Erythrocyte sedimentation rate or C-reactive protein
Serum lactate dehydrogenase (LDH)
Tuberculin skin test
HIV antibody assay and HIV viral load for patients at high risk
Three routine blood cultures without administering antibiotics
Rheumatoid factor
Creatine phosphokinase
Heterophile antibody test (children and young adults)
Antinuclear antibodies
Serum protein electrophoresi
Age : 37
Sex : Male
Anorexia, vomiting, systemic edema
Onset)내원 1달전
1년전부터 체력이 떨어지고 쉽게 피곤
약 3개월 전부터 한약 복용
감기가 떨어지지 않아 감기약을 수시 복용함
체중은 1년전에는 1kg감소, 최근 한달 동안 부으면서 약 2kg가량 증가
소변량이 매우 적고 야뇨 3회
계단을 오를 때나 운동할
History of sulfonylurea
IPTP for typhoid fever(장티푸스) in early 1940s
Many patients died. – acute & prolonged hypoglycemia
Carbutamide
effective oral hypoglycemic
Firtst sulfonyluea hypoglycemic
Clinical Trials
Ⅰ. About Clinical Trial.
1. Definition of clinical trials
Although there are many definitions of clinical trials, they are generally considered to be biomedical or health-related research studies in human beings that follow a pre-defined protocol. Observational studies are those in which individuals are observed and their outcomes are measured by the investigators.
2.
Ⅵ. 간호력 Nursing History
신체적
사회적
정신적
영적
실제적
문제
- 어깨 만성
통증
- 활동부족
- 사회적 요구 없음
- 불면증
- 만성피로
- 영적요구 없음
잠재적
문제
- 근육 퇴축
- 잠을 오지 않는 것에 대한 불안감 및 두려움
• 현재 치료받고 있는 건강문제/장애 또는 증상
Plaintiffs:
People of the state of California
Defendant:
Orenthal James Simpson
Judge: Lance Ito
Place: Los Angeles, California
Dates of Trial: January 24, 1995-
October 3, 1995
Glove evidence
left glove : Bundy , Right Simpson’s (Aris, XL)
Nicole Brown bought pair of Aris Light XL gloves in 1990
Simpson wore Aris Light gloves from 1990 to June, 1994.
Shoe evide
trial.
They think youre smart
and convincing.
They want you to ask the priest
to reconsider.
Well, what if he wont?
This sounds like a quagmire.
If Im smart, Ill leave it alone.
Erin, the Van Hopper case
got you back on the fast track.
Once again, youre a rising star.
- Chivas, neat, please.
- Tanqueray martini, dry.
- What are you saying?
- Im saying, you do this for me
and the rising star keeps
to concern you
with it, sir. They have no case.
Frank Huddy just wants my scalp. I found
a loophole. Im gonna plead not guilty -
Gordon, stop it.
Theres not going to be a loophole.
Theres not going to be a trial.
I am not going to have you drag...
this firms good name
through the mud.
Ive talked toJudge Weathers
and he has agreed to suspend your case.
- Under what conditions?
- Probation, su
trial (개수)
Norm(기준)
Rt. hand
15개
14.7±1.3
Lt. hand
7개
13.8±1.5
Both hand
9줄
11.2±1.0
Rt. + Lt + Both hand
31
위에 세 개를 더한 값
Assesmly
21개
27.9±5.8
comment : Rt. 는 정상이며, Lt. 는 기준치에 -4 이고, 양손도 -1,
조립은 -1정도로 조금 못미치는 정도로 결과가 나옴
* Physical examination
Rt.
Lt.
Shoulder pain
-
-