• 제목/요약/키워드: Patient type

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Profile of Colorectal Polyps: a Retrospective Study from King Fahad Hospital, Madinah, Saudi Arabia

  • Albasri, Abdulkader;Yosef, Hala;Hussainy, Akbar;Bukhari, Saud;Alhujaily, Ahmed
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2669-2673
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    • 2014
  • Aim: To evaluate the predominant colorectal polyps in the Almadinah region of Saudi Arabia. Materials and Methods: In this iretrospective study, we analyzed pathology reports of colonoscopies performed in King Fahad Hospital, Madinah, Saudi Arabia during the period 2006 to 2013. Data based on patient age, gender, size, site and type of polyps and the degree of dysplasia were analyzed by software SPSS 17 and compared with other published studies from different geographic regions of the world. Results: During these years, 224 patients had colonic polyps, of whom 149 (66.5%) were men and 75 (33.5%) were women. The most common types of polyps were adenomatous (166), followed by hyperplastic polyps (24), juvenile (18), inflammatory (13), lipomatous (2) and one patient with Peutz-Jegher polyps. Tubulovillous adenoma was the commonest adenomatous polyp (102), followed by tubular (41) and villous (23) types. The sigmoid colon was the most commonly involved region (36.6%). Dysplasia was significantly associated with female patients who had large size tubulovillous polyps located in the left colon. Conclusions: The type and distribution of colorectal polyps in Saudi Arabia is very similar to Western countries. Patient gender, and size, histological type and location of polyps are closely related to dysplastic change in colonic polyps.

Combined Hepatocellular-Cholangiocarcinoma in Extrahepatic Bile Duct with Co-existing of Scirrhous Type of Hepatocellular Carcinoma

  • Sang Hoon Lee;Moon Jae Chung
    • Journal of Digestive Cancer Research
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    • 제2권1호
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    • pp.32-36
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    • 2014
  • We report a patient with combined hepatocellular-cholangiocarcinoma confined in the common hepatic duct and scirrhous type of hepatocellular carcinoma in the caudate lobe of liver simultaneously. The patient was a 55-yearsold Korean man with hepatitis B virus (HBV) carrier who was referred from a local hospital due to detected liver mass on abdominal computed tomography (CT). He has presented jaundice and weight loss for the previous 3 weeks. Laboratory examination showed AST/ALT elevation and hyperbilirubinemia. HBsAg was positive. The tumor marker study showed elevated AFP and DCP, not CEA and CA 19-9. Abdominal CT disclosed an about 2.1×0.9 cm sized soft tissue density in hilum with both intrahepatic duct (IHD) dilatations and an about 3×2.1 cm sized arterial enhancing lesion at segment 8 of the liver. Patient received 15 cycles of Gemcitabine/Cisplantin chemotherapy from February 27, 2013 to December 31, 2013. Caudate lobectomy of liver, segmental resection of bile duct and Roux-en-Y hepaticojejunostomy was performed on February 10, 2014. The final pathologic report showed double primary liver cancer, combined hepatocellular-cholangiocarcinoma in common hepatic bile duct and scirrhous type of hepatocellular carcinoma in segment 1 of the liver. This is a very unusual case in which combined hepatocellular-cholangiocarcinoma confined in the large bile duct and two rare hepatic cancers coexisted.

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선천성 낭포성 선양기종: 1례 보고 (Congenital Cystic Adenomatoid Malformation of The Lung - A Case Report -)

  • 김명인
    • Journal of Chest Surgery
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    • 제24권8호
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    • pp.819-823
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    • 1991
  • The congenital cystic adenomatoid malformation of the lung is a rare disease, and is one of the most common congenital lung diseases which require prompt surgical intervention. The prognosis depends on its tissue type, prompt diagnosis and surgical intervention. The lesion consists of enlarged, variable sized multiple cyst with overgrowth of terminal bronchioles, like hamartoma. This disease can be associated with other vascular anomalies or other congenital defect especially in type II lesion We recently experienced one case of congenital cystic adenomatoid malformation The patient was 2 months old infant who showed respiratory distress without associated anomaly. After right upper lobe lobectomy, the patient was recovered uneventfully.

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Dental Coordinator의 직업의식에 관한 주관성 연구 (A Research Relative to the Subjective View on the Occupational Consciousness of the Dental Coordinator)

  • 한경순
    • 한국치위생학회지
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    • 제2권1호
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    • pp.97-113
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    • 2002
  • This research is an attempt to establish a basic material in discovering the subjective types of the dental coordinators occupational consciousness, utilizing the Q-Method Theory, which is capable of measuring the subjective nature of human being by scientific and systematic method. The characteristics of each type were analyzed so as to have the dental coordinator to possess the desirable understanding of the occupational view together for them to have self-confidence as a lifetime specialty occupation. Upon completion of the study, it was found that there are three types of subjective views pertaining to the occupational consciousness on the dental coordinator. The result on the analysis of the characteristics is as follows : Type 1 is the Taking Serious View on the Patient Service, which priority is placed on kindness and looking after any difficulties of the patient, namely, it is the type that puts the importance on the high level medical examination and treatment based on good service. Because of the kind service to the patient, those under this category considered their job satisfaction have been improved. It goes without saying that they were developing the services, which satisfy themselves, and it was confirmed that they thought that they should make things smooth for any development of problems that may arise between the patient and the dentist. Type 2 is the Taking Serious View on Career and Organizational Strength. This is a type that aims on the systematic nature of the internal job, namely, organizational strength itself viewed from the stand point thai either self-confident or work merit is proportional to experience. This type is to actively treat the problem and endeavor to solve the issue when dissatisfaction is held by the dental hospital system, which is either followed according to the work responsibility or by an organization having an appropriate system on remuneration, Type 3 is the Placing of Importance on the Overall Circumstances. This is the type that places importance on the overall now of the dental hospital, and it is the type, that most greatly recognizes the importance of the role of the dental coordinator. The dental coordinator should provide the sense of reliability to both the dentist and to the staff of the medical examination and treatment and should be able to adjust smoothly the overall now of the medical treatment. The dental coordinator is expected to be a medical service specialist, who is capable to solve the problems of the staff of the medical treatment intuitively and to adjust the relation between the employees. With the above result, it was found that although there was no mutual exclusiveness between the respective types, there are particular characteristics among each type. Therefore, this research has discovered and analyzed the subjective view types relative to the occupational consciousness of the dental coordinator for the proper understanding on the characteristics of each type to enable the dental sanitary students and the graduates of the Dental Sanitary Department, who are aspiring to become dental coordinator, as the basic guide material to be actively utilized.

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($Xive^{(R)}$)임플란트 식립시 환자 유형 및 식립부 분포와 생존율에 대한 후향적 연구 (A Retrospective study of the type of patients, the distribution of implant and the survival rate of $Xive^{(R)}$ implant)

  • 명우천;이중석;채경준;정의원;김창성;조규성;채중규;김종관;최성호
    • Journal of Periodontal and Implant Science
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    • 제37권3호
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    • pp.523-534
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    • 2007
  • This study is an analysis of types of patients and distribution of implant site and survival rate of $Xive^{(R)}$ implant. The following results on patient type, implant distribution and survival rate were compiled from 324 implant cases of 140 patients treated at the periodontal dept. of Yonsei University Hospital and G dental clinic between February 2003 and April 2006. 1. There are no dissimilarities between men and women, with patients in their 30, 40, 50s accounting for 80% of patients and accounted for 82% of implant treatments; the largest share of patients and implant treatments. 2. Mn, posterior area. accounted for 57% of implant treatments followed by Mx. posterior area(29%), Mx, anterior area(8%) and Mn, anterior area(6%). 3. Partial edentulous patients treated by single crown and bridge-type prosthesis accounted for 96% and fully edentulous patient accounted for the remaining 4%. 4. The major cause of tooth loss is periodontal disease, followed by dental canes, trauma and congenital missing. 5, The distribution of bone quality for maxillae was 54,2% for type III, followed by 30.8% for type II, 15% for type IV and 0% for type I. As for mandible, the distribution was 63% for type II, followed by 34% for type III, 2,5% for type I and 0,5% for type IV. 6. The distribution of bone quantity for maxillae was 55% for type C, followed by 35% for type B, 8% for type D and 2% for type A. As for mandible, the distribution was 60% for type B, followed by 32% for type C, 7% for type A and 0% for type D. 7. The majority of implants were those of 9.5-13 mm in length(95%) and regular diameter in width(82%). 8. The total survival rate was 98%. The survival rate was 97% in the maxillae region and 99% in the mandible region. 9. The survival rate in type I was 83%, in type II was 99%, in type III was 97% and in type IV was 100%. As for the bone quantity, the survival rate in type A and D(100%) was most, followed by type B(99%) and type C(96%). The results showed that $Xive^{(R)}$ implant could be used satisfactorily compare for the other implant system. But we most to approach carefully in certain extreme condition especially with poor bone quality and quantity.

부종을 주소로 하는 소양인 A형 간염 환자 치험 1례 (A Case-Report of a Soyang Person Patient Diagnosed as Hepatitis type A with Edema)

  • 김원영;임은철;오서혜;전성현;김동영;이우주
    • 사상체질의학회지
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    • 제34권2호
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    • pp.65-74
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    • 2022
  • Objective In this study, we report significant improvement of edema patient who was diagnosed with Soyang person chest bind syndrome/pattern based on Sasang Constitutional Medicine. Methods The patient was identified as Soyang person chest bind syndrome/pattern and treated with Hyeongbangjihwang-tang-ga-moktong and Euphorbiae Kansui. Radix(Gam-sui). To evaluate the results of this treatment, the patient assessed edema by using the Numeral Rating Scale(NRS). Result and Conclusion After treatment with Hyeongbangjihwang-tang-ga-moktong and Euphorbiae Kansui. Radix(Gam-sui), patient's symptms were improved. This study shows that Sasang Constituitional medicine can be effective treatment for edema.

구조화된 환자교육이 만성 B형 간염환자의 B형 간염에 관한 지식과 자가간호 수행에 미치는 효과 (Effect of the Structured Education for Knowledge of Hepatitis B Type and Self Care Behavior in Chronic Hepatitis B Patients)

  • 엄순자
    • 기본간호학회지
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    • 제5권1호
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    • pp.65-79
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    • 1998
  • The purpose of this study was to identify the effect of structured patient education on knowledge of Hepatitis B type and behavior about self care in chronic hepatitis B patients, and to fine the strategy to promote their self care behavior. The research design was quasi-experiment research. The study method had been done by investigating the experimental group and control group through the questionnaire on 50 patients who had been out patient medicine department in U university hospital in Ulsan from september 1st 1997 to the end of October, 1997. The analysis of the collected material had been done for the homogeneity test in which general characterics of experimental group and control group had been tested by $x^2-test$ and the homogeneity test of the knowledge of hepatitis B type and self care behavior before by t-test. To test the hypothesis the t-test had been given for the difference of the knowledge of hepatitis B type and self care behavior between the two groups and the correlation between knowledge of hepatitis B type and self care behavior performance had been tested by Pearson's correlation coefficient. The results as follows : 1. The 1st hypothesis 'The experimental group which received the structured education should be higher in the knowledge of hepatitis B type than the control group' was supported(t=-6.25, P=.000). 2. The 2nd hypothesis 'The experimental group which received the structured education whould be higher in the self care behavior performance than the control group' was supported(t=-5.15, P=.000). 3. The 3rd hypothesis 'The higher the knowledge of hepatitis B type in the patient the higher the self care behavior performance degree' was supported(r=.492, P=.001). In conclusion, the patients who received the structured education showed the increase in the degree of knowledge of hepatitis B type and self care behavior performance. so the structured education had been judged the nursing intervention had been prerequisite in increasing knowledge of hepatitis B type and self care behavior performance of the chronic hepatitis B patients.

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뇌경색 발병 후 오식증(惡食症)을 보인 태음인(太陰人) 환자 1례 (A Case Study of Taeeumin Patient Who Experienced Refusing Food Intake after Stroke)

  • 김민지;배효상;박성식
    • 사상체질의학회지
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    • 제25권1호
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    • pp.71-79
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    • 2013
  • Objectives The purpose of this case thesis paper is to report the improvement of symptoms for a 58-year-old male patient who experienced refusing food intake 1 month after onset of stroke by treating the patient with Chungpyesagan-tang. Methods We have determined the patient to have the Taeeumin type physique with Dry Heat Syndrome and provided Chungpyesagan-tang to alleviate the patient's symptoms. The level of improvement was measured based on changes of food intake amount. Results The patient was hospitalized to receive treatment for roughly 2 weeks. The symptom of refusing food intake as well as other symptoms that simultaneously appeared including insomnia, headache, dizziness, and general weakness have improved. Conclusions In this case, the symptom of refusing food intake appeared one month after experiencing stroke, and the patient refused not only meals, but the intake of all other forms of food including water and medicine. The cause of such symptoms were deemed to be emotional rather than the types of food which generally provide the causes for Oh Shik Jeung. As the patient was deemed to have the Taeeumin type physique with Dry Heat Syndrome. Chungpyesagan-tang was provided for treatment. Acupuncture and oriental cupping therapy were also provided concurrently, and the main symptom and other accompanying conditions have largely improved after 2 weeks of hospitalized treatment.

환자 및 건강인 유래 Staphylococcus aureus의 특성과 Enterotoxin 산생성 (Characterization and Enterotoxigenicity of Staphylococcus aureus Isolated form Patient and Healthy Human)

  • 최홍근;손원근;강호조
    • 한국식품위생안전성학회지
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    • 제6권2호
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    • pp.89-93
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    • 1991
  • 사람에서 분리되는 Staphylococcus aureus 의 병원성과의 관계를 검토할 목적으로 건강인과 환자의 손에서 Staphylococcus aureus를 분리하여 병원성과 관련된 몇가지 특성과 enterotexin 산생성을 조사한 바 다음과 같은 결론을 얻었다. 1. Staphylococcus aureus의 분리빈도는 건강인에서 17.7% 환자에서 14.0%로 나타났다. 2. 공시한 61주는 면양혈액비지상에서 β용혈성이 67.2% α용혈성이 32.8%로서 분리균 모두가 용혈성을 나타내었고 mannitol 분해 , lecithinase, TNase 및 DNase 시험에서 공시한 전 균주가 양성반응을 보였다. 3. Ushioda 등의 방법에 의하여 coagulase type을 분류한 바 공시한 46주 가운데 91.3%가 형별되었고, 이들 중 type VII(38.4%)과 III(26.0%)가 비교적 높은 분포를 나타내었다. 유래별로 보면 건강인 유래주는 22주 중 type VII(12주)이 가장 많았고, 화자 유래주는 24주 중 type III(9주) 및 II(6주)가 높은 분포를 보였다. 4. Enterotoxin 산생율은 46균주 중 52.2%였고 분리된 enterotoxin type은 C(50.0%), B(37.5%) 및 A (12.5%) 였다. 유래별로 보면 건강인 유래주는 type C와 B로 환자 유래주는 type B,A 및 C로 분류되었다. 5. Coagulase type에 따른 enterotoxin 산생율은 type II, III 및 VII 의 순으로 각각 100%, 75%, 및 39.1% 였다. 이들 가운데 coagulase type II는 enterotoxin type B 및 C를 type VII은 type C를 산생하는 균이었고, 대체적으로 건강인 유래주는 enterotoxin type C를 환자유래균은 type B를 생성하는 균이 많은 것으로 인정되었다.

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Spontaneous Carotid-Cavernous Fistula in the Type IV Ehlers-Danlos Syndrome

  • Kim, Jeong Gyun;Cho, Won-Sang;Kang, Hyun-Seung;Kim, Jeong Eun
    • Journal of Korean Neurosurgical Society
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    • 제55권2호
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    • pp.92-95
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    • 2014
  • Ehlers-Danlos syndrome (EDS) is a rare inherited connective disease. Among several subgroups, type IV EDS is frequently associated with spontaneous catastrophic bleeding from a vascular fragility. We report on a case of carotid-cavernous fistula (CCF) in a patient with type IV EDS. A 46-year-old female presented with an ophthalmoplegia and chemosis in the right eye. Subsequently, seizure and cerebral infarction with micro-bleeds occurred. CCF was completely occluded with transvenous coil embolization without complications. Thereafter, the patient was completely recovered. Transvenous coil embolization can be a good treatment of choice for spontaneous CCF with type IV EDS. However, every caution should be kept during invasive procedure.