• Title/Summary/Keyword: Chronic Disesase

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Factors Influencing Changes in Fasting Blood Sugar Level of Participants in Primary Care Chronic Disease Management Pilot Project using ICT (ICT를 활용한 만성질환관리 시범사업 참여자의 공복혈당수치 변화에 영향을 미치는 요인)

  • Ha, Yu-Hee;Jin, Ki-Nam;Jeong, Jae-Yeon;Choi, Hwa-Young
    • Korea Journal of Hospital Management
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    • v.26 no.1
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    • pp.42-54
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    • 2021
  • The purpose of this study is to analyze that ICT-based primary health care affects clinical changes of participants in the primary care chronic disease management pilot project using ICT medical care. Customized health information data, provided by National Health Insurance Service, was used for the analysis. The study targeted a total of 676 people that participated in primary care chronic disease management pilot project using ICT medical care from 2017 to 2018. Hierarchical regression was used to test three model. First, there were many subjects who used face-to-face consultation and non-face-to-face consultation(messaging), but less than half of patients using non-face-to-face consultation(telephone). Second, after participating in the pilot project, the fasting blood sugar level decreased. Third, the clinical condition of the subjects appeared to be an important factor in controlling blood sugar levels. Finally, patients using the non-face-to-face consultation(messaging) had reduced blood sugar levels after participating in the project. This results imply that non-face-to-face consultation is effective in reducing fasting blood sugar level with hospital intervention, and there are effects of the primary care chronic disease management project using ICT.

A Case Report of Voiding Dysfunction after Intracerebral Hemorrhage in CKD Patient Improved with Yeoldahanso-tanggamibang (만성 신부전환자의 뇌출혈 후 배뇨곤란에 대한 열다한소탕가미방 치험례)

  • Won Kyoung Moon;Sang Woo Park;Hyun Ji Yoo;Eui Ju Lee
    • Journal of Sasang Constitutional Medicine
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    • v.36 no.2
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    • pp.65-75
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    • 2024
  • Objectives This case study was aimed to report improvement of taeum-in patient with chronic kidney disesase who had voiding dysfunction after intracerebral hemorrhage using Yeoldahanso-tanggamibang. Methods A patient who complained of voiding dysfunction after intracerebral hemorrhage was administered with Yeoldahanso-tanggamibang through sasang consitutional medicine approach. To evaluate the improvement of voiding dysfunction, the number of nelaton catheterizations after removal of foley catheter and the amount of post void residual volume were compared, and laboratory follow-up was performed to determine whether renal function deteriorated. Results After treatment with Yeoldahanso-tanggamibang for 8 weeks, the number of nelaton catheterizations after removal of foley catheter decreased, the amount of post void residual volume decreased, and the renal function did not change. Conclusions This case study suggests the significance of Yeoldahanso-tanggamibang treatment for taeum-in patient who had voiding dysfunction after intracerebral hemorrhage.