• Title/Summary/Keyword: practitioner

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The clinical report of External Gi-Gong Therapy about Pruritus and Erythema (소양(搔痒)과 홍반(紅班)에 대한 기공치료(氣功治療) 증례보고)

  • Bae Hang;Park Ryung-Jun
    • Journal of Korean Medical Ki-Gong Academy
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    • v.7 no.1
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    • pp.127-148
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    • 2003
  • This paper includes five cases about patient with pruritus and erythema by External Gi-Gong Therapy(EKT) for two days. We judged the patient who has pruritus and erythema, and treated them with External Gi-Gong Therapy(EKT). EKT has always been part of the medical Gi-Gong practice. EKT refers to the process by which a Gi-Gong practitioner directs his intention, or emits his Gi energy, to help others break Gi blockages and induce the sick Gi out of the body so as to alleviate the pain, abate the disease, and balance the flow of Gi. We expect that External Gi-Gong Therapy is effective for patient with pruritus and erythema.

Perineal Pain due to Bladder Stones after Total Abdominal Hysterectomy - A case report - (전 자궁 절제술 후 방광 내 결석으로 유발된 회음부 통증 - 증례보고 -)

  • Park, Sang Hyun;Park, Jong Cook;Lee, Pyung Bok
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.251-254
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    • 2007
  • Perineal pain is a significant diagnostic challenge to the pain practitioner, and accurate diagnosis and treatment is essential. We report a case of 42-years old female patient suffering from excruciating vulvodynia for 5 years. Her pain on the visual analogue scale was 10 out of 10 and her pain was associated with sleep disturbance, dyspareunia, and chronic fatigue. She was diagnosed with a bladder stone by imaging, and The pain was relieved by cystolitholapaxy.

Ultrasound-Guided Pain Interventions - A Review of Techniques for Peripheral Nerves

  • Soneji, Neilesh;Peng, Philip Wenn Hsin
    • The Korean Journal of Pain
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    • v.26 no.2
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    • pp.111-124
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    • 2013
  • Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the anatomy and sonoanatomy of peripheral non-axial structures commonly involved in chronic pain conditions including the stellate ganglion, suprascapular, ilioinguinal, iliohypogastric, genitofemoral and lateral femoral cutaneous nerves. Additionally, the review discusses ultrasound guided intervention techniques applicable to these structures.

A Case Report of Guided Bone Regeneration Using a Putty-type Demineralized Bone Matrix (골유도재생술에 대한 putty형 탈회 기질골 이용연구)

  • Jeong, Mi-Ae
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.330-333
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    • 2011
  • Allomatrix (Wright Medical Tech, Inc., USA), is a newly designed, injectable putty with a reliable demineralized bone matrix(DBM), derived from human bone. The compound contains 86% DBM and other bone growth factors such as bone morphogenic protein (BMP)-2, BMP-4, insulin-like growth factor (IGF)-1, and transforming growth factor (TGF)-${\beta}1$. It has excellent os-teoinduction abilities. In addition, DBM is known to have osteoconduction capacity as a scaffold due to its collagen matrix. This product contains a powder, which is a mix of DBM and surgical grade calcium sulfate as a carrier. A practitioner can blend the powder with calcium sulfate solution, making a putty-type material which has the advantages of ease of handling, better fixation, and no need for a membrane, because it can function as membrane itself. This study reports the clinical and radiographic results of various guided bone regeneration cases using Allomatrix, demonstrating its strong potential as a graft material.

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Evaluation of Subtractive Clustering based Adaptive Neuro-Fuzzy Inference System with Fuzzy C-Means based ANFIS System in Diagnosis of Alzheimer

  • Kour, Haneet;Manhas, Jatinder;Sharma, Vinod
    • Journal of Multimedia Information System
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    • v.6 no.2
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    • pp.87-90
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    • 2019
  • Machine learning techniques have been applied in almost all the domains of human life to aid and enhance the problem solving capabilities of the system. The field of medical science has improved to a greater extent with the advent and application of these techniques. Efficient expert systems using various soft computing techniques like artificial neural network, Fuzzy Logic, Genetic algorithm, Hybrid system, etc. are being developed to equip medical practitioner with better and effective diagnosing capabilities. In this paper, a comparative study to evaluate the predictive performance of subtractive clustering based ANFIS hybrid system (SCANFIS) with Fuzzy C-Means (FCM) based ANFIS system (FCMANFIS) for Alzheimer disease (AD) has been taken. To evaluate the performance of these two systems, three parameters i.e. root mean square error (RMSE), prediction accuracy and precision are implemented. Experimental results demonstrated that the FCMANFIS model produce better results when compared to SCANFIS model in predictive analysis of Alzheimer disease (AD).

REVOLUTIONS OF CONSTRUCTION ORGANIZATIONS TOWARDS GREEN BUILDING PRJECTS

  • Po-Han Chen;Yuan-Yuan Li
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.558-565
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    • 2009
  • In recent years, the demand for green buildings is growing fast due to legislative and social pressures. Construction organizations, which play an important role in promoting building industry growth, are facing with challenges on how to adapt themselves to enhance sustainability of the buildings. In this paper, the green value chain and system frameworks, an extend application of Porter's value chain and system models, are introduced. Based on deep analysis of the green value chain and system frameworks, a revolution model for construction organizations towards green building is created. Management factors critical for a successful green building project, at the firm and project organization level, are extracted. Furthermore, external critical relationships are also identified. Fully understanding of these management factors and the model can help and enable practitioner to know what new capabilities should be deployed and developed in the long run for maximizing sustainability.

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First report of splenic myelolipoma in a Schnauzer in Colombia: a case report

  • Valentina Rueda-Garcia;Nicolas Carrillo-Godoy;Carlos Alberto Bonilla-Gutierrez;Alejandra Valdivieso-Valencia;Iang Schroniltgen Rondon-Barragan
    • Korean Journal of Veterinary Research
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    • v.62 no.4
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    • pp.28.1-28.4
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    • 2022
  • Splenic myelolipoma is a rare tumor in dogs with an unclear origin. A male 13-year-old Schnauzer dog was presented because of a bump on the left side of the abdomen. Clinical examination and abdominal ultrasound revealed a mass in the spleen. A total splenectomy was carried out, and histopathology revealed a splenic myelolipoma. Before surgery, the patient showed high serum alanine aminotransferase levels, which returned to normal eight months after the resection. Unfortunately, the postoperative follow-up showed increased serum cholesterol and triglyceride levels, suggesting liver compromise. This is the first report of a splenic myelolipoma in Colombia.

Psychotherapist's Liability for Failure to Protect Third Person (정신질환자의 타해(他害)사고와 의료과오책임)

  • Son, Heung-Soo
    • The Korean Society of Law and Medicine
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    • v.11 no.1
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    • pp.331-393
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    • 2010
  • Psychiatrists who treat violent or potentially violent patients may be sue for failure to control aggressive outpatients and for the discharge of violent inpatients. Psychiatrists may be sued for failing to protect society from the violent acts of their patients if it was reasonable for the psychiatrists to have known or should have known about the patient's violent tendencies and if the psychiatrists could have done something that could have safeguarded in public. The courts of a number of jurisdictions have imposed a duty to protect the potential victims of a third party on persons or institutions with a special relationship to that party. In the landmark case of Tarasoff v Regents of University of California, the California Supreme Court held that the special relationship between a psychotherapist and a patient imposes on the therapist a duty to act reasonably to protect the foreseeable victims of the patient. Under Tarasoff, when a therapist has determined, or under applicable professional standards should determine, that a patient poses a serious threat of violence to another, he incurs an obligation to use reasonable care to protect the intended victim against such danger. In addition to a Tarasoff type of action based on a duty to warn or protect foreseeable victims of psychiatric outpatients, courts have also imposed liability on mental health care providers based on their custody of patients known to have violent propensities. The legal duty in such a case has been stated to be that where the course of treatment of a mental patient involves an exercise of "control" over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls on the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient. After going through a period of transition, from McIntosh, Thompson and Brady case, finally, the narrow rule of requiring a specific or foreseeable threat of violence against a specific or identifiable victim is the standard threshold or trigger element in the majority of states. Judgements on these kinds of cases are not enough yet in Korea, so that it may be too early to try find principles in these cases, however it is hardly wrong to read the same reasons of Tarasoff in the judgements of Korea district courts. To specific, whether a psychiatric institute was liable for violent behavior toward others depends upon the patients conditions, circumstances and the extent of the danger the patients poses to others; in short, the foreseeability of a specific or identifiable victim. In this context if a patient exhibit strong violent behavior toward others, constant observation should be required. Negligence has been found not exist, however, when a patient abruptly and unexpectedly attack others or unidentifiable victim. And the standard of conduct that is required to meet the obligation of "due care" is based on what the "reasonable practitioner" would do in like circumstances. The standard is not one of excellence or superior practice; it only requires that the physician exercise that degree of skill and care that would be expected of the average qualified practitioner practicing under like circumstances. All these principles have been established in cases of the U.S.A and Japan. In this article you can find the reasons which you can use for psychotherapist's liability for failure to protect third person in Korea as practitioner.

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A Study on the Cognition of Rehabilitation Practitioners Working at Community Rehabilitation Centers Toward Sensory Integration Therapy (장애인복지관에 근무하는 재활전문가들의 감각통합치료에 대한 인식조사)

  • Hwang, Ki-Cheol;Chang, Moon-Young;Ro, Hyo-Lyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.13-23
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    • 2008
  • Objective : The purpose of this study is to investigate awareness of rehabilitation practitioners working at community wellness centers regarding the sensory integration (SI) therapy. Methods : 121 rehabilitation practitioners working at community wellness centers, located in Seoul Gyeonggi, Daegu Gyeongbuk and Busan Ulsan, participated in a questionnaire survey to examine their awareness of SI therapy. The questionnaire constructed based on four elements of the information about SI therapy; SI therapy's purpose, target population and technical process, and the qualification of SI therapist. Correlations between general characteristics and the four awareness elements of SI information were explored. The level of recognition on SI therapy were examined in various perspective such as 'have heard', 'means of the recognition', 'easiness of getting information', 'recognition of necessity of SI therapy', 'willing to participate in professional education course' and 'opinions for improving recognition'. Result : There is significant difference in awareness of the all four elements of SI informations depends on several general characteristics; practitioner's clinical field, location of the center, whether SI service has been provided or not at the center, whether the practitioner carry out SI therapy, and the practitioner's clinical experience in SI therapy. Specially, the recognition of occupational therapists is relatively high compared other rehabilitation practitioners. In terms of level of recognition, most rehabilitation practitioners(96.7%) are well-aware of necessity of sensory integration therapy. 79.4% of the practitioners manifest somewhat of difficulty in getting information related SI therapy. 93.4% of the practitioners are willing to participate in professional education course for SI therapy. Opinion for improving recognition with the most number of people(21) chosen is 'educational revitalization'. Conclusion : Many rehabilitation practitioners working at community wellness centers recognize the necessity of understand SI therapy, but there is uneasiness to get relative and valid information. There are difference awareness of the SI therapy Revitalization of education for SI therapy may provide an opportunity to improve level recognition of rehabilitation practitioners. It is suggested that organ related rehabilitation, there is a need for public relations.

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The Utilization Rate of Community Health Practitioner Post by Some Rural Residents and Its Associated Factors (일부 농촌지역 주민의 보건진료소 이용도와 관련요인)

  • Lee, Woon-A;Ryu, So-Yeon;Park, Jong;Kim, Suk-Il;Kim, Ki-Soon
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.133-147
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    • 2000
  • To provide data for the improvement of primary health care through the study on the utilization rate of community health practitioner(CHP) post and its related factors toward some rural residents in Mooan County Chollanamdo, a questionnaire survey was made from 382 persons during August 1999. Comparison was made between persons at the seaside area under difficult transportation and persons at the railroad area under convenient transportation. The results are as follows: 1. For the last one year, 83.3% of seaside area residents and 67.0% of railroad area residents used CHP post. As the purpose of visit to CHP post at seaside area, 94.3% visited for medical care, 25.3% for chronic disease control and 22.2% for health counselling and 14.1% for chronic disease control. 2. By simple analysis, sex, age, marital status, educational level, residence area, distance from living village to CHP post, presence of chronic diseases, satisfaction with CHP and confidence on CHP were related significantly with the utilization of CHP post for the last one year. 3. By multiple logistic regression, statistically significant variables related with the utilization rate of CHP post for the last one year were analyzed as age, sex, residence area and distance from living village to CHP post.

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