• 제목/요약/키워드: A University Hospital

검색결과 43,201건 처리시간 0.064초

Primary Pulmonary Chordoid Meningioma

  • Bae, So Young;Kim, Hye-seon;Jang, Hyo-Jun;Chung, Won-Sang;Kim, Hyuck;Kim, Young Hak;Lee, Jun Ho;Bang, Seong Sik
    • Journal of Chest Surgery
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    • 제51권6호
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    • pp.410-414
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    • 2018
  • Primary pulmonary meningioma is a rare disease, and chordoid meningioma is an uncommon variant of meningioma in the central nervous system (CNS) with a high recurrence rate. We report a case of primary pulmonary chordoid meningioma that presented as a solitary pulmonary nodule (SPN). The SPN was resected by thoracoscopic wedge resection and was revealed to have characteristics of chordoid meningioma. After confirming the absence of a meningioma in the CNS by brain imaging, the nodule was diagnosed as a primary pulmonary chordoid meningioma. The patient remained disease-free after 26 months postoperatively. To our knowledge, this is the third case of primary pulmonary chordoid meningioma to be reported.

Clinical practice guidelines for percutaneous endoscopic gastrostomy

  • Chung Hyun Tae;Ju Yup Lee;Moon Kyung Joo;Chan Hyuk Park;Eun Jeong Gong;Cheol Min Shin;Hyun Lim;Hyuk Soon Choi;Miyoung Choi;Sang Hoon Kim;Chul-Hyun Lim;Jeong-Sik Byeon;Ki-Nam Shim;Geun Am Song;Moon Sung Lee;Jong-Jae Park;Oh Young Lee
    • Clinical Endoscopy
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    • 제56권4호
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    • pp.391-408
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    • 2023
  • With an aging population, the number of patients with difficulty in swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. However, the long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach that is aided endoscopically and may be an alternative to a nasogastric tube when enteral nutritional is required for four weeks or more. This paper is the first Korean clinical guideline for PEG developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tube removal for PEG based on the currently available clinical evidence.

복령행인감초탕(茯苓杏仁甘草湯) 투여로 호전된 흉막삼출 환자 1례 (A Case Report of a Patient with Pleural Effusion treated with Bokryunghaengingamcho-tang)

  • 김동현;신현수;이혜진;정순대;박혜진;이진우;김정현;안정조;조현경;유호룡;김윤식;설인찬
    • 혜화의학회지
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    • 제20권2호
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    • pp.99-104
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    • 2012
  • The purpose of this study is to report a patient with pleural effusion improved by oriental medical treatment. The patient was treated with Bokryunghaengingamcho-tang and acupunture. We measured pleural effusion by Chest CT, twice a month. Pleural effusion decreased in Chest CT after oriental medical treatment. This study suggests that Bokryunghaengingamcho-tang is effective in pleural effusion.

승모판 건삭 파열로 인한 급성 폐부종 1예 (A Case of Pulmonary Edema by Idiopathic Rupture of Mitral Chordae Tendinae)

  • 박혜경;강윤정;최상봉;박이내;정훈;허진원;이현경;염호기;이혁표;장지민;김정숙;최수전
    • Tuberculosis and Respiratory Diseases
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    • 제63권5호
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    • pp.458-461
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    • 2007
  • 저자들은 기침과 호흡 곤란을 주소로 내원한 환자에서 원인 모를 건삭 파열로 인하여 발생한 나비 양상의 폐부종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Head-to-Head Comparison between Xpert MTB/RIF Assay and Real-Time Polymerase Chain Reaction Assay Using Bronchial Washing Specimens for Tuberculosis Diagnosis

  • Son, Eunjeong;Jang, Jinook;Kim, Taehwa;Jang, Jin Ho;Chung, Jae Heun;Seol, Hee Yun;Yeo, Hye Ju;Yoon, Seong Hoon;Lee, Seung Eun;Cho, Woo Hyun;Kim, Yun Seong;Jeon, Doosoo
    • Tuberculosis and Respiratory Diseases
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    • 제85권1호
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    • pp.89-95
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    • 2022
  • Background: With the introduction of Xpert MTB/RIF assay (Xpert), its incorporation into tuberculosis (TB) diagnostic algorithm has become an important issue. The aim of this study was to evaluate the performance of the Xpert assay in comparison with a commercial polymerase chain reaction (PCR) assay. Methods: Medical records of patients having results of both Xpert and AdvanSure TB/NTM real-time PCR (AdvanSure) assays using the same bronchial washing specimens were retrospectively reviewed. Results: Of the 1,297 patients included in this study, 205 (15.8%) were diagnosed with pulmonary TB. Using mycobacterial culture as the reference method, sensitivity of the Xpert assay using smear-positive specimens was 97.5%, which was comparable to that of the AdvanSure assay (96.3%, p=0.193). However, the sensitivity of the Xpert assay using smear-negative specimens was 70.6%, which was significantly higher than that of the AdvanSure assay (52.9%, p=0.018). Usng phenotypic drug susceptibility testing as the reference method, sensitivity and specificity for detecting rifampicin resistance were 100% and 99.1%, respectively. Moreover, a median turnaround time of the Xpert assay was 1 day, which was significantly shorter than 3 days of the AdvanSure assay (p<0.001). Conclusion: In comparison with the AdvanSure assay, the Xpert assay had a higher sensitivity using smear-negative specimens, a shorter turnaround time, and could reliably predict rifampin resistance. Therefore, the Xpert assay might be preferentially recommended over TB-PCR in Korean TB diagnostic algorithm.

A Literature Review of Randomized Controlled Trials on Tobacco Cessation Using Auricular Acupuncture and Auricular Acupressure

  • Min-Gi, Jo;Jun-Yeong, Jang;Min-Jung, Ko;Sang-Yeup, Chae;Seungeun, Lee;Dongmin, Lee;Won Suk, Sung;Jung-Hyun, Kim;Bonhyuk, Goo;Yeon-Cheol, Park;Yong-Hyeon, Baek;Sang-Soo, Nam;Byung-Kwan, Seo
    • Journal of Acupuncture Research
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    • 제39권4호
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    • pp.258-266
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    • 2022
  • This study aimed to analyze auricular acupressure and auricular acupuncture used in smoking cessation research by analyzing published randomized controlled trials. Eight databases (PubMed, Cochrane, EMBASE, CNKI, CiNII, KMbase, KISS, OASIS) were searched until December 2021, and 21 out of 1,919 studies met inclusion criteria. Data on the treatment site, time, frequency, period, and outcomes were analyzed. Lung (MA-IC1) and Ear Shenmen (MA-TF1) were the most used acupoints. The number of treatments varied between a minimum of 2 to a maximum of 24, and treatment duration varied between a minimum of 2 weeks to a maximum of 8 weeks. Cigarette consumption and smoking cessation rate were the most studied outcome, followed by multiple other psychological indications.

간전이를 동반한 진행성 위암 환자 1례(例)에 대한 임상보고(臨床報告) (A case study of advanced gastric cancer patient with metastasis to liver)

  • 송기철;최병렬;안정조;임승민;김만호;이지영;유화승;조정효;이연월;손창규;조종관;김연진
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1067-1074
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    • 2003
  • Objectives : This study was designed to evaluate the effects of traditional oriental therapies(TOT) on advanced gastric cancer(AGC) patient with metastasis to liver. Methods : We retrospectively analyzed the medical record of a case of AGC patient in stage IV with metastasis to liver who had been treated with TOT for 5 months continuously in East-West Cancer Center of Oriental Hospital of Daejeon University from 5 March 2003 through 22 July 2003. Results : After treated with TOT for the 5 months, most of symptoms were disappeared or improved and tumor size was decreased on abdominal CT compared with the previous result. The hematological results and tumor markers were not increased. Conclusions : From the above results, it could be suggested that TOT have effects on improving symptoms and quality of life as a supportive or curative therapy for AGC patients.

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Chronic Central Post-Stroke Pain Treated with Scalp Acupuncture and Traditional Korean Medicine: A Case Report

  • Park, Jang Mi;Lee, Jae Sung;Jeong, Jae Eun;Lee, You Jung;Lee, Cham Kyul;Roh, Jeong Du;Jo, Na Young;Lee, Eun Yong
    • Journal of Acupuncture Research
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    • 제36권4호
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    • pp.277-281
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    • 2019
  • A patient with central post-stroke pain was treated for 4 weeks with scalp acupuncture and traditional Korean medicine (following a cerebral infarction in 2013). The patient presented at Chungju hospital in January 2019 with left side weakness and tingling, numbness in the left hemisphere, chronic pain and dysarthria. Initially, herbal medicine, acupuncture, pharmacupunture, indirect moxibustion, and physiotherapy were administered together with Western medicine, with no improvement in the patient's condition. On Day 5, scalp electroacupuncture (MS1, MS5, MS10, MS11) was introduced. The numbness feeling in the patient's head resolved, and the pain in his upper body decreased. Grip force difference between the left and right hand improved from 3 kg to 0-0.5 kg. Sleep disturbance was resolved after 4 weeks treatment, and his average numeric rating scale score for pain improved from an admission score of 10, to a discharge score of 5. The patient could walk unaided after treatment.

백내장 환자의 병원선택기준에 관한 연구 - 서울시내 안과전문병원과 대학병원을 중심으로 - (A Study on the Criteria for Selection of Medical Care Facilities by Cataract Patient)

  • 김용란;하호욱;손태용
    • 한국병원경영학회지
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    • 제5권2호
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    • pp.59-77
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    • 2000
  • There are increasing interest and need for information on health care consumer with the significance of hospital marketing and strategic planning being increasingly emphasized. This study was conducted to investigate the criteria for selection of medical facilities according to the characteristics of cataract patient. In order to investigate the major factors affecting selection of medical facilities by cataract patient, 300 subjects of cataract patients who was operated at 5 various medical care facilities were selected. Questionnaires are given on March, 2000 and 273 questionnaires were collected. Two types of hospitals(Eye Hospital and University hospital) were combined and analyzed. The main results of this research is as following; 1. In general characteristics of the patients, the variables shown statistically a significant difference between Eye Hospital and University Hospital; The6 educational level and average income are significantly higher in University Hospital Patient. 2. University Hospitals were preferred by the factors of social relationship, social reputation. The critical factors in reference for Eye hospital were kindness, service speed and convenience. This study can be used as a baseline data for marketing planning of hospital management. But the study may be limited in that the results cannot be generalized due to its small sample size and not being able to reflect demographic variables and life style. Further studies to investigate the hospital consumer behavior will be needed.

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