• 제목/요약/키워드: Complaints

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병원급식의 품질특성에 대한 환자만족도 분석 (Analysis of Patient Satisfaction with Hospital Foodservice Quality)

  • 이연경
    • Journal of Nutrition and Health
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    • 제33권4호
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    • pp.464-476
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    • 2000
  • The purpose of this study was to measure patient satisfaction with hosptial foodservices, and thereby identify areas for improvement and provides basic data for the introduction of total quality management into hospital foodservice in the Taegu·Kyungpook area. This survey was carried out on 676 hospitalized patients in 11 hospitals with over 200 beds to determine the quality satisfaction with foodservices. The subjects were 62.4% male and 37.6% female. Sixty-two percent of the subjects were over age 40, 46.7% were only educated to middle school or below, 41.8% were hospitalized for 1 - 10 days. Eighty-seven precent of the subjects did not receive any nutrition education. The expectation and perception grid showed that the high expectation to the low perception items were the seasoning of the meals, taste of the meals, and prompt dealings with meal complaints. The quality satisfaction values of all the attributes indicated a minus. The unsatisfied quality attributes were the opportunity to meet with a dietitian, seasoning of the meals, taste of the meals, explanation of the meals, and prompt dealings with meal complaints. Among the demographic characteristics, age, education, length of admission, and experience with nutrition education produced significant differences in the quality satisfaction scores. In conclusion, it would seem to be desirable that hospital foodservice department introduce selective menus, hygiene education for foodservice employees, standard recipes, quality assurance, and increase the meal rounding of dietitians in the patient foodservice.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 감초건강탕(甘草乾薑湯) 투여 후 호전된 수면 장애 관련 증례 2례 (Two Case Reports of different chief complaints combined with Sleep Disorder treated by Gamchogungang-tang based on Shanghanlun Provisions)

  • 박서연;이성준
    • 대한상한금궤의학회지
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    • 제11권1호
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    • pp.113-123
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    • 2019
  • Objective : The purpose of this study was to report the improvement in two patients with different complaints of sleep disorder treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS), and hypothesize the meaning of word '更'. Methods : According to DPIDS, patients were diagnosed with Taeyang-byung no. 29 provision, and took Gamchogungang-tang herb medication 15 or 90days. The results of administration were evaluated by the hyperhidrosis disease severity scale (HDSS) and the visual analog scale (VAS). Results : After administration of Gamchogungang-tang 15 or 90days, based on 29 provision of Gamchogungang-tang diagnosed according to Shanghanlun provisions, in one case the HDSS decreased from 3 to 1 and the VAS decreased from 10 to 1. In the other case, the VAS decreased from 10 to 1. Conclusions : Each patient not only recovered from symptoms of hyperhidrosis and alopecia areata, but also from sleep disorders following administration of a single medication of Gamchogungang-tang. This case report suggests that the word '更' in the 29 provisions of Shanghanlun means sleep disorder in this case.

흉막삼출증(Pleural effusion)을 진단받은 태음인(太陰人) 환자의 치험(治驗) 1례(例) (A case of Taeumin diagnosed to pleural effusion)

  • 최경주;이태규;이수경;고병희;송일병
    • 사상체질의학회지
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    • 제16권1호
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    • pp.162-167
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    • 2004
  • We managed a Taeumin(太陰人) patient with pleural effusion due to heart failure. We diagnosed as Wiwan-suhan-pyohan-byung(胃完受寒表寒病), and treated with Jowiseungchungtang(調胃升淸湯), going with western medicinal management. His chief complaint was orthopnea, chest discomfort, cough. The state of patient was measured with patient's complaints and chest X-ray. We gained outstanding improvement on patient's chief complaints, but there was no particular change of chest x-ray until thoracentesis. In this case, it seems that cooperations of east-west medicine would be beneficial to treatment of patients.

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태음조위탕(太陰調胃湯)을 활용한 횡격막 탈장 환자 1례 (A Case Study of Patient with Diaphragmatic Hernia who was Treated by Taeeumjowi-tang)

  • 김민지;배효상;박성식
    • 사상체질의학회지
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    • 제24권1호
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    • pp.66-74
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    • 2012
  • 1. Objectives : The purpose of this case study is to report that the general symptoms in 83 years-old female pateint with diaphragmatic hernia improved through oral administration of Taeeumjowi-tang(太陰調胃湯) 2. Methods : We considered the patient as Taeeumin, and administered Taeeumjowi-tang(太陰調胃湯) to improve chief complaints, such as general weakness, anorexia, sense of distension, dyspnea. The change of symptoms were evaluated by VAS(visual analogue score). 3. Results : The patient received hospital treatment for 4 weeks, and the chief complaints such as general weakness, anorexia, sense of distension, dyspnea improved in general 4. Conclusions : The patient with the above symptoms (general weakness, anorexia, sense of distension, dyspnea) was confirmed as diaphragmatic hernia by chest CT scan. But the patient decided not to have surgical operation. Observating the progress, we treated the patient through oral administration of Taeeumjowi-tang(太陰調胃湯), acupuncture and moxibustion treatment. And the general symptoms improved.

측두하악관절장애 환자에서의 평면 골 스캔 및 Bone SPECT 소견과 임상적 및 영상학적 소견과의 비교 (Comparison of planar scintigraphy and bone SPECT with clinical findings and other imaging modalities in temporomandibular disorder patients)

  • 정희정;조봉혜;정연화
    • Imaging Science in Dentistry
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    • 제34권2호
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    • pp.91-97
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    • 2004
  • Purpose : This study was performed to evaluate the diagnostic value of both planar and SPECT imagings by comparing the results with the clinical and other imaging modalities findings. Materials and Methods: A total of 578 joints with TMJ complaints were examined using planar scintigraphy and SPECT. The planar scintigraphy and SPECT findings were analyzed and compared to the clinical findings of pain, clicking, crepitus and limitation of mouth opening. Moreover we compared the accuracy of the planar scintigraphy and SPECT methods with the one of the panoramic, transcranial, tomographic and MR imaging methods. Results: The planar scintigraphy and SPECT methods showed a high sensitivity of 0.76-0.84 and low specificity of 0.25-0.45 toward the clinical findings: pain, clicking, crepitus and mouth opening restriction. Simple radionuclide uptake ratio was high in each group of patients with pain, crepitus, limitation of mouth opening (p < 0.05) complaints, in each group with positive bone changes on panoramic, transcranial or tomographic images, and in disc displaced group. Conclusion: Although both planar and SPECT imagings have limited specificity, these techniques are sensitive for detection of internal derangement of the TMJ.

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Perimenstrual Symptoms of Korean Women Living in the USA: Applicability of the WDHD(Women's daily health diary) on Prospective Report

  • Kim Hae won
    • 대한간호학회지
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    • 제34권8호
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    • pp.1395-1401
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    • 2004
  • Purpose. To compare perimenstrual (premenstrual, menstrual, postmenstrual) symptoms by concurrent reporting using the Women's Daily Health Diary (WDHD) and by retrospective reporting using the Moos Menstrual Distress Questionnaire (MMDQ). Methods. A prospective and retrospective study was conducted among 31 Korean women, aged 27 to 48 yrs, living in the USA. Results. On the prospective report using the WDHD, the most severe complaints were fatigue or tiredness ($1.48{\pm}.98$), sensation of weight gain ($.88{\pm}98$), increased appetite ($.79{\pm}.96$) in premenstrual phase, fatigue or tiredness ($1.34{\pm}.85$), backaches ($1.06{\pm}.79$), and bloating or swelling of the abdomen ($.93{\pm}.86$) during the menstrual phase. On the retrospective report using the MMDQ, the most severe complaints during the premenstrual phase were fatigue ($2.26{\pm}1.65$), irritability ($2.06{\pm}1.48$), and backaches ($1.97{\pm}1.68$) and during the menstrual phase backaches ($2.35{\pm}1.62$), fatigue ($2.29{\pm}1.75$), and cramps ($2.23{\pm}1.80$). According to both measurements of PMS symptomology during the premenstrual and menstrual phases, the most frequently reported symptom was fatigue or tiredness. Highly rated symptoms on the MMDQ and on the WDHD were found to be similar. Conclusion. The WDHD was found to be suitable for daily prospective PMS assessment, which will be necessary for the screening and management of women with severe PMS.

여성 수영복용 브래스트캡의 착용실태 및 불만족도에 관한 연구 (A Study on Wearing Conditions and Dissatisfaction with Breast Cap for Current Womens Swimsuits)

  • 노정화;최혜선;도월희
    • 복식
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    • 제53권7호
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    • pp.47-55
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    • 2003
  • The purpose of this study was to provide information on how to improve the comfort and fit of womens swimsuits through analysis of the present wearing conditions and users complaints. In order to compile the information about dissatisfaction with the appropriateness of the fit of breast cap for swimsuits, a questionnaire was administered to 364 females (over 20 years old under 60 years old). The contents of the questionnaire consisted of questions such as the reasons for selecting to wear breast cap for swimsuits or not, size of brassiere and swimsuits, dissatisfaction with material, dissatisfaction with function of breast cap. The collected data were analyzed using the descriptive statistics value of frequencies and percentile value, mean, and so on by means of the SPSS WIN.10.0 program. The differences among age groups, body type groups by rohrer index, cup size and so on were compared using the chi-square test. Results of the survey responses about swimsuits breast caps: Most women have worn swimsuits with caps. According to the results, women who are older or overweight, or have larger breasts, or breasts which sag, as well as those who have had the experience of giving birth responded that they feel uncomfortable because of the slope of their breasts. Concerning complaints about the caps, 61% of respondents complained about the cap size and lack of correspondence with breast size, 56.8% expressed concern about the cap gap. There is significant difference in wearing reason of breast caps forswimsuits among age groups and many kinds of groups.

개심술 환자를 위한 조기 운동프로그램의 개발 및 적용에 관한 연구 (Development and Application of an Early Exercise Program for Open Heart Surgery Patients)

  • 하이경;정연이
    • 중환자간호학회지
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    • 제4권1호
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    • pp.65-73
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    • 2011
  • Purpose: This study was to develop and evaluate stability and effects of an early exercise program for patients with open heart surgery. Methods: The subjects of this study were 30 patients who had either a coronary bypass surgery or a valvular heart surgery at a tertiary hospital in Seoul. The data was collected by observation and measurement from October 1, 2004 to November 15, 2004. Results: The early exercise program developed for this study consisted of range of motion exercise and walking. Intensity of walking was 1~3 METs and increased progressively to daily target distance. During exercise, the subjects were monitored heart rate, blood pressure and RPE (Rating of Perceived Exertion). The mean FIM (Functional Independent Measurements) score of subjects was significantly improved after the early exercise program. However, several complaints such as dizziness or pain were also reported. Most complaints were associated with chest tube and RPE. Conclusion: The early exercise program can help to recover patients' physical activities after surgery, and can be applied to most patients. Patients' RPE, dizziness and pain was possible limitations, therefore, active pain control and prevention of accidents for patients would be needed.

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Survival and Clinical Aspects for Patients with Chronic Lymphocytic Leukemia in Kermanshah, Iran

  • Payandeh, Mehrdad;Sadeghi, Edris;Sadeghi, Masoud
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7987-7990
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    • 2015
  • Chronic lymphocytic leukemia (CLL)is the most common leukemia in adults in Western countries but is relatively rare in Asia. Immune hemolytic anemia, Evan's syndrome, lymphadenopathy, organomegaly and B symptoms are the main complaints of patients in CLL. The present retrospective analysis evaluated a group of 109 patients with CLL over a 9-year period, studying correlations between sex, age and overall survival. The patients were hospitalized in the Clinic of Hematology and Oncology, Kermanshah, Iran, between 2006 and 2014. Data analysis for sex and age was performed using IBM SPSS19 and overall survival was plotted by Kaplan-Meier plot, Log-rank test in Graph Pad prism 5 Software for five-year periods. The mean age of diagnosis for CLL patients was 60.73 years, 59.6% male. Survival rate patients was 64% and mean overall survival was 38.5 months. In the Rai system, fourteen patients (12.8%) had stage III and twenty eight patients (25.7%) had stage IV. Most frequent clinical features in patients with CLL were lymphadenopathy (38.7%) and organomegaly (34%), respectively. There is not relationship between sex and age in patients but overall survival rate in females was higher than in males. In Asian countries, CLL is more in male and in age above 60 years. Complaints about lymphadenopathy and virus infection are prevalent.

68명의 기능성 소화불량증 환자에 대한 한의학적 변증분석 (Analytic Study of 68 Patients with Functional Dyspepsia According to Syndrome Differentiation)

  • 박양춘;조정효;최선미;손창규
    • 대한한방내과학회지
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    • 제29권3호
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    • pp.574-581
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    • 2008
  • Objective : Functional dyspepsia is a common disease impeding subjective quality of life. The present study aimed to analyze syndrome differentiation of functional dyspepsia to help with development of oriental therapeutics. Methods : Sixty-eight subjects diagnosed with functional dyspepsia were analyzed and classified into one of five syndrome differentiations. We compared symptomatic characteristics according to the Nepean Dyspepsia Index (NDI), such as severity, kinds of dyspepsia-related complaints and functional dyspepsia quality of life (QOL) among groups. Results : Patients with disharmony between liver and stomach were most prevalent (52.9%), but no patients with complex of fever and cold. The scores of symptom severity and QOL were not significantly different between groups. Each group had a specified pattern of complaints. Conclusions : Clinical-study based analysis of functional dyspepsia constructed by this study, could be useful in objectively developing Oriental medicines for this disease.

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