• Title/Summary/Keyword: Special hospital

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A Case Report of Harpagophyti Radix Pharmacopuncture for the Patient with Breast Cancer Transpered to Spine (유방암의 척추전이 환자에 대한 천수근 약침을 병행한 한의학적 치료 증례 1례)

  • Bae, Young-Hyeon;Lee, Chong-Hwan;Kim, Hae-Sol;Kim, Ho-Sun;Suh, Chang-Yong;Kim, No-Hyeon;Song, Ju-Hyun;Yeom, Seung-Chul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.10 no.1
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    • pp.117-127
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    • 2015
  • Objectives : Most of pains are important symptoms caused by cancer transpered to spine. Harpagophyti Radix Pharmacopuncture is highly effective in reducing fever, pain, inflammation but was never used to reduce pain from cancer transpered to spine. So I intended to use Harpagophyti Radix Pharmacopuncture to control pain. The purpose of this study is to evaluate the clinical application of Harpagophyti Radix Pharmacopuncture for Bone Metastasis of Breast Cancer and Spinal Stenosis. Methods : We examined patient with Bone Metastasis of Breast Cancer and Spinal Stenosis who admitted Jaseng Korean Medicine Hospital. The patient was treated by Korean Medicine treatment and Harpagophyti Radix Pharmacopuncture. This case was assessed by Numerical Rating Scale(NRS), Oswestry Low Back Pain Disability Index(ODI), Short-Form 36 Health Survey(SF-36), ROM(Range of Movement) and Special Test. Results : In this study, the patient's pain was controlled and NRS, ODI were decreased. I could identify the improvement in life quality from the positive change of SF-36 and also found out that treatment was successful from the improvement of ROM, Special test. Conclusions : Harpagophyti Radix Pharmacopuncture with Korean Medicine treatment for Bone Metastasis of Breast Cancer and Spinal Stenosis was proved to be useful to the pain relief and function recovery, but further research should take place for clear understanding of the exact amount of dosage and safety. Moreover it must be accompanied by long term follow up research.

Korean Medication Algorithm for Bipolar Disorder 2018 : Safety and Tolerability (한국형 양극성 장애 약물치료 알고리듬 2018 : 안정성과 내약성)

  • Sohn, InKi;Bahk, Won-Myong;Yoon, Bo-Hyun;Jon, Duk-In;Seo, Jeong Seok;Kim, Won;Lee, Jung Goo;Woo, Young Sup;Jeong, Jong-Hyun;Kim, Moon-Doo;Jung, Young-Eun;Shim, Se-Hoon;Song, Hoo-Rim;Min, Kyung Joon
    • Mood & Emotion
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    • v.16 no.3
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    • pp.134-139
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    • 2018
  • Objectives : Treatment for bipolar disorder is often complicated by various clinical situations. We undertook a survey of expert opinions to facilitate clinical decisions in special situations such as weight gain, metabolic syndrome, hyperprolactinemia, genetic counseling, and treatment adherence. Methods : A written survey that asked treatment strategies related to safety and tolerability, was prepared focused on weight gain, antipsychotic related hyperprolactinemia, lamotrigine related skin rash, treatment non-adherence and genetic counseling. Sixty-one experts of the review committee completed the survey. Results : In the case of weight gain related to medications, experts preferred exercise and education for diet-control. First chosen medications were lamotrigine, aripiprazole and ziprasidone. Recommendations based on expert survey results for treatment of bipolar patients in other special situations are outlined. Conclusion : With limitation of expert opinions, authors hope that results of this study provide valuable information to make clinical decisions about treatment of bipolar disorder in complicated situations.

Implementation of u-Hospital System Based on RIA (RIA 기술을 이용한 u-Hospital 시스템 구축)

  • Roh, Il-Soon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.8 no.4
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    • pp.111-118
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    • 2008
  • RIA(Rich Internet Application) has the best User Interface and easy way to use. It is used in many Application System and Web Application. This Paper introduces a RIA technology for Implementation of u-Hospital Application. This System uses a history of customers in the hospital and question about diseases, so we can improve the satisfaction of service. This paper shows that the u-Hospital System using RIA is more fast and easy than HTML application. Because RIA has special features that data can be obtained from server without reloading entire page and every user interaction does not require web server response. The proposed technology can improve the efficient u-Hospital System because it can be extended to ubiquitous mobile application.

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Complications of Completion Versus Total Thyroidectomy

  • Gulcelik, Mehmet Ali;Kuru, Bekir;Dincer, Halil;Camlibel, Mithat;Yuksel, Ulvi Murat;Yenidogan, Erdinc;Reis, Erhan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5225-5228
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    • 2012
  • Introduction : The objective of this study was to analyze the complication rates after completion thyroidectomy and compare them with primary total benign and malign thyroidectomy causes in total of 647 patients. Patients and Methods: Among 647 patients, there were 159 receiving completion thyroidectomy for differentiated thyroiud cancer (DTC) (Group 1); 217 patients receiving total thyroidectomy for DTC (Group 2) and 271 given total thyroidectomy for benign diseases (Group 3). Results: When groups were compared for complications, there were no significant difference except temporary hypocalcemia between completion thyroidectomy and total thyroidectomy for DTC. When the total thyroidectomies were compared (Group 2 and 3), there were no significant difference observed except unilateral temporary RLN palsy. Conclusion: With improvements in surgical technique and experience, complication rates of thyroidectomy performed for benign or malign diseases are reduced. In spite of the improvement in surgical experience, temporary RLN palsy and hypoparathyroidism are the main complications in completion thyroidectomies which need special attention. To evaluate the patients more carefully in preoperative period and performing adequate thyroidectomy appears more logical.

A Study on the Nurses Need for the Planning in Children's Hospital (어린이전문병원 계획을 위한 간호사의 요구에 관한 연구)

  • Kim, Hye-shin;Park, Soo-Been
    • Korean Institute of Interior Design Journal
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    • v.25 no.4
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    • pp.105-112
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    • 2016
  • Nurses in a children's hospital have to meet a special condition with their younger patients who need continuous supervision and cares. The planning of the ward where the nurse as well as the patient and his/her caregivers stay all day long should cover all the users need. This study focused on the nurse's need for the ward in children's hospital. The nurse stay longer than any users in hospital and their treatment have to be based on deep understanding of their patients. The survey research followed the literature review on the children's hospital and the nurses' task and behavior. 119 nurses answered the structural questionnaire and their answers were analyzed using the statistical process such as basic descriptive statistics, ANOVA, and actor analysis. Results and conclusions are as follows. (1) The subjects least satisfied with the accessibility for the children and the nature-and child-friendly design features among physical environment design factors of the hospital. (2) The Subject regarded the patients' room to a private place of the patients and their caregivers not to the work places. (3) The design factors of the nursing station were classified into four: the functionality-, the privacy-, the supervision-and the restfulness-factor. The functionality and supervision factor were highly required as a workplace, the privacy factor between the patients, their caregivers and subject were also represented high score, but the restfulness factor were least required.

Gliosarcoma of Cerebello-Pontine Angle: A Case Report and Review of the Literature

  • Yoon, Gi-Yong;Oh, Hyuk-Jin;Oh, Jae-Sang;Yoon, Seok-Mann;Bae, Hack-Gun
    • Brain Tumor Research and Treatment
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    • v.6 no.2
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    • pp.78-81
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    • 2018
  • Gliosarcoma (GS), known as variant of glioblastoma multiforme, is aggressive and very rare primary central nervous system malignant neoplasm. They are usually located in the supratentorial area with possible direct dural invasion or only reactive dural thickening. However, in this case, GS was located in lateral side of left posterior cranial fossa. A 78-year-old man was admitted to our hospital with 3 month history of continuous dizziness and gait disturbance without past medical history. A gadolinium-enhanced MRI demonstrated $5.6{\times}4.8{\times}3.2cm$ sized mass lesion in left posterior cranial fossa, heterogeneously enhanced. The patient underwent left retrosigmoid craniotomy with navigation system. The tumor was combined with 2 components, whitish firm mass and gray colored soft & suckable mass. On pathologic report, the final diagnosis was GS of WHO grade IV. In spite of successful gross total resection of tumor, we were no longer able to treat because of the patient's rejection of adjuvant treatment. The patient survived for nine months without receiving any special treatment from the hospital.

Connective Tissue Massage (Bindegewebs massage) (결합조직 맛사지)

  • Kim, Jong-Soon;Ryoo, Jae-Kwan
    • Journal of Korean Physical Therapy Science
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    • v.4 no.3
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    • pp.475-489
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    • 1997
  • Connective tissue massage(CTM, Bindegewebs massage) are developed and named by Mrs. Elizabeth Dicke, a German physical therapist. The CTM is used primarily for internal disorder such as myocarditis, coronary insufficiency, high blood pressure, functional stomach and intestinal disorders, inflamma-tion of the gallbladder, and hepatitis, arterial circulatory problems, venous disorders, headache, particularly trauma to the head, and some gynecologic disorder, etc. Which is performed with special stroking technique of the subcutaneous tissue of the trunk, extremities, and face. The mechanism of effectiveness of CTM is based on a viscerocutaneous reflex. The stroking stimulates the nerve end-ings of the autonomic nervous system. The impulses activated by stroking travel to the sympathetic trunk and the spinal cord and brain, which causes a change in reaction susceptibility. The most important for apply CTM is necessary to know the reflex zone (Head's zone, Mackenzie's zone and Dicke's connective tissue zone). Dicke's connective tissue zones are only found by the special dia-gnostic stroking. Because the connective tissue zones no discomfort when unmanipulated, and thus the patient is unaware of them. It is characterized by diagnostic stroking that causes a sharp pain in the tissue. As a general rule, all treatment are preceded by the basic stroke from the level of the coccyx to the first lumbar vertebra and each stroke is done three times. The right side is done first, then the left side.

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Nasotracheal intubation in pediatrics: a narrative review

  • Jieun Kim;Sooyoung Jeon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.2
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    • pp.81-90
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    • 2024
  • Nasotracheal intubation (NTI) plays an important role in pediatric airway management, offering advantages in specific situations, such as oral and maxillofacial surgery and situations requiring stable tube positioning. However, compared to adults, NTI in children presents unique challenges owing to anatomical differences and limited space. This limited space, in combination with a large tongue and short mandible, along with large tonsils and adenoids, can complicate intubation. Owing to the short tracheal length in pediatric patients, it is crucial to place the tube at the correct depth to prevent it from being displaced due to neck movements, and causing injury to the glottis. The equipment used for NTI includes different tube types, direct laryngoscopy vs. video laryngoscopy, and fiberoptic bronchoscopy. Considering pediatric anatomy, the advantages of video laryngoscopy have been questioned. Studies comparing different techniques have provided insights into their efficacy. Determining the appropriate size and depth of nasotracheal tubes for pediatric patients remains a challenge. Various formulas based on age, weight, and height have been explored, including the recommendation of depth-mark-based NTI. This review provides a comprehensive overview of NTI in pediatric patients, including the relevant anatomy, equipment, clinical judgment, and possible complications.

A Study on the Using Patterns and Using Promotion Strategy for Special Transport Service : the case of Suwon City, korea (특별교통서비스의 이용실태 및 활성화 방안 연구 : 수원시를 중심으로)

  • Lee, Kyu-Jin;Kim, Suk-hee
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.5
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    • pp.1-11
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    • 2016
  • The purpose of this study is to contribute the use of special taxi for the transportation vulnerable such as elderly and pregnant woman in terms of improving transportation mobility and extending social participation. We analyzed the DB users of STS system operating in Suwon, and surveyed the preference statement. Specifically, we have built transportation mode choice models for the elderly and pregnant woman, and then we drew the activating STS plan by comparing influence factors for each model. Based on the results of the study, 23% of STS user was the elderly people and pregnant women, 31% of user was for hospital passage purpose, and short-haul passage within 2 ~ 5km was 70% level of the passage. According to preference survey results between STS and Bus, fare was the highest impact factor in the mode choices for the elderly, and the participants who are older and car owners have been found to prefer the special taxi. For the pregnant woman, travel time and fare were the main influence factors of choices, and it was discovered that they preferred the special taxi when they are car owners and trips was frequented. Also, if the fare of special taxi is about 70% of the regular taxi fare, The share rates of Special Taxi comparing to bus for the elderly and pregnant woman are analyzed to be 51.1% and 63.6% each. Therefore, the adjustment of the fare would be effective to encourage the use of the special taxi. The results of this study can be used as a basis for establishing the rational fare structure of the special taxi.