• 제목/요약/키워드: Hospital choice

검색결과 785건 처리시간 0.026초

특발성 편측 교근비대증;증례보고 및 문헌고찰 (IDOPATHIC UNILATERAL MASSETER MUSCLE HYPERTROPHY;CASE REPORT & REVIEW OF LITERATURE)

  • 이정구;한명수;김상봉;김학범
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제11권2호
    • /
    • pp.74-80
    • /
    • 1989
  • 교근의 편측성 혹은 양측성 비후로 정의되는 이 질환은 원인은 분명치 않으나, 아마도 선천적이고 유전적으로 결정되는 비정상으로 알려져 있고 이외에도 교합과의 관련성, 심리학적 분석등의 관련성도 논의되어 졌다. 감별시는 부위적 특성으로 이하선 질환과의 구별이 요하나 임상적 및 방사선 검사에서 어렵지 않게 진단이 가능하며 치료로는 심미적인 문제로 인해 외과적인 절제가 최선의 치료이고 외과적 절제시에는 하악지의 형태에 대한 평가와 비후된 교근의 부위에 따른 적절한 수술법 선택이 요하며, 아직까지 재발에 관한 보고는 없으나 관찰이 요구된다.

  • PDF

비구개관낭종 1예 (A Case of Nasopalatine Duct Cyst)

  • 이선욱;허세형;이제연;이상혁
    • 대한두경부종양학회지
    • /
    • 제27권1호
    • /
    • pp.70-73
    • /
    • 2011
  • Nasopalatine duct cysts are the most common non-odontogenic developmental cyst originating in the incisive canal of maxilla and occuring in approximately 1% of the population. Clinical presentation is mostly asymptomatic in small cysts, but sometimes shows swelling, pain and drainage when it is infected. The definite diagnosis should be based on clinical, radiological and histopathologic findings. Marsupialization of the cystic tissue can be performed, however, complete surgical excision is the the choice of treatment of nasopalatine duct cysts. We report a case of nasopalatine duct cyst occurred in the midline of hard palate treated by complete excision via transoral approach.

대학병원 종합병원 입원환자의 급식에 대한 평가 (Patients' Evaluation on Foodservice in University and General Hospitals)

  • 이종주;최명한;이석구;이동배
    • 대한지역사회영양학회지
    • /
    • 제2권4호
    • /
    • pp.616-623
    • /
    • 1997
  • This study was conducted to investigate and to improve the actual condition of food service for patients in hospitals. For this purpose, questionnaires were distributed to 283 patients admitted to a university hospital and three general hospitals between January 27 and February 15, 1997. The department participated in the study included internal medicine, surgery, obstetrics, orthopedics and so forth. For meal time, 61.1$\%$ of patients wanted to eat breakfast at 8 am, 55.8$\%$ lunch at noon, and 73.5$\%$ dinner at 6 pm. The patients complained about unsatisfactory hospital food itself by 37.8$\%$, about insufficient food amount by 19.6$\%$, about menu with no choice by 41.2$\%$ and about low variety of the meals by 32.7$\%$. Sixty two point nine percent of the subjects enjoyed snacks between meals because of poor appetite at meal time(46.1$\%$), delayed food service(39.9$\%$) and others(11.2$\%$). The types of diet were mainly regular ones(58.6$\%$) with some high protein(12.4%) and diabetic sensitive ones(7.1$\%$). As eating place, the patient's prefered bed(51.9$\%$), room-table(27.2$\%$) and dining room(17.7$\%$). Fifty-five percent of them also wanted hospital foods available to their caring relatives. (Korean J Community Nutrition 2(4) : 616-623, 1997)

  • PDF

주관절부 척골신경 포착증후군의 수술적 감압술 및 내상과 성형술 (Decompression and Medial Epicondyloplasty in Ulnar Nerve Entrapment Syndrome at Elbow)

  • 이동화;신규석;김종순;김중석
    • Clinics in Shoulder and Elbow
    • /
    • 제3권1호
    • /
    • pp.54-60
    • /
    • 2000
  • As a surgical treatment of ulnar nerve entrapment syndrome includes simple decompression, medial epicondylectomy, and anterior transposition of the ulnar nerve into a subcutaneous or submuscular bed have been widely used. Despite many reports of these surgical procedure, there is little to guide the choice of one surgical technique. The purpose of our study is to analyse clinical and electrodiagnostic result after minimal invasive decompression by decompression and medial epicondyloplasty(deepening of ulnar groove). We have experienced 9 cases of ulnar nerve entrapment syndrome who were treated with decompression and medial epicondyloplasty. Male were five and female were four. The mean age at operation was 36 years ranging from 23 to 47 years. Operative procedure was to incise the medial intermuscular septum and aponeurotic arch of flexor carpiulnaris and to deepen the ulnar groove. Patients are allowed to do range of motion(ROM) exercise on the average 5days. All patient were relieved pain and improved motor and sensory function, and this procedure allows early ROM exercise after operation because the muscle have not been detached.

  • PDF

Pedicled Anterolateral Thigh Flaps for Reconstruction of Recurrent Trochanteric Pressure Ulcer

  • Bahk, Sujin;Rhee, Seung Chul;Cho, Sang Hun;Eo, Su Rak
    • Archives of Reconstructive Microsurgery
    • /
    • 제24권1호
    • /
    • pp.32-36
    • /
    • 2015
  • The reconstruction of recurrent pressure sores is challenging due to a limited set of treatment options and a high risk of flap loss. Successful treatment requires scrupulous surgical planning and a multidisciplinary approach. Although the tensor fascia lata flap is regarded as the standard treatment of choice-it provides sufficient tissue bulk for a deep trochanteric sore defect-plastic surgeons must always consider the potential of recurrence and accordingly save the second-best tissues. With the various applications of anterolateral thigh (ALT) flaps in the reconstructive field, we report two cases wherein an alternative technique was applied, whereby pedicled ALT fasciocutaneous island flaps were used to cover recurrent trochanteric pressure sores. The postoperative course was uneventful without any complications. The flap provided a sound aesthetic result without causing a dog-ear formation or damaging the lower-leg contour. This flap was used as an alternative to myocutaneous flaps, as it can cover a large trochanteric defect, recurrence is minimized, and the local musculature and lower-leg contour are preserved.

성상신경절차단요법에 대한 임상경험 (Clinical Experiences of Stellate Ganglion Block Therapy)

  • 천임순;김종일;반종석;민병우
    • The Korean Journal of Pain
    • /
    • 제6권2호
    • /
    • pp.204-207
    • /
    • 1993
  • 본 통증치료실에서는 알러지성비염, 과민성대장증후군, 고혈압, 불면증, 만성변비환자를 대상으로 하루에 1회씩 총 15회의 성상신경정차단요법을 시행하였는바 총 13명중 5명에서 우수, 6명에서 양호, 3명에서 무효하였다.

  • PDF

주상골의 견열 골절 (Avulsion Fracture of Navicular)

  • 이경태;양기원;김재영;황승근
    • 대한족부족관절학회지
    • /
    • 제7권2호
    • /
    • pp.232-237
    • /
    • 2003
  • The purpose of this article is to evaluate and analyze diagnosis and the clinical result of avulsion fracture of navicular. Eight patients operated from Jan. 1991 to June 2002 were evaluated retrospectively. Clinical tolerability, AOFAS score, patient's satisfaction were evaluated. Preoperative AOFAS score is $59.88{\pm}10.90$. Postoperative AOFAS score is $94.75{\pm}6.11$. All patient satisfied result of operation, and 5 patient return to training wihin 3 month. Navicula avulsion fracure is relatively rare. The small dorsal bone triangular fragment is best seen in lateral view radiographs and bone scan and/or computed tomography help corfirm diagnosis. Operative treatment is the method of choice because of shorter recovery time. Simple excision is enough to get a good clincal outcome.

  • PDF

전신마취하에 도수정복된 측두하악관절 장기탈구 (Manual Reduction of Temporomandibular Joint Long-standing Dislocation under General Anesthesia)

  • 손정석;오지현;최병호;유재하
    • 대한치과마취과학회지
    • /
    • 제13권3호
    • /
    • pp.121-126
    • /
    • 2013
  • Temporomandibular joint (TMJ) dislocation is an acute paintful condition that causes severe functional limitation. So, manual reduction is the treatment of choice and should be performed as early as possible. Long-term dislocation of the TMJ that has persisted for more than 1 month is comparatively rare. This may include severe illness, neurological diseases and prolonged intensive care hospitalization with oral intubation and sedation. A joint that remains prolonged dislocated undergoes morphological change which is also true for periarticular tissue, especially in ligaments and muscles. Treatment of long-term TMJ dislocation should be different from acute TMJ dislocation, as simple reduction is difficult to achieve and it's likely to redislocate. The prevention of redislocation after reduction should be considered. This is a case report of about manual reduction of temporomandibular joint long-standing dislocation under general anesthesia.

Successful Treatment of a Large Pulmonary Arteriovenous Malformation by Repeated Coil Embolization

  • Park, Jimyung;Kim, Hyung-Jun;Kim, Jee min;Park, Young Sik
    • Tuberculosis and Respiratory Diseases
    • /
    • 제78권4호
    • /
    • pp.408-411
    • /
    • 2015
  • Pulmonary arteriovenous malformations (AVMs) are caused by abnormal vascular communications between the pulmonary arteries and pulmonary veins, which lead to the blood bypassing the normal pulmonary capillary beds. Pulmonary AVMs result in right-to-left shunts, resulting in hypoxemia, cyanosis, and dyspnea. Clinical signs and symptoms vary depending on the size, number, and flow of the AVMs. Transcatheter embolization is the treatment of choice for pulmonary AVMs. However, this method can fail if the AVM is large or has multiple complex feeding arteries. Surgical resection is necessary in those kind of cases. Here, we report the case of a patient with a 6-cm pulmonary AVM with multiple feeding arteries that was successfully treated by repeated coil embolization without surgery.

부산대학교 어린이병원 건립사업 CM 수행사례 (A Case Study of Construction Management for Pusan National University Children's Hospital)

  • 양진국;이민현
    • 한국건설관리학회:학술대회논문집
    • /
    • 한국건설관리학회 2007년도 정기학술발표대회 논문집
    • /
    • pp.13-18
    • /
    • 2007
  • 보건복지부의 지원으로 건립하는 부산${\cdot}$경남 최초의 어린이전문병원 건립공사는 양산부산대학교병원과의 연계로 최고시설의 의료타운건립을 목표로 수행중이며 건설사업관리(CM)라는 체계적이고 과학적인 관리기법의 도입 및 적용을 통해 건설프로젝트의 비생산적이고 비효율적인 요소를 제거하여 생산성과 효율성을 향상시키고자 하는 것이다. 이에 본 연구에서는 어린이병원건립사업에 사업관리기법을 설계이전단계부터 턴키업체선정, 시공, 설계VE, PMIS구축, 유지관리단계의 사업 전(全)단계에 적용하여 발생한 효과와 분야별 기술자를 활용한 기본 및 실시설계VE를 통한 사업비 절감 및 공기단축 효과를 제시하고자 한다.

  • PDF