• Title/Summary/Keyword: Hospital Location

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Multiple Aneurysms on the Same Bifurcation Site of the Middle Cerebral Artery

  • Back, Byung-Suck;Choi, Seung-Jin;Ji, Cheol;Ahn, Jae-Geun
    • Journal of Korean Neurosurgical Society
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    • v.41 no.4
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    • pp.258-260
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    • 2007
  • Multiple aneurysms at the same cerebral arterial branching site are rare, and have been mainly described in a few case reports in comparison with other intracranial multiple aneurysms. Most reported locations of the same artery where multiple aneurysms developed were internal carotid artery and anterior communicating artery. We experienced a very rare case of multiple aneurysms arising at the same bifurcation site of the middle cerebral artery. Only one case like this has been reported previously in the literature. We discussed the preoperative diagnosis and surgical management of such condition.

Merit of Zone III Resuscitative Endovascular Occlusion of the Aorta under Real-Time Fluoroscopy in Hybrid ER: A Case of REBOA in Traumatic Cardiac Arrest

  • Lee, Sung Do;Chung, Seungwoo;Ki, Young Jun;Seo, Sang Hyun;Park, Chan Yong
    • Journal of Trauma and Injury
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    • v.33 no.3
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    • pp.191-194
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    • 2020
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a novel technique to maintain proximal arterial pressure. It is important to locate the balloon catheter correctly in performing REBOA but it is inaccurate to check the catheter position by external measurement. Even if the position of the catheter is initially confirmed by X-ray, it is difficult to determine the location of the catheter that changes according to various situations. We performed REBOA under real-time fluoroscopy and could maintain the catheter in correct position under various situations.

Clinical Characteristics and Treatment Outcomes of Patients with Unresectable Cholangiocarcinoma in Thailand: Are there Differences Dependent on Stent Type?

  • Prachayakul, Varayu;Chaisayan, Suthasinee;Aswakul, Pitulak;Deesomsak, Morakod
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.529-532
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    • 2013
  • Cholangiocarcinoma, though very rare in Western countries, is one of the commonest liver malignancies in Southeast Asia, especially in Thailand. More than half of the patients present with advanced stage disease. Given the poor treatment outcomes of adjuvant therapeutic options, many patients undergo only biliary drainage for palliative treatment. Clinical characteristics and treatment outcomes after biliary stenting were here analyzed for a total of 224 uresectable cholangiocarcinoma cases, 58.9% in men. The mean age was 61.5 years. Hilar involvement was the most common location. The patients underwent biliary drainage using plastic and metallic stents equally, early stent occlusion being encountered in 21.4% and 10.7%, respectively. The median survival time was 4.93 months for patients who received plastic and 5.87 months for patients who received metallic stents.

The Priority Analysis on the Financing of Healthcare Institutions in Korea (의료기관 자본조달 우선순위 분석)

  • Lee, Woo-Chun;Ahn, Young-Chang
    • Korea Journal of Hospital Management
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    • v.13 no.3
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    • pp.1-16
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    • 2008
  • According to Myers (1984) and Myers and Majluf(1984), there exists a financial hierarchy from internal to external financing, from long-tenn debt to equity, due to information costs. The purpose of this study is to assess the profit-making corporation of healthcare institutions. Data was collected from 130 hospital presidents and financial managers. We analysed the frequency and one way ANOVA by SPSS Windows 14.0K. The major findings of the study were as follows: We found that the priorities which a healthcare institutions financing were internal financial, other allowance, a credit loan, a security loan, and a lease through this study. The priorities which a healthcare institutions raised the capital differed as to the number of beds and revenues. The priorities were no difference from ownership, location and an annual business.

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Palmar Hand Wound Coverage with the Free Flaps

  • Roh, Si Young;Lee, Kyung Jin;Lee, Dong Chul;Kim, Jin Soo;Yang, Jae-Won
    • Archives of Reconstructive Microsurgery
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    • v.23 no.2
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    • pp.45-50
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    • 2014
  • Palmar soft tissue defects are best reconstructed using a replacement flap of proper size with adequate soft tissue stability for mechanical resistance as well as with protective sensation. Reconstructive approaches are dictated by injury mechanism, defect size and location, and the status of the wound bed and tendino-skeletal structure. While uninjured portions of the hand can be used as a source for local flaps, the use of free flaps allows for maximal access for selection of the most ideal replacement tissue for the defect to be restored as close to the initial state as possible. Here, we review the garden variety of free flaps used in reconstruction of palmar soft tissue defects.

Primary extracranial meningioma presenting as a forehead mass

  • Kim, Chae Min;Jeon, Yeo Reum;Kim, Yee Jeong;Chung, Seum
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.55-59
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    • 2018
  • Meningioma originates from arachnoid cap cells and is the second most common intracranial tumor; however, it can also be found in an extracranial location. A very rare primary extracranial meningioma without the presence of an intracranial component has also been reported. Primary extracranial meningiomas have been found in the skin, scalp, middle ear, and nasal cavity. A computerized tomography or magnetic resonance imaging scan is necessary to determine the presence or absence of an intracranial meningioma, and a biopsy is essential for diagnosis. We report a case of primary extracranial meningioma located in the forehead skin of a 51-year-old male.

Giant Ganglioneuroma of Thoracic Spine : A Case Report and Review of Literature

  • Huang, Yong;Liu, Lidi;Li, Qiao;Zhang, Shaokun
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.371-374
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    • 2017
  • Ganglioneuroma (GN) is a rare benign tumor of neural crest origin usually found in the abdomen, but may occasionally present at uncommon sites including the cervical, lumbar, or sacral spine. However, GNs of thoracic spine are extremely rare. In this report, we describe a 12-year-old girl with giant GN in the thoracic spine, who underwent successful resection (T1-4 level) of the tumor. Histopathological examination confirmed the diagnosis. GN should be considered in the differential diagnosis of any paraspinal mass. A high index of suspicion and correlation of clinico-radiological findings is necessary in differentiating a large benign tumor from a malignant growth. Complete surgical excision is the treatment of choice; however tumor size and location need to be considered for the surgical approach (one-step or multiple surgeries). Close follow-up after surgery is mandatory.

A Case of Metronidazole-Induced Encephalopathy: Atypical Involvement of the Brain on MRI

  • Hwang, Eunjin;Chang, Suk-Ki;Lee, Seun-Ah;Choi, Jung-Ah
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.3
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    • pp.200-203
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    • 2018
  • Metronidazole is an antimicrobial agent widely used for the treatment of anaerobic infection or antibiotics-associated diarrhea. It is generally thought to be safe, but can induce reversible toxic encephalopathy in the case of excessive or cumulative over-dose. Metronidazole-induced encephalopathy generally demonstrates the characteristic features of typical lesion location and bilaterality on magnetic resonance imaging (MRI). We report a case of metronidazole-induced encephalopathy with the involvement of asymmetric white matter. To our knowledge, only a few cases have been reported with respect to white matter lesion characteristics on MRI with diffusion-weighted images.

Giant Lipoma of the Breast

  • Ramirez-Montano, Luis;Vargas-Tellez, Erik;Dajer-Fadel, Walid L.;Maceda, Silvia Espinosa
    • Archives of Plastic Surgery
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    • v.40 no.3
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    • pp.244-246
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    • 2013
  • Lipomas are benign mesenchymal tumors that develop in areas of abundant adipose tissue. Due to the fatty composition of the breast, difficulties in diagnosis, treatment, and reconstruction are often encountered. We report a case of a 55-year-old female with a giant tumor of the right breast that comprised most of its mass, causing breast asymmetry. A thorough preoperative evaluation, followed by an uneventful difficult surgical resection and reconstruction, resulted in diagnosis of a benign lipoma. The case prompted this report because of its challenging size, location, diagnosis, and reconstructive solution.

The Comparative Analysis of Chest Radiographs and Low Dose Computed Tomography in Subjects for Health Screening (건강검진 수검자를 대상으로 한 단순흉부촬영과 저 선량 나선형 CT와의 비교 분석)

  • Choi Jin Yeong;Kang Hwa Won;Lee Kang Woo;Lee Woo Sik
    • Journal of The Korean Radiological Technologist Association
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    • v.28 no.1
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    • pp.112-119
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    • 2002
  • Purpose : The purpose of this study is to evaluate the usefulness, after we compare and analyze the difference about the location of a lesion and the result of diagnosis on chest radiographs(CR) and low dose computed tomography(LDCT) in subjects for healt

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