• 제목/요약/키워드: out patient

검색결과 3,370건 처리시간 0.068초

좌관상동맥 입구협착의 외과적 확장술 (Surgical Angioplasty of Isolated Left Coronary Ostial Stenosis)

  • 서필원
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.247-252
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    • 1995
  • The isolated coronary ostial stenosis is rare and a critical lesion which requires urgent surgical intervention. Recently direct angioplasty is assumed as a preferable approach to conventional bypass grafting. From Mar. 1990 to Aug. 1993, six patients underwent direct angioplasty in Sejong Heart Institute. The mean age of 6 patients was 48 years [range 37 to 63 and they consisted with 5 females and one male. All had severe angina [class III or IV of short duration [mean 5.3 months and a low incidence of risk factors. Despite the crucial location of the lesion, most patients had well preserved left ventricular function and normal wall motion. We performed direct angioplasty with autologous pericardium via anterior approach except one patient who underwent direct angioplasty and CABG. One patient died 4 hours after angioplasty probably due to acute coronary dissection. The survived 5 patients maintain normal life without symptoms during 26.2 months follow up [range 5 to 47 months .Our preliminary results suggest that angioplasty of isolated coronary ostial stenosis in highly selected patient can be carried out with good results and relatively low operative risks.

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전자의무기록(EMR)의 활용과 환자정보보호 (EMR System and Patient Medical Information Protection)

  • 전영주
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.213-224
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    • 2013
  • The purpose of this study is to find out the most successful way for the protection of medical information focusing on the electronic medical record(EMR). In this study, every aspect of the EMR is reviewed in terms of the hospital management. In particular, definitions, major functions, strengths and weaknesses of the EMR are considered. This study also examines the general development of the EMR as well as the current situation of applying the EMR. Important issues such as the protection of patient Medical information, informed consent, and the customer-oriented hospital information system are discussed and interpreted in light of the introduction of the EMR into the area of the hospital management. Finally, in this paper Protection of medical information by major Issues on Patient medical information.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소시호탕(小柴胡湯)을 투여한 양명병(陽明病) 아토피 피부염 치험 1례 (A Case Report of Atopic Dermatitis treated by Soshiho-tang based on Shanghanlun Provisions)

  • 민준홍;조소현
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.75-85
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    • 2015
  • Objective : This case report presents the effect of Soshiho-tang on Atopic Dermatitis. The patient was diagnosed with Yangmyung-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we dianosed the patient as Yangmyung-byung and he had trouble getting out of bed and nighttime itch. The patient was treated with Soshiho-tang. We evaluated the results of treatment by Objective SCORAD Index and pictures. Results : After the treatment, Objective SCORAD Index decreased from 61 to 21.5. And he became to have no trouble in getting up and also nighttime itch vanished. Conclusions : This case report sowed and effectiveness of using Soshiho-tang according to Diagnostic system based on Shanghanlun provisions on Atopic Dermatitis.

Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

  • Sharma, Dibyendu;Kannan, Ravi;Tapkire, Ritesh;Nath, Soumitra
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8173-8176
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    • 2016
  • Cancer patients frequently experience malnutrition. Cancer and cancer therapy effects nutritional status through alterations in the metabolic system and reduction in food intake. In the present study, fifty seven cancer patients were selected as subjects from the oncology ward of Cachar Cancer Hospital and Research Centre, Silchar, India. Evaluation of nutritional status of cancer patients during treatment was carried out by scored Patient-Generated Subjective Global Assessment (PG-SGA). The findings of PG-SGA showed that 15.8% (9) were well nourished, 31.6% (18) were moderately or suspected of being malnourished and 52.6% (30) were severely malnourished. The prevalence of malnutrition was highest in lip/oral (33.33%) cancer patients. The study showed that the prevalence of malnutrition (84.2%) was high in cancer patients during treatment.

기관지 성형술을 이용한 폐암의 수술적 치료 (Surgical Treatment of Lung Cancer with Bronchoplastic Procedures)

  • 김동원;박주철
    • Journal of Chest Surgery
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    • 제28권10호
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    • pp.911-916
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    • 1995
  • Thirteen patients with lung cancer have undergone bronchoplastic procedures from January 1991 to July 1994 in Kyung Hee univ. Hospital.Among them,twelve patients were male and one patient was female from 33 to 76 years of age.[ mean 56.6 11.5 years of age The pathologic diagnoses were squamous cell carcinoma in twelve patients and adenoid cystic carcinoma in one patient.The bronchoplastic procedures consisted of seven right upper sleeve lobectomies, one right middle sleeve lobectomy, one left lower sleeve lobectomy and four sleeve pneumonectomies. In these sleeve pneumonectomies, right sleeve pneumonectomy was done in three patients and the other was left sleeve pneumonectomy. Including the four sleeve pneumonectomies, carinoplasty was performed in seven patients. Postoperatively, we carried out bronchoscopic suction of intrabronchial secretions in necessary for the prevention of postoperative complication. All except one were discharged without any complication and have been in good condition. Postoperative mortality was in one patient who expired 25days after right middle sleeve lobectomy with respiratory failure.

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가정에서 노인성 치매환자의 간호 (Home Care Nursing of Senile Dementia Patient in the House)

  • 유광수
    • 농촌의학ㆍ지역보건
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    • 제22권2호
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    • pp.265-276
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    • 1997
  • The best way to care senile dementia patients is understanding the nature of disease. Care-givers can't understand the patients because the patients can't properly communicate with care-givers. Thus, care-givers are supposed to find out ways to understand them in the nature of disease. From this view, there seems no exception in essential attitude of care-givers toward the patients. Without positive understanding the nature of disease and respecting patient's rights as a human even though they are badly disorder in their word and behavior. There seems no expectation for thousands quality of care-giving.

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의료용 플라스틱광섬유 센서 매트 (Sensor Mat using POF for Medical Application)

  • 최규남
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.363-365
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    • 2007
  • Novel concept of sensor mat and its signal processing method is proposed for patient monitoring in medical application. Proposed sensor mat structure has sensing inner layer which has cross-linked arrangement using plastic optical fiber(POF). Large core diameter of plastic optical fiber behaved as band pass filter by averaging the noise component. caused by unwanted environmental factors. Signal processor followed by sensor output added noise immune performance by filtering out unwanted component. Fail-proof patient breath monitoring scheme was realized by using intelligent decision algorithm. Unlike the conventional approach by using mechanical sensor, which have high sensitivity both to intruder and to environmental noise, our approach provided reliable breath motion detection.

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섬유근통(fibromyalgia)의 병태와 진단을 위한 임상 1례 보고 (A Case Report of Symptomatic Character and Diagnosis of Fibromyalgia)

  • 정태영;조정효;박봉기;손창규
    • 대한한의학회지
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    • 제30권4호
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    • pp.162-168
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    • 2009
  • Objective: This report aimed to study fibromyalgia's diagnostic criteria, differential diagnoses and its pathology from the viewpoint of oriental medicine. Method: We observed and diagnosed a female patient who complained of prolonged whole body pain, even several times hospitalized for treatment. Result: The patient's symptoms correspond with fibromyalgia and we ruled out other suspected diseases. Conclusion: Fibromyalgia is prone to be misdiagnosed because the patient has complicated symptoms such as various pains and chronic fatigue as well as depression unexplained by medical tests. Furthermore, the symptoms often never disappear completely, although it isn't progressive or life-threatening, and can be improved. So accumulation of data and analysis from the viewpoint of oriental medicine is necessary for development of oriental medical standard treatment.

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Medical Exercise Therapy의 이론과 적용에 관한 연구 (Medical Exercise Therapy Theory and Its application)

  • 구희서
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.361-368
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    • 2000
  • MET is one of the few physical therapy having its own criteria. Mr. Holten approached the Norwegian Health Authority in 1967 to get his MET System recognized as a treatment method of its own. He was granted his approval for his exercise system's specivic criteria connecteed with the treatment method. In MET, the patient exercises himself without manual participation by physiotherapists, however, under continuous supervision.. The apparatus should be designed that functional quality (arthrogenous, circulatory, respiratory, neuromuscular) in question is optimally influenced when the patient carries out exercise in a certain range against a graded resistance. The therapy reassesses the scheme of treatment at least every fifth session and the maximum number of patients being 5 person per hour. The important principles in medical exercise Therapy are stabilization of hyperfunction through the system of autostabilization and mobilization of hypofunction through automobilization. In MET excrcises are adjusted to the patient's reactions. MET equipment is therefore made to meet requirements for treating patients with painful pathological dysfunction in the musculo-skeletal system.

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심내막염 환자의 수술적 치료 (Early Surgical Intervention of Active Infective Endocarditis)

  • 박국양
    • Journal of Chest Surgery
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    • 제21권1호
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    • pp.121-130
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    • 1988
  • During one year period from Sep. 1986 to Sep. 1987, we have experienced 6 cases of infective endocarditis requiring surgical interventions. All 6 patients had class IV or V cardiac disability at the time of surgery. The indication for surgery was rapidly progressive congestive heart failure in all cases. Four patients underwent aortic valve replacement including one double valve replacement. Two other patients required other surgical procedures, removal of large left atrial vegetation mass in one patient and excision of destroyed pulmonary valve and aortic vegetation in the other patient. Two patients died; one of mitral annulus rupture after release of aortic clamp and the other of mediastinal bleeding 3 months after replacement of aortic valve. Three out of 4 survivors are in NYHA Class I and the remaining patient is in Class II. We emphasize that early operative intervention is life-saving in patients with persistent or progressive congestive heart failure, irrespective of the activity of the infective process or the duration of antibiotic therapy.

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