• 제목/요약/키워드: Medical complaint

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자율훈련법을 시행한 고3수험생 울증(鬱證)환자 치험1례 (A case study of high school student with UL-syndrom(鬱證) who has treated by auto gens traning.)

  • 곡경내;김효주;차혜진;이지원;서영민;박세진
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.245-254
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    • 2008
  • This study was designed to evaluate the effects of an Schultz's autogens traning and herbal medicine with various scales on symptoms of UL-syndrom(鬱證). We treated UL-syndrom(鬱證) with Schultz's autogens traning, including herbal medicine and we evaluated the clinical progress of the patient using BDI. After treatment about 2-month, the chief complaint and most of symptoms were subsided and improved. BDI score were decreased 32 to 10. This study suggests that Schultz's auto gens traning and herbal medicine is significantly effective in the treatment of UL-syndrom(鬱證).

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치과내원환자들의 의료기관 선택 및 의료서비스 불만요인에 관한 연구 - 서울, 경기, 인천지역을 중심으로 - (A study on patients' choices over dental clinics and factors of complaint against medical service -focused on Seoul, Kyoungi, and Incheon areas)

  • 유은미;김선경;황윤숙
    • 한국치위생학회지
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    • 제8권1호
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    • pp.93-105
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    • 2008
  • In order to provide basic information to help dental medical service with supplying gratifying service for patients. the survey is conducted on the patients who frequently visited dental clinics located in the areas such as Seoul, Kyoungi, and Incheon from May of 2006 to June. The survey results are as following : 1. Judged from the factors to make patients choose one dental clinic over another. the low cost of treatment accounts for 32.8%. and followed by physician's academic background / career experiences with 20.5%. In case of recommending to their acquaintances, physician's proficiency in treatment is ranked high as 56.7%. 2. For most desirable facilities for dental hospitals. the results indicate that cutting-edge medical equipment holds 46.7% and followed by a comfortable waiting room with 32.8%. 3. Examined the questions of what patients are most satisfied with dental clinics. 43.1% of respondents point out kind and detailed explanation. 14.1% also responds to constant care after the treatment. This result suggests that after-care and detailed explanation also play an important role in dental care as well as the treatment itself. 4. For desirable services in the waiting room. 28.5% of the respondents choose a selection of magazines and newspaper and 18.7% say that they want to converse with the staff. As to how long can wait with patience. 38.2% of the participants agree on as long as 20 minutes. 5. Among unsatisfactory sources against dental clinics while visiting, the high cost of the treatment is scored high as 34.1% and followed by a long waiting time with 22.1%. The figure points to the fact that dental medical clinics should consider these two factors to solve in the future. In case where patients find the treatment discontent and they are asked what to do, 36.4% of the respondents respond that they go to a different hospital without saying anything. As to the enquiry about how the complains should be dealt, 46.% wishes that the matter should be taken care immediately upon complaining, 21.8% suggests that they like to feel understood and acceptable when presenting complaints.

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도시지역 여자고등학생들의 체형과 체형에 대한 의식 및 자각증상과의 관계 (Body Types and Its Relation with the Body Type Awareness, and Subjective Symptoms of Female High School Students in an Urban Area)

  • 류광하;권인선;김형선;조영채
    • 한국학교보건학회지
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    • 제21권2호
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    • pp.13-22
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    • 2008
  • Purpose : This study investigated the relationship between body type, subjective symptoms and health awareness in female high school students Methods : The subjects were 393 students at the female high school in Taejon City by self-recorded questionnaires in May, 2006. Results : In the classification of body type based on the degree of obesity, low weight group was 20.9%, normal weight group was 58.0%, over weight group was 11.7% and obesity group was 9.4%. In the level of body type wareness, those who consider themselves to be obesity type 13.7%, standard type were 43.8%, and leptosomic type 8.1%, but there was a clear tendency to be leptosomic type that the rate was 76.3%. In the complaint rates of subjective symptoms, “fatigue” was the highest, followed by “neck pain(stiffness)”, “dizziness”, “stomachache” in the descending order. In the complaint rates of subjective symptoms by the degree of obesity, dizziness, irregular menstruation and anorexia were higher according to the lower obesity, but constipation and wearied eyes were the higher the more obesity. Conclusion : The study results showed that the recent female high school students were clear tendency to be leptosomic type, and leptosomic and obesity type were related with subjective symptoms. Considering these findings, it appeared that being excessively thin is related to symptoms and young women's thinness-oriented attitudes are unhealthful.

A novel FBN1 gene mutation associated with early-onset pneumothorax in Marfan syndrome

  • Park, Min Ji;Lee, Dong Hun;Shin, Young Lim;Hong, Yong Hee
    • Journal of Genetic Medicine
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    • 제13권1호
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    • pp.41-45
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    • 2016
  • Marfan syndrome (MFS) is an inherited connective tissue disorder with a mutation in the fibrillin-1 (FBN1) gene. Fibrillin is a major building block of microfibrils, which constitute the structural component of the connective tissues. A 10-year-old girl visited our hospital with the chief complaint of precocious puberty. According to her medical history, she had a pulmonary wedge resection for a pneumothorax at 9 years of age. There was no family history of MFS. Mid parental height was 161.5 cm. The patient's height was 162 cm (>97th percentile), and her weight was 40 kg (75th-90th percentile). At the time of initial presentation, her bone age was approximately 11 years. From the ophthalmologic examination, there were no abnormal findings except myopia. There was no wrist sign. At the age of 14 years, she revisited the hospital with the chief complaint of scoliosis. Her height and weight were 170 cm and 50 kg, respectively, and she had arachnodactyly and wrist sign. We performed an echocardiograph and a test for the FBN1 gene mutation with direct sequencing of 65 coding exons, suspecting MFS. There were no cardiac abnormalities including mitral valve prolapse. A cytosine residue deletion in exon 7 (c.660delC) was detected. This is a novel mutation causing a frameshift in protein synthesis and predicted to create a premature stop codon. We report the case of a patient with MFS with a novel FBN1 gene missense mutation and a history of pneumothorax at a young age without cardiac abnormalities during her teenage years.

소아(小兒) 외래환자(外來患者)의 주소증(主所症)에 관한 임상적(臨床的) 고찰(考察) (An Observation of the Chief Complaints of Pediatric Outpatients)

  • 이승연
    • 대한한방소아과학회지
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    • 제15권1호
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    • pp.203-216
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    • 2001
  • Objective : The purpose of this study is to investigite the more effective oriental medical treatment in pediatric diseases and its clinical applicability and chief complaints at oriental pediatrics in an area of busan and kyeungnam. Method : 884 new patients of theirs ages between 0 term 20 years who were treated at the pediatrics in Dong-Eui Oriental Medicine Busan Hospital from 1. 2000 to 29. Feb. 2001 Result : 1. The number of male cases was 514 (58%) and female cases 370 (42%) an so male cases 1.38 more than female. In age distribution, 0-1year: 242 patients(27.4%), 2-6years: 455 patients(51.4%), 7-20years: 187 patients(21.2%). 2. The Chief Complaint according to systemical division was Resparatory diseases (37.4%) for common cold, chronic cought, take a easy cold etc and the Digestive diseases(23.6%) for anorexia, diarrhea, abdominal pain etc and Nervous also Mental(11.8%) diseases for sezure, tic, etc and Allergic diseases(6.2%) for atopic dermititis, allergic rhinitis, etc and Physique diseases(5.4%) for short stature, leg pain, etc and Genaral symptoms(4.5%) for sweat profusely, headache, etc and Urinary diseases(3.3%) for bed wetting, frequently voiding, etc Discussion : 1. The Chief Complaint cannot be found a regional specificity 2. The oriental medicine treatment was still congnated as a way to improve the weakness by patients, also was widely noised about preventive medicine. In particular, Respiratory and Disestive diseases are dependent on the oriental medicine. 3. The new diseases and the new treatment method should be investigated as field of oriental medical treatment.

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경항통 및 경추 염좌를 동반한 소아 교통사고 입원 환자 24명에 대한 임상적 고찰 (The Clinical Study of Cervical Sprain by Car Accidents in Children)

  • 구은진;이진화;한재경;김윤희
    • 대한한방소아과학회지
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    • 제30권4호
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    • pp.19-28
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    • 2016
  • Objectives The purpose of this study is to report 24 patients who have neck pain or have been diagnosed with cervical sprain by car accidents and have been treated in the oriental medical hospital. Methods 24 children who have visited oriental medical hospital from January 2016 to September 2016 were analyzed by reviewing the patients' charts. Results In the study group, the most common chief complaint was having musculoskeletal partial pain. Among them, 18 patients had neck pain; 20 patients had C-spine sprain was diagnosed at and among 18 who had neck pain, 14 was diagnosed C-spine sprain and 4 was normal. All patients had been treated by acupuncture, herb medicine and chuna treatment (muscular manipulation) and the oriental medical treatment resulted in improvement of children patients' symptoms by car accidents. Conclusions The study result showed that the car accident could have caused cervical sprain and neck pain to children and the oriental medical treatment was effective in the children patients.

정조의 사망원인에 대한 연구(조선왕조신록과 승전원일기를 중심으로) (The Cause of Jeong-Jo's Death Based on The Annals of the Chosun Dynasty (朝鮮王朝實錄), Seungjeongwon Ilgi (承政院日記))

  • 김선형;김달래
    • 대한한의학회지
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    • 제30권4호
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    • pp.142-161
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    • 2009
  • Objectives: There are many unknowns surrounding Jeong-Jo's death. To better understand Jeong-Jo's death, we closely inspected his medical records from the 20 days before his death in The Annals of the Chosun Dynasty (朝鮮王朝實錄) and Seungjeongwon Ilgi (承政院日記), Understanding medical treatment before death, we can correctly trace the cause of Jeong-Jo's death. Methods: According to The Annals of the Chosun Dynasty (朝鮮王朝實錄) and Seungjeongwon Ilgi (承政院日記), we examined his medical records between June 14 and June 28 of 1800, as to the change in chief complaint, cold and heat, thirst, syndrome differentiation, the opinions of Jeong-Jo, and the opinions of doctors, The original work, The Annals of the Chosun Dynasty and Seungjeongwon Ilgi were provided by NIKH (The National Institute of Korean History). The Korean translation of The Annals of the Chosun Dynasty was also provided by NIKH. Seungjeongwon Ilgi (original work written in Chinese characters) was directly translated into Korean by the study author. Results: 1. Jeong-Jo's is likely to have died of septicemia caused by an abscess on his back. 2. The cause of Jeong-Jo's death could be stroke due to hypertension, mental stress, and 'Wha (火) disease' Conclusions: The dominant view that Jeong-Jo was murdered by poison is not likely.

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통증관리 159예의 통계적 고찰 (Pain-control Experiences with 159 patients)

  • 변진관;박진우;이상영;박주열
    • The Korean Journal of Pain
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    • 제1권2호
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    • pp.207-210
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    • 1988
  • To evaluate recent trend of pain management at our pain clinic, the pain-contol experiences of 159 patients performed at the Inje Medical College Paik Hospital from May 1987 through August 1988 were analyzed statistically according to age, sex, combined diseases, techniques performed and clinical effects. The results are as follows: 1) Most of the 159 patients, including 104 males and 55 females, were in the 4th, 5th, and 6th decades of life. 2) The most common complaint of the patients was low back pain in 94 cases (59.1%) 3) The lumbar epidural block was the most frequently performed pain block (62.5%) 4) The period of the treatment generally ranged from 3 weeks to 2 months. 5) The number of patients who obtained good and excellent analgesic effects following the block was 110 (69.2%) 6) The most common complications following the pain block were pruritus (23.9%), urination difficulty (20.1 %), and nausea and vomiting (16.4 %).

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한 종합병원 간호사들의 근골격계 자각증상과 관련요인 (Musculoskeletal Symptoms and Related Factors among Nurses in a University Hospital)

  • 박재영;권인선;조영채
    • 한국산학기술학회논문지
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    • 제12권5호
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    • pp.2163-2171
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    • 2011
  • 본 연구는 간호사들의 근골격계 자각증상을 파악하고, 인구사회학적 특성, 건강행태 및 직업관련 특성과의 관련성을 규명하고자 시도하였다. 조사대상은 대전광역시의 한 대학병원의 병동근무 간호사 249명으로 하였으며, 조사는 2010년 8월 1일부터 8월 31일까지의 기간에 자기기입식 설문조사(self administration questionnaire)를 실시하였다. 연구결과 근골격계증상이 1개 이상 있는 경우는 66.3% 2개 이상 있는 경우는 45.8%를 차지하고 있었으며, 신체부위별 호소율은 어깨 44.2%, 허리 33.7%, 다리/발 33.3%, 목 29.7%, 손/손목/손가락 14.9%, 팔/팔꿈치 4.8%의 순위였다. 연령을 보정한 로지스틱회귀분석을 실시한 결과, 목, 어깨, 허리, 다리/발 부위 증상의 위험비는 주관적 건강 상태가 좋다는 군보다 좋지 않다는 군, 교대근무를 하지 않는 군보다 한다는 군, 책임/수간호사 군보다 평간호사 군. 업무에 대한 육체적 부담정도가 견딜만하다는 군보다 힘들다는 군에서 유의하게 증가한 것으로 나타났다. 결론적으로 근골격계 자각증상은 개인의 인구사회학적 특성이나 건강상태 및 직업관련 특성에 따라 호소율이 다르게 나타남을 시사하고 있다.

하악골에 발생한 골화성섬유종의 외과적 치험일례 (SURGICAL TREATMENT FOR MANDIBULAR OSSIFYING FIBROMA)

  • 이용오;변상길
    • 대한치과의사협회지
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    • 제19권4호통권143호
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    • pp.369-373
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    • 1981
  • This is a case of 25-year-old Korean female with a diagnosis of ossifying fibroma in the mandible. Chief complaint of the patient was facial asymmetry by slow growing mass on the right mandibular body. Diagnosis was obtained by incisional biopsy of affected mandible after taking several radiograms, which was ossifying fibroma. Patient was treated by subtotal mandiblectomy and resin splint implatation. We gained satisfactory result by secondary autogeneous cancellous and marrow bony graft from the iliac crest with titanium mesh for tray of bone chips.

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