• Title/Summary/Keyword: Hospitalized medical patient

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A Study on the Characteristics of the Patient Group in a Convalescent Hospital Inpatients: Based on the Medical Record Information (일개 요양병원 입원환자의 환자분류군 특성에 관한 연구 : 의무기록 정보를 바탕으로)

  • Lim, Bo-Ra;Ahn, Sang-Yoon;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.324-334
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    • 2019
  • This study investigates the characteristics of patients hospitalized at a convalescent hospital, by considering patient groups based on their medical record information. It further analyzes and correlates the factors, thus providing basic data required to improve the patient classification system at convalescent hospitals. The data includes total information of 213 medical records of patients discharged from a convalescent hospital in the Jeonbuk region during a period of one year, from January to December 2016. The study examines and correlates the days of hospitalization and the number of diseases, revealing a positive correlation having a correlation coefficient, thereby indicating that infliction with a greater number of diseases results in longer hospitalization. Based on these findings, the study raises the need to revise and supplement items on the patient assessment report to help determine the patient groups and identify medical efforts to be actually provided to patients. In addition, a proper care service system for each patient group based on their respective problems that are intensively managed according to the patient groups will be an essential element in the efficient management of convalescent hospitals. Furthermore, an important task addressed will be in managing the health of the elderly population at the national level.

A Case of Ramsay-Hunt Syndrome Showing Continual Improvement after 3 Months of Onset (발병 3개월 이후에도 지속적으로 호전을 보인 람세이헌트 증후군 1례)

  • Yoon-Young Choi;Jung-Ah Byun;Jong-Chan Baek;Seo-Hee Kim;Hyun-A Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.3
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    • pp.127-139
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    • 2023
  • Objectives : The purpose of this study is to report a case of Ramsay-Hunt Syndrome showing continual improvement after 3 months of onset. Methods : This study was conducted with Ramsay-Hunt Syndrome patient who hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean medical hospital. The patient was treated with Korean medical treatment including Ligigeopoong-san Gagam, acupuncture, pharmacopuncture (Hwangryunhaedok-tang) and the other physics therapy. After treatment, we evaluated subjective symptoms, Yanagihara scale and H-B Grade. Results : As a result, the patient continued to improve even after 3 months after the onset, and showed complete recovery and significant improvement in subjective symptoms after treatment. Conclusions : It is considered that Korean medical treatment can be applied to the treatment of Ramsay-Hunt Syndrome.

Intradural Migration of a Sequestrated Lumbar Disc Fragment Masquerading as a Spinal Intradural Tumor

  • Kim, Hyeong-Suk;Eun, Jong-Pil;Park, Jung-Soo
    • Journal of Korean Neurosurgical Society
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    • v.52 no.2
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    • pp.156-158
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    • 2012
  • Intervertebral intradural lumbar disc herniation (ILDH) is a quite rare pathology, and isolated intradural lumbar disc herniation is even more rare. Magnetic resonance imaging (MRI) may not be able to reveal ILDHs, especially if MRI findings show an intact lumbar disc annulus and posterior longitudinal ligament. Here, we present an exceedingly rare case of an isolated IDLH that we initially misidentified as a spinal intradural tumor, in a 54-year-old man hospitalized with a 2-month history of back pain and right sciatica. Neurologic examination revealed a positive straight leg raise test on the right side, but he presented no other sensory, motor, or sphincter disturbances. A gadolinium-enhanced MRI revealed what we believed to be an intradural extramedullary tumor compressing the cauda equina leftward in the thecal sac, at the L2 vertebral level. The patient underwent total L2 laminectomy, and we extirpated the intradural mass under microscopic guidance. Histologic examination of the mass revealed a degenerated nucleus pulposus.

Risk Factors of Delirium Among the Patients at a Surgical Intensive Care Unit (일 종합병원 외과계 중환자실 환자의 섬망 발생 요인)

  • Chun, You Kyoung;Park, Jeong Yun
    • Journal of Korean Critical Care Nursing
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    • v.10 no.3
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    • pp.31-40
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    • 2017
  • Purpose : This study examined the prevalence of delirium-related factors in a surgical intensive care unit (SICU). Methods : This retrospective study enrolled 73 patients who were admitted to an SICU from October 1, 2016 to March 20, 2017 and who had been hospitalized for more than 72 hours. Data was collected by reviewing electronic medical records. Results : Delirium occurred in 46 (63.0%) patients. Its related factors were age, education, mechanical ventilator, sleep, narcotics, physical restraint, and central line catheters. Conclusion : The results indicate that sleep and physical restraint are significant factors related to delirium occurrence. The results of this study can help in developing guidelines for the prevention of delirium.

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The Reliability Analysis of the Gross Motor Function Measure in Children with Cerebral Palsy (뇌성마비 아동에 대한 대운동 기능검사의 신뢰도 분석)

  • Lim, Sun-Kyu;Lee, Hae-Deok
    • Journal of Korean Physical Therapy Science
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    • v.4 no.1
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    • pp.265-289
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    • 1997
  • The purpose of this studied was to examine the reliability analysis of the GMFM in children with C.P. The subject of this study were 40 C. P patient who had been hospitalized Department of Sam-Yook Rehabilitation Hospital. Subjects were 28 boys and girls, aged 6 to 8 years. Reliability of each dimension of the GMFM were analyzed using Cronbach coefficients and to examine the intra-rater reliability were using Pearson correlation coefficients. The result of reliability analysis of the GMFM revealed higher reliability values. The reliability of the total dimension score was 95. Test-retest revealed intra-rater correlation coefficients from .71 to .98. The study presents that GMFM is useful in assessment of function of children with C. P by the quantitative description of the function.

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A Clinical Pilot Study Comparing Sweet Bee Venom parallel treatment with only Acupuncture Treatment in patient diagnosed with lumbar spine sprain (요추부 염좌로 진단받은 환자에 대한 Sweet Bee Venom 병행 치료와 단독 침 치료의 효과 비교)

  • Shin, Yong-Jeen
    • Journal of Pharmacopuncture
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    • v.14 no.2
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    • pp.37-43
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    • 2011
  • Objectives : This study was carried out to compare the Sweet Bee Venom (referred to as Sweet BV hereafter) acupuncture parallel treatment to treatment with acupuncture only for the patient diagnosed with lumbar spine sprain and find a better treatment. Methods : The subjects were patients diagnosed with lumbar spine sprain and hospitalized at Suncheon oriental medical hospital, which was randomly divided into sweet BV parallel treatment group and acupuncture-only group, and other treatment conditions were maintained the same. Then, VAS (Visual Analogue Scale) was used to compare the difference in the treatment period between the two groups from VAS 10 to VAS 0, from VAS 10 to VAS 5, and from VAS 5 to VAS 0. Result & Conclusion : Sweet BV parallel treatment group and acupuncture-only treatment group were compared regarding the respective treatment period, and as the result, the treatment period from VAS 10 to VAS 5 was significantly reduced in sweet BV parallel treatment group compared to the acupuncture-only treatment group, but the treatment period from VAS 5 to VAS 0 did not show a significant difference. Therefore, it can be said that sweet BV parallel treatment is effective in shortening the treatment period and controlling early pain compared to acupuncture-only treatment.

The Perceived Social Support of the Family with Pneumoconiosis Patient (진폐가족의 사회적지지 특성)

  • Park, Young-Mi;Yi, Sung-Eun
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.220-230
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    • 2004
  • Purpose: The study has planned to find out the perceived social support of the families with pneumoconiosis patients. Method: The subjects of the study were the 300 family care givers of the pneumoconiosis patients who were hospitalized in Taeback, Donghae and Jeongsun Occupational Medical Center. The Social Support Survey Instrument developed by Park(1985) was adopted. Results: The Direct Perceived Supports showed statistically differences by the age(F=1.70 p=0.01) and the state of the disease(F=3.09 p=0.027) of the patients. The Health Situation Centered Support was different by the marietal situation(F=2.29 p=0.48) of the pneumoconiosis patients. The Indirect Perceived Supports were statistically different by sex(t=3.76 p=0.043) and relation with the patient (F=2.49 p=0.048), group joining(t=3.79 p=0.042) of the family care givers. The DPSs were statistically different by family income(F=2.25 p=0.025), family authority(F=2.81 p=0.031) and health insurance status(F=2.13 p=0.026). Recommendation: It is recommended to develop an active social support program at the pneumoconiosis care centers for the middle aged female family care givers of the pneumoconiosis patients with the support of Ministry of Labor, Ministry of Health and Welfare and other NGOs of pneumoconiosis.

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A Case Report of Threatened Abortion And Placenta Previa Treated Twice With Korean Medical Hospitalization (임신 중 절박유산과 전치태반으로 두 차례 한방 입원치료를 받은 임산부 환자 증례보고)

  • Cho, Si-Yoon;Park, Eun-Ji;Yoo, Jeong-Eun
    • The Journal of Korean Medicine
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    • v.41 no.3
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    • pp.180-190
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    • 2020
  • Objectives: The purpose of this study was to report the treatment progress of a pregnant women who were treated with Korean medical hospitalization due to threatened abortion in first trimester and plecenta previa in second trimester during pregnancy. Methods: A 36-year-old pregnant woman was hospitalized twice at 9 and 19 weeks of pregnancy due to threatened abortion in first trimester and plecenta previa in second trimester. The patient was prescribed Korean Medicine(Gamidanggui-san, Gamibosaeng-tang) and treated with acupuncture, moxa. Global Assessment(G/A) of bleeding volume and frequency, Numerical Rating Scale(NRS) of abdominal pain, Visual Analogue Scale(VAS) of symptoms was assessed during hospitalization days. Results: Amounts of bleeding, abdominal pain decreased, and other symptoms improved during hospitalization days. The patient maintained her pregnancy until 31st gestational week and gave a birth by Cesarean section. After giving birth, mother and infant are both in good health. Conclusions: This study suggests Korean medicine treatment has effectively reduced uterine bleeding and helped maintain pregnancy.

Anxiety, Depression Levels and Quality of Life in Patients with Gastrointestinal Cancer in Turkey

  • Bektas, Didem Kat;Demir, Sati
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.723-731
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    • 2016
  • Background: Cancer is a major public health problem in many parts of the world. Gastrointestinal (GI) cancers are responsible for 20% of all cancer-related deaths. In Turkey, stomach cancers account for 8.9%, colon cancer for 6.9%, and pancreatic cancer for 5.9%. This study examined the anxiety-depression levels and the quality of life of patients with GI cancer. Materials and Methods: This descriptive study was carried out on 335 adult patients who had gastrointestinal cancer and who were hospitalized in medical oncology clinics. Data were collected by using hospital anxiety and depression scale, EORTC QLQ C-30 and a patient information form. Results: Patients who were male and secondary school graduates/graduates/postgraduates experienced more functional difficulties. Patients with poor economic status experienced more symptoms. Patient general wellbeing decreased with increase disease duration. The level of functional difficulties decreased with an increasing number of hospital stays. Anxiety scores increased with decreasing age. Both anxiety and depression scores increased with increasing disease duration. Patients who were female, single/widowed/divorced, and literate/elementary school graduates had higher anxiety and depression scores. Life quality decreased with increasing anxiety and depression. Conclusions: Patients should be supported to prevent anxiety and depression, and should be followed up with this in mind.

A Case of Hepatotoxicity by Salvia Plebeia R. Br.

  • Son, Chang-gue
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1219-1224
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    • 2019
  • Objective: To investigate the possibility of hepatotoxicity by supplemental foods or folk herbs such as Salvia Plebeia R. Br. Methods: A hospitalized male patient with alcoholic liver disease and electrolyte imbalance had recovered, and then followed by rapid hepatic serum enzymes after taking S. Plebeia. This study monitored the clinical outcome and biochemical parameters. Result: A 58-year male had drunk frequently, which led to alcoholic steatohepatitis and hospitalization. Two weeks after his discharge from hospital, he felt nausea, dizziness, and mild difficulties in speech and walking, resulting in re-hospitalization at the Korean Medical Hospital. The symptoms disappeared on correction of the electrolyte imbalance suspected to have been caused by severe sweating while working in the outdoors, and the patient was discharged. During treatment and monitoring of his health as an outpatient, the serum hepatic enzyme rapidly elevated approximately 10-fold in hepatic enzymes; the enzyme levels fluctuated according to whether or not he was taking the boiled water of S. Plebeia. The RUCAM score was 12, which met the criteria for toxic hepatitis by S. Plebeia. His general condition and abnormal hepatic enzymes recovered with cessation of S. Plebeia and administration of Chungganplus syrup (CGX). Conclusion: This study reports the hepatotoxic risk of Salvia Plebeia, which is commonly used as a folk remedy in Korea.