1.Chemotherapy.
Journal of the Korean Gastric Cancer Association 2002;2(3):133-135
No abstract available.
Drug Therapy*
2.DRG(Diagnosis Related Group) Payment System.
Journal of the Korean Society of Coloproctology 2003;19(5):334-338
No abstract available.
3.Referral Patterns and Needs for Specialist Care among Patient Referred from Health Center.
Tae Yoon HWANG ; Chang Yoon KIM ; Pock Soo KANG
Korean Journal of Preventive Medicine 1996;29(1):133-143
This study was conducted to assess the referral patterns to specialist from general practitioners in health center and perceived needs of referred patients for specialist care in health center. The study subjects were 249 patients who visited to health centers and were referred to other medical facilities. The data were obtained from questionnaire survey which was conducted in Kyongjuu-city Health center, Seongju-Gun Health center and Koryong-Gun Health center in Kyongsangbuk-Do, from June 10 to october 17, 1995. The total referral rate was 2.7%. The proportion of patients who wished to be referred to medical specialists was 85.9%, and the proportion of patients referred by general practitioners in health centers was 14.1%. Among the patients who wished to be referred to medical specialists, 45.9% visited directly to health centers, 34.6% visited health centers via local clinics and 19.5% visited health centers to get referral permission only. The reasons for getting referral permission in health centers were easy geographical accessibility(34.6 %), easy to get referral permission in health centers(27.l%), and very difficult to get referral permission in local clinics(l6.4%). Among the diseases of referred patients, diseases of the musculoskeletal system and connective tissue were most prevalent on a whole, but diseases of nervous system and sensory organs were comparatively high among the patients who wished to be referred to medical specialists and infectious and parasitic diseases were comparatively high among the patients referred by general practitioners in health centers. The most favorable medical facility was general hospital including university hospital in both groups of patients who wished to be referred to medical specialist and the patient referred by general practitioners in health centers. Regarding the needs for specialist care in health center, 75.2% patients who wished to be referred to medical specialists and 74.3% of patients referred by general practitioners in health center wanted the specialist care. The most frequently requested speciality is internal medicine(47.1%), and then orthopedics and general surgery. Based on above results, this study revealed that the majority of patients referred from health center wished to be referred to medical specialists at their own will, so, referral system at health center level should be changed. And if specialist care in health center be provided, the medical care by internist could be provided first, and then that of orthopedics and general surgery could be provided. These kinds of medical cares could be covered by local clinicians as a part-time job on a voluntary basis.
Connective Tissue
;
General Practitioners
;
Gyeongsangbuk-do
;
Hospitals, General
;
Humans
;
Musculoskeletal System
;
Nervous System
;
Orthopedics
;
Parasitic Diseases
;
Surveys and Questionnaires
;
Referral and Consultation*
;
Specialization*
4.The role of cartilage canals to the initial osteogenesis of ossification centers of the talus in the human fetus.
Kang Suk KOH ; Baik Yoon KIM ; Jae Rhyong YOON
Korean Journal of Physical Anthropology 1993;6(1):47-71
No abstract available.
Cartilage*
;
Fetus*
;
Humans*
;
Osteogenesis*
;
Talus*
5.Aspiration Pneumonia in a Pediatric Patient under General Anesthesia despite Adequate Preoperative Fasting.
Korean Journal of Critical Care Medicine 2015;30(4):313-317
Aspiration pneumonia rarely occurs during general anesthesia; however, it can result in fatal pulmonary complications. To reduce aspiration pneumonia, a preoperative fasting time of 8 hours is recommended. A 4-year-old boy with ankyloglossia was scheduled for frenotomy. He completed preoperative fasting time and had no digestive symptoms. Pulmonary aspiration due to unexpected massive vomiting occurred during anesthesia induction. The patient's airway was immediately secured by endotracheal tube. The vomitus in the airway tract was removed by fiberoptic bronchoscopy. Abdomen radiograph taken after this event showed paralytic ileus which can cause aspiration of gastric contents. We describe a case of pneumonia caused by aspiration of gastric contents in a pediatric patient who followed fasting instructions and who was scheduled for outpatient surgery.
Abdomen
;
Ambulatory Surgical Procedures
;
Anesthesia
;
Anesthesia, General*
;
Bronchoscopy
;
Child, Preschool
;
Fasting*
;
Humans
;
Intestinal Pseudo-Obstruction
;
Male
;
Pneumonia
;
Pneumonia, Aspiration*
;
Vomiting
6.A study on the occlusal contact of the subjects with temporomandibular joint sound.
Kwang Hyun YOON ; Dong Wan KANG
The Journal of Korean Academy of Prosthodontics 1993;31(1):51-61
No abstract available.
Temporomandibular Joint*
7.Retroperitoneoscopic Simple Nephrectomy.
Jeong Yoon KANG ; Heon Hoe KIM
Korean Journal of Urology 2000;41(10):1264-1270
No abstract available.
Nephrectomy*
8.The Efficacy of Vaginal Fluid B-hGC Levels for Detecting Premature Rupture of Membranes.
Korean Journal of Perinatology 1998;9(4):415-420
Premature rupture of membranes(PROM) means the rupture of amniotic membranes at any time prior to labor during the gestational period. The dilemma of correctly diagnosing rupture of the fetal membranes is well known as the consequences of management based on an incorrect diagnosis. This study was undertaken to determine if the measurement of B-hCG levels in the vaginal fluid is useful for the diagnosis of premature rupture of membranes. HCG is synthesized and secreted by the placental syncytiotrophoblast and it is normally found in amniotic fluid, maternal urine and blood. We used B-hCG for diagnosis of PROM to exclude the cross reaction with other hormones. After irrigating the posterior vaginal fornix with 3 ml of sterile saline and obtaining vaginal washings, we measured B-hCG levels. The groups were classified normal group(group I), confirmed PROM group(group II ), and suspicious PROM group(groupIII) during the third trimester. The median and 95% confidence intervals(CIS) of vaginal fluid B-hCG in each group(normal, confirmed PROM, suspicious PROM group) were 30.99mIU/ml(range: 0.32-209.89mIU/ml), 188.61mIU/ml(range: 9.65-2095.00mIU/ml), 69.63mIU/ml(range 4.76-349.56mIU/ml). There was significant difference between normal and confirmed PROM group(p<0.05), sensitivity was 95.00%, specificity 80.00%, positive predictive value 82.60%, negative predictive value 94.12%, and accuracy 87.50%, using threshold value of 60mIU/ml. There was significant difference between normal and suspicious PROM group(p<0.05) but the result of the B-hCG was not used in the obstetric decision. In terms of these results, the B-hCG level in vaginal fluid is a useful marker of PROM during the third trimester. A new technic is proposed to confirm the diagnosis of rupture of the membranes based on the introduction of B-hCG in vaginal fluid.
Amnion
;
Amniotic Fluid
;
Cross Reactions
;
Diagnosis
;
Extraembryonic Membranes
;
Female
;
Humans
;
Membranes*
;
Pregnancy
;
Pregnancy Trimester, Third
;
Rupture*
;
Sensitivity and Specificity
;
Trophoblasts
9.Gastrointestinal stromal tumor with a new concept and promising treatment.
Korean Journal of Medicine 2002;63(1):4-6
No abstract available.
Gastrointestinal Stromal Tumors*
10.Hepatic candidiasis developed after high dose chemotherapy for non-hodgkin's lymphoma.
Yong Hwan SONG ; Yoon Koo KANG
Korean Journal of Medicine 1999;57(5):961-961
No abstract available.
Candidiasis*
;
Drug Therapy*
;
Lymphoma, Non-Hodgkin*