae-Kyeong;Kim, Min-Soo
    • PNF and Movement
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    • v.8 no.3
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    • pp.17-25
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    • 2010
  • Cardiac disease is the class of diseases related to the heart that plays an important role in supplying blood to our body and the number of deaths is increasing every year. Cardiac Rehabilitation has been conducted as treatment and prevention in such patients with cardiac disease. Cardiac rehabilitation programs in general contain pat~ient education and consulting service in order to improve physical strength in patients with cardiac disease, decrease cardiac symptoms, promote fitness, and minimize the risk of following cardiac problems including cardiac arrest. Among them therapeutic exercise is the mainstream of cardiac rehabilitation, however, to accomplish more efficient patient care, standardized guideline based on each disease and researches from a physical therapy perspective are required.

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Comparison of wettability and setting time of dental impression materials (치과용 인상재의 젖음성 및 경화시간 비교)

  • Kim, Byung-Jin;Song, Kun-Ho;Lee, Kwang-Rae
    • Journal of Industrial Technology
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    • v.36
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    • pp.45-48
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    • 2016
  • The purpose of this study is to evaluate and compare wettability and setting time of twelve polyvinylsiloxane impression pastes. For comparing the wettability, the contact angle of a water drop on the impression materials was measured. It is important for impression materials to have higher wettability when trying to make impressions of interproximal spaces and gingival crevices. The higher wettability the better the material will flow into these spaces and the more accurate the impression. An ideal impression material will have adequate working time but a fast intraoral setting time. The clinician needs time to inject material into the sulcus, place the impression material into the tray and position it in the mouth, but the material should set rapidly to reduce time in the patient's mouth. It is considered that the results obtained in this study will provide guideline information for the manufacturing of impression materials and for selecting appropriate impression materials.

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Postoperative Infection Caused by Methicillin-Resistant Coagulase-Negative Staphylococci in the Oral and Maxillofacial Region: A Case Report

  • Lee, Hye-Jung;You, Jae-Seak
    • Journal of Oral Medicine and Pain
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    • v.45 no.1
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    • pp.17-21
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    • 2020
  • Osteomyelitis of the jaw infected with Coagulase-Negative Staphylococci (CNS) is rarely reported in the Oral and Maxillofacial Region. Staphylococcus is a part of the normal body flora, but it may be cause severe infections and CNS are often described as the important pathogens in nosocomial infections. Although many studies on prevalence and antibiotics of Staphylococcus aureus have been done, but many of these studies focus only on Methicillin-resistant S. aureus and not on methicillin-resistant coagulase-negative Staphylococci (MRCNS). There was a less study about CNS or MRCNS infections in the Oral and Maxillofacial Region. This report describes a case of a 41-year-old male patient who developed osteomyelitis caused by MRCNS on condyle after open reduction and internal fixation and suggests guideline for the prevention of postoperative infection and appropriate recommendation for treatment and control.

Adult Idiopathic Flexible Flat Foot Treated with Medial Sliding Calcaneal Osteotomy and Subtalar Arthroereisis -Report of 1 Case- (내측 활주 종골 절골술과 거골하 관절 제동술로 치료한 성인의 특발성 유연성 편평족 -1예 보고-)

  • Jung, Hong-Geun;Byun, Woo-Sup;Yoo, Moon-Jib
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.208-212
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    • 2004
  • There have been many reports about surgical treatments of flexible flatfoot in children and acquired adult flatfoot deformity due to posterior tibial tendon dysfunction common in the 5th and 6th decades. However there has been a controversy for surgical treatment guideline for painful idiopathic flexible flatfoot deformities in young adults. Therefore, we present a 27-year-old female with severe painful idiopathic flexible flatfoot who was treated with medial sliding calcaneal osteotomy and subtalar arthroereisis using $Kalix^{(R)}$ (Newdeal SA, Vienne, France) endoprosthesis and had good clinical outcome with high patient satisfaction at 10 months follow-up postoperatively.

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Development of a Medical Information on Processing, Analysis and Management System (의료정보의 처리, 분석, 관리 시스템 개발)

  • Kim, Hie-Sik;Kim, Gyu-Sik;Choi, Gi-Sang
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.195-198
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    • 1997
  • A medical information management system for small to medium sized clinics and hospitals is developed. The system is designed to process, analyze and manage each patient's clinical record using database technique. The structure of the database was determined and implemented through careful and rigorous study of medical practices in Korea and, therefore, reflects the needs of information management in Korean medical community. Furthermore, a sophisticated inference engine that can deduce possible diseases from the result of medical examination is added to the system to provide doctors with a guideline in medical diagnoses.

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One Clinical Study on Strabismus Patient of Abducence Nerve Paralysis with Oriental Medicine (제6 뇌신경 마비로 진단된 마비성(痲痺性) 사시(斜視) 환아(患兒) 1례(例) 보고(報告))

  • Cheon, Jin-Hong;Min, Sang-Yeon;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.26-32
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    • 2010
  • Objectives: This study is to report a case of the paralytic strabismus with herbal medicine and acupuncture. Strabismus refers to the oculomotor muscles imbalance resulted from improper alignment of the visual axis of the two eyes. Our goal is to know the effectiveness and safety in children from oriental medicine. Methods: We treated the case by using herbal medicine, acupuncture, and etc. Results: We found that the case was recovered perfectly in short term(24days) without any side effects or complaints. Therefore, we try to apply this treatment in many children cases and to set as a guideline protocol to treat for children. Conclusions: The case showed proper oriental medical treatment is better choice for therapy than surgery or observation.