• Journal of Medicine and Life Science
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• v.16 no.2
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• pp.43-45
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• 2019

Intraoperative delivery of salbutamol (${\beta}_2$ agonist) through a breathing circuit may be performed in asthma patient. A 28-year-old woman with a history of asthma was diagnosed with chronic sinusitis and bilateral nasal polyps, and an endoscopic sinus surgery was performed. The patient was recommended salbutamol nebulization every 4 hours during the perioperative period because of the risk of asthma attack. At the end of the operation, when salbutamol was sprayed through the tube before extubation and the connector tip went inside the tube during injection. The patient was immediately referred to the pulmonary medicine department for bronchoscopy, where the foreign body was removed safely without any complications. When general anesthesia is performed on a patient who usually uses an inhaler for asthma, caution is required because the tip that connects the inhaler and the breathing circuit can aspirate into the endotracheal tube and enter the lungs when applying the inhaler before waking up the patient.

• Journal of Preventive Medicine and Public Health
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• v.39 no.5
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• pp.397-403
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• 2006

Objectives: We estimated the asthma-related health care utilization and costs in Korea from the insurer's and societal perspective. Methods: We extracted the insurance claims records from the Korea National Health Insurance claims database for determining the health care services provided to patients with asthma in 2003. Patients were defined as having asthma if they had ${\geq}$2 medical claims with diagnosis of asthma and they had been prescribed anti-asthma medicines, Annual claims records were aggeregated for each patient to produce patient-specific information on the total utilization and costs. The total asthma-related cost was the sum of the direct healthcare costs, the transportation costs for visits to health care providers and the patient's or caregivers' costs for the time spent on hospital or outpatient visits. Results: A total of 699,603people were identified as asthma patients, yielding an asthma prevalence of 1.47%. Each asthma patient had 7.56 outpatient visits, 0.01 ED visits and 0.02 admissions per year to treat asthma. The per-capita insurance-covered costs increased with age, from 128,276 Won for children aged 1 to 14 years to 270,729 Won for those aged 75 or older. The total cost in the nation varied from 121,865 million to 174,949 million Won depending on the perspectives. From a societal perspective, direct health care costs accounted for 84.9%, transportation costs for 15.1 % and time costs for 9.2% of the total costs. Conclusions: Hospitalizations and ED visits represented only a small portion of the asthma-related costs. Most of the societal burden was attributed to direct medical expenditures, with outpatient visits and medications emerging as the single largest cost components.

• Herbal Formula Science
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• v.14 no.1
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• pp.176-183
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• 2006

Purpose: The purpose of this case study is to report the effect of oriental and western medicine combination therapy for the Asthma during the period of pregnancy. Methods: We treated the patient who had the Asthma during the period of pregnancy and visited Dongshin University oriental hospital. The patient in this case was admitted for 9days due to the Asthma on the twenty-third week period of pregnancy. In consideration of pregnancy, this patient was treated with oriental and western medicine combination treatments such as herb medicine, acupuncture, herbal acupuncture therapy, and so forth. Results: There was remarkable improvement in condition of the patient, treated by oriental and western medicine combination therapy. Conclusion: We confirmed that western medicine treatment is effective in curuing with an urgent symptoms, but there is a limit to complete recovery or prevention. On the other hand. it proves that oriental medicine treatment is proficient with continuous treatment effect, but further studies are needed.

• Korean Journal of Health Education and Promotion
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• v.33 no.2
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• pp.47-55
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• 2016

Objectives: We investigated whether the rate of depressive symptom is higher among family members of asthmatic patient compared to people who had no asthmatic family member. Methods: This study used data from the fourth and fifth Korea National Health and Nutrition Examination Survey (2007-2012). In this cross-sectional study, 15,987 men (mean age 46.4) and 20,906 women (mean age 47.4) were included. To compare the rate of depressive symptoms in individuals who had a family member with asthma and those who did not have, we analyzed data using survey logistic regression. Results: Diagnosed depression was reported by 3.0% of the study population, by 4.2% of asthmatic patient's family member, and by 3.0% of individuals who did not have a family member with asthma. Family members of asthmatic patient increased odds of diagnosed depression compared with those who did not had an asthmatic family member (odds ratio = 1.56, p = 0.008). Conclusions: To prevent depression among family members of asthmatic patient, health education for entire family of asthmatic patient need to be considered. Also, government and policy makers should give more attention to caregivers who had a family member with asthma.

• Journal of Korean Medicine Rehabilitation
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• v.25 no.3
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• pp.103-109
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• 2015

Objectives The objective of this study si to report clinical effect of korean medical treatments and Buteyko breathing technique for asthma patient with pneumonia. Methods The patient was treated by korean medical treatment including acupunture, moxibustion, herbal medication and Buteyko breathing technique. The improvement of clinical symptoms was observed by visual checking and X-ray, Pulmonary Function Test that index include TV, FVC, FEV1. Results After treatments, the patient was improved in visual checking and X-ray on chest, TV, FVC, FEV1. Conclusions We suggest that korean medical treatment and Buteyko breathing technique could be an effective method to improve the asthma patient with pneumonia.

• Annals of Occupational and Environmental Medicine
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• v.35
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• pp.13.1-13.12
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• 2023

Background: Indoor air pollution can cause and exacerbate asthma. We report a previously undescribed case of occupational asthma related to indoor air pollution in a worker at an indoor air gun shooting range and highlight the potential risk of developing occupational asthma in this environment. Case presentation: A 31-year-old man presented with dyspnea, cough, and sputum and was diagnosed with asthma complicated by pneumonia. Objective evidence of asthma was obtained by performing a methacholine bronchial provocation test. It was suspected that the patient had occupational asthma, which began one month after changing jobs to work within the indoor air gun shooting range. The highest peak expiratory flow (PEF) diurnal variability on working days was 15%, but the highest variation was 24%, with 4 days out of 4 weeks having a variation of over 20% related to workplace exposure. Conversely, the diurnal variability on the rest days was 7%, and no day showed a variation exceeding 20%. The difference in the average PEF between working and rest days was 52 L/min. PEF deterioration during working days and improvement on rest days were noted. Conclusions: The results obtained from the in-depth analysis of the PEF were adequate to diagnose the patient with occupational asthma. Exposure to indoor air pollution and lead and the patient's atopy and allergic rhinitis may have contributed to the development of occupational asthma.

• The Journal of Internal Korean Medicine
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• v.39 no.2
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• pp.184-191
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• 2018

Objectives: This study evaluated the effects of traditional Korean medicine treatment on a patient with asthma. Methods: A patient was treated with acupuncture, herbal medicine, and cupping. The effect of treatment was evaluated via the quality of life questionnaire for adult Korean asthmatics (QLQAKA), the visual analog scale (VAS), and night awakening frequency. Results: After treatment, improvements were observed. The total QLQAKA score increased from 36 to 50. Conclusions: This study observed that traditional Korean medicine treatments are effective in caring for a patient with asthma.

• Korean System Dynamics Review
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• v.14 no.2
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• pp.55-69
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• 2013

The purpose of this study is to analyze nursing students' proficiency with ST(Systems Thinking) approach concerning asthma patient nursing process. For this study, 20 nursing students created causality cognitive maps which were consisted of the contents of 'asthma nursing care'. The word association and causality cognitive map were used to estimate ability of the ST. As a result, the students failed to understand the nursing process with the ST approach, or alternatively they applied low level ST approach and had a lower understanding of it. The findings of this study suggest that the development of a ST-based nursing educational program in order for nursing students to improve their ST ability as well as knowledge integration for multidisciplinary practice.

• Journal of Korean society of Dental Hygiene
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• v.22 no.4
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• pp.225-230
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• 2022

Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

• Tuberculosis and Respiratory Diseases
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• v.80 no.2
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• pp.113-135
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• 2017

Asthma is traditionally regarded as a chronic airway disease, and recent literature proves its heterogeneity, based on distinctive clusters or phenotypes of asthma. In defining such asthma clusters, the nature of comorbidity among patients with asthma is poorly understood, by assuming no causal relationship between asthma and other comorbid conditions, including both communicable and noncommunicable diseases. However, emerging evidence suggests that the status of asthma significantly affects the increased susceptibility of the patient to both communicable and noncommunicable diseases. Specifically, the impact of asthma on susceptibility to noncommunicable diseases such as chronic systemic inflammatory diseases (e.g., rheumatoid arthritis), may provide an important insight into asthma as a disease with systemic inflammatory features, a conceptual understanding between asthma and asthma-related comorbidity, and the potential implications on the therapeutic and preventive interventions for patients with asthma. This review discusses the currently under-recognized clinical and immunological phenotypes of asthma; specifically, a higher risk of developing a systemic inflammatory disease such as rheumatoid arthritis and their implications, on the conceptual understanding and management of asthma. Our discussion is divided into three parts: literature summary on the relationship between asthma and the risk of rheumatoid arthritis; potential mechanisms underlying the association; and implications on asthma management and research.