• 제목/요약/키워드: Co-operative treatment

검색결과 48건 처리시간 0.024초

양방과 한방병원의 협진체계에 대한 입원환자의 인식도 (The Inpatients' Awareness of Co-operative Treatment System on Western Hospital and Oriental Hospital)

  • 진삼곤;남은우
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.134-164
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    • 1998
  • The purpose of this study is to provide the data for the co-operative treatment of western and oriental hospital. The studies were made a questionnaire to analyze inpatients' awareness on the systems of co-operative treatment and to observe the differences in medical service satisfaction between inpatients who had experienced the co-operative treatment of western and oriental hospital(Group 1) and those who did not (Group 2). The survey was conducted in February 1998, on 250 inpatients who were in a hospital which provided co-operative treatment of western and oriental medicine in Pusan. Korea. The results of this study were disclosed as follows: 54.2% of western hospital inpatients and 90.5% of oriental hospital inpatients suffered from diseases of the nervous system 88.9% of Group 1 and 72.2% of Group 2 believed that the co-operative treatment of western and oriental hospital was more effective in curing diseases of the nervous system. 33.5% or inpatiens in the western hospital and 87.4% of inpatients in the oriental hospital had received the co-operative treatment. In the case of the oriental hospital inpatients who had experienced western treatment, 36.8% received an examination radiologic, 30.7% received a laboratory test, 17.8% received physical therapy, and 14.1% received medication. Whereas, in case of the western hospital inpatients who had experienced oriental treatment, 71.8% received acupuncture, 23.9% received herbal medicine, and 2.8% received oriental medical tests. As to the opinion on the systems of co-operative treatment, 49.6% of Group 1 agreed that 'New medical institutions that adopt the merits of both western and oriental medicine are absolutely necessary.', and 48.9% of Group 1 agreed that 'Since there are strong points and weak points in both western and oriental medicine, partial and gradual introduction of the two systems would be better.' Whereas, 49.6% of Group 2 agreed that the partial and gradual introduction, and 35.7% of Group 2 agreed that the necessity of the new medical institutions. As to the motives for visiting the hospital, the most popular reason for all the inpatients was "others' advice". In the case of Group 1, however, the most popular reason was "the possibility of co-operative treatment". In regards to medical cost, the oriental hospital inpatients felt that their medical cost was too expensive. On the other hand, a smaller percentage of the western hospital inpatients felt that western hospital medical cost were too expensive. And between Group 1 and Group 2, a higher percentage of Group 1 felt that their medical cost was too expensive.

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CO2 laser조사가 성견치수에 미치는 영향에 관한 실험적 연구 (THE EFFECT OF CO2 LASER ON DENTAL PULP OF DOG)

  • 김희중;이찬영;이승종;이정석
    • Restorative Dentistry and Endodontics
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    • 제13권1호
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    • pp.7-19
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    • 1988
  • The object of this paper was to investigate the histopatological changes on dog's pulp under cavitation by irradiation of the $CO_2$ laser. The subjects were derived from four dogs, and irradiated 113.23 J/$mm^2$, 283.09 J/$mm^2$, 566.08 J/$mm^2$ in Group I, II, and III respectively. The dogs were sacrificed immediately, 24 hour, 72 hour and 1 week after $CO_2$ laser treatment. For light microscopic examination, routine H-E and PAS stains were employed. For electron microscopic observation, the teeth were fixed in 1% paraformaldehyde and 1% glutaraldehyde, decalcified teeth in 10% EDTA were stained by uranyl acetate and lead citrate. The observation was made with a Hitachi H-500 model electron microscope. The following results were obtained in this study: 1. At the early stage of the experimental sub-groups-immediately, 24 hour, 72 hour samples of Group I, II and III-coagulation necrosis and hyperemia were observed in odontoblastic and subodontoblastic pulpal layer. 2. At the 1 week sub-group of Group I, II, regenerative hyperplasia of the odontoblasts without coagulation necrosis were revealed, in addition to thickened predentin. On he other hand coagulation necrosis and atrophic change accompanying with hyperplasia were found at the 1 week sub-group of Group III. 3. Ultrastructurally, the odontoblasts appeared nuclear degeneration, vacuolar change of cytoplasmic organelles and rupture of plasma membrane at the early stage of the experimental period of all groups. 4. Under spectrohelioscopic examination, regenerative odontobalsts were seen at the 1 week specimens of Group I, II and III. 5. The pulpal response occured at 113-566 J/$mm^2$. The pathologic change of pulp tissue occured at the early experimental period but regeneration of odontoblasts could be seen after 1 week.

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Lactobacillus acidophilus NCFM의 배양 및 저장 중 D(-) 및 L(+)-lactic acid의 변화 (D(-) and L(+)-Lactic Acid Determination of Lactobacillus acidophilus during Fermentation and Storage Period)

  • 이경욱;신용국;백승천
    • 한국식품과학회지
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    • 제30권1호
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    • pp.168-174
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    • 1998
  • 이 연구는 발효유 제조시 사용되는 Lactobacillus acidophilus NCFM이 생산하는 lactic acid의 생성변이를 조사하므로써 발효유 제조시 D(-)-lactic acid의 함량을 최소화하고 보존 중의 D(-)-lactic acid의 함량도 최소화하므로써 보다 인체에 유익한 발효유의 제조를 위한 기초적인 정보를 제공하기 위하여 실시되었으며, 그 결과는 다음과 같다. 발효온도는 $37^{\circ}C$에서 산생성이 가장 우수하였으며, D(-)-lactic acid의 비율도 가장 낮았다. 보존온도에 따른 변이에서는 저온에서 후산생성도 적었으며, D(-)-lactic acid의 비율도 가장 낮았다. 또한 처리에 따른 산생성에서는 호기상태에서 산생성이 가장 우수하였으며, D(-)-lactic acid의 함량이 가장 낮았다.

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$CO_2$ Laser를 이용한 점액종의 치료 (TREATMENT OF MUCOCELE USING THE $CO_2$ LASER : CASE REPORT)

  • 이인천;김종수;권순원
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.485-489
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    • 2000
  • 점액종은 점액소를 함유한 낭종으로서, 인접 조직으로 선분비물이 유출되거나 소타액선관이 폐쇄되어서 형성된다. 다른 질환과의 감별진단 후 완전히 낭종을 제거해야만 완전 치유가 이루어지며, 절개 배농이나 흡입은 단지 일시적인 방법일 뿐 반드시 재발한다. $CO_2$ Laser를 이용한 구강영역에서의 치료 시 장점으로는 우수한 지혈효과, 우수한 시야확보, 인접조직 손상의 최소화 뿐만 아니라, 작은 혈관과 림프관을 봉쇄하는 능력이 있어 창상치유시 나타나는 염증과정의 초기 증상들을 차단하기 때문에 술후 감염 감소, 술 후 종창 및 동통 감소 등이 나타나며, 반흔조직 및 창상수축의 감소 등이 있다.

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와연형태(窩緣形態)에 따른 와연누출(邊緣漏出)에 관(關)한 실험적(實驗的) 연구(硏究) (A STUDY ON THE MARGINAL LEAKAGE OF RESTORATIONS WITH DIFFERENT CAVOSURFACE MARGINS)

  • 신한주;최호영;민병순;박상진
    • Restorative Dentistry and Endodontics
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    • 제12권1호
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    • pp.119-129
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    • 1986
  • The purpose of this study was to evaluate the marginal leakage of glass ionomer cement with different cavosurface margins. 192 class V cavities were prepared on freshly extracted non-carious teeth and glass ionomer cement were inserted according to the manufacturer's instructions. Cavity preparations for this investigation were performed in four groups. The experimental specimens were made by packing the glass ionomer cement (Fuji Ionomer Type II G-C Co. Japan) into the prepared 192 cavities of four groups with different modes: Group I. - The 48 cavities with $90^{\circ}$ butt-joint cavosurface preparation and restored with glass ionomer cement. Group II. - The 48 cavities with butt-joint preparation modified by $135^{\circ}$ beveling the cavosurface in the dentin and restored with glass ionomer cement. Group III. - The 48 cavities with butt-joint preparation modified by cutting a chamfer in the dentin and restored with glass ionomer cement. Group IV. - The same 48 cavities as group I, and overfilled with glass ionomer cement beyond the cavosurface angle. And four groups above described divided into three subgroups by means of conditioning the cavity walls: Control group. - Glass ionomer cement filled in the prepared 64 cavities after being cleaned with a stream of tap water. Phosphoric acid treatment group. - Glass ionomer cement filled in the prepared 64 cavities after being conditioned with a 50% phosphoric acid. Citric acid treatment group. - Glass ionomer cement filled in the prepared 64 cavities after being conditioned with a 50% citric acid. All 192 specimens were immersed in the 2.0% basic fuchsin solution and subjected to thermal stress at one-minute intervals ($4{\pm}2^{\circ}C$ to $60{\pm}2^{\circ}C$) for 70 minutes before exposure to the dye. The specimens were sectioned ecclesiologically through the center of the restorations for different periods of immersion time, 24 hours, 7 days, 14 days 30 days. The sections were examined under a stereoscopic microscope. The results were as follows: 1. The degree of marginal leakage in group II and III was greater than that in group I and IV. 2. The degree of marginal leakage in phosphoric acid treatment group was similar with that in control group. 3. The degree of marginal leakage in citric acid treatment group was less than that in control group. 4. In all groups, the degree of marginal leakage in phosphoric acid treatment group was greater than that in citric acid treatment group. 5. There is no statistical difference of the degree of marginal leakage according to the immersion time in the dye solution.

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외안근 전침요법을 이용한 교통사고 유발 마비성 사시 환자의 치험 1례 (One Case of traffic accident induced paralytic strabismus (oculomotor nerve palsy) which was treated with electroacupuncture at oculomotor muscles)

  • 김남권
    • 한방안이비인후피부과학회지
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    • 제21권1호
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    • pp.133-138
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    • 2008
  • Objectives : We already reported the effectiveness of this treatment method(electroacupuncture at oculomotor muscles) at the adult and young idiopathic paralytic strabismus patients and Miller-Fisher syndrome. Then I explored the possibility for improvement of the traumatic injury paralytic strabismus case. Methods : I treated the case by using the electroacupuncture at both paralytic lateral rectus muscle lesions. The case was treated almost daily and every treatment was enforced 10 minutes. I use the PG-306 electra-acupuncture products(Suzuki Iryoki Co. Japan) and apply the low consequence wave of 1-8Hz. Results : We gained good results from the case and not observed any sides effect or compliant. So I hope to apply this treatment for traumatic and post-operative nerve injury cases and am sure to make the treatment protocol for them in the future.

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Successful Treatment of Post-operative Keloid with Combined Cryotherapy and Ablative Fractional CO2 Laser

  • Kim, Jihee;Lee, Young In;Lee, Ju Hee;Oh, Sang Ho;Lee, Sang Eun;Kim, Young Koo
    • Medical Lasers
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    • 제9권1호
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    • pp.58-61
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    • 2020
  • Keloids are pathologic fibroproliferative conditions characterized by excessive collagen deposition during wound healing. The pathogenesis of keloids is not fully understood, and current treatment options show variable results. In this case report, the patient developed a keloid after bilateral total thyroidectomy, and was treated with a combination approach using fractional ablative laser systems along with cryotherapy and triamcinolone injection. After seven monthly sessions of combination treatment, the patient presented marked improvement of the scar texture and symptoms. Furthermore, there was no recurrence for up to 2 years. We propose this combination as a safe and effective treatment option for keloid patients.

늑막강내 Bupivacaine의 투여가 개흉술후 동통 감소에 미치는 영향 (The Effect of Intrapleural Injection of Bupivacaine for Pain Relief Following Thoracotomy)

  • 고영호
    • Journal of Chest Surgery
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    • 제26권7호
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    • pp.538-542
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    • 1993
  • An approach to the treatment of post-operative pain by the injection of bupivacaine into the pleural space through an intrapleural cathter has been studied. Among 24 thoracotomy patients, bupivacaine was injected only to experimental group[ 12 patients ] when the patient was able to head up for oneself during recovery from anesthesia. The pain and ROM[ range of motion ] scores, respiration rate, PaCO2 level of both experimental and control group were measured at the time of head-up and 30 and 120 minutes thereafter.The scores of pain and ROM of experimental group were significantly[ P value < 0.05 ] decreased in 30 minutes and 120 minutes after bupivacaine injection compared with those of control group but respiration rate and PaCO2 level were not changed significantly. With this result, we can suggest that intrapleural injection of bupivacaine is useful for pain relief following thoracotomy.

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폐암의 방사선치료 결과에 대한 간이보고 (Preliminary Report of the Lung Cancer)

  • 반성범;최명선
    • Radiation Oncology Journal
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    • 제2권1호
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    • pp.81-86
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    • 1984
  • The preliminary analysis has been made of 63 Patients who were treated in the Department of Radiation Therapy at Korea University Hospital for the lung cancer from April 1981 to December 1983. The patients were treated via Co-60 teletherapy unit and the doses were 5,400 rad/ 6 week for the curative, $3,600\~4,500\;rad/2\;1/2\;\~3$ week for the Palliative treatment. Thirty two $(32/63=51\%)$ patients have been for curative, $25/63 (40\%)$ were for Palliative, and $6/63 (9\%)$ were for post-operative radiation. A post-radiation treatment, $28/63 (53\%)$ were able to follow from 2 months to 3 yrs. During the follow up, chest X-rays and/or CT scans were taken and $22/27 (81.4\%)$ of patients were responded more than $50\%$ of tumor regression one month following completion of radiation.

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흉부 손상의 임상적 고찰 (Clinical Analysis of Chest Trauma; Analysis of 247 patients)

  • 김승규
    • Journal of Chest Surgery
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    • 제26권12호
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    • pp.944-949
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    • 1993
  • Clinical analysis were performed on 247 cases of thoracic trauma, those were admitted & treated at the department of thoracic & cardiovascular surgery,Hanyang University Hospital during the period from Jan,1989 to June,1992. Age distribution of those was from 2 to 80 years old & mean age was 38 years old. The ratio of male to female patient was 186:61 [3:1].This ratio revealed high incidence in male patient. The most common cause of trauma was traffic accident in this series.The modes of injury were as follows: traffic accident 124 cases[50.2%],fall down 52 cases[21.05%], stab wound 47 cases[19.03%] and gun-shut wound 1 case.Ellapse time from accident to admission were 141 cases [57.09%] under 6 hr.Rib fracture were observed in 159 cases[64.37%], hemo or pneumothorax were observed 134 cases[54.25%] of total cases and location distributed Right:Left:Both[74:112:37], in left predominant. Conservative,non-operative treatment were performed in 128 cases and operation[open thoracotomy] 32 cases.Mortality was 1.6%[4 cases] & most common cause of death were due to irreversible shock with brain edema. Conclusively, more evaluation & co-operation of other department were expected treatment & better prognosis.

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