• Title/Summary/Keyword: Hospital Location

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The Correlation between The Size and Location of Vocal Polyp and Voice Quality, Before and After Laryngeal Microsurgery (후두미세수술 전후 성대 용종의 크기 및 위치가 음성의 질의 변화에 미치는 영향)

  • Han, Won Gue;Kim, Min-Su;Oh, Kyung Ho;Woo, Jeung Soo;Jung, Kwang Yoon;Kwon, Soon Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.102-107
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    • 2016
  • Background and Objectives : Vocal polyps are caused by inflammation induced by stress or irritation. Many patients with vocal polyps complain voice discomfort. For vocal polyps, surgery such as laryngeal microsurgery has been the mainstay of management. We analyzed the clinical features of vocal polyps, and how the size and location of vocal polyps affect the outcomes of surgery. Methods : We retrospectively reviewed 42 patients from March 2014 to December 2015, who were diagnosed as unilateral single vocal polyp. When we operated on a vocal polyp with laryngeal microscopy, we measured their size and location. The quality of voice was evaluated by GRABS scale, jitter, shimmer, NHR (noise to harmonic ratio), MPT (maximum phonation time), and VHI (voice handicap index) before operation and 4 weeks after operation. Results : When we divided the patients into large-sized vocal polyp group (the longest length >3 mm) and small-sized vocal polyp group (the longest length ${\leq}3mm$), all parameter differences tend to be greater at large sized vocal polyp. However, these differences were not statistically significant (p>0.05). When we divided into two groups depending on the volume of vocal polyp, no distinct tendency was found. When we compared the location (anterior, mid and posterior) of vocal polyp with the improvement of voice quality, more change was found at mid portion vocal polyp, except the difference of VHI. However, these differences were also not statistically significant (p>0.05). Conclusion : All parameter differences tend to be greater at large vocal polyp and polyp of the mid location.

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Appearance of Meniscus Tear Associated with ACL Rupture - Analysis of Location and Type of Meniscus Tear - (전방 십자인대 파열과 동반된 반월상 연골 파열 양상 - 파열부위 및 형태의 분석 -)

  • Lee, Yeong-Hyun;Nam, Il-Hyun;Moon, Gi-Hyuk;Yun, Ho-Hyun;Kim, Jae-Cheol;Ahn, Gil-Yeong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.6 no.1
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    • pp.45-49
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    • 2007
  • Purpose: We analyzed the location and type of meniscus tear associated with ACL rupture in order to estimate and prepare whether the meniscus tear is in a repairable location. Materials and Methods: We reviewed 78 cases who had ACL reconstructive surgery due to ACL rupture. We set the period of acute injury on the basis of under 12 months after trauma. The location and type of meniscus tear was analyzed in accordance with MRI findings and arthroscopic findings. Results: The 50 cases of meniscus tear were detected out of the 78 ACL rupture;32 cases were lateral meniscus tears, 24 were medial meniscus tears and 6 cases were both menisci tears. From a total of 56 meniscus tears, 30 cases were longitudinal tears, 22 cases were red-red zone tears and 35 cases(62%) were posterior horn tears. Conclusion: The most common type of meniscus tear associated with ACL rupture war longitudinal tear at the red-red zone or meniscosynovial junction. Majority of the tears located at that place can be healed with conservative treatment, arthroscopic meniscus suture.

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Risk Factors for Appendiceal Metastasis with Epithelial Ovarian Cancer

  • Kokanali, Mahmut Kuntay;Guzel, Ali Irfan;Erkilinc, Selcuk;Tokmak, Aytekin;Topcu, Hasan Onur;Gungor, Tayfun
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2689-2692
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    • 2014
  • Purpose: To investigate the risk factors for appendiceal metastasis of epithelial ovarian cancer and compare findings with the previous studies. Materials and Methods: One hundred and thirty-four patients with epithelial ovarian cancer were assessed in this study. All of them had undergone a surgical procedure including appendectomy. Of these, 21 (15.7%) patients who had appendiceal metastasis were analyzed as the case group and the patients with no metastasis were the controls, compared according to stage, grade, histology of tumor, preoperative Ca125 levels, presence of ascites, peritoneal cytology, diameter and site of tumor considered as risk factors. Results: We found statistically significant differences between the groups in terms of stage, grade, right-sided tumor location, presence of ascites, diameter of tumor${\geq}10cm$ and positive peritoneal cytology (p<0.05). In the logistic regression model, stage, grade, presence of ascites, right-sided location and diameter of tumor were independent risk factors. ROC curve analysis showed that stage, grade and diameter of the tumor were discriminative factors for appendiceal metastasis. Conclusions: In epithelial ovarian cancer, stage, grade, presence of ascites, right-sided location and large tumor size have importance for estimation of risk of appendiceal metastasis. As we compare our findings with previous studies, there is no definite recommendation for the risk factors of appendiceal metastasis in epithelial ovarian cancer and more studies are needed.

Correlation between the Position of the Pituitary Stalk as Determined by Diffusion Tensor Imaging and Its Location as Determined at the Time of Surgical Resection of Pituitary Adenomas

  • Wang, Fu-yu;Wang, Peng;Yang, Chen-xuan;Zhou, Tao;Jiang, Jin-li;Meng, Xiang-hui
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.504-512
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    • 2020
  • Objective : An important factor during pituitary adenoma surgery is to preserve pituitary stalk (PS) as this plays a role in reduction of the risk of postoperative diabetes insipidus. The hypothalamic-hypophyseal tract (HHT) projects through the PS to the posterior pituitary gland. To reconstruct white matter fiber pathways, methods like diffusion tensor imaging (DTI) tractography have been widely used. In this report we attempted to predict the position of PS using DTI tractography and to assess its intraoperative correlation during surgery of pituitary adenomas. Methods : DTI tractography was used to tract the HHT in nine patients before craniotomy for pituitary adenomas. The DTI location of the HHT was compared with the PS position identified at the time of surgery. DTI fiber tracking was carried out in nine patients prior to the planned craniotomy for pituitary adenomas. In one patient, the PS could not be identified during the surgery. In the other eight patients, a comparison was made between the location of the HHT identified by DTI and the position of the PS visualized at the time of surgery. Results : The position of the HHT identified by DTI showed consistency with the intraoperative position of the PS in seven patients (88.9% concordance). Conclusion : This study shows that DTI can identify the position of the HHT and thus the position of the PS with a high degree of reliability.

Atypical Appearance and Location of Subependymomas: A Report of Two Cases (비전형적인 모양과 위치를 보이는 상의하세포종: 2개의 증례 보고)

  • Lee, Jee Hyeon;Kim, Eun Soo;Lee, Yul;Lee, Kwanseop;Kwon, Mi Jung;Song, Joon-Ho
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.294-301
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    • 2018
  • Subependymomas are rare benign central nervous system tumor which account of 0.7% of all intracranial tumors. Subependymomas show characteristic MR findings according to their location. However, sometimes atypical findings could be found. In addition, subependymomas can occur very rarely in the spinal cord. We report two cases of pathologically confirmed subependymoma, one of which shows atypical appearances in spite of their intraventicular location and the other of which shows rare case of spinal intramedullary subependymoma. We review the clinical symptoms and radiologic findings of two cases.

A Study on the Application of Patient Location information for Healthcare System based on LBS (LBS 기반 Healthcare 시스템을 위한 환자 위치 정보 활용에 관한 연구)

  • Ahn, Jin-Soo;Heo, Jung-Il;Lim, Su-Young;Seo, Jung-Ho;Kim, Woo-Shik
    • 한국정보통신설비학회:학술대회논문집
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    • 2007.08a
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    • pp.381-385
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    • 2007
  • As development of wireless communication technology has promoted mobility, Location Based Service (LBS) became embossed. The LBS is a service to recognize and utilize a location of a person or a thing through a device that ensures mobility based on wireless communication network. This paper thus researches on Healthcare Method to respond to emergency rapidly by recognizing a patient's location with the LBS. The LBS also provides location information of a user as well as remote management of organism data such as ECG data or pulse, which is transferred to a hospital or an emergency room.

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A Study on Architectural Planning of Establishing Air-Conditioning Zoning for Hospital Design Focused on System (체계중심병원설계를 위한 공조조닝 설정의 건축 계획에 관한 연구)

  • Kim, Eun Seok;Yang, Nae Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.3
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    • pp.29-38
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    • 2018
  • Purpose: Space planning to cope with the changing function of the hospital is essential in hospital architecture. In order to do so, it is vital that the paradigm shifts from hospital design focused on purpose toward hospital design focused on system. Not only space planning but also air-conditioning plan, which is most closely related to the operation and maintenance of hospital facilities; and the environment of hospital users, should be able to respond to changes with ease. Thus this study is to provide fundamental data of the air-conditioning plan for the hospital design focused on system by analyzing the concept and characteristics of the air-conditioning plan in the recent hospital architecture planning. Results: As a result of this study, in the air conditioning plan for the hospital architecture planning, the most important are the location relation among the departments the air handling unit room and the air handling unit manage and the air conditioning zoning setting according to the air conditioning system. Therefore, for the hospital architecture planning focused on system, it is necessary to establish the air conditioning setting that can accommodate changeable environment of departments and accordingly the appropriate area range of the air conditioning zoning and the plan for the location of the air handling unit should be considered. Implications: Thereby aims to provide fundamental data on air handling unit zoning planning in the hospital architecture planning.

Sensitivity of AutoPap Primary Screening System with Location-Guided Screening in Uterine Cervical Cytology (자궁목세포진에서의 AutoPap Primary Screening System with Location-Guided Screening의 민감도 검사)

  • Choi, Jong-Sun;Jang, Hoi-Sook;Kim, Hy-Sook;Chun, Yi-Kyeong;Kim, Hye-Sun;Park, Ji-Young;Park, In-Sou;Hong, Sung-Ran
    • The Korean Journal of Cytopathology
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    • v.14 no.2
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    • pp.60-65
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    • 2003
  • Objective: The sensitivity of the AutoPap Primary Screening System with Location-Guided Screening (AutoPap LGS) for Identifying atypical cells in cervicovaginal smears was evaluated. Methods: Two hundred forty one slides with atypical cervical cytology randomly sampled were rescreened both manually and by the AutoPap LGS. The AutoPap LGS localized the atypical cells as 15 fields of view(FOVs), which were reexamined by manual review. The sensitivity was also evaluated in accordance with the cellularity of the smears. Results: The AutoPap LGS successfully processed 232 out of 241 slides. The sensitivity of the AutoPap LGS identifying the atypical cells in successfully processed slides was 97.4%(226/232). The false negative rate was 2.6%(6/232). There was no false negative case on high grade squamous intraepithelial lesion (HSIL) or squamous cell carcinoma(SCC) smears in the AutoPap LGS. The FOVs localized the diagnostic-atypical cells in 97.8%(221/226). The number of diagnostic-atypical FOVs was increased in higher-degree of atypical cytology. The AutoPap LGS localized the atypical cells in 100% of adequately cellular smears and in 92.5% even in low cellular smears. Conclusion: The AutoPap LGS showed relatively good sensitivity to detect atypical cells. It can be a valuable system to localize atypical cells, especially in HSIL or cancer slides, even in smears with low cellularity.

Morphometric Analysis of the Ureter with Respect to Lateral Lumbar Interbody Fusion Using Contrast-Enhanced Computed Tomography

  • Chunneng Huang;Zhenyu Bian;Liulong Zhu
    • Journal of Korean Neurosurgical Society
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    • v.66 no.2
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    • pp.155-161
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    • 2023
  • Objective : To analyze the anatomical location of the ureter in relation to lateral lumbar interbody fusion and evaluate the potential risk of ureteral injury. Methods : One hundred eight patients who performed contrast-enhanced computed tomographic scans were enrolled in this study. The location of the ureter from L2-L3 to L4-L5 was evaluated. The distances between the ureter and psoas muscle, intervertebral disc, and retroperitoneal vessels were also recorded bilaterally. Results : Over 30% of the ureters were close to the working corridor of extreme lumbar interbody fusion at L2-L3. Most of the ureters were close to working corridor of oblique lumbar interbody fusion, especially at L4-L5. The distance from the ureter to the great vessels on the left side was significantly narrowing from L2-L3 to L4-L5 (28.8±9.5 mm, 22.0±8.0 mm, 15.5±8.4 mm), and it was significantly larger than that on the right side (12.3±6.1 mm, 7.4±5.7 mm, 5.4±4.4 mm). Conclusion : Our findings indicate that the location of the ureter varies widely among individuals. To avoid unexpected damage to the ureter, it is imperative to directly visualize it and verify the ureter is not in the surgical pathway during lateral lumbar interbody fusion.