• Title/Summary/Keyword: Patient well-being

Search Result 303, Processing Time 0.03 seconds

General anesthesia in the management of early childhood caries: an overview

  • Oubenyahya, Hanan;Bouhabba, Najib
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.19 no.6
    • /
    • pp.313-322
    • /
    • 2019
  • Early childhood caries is a global healthcare concern in developing and industrialized countries. If left untreated, it leads to immediate and long-term complications that affect the well-being and quality of life of concerned families. Therefore, many preventive and treatment approaches are available to the healthcare provider to curb this virulent form of caries. After behavioral interventions, general anesthesia is used in specific settings when a young patient presents with extensive teeth damage and exhibits a lack of cooperation that is incompatible with conventional dental office care. However, without proper follow-up, any positive results might be lost over time.

Quality improvement in pediatric care

  • Park, Moon Sung
    • Clinical and Experimental Pediatrics
    • /
    • v.61 no.1
    • /
    • pp.1-5
    • /
    • 2018
  • We often overlook the importance of several safety issues such as identification of patients, timeout procedure, hand hygiene, handoff communication, and many others. This ignorance, along with many other issues, leads to medical error being ranked as a third leading cause of death in the U.S. Consequently, quality improvement (QI) has become one of the major subjects in healthcare despite a relatively short history. Improving quality is about making healthcare safe, effective, patient-centered, timely, efficient, and equitable. Understanding the need and methodology of QI as well as participation is now essential for physicians. Although basic QI methodology has not changed, one of the most fascinating changes in recent QI is conducting large-scale QI projects through multicenter networks. Prospective multicenter QI projects utilizing the Korean Neonatal Network are a substantial initiation of pediatric QI in Korea. The Korean Pediatric Society should set ambitious goals for QI activities for every primary care pediatrician and pediatric subspecialist.

Attention Deficit Hyperactivity Disorder and Sleep Problems (주의력결핍 과잉행동장애와 수면 문제)

  • Park, Eun-Jin
    • Sleep Medicine and Psychophysiology
    • /
    • v.18 no.1
    • /
    • pp.10-16
    • /
    • 2011
  • There has been a growing interest in sleep problems associated with attention deficit hyperactivity disorder (ADHD). In this paper, we reviewed the current literature on the underlying sleep problems associated with ADHD. Sleep problems are very common in children with ADHD. Patients with ADHD may have sleep difficulties including difficulty falling asleep, frequent night awakening, increased tiredness upon waking. Children with ADHD are associated to restless legs syndrome, periodic limb movement and sleep-disordered breathing. Screening for other psychiatric comorbidities and the side effects of medications, such as psychostimulants, is also necessary when considering sleep problems in ADHD. Sleep problems can cause a negative impact on the quality of life and emotional well-being both of children with ADHD and their parents. Many evidences suggest that assessment of sleep difficulties should be included in evaluating the patient of ADHD.

Stellate Ganglion Blocks for Treatment of Impotence (발기 부전증 환자의 치료에 성상신경절 차단 1예 보고)

  • Suh, Jae-Hyun
    • The Korean Journal of Pain
    • /
    • v.8 no.2
    • /
    • pp.336-340
    • /
    • 1995
  • Impairment of erectile function, although normally a benign disorder, has a profound impact on the well-being of many men. Penile erection is produced by a complex series of events involving cognition, peripheral sensory input, central and peripheral autonomic nervous events and hormonal vascular events. The multiplicity of potential determinants identified suggest that impotence does not inexorably accompany age, but it is an arugmented significantly modifiable paraaging phenomena. A 53 year old male patients developed sudden impotence. The patients did not respond to intracavernous injection of papaverine. This patient was successfuly treated with 4 repeated stellate ganglion blocks.

  • PDF

Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease: Highly Effective but Often Overlooked

  • Arnold, Michael T.;Dolezal, Brett A.;Cooper, Christopher B.
    • Tuberculosis and Respiratory Diseases
    • /
    • v.83 no.4
    • /
    • pp.257-267
    • /
    • 2020
  • Patients with chronic obstructive pulmonary disease receive a range of treatments including but not limited to inhaled bronchodilators, inhaled and systemic corticosteroids, supplemental oxygen, and pulmonary rehabilitation. Pulmonary rehabilitation is a multidisciplinary intervention that seeks to combine patient education, exercise, and lifestyle changes into a comprehensive program. Programs 6 to 8 weeks in length have been shown to improve health, reduce dyspnea, increase exercise capacity, improve psychological well-being, and reduce healthcare utilization and hospitalization. Although the use of pulmonary rehabilitation is widely supported by the literature, controversy still exists regarding what should be included in the programs. The goal of this review was to summarize the evidence for pulmonary rehabilitation and identify the areas that hold promise in improving its utilization and effectiveness.

Effects of the Latest Robotic Horse-riding for Low Back Pain : Narrative Review

  • LEE, Jae-Hyuk
    • Journal of Wellbeing Management and Applied Psychology
    • /
    • v.4 no.4
    • /
    • pp.31-34
    • /
    • 2021
  • Purpose: The purpose of this study is to review health-care program using the recent robotic horse-riding technology and its clinical effects for chronic low back pain. Research design, data and methodology: Recent clinical articles were determined under three inclusion criteria for in-depth review: 1) article that is published within 1 year, 2) article that includes the detailed explanation of health-care program using robotic horse-riding, 3) the article that deals with chronic low back pain during more than 6 months. Results: As a result, the finally-determined two articles demonstrated the clinical effects of robotic horse-riding statistically on pain intensity, low back muscle strength, spinal alignment, and fear-avoidance belief. Conclusions: After in-depth review, I concluded that health-care program using robotic horse-riding for chronic low back pain needs to be provided at low-intensity (e.g. less than 6km/h horse walking program) in the beginning of health-care for improving their motor control ability, then, at the increased intensity for strengthening core muscles.

Revolutionizing Elderly Care in Korea: A Deep Dive into the 'Nomad Silver' Generation's Hospital Needs

  • Yoo, Seungchul;Tunas Puentes, Sofia
    • International journal of advanced smart convergence
    • /
    • v.13 no.1
    • /
    • pp.122-128
    • /
    • 2024
  • This study delves into the unique transformation of South Korea's elderly population, distinctively termed 'Nomad Silver'. Characterized by individuals aged 65 and above who actively seek novel experiences and embrace new activities, this demographic shift signifies a departure from traditional perceptions of the elderly. The Nomad Silver cohort, distinguished by their significant economic influence and evolving needs, necessitates a tailored approach to healthcare services. This paper underscores the importance of comprehending both the fundamental biological needs and the personalized desires of the Nomad Silver, aiming to enhance their satisfaction and overall well-being. Hospitals, in response, should innovate their services to resonate with the emotional, psychological, and social facets of this age group. Consequently, the paper proposes a four-pronged strategy for hospitals to adapt: comprehensive healthcare provision, patient-centric service development, senior health education coupled with community engagement, and establishing a generational bridge hub. Furthermore, the paper posits that catering to the Nomad Silver not only promises substantial financial gains for hospitals but also fosters new business opportunities across various sectors.

Analysis of th Factors related to the Happiness Index of Dental Hygienists on Convergence Study (치과위생사의 행복지수에 영향을 미치는 요인에 관한 융합연구)

  • Oh, Han Na;Kim, Ji Hyun
    • Journal of the Korea Convergence Society
    • /
    • v.9 no.12
    • /
    • pp.75-80
    • /
    • 2018
  • This study was conducted to provide basic data on the dental hygienists Happiness Index and identify factors influencing dental hygienists A self-administered questionnaire survey was conducted dental hygienists in Jeollabuk-do(Jeonju, Iksan, Gunsan) from October to November 2017. Data were analyzed using t-test, ANOVA and multiple regression. As the result of study, Happiness Index of socioeconomic level has increased when the more work career, and more monthly wage, and better interpersonal relationship. Happiness Index of psychological well-being has increased when younger group and more monthly wage, and better interpersonal relationship. Therefore, in order to increase the happiness index of dental hygienists, economic compensation such as incentives and if the education of the communication method of the cases where the most difficulty case of the communication situation in the human relationship is confirmed is preceded, the quality of the medical service provided to the patient due to the happy working life will be improved.

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home (재가암 환자 통합건강증진 프로그램 개발 및 효과)

  • Yoon, Hee Sang;Hwang, Eun A
    • Research in Community and Public Health Nursing
    • /
    • v.32 no.1
    • /
    • pp.51-63
    • /
    • 2021
  • Purpose: This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a χ2 test, Fisher's exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors' comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

Surgical Experience of Recurrent Immature Teratoma - Report of a case - (연속적 재발성 미성숙 기형종의 외과적 치료)

  • 홍민수
    • Journal of Chest Surgery
    • /
    • v.24 no.8
    • /
    • pp.792-796
    • /
    • 1991
  • Immature teratoma can be viewed as intermediate between mature teratoma and embryonal carcinoma. Unlike the mature teratoma, elements of the three perm cell layers are incompletely differentiated and not arranged in organoid fashion In some area, more mature forms of these tissues may also be seen, Although this tumor is clearly malignant, they may not display clear-cut cytologic features of malignancy. The clinical prognosis is poor. We have experienced one case of recurrent immature teratoma. In first operation[1987, April], tumor of anterior mediastinum was removed with wedge resection of ant. segment of RUL % med. segment of RML. In 2nd operation[1990, June], recurrent teratoma of right inner thoracic wall was resected with partial 5th rib resection and wedge resection of lat. segment of middle lobe. Two months later, the 3rd operation[1990, September] was done, which was a removal of mass on thoracic wall near sup, segment of RLL and partial rib resection of 3rd, 4th & 5th. In November 1990, last operation[4th operation] was made. It was enucleation of walnut sized tumor located between medial segment of RML, and 4th. intercostal space, well encapsulated with endothoracic fascia and invaded into lung parenchyme, Adjuvant chemotherapy was done after each operation, but radiotherapy[5000 Rad] was done only after 1st operation. There was no evidence of recurrence after last operation. The patient is well-being still now.

  • PDF