• Title/Summary/Keyword: 클리닉

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Statistical Analysis of Patients Referred to Pediatric Cardiology Clinic for Diagnosis of Heart Disease (심장질환의 진단을 위해 의뢰된 환아들에 대한 자료 분석)

  • Choi, Kwang-Hae;Lee, Young-Hwan
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.49-54
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    • 2000
  • Background: Echocardiography is rapidly establishing itself as the primary diagnostic technique for investigation of children with heart diseases, and referrals are increasing to the pediatric cardiology clinic for investigation. However, because there is a lack of analyzed data on the patients referred to the pediatric cardiology clinics, we have proceeded to compare and analyze their characteristics to provide basic data base. Methods: From Oct. 1, 1998 to Jul. 10, 1999, total 443 cases referred to the pediatric cardiology clinic of Yeungnam University Hospital were studied retrospectively by medical records, chest X-ray, EKG and echocardiography, etc. Results: The results were as follows. 1. The proportion of male was 61.0%(261 cases) and that of female was 39.0%(67 cases). The ratio of male to female was 1.6:1. The proportion infants less than 1 year-old was 62.6% (26R cases) of all patients. 2. Cardiac murmur was present in 248 cases(57.9%), which was the most common case of referral ed to the pediatric cardiology clinic. The impression at referral was more congenital heart disease(70.6%) than acquired heart disease(17.8%) and arrhythmia01.6%). 3. The final diagnosis was as follows : congenital heart disease was present in 212 cases(49.5%), acquired heart disease, 59 cases(13.9%); arrhythmia. 13 cases(3.0%); normal heart. 144 cases(33.6%). Conclusion: Among the patients referred to pediatric cardiology clinic, 33.6%(144 cases) had normal hearts and why these patients were referred may be possibly due to more dependence on echocardiography than on auscultation instruction. Therefore, clinical and auscultatory skill should be emphasized to minimize dependence on expensive echocardiography for evaluation of pediatric heart disease.

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A PRELIMINARY STUDY OF CHILDREN WITH LEARNING DISORDER IN KOREA (한국에서의 학습장애 아동에 대한 예비적 연구 - 종합병원 학습장애 특수 클리닉 내원 아동을 중심으로 -)

  • Kim, Seung-Tai;Kim, Ji-Hae;Hong, Sung-Do;Joung, Yoo-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.247-257
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    • 1996
  • This is a preliminary report on the first segment of a continuing and prospective teaming disorder study project in Korea. Study subjects were 197 children, aged between 6 and 15 referred for psychiatric evaluation of scholastic problems. Demographic data, psychiatric diagnoses and intelligence and achievement test results were reviewed and analyzed. Analyses of data lead to the following conclusions : (1) About 20.8% of children referred for scholastic problems were diagnosed of teaming disorder(LD). The most prevalent diagnosis among these children with scholastic problem was emotional disorder, especially depressive disorder(33%), (2) The comorbid rate of attention deficit/hyperactivity disorder(ADHD) of 41 children with LD was 44%, (3) Male/female ratio was 5.8:1 among all of the LD children, 17:1 among children with LD and ADHD and 3.6:l among children with LD but without ADHD, (4) 83% of children with LD scored above middle level on socioeconomic status(SES), (5) Age, SES, IQ, family psychiatric history, past history of medical and psychiatric illness, onset of age, pattern of peer relationship, number of friends, presence of adaptation problem and academic achievements of children with LD and ADHD compared to those of children with LD but without ADHD. No significant differences between two groups were found on age, SES, IQ, family psychiatric history, past history of medical and psychiatric illness, pattern of peer relationship, number of friends and presence of adaptation problem. However, there were significant differences in academic achievements of Korean language total, speaking and listening score, arithmetic score, social science score and music score of children with LD and ADHD compared to those of children with LD but without ADHD. Also there was an ealier onset of age in LD and ADHD group when compared to LD but without ADHD group.

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Sedation at Sedation Clinic of Department of Dentistry in Hanyang University Medical Center (II) (한양대학교 치과 진정요법클리닉에서의 진정요법(II))

  • Chun, Jae-Yoon;Bing, Jung-Ho;Park, Chang-Joo;Hwang, Kyung-Gyun;Shim, Kwang-Sup
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.7 no.1
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    • pp.13-17
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    • 2007
  • At Sedation Clinic of Department of Dentistry in Hanyang University Medical Center, total 92 dental treatments under intravenous conscious sedation using midazolam alone for 80 patients were carried out from March 2006 to February 2007. Following the previous article concerning our sedation protocol, the retrospective analyses of our cases were presented in detail. By the evidence-based approach, we hope that our study will help the general dental practitioners perform the intravenous conscious sedation using midazolam alone safely and effectively.

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Design and Implementation of a Web Based PBL System for ICT Training (ICT 활용 교육을 위한 웹 기반 문제중심학습 시스템의 설계 및 구현)

  • Ahn Seong-Hun;Ku Bon-Ju;Kho Dae-Ghon
    • The Journal of the Korea Contents Association
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    • v.6 no.9
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    • pp.141-151
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    • 2006
  • In this paper, We designed and implemented a web based PBL system for ICT training. We surveyed special qualities and a learning model which have been researched for web based PBL system. According to the result of preceding research, we designed a web based PBL system consisted of teaming guidance, learning subject, collaboration learning, loaming result, help center, bulletin board. Also, We applied the web based PBL system to beginner. According to the result of this application, it was found that the students had more interest in learning and utilization of the system when using the web based PBL system. And the web based PBL system was very useful in setting up a problem-solving plan and a ICT learning plan.

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A Statistical Study of Patients visited Wart Clinic (사마귀 클리닉 내원환자에 대한 통계적 고찰)

  • Yun, Jeong-Min;Shin, Sang-Ho;Yoon, Hwa-Jung;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.192-200
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    • 2009
  • Objective : The purpose of this study is to investigate the characteristics of patients with warts. Methods : We conducted statistics study on 100 patients, who had visited to Wart Clinic, from September 2008 to February 2009. Results : The results were as follows. 1. The wart was found more often from female(64%) than from male(36%). The age distributions of patients showed highest in 21-30 years, followed by 31-40 years, and 11-20 years. 2. The distributions of duration of warts showed highest in 1-5 years, followed by 6-10 years, and over 10 years. 3. The most common warts were Verruca plana(48%), Verruca vulgaris(25%), Verruca vulgaris with Palmoplantar wart(14%), Verruca plana with Verruca vulgaris(9%). 4. The Verruca vulgaris was found mostly in the hand, whereas the Verruca plana was seen mostly in the face. 5. Laser therapy was the most common previous treatment, followed by cryotherapy, immunotherapy in order. 6. The distributions of duration of treatment showed highest in 1-4 weeks, followed by 5-8 weeks, 9-12 weeks in order. 7. After treatment, 43 cases(43%) showed complete clearance, and 29 cases(29%) showed partial clearnace. Conclusion : We analyzed the characteristics of patients with warts. Further studies would be needed to develop the better treatment on warts.

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COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC (폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할)

  • Kwon, Tae-Geon;Cho, Yong-Won;Ahn, Byung-Hoon;Hwang, Sang-Hee;Nam, Ki-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

Use of the ID Migraine Questionnaire for Migraine in TMJ and Orofacial Pain Clinic (턱관절 및 안면통증 클리닉에서 편두통 진단을 위한 ID Migraine 설문지의 이용)

  • Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.29-36
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    • 2006
  • As migraine pain represents a substantial personal and social burden worldwide, there has been a great deal of effort in developing a screening instrument for migraine. Lipton et al(2003) developed and validated the ID Migraine questionnaire, which is a self-administered screener for migraine in primary care, and it is brief and easy to use for a primary care provider. The aim of this study was to determine if the ID Migraine questionnaire could be applied successfully to assess the headache patients with temporomandibular disorders(TMD) and orofacial pain. This study found that nausea, photophobia and headache-related disability had the highest individual sensitivities and specificities, and the performance of the three-item screener was equivalent to that reported in a previous study. Although the sensitivity of the three-item screener in this study (0.58) was lower than in a previous study (0.81), the specificity (0.98) was higher and the positive predictive value was 93.9%. This suggest that the ID Migraine questionnaire is very efficient in this setting. In conclusion, the ID Migraine questionnaire, which is a three-item screener consisting of nausea, photophobia and headache-related disability, is effective as a self-administered report for detecting migraine headaches in patients with temporomandibular disorders(TMD) and orofacial pain.

Introduction of Sedation Clinic at Department of Dentistry in Hanyang University Medical Center (I) (한양대의료원 치과 진정요법 클리닉의 진정요법(I))

  • Bing, Jung-Ho;Chun, Jae-Yoon;Park, Chang-Joo;Hwang, Kyung-Gyun;Shim, Kwang-Sup
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.6 no.2 s.11
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    • pp.113-120
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    • 2006
  • Recently, sedation in dentistry is gaining more and more interests of dental practitioners. Moreover. 'dental sedation', 'sleep dentistry', or 'pain-free dental treatment' become everyday words familiar to ordinary persons. Sedation clinic in Hanyang University Medical Center was open on Mar 2006 as specialty clinic at department of dentistry. Our aim is performing comfortable and safe dental treatments for patients who have problems for routine dental treatments because of extreme fear and anxiety or for patients who are supposed to have stressful and painful time-consuming treatment, such as sinus elevation and bone graft for implant placement. Our sedation was focused on conscious sedation, especially intravenous sedation using midazolam alone in technique. In two series, the sedation protocol at our Sedation Clinic will be described in details and then, analysis of our cases will be presented to help beginners for sedation in dentistry.

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The Effect on Decrease in the Lumbago by Foot Reflex Massage and Sports Massage (스포츠 마사지와 발반사마사지가 요통감소에 미치는 영향)

  • Um, Ki-Mai;Sung, Ki-Suk;Yang, Yoon-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.113-118
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    • 2002
  • 본 연구의 목적은 스포츠 마사지와 발반사 마사지가 요통감소 미치는 영향을 규명하기 위해 S시에 소재하고 있는 요통 전문 클리닉 2곳에 등록한 환자 30명을 대상으로 실시하였다. 스포츠 마사지그룹(15명)과 발반사 마사지그룹(15명)은 각 각 전담지도자의 관찰아래 12주동안 주3회, 1일 60분씩 실시하여 다음과 같은 결과를 나타내었다. 1. 요부 통증에 관한 조사 결과 스포츠 마사지그룹은 86.7%, 발반사 마사지 그룹은 66.7%가 요부통증이 개선된 것으로 나타났다. 이러한 결과로 볼 때 요부통증의 개선에는 스포츠 마사지와 발반사 마사지 모두 효과가 있는 것으로 나타났으며 특히 스포츠 마사지의 효과가 발반사 마사지보다 약간 높은 것으로 나타났다. 2. 자세 변화에 관한 조사 결과 스포츠 마사지그룹은 53.3%, 발반사 마사지 그룹은 6.7%가 자세가 개선된 것으로 나타났다. 이러한 결과로 볼 때 자세 변화의 개선에는 스포츠 마사지와 발반사 마사지 모두 효과가 있는 것으로 나타났지만 스포츠 마사지의 효과가 발반사 마사지 보다 매우 높은 것으로 나타났다.

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An Implementation of U Care System for Health Diagnosis (건강진단을 위한 U 케어시스템 구현)

  • Hong, Jin-Keun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.7 no.6
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    • pp.1200-1205
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    • 2006
  • In this paper, it is presented to the designed and implemented care system fur health diagnosis. The designed handhold care system is implemented by embedded Visual C++4.0 and Pocket PC2003 software development kit (SDK) in an 802.11 wireless network, and we were conducted that the research provide sufficiently the usefulness of the U health system for the collection of care management information. The proposed system is consists of care management module for health diagnosis, personal record module, data transport module, image information management module for clinic. Also, fur emergency status, transmission function of clinic information is implemented by wireless LAN protocol and serial communication.

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