• Title/Summary/Keyword: Patient outcome

Search Result 1,830, Processing Time 0.026 seconds

A case study of patient with Ischemic Cerebrovascular Accident at Puerperium (산욕기에 발생한 뇌경색증 1예의 임상 보고)

  • Jung, Ho-Joon;Chang, Young-Chul;Kwon, Do-Ick;Ahn, Jong-Pil
    • The Journal of Internal Korean Medicine
    • /
    • v.21 no.5
    • /
    • pp.883-887
    • /
    • 2000
  • A clinical study was carried out 1 case of ischemic cerebrovascular accident which occurred at puerperium in a 27 year-old woman followed by vaginal delivery The results were as follows: 1. In the clinical view, it was thought that the cause of this case is intracranial venous thrombus, because the symptom-headache, foaming at the mouse, acromyotonia, hemiparesis- occurred in the postpartum and functional outcome is good. 2. In this case, the patient's functional system of spleen-stomach is usually weak, and due to delivery the functional system of spleen-stomach is more insufficient. so it can not control damp-phlegm(濕痰). In addition, vital energy of liver stagnate.

  • PDF

Case Report for a Refractory Recurrent Aphthous Stomatitis Treated with Jibaekpalmi-hwon

  • Son, Chang-Gue
    • The Journal of Korean Medicine
    • /
    • v.33 no.2
    • /
    • pp.73-77
    • /
    • 2012
  • Objectives: This report reports a clinical case of a patient with recurrent aphthous stomatitis (RAS) for 10 years who was completely cured using Korean medicine. Methods: A male patient with terribly severe RAS was hospitalized, and then treated with Jibaekpalmi-hwon, indirect moxibustion (KI 1 and CV 4) and acupuncture. The clinical outcome was observed by self-reported VAS measurement and macroscopy. Results: The severity of stomatitis became improved gradually and completely recovered during 17 hospital days, and RAS has not recurred for three months as an outpatient. The blood test including complement activity was in the normal range. Conclusions: This case report provides information about a therapeutic effect of Jibaekpalmi-hwon and Korean medicine on RAS.

Breast implant-associated anaplastic large cell lymphoma in an Asian patient: The first case report from Thailand

  • Thienpaitoon, Peera;Disphanurat, Wareeporn;Warnnissorn, Naree
    • Archives of Plastic Surgery
    • /
    • v.47 no.5
    • /
    • pp.478-482
    • /
    • 2020
  • Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report-the first of its kind from Thailand-should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

Debriefing in pediatrics

  • Cho, Su Jin
    • Clinical and Experimental Pediatrics
    • /
    • v.58 no.2
    • /
    • pp.47-51
    • /
    • 2015
  • Debriefing is a conversational session that revolves around the sharing and examining of information after a specific event has taken place. Debriefing may follow a simulated or actual experience and provides a forum for the learners to reflect on the experience and learn from their mistakes. Originating from the military and aviation industry, it is used on a daily basis to reflect and improve the performance in other high-risk industries. Expert debriefers may facilitate the reflection by asking open-ended questions to probe into the framework of the learners and apply lessons learned to future situations. Debriefing has been proven to improve clinical outcomes such as the return of spontaneous circulation after cardiac arrest and the teaching of teamwork and communication in pediatrics. Incorporating debriefing into clinical practice would facilitate the cultural change necessary to talk more openly about team performance and learn from near misses, errors, and successes that will improve not only clinical outcome but also patient safety.

The Effect of Venlafaxine in One Patient with Panic Disorder and Generalized Anxiety Disorder : A Case Report (Venlafaxine 투여로 회복을 보인 공황장애와 범불안장애가 병발한 환자의 치료 1예)

  • Choi, Hong;Yoon, Se-Chang
    • Anxiety and mood
    • /
    • v.2 no.1
    • /
    • pp.56-60
    • /
    • 2006
  • Panic disorder is a relatively common psychiatric illness (life time prevalence 3.5%), and it is known that 91% of patients with panic disorder have at least one other psychiatric disorder. And patients with panic disorder, who have coexisting generalized anxiety disorder, tend to have more severe symptoms and less favorable outcome and respond less well to psychological and pharmacologic treatment. The authors report a 51-year old male who was previously diagnosed as panic disorder in the out-patient clinic, showed poor response to antipanic treatment. However, he showed great improvement after he was treated for panic disorder and comorbid generalized anxiety disorder. This case report showed that more effort to identify comorbid conditions is needed in panic disorder patients and the effectiveness of venlafaxine in the treatment of panic disorder with generalized anxiety disorder.

  • PDF

Psychotherapeutic Experience on a Patient with Somatoform Pain Disorder (신체형 동통장애 환자의 정신치료 경험)

  • Kim, Hyun-Woo;Lee, Hyun-Je
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.2 no.1
    • /
    • pp.107-112
    • /
    • 1994
  • The authors tried to look into the process of the individual psychotherapeutic experience of a 18-year-old male diagnosed as somatoform pain disorder or chronic pain syndrome. The patient had showed strong resistance to acceptance of his psychological problems. Some issues such as indications of psychotherapy for chronic pain, changing the mode of the treatment some problems around changing the therapist secondary gain and parents' attitude were discussed considering their relatedness to the outcome. The psychotherapy had lasted about 2 years and the result was estimated as fair.

  • PDF

Surgical Management of Intracranial Aneurysms in the Endovascular Era : Review Article

  • Mason, Alexander M.;Cawley, C. Michael III;Barrow, Daniel L.
    • Journal of Korean Neurosurgical Society
    • /
    • v.45 no.3
    • /
    • pp.133-142
    • /
    • 2009
  • The advent of endovascular therapy for intracranial aneurysms and the rapid advances in that field have supplanted microsurgical treatment for many intracranial aneurysms. Applying current outcome data and other parameters, nuances of selecting the modality of treatment for intracranial aneurysms are reviewed. Patient factors, such a age, co-morbidities, vasospasm and other medical conditions, are addressed. A custom-tailored multimodality treatment paradigm for the management of ruptured and unruptured aneurysms will maximize the favorable results seen in this difficult patient population.

Neonatal Encephalopathy Complicated with Septic Arthritis in a Foal

  • Jeong, Hyohoon;Oh, Taeho
    • Journal of Veterinary Clinics
    • /
    • v.35 no.5
    • /
    • pp.243-246
    • /
    • 2018
  • A 2-day-old Thoroughbred foal weighing 58 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) Jeju Stud Farm with clinical signs including loss of suckling behavior and barking. Neonatal encephalopathy (NE) was diagnosed based on history and typical clinical signs of NE. The foal seemed to recover in 5 days of intensive care and treatment but then was complicated with the septic arthritis of left hock joint on the $6^{th}$ day of admission. A course of aggressive systemic antimicrobial therapy with joint lavage for 8 days was conducted and the foal was fully recovered and discharged. The follow up on the patient after 2 years revealed that the patient achieved a great success as a racehorse without any unexpected sequel. This report describes a course of NE complicated with septic arthritis in a foal and the clinical outcome of the intensive care and treatment in detail. To our knowledge, this is the first report which describes NE complicated with septic arthritis in a foal in Republic of Korea.

A Patient Presenting with Elevations of Cardiac Enzyme Levels after Veratrum Oxysepalum Ingestion (박새풀 섭취 후 발생한 심장효소 상승 1례)

  • Hwang, Ji Young;Kim, Hyun
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.13 no.2
    • /
    • pp.111-116
    • /
    • 2015
  • Veratrum patulum has toxicological relevance because of the potential for misidentification of this plant as mountain garlic. Veratrum patulum has an ester-alkaloid that provokes cardiac arrhythmias by excessive vagal stimulation and depression of the sinoatrial and atrioventricular nodes of the heart and hypotension, cardiomegaly. We report on a retrospective case of successful outcome in patients with veratrum patulum poisoning through active treatment from the early phase after ingestion. We report on a case involving a patient who experienced dizziness, dyspnea, hypotension, and elevation of cardiac enzyme, cardiomegaly. These cases were kept under observation and generally recovered with supportive care. We report on cases of veratrum patulum poisoning with review of literature.

  • PDF

Principles and considerations of orthodontics for Prosthodontic treatment (심미보철치료를 위한 교정치료의 원칙과 고려사항)

  • Chang, Won-Gun
    • The Journal of the Korean dental association
    • /
    • v.56 no.9
    • /
    • pp.503-511
    • /
    • 2018
  • Outcome of esthetic ceramic restorations are affected by tooth size, gingival contour, occlusal relationship, etc. For this reason, demand of orthodontic treatment before esthetic ceramic restoration is increasing. If a Bolton ratio discrepancy, a problem of the maxillary incisor's vertical position, a problem of inclination of anterior teeth, a pathogenic occlusion is existed, a pre-prosthodontic orthodontics should be accomplished. These problems can be satisfactory only after the prosthetic treatment is performed after orthodontic treatment. When orthodontic treatment is given, it should be treated with the following principle. 1. Treat it in the direction of functioning occlusion. 2. Keep the patient's stable occlusal scheme. 3. Treat the teeth by considering the average tooth size and Bolton ratio. Ortho-Prostho combined treatment with optimal treatment plan can lead a patient's function, esthetics, and long-term stability.

  • PDF