• 제목/요약/키워드: out patient

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족관절 통증을 호소하는 류마토이드 관절염 환자 1례에 대한 증례보고 (A Case Study of ankle pain induced Rheumatoid arthritis)

  • 최용훈;강준혁;홍서영;허동석;윤일지
    • 혜화의학회지
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    • 제17권1호
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    • pp.167-172
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    • 2008
  • Objective : This study shows the clinical effects on Bee-venom acupuncture and Burning acupuncture therapy for a patient who was diagnosed as Rheumatoid arthritis with ankle pain. Methods : This study was carried out a patient who was diagnosed as Rheumatoid arthritis with ankle pain. The patient was treated by Bee-venom acupuncture, Burning acupuncture therapy. To evaluate the effect of treatment, measured grade of pain by Visual Analogue Scale(VAS). Result and Conclusion: The ankle pain was reduced from VAS 10 to VAS 2 and the patient could walk on foot. In this study, Bee-venom acupuncture, Burning acupuncture therapy was effective in arthralgia of Rheumatoid arthritis.

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인터넷을 통한 원격환자 모니터링 (Remote Patient Monitoring through the Internet)

  • 박승훈
    • 대한의용생체공학회:의공학회지
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    • 제22권4호
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    • pp.377-383
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    • 2001
  • In this paper, we present an intensive patient monitoring service through the Internet, which enables medical doctors to watch their patients in a remote site, to monitor their vital signs and to give them some advices for first-aid treatment. The service consists of three service objects: Monitoring Information Service(MIS), Vital Sign Monitoring Service(VSMS) and Multimedia Consulting (MCS). Through the MIS, medical doctors can get information about the patients currently under monitoring, including their names, ages, genders, symptoms, current main complaints and current locations. The VSMS enables medical doctors to monitor in real-time patients' vital signs such as electrocardiogram (ECG), respiration, temperature, blood oxygen saturation (SpO$_{2}$), invasive blood pressure (IBP), and non-invasive blood pressure (NIBP). It also generates alarms when the patients are likely to be in a critical situation. The MCS provides a real-time multimedia desktop conferencing facility for watching patients and instructing attendants to administer some first-aid treatment. We carried out some experiments according to two different scenarios. The intensive patient monitoring service was functioning well in a 100Base-T Ethernet LAN environment.

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입원 환자경험이 병원 추천의도에 미치는 영향 - 건강상태의 조절 효과를 중심으로 - (The Influence of Inpatient's Experience on Hospital Recommendation Intention - Focusing on the Moderating Effects of Health Condition -)

  • 이경숙;김정애;이왕준
    • 한국병원경영학회지
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    • 제22권3호
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    • pp.133-143
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    • 2017
  • Purpose : This study is to analyze the inpatients's experience of medical services provided by hospital including medications, treatments, and environment. Based on the results of surveys conducted as part of the inpatient experience evaluation in A hospital in Goyang, Gyeonggi province. Methodology : A sample of 300 adults aged 19 years or older who had more than one day of hospitalization was selected. The questionnaire was conducted from April 3rd to June 21st, 2017 by telephone. Findings : It is found that recommendation intention influenced by medical services, hospital environment, medication treatment process. but it turns out that there is no moderate effects of health condition between patient's experience and recommendation. Practical Implication : In order to improve the inpatient experience, there should be a way to improve experience in providing patient-centered services in the hospital s environment, medication and treatment.

커피관장을 겸한 절식요법 치험1례 (A Clinical Study of Starvation with Coffee Enema)

  • 차윤엽;허성규;김동건
    • 한방비만학회지
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    • 제6권2호
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    • pp.113-120
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    • 2006
  • Objectives : The purpose of this study was to investigate the clinical application of Starvation and coffee enema and oriental medical therapy to a patient with obesity caused by overeating and lack of exercise. Methods : This study was carried out on a patient who had obesity caused by overeating and lack of exercise, and whose body weight was reduced through starvation, coffee enema and oriental medical therapy. After checked body weight, we analyzed effect of starvation, coffee enema and oriental medical therapy. Results and conclusions : Following the treatment the patient's body weight was reduced. The present results suggest that starvation coffee enema and oriental medical therapy has positive effects on an obese patient

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다낭성 난소증후군 치험 1례 (Clinical Study for the One Case that Diagnosed Polycystic Ovarian Disease)

  • 김지예;정소영
    • 대한한방부인과학회지
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    • 제27권3호
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    • pp.151-157
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    • 2014
  • Objectives: The aim of this study is to report the effect of oriental treatments for polycystic ovarian disease patient with amenorrhoea. Methods: A 27 years old women, who diagnosed polycystic ovarian disease, was enrolled in this study. She received oriental treatment such as herbal medicine, acupuncture for 8 months. And we proceeded to checkup female hormone regularly, such as Estrogen, LH, FSH, Prolactin. We observed the menstruation period and figure out LH/FSH ratio. Results: Polycystic ovarian disease patient restart cyclic menstruation. LH/FSH ratio of polycystic ovarian disease patient was decreased to normal level. Conclusions: In polycystic ovarian disease patient with amenorrhoea in this case, oriental herbal medicine and acupuncture treatment make cyclic menstruation and restore LH/FSH ratio to normal level.

Implant-assisted Removable Prosthetic Rehabilitation of a Patient with Crossed Occlusion

  • Oh, Hyun-Su;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Korean Dental Science
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    • 제14권1호
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    • pp.32-39
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    • 2021
  • 'Crossed occlusion' is the condition in which occlusal intercuspation is lost when several teeth on upper and lower jaw remain. This report describes a clinical case in which a patient had two upper-left posterior teeth and two lower-right posterior teeth; typically known as left-right crossed occlusion. Considering the patient's general condition and financial situation, the treatment plan included placement of two implants on each jaw against the remaining teeth using surgical guide. To find out the ideal position of implants, digital diagnostic wax-up was preceded by superimposing the cast and cone beam computed tomography image, which was aided with radiographic stents. The consequent surveyed implant bridge provided stable vertical stop for fabrication of the implant assisted removable partial dentures. The patient was satisfied with the functionality and esthetics of definitive prosthesis.

A Concept Analysis of Quality Nursing Care

  • Juanamasta, I Gede;Aungsuroch, Yupin;Gunawan, Joko
    • 대한간호학회지
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    • 제51권4호
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    • pp.430-441
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    • 2021
  • Purpose: This study aimed to perform a concept analysis of quality nursing care. Methods: Walker and Avant's concept analysis method was used to carry out this study. Results: The defining attributes identified were as follows: caring, the nurse-patient relationship, and patient needs. Antecedents included patient characteristics, individual factors (age, education, knowledge, competence, and experience), job position, and environmental factors. The consequences of quality nursing care have significant influence on both patients and nurses. Conclusion: The findings can aid researchers in obtaining a better understanding of quality nursing care, and stakeholders can consider the factors related to quality nursing care and its consequences to improve the nursing process.

119구급대에 의해 소생한 병원 전 심장정지 환자 1례 (Out-of-Hospital Resuscitation of Cardiac Arrest by 119 Emergency Medical Service System)

  • 윤형완;이재민;정지연
    • 한국화재소방학회논문지
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    • 제24권5호
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    • pp.142-149
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    • 2010
  • 심폐소생술이란 인공호흡과 순환보조를 통하여 조직으로의 산소 공급을 유지하여 임상적 사망에서 생물학적 사망으로 진행을 막고, 심장박동과 순환을 회복시켜 환자를 소생시켜주는 술기이다. 심폐소생술이 시행되더라도 모든 심장정지 환자가 소생되는 것은 아니며, 얼마나 신속하고 정확하게 심폐소생술이 시행되었느냐에 따라 환자의 생존률이 결정된다. 현장에서 심장정지가 목격되지 않은 환자는 병원이송 전 현장에서 2분간 5주기 심폐소생술을 수행하고 자동제세동기를 사용하도록 하였고, 목격된 환자에게는 즉시 자동제세동기를 사용할 것을 권장하고 있으며 이후 전문적인 심장구조술이 필요하다. 병원 전 단계에서 119 구급대가 이송한 환자 중 자발순환회복(return of spontaneous circulation, ROSC)되어 이송하는 경우와 전문심장구조술을 시행 하는 경우는 매우 드물다. 현장에서 심장정지가 목격되었으나 심폐소생술이 시행되지 않았고 구급대원이 도착한 후 심폐소생술 시행 및 전문심장구조술로 현장에서 자발순환회복되어 생존퇴원한 1례를 경험하여 문헌고찰과 함께 보고하는 바이다.

교통사고로 인한 기억상실장애 환자 1례에 대한 증례 보고 (Clinical study on a case of a patient with memory disorders caused by traffic accident)

  • 이승기;최우진
    • 동의신경정신과학회지
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    • 제13권1호
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    • pp.117-125
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    • 2002
  • Objectives: The purpose of this study was to investigate the clinical application of oriental medical therapy to a patient with memory disorders and quadriparesis caused by traffic accident. Methods: This study was carried out on a patient who was admitted to the Sangji oriental medical hospital, from January 21st in 2002 to May 2nd in 2002. We used 4 kinds of diagnosis(watching, asking, hearing, and toughing) and treated the patient with herbal medication and acupuncture therapy. Then we estimated the effect of memory disorders through MMSE-K(Mini mental State Examination-Korea) and K-DRS(Korean-Dementia Rating Scale). The numerical effect demonstrated ability of movement through range of motion. Results: Following the treatment the patient's mental state and the ability of movement improved. Conclusions: The present results suggest that oriental medical therapy has the positive effects on a patient with memory disorders and quadriparesis which were caused by traffic accident.

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비만치료 전후 체간 근력 변화에 관한 연구 (The Change of Isokinetic Trunk Muscle Strength after Reduction of Body Weight)

  • 홍서영;박지현;이한길;김현수
    • 혜화의학회지
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    • 제18권2호
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    • pp.13-20
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    • 2009
  • Objectives : In order to investigate change of isokinetic trunk muscle strength according to decrease of body composition analysis parameter after obesity treatment. Methods : 2 obese patients have been treated with oriental medical obese treatment for 1 month. One patient got the exercise treatment, another didn't. Before and after treatment, the segmental bioelectrical impedance analysis, isokinetic trunk muscle strength test were performed. Then we analyzed the relationship of data. Results : After obesity treatment, BMI(Body Mass Index), PBF(Percentage of Body Fat), WHR(Waist Hip Ratio) were decreased in all patient and LBM(Lean Body Mass) was increased. In non-exercise patient, Ext.PT(extension Peak Torque) was decreased and Flex.PT(flexion Peak Torque) was increased. In exercise patient showed the opposite results. E/F ratio became more imbalance. Conclusions: Ext.PT was decreased in non-exercise patient but increased in exercise patient. And the trunk muscle strength became imbalance in both patients, right after the treatment. So trunk muscle exercise should be carried out and it is necessary to do long term study.

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