• 제목/요약/키워드: Form of prescription

검색결과 111건 처리시간 0.034초

체질처방 결정요인 확인을 위한 연구설계 (Research Design for the Verification of Constitutional Prescription Determinants)

  • 진희정;김상혁;백영화;장은수;유종향;이시우
    • 사상체질의학회지
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    • 제27권2호
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    • pp.222-230
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    • 2015
  • Objectives The purpose of this study is to design a research to find clinical factors involved in the decision-making process for determining the constitutional prescription based on prospective clinical data. Methods We have created a draft of the case report form. Therefore, seven constitutional experts was interviewed for additional items to be important used to determine the constitutional prescription in clinic. Interviews were done from December 2012 to March 2014, experts per person 2-3 times, took time of about 120 minutes per interview. Since then, we developed the final case report form through the expert meeting. At the same time, the developing the electronic case report form (eCRF) and the protocol to collect constitutional treatment cases was also discussed. Results & Conclusions The items of the case report form were subject general, lifestyle, health measurement, record of expert, prescription and evaluation after medication. The part of the clinical symptoms of the record of expert allowed to be recorded in the 5-point scale for the collection of quantitative data as much as possible. Assuming a re-visit of the patient, if necessary, twice the recording were to be possible. At the same time, the eCRF and the protocol to collect constitutional treatment cases were also developed. In this study, it will be able to more objectively standardize the medical decision making process that the experts of constitutional prescription decision. As a result, it will be possible to provide the standardized constitutional medical services.

사상방(四象方) 가감법(加減法) 및 유형(類型)에 대(對)한 가설(假說) (동의수세보원(東醫壽世保元), 사상신편(四象新編)을 중심으로) (A hypothesis on the form and principle of addition-subtraction of the Sasang prescription)

  • 조황성
    • 사상체질의학회지
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    • 제23권2호
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    • pp.139-152
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    • 2011
  • 1. Objectives: This research was proposed to find out the selection and form of addition and subtraction of the Sasang prescription. 2.Methods: The related contents of the pathology and the medical action of a Sasang disease were selected in "Donguisusebowon- Sasangchobongyun, -Gabobon, -Shinchukbon(東醫壽世保元-四象草本卷, -甲午本, -辛丑本)", "Donguisasangsinfyun(東醫四象新編)". 3.Results and Conclusions: 1) The change and development of the Sasang prescription. 2) The selection of drugs are caused by immunity of the ordinary times and a class of present disease. 3) Addition and subtraction of the Sasang prescription can divide 4-type.

한국인의 부분 치아 결손 증례와 국소의치 설계에 관한 연구 (A SURVEY OF PARTIAL EDENTULISM AND REMOVABLE PARTIAL DENTURE DESIGNS FOR PATIENTS IN KOREA)

  • 이시혁;장익태;김광남
    • 대한치과보철학회지
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    • 제32권2호
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    • pp.235-248
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    • 1994
  • There were many studies that distribute the partial edentulous states and examine the removable partial denture designs in the planning of removable partial denture treatment. This study was performed in the point of removable partial denture prescription to evaluate partial edentulism and its removable partial denture designs. The data was collected from the dental laboratory of each three dental colleges in Seoul and from two dental laboratories only for removable partial dentures as a prescription form. A total of 1411 cases with prescription form collected from dental laboratories were distributed for this study, then 788 cases were selected for this study. The case selection was done according to the contents of prescription form. The selected cases were divided into maxillary arch and mandibular and classified in terms of types of major connector and direct retainer, unbroken anterior teeth, Kennedy classification, the number of remaining teeth, and distribution of age and sex. The analyzed results were as follows : 1. The Kennedy classification I showed highest frequency both in maxilla and mandible. 2. The arch distribution of removable partial denture was 50.08% for maxilla and 49.92% for mandible. 3. The highest frequency in the distribution of direct retainer was the RPA clasp design. 4. The frequency of unbroken anterior 6 was 73.36% for maxilla and 82.30% for mandible. 5. The design of broad palatal strap and lingual bar revealed the highest prevalence in the major connector construction. 6. The mean number of remaining teeth per arch was 8.25 for maxilla and 8.37 for mandible. 7. The mean age of the patients supplied with removable partial denture was 52.25 years for men, 51.68 years for women, 52.11 years for maxilla, and 51.76 years for mandible and women showed more prevalence.

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의안(醫案) 학습효과에 대한 연구 (Study on Effect of Learning Treatment Chart)

  • 김용찬;신현규;김병수;강정수
    • 동의생리병리학회지
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    • 제19권3호
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    • pp.580-585
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    • 2005
  • Treatment chart(醫案) is a document that doctors have described about their own practice. Western doctor's chart has a prescribed form, but otherwise chart of oriental medicine is a free form. As It has no prescribed form, doctors of oriental medicine have recorded important facts that they think especially. For example, details are patient's name, age, sex and address, the name of disease, state of pulse and tongue, state of secretions(stools, urine, perspiration, etc.), color of face, state of sleep and thirst, diagnosis, prescription, improvement of herb, teaching, and so forth. If we study on chart of oriental medicine, we draw a lesson about practices of a famous doctors. Through that we can increase ability of diagnosis and adaptation to circumstance, make ourselves familiar with use of past prescriptions and way of changing prescription, and learn narrative story of past doctors' personal experience, their though and teaching. As chart of oriental medicine had many methods to take a measure to meet the false situation, we can learn that. Through chart of oriental medicine, we can improve our practice of oriental medicine.

병원 내 EMR 시스템 연동을 통한 맞춤형 헬스케어 서비스 시스템 개발 (Customized healthcare service platform connecting EMR system)

  • 곽대훈;김석일;윤서원;성경화;정중화;고석주
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2018년도 춘계학술대회
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    • pp.690-692
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    • 2018
  • 최근 대학병원급의 종합병원에서는 환자의 데이터가 많아짐에 따라 문제를 겪고 있다. 의료진들은 담당 환자들이 처방에 따라 생활을 하고 있는지 확인하기 어려울 때가 많다. 그리고 환자들은 처방에 대한 정보를 기억 못 할 때가 많으며, 처방에 대해 실생활에서 어떤 식으로 적용해야 할지 모를 때가 많다. 이런 문제들을 해결하기 위해 MQTT Push 알림을 활용한 맞춤형 헬스케어 서비스를 접근성이 좋은 웹 애플리케이션(이하 웹앱) 형식으로 제안한다. 의사의 처방에 따라 환자는 복약 시기, 진료 예약, 그 밖의 처방 관련 정보들을 알림 받고, 이에 따른 행동의 결과를 웹앱에 입력할 수 있다. 그리고 의료진 측에서 이를 확인하여 환자가 처방을 잘 따르고 있는지 확인하고, 특별한 사항을 환자에게 알릴 수 있는 기능을 웹앱에서 제공한다. 본 논문에서는 위의 기능들을 웹앱과 RESTful API 서버 플랫폼을 통해 제공하고, MQTT 브로커를 통해 웹앱에 알림 기능을 효율적으로 수행할 수 있도록 하여, 효과적인 맞춤형 헬스케어 서비스가 제공될 수 있음을 확인하였다.

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국내외 표준 시방서의 거푸집 및 동바리 시공.해체 관련 규정의 비교 (Comparison of Prescription Regarding Form Work in Standard Specifications among Domestic and Foreign Countries)

  • 전규남;최성용;노상균;백대현;한민철;한천구
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2009년도 춘계 학술논문 발표대회 학계
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    • pp.195-198
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    • 2009
  • In this paper, regulation for form work in standard specification among Korea and foreign countries are studied and compared. Within the scope of this paper, regulation regarding fabrication of form and form removal are mainly focused on. Standard specification prescribed by construction temporary equipment association provides detailed regulations and well arranged. ACI 347-04, CEB-FIP and BS EN 13670 had different style and scope compared to domestic specification. Especially, regulation for form removal in ACI prescribed in terms of minimum period.

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『산번방(刪繁方)』의 의방(醫方)에 관한 연구 (A Study on the prescriptions of 『Sanbeon-bang(刪繁方)』)

  • 김도훈;정창현
    • 한국의사학회지
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    • 제17권2호
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    • pp.111-127
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    • 2004
  • This paper is mainly on the rsearch of the prescriptions of "Sanbeon-bang(刪 繁方)". For the research of prescription, investigated "Sanbeon-bang" from the side of symptoms of a disease, number of drugstuffs, table of contents, drugstuffs and acupuncture and moxibustion. With these investigation, made out a few tables, and with these tables made an attempt to understand the whole prescriptions of "Sanbeon-bang". "Sanbeon-bang" is of rich contents in internal medicine. Among internal medicine, related to Oro-Yukgeuk-Chilsang(五勞-六極-七傷) was most abundant. So we can guess "Sanbeon-bang" was a medical book specialized in exhaustion syndromes. It also deals with the Samcho-syndromes, as investigate from medical comments, has the perfect system of prescription in relative. From the investigation of the combination of drugstuffs, ascertained that, the number of simple prescription composed of one drugstuff was 38, combinational prescription composed of two drugstuffs was 9, minor prescription composed of three to five drugstuffs was 47, midum prescription composed of six to ten drugstuffs was 95, major prescription composed of eleven to twenty drugstuffs was 45, and mixed prescription composed over twenty drugstuffs was 1. Mentionable unique prescriptions in internal use were the forms of keeping in mouth. In external use they were fumigants, suppositories, powdered medicines, spraying the granular medication into the nasal cavity and eyedrops. And were abundant in soft extract(ointment) and plaster. In addition, there were the recordings of 18 types of cellulitis, types of incurable cellulitis and curing an illness by a charm. By the way, when comparing "Sanbeon-bang" with "Cheongeum-bang", all of which was quoted a lot in "Oedaebiyo-bang", "Cheongeum-bang" rather took medical comments of "Sanbeon-bang" than prescription. Although there were some prescriptons in "Sanbeon-bang" at the same category, "Cheongeum-bang" took another prescriptions which are more complexed than those of "Sanbeon-bang". In the same way, when comparing "Cheongeum-bang" with "Sonjinin-Cheongeum-bang(孫眞人千金方)", which didn't go through the correction of GyojeongUiseoguk of Bug-Song goverment, "Cheongeum-bang" often didn't take the prescriptions of "Sonjinin-Cheongeum-bang". Hence we can guess, "Cheongeumyo-bang" may have added a lot of prescriptions when undergoing the correction of of GyojeongUiseoguk. The total number of species of drugstuffs in "Sanbeon-bang" from the investigation was 284. The plant drugs were 208 species, the animal were 31 species, the minerals were 19 species and the other were 26 species. The prescriptions related to acupuncture and moxibustion in "Sanbeon-bang" were only moxibustional prescriptions. Which appeared one time per exhaustion and steaming of bone syndrome, Oro-Yukgeuk-Chilsang and Samcho syndrome. Appeared six times in muscle syndromes. But I cannot imagine the original form of acupuncture and moxibustion in "Sanbeon-bang" for deficiency of data.

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Trends and Future Direction of the Clinical Decision Support System in Traditional Korean Medicine

  • Sung, Hyung-Kyung;Jung, Boyung;Kim, Kyeong Han;Sung, Soo-Hyun;Sung, Angela-Dong-Min;Park, Jang-Kyung
    • 대한약침학회지
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    • 제22권4호
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    • pp.260-268
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    • 2019
  • Objectives: The Clinical Decision Support System (CDSS), which analyzes and uses electronic health records (EHR) for medical care, pursues patient-centered medical care. It is necessary to establish the CDSS in Korean medical services for objectification and standardization. For this purpose, analyses were performed on the points to be followed for CDSS implementation with a focus on herbal medicine prescription. Methods: To establish the CDSS in the prescription of Traditional Korean Medicine, the current prescription practices of Traditional Korean Medicine doctors were analyzed. We also analyzed whether the prescription support function of the electronic chart was implemented. A questionnaire survey was conducted querying Traditional Korean Medicine doctors working at Traditional Korean Medicine clinics and hospitals, to investigate their desired CDSS functions, and their perceived effects on herbal medicine prescription. The implementation of the CDSS among the audit software developers used by the Korean medical doctors was examined. Results: On average, 41.2% of Traditional Korean Medicine doctors working in Traditional Korean Medicine clinics manipulated 1 to 4 herbs, and 31.2% adjusted 4 to 7 herbs. On average, 52.5% of Traditional Korean Medicine doctors working in Traditional Korean Medicine hospitals adjusted 1 to 4 herbs, and 35.5% adjusted 4 to 7 herbs. Questioning the desired prescription support function in the electronic medical record system, the Traditional Korean Medicine doctors working at Korean medicine clinics desired information on 'medicine name, meridian entry, flavor of medicinals, nature of medicinals, efficacy,' 'herb combination information' and 'search engine by efficacy of prescription.' The doctors also desired compounding contraindications (eighteen antagonisms, nineteen incompatibilities) and other contraindicatory prescriptions, 'medicine information' and 'prescription analysis information through basic constitution analyses.' The implementation of prescription support function varied by clinics and hospitals. Conclusion: In order to implement and utilize the CDSS in a medical service, clinical information must be generated and managed in a standardized form. For this purpose, standardization of terminology, coding of prescriptions using a combination of herbal medicines, and unification such as the preparation method and the weights and measures should be integrated.

형상의학적 관점에서 바라본 비만 (Obesity from a Hyungsang Medical Standpoint)

  • 정환수
    • 한방비만학회지
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    • 제19권2호
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    • pp.137-139
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    • 2019
  • The purpose of this study is to contribute to diagnosis and treatment of obesity through classification of Hyungsang medicine. Specific form in Hyungsang medicine related to obesity is Essential family, Phlegm-retained fluid, Bladder physique, Yang brigtness shape, Qi family, and Blood family. Specific form in Hyungsang medicine respectively has its own unique pathology, symptom, prescription and the same principle is applied in treatment of obesity.

『광제비급』의 「향약단방치험」에 나타난 향약활용법에 대한 연구 - 인삼을 중심으로 (The study on utilization of Hyangyak in 「Single-medicine prescription treatment of domestic herbs」 of 『Kwangjebikeup』 : Focusing on Ginseng)

  • 강윤미;김윤경;안상우
    • 대한본초학회지
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    • 제29권3호
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    • pp.1-10
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    • 2014
  • Objectives : In this study, we investigated Hyangyak in "Single-medicine prescription treatment of domestic herbs" of "Kwangjebikeup" and then conducted further studies focusing on ginseng as it is written in "Single-medicine prescription treatment of domestic herbs". Methods : Through a study of classical literature on Hyangyak and ginseng, information regarding the two was gathered and analyzed, with respect to both time and region. Results : All of the herbs in "Single-medicine prescription treatment of domestic herbs", the 4th volume of "Kwangjebikeup", are domestic herbs. Ginseng was a part of the flora of the Korean Peninsula from long ago and ginseng was cultivated from most of the peninsula. We confirmed cultivation of ginseng in Sungcheon, Pyungan-do and most areas of Hamgyeong-do through geography books such as "Geography Monograph of King Sejong". Because the natural environmental condition of the Korean Peninsula was conducive to growing wild ginseng, it was possible to cultivate ginseng. In the late Chosun period, cultivated ginseng was so prevalent that people would have been able to collect and use ginseng without great difficulty. In "Kwangjebikeup", ginseng shows superior efficacy in terms of first-aid. "Kwangjebikeup" contains practical herbal medicines that were based on obtainable ingredients. Conclusions : The purpose of publication of this book was to make medical knowledge available to general public in an easy-to-understand form. And through added clinical experiences of the author, we know that "Kwangjebikeup" played a role in settlement and spreading of foreign knowledge to civilians.