• Title/Summary/Keyword: Patients Value

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Survival Rate of Hospitalized Coal Workers' Pneumoconiosis Patients: According to Characteristics at the Time of Hospitalization (요양 중인 탄광부 진폐증자의 생존율 연구 - 요양 입원시 특성을 중심으로 -)

  • Rhee, Kyoung-Yong;Chung, Ho-Keun
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.81-89
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    • 1989
  • The authors investigated mortality rate of hospitalized CWP(coal workers' pneumoconiosis) patients. Date, which was composed of age, date of hospitalization, date of death, and radiological findings(profusion of small opacity, type of large opacity, tuberculosis, emphysema, pneumothorax, and cardiac abnormality), was gathered from medical charts and chest x-ray films at the time of hospitalization of CWP patients. Among 738 CWP patients, that were entered survey differently and have followed different period, 160 CWP patients were died during different observational period. Mean value of observational period was 203 weeks, and mean age at hospitalization was 51 years. Because of short observational period, mean survival time could not found. There was statistically significant difference of mortality rate between group of small opacity and that of large opacity. In group of small opacity 5 year survival rate was 0.80 and in group of large opacity that was 0.73. And 80 percentile survival time was 57 months in group of small opacity and that was 40 months in group of large opacity.

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Diagnostic Value of $^{99m}Tc-DISIDA$ Hepatobiliary Scintigraphy in Patients with Acute or Intermittent Common Bile Duct Obstruction (급성 및 간헐성 총담관폐쇄에서의 $^{99m}Tc-DISIDA$간담도 스캔의 진단적 가치)

  • Moon, Dae-Hyuk;Lee, Myung-Hae;Kim, Myung-Hwan;Lee, Young-Sang;Min, Young-Il
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.254-259
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    • 1990
  • We examined patients with suspected acute or intermittent biliary obstruction using hepatobiliary scintigraphy, ultrasonography and contrast cholangiography. Of 16 patients with confirmed common bile duct obstruction, sonography and scintigraphy disagreed in 8(50%). Scintigraphy revealed partial or complete common bile duct obstruction in 13 patients (81.3%) and 6 of them had no evidence of dilated biliary trees. It is concluded that disagreement between sonography and scintigraphy is not rare in patients with acute or intermittent biliary obstruction and hepatobiliary scintigraphy is useful in diagnosing obstruction prior to ductal dilatation.

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The laser therapy conditions and satisfaction of the dental patients (치과내원 환자의 레이저치료 실태 및 만족도)

  • Lee, Sun-Mi;Park, Ji Eun;Kim, Eun Ju
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.655-663
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    • 2012
  • Objectives : This study was progressed a research with the aim of using it as basic data necessary for a plan in order to increase qualitatively medical level for patients who feel anxiety about dental treatment, and of offering basic data for improving the whole medical services by grasping conditions and satisfaction level with laser therapy in patients who visited dental clinic. Methods : The statistical analysis was carried out t-test and ANOVA by using SPSS(PASW statistics) 18.0. When there is statistically significant difference in analysis of variance, post-test was carried out by using Duncan multiple range test. Results : In therapy kinds of using laser, gingival treatment was the largest with 37.0%. It was the highest in likely seeming to be not painful with 32.9% as for a decisive factor, which came to receive laser therapy, and in having been enough to endure even if having been slightly tingling as for pain level. Conclusions : This study can be considered to have significance in changing recognition of medical cure by surveying patients satisfaction with using laser as a method for slightly solving elements of fear and anxiety about dental treatment and to have its value as basic data for seeking improvement plan for diverse medical services in the future.

Stroke Rehabilitation Performance and Outcomes among Hospitals (뇌졸중 재활치료에 있어서 병원군집간 의료서비스 제공실태와 치료성과 -일본 뇌졸중 환자 데이터베이스를 이용하여-)

  • Inoue, Yusuke;Jeong, Seung-Won;Kondo, Katsunori;Seo, Young-Joon
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.53-61
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    • 2011
  • This study was to assess the differences in rehabilitation outcomes between the different facilities in Japan, and to determine if there was any variation in patients' functional recovery at hospital discharge across the different facilities. This study focused on acute patients in the rehabilitation ward using the data of 1,830 patients from 8 hospitals after adjusting for triage at admission obtained from the Rehabilitation Patients Databank in Japan (issued in February, 2011) and compared the therapeutic results of each hospital. We estimate the expected value of levels of activities of daily living(ADL) at discharge for rehabilitation patients using regression analysis and Cluster analysis. There were differences among hospitals in their therapeutic results. The differences in the participation of physicians registered as rehabilitation specialists, amount of exercise, self-exercise without therapist, and exercise in wards, were statistically significant differences between hospitals.

Work Experience of Patients Undergoing Hemodialysis (혈액투석 대상자의 직장생활 경험)

  • Park, Min-Sun;Kim, Mi-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.149-158
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    • 2010
  • Purpose: This study was done to gain understanding of what career and related experience mean to individuals undergoing hemodialysis. Methods: Ten male patients receiving hemodialysis participated in the study. Data collection took place between November 18, 2008 and February 10, 2010, via unstructured interviews. Data collection and analysis were conducted simultaneously, and Colaizzi's phenomenological method (1978) was used for the analysis. Results: The significance the participants found in their "dual" life as worker and dialysis patients was classified into five categories: 'Recognition of self-existence value', 'My health comes before my work', 'Being afraid of stigma', 'Limitation of restricted work', and 'Difficulty with time management.' Conclusion: It was found that the dialysis patients showed ambivalent feelings towards their careers, hoping they will be able to continue to work yet fearing that the continued work might break balance the between their livelihood and healing. Therefore, it is recommended that hours for hemodialysis be more flexible to ensure that patients can keep their jobs and better manage their time while undergoing treatment.

인삼양영탕(人蔘養榮湯) 투여로 호전된 갱년기장애(更年期障碍) 15예(例)에 대한 임상고찰

  • Jo, Seung-Hee;Yang, Seung-Jung;Park, Gyeong-Mi;Jo, Hyeon-Jeong;Jeong, Ji-Ye;Ban, Hye-Ran
    • Journal of Oriental Medical Thermology
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    • v.5 no.1
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    • pp.59-68
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    • 2006
  • Objective: The purpose of this study is to evaluate the effects of Insamyang-yeongtang on menopausal disorder patients Methods : We surveyed 15 menopausal disorder patients who had been administered Insamyang-yeongtang. The patients of menopausal disorder had been estimated twice with Kupperman's index. Result : When patients had been not administered Insamyang-yeongtang. the mean of Kupperman's index score are $42.73(SD{\pm}19.16)$. When administered Insamyang-yeongtang, the mean of kupperman's index score are $25.87(SD{\pm}19.16)$. The difference mean of first and last score are 16.87(p-value 0.001). Conclusion : This study suggests that Insamyang-yeongtang is significantly effective on menopausal disorder patients.

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Clinical Usefulness of Helicobactor pylori Ag Stool Test (Immunochromatographic Assay) for Diagnosis of H. pylori Infection (Helicobacter pylori 감염진단에 있어 H. pylori Ag Stool 검사 (면역크로마토그라피법)의 임상적 유용성)

  • Seo, Seol
    • Korean Journal of Clinical Laboratory Science
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    • v.42 no.1
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    • pp.38-45
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    • 2010
  • The aim of this study was to assess the Clinical Usefulness of Helicobacter pylori Stool Antigen (HpSA) immunochromatographic assay for the diagnosis of H. pylori infection. In this study, we had compared HpSA-immunochromatographic assay with CLO test and UBT test. From a total of 140 patients (M:F=88:52) with upper endoscopy, biopsy specimens were obtained for CLO test. Stool specimens was collected from all patients and tested using a HpSA-immunochromatic assay. H. pylori infection status was defined as infected if the results of both CLO test and UBT test were positive. CLO test and UBT test findings showed that 92 patients were H. pylori positive and 48 patients were H. pylori negative. According to this definition, the sensitivity, specificity, and positive or negative predictive value (PPV, NPV) of HpSA-immunochromatographic assay were 97.8%, 100%, 100%, and 96%, respectively. Cross reactivity test of HpSA-immunochromatographic assay were performed with 10 enteric bacteria strains in fecal habitat, and there were no false positive reaction. We evaluated the usefulness of HpSA assay for eradication therapy with 10 of 92 H. pylori positive patients, positive results of them at pre-eradication therapy were converted to negative at post-eradication. The HpSA-immunochromatographic assay is a highly sensitive and specific non-invasive diagnostic method for detection of H. pylori infection, a useful diagnostic method for H. pylori in post eradication stage.

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Quality of Life in Pre-dialysis patients with Chronic Kidney Disease at Glomerular Filtration Rates (투석 전 만성 신부전 환자의 사구체 여과율에 따른 삶의 질)

  • Kim, Hye Won;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
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    • v.15 no.2
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    • pp.82-89
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    • 2013
  • Purpose: To examine the quality of life in pre-dialysis patients with chronic kidney disease. Methods: The subjects were 91 patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic and clinical characteristics, and quality of life (QOL) were collected between July 19 and 23, 2010. The relationship between QOL and various Stages of dependence on glomerular filtration rates (GFRs) and factors related to QOL were investigated. Collected data was analyzed with the SPSS WIN 12.0 program. Results: There was a significant difference in the quality of life of the subjects in different stages (F=18.12, p<.001). The Scheffe post hoc test confirmed that patients at higher stages had a lower level quality of life. In addition, GFRs, uremic symptoms, gender and age predicted value accounted for 38.5% of the variance on QOL (F=25.09, p<.001). Conclusion: Strategies to develop a systematic management program for improving QOL of pre-dialysis patients are urgently needed.

The Research of Korea Physical Therapy Charge (우리나라 물리치료 수가에 관한 연구)

  • Kim, Hyoung-Su;Shim, Je-Myung;Park, Sung-Su;Han, Jin-Tae;Kim, Eun-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.173-182
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    • 2010
  • Purpose : This study aims to figure out problems in Korea's physical therapy, how to improve it, and the need for it by examining the nation's physical therapy charges. Methods : This study was performed based on materials from the National Health Insurance Corporation, Korean academic theses, and domestic medical charge system. Results : The number of patients with physical therapy stood at around 17,764,428 in 2008, and then has gradually rose to 3 out of 100,000 citizens. The National Health Insurance Charge System based on relative values, which has been applied since 2001, is not desirable in that it is increasing patients' financial burden. Also, in deciding the amount of work carried out by physical therapists, their amount of input time, efforts, labor, and stress from their patients were not considered and the false relative value system has made patients pay more. Conclusion : Korean medical insurance charges and the overall system should be improved, so that physical therapists can perform specialized services of global physical therapy and service receiving patients do not incur losses.

Effects of Balance Training through Visual Control on Balance Ability, Postural Control, and Balance Confidence in Chronic Stroke Patients (시각 통제를 이용한 균형훈련이 만성 뇌졸중 환자의 균형능력과 자세조절, 균형자신감에 미치는 영향)

  • Jeong, Seong-Hwa;Koo, Hyun-Mo
    • PNF and Movement
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    • v.18 no.1
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    • pp.133-141
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    • 2020
  • Purpose: The purpose of this study was to conduct balance training through vision control to improve the balance, postural control, and balance confidence and to decrease the visual and sensory dependence of stroke patients. Methods: Twenty-eight chronic stroke patients volunteered to participate in the study. They were randomly assigned to the eyes-closed and the eyes-open training groups. Three times a week for four weeks each group performed an unstable-support session and a balance training session for thirty minutes per set. Their balance, postural control, and balance confidence were assessed using BIO Rescue (BR), the postural assessment scale for stroke (PASS), and the Korean activity-specific balance confidence scale (K-ABC), respectively. All data were analyzed using SPSS version 22.0. Statistical methods before and after working around the average value of each dataset were independent T-test. The significance level for statistical analyses was set at 0.05. Results: Comparison between the groups showed statistically significant effects on all variables before and after the intervention (p < 0.05). Conclusion: This study reflected that balance-training programs involving vision control improve the balance, postural control, and balance confidence of chronic stroke patients. Thus, stroke patients should undergo training programs that increase the use of their other senses with vision control in clinical practice.