• Title/Summary/Keyword: Patient transferring

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Application of ARCUS digma I, II systems for full mouth reconstruction: a case report (ARCUS digma I, II system을 활용한 전악수복 증례)

  • Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.345-350
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    • 2016
  • Transferring condylar and anterior guidance on an articulator is essential to the diagnosis of a patient for full mouth reconstruction. In this clinical report, ARCUS digma I system was used to measure inherent condylar guidance of a patient requiring full mouth reconstruction in preoperate treatment, and the patients was given provisional restoration based on a functional anterior guidance. Then, ARCUS digma II system was used to mount the final casting model on an articulator, and the definitive prosthesis was placed in the patient. An esthetic and functionally proper clinical result regarding inherent condylar path of the patient was observed, and results from comparison of the two systems are given in this case.

Experiences on Transfer of Critically Ill Patients from Intensive Care Units to General Wards - Focus Group Interview on Nurses' View - (간호사가 인식하는 중환자실 환자의 병동으로의 전실경험 - 포커스 그룹 연구방법 적용 -)

  • Son, Youn-Jung;Suh, Yeon-Ok;Hong, Sung-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.92-102
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    • 2009
  • Purpose: Relocation stress is a common phenomenon in patients discharged from an intensive care unit(ICU) to a ward. Therefore, nurses need to be aware of the problems that can arise during the transfer process. The aim of this study was to identify nurses' experiences in transferring critically ill patients from the ICU to a ward. Method: Focus group interviews were done with 13 nurses from wards and ICU, which participated in receiving and sending of ICU patients. The debriefing notes and field notes were analyzed using the consistent comparative data analysis method. Result: Seven major categories were identified in the analysis of the data. These were 'mixed feeling about transfer', 'lack of transfer readiness', 'increase in family burden', 'uncertainty with unfamiliar environment', 'difficulty in decision making', 'difference of perception of the relationships between patients and health care providers', 'need for continuity of nursing care'. Conclusion: Transferring out of the critical care area should be presented to the patient and family as a positive step in the recovery process. However, a more universal method of passing information from nurse to nurse is needed to assist in a smooth transition.

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DETERMINATION OF ESTHETIC REFERENCE PLANE FOR SEMI-ADJUSTABLE ARTICULATORS (반조절성 교합기의 심미적 기준 평면에 관한 연구)

  • Hwang, Hie-Seong;Jeon, Young-Chan;Jung, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.3
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    • pp.448-456
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    • 1996
  • The purpose of this study is to evaluate suitable anterior reference point similar to esthetic reference plane of the patient while transferring the suitable facebow. So those who live in Pusan with the normal occlusal relationship were chosen as subjects. The esthetic reference planes determined by the participants themselves and the superior reference line (anterior reference point) in Hanau & Denar articulator were compared with F-H plane in the standard lateral cephalogram. The results were as follows. 1. The angle between the esthetic reference plane and F-H plane was $2.81{\pm}5.7^{\circ}$. 2. The reference line, 43mm from Beyron point to the edge of the upper incisor, was the reference plane that had the closest paralleled relationship with the esthetic reference plane. 3. Transferring with ear piece type face-bow, the anterior reference point that showed the esthetic reference plane was 17mm below orbitale or 43mm above, the edge of the upper incisor.

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Development of Patient Transfer Techniques based on Postural-stability Principles for the Care Helpers in Nursing Homes and Evaluation of Effectiveness (자세안정성 원리에 기반한 환자이동기술 개발 및 효과검정)

  • Ma, Ryewon;Jung, Dukyoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.39-49
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    • 2016
  • Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.

Research on the Development of Automated Multifunction-Integrated Motion Bed (자동화된 다기능 통합 전동 침대 개발에 대한 연구)

  • Lee, Youngdae;Choi, Moonsoo;Jang, Ilhwan;Kim, Chang-Young;Choi, Dong-Soo;Kim, Minsung;Kim, Wonjoon;Kim, Dong-Hwan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.5
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    • pp.215-222
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    • 2018
  • Recently, various motion beds have been actively developed and popularized. The motion bed has the functions of height adjustment, back plate rising, knee lifting, tilt function and left / right rotation, and the remote control can conveniently be used by the patient himself or the caregiver to move the patient. However, since the medical bed for use does not have a function of preventing pressure ulcers, exchanging sheets, and transferring patients, it is necessary to disperse body pressure by using a pressure ulcer prevention matrix to prevent pressure ulcers. However, it is accompanied by muscle strength and hard work, and nurses are avoiding difficult nursing care. In this study, we developed the first prototype in the world and confirmed that the system works normally with the goal of developing multifunctional beds that automatically perform the prevention of bed sores, the exchange of sheets and the transfer of patients in order to facilitate such nursing work. It is anticipated that the proposed multifunctional motorized bed in the future will be a model of a medical robot for smart healthcare.

The Design of mBodyCloud System for Sensor Information Monitoring in the Mobile Cloud Environment

  • Park, Sungbin;Moon, Seok-Jae;Lee, Jong-Yong;Jung, Kye-Dong
    • International journal of advanced smart convergence
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    • v.5 no.1
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    • pp.1-7
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    • 2016
  • Recently, introduced a cloud computing technology to the IT industry, smart phones, it has become possible connection between mobility terminal such as a tablet PC. For dissemination and popularization of movable wireless terminal, the same operation have focused on a viable mobile cloud in various terminal. Also, it evolved Wireless Sensor Network(WSN) technology, utilizing a Body Sensor Network(BSN), which research is underway to build large Ubiquitous Sensor Network(USN). BSN is based on large-scale sensor networks, it integrates the state information of the patient's body, it has been the need to build a managed system. Also, by transferring the acquired sensor information to HIS(Hospital Information System), there is a need to frequently monitor the condition of the patient. Therefore, In this paper, possible sensor information exchange between terminals in a mobile cloud environment, by integrating the data obtained by the body sensor HIS and interoperable data DBaaS (DataBase as a Service) it will provide a base of mBodyCloud System. Therefore, to provide an integrated protocol to include the sensor data to a standard HL7(Health Level7) medical information data.

Delirium Experience of the Intensive Care Unit Patients (중환자실 환자의 섬망 경험)

  • Jung, Jaeyeon;Jang, Sujin;Jo, Seonmi;Lee, Sunhee
    • Journal of Korean Academy of Nursing
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    • v.52 no.2
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    • pp.134-143
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    • 2022
  • Purpose: The study aimed to understand the delirium experience of intensive care unit (ICU) patients. Methods: We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019. Results: Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored. Conclusion: Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.

Long-term follow-up of a severely traumatized leg treated with ipsilateral fracture-united fibular transfer in a patient with amputation of the contralateral leg: a case report

  • Kim, Eon Su;Yang, Chae Eun;Kim, Jiye;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.48 no.6
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    • pp.699-702
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    • 2021
  • Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual scenario of unilateral weight-bearing, wherein we salvaged the sole lower extremity by transfer of the fractured ipsilateral fibula and a bipedicled skin flap. A 38-year-old man sustained a severe crush injury in the right leg with loss of circulation. His left lower leg had a soft tissue defect measuring 20×15 cm with an exposed comminuted fracture and a 17-cm tibial defect, along with a segmental fracture of the fibula. Subsequently, we reconstructed the tibial defect by transferring a 17-cm-long section of the ipsilateral fibula. We covered the soft tissue defect with a bipedicled skin flap. The patient eventually began to ambulate independently after surgery.

A Study on Main Issue and Supreme Court Decisions regarding the Duty of Interhospital Transfer of Patients - Focusing on the Supreme Court Decision 2010DO7070 Delivered on April 29, 2010 - (전원의무 관련 쟁점 및 대법원판례 고찰 - 대법원 2010. 4. 29. 선고 2009도7070 판결을 중심으로 -)

  • Kim, Young Tae
    • The Korean Society of Law and Medicine
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    • v.14 no.2
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    • pp.281-313
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    • 2013
  • A physician has to do his best for the better treatment of his patiensts. But, if a physician cannot remedy his patients because of the lack of hospital facilities, the lack of medical knowledge and etc., the physician must transfer his patients to another suitable hospital immediately. This is called the duty of interhospital transfer of patients. The necessity of interhospital transfer of patients is primarily ocurred in emergency medical care situations. The Supreme Court Decision 2010DO7070 delivered on April 29, 2010 is one of the important decisions related to the duty of interhospital transfer of patients. The Supreme Court ruled that there were the physician's medical malpractice and the causation between the physician's medical malpractice and the death of patient, as the physician has left the patient without due observations for 1 hour and 30 minutes after the caesarean operation inspite of mass bleeding during the operation, and has transferred the patient to another suitable hospital later. And the Supreme Court ruled that the transferring physician has to explain the situation of the patient in detail to the physician being transferred. I agree with the Supreme Court Decision. As decided by the Supreme Court, physicians will treat their patients more carefully and in case of necessity for transfer, physicians will transfer their patients with more caustion. However, the study for this issue should be continued hereafter because concrete standards are not given to lawers and physicians just by the Supreme Court Decisions itself.

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Relationship between the State of Decision Making Recognition Technology for Daily Living and Activities of Daily Living(ADL) of Inpatients in Geriatric Hospital on the Patient Core Card (환자평가표에 의한 요양병원 입원 노인들의 일상생활사 의사결정 인식기술 상태와 일상생활수행능력 간의 관계)

  • Lim, Jung-Do;Lee, Sung-Ho
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.328-336
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    • 2014
  • This work has performed to find what activities of daily living are required for the intensive interests when inpatient elderly more than 3 months has been supported and convalescent care, where the inpatient elderly were judged by the inpatient assessment report in the time of December, 2013. According to the estimation with logistic function of the relationship between the state of decision making recognition technology and the Activities of Daily Living(ADL), the intensive cares for the elderly are required in the parameters of 'Having meal' and 'transferring sitting' when they are severed and convalescently cared as the degree of functional independence for ADL are severly proceeded. In addition, the senescence and disease the activities except 'Having meal' and 'transferring sitting' seem to be influenced by the decline of body function more than the state of decision making recognition technology for daily living.