• 제목/요약/키워드: case checking

검색결과 407건 처리시간 0.023초

하지불안증후군으로 인한 양 발바닥 저림에 대한 한의 치험 1례 (A Case of Restless Legs Syndrome Patient with Numbness in Both Soles Using Gyejibokryeong-hwan)

  • 양정윤;김세원;이유진;조기호;문상관;정우상;권승원
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.270-278
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    • 2019
  • Objective: In this case report, we address the case of a 68-year-old woman with numbness in both soles due to restless legs syndrome. Methods: A patient was treated with Korean medicine including herbal medication Gyejibokryeong-hwan during 73 days as an outpatient. We evaluated the improvements of symptoms by use of the International Restless Legs Scale (IRLS) and checking subjective symptoms of patient. Results: After 73 days of Korean medicine treatment, there was improvement in patient's symptoms. IRLS score improved from 12 to 8, and subjective symptoms improved to about 30% compared to the first time. Conclusions: This study suggested that Korean medicine treatments might be effective in RLS patient recovery.

방문간호를 통한 일상생활동작 수행능력 개선에 대한 사례보고: 오마하시스템을 활용하여 (Improvement of Activities of Daily Living through Visiting Nursing Care under Long-Term Care Insurance: A Case Report using the OMAHA System)

  • 송연이;박은진
    • 한국농촌간호학회지
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    • 제15권2호
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    • pp.66-73
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    • 2020
  • Purpose: This study was done to report nursing case for ADL improvement of elders who have CVA(Cerebrovascular Accident) sequelae. Methods: The client had registered in the C visiting nursing center after being decided a long-term care Grade 2. Data were collected through consultation logs for recipients, Activities of Daily Living (ADL) records, fall risk assessment (Huhn) sheets, decubitus ulcer risk assessment (Braden Scale) sheets, cognition assessment (K-MMSE) sheets, long-term care benefit provision records, and interviews with visiting nurse. Data were collected and analyzed according to the Omaha System problem classification. The intervention scheme and the problem rating scale for performance were applied to present the case for home-visit nursing. Results: The client registered in August, 2018, was provided home-visit nursing care once a week as of September 2020. ADL, cognitive levels and decubitus ulcer risks were found to have improved. Conclusion: This case report presents the value of classifying nursing problems and checking nursing intervention provided to patients with problems of ADL. The presentation of home-visit nursing cases applying a standardized nursing problem classification scheme for clients with various problems showed that a high quality level of care is guaranteed and evidence-based nursing can be provided by visiting nurses.

군단위지역 토지이용계획의 합리적 책정을 위한 토지적성구분(II) - 토지이용적성의 종합화 방안 - (Land Suitability Classification for Rational Land Use Planning in County(Gun) Area(II) Determination of the land Use Suitability to Integrate the Classified Values -)

  • 황한철;최수명;한경수
    • 농촌계획
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    • 제2권1호
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    • pp.31-38
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    • 1996
  • As a rational decision-making process of county-level area development, this study designed 3-step framework : function-giving(areal analysis) on unit planning area by decision matrix of land suitability, check of typical characteristics of each function area and formulation of its future development strategies. Two alternatives were suggested as the areal analysis method, of which one is equal ordering / valuing technique of checking indices for land suitability classfication and the other preferential weighting technique. And then, under the algorithm specially defined in this study, land suitability maps(Fig.2,3) of the case study area (Seungju-county area, Chonnam-province, Korea) were drawn from the areal analysis results. By use of land suitability classification results, unique characteristics of typical function areas were defined (on 7 types of alternative 1 , 8 types of II ) and their future development strategies were formulated in the case study area, According to the categorization criteria in this study, all the villages of the case area were classfied as a suitable type of function areas illustrated in this study.

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국내 종합병원 진단검사의학과의 면적산정 방법에 대한 연구 - 검사실 사례조사를 중심으로 (A Study on the Space Area Guideline of Clinical Laboratory in Korea - Focused on Laboratory Case Studies)

  • 김영애;송상훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제26권2호
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    • pp.39-47
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    • 2020
  • Purpose: Clinical laboratory of hospital has been demanded to extension or relocation regarding with the test number increase and analyzer development. Space area criteria per test numbers, lab functions, hospital bed and lab staffs are needed for draft space programing. So, the purpose of this study is to provide the space area guideline of clinical laboratory for space calculation in planning and design the spatial environment. Methods: Literature review has been used in checking the standards and guidelines. And questionnaire surveys to laboratory supervisors in hospitals have been conducted for the data collection. 60 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into three way calculations. The first one shows that the basic standard workspace and distance is applied in lab design. The second one shows that average space area criteria resulted from case studies is applied by 19㎡ per one staff, 0.9~1.0㎡ per one bed, and lastly linear length calculation of workbenches and analyzers on the bench top and floor mount, is multiplying it by the sum of the counter depth plus aisle width. Implications: In updating the space area calculation guidelines, it is necessary to cooperate with medical staffs and designers.

공공디자인의 가로시설물에 대한 해외 사례의 조사 연구 (A Study on the Investigation of Overseas Case in Street Furnitures of Public Design)

  • 조원석;김흥기
    • 한국농촌건축학회논문집
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    • 제11권3호
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    • pp.11-18
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    • 2009
  • The purpose of this paper is to find out the investigation of overseas case in Street Furnitures of Public Design. Thus this research regions select among the waterfront cities; Tokyo/Yokohama(Japan), Nies/Cannes(France), Shanghai(China), Vancouver(Canada), in addition to the city of art and romance; Paris. Above all, it is necessary to study concept of public design and definition of street furnitures. The survey data collected from forenamed cities and the items of street furnitures are various installments such as kiosk, bench, bollard, litter-bin, sign board, toilet, bus/taxi station, fence, shelter, lighting column, fountain, telephone-booth, clock-tower, automaton, bicycle stand, playing object etc. In this study street spaces are analysed that is related to regional surroundings and pedestrian's culture. Consequently, design trend of street furniture in foreign case analysis are going into thoroughly modern image as well as checking of form, color, material and maintenance system. According to the above findings, this paper will provide basic data for establishing of the street furniture and improving of public design to the regional citizen, local government officials and regional experts.

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도심지 대심도 암반 굴착현장에서의 Face Mapping 적용사례 (A Case Study on the Field Monitoring of the Deep Rock Excavation Site in Urban Area)

  • 김태섭;김형민;조충식;강태승
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
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    • pp.1307-1316
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    • 2009
  • In this case, powerfulness quorum of destruction side which we have expected are supposed general limit value for rock floor when retaining of earth on the section of rock floor in the urban area. For digging in the urban area, there are a lot of dislocations to be disadvantage for safety of digging ants. The displacement of the pondside didn't converged with the phase of the excavation. Also, the speed of displacement got higher than the percentages of risk in the construction. So, we put into operation Face mapping for checking special quality of dislocations which appear on the digging ants. This results were used to decide a destruction in the case of the final excavation by analyzing with other results. It was possible to know the unstable distribution of a fault line in Face Mapping and to get powerful lens of a surface of discontinuity by tests indoors and outdoors. The results were also used to make a solution. Therefore, It's a successful example using the Partial TopDown for stable digging. And it is important that Face Mapping have to be practiced for solving the uncertainty of ground organization when digging design in the urban city.

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교사의 환경교육 해석과 학습자 변화에 대한 기대 -두 중학교에서의 문화기술적 사례 연구- (Teachers' Perspectives on Environmental Education and Expectations for Learners' Changes : An Ethnographic Case Study in Two Korean Middle Schools)

  • 김찬국;이동수
    • 한국환경교육학회지:환경교육
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    • 제15권1호
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    • pp.101-114
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    • 2002
  • This study is an ethnographic case study aiming at understanding the environmental education (EE) classes of 'Discretionary Activity' which has recently been introduced into Korean middle school curricula. To show the characteristics of the classes, researcher described the phenomena unique to two schools. Two middle school teachers were included in this study as research participants. Qualitative approaches were used to understand the status quo of school environmental education, teachers's perspectives on EE and their expectations for learners' changes. Data were gathered using the methods of participant observation during two school terms and in-depth interview with two teachers and nine students. Ethnographic analysis/interpretation methods such as domain analysis were used to analyze the data. To verify the research methodology and conclusions, triangulation, members checking and peers debriefing were used. Research questions emerging through the circulative research process include 1) what are the teachers' perspectives on EE and how do the teachers' perspectives affect their EE teaching? 2) what are the teachers' expectations for learners' changes and how are teachers/researcher able to perceive learners' changes? Two research participants have different life experiences and perspectives on environment and EE. The perspectives had influence on the selection of the contents and the styles of their teaching. Teachers' expectations for learners' changes were also different according to the styles of the teaching.

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액티브 러닝 학습방법을 활용한 심전도 개론 및 실습 교과과정의 학습효과와 만족도 조사 (Outcomes of active learning methods in an electrocardiography course; identifying the effects of flipped, case-based, and team-based learning)

  • 김철태;김정선
    • 한국응급구조학회지
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    • 제23권2호
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    • pp.61-73
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    • 2019
  • Purpose: This study aimed to introduce active learning methods, including flipped, case-based, and team-based learning in an electrocardiography (ECG) course and to investigate outcomes and satisfaction with these methods. Methods: To identify the learning effect of active learning, pre-and post-academic self-efficacy was compared between the experimental and control groups. In the experimental group, pre-and post-knowledge and clinical performance regarding ECG were also assessed. In addition, class satisfaction was investigated after application of active learning methods in the experimental group. Data were collected from 84 paramedic students and analyzed using SPSS 22.0 (IBM, Armonk, NY, USA). Results: The experimental group showed significant improvement in post-academic self-efficacy and knowledge. The experimental group also showed high clinical performance (9.83 out of 10 in ECG checking ability and 9.63 out of 10 in ECG reading ability). The mean satisfaction score was 4.23 out of 5 (responses based on a Likert scale) in the experimental group. Conclusion: Active learning in an ECG course was found to be highly effective and satisfactory. Furthermore, paramedic students can enhance their accountability and judgement with team-based learning through free engagement in discussion.

Treatment of a naso-orbito-ethmoid fracture using open reduction and suspension sutures: a case report

  • Youngsu, Na;Chaneol, Seo;Yongseok, Kwon;Jeenam, Kim;Hyungon, Choi;Donghyeok, Shin;Myungchul, Lee
    • 대한두개안면성형외과학회지
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    • 제23권6호
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    • pp.269-273
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    • 2022
  • Naso-orbito-ethmoidal (NOE) fractures are complicated fractures of the mid-face. The treatment of NOE fractures is challenging and a comprehensive treatment strategy is required. We introduce a case of NOE fracture treated with open reduction and suspension sutures. A 28-year-old woman presented with a unilateral NOE fracture. To reduce the frontal process of the maxilla, a suspension suture was made by pulling the fragment using a double arm suture via a transcaruncular incision. The suture thread was placed in the horizontal plane. Another suspension suture on the inferior orbital rim assisted reduction procedure, and they passed through the overlying skin. The reduction alignment could be finely adjusted by tightening the transcutaneous suture threads while checking the degree of bone alignment through the subciliary incision. The two suture threads were suspended using a thermoplastic nasal splint. An additional skin incision on the medial canthal area, which would have resulted in a scar, could be avoided. Four months postoperatively, computed tomography showed an accurate and stable reduction. The patient was satisfied with her aesthetic appearance, and functional deficits were not present.

Unusual anomaly of the radial artery encountered during the elevation of a radial forearm free flap: a case report

  • Jin Myung Yoon;Tae Jun Park;Sae Hwi Ki;Min Ki Hong
    • 대한두개안면성형외과학회지
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    • 제24권1호
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    • pp.28-31
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    • 2023
  • The radial forearm free flap (RFFF) has become popular for head and neck reconstructions. Owing to a constant anatomy the RFFF is relatively easy to dissect. Nevertheless, anatomical variations of the radial artery have been reported. Some variations could affect the survival of the flap. This paper reports an unusual anomaly of the radial artery where the radial artery was not located between the brachioradialis (BR) and flexor carpi radialis. The radial artery was observed above the BR and on the radial side of the BR. The survival of the elevated flap was deemed questionable because it had only few perforators. So we decided to discard the flap and to elevate another free flap for the head and neck defect. The donor area on the forearm was covered using the original skin of the first flap as a full-thickness skin graft. This case highlights a means to deal with anomalies of the radial artery encountered during the elevation of RFFF and the checking process for variations of the radial artery before RFFF.