• Title/Summary/Keyword: old-man care

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A Case of Pulmonary Lymphangiomatosis (폐림프관종증 1예)

  • Jang, Eun-Kyung;Kim, Chang-Rae;Choi, Chang-Min;Oh, Yeon-Mok;Shim, Tae-Sun;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Song, Jin-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.5
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    • pp.428-432
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    • 2011
  • Pulmonary lymphangiomatosis is a rare disorder involving the entire intrathoracic lymphatic system from the mediastinum to the pleura. Pulmonary lymphangiomatosis mostly occurs in children and young adults without gender predilection. Although it is pathologically benign, it shows a progressive and fatal course with variable initial presentation. We now report a case of pulmonary lymphangiomatosis in a 35-year-old man. He presented with hemoptysis 6 months previously. Chest x-ray and a chest computed tomography scan showed diffuse interstitial thickening with left pleural effusion. Chylothorax was confirmed by thoracentesis. Lymphangiography showed dilated and tortuous lymphatic channels. Surgical lung biopsy revealed proliferation of complex anastomosing lymphatic channels. He was diagnosed with pulmonary lymophangiomatosis. Closed thoracostomy and chemical pleurodesis were done and the dyspnea was reduced.

Bronchogenic Cyst Rupture and Pneumonia after Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: A Case Report

  • Hong, Goohyeon;Song, Junwhi;Lee, Kyung-Jong;Jeon, Kyeongman;Koh, Won-Jung;Suh, Gee Young;Chung, Man Pyo;Kim, Hojoong;Kwon, O Jung;Um, Sang-Won
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.177-180
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    • 2013
  • We report a 54-year-old woman who presented with a well-defined, homogeneous, and non-enhancing mass in the retrobronchial region of the bronchus intermedius. The patient underwent endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for histological confirmation. Serous fluid was aspirated by EBUS-TBNA. Cytological examination identified an acellular smear with negative microbiological cultures. The patient was finally diagnosed with bronchogenic cysts by chest computed tomography (CT) and EBUS-TBNA findings. However, 1 week after EBUS-TBNA, the patient developed bronchogenic cyst rupture and pneumonia. Empirical antibiotics were administered, and pneumonia from the bronchogenic cyst rupture had resolved on follow-up chest CT. To our knowledge, this is the first reported case of pneumonia from bronchogenic cyst rupture after EBUS-TBNA.

Spontaneous Regression of Non-Small Cell Lung Cancer in a Patient with Idiopathic Pulmonary Fibrosis: A Case Report

  • Hwang, Eu Dong;Kim, Young Jae;Leem, Ah Young;Ji, Ah-Young;Choi, Younjeong;Jung, Ji Ye;Kim, Se Kyu;Chang, Joon;Park, Ji Hye;Park, Seon Cheol
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.5
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    • pp.214-217
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    • 2013
  • Treatment of lung cancer in patients with idiopathic pulmonary fibrosis (IPF) is difficult because the mortality rate after surgery or chemotherapy is high for these patients. Spontaneous regression of cancer is rare, especially in lung cancer. A 62-year-old man, previously diagnosed with IPF, presented with stage IIIC (T2N3M0) non-small cell lung cancer. About 4 months later, spontaneous regression of the primary tumor was observed without treatment. To the best of our knowledge, this is the first report of spontaneous regression of lung cancer in a patient with IPF.

Severe Exogenous Lipoid Pneumonia Following Ingestion of Large Dose Squalene : Successful Treatment with Steroid (다량의 스쿠알렌 복용 후 발생한 중증 지방성 폐렴 -스테로이드 치료로 호전된 1예-)

  • Choi, Hyo Sun;Kwang, Hyon Joo;Chae, Seung Wan;Lim, Si Young;Lim, Seong Yong
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.2
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    • pp.235-238
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    • 2006
  • Exogenous lipoid pneumonia (ELP) is an uncommon condition resulting from aspiration or inhalation of vegetable, animal or mineral oil. It results in foreign body type inflammatory reaction of the lung and can show various clinical presentations from asymptomatic incidental finding to severe pneumonia leading to acute respiratory failure. Although many cases have been reported, severe ELP requiring steroid or whole lung lavage for treatment is rare. We report a case of 51-year old man with esophageal cancer who developed severe ELP following ingestion of large dose shark oil (Squalene) and successfully treated with prednisolone.

Factors Influencing Health related Quality of Life among Patients with Chronic Hepatitis B (만성 B형 간염 환자의 건강 관련 삶의 질과 영향요인)

  • Kim, Ja-Ok;Kim, Man Woo;Kim, Ja-Sook;Han, Su-Jeong;Kim, Sehyun
    • Korean Journal of Adult Nursing
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    • v.26 no.3
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    • pp.287-299
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    • 2014
  • Purpose: The aim of this study was to investigate the factors contributing to health-related quality of life (HRQOL) among patients with chronic hepatitis B (CHB). Methods: A cross-sectional, descriptive design was used. The sample included 114 patients in a gastroenterology outpatient department at one hospital located in G city. Data were collected using a structured questionnaire from June to December 2009. The collected data were analyzed using SPSS/WIN 15.0. Results: Health-related quality of life was most strongly related to age, sex, income, occupation, and the care provider. Old age, female gender, lower income, not having an occupation and having a non-medical person were associated with lower HRQOL ($R^2$=.03~.22, p=.041~<.001). Conclusion: CHB infection had a negative impact on HRQOL among the older, female gender, low socioeconomic status and not having medically knowledgeable care givers. Interventions beyond nursing care may be needed to improve the quality of health for patients with Chronic Hepatitis B.

A basic study on the Design of Institutional Household for Infants (영아전담공공가정 설계를 위한 기초연구)

  • Doo Kyung Ja
    • Journal of the Korean Home Economics Association
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    • v.42 no.9
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    • pp.213-235
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    • 2004
  • This study investigated the Infant Institutional Household (IIH) for the care of infants. The purpose was to provide basic information needed to raise Korea's birth rate and to design higher level nursing facilities which can satisfy working mothers who are presently offered few facilities. To achieve this purpose. IIM was divided into 7 sub-functional stations : planning-management, marketing, materials-management, business-management, man power-management, financial-management and control etc. The results are as follows : 1. Kind of facilities : Infants'(full responsibility) Institutional Household. 2. Number of infants : total 19 babies. 3. Ratio of infants to teachers : one to one (Contained assistance teachers) 4. Installing region : convenient traffic place - in Seoul. 5. Building site and kind : the first floor space of 60pyung (198㎡) in the Apartment complex which . contained many apartments of small size. 6. Nursing time : 24-hour day care in weekdays Age of object : age from 1month to 24months old babies(after his/her birth). 7. Kind of services and Cost : mother-like care, cost includes nursing-fee, a deposit and admission-fee. 8. Economic Condition and managing direction : pursuit limited profits with nursing-fee, admission-fee, a loan and national (or self -government of direct) supplementary funds.

Oral health impact profile(OHIP) according to the oral health behavior of foreign workers (외국인 근로자의 구강건강관리실태에 따른 구강건강영향지수(OHIP))

  • Yoon, Sung-Uk;Nam, In-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.451-459
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    • 2015
  • Objectives: The objective of this study is to investigate oral health behavior, PHP index and OHIP, awareness, attitude and behavior toward oral health in the foreign factory workers. Thsi study will provide the basic data for the improvement of the foreigners' quality of life. Methods: A self-reported questionnaire was completed by 126 Sri Lankans and 76 Chinese over 20 years old in Daegu and Gyeongbuk from January to April, 2012 through man to man interview after receiving informed consent. The questionnaire included oral health status, PHP index and OHIP. Results: OHIP was closely related to sex, marital status, and medical expense burden. PHP index was closely related to religion and income. The averages of OHP and PHP were 4.36 and 3.7, respectively and very bad. OHIP was influenced by number of toothbrushing, time of toothbrushing, use of oral hygiene device, and dental visit within a year. PHP index was influenced by the area of toothbrushing, time of toothbrushing, and the dental visit within a year. Regression analysis of PHP index according to OHIP and oral care conditions showed the equation. Y(OHIP)=2.999+0.103(area of toothbrushing)+0.346(the use of oral hygiene article)+ 0.077(visiting to the dentist during the past one year)-0.173(PHP index)(p<0.05). Conclusions: Low PHP index in the foreign workers affected quality of life. So the company must provide the continuing oral health care for the foreign workers every year. The concern for the health care for the foreigners will improve oral health behavior in the future.

The study of recognition on cold and heat application of the adult (일반인의 냉온요법에 대한 인식 조사)

  • Kim Min-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.452-463
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    • 1999
  • This study was performed to inquire into recognition of cold and heat application. The subjects in the study were 429 adults who were collected by disproportional quota sampling according to age, sex. The instrument was 36 questions that constitured closed questions and semiopened questions that encluded general characteristics, recognition of cold and heat applications. and what will you do when requested cold and heat applications on abdomial and perineal areas. Data were collected from september 25 to October 25, 1998. Data was analysed by SPSS/win, into frequency, Pearson correlation, t-test, ANOVA. The results were following. 1) The subjects consisted of male and female who was from teenage to fifty year old above. According to general characteristics, who endureed moderate cold-heat application, had constitutional fever, good sweat, and taked a cold bath accationally. And the woman think that their body were more cold than man. and the number of cold bath was less than man. Woman felt more harder than man that endured exposing cold. According to the recognitions of cold-heat applications, the 61.9% of the subjects think that cold application is more positive, and the 61.7% of the subjects think that heat application is more positive. 2) The subjects think that oral cavity, abdomen, back, extremes must be warm. 3) The percents of cold or heat application at abdomen were 77.4%, 86.5% respectely and the percents of cold or heat application at perineum were 56.9%. 93.6% respectely. With the above results. we know that the subjects have the fixed perceptions that each body part has to maintain its temperature. especially, they think that postpartum care is correlated with cold-heat application. So when we intervent nursing care, we also must regard their recognitions of cold and heat applications. and we need to educate and explain correctly about cold-heat application.

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A Case of Bronchobiliary Fistula as a Complication of Radiofrequency Ablation (간암환자에서 고주파 열치료 후 발생한 기관지담관루 1예)

  • Lee, Ji-Hyun;Kim, Min-Su;Lee, Jae-Gon;Kim, Dae-Sik;Yang, Hae-Jin;Cho, Dae-Hyeon;Kang, Kyung-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.228-231
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    • 2012
  • Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.

Successful Use of Extracorporeal Membrane Oxygenation for Severe Lung Contusion and Stress-induced Cardiomyopathy Caused by Multiple Trauma (다발성 외상으로 인한 심한 폐 좌상과 스트레스성 심근병 환자에서 체외막형 산화기의 치료 경험)

  • Lee, Dae-Sang;Gil, Eun Mi;Lee, A Lan;Ha, Tae Sun;Chung, Chi-Ryang;Park, Chi-Min;Cho, Yang Hyun
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.229-232
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    • 2014
  • A 55 year-old man hit a vehicle while riding a bicycle. He was diagnosed as left hemopneumothorax, multiple rib fracture, cerebral hemorrhage, and skull fracture. Initially he suffered from hypoxia requiring 100% oxygen with a mechanical ventilator. Finally he became hypotensive. Venovenous extracorporeal membrane oxygenation (ECMO) was initiated to support patient's gas exchange. Because hypotension and left ventricular dysfuction persisted, we converted the mode of support to veno-arterio-venous ECMO. Over four days of intensive care, we could wean off ECMO. The patient went to rehabilitation facility after 45 days of hospitalization. Although trauma and bleeding are considered as relative contraindication of ECMO, careful decision making and management may enable us to use ECMO for trauma-related refractory heart and/or lung failure.