• 제목/요약/키워드: out patient

검색결과 3,370건 처리시간 0.026초

총상에 의한 식도천공 치험 1례 (Esophageal Perforation due to Air-gun Shut Injury - A Report of Case -)

  • 전예지
    • Journal of Chest Surgery
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    • 제22권2호
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    • pp.342-347
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    • 1989
  • A 4-year-old male developed the esophageal perforation after air-gun shut injury in the thorax. The esophageal perforation was found on esophagogram at the next day after the accident. Because of delayed diagnosis, mediastinitis and pyopneumothorax were developed. The general conditions of the patient were very critical with sepsis on admission. Therefore, two staged operation was planned. At the first stage, exclusion and diversion of the esophagus was carried out to treat chemical pneumonitis due to gastric contents through the esophago-bronchial fistula by gastroesophageal reflux. Clinical conditions of the patient were improved after the first stage operation. At the second stage, the esophageal reconstruction with right colon was performed.

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다인설 환자의 심리행태와 건축적 대응에 관한 연구 (A Study on the Patients' Behavior and Architectural Correspondence for the Multi-patient Room)

  • 최영미;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제6권11호
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    • pp.71-78
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    • 2000
  • This study indicates bed-transfer as the significant behavior of a ward and points out architecture that cannot meet the patient's need. It is examined that inpatient's behavior depends on visibility, psychological security, privacy & communication, control, support and this study applies them to analyze the selected cases. This study also emphasizes the supportive role of hospital architecture so that the function of a ward as a healing environment may be maintained.

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국소마취하에 비디오 흉강경을 이용한 폐기포절제술 (Video-Assisted Thoracoscopic Bullectomy under Local Anesthesia)

  • 박만실
    • Journal of Chest Surgery
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    • 제27권2호
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    • pp.128-131
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    • 1994
  • Recently we performed video-assisted thoracoscopic[VAT] examination and bullectomy under local anesthesia. Of the 10 patients undergoing VAT examination under local anesthesia with primary spontaneous pneumothorax, 8 patients underwent VAT bullectomy under local anesthesia using endo-GIA; 7 patients discharged within 24 hours after operation; 1 patient had an air leak after operation, so chemical pleurodesis with doxycycline was performed and discharged postoperative day 3. There have been no recurrence to date[60-120 days after operation]. We think spontaneous pneumothorax can be treated on an out-patient basis.

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소양인(少陽人) 결흉증(結胸證)에 도적강기탕(導赤降氣湯)을 투여(投與)한 증례보고(證例報告) (A Clinical Study of the Treatment Prescribed Dojukganggi-tang for Soyangin's Gyolhyungjeung)

  • 홍세영;임은철
    • 사상체질의학회지
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    • 제13권3호
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    • pp.118-120
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    • 2001
  • Gyolhyungjeung is typical in soyangin and occur when Pyo and Li are all out of balance. The patient was treated with Dojukganggi-tang and showed improvement. This report is to describe the process and contents about the way the patient got the disease and cured.

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What is the gold standard of the dental anxiety scale?

  • Seong In Chi
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권4호
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    • pp.193-212
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    • 2023
  • It is important to understand patients' anxiety and fear about dental treatment. A patient's anxiety can be quantified through a self-report questionnaire, and many related scales have been developed. In this review, I tried to find out which scale is most suitable for the patient's dental anxiety and fear evaluation by examining the contents of previously developed scales and comparing the strengths and weaknesses of each scale.

요통환자의 도수교정 전.후의 천장관절 변위 비교(천골 위주로) (A comparison of sacroiliac joint subluxation before and after manipulation of patients with low back pain(by sacrum))

  • 마상렬
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.53-59
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    • 2006
  • This study was performed to assess the efficacy of manipulation for the sacroiliac joint subluxation patients. The subjects of this study ware 8 patients with sacroiliac joint subluxation who visited the out patient department of the physical therapy wooridul clinic, from January 1, 2005 through July 3, 2005. To find out the effect of manipulation, we sampled 8 patient treated with manipulation(Thompson technique), using by radiographic. All patients were treated 2days a week for 12 weeks. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in sacrum lateral subluxation in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in sacrum rotation subluxation in the manipulation after 12 week treatment was significant(p<.05) 3. The improved in lumbo-sacral anger subluxation in the manipulation after 12 week treatment was very significant(p<.01).

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Retrobulbar Hematoma in Blow-Out Fracture after Open Reduction

  • Cheon, Ji Seon;Seo, Bin Na;Yang, Jeong Yeol;Son, Kyung Min
    • Archives of Plastic Surgery
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    • 제40권4호
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    • pp.445-449
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    • 2013
  • Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompression after definite diagnosis. We present our clinical experience with regard to the treatment process and method for prevention of retrobulbar hematoma using a scalp vein set tube and a negative pressure drainage system.

Waardenburg Syndrome 환아의 치과치료를 위한 정주 깊은 진정법 -증례보고- (IV Deep Sedation Management of Waardenburg Syndrome Child during Dental Treatment - A case report -)

  • 김승오
    • 대한치과마취과학회지
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    • 제6권1호
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    • pp.6-12
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    • 2006
  • IV Deep sedation is useful for Waardenburg syndrome Child undergoing extensive dental treatment. We experienced a case of dental treatment under W deep sedation in a 3 years old boy with Waardenburg syndrome. He was treated on an outpateint basis. He was diagnosed hypothyroidism and received thyroid hormone. Premedication was done using ketamine and atropine IM. Induction using $N_2O$-enflurane mask ventilation was uneventful and intravenous cathetering was carried out. IV deep sedation was maintained with midazolam-$N_2O$ combination. After monitoring the patient for 2 hours and confirming his recovery, he was discharged from the day care unit. In summary, we report this successful IV Deep sedation management of Waardenburg syndrome child during dental treatment in as out patient.

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종합병원 병동부의 간호사 대기실 및 관련공간의 효율적인 구성에 관한 연구 (A Study on the efficient Composition of a Nurse Station and Attached Spaces in General Hospitals)

  • 정선애;김형우
    • 한국실내디자인학회논문집
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    • 제18호
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    • pp.44-50
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    • 1999
  • The purpose of this study is to suggest reasonable composition and layout of a nurse station and attached spaces-which are central sector of patient caring in the inpatient department- in the view of funtional efficiency. The method of this study is examining other studies and case study of inpatient department in general hospitals. through this research we find out the plan type of inpatient department and layout of nurse station and attached spaces in the view of 'the efficiency of circulation' and 'the easiness of observation' . It is also found out that the nursing delivery system effects to the composition and layout of nurse station attached spaces. Therefore, the efficient design of inpatient department by this study can accomplish 'patient-focused' medical environment and aid to develop their health.

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수술환자의 자가통증조절기 사용 방법에 관한 조사 연구 (Patient-Controlled Analgesia (PCA) for Post-operative Patients - A Study on Differences according to Who Controls the Analgesic)

  • 이윤영
    • 기본간호학회지
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    • 제14권3호
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    • pp.315-322
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of three kinds of modes using bolus button of PCA on level of pain and side effects of analgesic and amount of drug consumption in post-operative patients according to whether the medication is controlled by the patient, the caregiver or the nurse. Method: The participants were 684 patients using PCA after an operation. The data collection period was from March 19 to April 6, 2007. Results: It was found that there were statistical differences in gender, age, type of surgery, pain on first post-operative day, amount of drug consumption, nausea, and vomiting. The ratio for patient controlled medication was 55.7% for women, and 70.5% for men, and for care-giver controlled medication, 35.1% for women, and 20.0% for men. Average pain scores for the first post-operative day were $3.9{\pm}2.2$ for patient controlled medication and $4.5{\pm}2.3$ for care-giver controlled medication. There were statistical differences according to mode used for PCA for amount of drug consumptions, nausea and vomiting but not for pain, operation day or pruritus. Conclusion: This study was carried out to examine risks according to who controls the PCA for post-operative patients. The results can help to develop education program for everyone who is involved in PCA, patients, caregivers, nurses and doctors.

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