• 제목/요약/키워드: clinic

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통증 치료실 내원 환자의 분석 (A Survey of Patients Visiting Pain Clinic)

  • 서창민;문철원;백운이;홍정길
    • The Korean Journal of Pain
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    • 제13권2호
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    • pp.224-231
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    • 2000
  • Background: Currently, the number of patients visiting pain clinics is increasing with the augmented concerns of the patients about management of pain. We conducted this study in order to comprehend the characteristics of the patients visiting pain clinics and to find a method to further raises the public's awareness about pain treatment. Methods: We surveyed 497 new patients who had visited pain clinic of Kyungpook national university hospital from August 1998 to July 1999. We analysed these patients about their age, sex, chief complaint, duration of pain complaints, resident district, educational level and route of visiting pain clinic by use of questionnaire. Results: In age distribution, the largest proportion (29.8%) were in their 60's. Low back pain was the most common chief complaint (33.0%), the highest (43.7%) percentage of patients had complained of pain for over 6 months. Two thirds of the patients lived in urban area. Patients who were educated to only elementary school level made up the largest group with 35.3%. Referrals from former patients who had visited our pain clinic and had received treatment. Conclusions: As increasing patients who have pain complaints are related to social advanced age, it is prudent to consider the characteristics of age related pain complaints. And we have to guide the pain patients to have more earlier treatments using mass media because there is still insufficient general information about pain clinic and pain managements.

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피부에서 경부 경막외강까지의 깊이에 대한 연구 (The Distance from Skin to Cervical Epidural Space)

  • 한경림;곽노길;황혁이;김지영;김찬;김성모
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.105-108
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    • 1998
  • Backgrounds: Cervical epidural nerve block is useful in the management of a variety of acute, chronic and cancer related pain syndromes involving the head, face, neck and upper extrimity. To safely perfom the cervical epidural block, an appreciation of the expected distance from skin to epidural space is important. We studied the distance from skin to cervical epidural space of adults to determine if any relationship exists between patient height, weight and neck circumference and the distance from skin to epidural space. Methods: Patients 170, suffering from neck and upper extremity pain with cervical HIVD(herniated intervertebral dics) were selected. Cervical epidural block was performed at $C_{6\sim7}$ or $C_{7-}T_1$ intervertebral space. Then measured the distance from skin to epidural space and analysed the relationship between age, height, weight and neck circumference and the distance from skin to epidural space. Results: The cervical epidural depth of male $C_{6\sim7}$, male $C_{7-}T_1$, female $C_{6\sim7}$ and female $C_{7-}T_1$ groups were $5.17{\pm}0.63$, $5.47{\pm}0.59$, $4.84{\pm}0.56$ and $5.01{\pm}0.60$ cm respectively. Cervical epidural depth significantly correlated with body weight, ponderal index and neck circumference. Conclusions: The distance from skin to cervical epidural space has significant relationships with weight, ponderal index and neck circumference. Although experience is important, patient's weight and neck circumference are indicating factor, of the cervical epidural depth.

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전핵 시기 및 2-4 세포 시기에 동결 보존된 배아의 발생률 및 임신률 (Pregnancy and Development Rates of Human Embryos Cryopreserved at Pronuclear and 2-4 cell stages)

  • 양현원;최규완;전한식;차영범;이승재;박종민
    • Clinical and Experimental Reproductive Medicine
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    • 제21권1호
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    • pp.69-76
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    • 1994
  • The survival and pregnancy rates were compared between non-frozen embryos and cryopreserved embryos at either pronucleate or 2-4 cell stages using the freezing and thawing techniques being identical in both groups were compared with fresh embryos. 496 embryos were frozen with 1, 2-propanediol and sucrose and 117 2-4 cell stages embryos had been thawed and 79.6 and 66.0% of them respectively were survival. Clinical pregnancy rate was 19.2% for embryos frozen at the pronucleate stage and 19.0% for embryos frozen at the 2-4 cell stages while the pregnancy rate of non-frozen embryos was 21.3%. There were no significant difference in the survival and pregnancy rates of embryos frozen at pronucleate and 2-4 cell stages. The current cumulative pregnancy rate per retrieval in all cycles with frozen zygotes is 35.4 %, consid~ erably higher than observed in single transfers of embryos without cryopreservation(21.3%); predicted pregnancy rate after transfer of all frozen embryos is 43.3 %. It is concluded that firstly, the survival and pregnancy rate of cryopreserved embryos at pronucleate or 2-4 cell stages are very similar to those from their fresh embryos and non-frozen embryos and secondly, cryopreservation substantially enhances pregnancy attainment from in vitro fertilization.

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Hepatitis B and C Seroprevalence in Solid Tumors - Necessity for Screening During Chemotherapy

  • Oguz, Arzu;Aykas, Fatma;Unal, Dilek;Karahan, Samet;Uslu, Emine;Basak, Mustafa;Karaman, Ahmet
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권3호
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    • pp.1411-1414
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    • 2014
  • Background: Hepatitis B and C are the leading causes of liver diseases worldwide. For hematological and solid malignancy patients undergoing chemotherapy, increases in HBV DNA and HCV RNA levels can be detected which may result in reactivation and hepatitis-related morbidity and mortality. The aim of this study was to determine the seroprevalence of Hbs ag and Anti HCV positivity in patients with solid malignancies undergoing chemotherapy and consequences during follow-up. Materials and Methods: The files of 914 patients with solid malignancies whose hepatitis markers were determined serologically at diagnosis were reviewed retrospectively. All underwent adjuvant/palliative chemotherapy. For the cases with HBV and/or HCV positivity, HBV DNA and HCV RNA levels, liver function tests at diagnosis and during follow-up and the treatment modalities that were chosen were determined. Results: Of 914 cases, Hbs Ag, anti Hbs and anti HCV positivity were detected in 40 (4.4%), 336 (36.8%) and 26 (2.8%) of the cases respectively. All of the Hbs ag positive patients received prophylactic lamuvidine before the start of chemotherapy. In the Hbs ag and anti HCV positive cases, liver failure was not detected during chemotherapy and a delay in chemotherapy courses because of hepatitis was not encountered. Conclusions: Just as with hematological malignancies, screening for HBV and HCV should also be considered for patients with solid tumors undergoing chemotherapy. Prophylactic antiviral therapy for HBV reduces both the reactivation rates and HBV related mortality and morbidity. The clinical impact of HCV infection on patients undergoing chemotherapy is still not well characterized.

대상포진성 신경통에 대한 에테르-아스피린 도포요법 (Ether-Aspirin Topical Application for Herpetic Neuralgia)

  • 문원배;김해규;백승완;김인세;정규섭
    • The Korean Journal of Pain
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    • 제3권1호
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    • pp.40-43
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    • 1990
  • 1) 에테르-아스피린 국소도포요법은 그 방법이 간단하며 안전하게 사용할 수가 있다. 2) 이 요법은 대상포진성 신경통 환자의 통증을 반감시키나 대상포진후 신경통 환자에서는 그 효과가 입증되지 못했다. 3) 에테르-아스피린 도포는 대상포진의 피부 병변의 빠른 치유에도 도움을 주는 것으로 보인다.

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스테로이드 사용(使用)으로 인(因)한 고혈당증(高血糖症)을 동반(同伴)한 대상포진후(帶狀疱疹後) 신경통(神經痛) 환자(患者)의 치험(治驗) (Treatment of Post-herpetic Neuralgia in the Patient Who and Steroid-induced Hyperglycemia)

  • 김영추;김해규;백승완;김성수;김인세;정규섭
    • The Korean Journal of Pain
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    • 제3권1호
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    • pp.51-54
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    • 1990
  • 대상포진후 신경통의 치료를 위하여 사용하였던 스테로이드로 인한 고혈당증을 동반한 환자를 치료한 결과를 다음과 같이 요약한다. 첫째, 통증치료실에서 흔히 쓰이는 약물 중에는 고혈당증을 유발하는 것이 많으므로 처치전에 고혈당이 영향을 주는 다른 질환의 유무를 확인하도록 한다. 둘째, 스테로이드 사용으로 인하여 발생되는 일시적인 고혈당중의 경우에는 스테로이드 사용 중단으로 회복이 가능하나 잠재되어 있던 당뇨병의 발현시는 지속적인 당뇨병의 치료를 필요로 한다. 셋째, low level laser therapy는 혈당치에 영향을 미치지 않는 통증치료법으로 유용하게 사용될 수 있다.

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간호학생의 학업성적과 성격 검사와의 상관연구 (A Study of the Correlation between Academic Achievement and Personality test in a Nursing College)

  • 이숙자
    • 대한간호학회지
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    • 제7권2호
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    • pp.95-106
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    • 1977
  • I. Purpose of the study An ultimate objectives of entrance examination for the selection of students by the nursing school is to evaluate their abilities and readiness for the further study as a competent and professional nurse at the college. As a method to measure the above mentioned achievement Inchon Nursing College conducts personality test in addition to the college made entrance examination. The study amid to find out the correlation between personality test and academic achievement including clinic nursing practice through analysing the data and affecting factors for the purpose of improvement and desirable entrance examination system. II. Content and Method of the study Selected experimental groups were 36 students who were admitted to the college in 1973 and 35 senior students who enrolled in the second semester in 1976. Gathered date, personality test achievement academic achievement record in the college and achievement of clinic nursing practice, from the total number of 71 students were analysed for the clarification of their correlation. III. Findings of the study 1. It was revealed that the correlation between the entrance examination achievement and personality test was meaningful. 2. Found no significant correlation between personality test and academic achievement through 3 years. 3. It was revealed the meaningful correl, n between personality test and clinic nursing practice. 4. The most dominant affecting elements for the academic achievement was the 2 nd year academes achievement showing 91.39%. Approximately 8% were affecting for the 1 st year and 2 nd year academic achievement by the entrance examination achievement and personality test. 5. Achievement of clinic nursing practice was greatly affected by the 2 nd year clinic nursing practice with 81.26%. Achievement of the 3 rd year clinic nursing practice and personality test were affecting with approximately 15%.

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Multicenter Evaluation of Patients with Cutaneous Malignant Melanoma in Turkey: MELAS Study

  • Uysal-Sonmez, Ozlem;Tanriverdi, Ozgur;Esbah, Onur;Uyeturk, Ummugul;Helvaci, Kaan;Bal, Oznur;Yalcintas-Arslan, Ulku;Budakoglu, Burcin;Oksuzoglu, Berna
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권1호
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    • pp.533-537
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    • 2013
  • Background: Malignant melanoma is a cancer that demonstrates rapid progression and atypical clinically features with a poor prognosis. Aim: This study was performed to determine the clinical characteristics and treatment outcomes of patients with malignant melanoma in Turkey. Methods: The medical records of 98 patients between 2007-2012 at our centers were retrieved from the patient registry. Overall survival (OS) was calculated using the Kaplan-Meier method. Results: In our study, with the median follow-up of all patients with cutaneous MM of 46.3 months, the median OS rate of all cases was 43.6 months and 5-year OS was 48.6%. However, five-year OS rates of patients with localized disease (stage I-II) and node involvement (stage III) were 60.3% and 39.6%, respectively. The median OS of stage IV patients was 8.7 months and 1-year OS rate was 26.2%. We showed that advanced stage, male gender, and advanced age in all patients with MM were significant prognostic factors of OS. Conclusions: Compared with the results of current studies from Western countries, we found similar findings concerning demographical features, histological variables and survival analyses for our patients with cutaneous MM in Turkey.

진료실용 밀링머신을 이용한 교합평면 부조화 환자의 완전 구강 회복술 (Full mouth rehabilitation of a patient with occlusal plane discrepancy with milling machine for clinic)

  • 박지만
    • 대한심미치과학회지
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    • 제25권2호
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    • pp.68-78
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    • 2016
  • 최근 디지털 기술이 치과진료실 안으로 점차 파급되고 있다. 진료실용 밀링머신을 활용하여 진료실 내에서 임시치아를 제작할 수 있으며, 이는 반조절성 교합기 탑재 가능 모형스캐너와 직관성이 우수한 치과용 캐드 소프트웨어의 도움으로 규모가 큰 증례에까지 활용 가능할 전망이다. 본 증례보고에서는 반복된 수복치료로 인해 교합평면이 틀어지고, 대합치마모로 교합고경이 상실된 55세 여환을 대상으로 디지털 기술을 활용하여 완전구강회복술을 시행하였으며, 임시치아 디자인 및 진료실 내 밀링가공, 이중스캔을 통한 임시수복물 형태 복제 등을 통하여 양호한 구강회복 결과를 얻었기에 이를 보고하고자 한다.

학습 부진아 수학 클리닉 운영 사례 (Math Clinic for the Learning Disabilities)

  • 권혁진;김민경;이은영
    • 한국학교수학회논문집
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    • 제9권1호
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    • pp.19-40
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    • 2006
  • 매년 학습 부진아에 대한 노력은 계속되어 오고 있으나, 오히려 그 수가 더 많아지고 있는 현실에서 이제는 이에 대해 좀 더 실천적인 방안을 고려해보아야 할 것이다. 특히 본 논문에서는 수학 학습 부진에 관한 기존의 연구들 중 가장 일반적이고도 포괄적인 것으로 판단되는 연구를 개략적으로 살펴보고, 이에 대한 해결 방안으로 수학 클리닉 운영 방안을 모색해보고자 한다. 수학클리닉에서는 수학 학습 부진뿐만 아니라, 불안, 기피 학생들의 근본적인 요인(정서적, 환경적, 심리적)을 진단하고 올바른 교정 프로그램을 통하여 수학에 대한 바른 이해와 긍정적 태도, 그리고 학습 교정 및 잠재적 능력을 개발하여 학생들이 자신감을 갖고 올바른 수학적 소양과 능력을 기르도록 하는데 그 목적을 둔다. 본 논문에서는 수학부진아 클리닉을 시범적으로 운영하여 학습에서 나타난 학생들의 오류를 분석하여 학습부진아를 위한 적합한 수학 학습 클리닉 운영 방안을 제시하였다.

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