• 제목/요약/키워드: Teaching hospital

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개에서 방사선학적으로 진단된 기관협착 발생 조사 99례 (2002-2003) (Retrospective Study of Tracheal Collapse 99 Cases Diagnosed by Radiography in Dogs (2002-2003))

  • 이기창;송경진;최호정;허진영;정주현;장진화;윤정희;최민철
    • 한국임상수의학회지
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    • 제21권3호
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    • pp.276-279
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    • 2004
  • Ninety-nine dogs diagnosed as tracheal collapse were reviewed for 2002-2003 year at Veterinary Medical Teaching Hospital, Seoul National University with clinical records and radiographs. Dogs were ranged in age from 1 to 15 years old (average 8.23 years old) and in weight from 1.2kg to 10.3kg (average 3.3kg). The population included 58 females (6 spayed) and 41 males (8 castrated). It is highly predominant in Yorkshire terrier (64, 64.6%) followed by Pomeranian (10, 10.1 %), Poodle and Chihuahua (8, 8.1%), Maltese (4, 4.0%), mixed breed (3, 3.0%), Cocker Spaniel and Pug (1, 1.0%). The incident rate of female dogs (59%) exhibited relatively higher than that of male dogs (41%). The most prevalent occurrence location was thoracic inlet (60%) of all and carina region (15%), intrathoracic trachea (14%) and cervical trachea (11 %) showed similar rate. Conclusively, tracheal collapse was observed in completely matured or old small breed dogs, largely Yorkshire terrier, on thoracic inlet primarily regardless of gender. These tendencies were apparently similar to previous reports.

고양이 림프구-형질세포성 장염 1례 (A Case of Feline Lymphocytic-Plasmacytic Enteritis)

  • 이찬진;전형규;최호정;정성목;이영원;박성준;조종기;조성환;송근호
    • 한국임상수의학회지
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    • 제25권4호
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    • pp.286-288
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    • 2008
  • A 8-year-old intact female Siamese cat with chronic vomiting was referred to the Veterinary Teaching Hospital of Chungnam National University. The cat was diagnosed as lymphocytic-plasmacytic enteritis by complete blood count, blood chemistry, radiography, ultrasonography and histopathologic examination following small intestine biopsy. The cat show good prognosis to date after continuous hypoallergenic diet providing and low-dose prednisolone therapy.

폭스테리어 종에서의 울혈성 우심부전을 동반한 판막형 폐동맥판 협착증 (Valvular Pulmonic Stenosis with Congestive Heart Failure in a Fox Terrier)

  • 정동인;박기태;왕지환;김영기;이경우;연성찬;이효종;이희천
    • 한국임상수의학회지
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    • 제28권1호
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    • pp.133-138
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    • 2011
  • A 4-year-old female Fox Terrier dog (weighting 8 kg) with history of severe abdominal distention and anorexia was presented to Veterinary Teaching Hospital, Gyeongsang National University. In physical examination, grade 4/6 systolic murmur heard at the left heart base. Electrocardiography showed right ventricular enlargement (right axis deviation and deep S wave) and right atrial enlargement (P pulmonale). Diagnostic imaging studies revealed hypertrophy of right ventricle, enlargement of right atrium and tricuspid regurgitation and turbulence in the pulmonary artery in right parastenal short axis view. Based on the diagnostic findings, the dog was diagnosed as a case of valvular pulmonic stenosis.

개에서 창상에 의해 발생한 다발성 폐낭포의 방사선학적 진단례 (Radiographic Findings of Multiple Pulmonary Bullae by trauma in a Dog)

  • 박기태;왕지환;연성찬;이효종;이희천
    • 한국임상수의학회지
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    • 제26권1호
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    • pp.72-75
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    • 2009
  • Pulmonary bullae are air-filled spaces within the lung parenchyma that result from the destruction, dilatation and confluence of adjacent alveoli. Pulmonary bullae are found most often in healthy, middle aged, large breed or deep-chested dogs that have no previous history of lung disease and bulla may occur as a result of emphysema, inflammation or trauma. Clinical signs include respiratory distress, anorexia, depression and tachypnea. In this study, a dog with respiratory distress by traffic accident was diagnosed as pulmonary bullae with pneumothorax using radiography at Veterinary Medical Teaching Hospital, GNU. In radiographs, various sized, smooth margin, well defined, oval shaped, gas or fluid filled multiple bullae are shown in the left cranial, left caudal and right accessory lobes. At the initial stage of observation, there were indications of four bullae, two of which were not found in the following radiograph. At the same time, there were serious indications of lung consolidation that caused respiratory distress of patient. Ultimately, the patient was expired after ten hours.

개에서 고양이 발톱에 의한 수정체 전낭 파열 후 감염체 착상 증후군의 발생 3 증례 (Septic Implantation Syndrome Following Anterior Lens Capsule Disruption by Cat Claw in Three Dogs)

  • 강선미;이의리;박상완;박성원;노현우;서강문
    • 한국임상수의학회지
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    • 제31권4호
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    • pp.344-349
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    • 2014
  • A 5-year-old intact female Maltese, a 4-year-old neutered male Chihuahua, and a 5-year-old neutered male Maltese were referred to Veterinary Medical Teaching Hospital of Seoul National University for assessment of traumatic corneal laceration accompanied by anterior lens capsule disruption by cat claw. Severe uveitis, hypopyon, fibrinous exudate, diffuse corneal edema, and/or glaucoma were observed. B-mode ocular ultrasound showed lens capsule rupture and hyperechoic lens in all three cases. Despite aggressive treatments, the three eyes continued to deteriorate with endophthalmitis, leading to enucleation. Septic implantation syndrome associated with phakitis, severe pyogranulomatous endophthalmitis, and keratitis was confirmed by histopathological examination.

Imaging Features of Hepatic Adenoma in a Dog with Atypical Computed Tomographic Findings

  • Jin, Hansol;Cheon, Byunggyu;Lee, Gahyun;Park, Seungjo;Lee, Ju-Hwan;Choi, Jihye
    • 한국임상수의학회지
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    • 제35권2호
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    • pp.53-56
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    • 2018
  • Computed tomography (CT) findings of hepatic adenoma in veterinary medicine are variable and unlike in human medicine, not defined clearly. A 12-year-old neutered male Shih Tzu presented after a seizure, with weight loss, salivation, and cachexia. An abdominal mass was identified on radiography, and ultrasonographic images showed a mixed echo pattern with marked vascularity. CT showed that the mass originated from caudate lobe, was heterogeneously hypoattenuated compared with the hepatic parenchyma, and had irregular margins. Contrast enhanced CT showed that the mass enhanced like the surrounding liver parenchyma. However, it contained unenhanced areas and enhanced vessels were observed in the arterial phase at the periphery of the mass. The margins of mass were more enhanced in the venous phase than the arterial phase and the hypoattenuating regions within the mass were not enhanced. Greater enhancing in the venous phase is seen with adenomas; however, the heterogeneous enhancement pattern, especially the marginal vascular enhancement and internal hypoattenuating regions, is seen with malignancy. Although this is a single case of hepatic adenoma, the atypical enhanced pattern of this case can provide useful information to predict the malignancy of primary liver tumor.

Comparison of Psychotropic Prescriptions between Oncology and Cardiology Inpatients: Result from a Pharmacy Database in a Teaching Hospital in Malaysia

  • Ng, Chong Guan;Mohamed, Salina;Wern, Tai Yi;Haris, Azwa;Zainal, Nor Zuraida;Sulaim, Ahmad Hatim
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권10호
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    • pp.4261-4264
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    • 2014
  • Objective: To examine the prescription rates in cancer patients of three common psychotropic drugs: anxiolytic/hypnotic, antidepressant and antipsychotic. Materials and Methods: In this retrospective cohort study, data were extracted from the pharmacy database of University Malaya Medical Center (UMMC) responsible for dispensing records of patients stored in the pharmacy's Medication Management and Use System (Ascribe). We analyzed the use of psychotropics in patients from the oncology ward and cardiology from 2008 to 2012. Odds ratios (ORs) were adjusted for age, gender and ethnicity. Results: A total of 3,345 oncology patients and 8,980 cardiology patients were included. Oncology patients were significantly more often prescribed psychotropic drugs (adjusted OR: anxiolytic/hypnotic=5.55 (CI: 4.64-6.63); antidepressants=6.08 (CI: 4.83-7.64) and antipsychotics=5.41 (CI: 4.17-7.02). Non-Malay female cancer patients were at significantly higher risk of anxiolytic/hypnotic use. Conclusions: Psychotropic drugs prescription is common in cancer patients. Anxiolytic/hypnotic prescription rates are significantly higher in non-Malay female patients in Malaysia.

The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center

  • Kim Jeungim
    • 대한간호학회지
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    • 제34권8호
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    • pp.1427-1433
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    • 2004
  • Purpose. The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. Methods. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. Results. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. Conclusion. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

간호진단별 관련요인 및 특성에 관한 타당도 연구 (Validity Testing Study for Related Factors and Characteristics of Nursing Diagnosis)

  • 최영희;이향련;김혜숙;김소선;박광옥;박현애;박현경
    • 대한간호학회지
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    • 제27권3호
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    • pp.705-714
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    • 1997
  • This study was conducted to test validity of related factors and characteristics of 98 Nursing Diagnosis identified in a previous study by the Korean Nurses Association. Data for this study was collected from 892 nurses in eight teaching hospitals located in Seoul using a cross sectional survey method. Each participating hospital was asked to produce at least 10 cases for every nursing diagnosis. There were 7,422 responses out of a possible 7,840. Out of the 7,422 responses 26 were discarded due to incompleteness. Data were analyzed using SAS. The result of the study shows that most of the related factors and characteristics for each of the 98 nursing diagnosis were ranked at more than 3.5 point out of 5 point Likert scale in terms of significance. Through this study the related factors and characteristics of the 98 nursing diagnosis identificance. Through this study the related factors and characteristics of the 98 nursing diagnosis identified through literature review were validated by experts in nursing diagnosis. These validated related factors and characteristics will be utilized for computerization of the nursing diagnosis process.

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항암화학요법 처방전산 시스템에 의한 처방 정확도에 관한 연구 (The Accuracy of Prescriptions Using a Computerized Chemotherapy Order System)

  • 김정태;이제환;신현택
    • 한국임상약학회지
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    • 제17권1호
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    • pp.1-5
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    • 2007
  • A computerized chemotherapy order system (CCOS) was developed to improve the accuracy and efficiency of prescriptions for pharmacy medication scheduling at a teaching hospital, Asan Medical Center, Seoul, Korea. We evaluated the system by comparing prescriptions before and after the implementation of the system and by analyzing the effects of the system on dosing accuracy (only against 5-FU), prescription change, overdoses above maximum limit and medication disposal in non computerized program group (control group) and CCOS group. In terms of dosing accuracy, prescription error rate (%) was significantly decreased in CCOS groups compared with the control group. The rate of prescription changes was also significantly decreased in CCOS groups. Regarding overdoses above maximum limit, we found that there was no prescription order exceeding the dosage limit in CCOS groups in contrast to significant overdoses in control group. In terms of medication disposal, there was no significant difference between 2 groups. We suggest that the computerized chemotherapy order system for chemotherapy may bean important and useful tool for minimizing prescribing errors in the hospitals.

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