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Colorectal Cancer Concealment Predicts a Poor Survival: A Retrospective Study

  • Li, Xiao-Pan;Xie, Zhen-Yu;Fu, Yi-Fei;Yang, Chen;Hao, Li-Peng;Yang, Li-Ming;Zhang, Mei-Yu;Li, Xiao-Li;Feng, Li-Li;Yan, Bei;Sun, Qiao
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4157-4160
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    • 2013
  • Objectives: Understanding the situation of cancer awareness which doctors give to patients might lead to prognostic prediction in cases of of colorectal cancer (CRC). Methods: Subsets of 10,779 CRC patients were used to screen the risk factors from the Cancer Registry in Pudong New Area in cancer awareness, age, TNM stage, and gender. Survival of the patients was calculated by the Kaplan-Meier method and assessed by Cox regression analysis. The views of cancer awareness in doctors and patients were surveyed by telephone or household. Results: After a median observation time of 1,616 days (ranging from 0 to 4,083 days) of 10,779 available patients, 2,596 of the 4,561 patients with cancer awareness survived, whereas 2,258 of the 5,469 patients without cancer awareness and 406 of the 749 patients without information on cancer awareness died of the disease. All-cause and cancer-specific survival were poorer for the patients without cancer awareness than those with (P < 0.001 for each, log-rank test). Cox multivariate regression analysis showed that cancer concealment cases had significantly lower cancer-specific survival (hazard ratio (HR) = 1.299; 95 % confidence interval (CI): 1.200-1.407)and all-cause survival (HR = 1.324; 95 % CI: 1.227-1.428). Furthermore, attitudes of cancer awareness between doctors and patients were significantly different (P < 0.001). Conclusion: Cancer concealment, not only late-stage tumor and age, is associated with a poor survival of CRC patients.

Emergency Treatment and Nursing Activities of Severe Trauma Patients according to Elapsed Time and Vital Signs (중증외상환자의 치료경과 시간과 활력징후에 따른 응급처치 및 간호활동)

  • Kim, Myung Hee;Park, Jung Ha;Kim, Myung Hee;Koo, Ji Ehun
    • Journal of Korean Biological Nursing Science
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    • v.16 no.3
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    • pp.182-191
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    • 2014
  • Purpose: The aim of this study was to identify necessary emergency treatment and nursing activities for severe trauma patients according to elapsed time and vital signs. Methods: A survey was conducted with 121 patients over 15 points ISS on EMR from June 1, 2011 to May 31, 2012. Collected data were analyzed with descriptive statistics, applying McNemar's test using SPSS 12.0. Results: Almost all of the subjects were men and the mean age was 46.9. Run-time for primary diagnosis, treatment decision, and leaving for the hospital room was 0.19, 4.36, and 4.21 hours, respectively, and stayover time was 9 hours. Regardless of vital signs, emergency treatments involving ambu-bagging, intubation, ventilator, and central vein catheterization insertion were offered within an hour. Central venous pressure, Foley catheter/Levin tube preparation and maintenance were performed in cases of unstable vital sign patients within an hour. Unrelated to vital signs, nursing activities for consciousness assessment, skin assesment and wound care, bed sore/fall down assesment and care, intravenous injection insertion and maintenance were conducted for all severe trauma patients within an hour. Foley catheter/Levin tube drainage care was performed for patients who had unstable vital signs within an hour. Conclusion: Emergency treatment and nursing activities for severe trauma patients were specific according to elapsed time and vital signs.

Effect of the Balance Exercise on the Unstable Surfaces for the Vital Capacity in Healthy Adults: A Preliminary Study (불안정한 지지면에서의 균형운동이 건강한 성인의 폐활량에 미치는 효과: 사전 연구)

  • Kim, Taeho;Park, Hankyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.17-25
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    • 2016
  • Purpose : This study attempts to examine the effect of the balance exercise on the unstable surfaces for the vital capacity in healthy adults. Methods : A total of 13 subjects was randomly divided into a breathing exercise training group (n=7) and a breathing and balance exercise training group (n=6). Changes in vital capacity and respiratory muscle activity were measured before and after the intervention. The intervention was performed three times a week for four weeks. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and maximal voluntary ventilation (MVV) were used as measurement tools for the vital capacity test. Electromyography (EMG) was also used to examine respiratory muscle activity. Result : The breathing exercise training group showed significant improvement in terms of FVC, FEV1 and external oblique (EO), and transverse abdominis/internal oblique (TrA/IO) of MVV. The breathing and balance exercise training group showed significant improvement in terms of FVC, MVV and EO, TrA/IO of FVC and rectus abdominis (RA), EO, and TrA/IO of MVV. However, in comparing changes in vital capacity and respiratory muscle activity before and after the training, the breathing exercise training group and the breathing and balance exercise training group showed a significant difference in terms of MVV. Conclusion : This study is as a preliminary study to find out the relation between a balance exercise and a vital capacity, it is considered to require a further study with several revisions of subjects, duration and time for an intervention.

A Study on causes and remedies of hearing disturbance in chinese medical journals (難聽의 原因, 症狀, 治法에 對한 硏究;中醫雜誌를 中心으로)

  • Kim, Seong-Bae;Kim, Jong-Han;Lim, Gyu-Sang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.7 no.1
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    • pp.35-51
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    • 1994
  • This is the study on causes and remedies of hearing disturbance in chinese medical journals(1991-1993). The results were as follows. 1. The causes of sudden deafness(突發性耳聾) were usually fire in the liver(肝火).phlegmatic fire(痰火), deficiency of the vital function and essence of the kidney(腎虛), blood stasis or sludge due to stagnation of vital energy stagnation(氣滯血瘀). Remove endogenous heat or fire method(淸瀉火熱法). circulation of phlegm and dampness(運化痰濕). using tonics to cure disease due to deficiency of vital essence of both the liver and the kidney(滋補肝腎) were used for each treatment. 2.The causes of menieres disease were usually mental disturbance due to phlegmatit fire(痰化上搖). dampness-phlegm long standing(痰濕內停), water-dampness retention(水濕停滯), Method of remove heat and circulation phlegm(淸熱化痰法), method of remove water and dampness(利水渗濕法), invigorate function of the spleen and circulation of dampness method(健脾化濕法) were used for each treatment. 3. The causes of toxico-deafness(中毒性 耳聾) were usually heart, liver and kidney functional weakness(心肝腎虛), vital essence and blood weakness(氣血虛弱). Remove obstruction in the flow and circulation phlegm(通窮化痰), reinforce vital energy and tonify blood (補氣活血), using tonics to cure disease due to deficiency of vital essence of both the liver and the kidney(滋補肝腎) were used for each treatment. 4. The causes of deafness (耳聾), tinitus(耳鳴) were usually mental disturbance due to wind and heat(風熱上搖). flaming up of excessive heat of the liver(肝火上亢). exhaustion seat of reproductive essence in kidney(腎精虧虛). Remove endogenous heat and disperse wind(淸熱疏風). remove the fire of liver(淸肝瀉火), through nourish kidney check exuberance of yang(滋腎潛陽), nourish kidney yang(補腎陽). replenish vital energy and improve essential substance(益精血), blood activate for treatment of blood stasis(活血化瘀) were used for each treatment. 5. The effects of mainly used drugs were classified into method of water and dampness remove medicine(利水渗濕藥), nourishing liver and kidney medicine(補肝腎藥), improve blood and vital energy activate medicine(活血行氣藥), through nourish yan medicine check exuberance of yang(滋陰潛陽藥).

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The Web Viewer System Development of Real-Time Patient Monitering using HL7(Healthy Level Seven) Protocol (HL7(Healthy Level Seven) 프로토콜을 이용한 실시간 환자 모니터링 웹 뷰어시스템 개발)

  • Kim, Gwang-Jun;Lim, Se-Jung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.3
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    • pp.546-555
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    • 2009
  • HL7 is well-known standard protocol for text data generated in hospital information systems. Vital sign information web viewer systems is also the standard protocol for medical image and transfer. In this paper, we have to design to obtain useful vital sign information, which is generated at data receiver modulor of HIS, that is offered by the central monitor. Vital sign informations of central monitor is composed of the row data of several bedsite patient monitors. We are willing to maintain vital sign information of real time and continuity that is generated from the bedsite patient monitor. It is able to apply to remote medical examination and treatment. we proposed integration method between vital sign database systems and hospital information systems. Through the proper exchange and management of patient vital sign information, real time vital sign information management will offer better workflow to all hospital employee.

A Model of Vital Signs Analysis based on Big Data using OCL (OCL을 이용한 빅데이터 기반의 생체신호 분석 모델)

  • Kim, Tae-Woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.12
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    • pp.1485-1491
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    • 2019
  • As the type and size of vital signs become extensive at the moment lately, a research is actively progressing to define vital signs as big data and analyze it. We generally use a similar method of processing big data on social network as a way to treat vital signs as big data. Vital Sign Big Data should be extracted as feature data, stored separately, and analyzed with various analytical instruments. In other words, it should ensure interoperability and compatability of data, and the index expression in analytical tools should be concise. For this end, I defined the vital sign as the standard meta-model base of HL7 in this dissertation, and I propose a model for analyzing vital signs using OCL, the OMG's standard mathematical specification language. In addition, the proposed model can be confirmed the applicability by figuring out the consumption of calories using ECG data.

Comparison of vital sign stability and cost effectiveness between midazolam and dexmedetomidine during third molar extraction under intravenous sedation

  • Jun-Yeop, Kim;Su-Yun, Park;Yoon-Sic, Han;Ho, Lee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.6
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    • pp.348-355
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    • 2022
  • Objectives: To compare the vital sign stability and cost of two commonly used sedatives, midazolam (MDZ) and dexmedetomidine (DEX). Patients and Methods: This retrospective study targeted patients who underwent mandibular third molar extractions under intravenous sedation using MDZ or DEX. The predictor variable was the type of sedative used. The primary outcome variables were vital signs (heart rate and blood pressure), vital sign outliers, and cost of the sedatives. A vital sign outlier was defined as a 30% or more change in vital signs during sedation; the fewer changes, the higher the vital sign stability. The secondary outcome variables included the observer's assessment of alertness/sedation scale, level of amnesia, patient satisfaction, and bispectral index score. Covariates were sex, age, body mass index, sleeping time, dental anxiety score, and Pederson scale. Descriptive statistics were computed including propensity score matching (PSM). The P-value was set at 0.05. Results: The study enrolled 185 patients, 103 in the MDZ group and 82 in the DEX group. Based on the data after PSM, the two samples had similar baseline covariates. The sedative effect of both agents was satisfactory. Heart rate outliers were more common with MDZ than with DEX (49.3% vs 22.7%, P=0.001). Heart rate was higher with MDZ (P=0.000). The cost was higher for DEX than for MDZ (29.27±0.00 USD vs 0.37±0.04 USD, P=0.000). Conclusion: DEX showed more vital sign stability, while MDZ was more economical. These results could be used as a reference to guide clinicians during sedative selection.

Effect of Self-Foot Reflexotherapy on the Fatigue, Mood and Vital Signs of the Nursing Students (자가 발반사 마사지가 간호학생의 피로, 기분 및 활력징후에 미치는 효과)

  • Cho, Gyoo-Yeong;Kim, Hyeo-Ok
    • Journal of Korean Biological Nursing Science
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    • v.12 no.1
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    • pp.24-30
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    • 2010
  • Purpose: This study was aimed to identify the effects of Self-Foot Reflexotherapy on the Fatigue, Mood and Vital Signs of the Nursing students. Methods: The research design was a quasi experimental, one-group pretest-posttest design. The data were collected from June 15 to August 31, 2008. The one group was consisted of 21 subjects. The instruments used for the study were the Fatigue and Paleasant mood. The data were analyzed by SPSS WIN 12.0 program. In order to compare the effect of the pre-post Foot Reflexotherapy, paired-test and Repeated Measures ANOVA was employed. Results: A significant decrease in fatigue, increase in Mood and Vital signs after providing self foot reflexotherapy was observed. Conclusion: The result suggests that a self foot reflexotherapy could be utilized as an effective nursing intervention to the patients to reduce fatigue, Mood and vital signs.

Wireless RF Sensor Structure for Non-Contact Vital Sign Monitoring

  • Kim, Sang-Gyu;Yun, Gi-Ho;Yook, Jong-Gwan
    • Journal of electromagnetic engineering and science
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    • v.12 no.1
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    • pp.37-44
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    • 2012
  • This paper describes a compact and novel wireless vital sign sensor at 2.4 GHz that can detect heartbeat and respiration signals. The oscillator circuit incorporates a planar resonator, which functions as a series feedback element as well as a near-field radiator. The periodic movement of a human body during aerobic exercise could cause an input impedance variation of the radiator within near-field range. This variation results in a corresponding change in the oscillation frequency and this change has been utilized for the sensing of human vital signs. In addition, a surface acoustic wave (SAW) filter and power detector have been used to increase the system sensitivity and to transform the frequency variation into a voltage waveform. The experimental results show that the proposed sensor placed 20 mm away from a human body can detect the vital signs very accurately.

Review of literature about globus hystericus (매핵기(梅核氣)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Jeon, Sang-Bok;Jung, Sung-Gi;Rhee, Hyung-Koo
    • The Journal of Internal Korean Medicine
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    • v.11 no.2
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    • pp.104-111
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    • 1990
  • The results of the Review of literature, the treatment of globus hystericus were summerized as follows ; first, use the method of adjusting the flow of vital energe, second, to break through the phlegm, to smooth the flow of vital energy, to releive stagnancy of vital energy, to keep air or gas going downward, and then, to restore the normal functioning of stagnancy of vital energy, to remove evil(heat) from the lung, antasthma to resolve phlegm, to regulate the vital function of the stomach as displling dampness through ditiresis by using mild-flavored drugs, to dispel pathogenic factors from the exterior of the body by diaphoresis. As the prescription of globus hystericus, Samultang were used the most frequently, and then, chilgitang, Gamisachiltang, Daechilgitang, Banhahubaktang, Gamileejintang, Bunsingiyum, samayum, Soyousan, Mokhyangbang were used.

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