• 제목/요약/키워드: Follow-Up

검색결과 12,374건 처리시간 0.033초

장애인 환자의 전신마취 하 치과 치료 후 정기검진 패턴에 따른 치과치료 결과 비교 (Comparison of Dental Outcomes after General Anesthesia According to the Follow-up Pattern in Special Health Care Needs Patients)

  • 김지현;남옥형;김미선;이효설;최성철
    • 대한소아치과학회지
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    • 제43권2호
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    • pp.145-150
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    • 2016
  • 장애인 환자는 구강질환의 높은 유병률과 그 심각성으로 인하여 치료 후 정기적인 검진을 통한 관리가 필요하다. 본 연구의 목적은 전신마취하에 치과치료를 받은 장애인환자의 정기검진 패턴에 따른 결과를 평가하고자 함이다. 2006년부터 2014년까지 경희대학교 치과병원 소아치과를 초진 내원한 장애인 환자 중 전신마취하에 치과 치료 시행 후 재내원한 환자 총 53명을 대상으로 재내원 패턴에 따라 정기적 그룹 33명과 비정기적 그룹 20명으로 나누어 검진 기간 동안 시행된 치과 치료를 조사하였다. 그 결과, 비정기적으로 재내원한 그룹에서 치수치료, 보철치료, 발치치료와 같이 상대적으로 침습적인 치료가 많이 시행되었다(p < 0.05). 또한, 전신마취하에 치과 치료를 재시행 받은 환자군은 모두 비정기적 그룹에 해당하였다(p < 0.05). 본 연구의 결과는 정기적인 검진의 중요성을 제시하며, 치과의사들의 보호자와 환자 교육에 대한 책임감을 강조하고 있다.

Prognosis of patients with postural tachycardia syndrome: a follow-up study

  • Kang, Sa-Yoon;Kim, Hong Jun;Ko, Keun Hyuk
    • Annals of Clinical Neurophysiology
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    • 제21권1호
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    • pp.30-35
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    • 2019
  • Background: Postural tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance symptoms associated with a heart rate increment of greater than 30 beats/min, usually up to 120 beats/min, on head-up tilt test. Symptoms related to POTS are usually light-headedness, palpitations and tremor, but syncope can also occur. The pathophysiology of POTS is heterogeneous and its prognosis is uncertain. Methods: We prospectively evaluated patients who met the criteria for POTS, at baseline and follow-up, using composite autonomic symptom scores and autonomic tests to assess the autonomic function. We compared the clinical and autonomic test results between baseline and follow-up. Results: Sixty-eight patients met the inclusion criteria for POTS and forty-five patients were ultimately followed up for at least 1 year after baseline. The patients were predominantly young females (84%), with a mean age of 21 years. Most patients showed improved orthostatic symptoms and more than a quarter of patients had no longer met the criteria for POTS at follow-up. Conclusions: Most patients had a benign outcome in that they could resume their daily activities without great limitations. Our results demonstrated a relatively favorable prognosis in most patients with POTS.

승모판 치환술의 임상적 고찰 (Clinical Evaluation of Mitral Valve Replacement)

  • 김상형;정정기
    • Journal of Chest Surgery
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    • 제24권9호
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    • pp.861-869
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    • 1991
  • From August, 1986 to December, 1989, mitral valve replacement was performed in 93 patients. Of the valve implanted, 42 were Duromedics, 35 St. Jude Medical, 15 Carpenter-Edwards and 1 Ionescu-Shiley. The hospital mortality rate was 3.2%[3 patients] and the late mortality rate was 4.3% [4 patients]. The causes of hospital death were LV rupture in 1, renal failure in 1 and hypoxic brain damage in l. The causes of late death were congestive heart failure in 1 and sudden death in 3. Follow-up was done on 78 surviving patients; mean follow-up period was 29.22$\pm$9.09 months. The actual survival rate was 91.8% at 4 years. We concluded, therefore, that good clinical results could be achieved with mitral valve replacement in short-term follow-up, and long-term follow-up is also necessary.

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뇌졸중에서의 경두개 초음파 검사 (Transcranial Doppler Study in Stroke)

  • 이태규
    • Annals of Clinical Neurophysiology
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    • 제1권1호
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    • pp.60-63
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    • 1999
  • Transcranial Doppler(TCD) is an important diagnostic tool for evaluating the patients with stroke. It has some advantages and unique role when compared with other neuroimaging modalities. Recent development of transcranial color-coded Doppler(TCD) improves the limitation and pitfalls of TCD. The current indications of TCD are as follows: 1. Screening and evaluation of the intracranial major vessels 2. early detection and follow-up of vasospasm due to SAH 3. emboli detection (high-imtensity transient signals, HITs) 4. dignosis and follow-up of subclavian steal 5. evaluation of intracranial collaterals when the extracranial ICA has severe stenosis or occlusion 6. evaluation of cerebral perfusion pressure (intracranial pressure) 7. evaluation of arteriovenous malformation 8. diagnosis and follow-up of arterial dissenction 9. diagnosis and follow-up of venous sinus thrombosis (experimental).

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Duromedics 판막의 임상적 연구 (Clinical Study of Duromedics Bileaflet Valve)

  • 김상형;유홍석
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.667-675
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    • 1990
  • From June, 15th, 1987 to June, 14th, 1989, 105 Duromedics bileaflet cardiac valve prostheses were implanted in 81 patients. Mitral valve replacement was done in 42 patients, 7 underwent aortic valve replacement, 28 underwent double valve replacement, & 4 patients underwent triple valve replacement. Concomitantly used valves were 13 cases; 11 cases were St. Jude Medical valves[M: SJM #29 X4, #27 X5, #25 X 1, T: SJM #33] & two cases were Carpentier Edwards bioprostheses[T: C - E #31X2]. The early mortality rate[within 30 days] was 3.7%[2 patients] & the late mortality rate was 7.4%[3 patients]. Follow-up was done on 72 surviving patients; mean follow-up period was 21.17$\pm$5.36 months. Anticoagulant-related hemorrhage was observed in two patients, possible prosthetic valvular endocarditis was observed in one patient and other specific valve-related complications were none. We concluded, therefore, that good clinical results & a low complication rate could be achieved with Duromedics bileaflet valve in short-term follow-up, & long-term follow-up was also necessary.

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Supernovae Follow-up Observations and the Korean Neutrino Telescope

  • 김상철
    • 천문학회보
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    • 제42권1호
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    • pp.36.2-36.2
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    • 2017
  • Massive stars (${\geq}8M_{\odot}$) are believed to experience core-collapse and finish their lives as supernova (SN) explosions. Astronomers operating the current SN survey facilities try to catch the first moments of SN explosions. Since neutrinos are emitted first from the SNe before the electromagnetic lights, any neutrino detections from more than two sites within around 10 seconds could be useful alert for early follow-up observations, especially for optical SN follow-up telescopes. In this talk, I will brief the current SN follow-up observation projects, what they want to find out and contribute to SN sciences. Focus will be on the early detection and early sciences on SNe, which is what the Korean Neutrino Telescope can contribute most importantly.

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Long-term follow-up study and long-term care of childhood cancer survivors

  • Park, Hyeon-Jin
    • Clinical and Experimental Pediatrics
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    • 제53권4호
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    • pp.465-470
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    • 2010
  • The number of long-term survivors is increasing in the western countries due to remarkable improvements in the treatment of childhood cancer. The long-term complications of childhood cancer survivors in these countries were brought to light by the childhood cancer survivor studies. In Korea, the 5-year survival rate of childhood cancer patients is approaching 70%; therefore, it is extremely important to undertake similar long-term follow-up studies and comprehensive long-term care for our population. On the basis of the experiences of childhood cancer survivorship care of the western countries and the current Korean status of childhood cancer survivors, long-term follow-up study and long-term care systems need to be established in Korea in the near future. This system might contribute to the improvement of the quality of life of childhood cancer survivors through effective intervention strategies.

승모판 치환술의 임상 성적 (Clinical Results of Mitral Valve Replacement)

  • 나국주;김상현;김광휴
    • Journal of Chest Surgery
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    • 제28권12호
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    • pp.1113-1121
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    • 1995
  • From August, 1986 to December, 1993, mitral valve replacement was performed in 178 patients. Of the valve implanted, 114 were St.Jude Medical, 47 Duromedics, 16 Carpenter-Edward and 1 Ionesc-Shiley. The hospital mortality rate was 2.8%[5 patients and the late mortality rate was 7.5%[13 patients . The causes of hospital death were LV rupture in 1, renal failure in 1, cardiac tamponade in 1, valve malfunction in 1 and hypoxic brain damage in 1. The causes of late death were sudden death in 6, congestive heart failure in 4, brain ischemic injury in 3. Follow-up was done on 155 surviving patients : mean follow-up period was 50.94$\pm$8.04 months. The actual survival rate was 88.2% at 8 years. We concluded, therefore, that good clinical results could be achieved with mitral valve replacement in mid-term follow-up, and long-term follow-up is also necessary.

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제 2단계 견봉하 충돌증후군에서 관절경적 감압술(5년에서 12년의 장기추시관찰 결과) (Arthroscopic Decompression in Stage II Subacromial Impingement - Five to Twelve Years Follow up -)

  • 최종혁
    • Clinics in Shoulder and Elbow
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    • 제2권2호
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    • pp.99-105
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    • 1999
  • We investigated the effectiveness of arthroscopic decompression in stage Ⅱ subacromial impingement after long term follow up. Arthroscopic subacromial decompression was done in 104 consecutive patients who had stage Ⅱ sub­acromial impingement. After average of 8.4 years follow up, the final results were as following; 57 shoulders(55%) in excellent, 25(24%) in good, 16(15%) in fair and 6(6%) in poor. All parameters-pain, function, muscle strength and motion-were improved significantly(p<0.00l). Rotator cuff tear was developed in 10 shoulders after decompression. Among them, 8 shoulders had unfavorable results including two poor. In 6 failures, two had rotator cuff tear, three had recurrence of impingement with degenerative change and reflex sympathetic dystrophy was developed in one. Reoperations were done in 4 shoulders. Improvement of impingement symptoms was maintained in the most of patients(79%) after long term follow up. Arthroscopic decompression surgery was very effective means for stage Ⅱ impingement syndrome.

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저소득층 여성의 취업과 우울 증세간의 인과관계 연구: 미국의 New Chance Demonstration Study 참여자를 대상으로 (A Causal Relation of Employment and Depression among Low-Income Young Mothers in New Chance Demonstration Study)

  • 진미정
    • 대한가정학회지
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    • 제41권7호
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    • pp.169-184
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    • 2003
  • This study examined a causal relation between employment and depression among low-income young mothers who participated in New Chance Demonstration Study(NC). Using baseline and first follow-up interview data from NC study, this study selected 756 young mothers who were at risk of depression and unemployed at baseline. About 18% of them were employed and 45% of them were no longer at risk of depression at the first follow-up interview. The young mothers grade level and their race/ethnicity were significantly related to the number of weeks employed between the two time points and employment at the 1st follow-up interview. It was also found that employment was negatively associated with depression at the 1st follow-up interview. These findings imply that employment can ameliorate depressive symptoms of low-income young mothers.