• 제목/요약/키워드: out patient

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수술환자의 자가통증조절기 사용 방법에 관한 조사 연구 (Patient-Controlled Analgesia (PCA) for Post-operative Patients - A Study on Differences according to Who Controls the Analgesic)

  • 이윤영
    • 기본간호학회지
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    • 제14권3호
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    • pp.315-322
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of three kinds of modes using bolus button of PCA on level of pain and side effects of analgesic and amount of drug consumption in post-operative patients according to whether the medication is controlled by the patient, the caregiver or the nurse. Method: The participants were 684 patients using PCA after an operation. The data collection period was from March 19 to April 6, 2007. Results: It was found that there were statistical differences in gender, age, type of surgery, pain on first post-operative day, amount of drug consumption, nausea, and vomiting. The ratio for patient controlled medication was 55.7% for women, and 70.5% for men, and for care-giver controlled medication, 35.1% for women, and 20.0% for men. Average pain scores for the first post-operative day were $3.9{\pm}2.2$ for patient controlled medication and $4.5{\pm}2.3$ for care-giver controlled medication. There were statistical differences according to mode used for PCA for amount of drug consumptions, nausea and vomiting but not for pain, operation day or pruritus. Conclusion: This study was carried out to examine risks according to who controls the PCA for post-operative patients. The results can help to develop education program for everyone who is involved in PCA, patients, caregivers, nurses and doctors.

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창의 형태 및 차양 계획에 따른 다인 병실의 에너지소비량과 주광조도의 평가 및 분석 (Energy Consumptions and Daylight Illumination levels of a Multi-beded Patient Room according to the Window Shapes and Shading)

  • 최창대;권순정;김선숙
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권3호
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    • pp.29-39
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    • 2012
  • Window and shading designs have a great influence on energy consumption and daylighting in buildings. As far as energy is concerned, small window area is advantageous. But it is not good to the patient healing in hospital. So it is important to find out the optimum window shape which is favorable for both energy consumption and patient healing. In this study, annual energy consumption and daylight illumination levels were analyzed according to the window shapes and shading devices for a multi-beded patient room in hospitals. The simulations were conducted for 19 different cases by COMFEN 4.0 computer simulation program. The results of this paper are as follows. First, window to wall area ratio and shading devices have great influences on annual energy consumption. But it is a problem in that they decrease significantly daylight level in bed room. Second, considering the same energy consumption, reducing the width of window rather than the hight of window is desirable for the secure of daylight level. Third, increase of the number of horizontal shade is not desirable in south face of the building for the energy consumption and daylight level. Fourth, sun shade is not necessary in north face of the building for the energy consumption and daylight level.

특발성 동안신경 마비환자 치료 1례에 대한 증례 보고 (A Idiopathic Oculomotor Nerve Palsy Patient Treated by Acupuncture Complex Therapy)

  • 이창희;이철휘;박민규;정원희;최병선;홍권의;이재민
    • Journal of Acupuncture Research
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    • 제27권4호
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    • pp.233-238
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    • 2010
  • Objectives : This study is designed to find out the improvement of eyelid ptosis and eyeball movement trouble caused by idiopathic oculomotor nerve palsy after diagnosing the patient to Ghan-shil (肝實), Bee, Shin-hur(脾腎虛) and treating the patient with acupuncture and herb medicine. Methods & Results : The changes in clinical symptoms of eyelid ptosis and eyeball movement trouble were described as the patient was treated with acupuncture therapy and herb medicine, Shae-ghan-san gagam(洗肝散加減) and Yukmi-jihwang-tang gagam(六味地黃湯加減). Conclusions : The patient was treated by acupuncture, herb medicine on idiopathic oculomotor nerve palsy for 6 weeks and showed good effect.

뇌졸중 환자 가족 간호자의 우울 및 영향 요인에 관한 연구 (Depression of Stroke Patient자s Family Caregivers and the Relating Factors)

  • 최희정;서문자;김금순;김인자;조남옥
    • 대한간호학회지
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    • 제30권6호
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    • pp.1531-1542
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    • 2000
  • In this paper, we examined the depression of stroke patient's caregivers and analyzed influencing factors of the depression. The subjects were 215 caregivers who have takencare of stroke survivors in their home. The conceptual model of this study consisted of the caregiver's depression, perceived burden, illness intrusiveness, and patient's ADL. Modified Korean CES-D, modified subjective and objective Burden Scale, Illness intrusiveness(II), and Instrumental Activity of Daily Living(IADL) were used to measure concepts. Path analysis was used to test the model of this study. The results were as follows: 1. The mean depression score was 11.6 which was below the cut-off score of the CES-D. This score indicates that the subjects were higher than normal adults' mean score but not depressive. Eighty-six out of 215 caregivers(40%) were above the cut-off score. This finding was different from previous research results, and the reason might be the patients' capability of ADL. In a group of low capability patient's activities of daily living, caregiver's depression score was 15.5. 2. Caregiver's depression was positively related to caregiver's burden and illness intrusiveness, but negatively related to patient's activities of daily living. 3. The caregiver's perceived burden and illness intrusiveness directly influenced on their depression. Furthermore, the and caregiver's illness intrusiveness led to depression indirectly through their burden. A patient's activities of daily living didn't influence directly on depression but indirectly through caregiver's illness intrusiveness and burden.

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뇌경색 이후 발생한 위완통의 백호탕 치험 1례 증례보고 (A case of Patient with epigastralgia which appeared after Stroke Treated with Baekho-tang)

  • 박혜진;김정현;유호룡;김윤식;설인찬;조현경
    • 혜화의학회지
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    • 제21권2호
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    • pp.133-138
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    • 2013
  • Objectives: The purpose of this study is to show a case of patient with epigastralgia which appeared after Stroke improved by Baekho-tang. Methods: We treated the patient with Herbal med, Acupuncture, Moxa. Results: Every Herbal med was no effect on Epigastralgia of patient. But The epigastralgia of patient was disappeared after using Baekho-tang. Conclusion: We can find out the effect of the Baekho-tang for epigastralgia which appeared after Stroke in this study.

갑상선기능항진증 환자 1례에 관한 증례보고 (The Clinical Study on 1 Case of Hyperthyroid Patient)

  • 김성균;이한배;이승희;진속창;민건우;정지천;박종혁
    • 대한한방내과학회지
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    • 제23권2호
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    • pp.238-243
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    • 2002
  • Objective : This study was to investigate diagnosis and treatment based on an overall analysis of signs and symptoms on a hyperthyroid patient. Methods : The observation of the clinical progress was carried out by conducting diagnosis and treatment based on an overall analysis of signs and symptoms with the patient diagnosed hyperthyroidism. Results : Treatments such as the invigoration of qi (益氣) nourishing m (養陰) was given because the patient showed the qi deficiency (氣虛) and m deficiency (陰虛). Conclusion : Diagnosis and treatment based on an overall analysis of signs and symptoms of a hyperthyroid patient had moderate effects on the improvement of the patients condition.

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식이요법에 의한 위궤양의 치료 연구 (A Study on Dietary Therapy for Patient with Peptic Ulcer)

  • 임원명
    • Journal of Nutrition and Health
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    • 제2권2호
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    • pp.79-85
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    • 1969
  • A serious case of the stomach ulcer was cured completely through a dietery treatment. The patient was listed as one of worse cases by the doctors. The patient refused to accept doctors' advises to have al surgical operation and sticked to his idea of dietetics. The doctors openly expressed their scepticism to a successful out come of a dietery treatment. However, it has been a success. A special ulcer diet menu prepared for the patient was based on those principles as follow: 1. Ulcer diet contained high protein (70g/day) and high energy (2,000cal/day). 2. To maintain a minimum degree of pressure on digestive process of the stomach, several small meals more than three times a day were served. Fat was avoided except that contained in milk and small amount of butter on toast. 3. To help to neutralize acid of the stomach, ample amount of milk was served. 4. Irritating food and beverage were prohibited. It was concluded that milk was one of the best diet for a peptic ulcer patient, for it could neutralize acid of the stomach as well as could provide ample amount of high protein which expedite healing craters formed by the stomach or duodenal ulcer. It was reported that most of unsucessful peptic ulcer cases of the local patients could be attributed to their failure in observance of an ulcer diet during their dietery treatment period, particularly their unfriendly attitude toward a milk diet.

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Effects of Somatic Mutations Are Associated with SNP in the Progression of Individual Acute Myeloid Leukemia Patient: The Two-Hit Theory Explains Inherited Predisposition to Pathogenesis

  • Park, Soyoung;Koh, Youngil;Yoon, Sung-Soo
    • Genomics & Informatics
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    • 제11권1호
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    • pp.34-37
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    • 2013
  • This study evaluated the effects of somatic mutations and single nucleotide polymorphisms (SNPs) on disease progression and tried to verify the two-hit theory in cancer pathogenesis. To address this issue, SNP analysis was performed using the UCSC hg19 program in 10 acute myeloid leukemia patients (samples, G1 to G10), and somatic mutations were identified in the same tumor sample using SomaticSniper and VarScan2. SNPs in KRAS were detected in 4 out of 10 different individuals, and those of DNMT3A were detected in 5 of the same patient cohort. In 2 patients, both KRAS and DNMT3A were detected simultaneously. A somatic mutation in IDH2 was detected in these 2 patients. One of the patients had an additional mutation in FLT3, while the other patient had an NPM1 mutation. The patient with an FLT3 mutation relapsed shortly after attaining remission, while the other patient with the NPM1 mutation did not suffer a relapse. Our results indicate that SNPs with additional somatic mutations affect the prognosis of AML.

유헬스 서비스 기반의 ISO/IEEE 11073-10404 모니터링 시스템 구현 (Implementation of ISO/IEEE 11073-10404 Monitoring System Based on U-Health Service)

  • 김경목
    • 한국항행학회논문지
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    • 제18권6호
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    • pp.625-632
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    • 2014
  • 유헬스 서비스는 사물인터넷 장치와 스마트 기기와 같은 모바일 장치를 사용하기 때문에 휴대가 간편한 소형 컴퓨팅 장치로 구성되어 있으며, 기존 컴퓨터에서 수행하던 작업을 동시에 수행할 수 있다. 환자의 생체정보를 이동통신망 환경에서 의료진과 환자 및 환자의 가족의 스마트기기로 실시간으로 전달할 수 있도록 bluetooth HDP기반의 메시지 구조를 사용하였다. ISO/IEEE 11073 PHD 표준을 기반으로 agent와 manager 사이의 통신 방법을 정의하였다. 의료진과 환자 및 환자의 가족이 스마트 기기를 통하여 실시간으로 확인할 수 있도록 안드로이드 기반의 모니터링 애플리케이션을 구현하여 일상생활에서 사용되고 있는 스마트 기기에서 동작을 확인함으로써 생체정보의 원활한 송수신을 확인하였다.

당뇨 합병증의 과거력이 있는 동안 신경마비 환자1례에 대한 임상적 고찰 (Clinical study on one patient with oculomotor nerve palsy accompanied by Diabetes mellitus complication history)

  • 윤철;윤채성;이동효;성은진;김환영;황충연
    • 대한한의학방제학회지
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    • 제17권2호
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    • pp.233-238
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    • 2009
  • Objective : To carry out the oriental medicine treatment on a patient with oculomotor nerve palsy accompanied by Diabetes mellitus complication history Methods : We conducted one patient with oculomotor nerve palsy at Won-Kwang University Kwang-Ju Oriental Medical Hospital. We treated patient by herbal medicine, acupuncture, etc. Results : We had an effect that one patient's symptom had improved. Conclusion : We suggest that the oriental medical treatment and management have an effect with oculomotor nerve palsy accompanied by DM complication history.

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