• 제목/요약/키워드: Patient days

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조위승청탕(調胃升淸湯)으로 호전된 올리브교소뇌위축증 환자 1례 (A Case Study of a Taeeumin Patient with Olivopontocerebellar Atrophy Improved with Jowisengcheong-tang)

  • 이미숙;배나영
    • 사상체질의학회지
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    • 제25권3호
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    • pp.243-253
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    • 2013
  • Objectives The aim of this study was to examine significant improvement of dizziness, gait disturbance, insomnia and xerostomia after treatment with Jowisengcheong-tang in a Taeeumin patient with olivopontocerebellar atrophy (OPCA). Methods The patient's subjective and objective symptoms were observed daily throughout the hospitalization period using global assessment (G/A), and the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results The symptoms of dizziness and xerostomia decreased from G/A 100 to G/A 10~30 for five days, and the UMSARS score decreased in Part I,II. Conclusions This case showed that Sasang constitutional medicine treatment can be effective treatment method for OPCA. We consider that consistent treatment can contribute to improve the patient's quality of life.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 소음병(少陰病) 오수유탕(吳茱萸湯)을 투여한 후 호전된 구진성·결절성 여드름 증례 1례 (A Case Report of a papule and nodule acne patient Treated with Osuyu-tang Based on Shanghanlun Provisions)

  • 최재영;이숭인;이성준
    • 대한상한금궤의학회지
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    • 제12권1호
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    • pp.137-147
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    • 2020
  • Objective: In this study, we aimed to inform people that acne can be improved with Osuyu-tang (OSYT) based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: We evaluated the progress of symptoms, patient compliance, and presence of side effects after the patient took OSYT. The progress of acne treatment was evaluated using the Korean Acne Grading System (KAGS), visual findings, and patient statements. Results: According to the DPIDS, the patient was diagnosed with provision 309 of soyinbing. After administration of OSYTfor 50 days, KAGS decreased from grade 3 to grade 1. Cold hands and feet improved significantly. Conclusions: Through this case study, we showed the possibility of the clinical interpretation and application of OSYT and suggested further case studies in the future.

고관절 원형인대 파열 환자에 대한 한의학적 치료: 증례보고 (A Clinical Case of the Korean Medical Treatment for the Patient with Ligamentum Teres Tear of the Hip)

  • 이동현;오민석
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.155-162
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    • 2022
  • The purpose of this clinical case is to evaluate the efficacy of the Korean medical treatment on a ligamentum teres tear of the hip. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine was diagnosed with a ligamentum teres tear of the hip by hip magnetic resonance imaging. We treated the patient using the Korean medical treatments, including acupunture, pharmacopuncture, herbal medication, and cupping. We measured the numerical rating scale (NRS), passive range of motion (PROM) and the changes of symptoms. After 13 days, NRS decreased from 8 to 1 respectively, PROM of hip joint has recovered, and the symptoms of the patient improved. In conclusion, this study shows that Korean medical treatment might be effective in treating the patient with a ligamentum teres tear of the hip.

청심연자탕으로 호전된 태음인 전정신경염 환자 치험 1례 (A Case Report of Taeumin Patient with Vestibular Neuronitis Treated with Cheongsimyeonja-tang)

  • 이수빈;김성태
    • 사상체질의학회지
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    • 제34권4호
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    • pp.89-102
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    • 2022
  • Objectives This study was aimed to report significant improvement of vestibular neuronitis treated with Cheongsimyeonja-tang. Methods The patient was treated with Sasang herbal medicine for vestibular neuronitis. Also acupuncture and pharmacopuncture were used to treat neck and shoulder pain. Numeral rating scale(NRS), Romberg test, Spontaneous nystagmus, Induced nystagmus and Head thrust test were used to observe changes of dizziness in vestibular neuronitis. Results and Conclusions After 41days of treatment, the patient showed improvement in NRS. Also, the patient's symptoms of nausea, dyspepsia, sleep disturbance were improved. This study shows that Cheongsimyeonja-tang might be effective in Taeumin patient's vestibular neuronitis.

하지 피부색의 변화를 동반한 골절 후 발생 복합부위 통증 증후군(CRPS) 치험 1례 (A Case Report of a Patient with Complex Regional Pain Syndrome accompanied with Changes in the Color of the Lower Limbs after a Fracture)

  • 김경준
    • 한방안이비인후피부과학회지
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    • 제37권2호
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    • pp.113-122
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    • 2024
  • Objectives : To report the R/O CRPS patient after Korean medicine treatment, suffering severe buring pain and insomnia. Methods : The patient was a 56-year-old female patient and treated with herbal medicines and acupuncture in 32 days. The treatment effect was evaluated by measuring VNRS of pain, sleeping time and change in mood status. Results : The Korean Medical therapy had good effect on the patient. Especially, relaxing mental treatment is effective in improving and maintaining symptoms. Conclusions : The Korean medical treatments appeared to be effective in reducing R/O CRPS symptoms. Further clinical research of patients with CRPS is needed.

일개 외상외과에서의 중증외상환자 1년 치료 경험 분석 (Experience with the Treatment of Patients with Major Trauma at the Department of Trauma Surgery in One Regional Emergency Medical Center for One Year)

  • 김태연;정경원;권준식;김지영;백숙자;송서영;강찬숙;이국종
    • Journal of Trauma and Injury
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    • 제24권1호
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    • pp.37-44
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    • 2011
  • Purpose: Recently, social interest in an organized trauma system for the treatment of patients has been increasing in government and academia and the establishment of trauma center is being considered across the country. However, establishing such a system has not been easy in Korea, because enormous experiences and resources are necessary. The objectives of this study were (1) to estimate a trauma patient's demands during the course of treatment and (2) to provide appropriate direction for trauma centers to be established in Korea. Methods: The records of 207 patients who were admitted to the Department of Trauma Surgery in Ajou University Medical Center due to trauma were retrospectively reviewed for a 1 year period from March 2010 to February 2011. Patients were reviewed for general characteristics, number of hospital days, numbers and kinds of surgeries, numbers and kinds of consultations, ISS (Injury Severity Score) and number of patients with ISS more than 15. Results: All 207 patients were enrolled. The average number of hospital days was 36.7 days. The ICU stay was 15.9 days, and the general ward stay was 20.8 days. Admitted patients occupied 9.02 beds in ICU and 11.80 beds in the general ward per day. The average number of surgeries per patient was 1.4, and surgery at the Department of Trauma Surgery was most common. Number of consultations per patient was 14.23, and consultations with orthopedic surgeons were most common. The average ISS was 18.6. The number of patients with ISS more than 15 was 141 (61.8%) and the average number of patients treated per trauma surgeon as a major trauma patient was 94.3. The number of mortalities was 20, and the mortality rate was 9.7%. Conclusion: To reduce mortality and to provide proper treatment of patients with major trauma, hospitals need some number of beds, especially in the ICU, to treat patients and to prepare them for emergent surgery. An appropriate number of trauma surgeons and various specialists for consultation are also needed.

제왕절개술 환자를 위한 Critical Pathway 개발 (Development of the Critical Pathway for Cesarean Section Patient)

  • 정경희;장금성
    • 한국간호교육학회지
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    • 제4권1호
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    • pp.66-80
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    • 1998
  • With the opening of healthcare market, the health care environment in Korea is anticipating a drastic change. In this Internationally open market environment, it is necessary to introduce a systematic health care plan and DRG system which offer qualitative medical services as well as reduced cost. Purpose of this study is to develop and test the critical pathway for Cesarean section patient in the way to be possible the integrated inpatient management. It was adopted the process of six phases to develop the critical pathway as the theoretical framework implemented by Johns Hopkins Hospital, Maryland, U.S.A. In the first phase, make a selection of diagnosis/procedures to develop. In the second phase, organize a development team consisted of eight expertises working in maternity nursing area. In the third phase, analyze the overall medical service offered to patient through review medical records and decided the service content and the implementation period for the Cesarean section patient. In the forth phase, make out a preliminary critical pathway after verification of expert group on content validity. In the fifth phase, validity operate to ten Cesarean section patients to test implementation in practice by using the preliminary critical pathway, In the sixth phase, defined the final critical pathway. The result of this study was as follows. 1. There were classified 8 categories as monitoring/assesment, treatment, medication, activity, diet, test, consult, education/discharge plan for vertical axis and showed hospital stayed from admission to discharge for horizontal axis of critical pathway through analysis 68 Cesarean section patients medical records. 2. After critical review 68 medical records to make out a preliminary critical pathway, hospital stays for horizontal axis were showed 6 days, mean hospital stays were 7.5 days, 2.1 days were to be taken operation after admission and 4.2 days were stayed until discharge after operation. 3. After making out a questionare in 90 items of a medical service content of eight categories and verifying the content validity of expertises, the 85 items of the preliminary critical pathway were selected by expertises agreement over 88% and modified or deleted 5 items showing agreement below 75%. 4. After verifying a validity to 10 patients for 4 weeks, hospital stays were 5.9 days. There were deleted 1 item and modified or supplemented the 9 items of the 10 items.

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Identifying Unusual Days

  • Kim, Min-Kyong;Kotz, David
    • Journal of Computing Science and Engineering
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    • 제5권1호
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    • pp.71-84
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    • 2011
  • Pervasive applications such as digital memories or patient monitors collect a vast amount of data. One key challenge in these systems is how to extract interesting or unusual information. Because users cannot anticipate their future interests in the data when the data is stored, it is hard to provide appropriate indexes. As location-tracking technologies, such as global positioning system, have become ubiquitous, digital cameras or other pervasive systems record location information along with the data. In this paper, we present an automatic approach to identify unusual data using location information. Given the location information, our system identifies unusual days, that is, days with unusual mobility patterns. We evaluated our detection system using a real wireless trace, collected at wireless access points, and demonstrated its capabilities. Using our system, we were able to identify days when mobility patterns changed and differentiate days when a user followed a regular pattern from the rest. We also discovered general mobility characteristics. For example, most users had one or more repeating mobility patterns, and repeating mobility patterns did not depend on certain days of the week, except that weekends were different from weekdays.

CVA 환자의 UTI에 대한 임상적 관찰 (Clinical Study about the CVA Patients with Urinary Tract Infection)

  • 허태율;변미권;김재규;김진영;심재원;감철우;박동일
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1641-1645
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    • 2007
  • This study was designed to investigate about the efficiency of herb treatment at the patients with urinary tract infection. The Patient group was consisted of 33 CVA patients who were diagnosed as abnormal on urinalysis at the Oriental Medical hospital of Dong-eui University from July in 2006 to April in 2007. And we divided the patient group to 3 of small groups(Bojungikitang, Kumokpaljungsan, and the others herb). Then we treated the patients with each herbs and checked urinary nitrate, leukocyte, bacteria, WBC after 3 days, 7 days. The results are as follows: Each herbs improved the results of urinalysis inspection. The efficiency of each herbs about UTI begins to be indicated after 3days. Each herbs applied to UTI is more effective after 7 days than after 3 days. As the results, the herb treatments improve effectively the result of urinalysis inspection when precsribing to UTI patients more 7 days.

입원환자의 낙상 실태 및 위험요인 조사연구 (Incidence of Falls and Risk Factors of Falls in Inpatients)

  • 윤수진;이천균;진인선;강중구
    • 한국의료질향상학회지
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    • 제24권2호
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    • pp.2-14
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    • 2018
  • Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.