• Title/Summary/Keyword: Follow-up Management

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Antenatally detected urinary tract dilatation: a pediatric nephrologist's point of view

  • Hyung Eun Yim
    • Childhood Kidney Diseases
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    • v.28 no.1
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    • pp.1-7
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    • 2024
  • Antenatally diagnosed urinary tract dilatation (UTD), previously referred to as antenatal hydronephrosis, is the most commonly detected abnormality by prenatal ultrasonography. Several grading systems have been developed for the classification of antenatal UTD using prenatal and postnatal ultrasonography. UTD comprises a wide variety of congenital abnormalities of the kidney and urinary tract ranging from transient UTD to more significant abnormalities such as vesicoureteral reflux, ureteropelvic junction obstruction, ureterocele, ureterovesical junction obstruction, posterior urethral valves, and non-refluxing megaureter. Optimizing the evaluation of antenatally detected UTD is essential to recognize children with important disorders while avoiding excessive investigations. Conservative approach with close follow-up is increasingly accepted as an appropriate treatment option for patients with asymptomatic vesicoureteral reflux and ureteropelvic junction obstruction in recent years. However, predicting permanent kidney damage in an unselected group of children with antenatal UTD is still challenging. The management and follow-up of children with UTD should be individualized based on recommendations from a pediatric nephrologist, a pediatric urologist, or both. Future research directed at predicting long-term outcomes of children diagnosed with UTD from mild findings to severe disease is needed to refine management for those at higher risk of kidney disease progression.

The Effect of Case Management Program for Hypertensive Patient (보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과)

  • Chung, Jung-Soon;Lee, Sun-Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.321-331
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    • 2014
  • Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

A Study on the Effect of Perception and Practice of QC Personnel on Post-Management: Focusing on KS Certified Factory Evaluation Criteria (QC담당자의 인식 및 실행이 사후관리에 미치는 영향에 관한 연구: KS인증 공장심사 평가항목을 중심으로)

  • Taek-Yeon Yoo;Jung Eui Hong;Kwang-Soo Kim
    • Journal of the Korea Safety Management & Science
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    • v.26 no.2
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    • pp.107-115
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    • 2024
  • This study conducted frequency analysis, reliability analysis, descriptive statistics, and correlation analysis to determine the impact of quality control managers' perception and implementation of KS certification factory inspection evaluation items on follow-up management. Through a multiple linear regression model, the influence of KS certification officer's awareness and implementation of KS certification factory inspection on post management was found to have a positive (+) influence on post management, with implementation having a greater influence on post management than awareness. It was having an impact. The independent variable (perception) has a statistically significant impact on the mediating variable (execution), and in the stage of verifying the mediating effect, the influence of the independent variable (perception) on the dependent variable (follow-up management) has a statistically significant impact. , In the stage where the independent variable (perception) and the mediator (implementation) are input simultaneously, both the independent variable and the mediator have a statistically significant effect on the dependent variable, indicating that there is a mediation effect.

Locoregional Recurrence of a Tongue Cancer Patient with 10 Year Follow-up (10년 관찰기간 중 다수의 국소 재발을 보인 설암 환자)

  • Song, Jae-Min;Lee, Sung-Tak;Lee, Ju-Min;Song, Won-Wook;Kim, Yong-Deok;Kim, Uk-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.390-395
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    • 2013
  • Locoregional recurrence of tongue cancer is higher than that of other sites of the oral cavity. Locoregional control has shown improvement over the past 20 years, however, a high rate of recurrence and second primary tumor occurrence is still frequently reported. Leukoplakia is a clinical term, which describes a whitish lesion of the oral cavity. Clinicopathologic features may range from hyperkeratosis to malignancy. Because of its diverse pathologic characteristics, management of this lesion for diagnosis, treatment planning, establishment of a clear surgical margin, and periodic follow-up is difficult. We report on a case of successfully treated tongue cancer which developed from leukoplakia over 10 years. Periodic follow-up strategy and surgical planning are most important to management of locoregional recurrence.

Guidelines for the Investigation and Management of Ground Glass Nodules

  • Lee, Jun Hee;Hong, Jeong In;Kim, Hyun Koo
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.333-337
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    • 2021
  • The clinical significance of ground-glass nodules (GGNs) has been investigated in extensive clinical research for many years. The natural history of GGNs is known to be closely related to their size, proportion of solid components, and size progression over time. Based on these data, several guidelines for GGN management have been published worldwide. The indications for nonsurgical biopsy or surgical resection of GGNs are as follows: pure GGNs between 5 and 10 mm in size if they increase in size or show development of a solid component at follow-up, pure GGNs >10-15mm that remain stable but persistent, part-solid nodules >8 mm persisting at follow-up, or part-solid nodules with a solid component >6 mm at follow-up. Newly updated data considering geographical or racial factors and recent developments in surgical techniques may improve the surgical indications for GGNs in the near future.

Surgical Management of Metastatic Lung cancer (전이성 폐암의 외과적 고찰)

  • Kim, Gil-Dong;Jeong, Gyeong-Yeong
    • Journal of Chest Surgery
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    • v.27 no.4
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    • pp.281-286
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    • 1994
  • From 1973 through June 1993, 25 patients underwent pulmonary resection for pulmonary metastases from carcinoma or sarcoma at our institution. There were 11 carcinomas and 14 sarcomas. 24 patients[96% complete] could follow-up and the median follow-up time was 20 months with a range of 4 months to 271 months and total follow-up period was 1105 months-patients. In our patients, actuarial 5-year survival rate was 49%, mean survival time was 66.6$\pm$12.6 months and median survival time was 84 months. Patients with sarcoma, more than 24 months of the tumor-free interval, postoperative adjuvant therapy had a better survival than did those with carcinoma, less than 24 months of the tumor-free interval, no postoperative adjuvant therapy. But there were no statistical differences between two groups[P>0.05]. This results recommend more aggressive surgical treatment for pulmonary metastases.

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The Effect of Group-Psychotherapy Oriented Psychodrama on Child's Depression (집단정신치료극이 아동의 우울에 미치는 영향)

  • 이정숙
    • Journal of Families and Better Life
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    • v.17 no.3
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    • pp.103-116
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    • 1999
  • This study was executed to examine the effect of group-psychotheray oriented psychodrama on child's depression. For this study self-reporting Kovacs's children's depression inventory(C.D.I) was administered for primary school children. and 8 children were selected in experimental and control group each. The experimental group acted the psychodrama for 15 session. The first follow-up test was executed at 8 weeks after pre-test and second follow-up test at 10 weeks after first follow- up. Every time children acted the psychodrama all behaviors had been recorded. Also in order to find out any changes in daily life after the psychodrama their parents class teachers and children themselves were interviewed. Basal depression level was 23.38 for experimental group and 23.63 for control group. Depression level of experimental group was reduced to 12.38(p<0.01) There was significant difference in depression level between experimental and control group (p<0.01) Reducing effect of experi ental group by the psychodrama was maintained as well. As a result group psychotherapy oriented psychodrama was effective to reduce depression level of childern. Group psychotherapy oriented psychodrama program for children need to be developed for more effectiveness.

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The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

  • Esra Oz;Zuhal Kirzioglu;Canan Kale
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.19.1-19.12
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    • 2023
  • Objectives: The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods: This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results: Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions: The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Heart Failure Self-management Interventions: Evidence from Korean Patients

  • Kim, Jin-Shil;Yoo, Hye-Ra
    • Perspectives in Nursing Science
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    • v.8 no.2
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    • pp.148-155
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    • 2011
  • Purpose: The aims of this study were to (1) summarize the HF self-management interventions and (2) identify gaps and priorities for further investigation. Methods: A computer search of the literature over the past decade yielded 9 HF self-management studies. Six studies used non-experimental design; only 3 (33%) studies used quasi-experimental design which were included in this review. Results: The three pivotal HF self-management interventions studies were important because they highlight the positive effects of self-management compliance and other quality of life outcomes as well as discussing various issues. The informational booklet and telephone follow-up were the most common modalities in these interventions. The periodic telephone counseling offered in 2 studies effectively facilitated patient self-management compliance. There were some methodological flaws such as small sample sizes (range 8~21 in each group) and lack of experimental designs, long-term follow-up, and random group assignment. Additionally, the use of valid, reliable outcome measures is necessary to compare the effects of the interventions worldwide. Conclusion: More clinical evidence on HF self-management is needed using a larger sample size and the efficacy needs to be tested for various outcomes, including morbidity, mortality, and health care cost.

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