• Title/Summary/Keyword: and conclusion

Search Result 79,448, Processing Time 0.08 seconds

System for Supporting the Decision about the Possibility of Concluding the Civil Law Agreements for Medical, Therapeutic and Dental Services

  • Hnatchuk, Yelyzaveta;Hovorushchenko, Tetiana;Shteinbrekher, Daria;Kysil, Tetiana
    • International Journal of Computer Science & Network Security
    • /
    • v.22 no.10
    • /
    • pp.155-164
    • /
    • 2022
  • The review of known decisions showed that currently there are no systems and technologies for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper models the decision-making support process on the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which is the theoretical basis for the development of rules, methods and system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper also developed the system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which automatically and free determines the possibility or impossibility of concluding the corresponding civil law agreement for the provision of a corresponding medical service. In the case of formation of a conclusion about the possibility of concluding the agreement, further conclusion and signing of the corresponding agreement takes place. In the case of forming a conclusion about the impossibility of concluding the agreement, a request is made for finalizing the relevant agreement for the provision of the relevant medical service, indicating the reasons for the impossibility of concluding the agreement - missing essential conditions in the agreement. After finalization, the agreement can be analyzed again by the developed system for supporting the decision.

A Case Report of Nerve Entrapment Syndrome with Lymphedema (림프부종에 의한 신경포착증후군: 증례 보고)

  • Kim, Hong-Ryul;Ahn, Duck-Sun
    • Archives of Plastic Surgery
    • /
    • v.37 no.1
    • /
    • pp.95-98
    • /
    • 2010
  • Purpose: One of the most common cause of upper extremity lymphedema is breast cancer surgery. We experienced the nerve entrapment syndrome which was associated with postmastectomy lymphedema. To the best of our knowledge, this is the first case report of lymphedema induced nerve entrapment syndrome on upper extremity in Korea. Methods: A 54-year-old woman presented with a tingling sensation on her right hand, which had been present for 1 year. On her history, she had a postmastectomy lymphedema on her right upper extremity for 20 years. Initial electromyography (EMG) showed that the ampulitude of the median, ulnar, and dorsal ulnar cutaneous nerve were decreased, and conduction block was also seen in median nerve across the wrist. In needle EMG, incomplete interference patterns were observed in the muscles innervated by median and ulnar nerves. In conclusion, electrophysiologic study and clinical findings suggested right median and ulnar neuropathy below the elbow. Therefore, we performed surgical procedures, which were release of carpal tunnel, Guyon's canal, and cubital tunnel. Results: The postoperative course was uneventful until the first two years. The tingling sensation and claw hand deformity were improved, however, the motor function decreased progressively. In 7 years after the operation, patient could not flex her wrist and thumb sufficiently. EMG which was performed recently showed that ulnar motor response was of low ampulitude. Moreover, median, ulnar, dorsal ulnar cutaneous, lateral antecubital cutaneous and median antebrachial cutaneous sensory response were unobtainable. Abnormal spontaneous activities were observed in upper arm muscles. In conclusion, multiple neuropathies were eventually developed at above elbow level. Conclusion: On treating nerve entrapments associated with lymphedema, medical professionals should be fully aware of the possibility of unpredictable results after the surgery, because of the pathophysiologic traits of chronic lymphedema.

Analysis of Adult Cardiopulmonary Resuscitation Skill Performed by Emergency Medical Technicians in Fire Department (소방 2급응급구조사의 성인 심폐소생술에 대한 숙련도 분석)

  • 최용철;이창섭;왕순주
    • Fire Science and Engineering
    • /
    • v.18 no.1
    • /
    • pp.13-17
    • /
    • 2004
  • Purpose: The purpose of this study is to predict a reasonable direction to design a pertinent educational program in the future by evaluating an adult CPR(Cardiopulmonary Resuscitation) skill performed by EMTs engaged in fire services organization and comparing the CPR success rate of factors as like a duty place and licensed year. Methods: We studied CPR skill by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The study population consisted of 320 EMTs. Every EMT performed four cycle after investigating the manikin for 2 minutes. We regarded chest compression with 100 times in a minute as the 100% success rate. We analysed the skill of chest compression, ventilation and chest compression times success rate by the records printed in the CPR paper. Results: The average success rate of chest compression was 59.42$\pm$29.26% and ventilation 49.22$\pm$29.65%. The success rate of manual CPR was different between chest compression and ventilation. Also the success rate of chest compression times was high relatively as a 87.32$\pm$9.14%(p=0.000). For the CPR skill, ventilation was lowest as 49.22%. The factors such as duty place and licensed year did not influence the CPR success rate (p>0.001). Conclusion: We could have conclusion that CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the continuing education of CPR training frequency might be more than four times in a year.

The Effect Of Cognitive Rehabilitative Programs on The Cognitive Function of Elderly People in The Community (인지재활 프로그램이 지역사회노인의 인지기능에 미치는 영향)

  • Lee, Sun-Myung
    • Journal of Korean Clinical Health Science
    • /
    • v.5 no.3
    • /
    • pp.936-942
    • /
    • 2017
  • Purpose. The purpose of this study was to determine the effect of cognitive based programs on cognitive functions in elderly people. Methods. The participants included a group of 9 elderly people in Changwon, from the period of May 2016 to July 2016. The test tools used were MMES-K. SADL. and GDS. The statistics used was the 20.0 version. Results. According to the results of this study, the MMSE, GDS mean scores improved after implentation of the program, but no significant improvement was shown with SADL. The MMSE of the correlation coefficient was 0.785, and the GDS of the correlation coefficient was 0.916. Both of these scores were significant in their correlation. Conclusion. In conclusion, cognitive based programs were effective among mildly cognitive-impaired elderly people, and that suitable programs must be developed on a case by case basis.

Effects of Socheongryong-Tang on Inflammatory Cells in Asthmatic Mice (소청룡탕이 천식이 유발된 생쥐의 면역세포에 미치는 영향)

  • Kim, Hyung-Woo
    • Journal of Society of Preventive Korean Medicine
    • /
    • v.10 no.2
    • /
    • pp.121-129
    • /
    • 2006
  • BACKGROUND : Socheongryong-Tang(小靑龍湯, SCRT), a herbal medicine, has been widely used for the control of respiratory disease in Eastern countries. Recent years SCRT was known as anti-allergic agent. However, its therapeutic mechanisms, especially an inhibitory effect on inflammatory cell infiltration and airway remodeling in allergic asthma are unclear. METHODS : We investigated the effects of SCRT on levels of IL-4, and IFN-g using flow cytometric analysis and infiltration of inflammatory cells in bronchoalveolar lavage fluid(BALF) using cytospin methods in allergen-induced asthma. RESULTS : SCRT decreased levels of IL-4, a Th2-driven cytokine. But INF-g, a Th1-driven cytokine, was not changed. With SCRT treatment, infiltration of inflammatory cells showed reduced tendency. CONCLUSION : In conclusion, we demonstrated that regulation of Th1/Th2 imbalance may be one of mechanism contributed to reduction of inflammatory cell infiltration.

  • PDF

The Clinical Study On 1 Case for The sensation of patient with Spinal Cord Injury whose is improved by using sweet BV (Sweet BV 병행 치료 후 척수 손상 환자의 감각 분절 호전 1례)

  • Park, In-Sun;Yoon, Il-Ji
    • Journal of Pharmacopuncture
    • /
    • v.12 no.2
    • /
    • pp.77-84
    • /
    • 2009
  • Objective : Patients with spinal cord injury are increasing in numbers. However, there is no reliable treatment guide in both conventional & complementary medicine. Also, there are not much clinical case of patients with spina cord injury in oriental medical field. We investigated effect of sweet BV on subacute stage patient with spinal cord injury. Method : 31-year old female patient with spinal cord injury was treated with herb medicine(TID), electro arcupunture (BID), sweet BV injection(QOD), Physical treatment(QD), and conventional-medicine. Result : We had a satisfactory result with using sweet BV injection. The patient's ASIA grade improved from 34 to 52. And Frankle classification of the patient shifted from A to B. Conclusion : We reach a conclusion Using Sweet BV improve the sensation of patient with spinal cord injury. And more study about this disease is needed.