• Title/Summary/Keyword: hospital comfort

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Free Flaps for Hand Soft Tissue Reconstruction (유리 피판술을 이용한 손의 연부 조직 재건술)

  • Kim, Yong-Jin;Hahm, Dong-Gil
    • Archives of Reconstructive Microsurgery
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    • v.21 no.1
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    • pp.76-80
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    • 2012
  • Various soft tissue defects can be occurred in the hand. In determining the most suitable means of reconstruction a defect, the benefit of the reconstruction has to outweigh the risk of donor morbidity. Flap selection will be based on the size of the defect, the requirements for sensibility, the surgeon's comfort level, and the patient profile such as gender, age, or systemic disease. The hand is the most important tactile sensory organ, hence sensory restoration is critical. Neurosensory free flaps can provide sensibility, vascularity, and soft tissue coverage to an injured hand. This paper will discuss free flaps which can be used for soft tissue reconstruction of the hand.

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Robot-Assisted Pulmonary Resection For Lung Cancer (폐암에서 로봇을 이용한 폐절제술)

  • Lee, Hyun-Sung;Jang, Hee-Jin
    • Korean Journal of Bronchoesophagology
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    • v.17 no.2
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    • pp.92-97
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    • 2011
  • MMinimally invasive surgery (MIS) for early stage lung cancer has been an important treatment modality. However, the ergonomic discomfort and counterintuitive instruments hindered the application of video-assisted thoracic surgery (VATS) to more advanced procedures. To improve the compliance with MIS, robotic surgery was adopted. This advance aimed to alleviate the shortcomings of VATS by maximizing the comfort of the surgeon while providing instruments that enabled technically demanding operations and three-dimensional views with increased freedom for intrathoracic movement owing to EndoWrist$^{(R)}$. In this session, we introduced the clinical applications and its results of robot-assisted thoracic surgery in the field of lung cancer surgery. In conclusion, robot-assisted pulmonary resection with lymph node dissection for lung cancer is safe as well as feasible, and it results in a satisfying postoperative outcome. Robot-assisted surgery may provide a good alternative to conventional open or thoracoscopic surgery for lung cancer, provided that the cost effectiveness and long-term prognosis are confirmed.

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Office Based Injection Laryngoplasty (성대 주입술)

  • Lee, No-Hee;Jin, Sung-Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.17-20
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    • 2009
  • Office based injection laryngoplasty for voice and swallow disorders is increasing steadily. In recent years, the application of injection laryngoplasty is extended to inject medicine, such as cidofovir or botox. The reason why office based injection laryngoplasty is increasing in popularity is several potential advantages when compared with other procedures. It can avoid surgical scar and is easily performed with local anesthesia. However, injection can be performed in a variety of settings, depending on several factors, including the goal of the procedure, patient comfort and anatomy, and physician skill. In this article, we describe indication of injection laryngoplasty and discuss about various techniques for procedure.

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Proteus Syndrome: Case Report and Updated Literature Review

  • Maria K Klimeczek-Chrapusta;Marek Kachnic;Anna Chrapusta
    • Archives of Plastic Surgery
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    • v.51 no.4
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    • pp.423-431
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    • 2024
  • Proteus syndrome (PS) is an exceptionally uncommon genetic disorder that has been documented in only approximately 250 cases in the literature spanning the past four decades. It is characterized by a disproportionate, asymmetric overgrowth of all types of tissues, provoked by a somatic activating mutation in serine/threonine protein kinase 1. We report a case of PS in a two-year-old female patient with the following clinical features: unilateral overgrowth of connective tissue in the right buttock and right foot, where multiple surgeries were performed to achieve a desirable aesthetic outcome and ensure psychological comfort of the young patient. The insights provided by this case underscore the pivotal role of obtaining pleasing aesthetic outcomes in the surgical management of untreatable genetic disorders, with the aim of nurturing psychological contentment in affected children.

Clinical Study on the Cases of Paranasal Sinitis, Treated by Acupuncture Therapy of Johae(K6), Yeolkyeol(L7) (팔맥교회혈(八脈交會穴)인 조해(照海), 열결혈(列缺穴)을 시술한 비연증(鼻淵症) 환자 14례에 대한 임상적(臨床的) 고찰(考察))

  • Moon, Ik-ryoul;Moon, Jang-hyuk;Yoon, Hyoung-seon;Jeong, Kyoung-suk;Baek, Jong-yeob;Ahn, Ho-jin;Heo, Yoon-kyoung;Park, Ki-bum
    • Journal of Acupuncture Research
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    • v.21 no.6
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    • pp.103-110
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    • 2004
  • Objective : This study is aimed to evauate the changes of improvement after acupuncture treatment in 14 cases with paranasal sinitis at D Orirental Medicine Hospital from September 2003 to March 2004. Methods : The patients was treated with acupuncture therapy of Johae(K6), Yeolkyeol(L7) -one of Palmaekgyohoihyoel(八脈交會穴). The number of treatment time was from 7 to 20 times. And Patients were get evaluated about comfort and improvement, checked simple X-ray follow up. Results & Conclusions : After Acupuncture Therapy of Johae(K6), Yeolkeol(L7), excellent effect were 3 cases(21.4%), good effect were 9 cases(64.2%) and unchaged patient were 2 cases(14.2%). Remarkable improvement in paranasal sinitis was obtain with acupuncture therapy of Johae(K6), Yeolkyeol(L7)-Palmaekgyohoihyoel(八脈交會穴).

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Effects of Walking on Discomfort and Colon Cleansing during Colon Lavage before Colonoscopy (대장내시경 검사 전 걷기 운동이 장세척액 복용 시 불편감과 대장 정결도에 미치는 효과)

  • Lee, You Joung;Hong, Eun Jung;Kim, Soon Ok;Kim, Hye Soon;Yang, In Soon;Cha, Kyung Hee;Kim, Choon Suk
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.39-49
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of walking on discomfort and colon cleansing for patients having a colon lavage solution before colonoscopy. Methods: This study was a nonequivalent control group post test design. The participants were 89 patients (experimental group: 47, control group: 42) who underwent colonoscopy at G hospital in Incheon. The two groups put on step counter for an hour while taking the colon lavage solution. The experimental group was made up of patients who walked over 3,000 steps and the control group of those who walked less than 3,000 steps. Discomfort was measured using VAS and colon cleansing was measured by a specialist. Collected data were analyzed using $x^2-test$, t-test with SPSS/PC+ window version 15.0. Results: Walking while taking the colon lavage solution decreases abdominal pain before colonoscopy. Also one hour after taking the colon lavage solution, decreased nausea, abdominal pain and discomfort were found in the group which walked over 3,000 steps. Concluson: Based on the above findings, adequate walking can be used as a nursing intervention to increase comfort in patients undergoing colonoscopy.

User Evaluation of Characteristics of Interior Space in Outpatient Department of General Hospital - Focused on Outpatients' Evaluation of 6 Departments - (종합병원 외래 진료부의 실내공간특성에 대한 사용자 평가 - H 종합병원의 6개 진료과에 대한 환자평가를 중심으로 -)

  • Oh, Chan-Ohk;Kim, Suck-Tae
    • Korean Institute of Interior Design Journal
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    • v.22 no.6
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    • pp.20-28
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    • 2013
  • This study attempts to grasp outpatients' demands for interior space of outpatients departments through evaluating them. Six departments in H general hospital such as surgery, orthopedics, neurosurgery, plastic surgery, obstetrics, and urology, were evaluated. Evaluating items were consisted of ones related to spatial layout, furniture, interior climate, color and finishes, and dressing room of each waiting area, doctor's room and treatment room in six departments. The subjects were 210 outpatients who were using one of six departments. The results were ; 1) The outpatients evaluated very high interior space of waiting areas in six departments. 2) They evaluated doctor's rooms to be relatively high. However, visual privacy in there was not enough met. 3) The treatment room was also evaluated relatively high. However, furniture and equipment arrangement, consideration for patients and a dressing room were evaluated relatively low. 4) The outpatients' evaluation was significantly different by their gender and age. The male evaluated them higher than the female. Also, the older patients evaluated them higher than the younger. 5) The outpatients responded that ventilation, comfort interior, and space arrangement were very important elements in healthcare facility design.

Life Experiences of Korean Patients with Hansen's Disease in Sorok Island Hospital (한센인의 삶: 소록도병원을 중심으로)

  • Yang, Ya Ki
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.639-648
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    • 2014
  • Purpose: The purpose of this study was to identify life experiences of Korean patients with Hansen's disease (leprosy). Methods: For this study, 5 participants from Sorok Island Hospital were purposively chosen. Data were collected through in-depth individual interviews from June to July 2014. Data analysis method was based on Colaizzi's approach. Results: The study results showed that experiences of patients with Hansen's disease consisted of 14 themes and six theme clusters: 1) Bad disease approaching as fate; 2) Family breakup and far from the village; 3) New life in Sorok Island Hospital; 4) Treatment of Hansen's disease and disability; 5) Life in the disease community; 6) Comfort and hope of life. Conclusion: The findings of this study indicate that health care professionals should pay attention to patients with Hansen's disease not only to reduce their physical and psychological suffering, but also to help the community and public culture to reduce the social stigma surrounding this disease and causing suffering for the patients. The results of the present study can help us to have a better understanding of various aspects of patients' lived experiences.

Full mouth rehabilitation of mandibular edentulous patient using implant hybrid prosthesis (하악 무치악 환자에서 임플란트 하이브리드형 보철물을 이용한 전악 수복 증례)

  • Kim, Hyun-Suk;Kim, So-Hyun;Oh, Namsik
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.25-30
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    • 2018
  • In edentulous patients, the advantages of prosthodontic therapy using oral implants include both stability and comfort. Advantages suggested for this approach include the prevention of mandibular bone resorption and increased masticatory function. Implant hybrid prostheses place 4 to 6 implants between the mental foramens, and cantilevers are used to replace the posterior teeth at both ends. The 85 - year - old female patient visited our clinic with complete edentulism in the maxilla and mandible. This article reports a satisfactory clinical and esthetic outcome of full mouth rehabilitation using removable complete denture in the maxilla and implant hybrid prosthesis in the mandible.

Distress of the Patients with Ostomy (장루보유자의 불편함)

  • Oh, Eun-Hee;Hong, Sung-Jung;Mo, Moon-Hee;Woo, Mi-Young;Kim, Sun-Ju;Chung, Bok-Yae
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.9-19
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    • 2011
  • Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff's content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were "do not have any freedom to eat whatever I wish to eat", "uncontrolled defecation"tomy", "can not live with comfort", "easily take a pessimistic view", and "see how the wind blows in daily family life". Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.