• 제목/요약/키워드: patient focused

검색결과 571건 처리시간 0.023초

50대 폐경 여성의 대사증후군 위험인자 분석 (Analysis of Metabolic Syndrome Risk Factors among the Menopausal Women in Her Fifties)

  • 심혜선;김희승;김주현
    • Journal of Korean Biological Nursing Science
    • /
    • 제12권1호
    • /
    • pp.58-62
    • /
    • 2010
  • Purpose: The purpose of this study was to assess the difference of metabolic syndrome (MS) risk factors according to the MS diagnosis in the age of fifties women. Methods: Forty-two subjects (non metabolic syndrome 30, metabolic syndrome 12) were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) (ATP III), and abdominal obesity was determined by Asia-Pacific criteria in waist circumference. Results: The prevalence of MS by definition of NCEP-ATP III and Asia-Pacific criteria in waist circumference was 28.6% in the age of fifties women. The educational level and the median HDL-cholesterol were significantly lower in the MS patient group than in the Non-MS group. The median of weight, triglyceride, and fasting glucose were significantly higher in the MS patient group than in the Non-MS group. Conclusion: These results indicate that the nursing care should be focused on weight, triglyceride, HDL-cholesterol, and fasting glucose of the MS patients in the fifties women.

아르곤 레이저의 소아치과에서의 임상적 적용 (CLINICAL APPLICATION OF ARGON LASER IN PEDIATRIC DENTISTRY)

  • 이미나;이상훈;김종철
    • 대한소아치과학회지
    • /
    • 제24권1호
    • /
    • pp.139-147
    • /
    • 1997
  • Argon laser used in this case report, is special in having two wavelength of 488, 514nm blue-green visible light spectrum. Blue light is used for composite resin polymerization and caries detection. Green light is used for soft tissue surgery and coagulation. Maximum absorption of this laser light occurs in red pigmentation such as hemoglobin. The argon laser may be well-suited for selective destruction of blood clots and hemangioma with minimal damage to adjacent tissues. Argon laser light penetrates tissue to the 1 mm depth, so its thermal intensity is lower than $CO_2$ laser light. Also, due to its short wavelength it can be focused in a small spot and even single gene can be excised by this laser and microscopy. After applicating argon laser to 4 patient for surgical procedure and to 1 patient for curing the composite resin, following results were obtained. 1. Improved visibility were gained due to hemostasis and no specific technique were needed according to easy recontouring of the tissue. 2. Ability to use by contact mode, tactile sense was superior but tissue dragability and accumulation of tissue on the tip needed sweeping motion. 3. Additive local anesthetic procedure was needed. 4. No suture and less curing time reduced chair time, this made argon laser available in pediatric dentistry.

  • PDF

A Rare Case of Lumbar Traumatic Intradiscal Hematoma Followed by Repeatative Occupation Related Minor Trauma

  • Kwon, Woo-Keun;Oh, Jong-Keon;Kwon, Taek-Hyun;Park, Youn-Kwan;Moon, Hong Joo;Kim, Joo-Han
    • Journal of Trauma and Injury
    • /
    • 제31권1호
    • /
    • pp.38-42
    • /
    • 2018
  • A case of surgically treated intervertebral disc extrusion with intraoperatively confirmed intradiscal hematoma in a 30-year-old physical trainer is presented. Preoperative magnetic resonance imaging revealed downward migrating disc herniation, without definite suggestive findings of intradiscal hematoma. Intervertebral disc herniation with concomitant intradiscal hematoma is extremely rare, but could occur in patients who have excessive axial stress to the spine occupationally. In our case, the patient was an occupational physical trainer who had repetitive minor trauma to the lumbar spine. Although the patient did not have any clear history of major trauma to the spine, the intraoperative findings revealed intradiscal hematoma, which is very rare. The presence of intradiscal hematoma is to be suspected even when preoperative imaging studies shows indefinite findings of hematoma, considering the change in signal intensity of hematoma by time.

학교폭력에 노출된 후 발생한 흉통환자 1례(例)에 대한 Neurofeedback과 한방치료 병행 치험례(治驗例) (One Case of Typical Oriental Medical Therapy in Combination with Neurofeedback Therapy on Pain disorder induced by School violence)

  • 박소정;변순임;김상호;박종훈;황의완;김종우
    • 동의신경정신과학회지
    • /
    • 제16권2호
    • /
    • pp.171-179
    • /
    • 2005
  • School violence is known to cause various emotional, behavioral and social problems. Low self-esteem, lack of self consciousness, sense of alienation, guilty consciousness, somatoform symptoms and low concentration happened to adolescent victims. This patient was suffering for school violence during about a year, then Pain disorder occurred to him. Neurofeedback has been used as a complementary therapeutic relaxation and a increasing self-esteem technique. This patient, is a 13-year- boy, who had been exposed school violence for a year and caused severe and constant pain, was successfully treated by Neurofeedback therapy with oriental medication. This case report is focused on treatment through these methods.

  • PDF

여성 전문병원 공간평가모델에 관한 연구 - 환자관점에서의 공간평가 매트릭스 중심으로 - (A Study on the Spatial evaluation Model of the Women's Hospital - Focused on the Spatial Evaluation Matrix by the Patient -)

  • 주진형
    • 한국실내디자인학회논문집
    • /
    • 제38호
    • /
    • pp.65-74
    • /
    • 2003
  • The purpose of this study Is to find out the design guideline for women's hospital focusing on the patient needs. The results of research are as follows: 1) As a basic frame of evaluation model, the quality of service of medical facilities and patients' reaction to the physical environment are fixed as a variable called' satisfaction degree'. This study analyzes the influence on space efficiency evaluation according to the difference of types through basic model (Model I-1,2) as verification model to identify the difference between satisfaction degree of outpatients and that of inpatients. 2) The difference of satisfaction degree about the hospital facilities by space evaluation matrix is according to the types of inpatients and to space importance. 3) The control of importance degree about the interior facilities of the hospital according to the specific character of the hospital is necessary. Maintenance of the status quo, or reduction, or expansion is needed according to the satisfaction degree corresponding to the importance degree. Finally, the model is used to for the planning & design for the future women's hospital.

의료기관 인증제도에서 요구되는 건축계획요소에 관한 연구 - 국내 의료기관인증제도, JCI 병원인증기준을 중심으로 - (A Study on the Elements of Architectural Planning Required in Healthcare Accreditation - Focused on Korea Healthcare Accreditation, JCI Hospitals Standard -)

  • 김의현;양내원
    • 한국실내디자인학회논문집
    • /
    • 제21권2호
    • /
    • pp.223-230
    • /
    • 2012
  • These days, hospitals in Korea have great interests in healthcare accreditation. The criteria of this accreditation has been established by management, but development of the management system without facility improvement has limits. Therefore this study reclassified domestic and foreign healthcare accreditation focusing on facilities and has purpose on proposing facility elements that can be adopted in hospitals. Also, the study is relevant to the study on architecture planning of hospital according to 'Patient safety' which will be suggested in the future and has significance for establishing basis of healthcare facility planning and for improving the existing facilities. The study selected facility lists from 'healthcare accreditation' and reclassified them based on departments in the hospital. Using these lists, the study divided the hospital that has obtained 'healthcare accreditation' into departments and investigated and analyzed them. On the basis of the analysis, the study suggested facility lists involved in hand washing, waste disposal, equipment washing, quarantine, goods-movement, establishing clean/polluted area, emergency exit-way, and restricted zone.

  • PDF

A case report of generalized morphea treated with herbal medication and moxibustion

  • Lee, Hye Yoon;Kim, So Yeon;Cho, Min Kyoung;Choi, Jun Yong;Hong, Minna;Lee, Ji Hye;Lee, In;Hong, Jin Woo;Han, Chang Woo;Kwon, Jung Nam
    • 대한한의학회지
    • /
    • 제36권4호
    • /
    • pp.104-113
    • /
    • 2015
  • A 56-year-old Korean female patient developed generalized morphea over three months. We focused on imbalance of the neuroendocrine-immune axis, mainly using Jiawei-Renshengyangrong-tang and Jiawei-Siqi-tang. Moxibustion on LU9 was conducted for skin symptoms. The patient's modified localized scleroderma skin severity index score decreased from 22 to 6 over 22 weeks of treatment and to 4 during a 3-month follow-up. Her verbal rating scale score for general symptoms decreased from 17 to 1 during the 22-week treatment.

소아에서 발생한 전거비 인대 거골 부착부 견열 골절(1예 보고) (Avulsion Fracture of the Talar Attachment of the Anterior Talofibular Ligament in Pediatric Patient (A Case Report))

  • 조형래;황태혁;왕태현;김근영
    • 대한족부족관절학회지
    • /
    • 제15권3호
    • /
    • pp.175-178
    • /
    • 2011
  • Inversion injury of the lateral ankle ligaments is very common. Few studies, however, have focused on avulsion fracture of the lateral ankle ligaments. A fracture producing a small fragment usually avulsed from lateral malleolus and may be easily misdiagnosed as a sprain because the fragment is superimposed on the lateral malleolus and goes undetected on early radiographs, especially in skeletally immature patients. We present a case of isolated avulsion fracture of the talar attachment of the anterior talofibular ligament in 13-year-old male patient. Diagnosis was confirmed by computed tomography and avulsed fragment was fixed to original talar footprint with suture anchors. A high level of suspicion must be maintained to obtain an accurate diagnosis of avulsion fracture in inversion ankle injury because of the high incidence in children and to prevent recurrent instability.

The Design of mBodyCloud System for Sensor Information Monitoring in the Mobile Cloud Environment

  • Park, Sungbin;Moon, Seok-Jae;Lee, Jong-Yong;Jung, Kye-Dong
    • International journal of advanced smart convergence
    • /
    • 제5권1호
    • /
    • pp.1-7
    • /
    • 2016
  • Recently, introduced a cloud computing technology to the IT industry, smart phones, it has become possible connection between mobility terminal such as a tablet PC. For dissemination and popularization of movable wireless terminal, the same operation have focused on a viable mobile cloud in various terminal. Also, it evolved Wireless Sensor Network(WSN) technology, utilizing a Body Sensor Network(BSN), which research is underway to build large Ubiquitous Sensor Network(USN). BSN is based on large-scale sensor networks, it integrates the state information of the patient's body, it has been the need to build a managed system. Also, by transferring the acquired sensor information to HIS(Hospital Information System), there is a need to frequently monitor the condition of the patient. Therefore, In this paper, possible sensor information exchange between terminals in a mobile cloud environment, by integrating the data obtained by the body sensor HIS and interoperable data DBaaS (DataBase as a Service) it will provide a base of mBodyCloud System. Therefore, to provide an integrated protocol to include the sensor data to a standard HL7(Health Level7) medical information data.

일 도시지역 방문간호 대상 가족의 문제유형 및 자가관리능력 (Family Characteristics and Self-care Ability in Visiting Nursing Service based on Urban Public Health Center)

  • 조윤희;김광숙
    • 한국보건간호학회지
    • /
    • 제21권1호
    • /
    • pp.15-24
    • /
    • 2007
  • Purpose: The study aim was to provide basic data needed for formulating systematic visiting nursing strategies by comprehending the characteristics and self-care ability of the object families of public health centers in Korea. Method: The research examined 252 families and 339 family members of the vulnerable class that were registered in a visiting nursing program of an urban public health center. The data of 220 families were analyzed using descriptive analysis, t-test, and ANOVA, after excluding any incomplete data. Result: 1. The most frequent characteristics of families were solitary families (52.8%) and financially vulnerable families (87.3%). The most frequent way of family detection was request of the community office. 2. The most frequent type of family problems were vulnerable families (93.2%), followed by patient families (91.0%). 3. The mean score was 11.67 for family self-care ability. 4. The variables of the number of family members, disease type of the patient family members, and the type of vulnerable family showed a significant difference of family self-care ability. Conclusion: This study suggests that vulnerable families demand specific nursing interventions focused on their own problems and that visiting nurses need to obtain and use supportive resources.

  • PDF