• Title/Summary/Keyword: Medical missions

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Resident Participation in International Surgical Missions is Predictive of Future Volunteerism in Practice

  • Tannan, Shruti Chudasama;Gampper, Thomas J.
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.159-163
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    • 2015
  • Background Interest in global health and international mission trips among medical student and resident trainees is growing rapidly. How these electives and international mission experiences affect future practice is still being elucidated. No study has identified if participation in international surgical missions during residency is a predictor of participation in international surgical missions in practice after training completion. Methods All trainees of our plastic surgery residency program from 1990 to 2011, during the implementation of optional annual international surgical missions, were surveyed to determine if the graduate had gone on a mission as a resident and as a plastic surgeon. Data were compared between graduates who participated in missions as residents and graduates who did not, from 1990 to 2011 and 1990 to 2007. Results Of Plastic Surgery graduates from 1990 to 2011 who participated in international missions as residents, 60% participated in missions when in practice, versus 5.9% of graduates participating in missions in practice but not residency (P<0.0001). When excluding last 5 years, graduates participating in international missions in practice after doing so as residents increases to 85.7%, versus 7.41% who participate in practice but not residency P<0.002. Conclusions Results reveal plastic surgeons who participate in international surgical missions as residents participate in international surgical missions in practice at higher rates than graduates who did not participate in missions during residency. International missions have significant intrinsic value both to trainee and international communities served, and this opportunity should be readily and easily accessible to all plastic surgery residents nationwide.

Successful use of Gasserian ganglion block for maxillo-mandibular fixation in a patient with severe pulmonary dysfunction-a case report

  • Vadhanan, Prasanna
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.5
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    • pp.331-335
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    • 2020
  • Various anesthetic techniques have been utilized for maxillo-mandibular fixation. We report the case of a patient with bilateral condylar and zygomatic arch fractures who had severe pulmonary dysfunction. The patient was administered bilateral image-guided Gasserian ganglion block through the foramen ovale to achieve surgical anesthesia. The technical details, advantages, and disadvantages of this rather unusual technique are discussed. The procedure could be a feasible technique when performed meticulously in cases where other approaches are deemed difficult.

Persistent idiopathic facial pain treated with botulinum toxin and pulsed radiofrequency of infraorbital nerve - a case report

  • Vadhanan, Prasanna
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.1
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    • pp.67-70
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    • 2022
  • Persistent idiopathic facial pain is a rare and difficult condition to treat. Several pharmacological, nonpharmacological, and invasive treatment options have been used, with varying results. We report the case of a patient with intractable persistent idiopathic facial pain who responded favorably to a combination of botulinum toxin injections and pulsed radiofrequency treatment of the infraorbital nerve.

Dolichoectasia of vertebrobasilar artery presenting as facial pain: a case report

  • Prasanna Vadhanan
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.4
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    • pp.237-240
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    • 2023
  • Dolichoectasia of the intracranial arteries is a rare condition characterized by elongated and tortuous arteries due to progressive destruction of the vessel walls. Although most patients present with cerebrovascular accidents, our patient presented with intractable facial pain along the distribution of the trigeminal nerve. Clinical examination revealed involvement of the 5th, 7th, and 8th cranial nerves, and subsequent MRI showed dolichoectasia of the left basilar artery. The patient experienced symptomatic relief after a trial of carbamazepine along with botulinum toxin injections.

A Study on Major Factors of Psychological Ownership in a General Hospital (병원간호사의 심리적 주인의식 영향요인)

  • Park, Ok-Sim;Ryu, Ji-Hye;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.39-50
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    • 2016
  • Objectives : The purpose of this study was to understand organizational justice, organizational citizenship behavior, and psychological ownerships, and to confirm whether education on the mission and vision of an organization encourages medical professionals to have an awareness of their organization. Methods : The survey was done with two groups of nurses : one group had education about the missions and visions of the hospital, and the other group had no education about their organization. This study was done at K University Hospital which is located in Busan, Korea. Results : Education about the missions and visions of a medical institution effectively enhances organizational justice, organizational citizenship behavior, and psychological ownerships. Conclusions : If education about the missions and visions of an organization is actively done, the members of that organization will have an increased level of awareness about their organization as well as improved organizational capability.

The Role of Oral and Maxillofacial Surgeon in Dispatched Troops Oversea: Cases Report (해외파병 구강악안면외과 전문의의 역할: 증례보고)

  • Han, Se Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.2
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    • pp.136-141
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    • 2013
  • After the Iraq war, the Korean government established an Iraq Peace and Reconstruction Division, 'Zaytun'. Zaytun division has been dispatched in northern Iraq, since August 3, 2004. As one of our missions, 'Zaytun Hospital' was built to support the demand for the insufficient medical facilities and supplies in Iraq, which was opened on November 27, 2004. Zaytun Hospital, equipped with modern operation room and general ward, has been composed of 12 clinical departments. Although we had many problems, such as difficulty of communication with Iraqis, connection with medical facilities of Iraq and risk of terrorism, we overcame these difficulties and were able to achieve our missions successfully. I wish that our special experience in Iraq are will be the guideline to other oral and maxillofacial surgeons, who want to help those individual in unfortunate areas such as Iraq.

A Study on Risk Factors by Analyzing Human Factors during Air Refueling Missions for Fighter Pilots (전투기 조종사의 공중급유 임무 시 인적요인 분석을 통한 위험요인 연구)

  • Koo, BonEan
    • Korean journal of aerospace and environmental medicine
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    • v.30 no.3
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    • pp.113-129
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    • 2020
  • With the operation of the KC-330 MRTT (Multi Role Tanker Transport), which had been fielded in 2019, the ROKAF (Republic of Korea Air Force) has given fighter pilots a new mission of air refueling. As a result, fighter pilots are more likely to be exposed to risks they have never faced before, and it is necessary to look at the risk factors associated with human factors in air refueling missions. Therefore, in this study, an analysis using the HFACS (Human Factors Analysis and Classification System) model was performed for fighter pilots with air refueling qualifications. This study tried to prevent hazard in advance by discriminating the risk factors according to the human factors related to the fighter pilot during the air refueling mission.

An Analysis of Patients distribution Rescued or Tansported by Fire Service Department Helicopter at the KangWonDo Region, KOREA (강원도 지역에서의 소방헬기에 의한 이송환자 분석)

  • Lee, Kyoung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.55-64
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    • 2002
  • This analysis is accomplished by using 331 rescue and medical evacuation cases performed by KangWonDo Fire Service Department Aviation(KFSA-119 Heicopters) between Jan. 1998 and Oct. 2002. By analysing injury causes, annual differences, sexual, scenic(locaional) distribution and wounded part distribution, this study tried to figure out the general tendency of the helicopter-transported patients in Korea. The results are as follows; 1. The whole population of the patients rescued and transported by helicopters is increasing by the annual rate of 150%~200%. 2. For the locational (scenic) distribution of the patients, 57% (190 cases) of the target population were injured on their mountain-climbing or tracking. 3. 12% (41 cases) of the target population were the Inter-Hospital transport cases. 4. 6% (16 cases) were the expired cases. 5. for the wounded part distribution, 46% (106 cases) were muscular skeletal injuries. 6. The aircraft and personnel of the KFSA were rescue-oriented, so for the EMS operations especially inter-hospital transport missions, different medical equipments and personnels are needed.

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Kanho Kyokwaseo (Textbook of Nursing), the First Published Korean Nursing Books (우리나라에서 최초로 출판된 간호학 서적 "간호교과셔" 연구)

  • YI, Ggodme
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.452-462
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    • 2017
  • Purpose: The purpose of this study is to extend the knowledge about two volumes of Kanho Kyokwaseo (Textbook of Nursing) published in 1908 and 1910. Methods: The books were investigated from the first to the last pages and compared with other textbooks published during the same period. Results: The origin of these books was from Hubinyaoshu (Manual of Nursing) published in China in 1904. They were translated by Edmunds, a missionary nurse from America, and Chang Chai-Sun, a teacher at the first nursing school in Korea, along with inspection by Korean teachers who were fluent in English. Kanho Kyokwaseo are user-friendly textbooks in that they are written mainly in Hangul; Chinese and English are added in cases of explicating western scientific terminology and medical terminology, with notes at the top, on the left, and on the right of the page. The contents emphasize reporting and submission to supervisors and doctors. Surgical nursing occupies the largest chapter. Disinfection and hygiene, the advantages of western modern medicine, are dealt with repeatedly and importantly. Conclusion: Kanho Kyokwaseo was widely used as the first and only nursing textbook published before Japanese occupation and as a publication having upgraded the level of textbooks.

A Medium Access Control Scheme for Reducing Energy Consumption through Avoiding Receipt of Redundant Messages in Wireless Sensor Networks (무선 센서 네트워크에서 중복 메세지 순신 회피를 통한 에너지 소비절감 매체 접근 제어)

  • Han, Jung-An;Lee, Moon-Ho
    • Journal of Information Technology Applications and Management
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    • v.12 no.4
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    • pp.13-24
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    • 2005
  • The sensor network is a key component of the ubiquitous computing system which is expected to be widely utilized in logistics control, environment/disaster control, medical/health-care services, digital home and other applications. Nodes in the sensor network are small-sized and exposed to adverse environments. They are demanded to perform their missions with very limited power supply only. Also the sensor network is composed of much more nodes than the wireless ad hoc networks are. In case that some nodes consume up their power capacity, the network topology should change, and rerouting/retransmission is necessitated. Communication protocols studied for conventional wireless networks or ad hoc networks are not suited for the sensor network resultantly. Schemes should be devised to control the efficient usage of node power in the sensor network. This paper proposes a medium access protocol to enhance the efficiency of energy consumption in the sensor network node. Its performance is analyzed by simulation.

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