• Title/Summary/Keyword: Hospital choice

Search Result 785, Processing Time 0.028 seconds

A Case Study of Hypoglossal Nerve Palsy Patient with Tongue Paralysis Treated with Korean Medical Treatment (설하 신경 마비로 인한 설마비 환자 치험 1례)

  • Lee, Jae-hyung;Han, Seong-jun;Lee, Eom-jee;Lee, Jung-eun;Nam, Seong-uk;Ha, Na-yeon;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
    • /
    • v.37 no.5
    • /
    • pp.870-875
    • /
    • 2016
  • Hypoglossal nerve palsy is an uncommon neurologic disorder. We report a 67-year-old Korean male with tongue paralysis due to hypoglossal nerve palsy. He had complaints associated only with tongue paralysis and was treated with herbal medicine and electric acupuncture for 12 days. We evaluated his tongue paralysis severity by a numeric rating scale (NRS) and the angle of tongue deviation. After 12 days of treatment, the NRS score showed improvement of his complaints, and the angle of tongue deviation was decreased. Korean medicine could therefore be an effective treatment choice for hypoglossal nerve palsy.

Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm (의인성 가성낭종 파열에 의한 출혈성 쇽의 비수술적 치료)

  • Kim, Soon Young;Kim, Tae Jun;Na, Seong Kyun;Park, Seung Ah;Jung, Dong Min;Kim, Yong Kyun;Jo, Sang-Ho
    • Journal of Yeungnam Medical Science
    • /
    • v.31 no.1
    • /
    • pp.17-20
    • /
    • 2014
  • Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-year-old man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.

The Effect of Continuous Epidural Block and Stellate Ganglion Block for Ramsay-Hunt Syndrome -A case report- (Ramsay-Hunt 증후군 환자에서 지속적 경부 경막외 차단 및 성상신경절 차단의 효과 -증례 보고-)

  • Ha, Kyoung-Ho;Woo, Sung-Hoon;Lee, Yun-Suk;Oh, Wan-Soo;Yon, Jun-Heum;Kim, Joung-Won;Hong, Ki-Hyuk
    • The Korean Journal of Pain
    • /
    • v.12 no.1
    • /
    • pp.140-143
    • /
    • 1999
  • Ramsay-Hunt syndrome is a related but more serious disorder caused by herpes zoster viral infection of the geniculate ganglion. It is characterized by unilateral painful vesicular rash of the uvula, palate, auricle, ear canal, and postauricular area, but it can extend into the facial tissues as well. Paralysis of the facial nerve is often seen, and there can be disequilibrium and hearing problems also. We experienced continuous cervical epidural block (CCEB) with intermittent stellate ganglion block is effective in Ramsay-Hunt syndrome. CCEB should be considered to the treatment of choice in Ramsay-Hunt syndrome.

  • PDF

A Case of Simultaneous Squamous Cell Carcinomas in Mouth Floor and Esophagus (식도암이 동시에 발견된 구강저부의 편평세포암 환자 1예)

  • Kim, Tae Min;Song, In Sik;Joo, Jae Woo;Kim, Min-Su;Oh, Kyoung Ho;Lee, Ju-Han;Kwon, Soon Young
    • Korean Journal of Head & Neck Oncology
    • /
    • v.32 no.2
    • /
    • pp.73-77
    • /
    • 2016
  • Simultaneous second primary tumors are not uncommon in patients with oral cavity squamous cell carcinoma. Many studies have previously shown that oral cavity squamous cell carcinoma patients with simultaneous second primary tumor generally have a poor prognosis. Additionally, the choice of the optimal therapeutic modality for oral cavity squamous cell carcinoma patients who present with simultaneous second primary tumor remains problematic. We reported a case of simultaneous squamous cell carcinomas in mouth floor and esophagus, that multidisciplinary team performed resection and reconstruction simultaneously.

Understanding and Physical therapy of Functional Disability Factors according to Disease (질환에 따른 기능장애 요소의 이해와 물리치료)

  • Park, Seung-Kyu;Kim, Sang-Yeob
    • Journal of Korean Physical Therapy Science
    • /
    • v.6 no.3
    • /
    • pp.83-89
    • /
    • 1999
  • We are approaches various painful diseases in clinic. Although same disease, it is different to acute, subacute and chronic stage of disease. Therefore, to understanding of tissue anatomy, pathology and physiology is necessary to under-standing pattern of diseases. It is duty work that choice of hot or ice, electrotherapy, choice of adaptable frequency and mathod of exercise therapy etc. During treatment it is important method to choose to treat the client. As treating the client by exercising or treating when the client is resting and seeing if anything else is a problem etc. So what I have approached some of the treatment that a physical therapist could miss during treatment.

  • PDF

A Study on relationship between the personality and the work achievement of nurse (간호원의 성격특성과 근무성적과의 관계에 관한 연구)

  • 박경은
    • Journal of Korean Academy of Nursing
    • /
    • v.15 no.2
    • /
    • pp.62-67
    • /
    • 1985
  • The main purpose of this study was to investigate the desiarable selection of nursing. The subjects for this study were made up of 144 R.N. in active service at H. University hospital in Seoul. This study was “Choice of nursing seale”as a tool which was MMPI questionare developed by Beaver(1953), and was consist of the choice of nursing scals made up to 66 items. The finding of this study related to their personality and their work achievement showed very significant differences: the results of this study are: 1. There was a significance of the difference between the responses of 64 student nurses and 64 College Women in Educations Curricular to Beaver score. (p <.001) 2. There was a significance in Beaver's score between high group(above 82) and low group(below 53) according to head nurses' work achievement score (p <.05) 3. This study had relationship between the personality and the work achievement of nurses. For the reason, I suggest that we had to apply to select the appropriate nurses in Health Field as Hospitals.

  • PDF

How to optimize aesthetic outcomes in implant-based breast reconstruction

  • Nava, Maurizio Bruno;Catanuto, Giuseppe;Rocco, Nicola
    • Archives of Plastic Surgery
    • /
    • v.45 no.1
    • /
    • pp.4-13
    • /
    • 2018
  • The evolution of breast reconstructive surgery keeps pace with the evolution of breast oncologic surgery. The reconstructive choice should always balance the optimal local control of disease and the best cosmetic result, reflecting an informed decision that is shared with the patient, who is always at the center of the decision-making process. Implant-based breast reconstruction following mastectomy represents a complex choice. In order to obtain optimal results, the following considerations are mandatory: thorough preoperative planning, a complete knowledge of the devices that are used, accurately performed surgery, and appropriate follow-up.

Factors that Affect the choice of the Utilization of Sanhujoriwon among the Postpartal Women (산모들의 산후조리원 이용에 영향을 미치는 요인)

  • Kim, Joo-Hyung;Song, Ju-Eun;Yoo, Jae-Eun;Lee, Yu-Mi;Han, Mi-Kyung;Kim, So-Yeun;Hong, Gi-Sun;Lee, Yoon-Jung;Oh, Jin
    • Women's Health Nursing
    • /
    • v.7 no.1
    • /
    • pp.56-66
    • /
    • 2001
  • This study examines the factors that are associated with the choice of the Sanhujoriwon utilization among the Korean postpartal women. Data were collected from 140 postpartal women in 9 hospitals around Seoul. Data were analyzed based on descriptive statistics and chi-square test. The results were as follows: 1. Forty percent of the respondents chose to go to a Sanhujoriwon while they were in a hospital after having given birth to a child. 2. The number of persons who could help a respondent beside her husband showed a statistically significant association with the choice of the Sanhujoriwon utilization. In addition, burden from multiple roles expected after the birth was positively associated with the choice of the Sanhujoriwon utilization. Recommendations by husbands or friends to use the Sanhujoriwon also increased the proportion of the choice of the Sanhujoriwon utilization. 3. Knowledge about the Sanhujoriwon appeared to be an important factor. Having heard about the Sanhujoriwon, an appropriateness of the price, and a positive image of the Sanhujoriwon were positively associated with the choice of the Sanhujoriwon utilization. It was expected that the degree of depressive symptoms and confidence of raising a newborn baby would affect the Sanhujoriwon utilization. This was not the case in this study. Intimacy developed between the postpartal women, their husbands and their relatives as well as parents in-law did not show a statistically significant relationship to the choice of the utilization. Implication of these findings and major findings of this study were discussed.

  • PDF

Various Use of Perforator Pedicled Flap : First Choice instead of Free Flap and Pedicled Flap (유경 천공지 피판술의 다양한 이용: 유리 피판술 및 유경 피판술을 대신한 1차적 선택)

  • Lee, Ho-Bin;Kim, Yong-Kyu
    • Archives of Reconstructive Microsurgery
    • /
    • v.17 no.2
    • /
    • pp.87-93
    • /
    • 2008
  • Purpose: Because of good blood supply of the pedicled perforator flap and its advantage of not requiring vessel anastomosis compared to pedicled flap, it is widely used recently. The authors intended to report the results of various pedicled perforator flaps which have been performed to reconstruct the soft tissue defects and the utility of the flap. Methods: The study was conducted for 12 cases of pedicled perforator flap which were performed at the plastic surgery department of the current hospital from the period of June, 2005 to August, 2008. Four patients were male and eight patients were female and their age was ranged from 22 to 74 years old with mean age of 42.6 years old. The sites were 1 case on face, 3 cases on chest, 3 cases on back, 4 cases on coccyx, and 1 case on foot. Results: The defect sites of all patients were successfully reconstructed by using the pedicled perforator flap. Although most of the flaps revealed congestion at the early stage after the surgery, they were recuperated within few days. One case of skin flap was reported to be partially necrotized in old age woman who has no reliable perforator. Other than that, all defects were covered successfully and acceptable aethetically. Conclusion: As stated in above, the pedicled perforator flap has many useful advantages than the conventional pedicled flap and various free flap. Unless free flap must be required, the use of pedicled perforator flap is recommended by first choice for soft tissue coverage.

  • PDF

TREATMENT OF PLEOMORPHIC ADENOMA ON PALATE A CASE REPORT (구개부에 발생한 다형성선종의 치험례)

  • Lee, Chang-Jin;Kim, Tae-Youl;Kim, Hyo-Eon;Kim, Hee-Kwang;Jeon, In-Seong;Yoon, Kyu-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.22 no.2
    • /
    • pp.233-237
    • /
    • 2000
  • Pleomorphic adenoma is the most common of all salivary gland tumors, constituting over 50 per cent of all cases of tumors, and approximately 90 per cent of all benign salivary gland tumors. Since the term mixed tumor' was introduced by Broca for its dual origin of epithelial and mesenchymal elements, the term plemorphic adenoma suggested by Willis characterizes closely the unusual histologic pattern of the lesion. The parotid gland is the most common site but it may occur in any of the salivary glands. It is somewhat more frequent in women and in the fourth to sixth decades, but they are also relatively common in young adult and have been known to occur in children. Treatment of choice is surgical excision. Adequate surgery with safe margin reduce its recurrence rate. We represent a case of pleomorphic adenoma with literature review in 65-year old male occured in the palate. The lesion was successfully treated by surgical excision.

  • PDF