• Title/Summary/Keyword: Medical persons

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The Clinical Study on 34 Admission Patients to Oriental Medical Hospital due to Traffic Accident (한방병원에 입원한 교통사고 환자 34명에 대한 임상적 고찰)

  • Cho, Sung-Woo;Go, Kyung-Hoon;Nam, Jung-Hun;Kim, Bong-Hyun;Lee, In-Seon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.101-109
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    • 2006
  • Objective: The purpose of this study is finding tendencies admission patients to orient medical hospital due to Traffic Accident. Method: We studied 34 cases who were admitted in Dong-eui University Oriental Hospital from 1st, December, 2003 to the 30st, May, 2005. And we came to some conclusion about clinical tendencies as follows. Results and Conclusions: 1. Women had occupied more than men, And 10 persons in 30th were the most distribution of age. 2. Most patients used western medical hospital as primary hospital and after several days they started to search for orient medical treatments. 3. In the diagnosis through radiological test, cervical spine sprain was most(19 cases, 55.6%). The others were lumbar spine sprain(14 cases, 41.2%), fracture of other bone{4 cases, 11.8%), fracture of spine(3 cases, 8.8%), Intercranial hemorrhage(3 cases, 8.8%). 4. In chief complaint, low back pain was most(19 cases, 55.9%), The others were neck stiffness(17 cases, 50.0%), headache(13 cases, 38.2%), lower limb pain(9 cases, 26.5%). 5. Simple Disease had higher than complex disese at effective rate. 6. Both $43{\sim}60$ days admission and $15{\sim}21$ days admission were the best effective. $8{\sim}14$ days admission was next effective. 7. Early visit made more effective.

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A Study on the Rating of the Insureds' Anthropometric Data I. Build (피보험체계측치(被保險體計測値)의 평가(評價)에 관한 연구(硏究) 제1보(第1報) 체격(體格))

  • Im, Young-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.3 no.1
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    • pp.103-141
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    • 1986
  • The present study was undertaken to establish the decision standard of builds for the insured by using the ratio of weight-for-height as build index. Materials being examined were the ratio of weight-for-height being calculated from the actually measured heights and weights of a total of 15,838 insured persons who were examined medically at Honam Medical Department of Dong Bang Life Insurance Company, Ltd. from June, 1979 to September, 1985. The ratio of weight-for-height is calculated by the following formula. The ratio of weight-for-height(%)=$\frac{weight(kg){\times}100}{\{height(cm)-100\}{\times}0.9(kg)$ The results were as follows: 1. The distribution of the ratio of weight. for-height of the 15,838 insureds follows Log normal distribution being skewed to the left(the direction of underweight). 2. The ratio of weight-for-height were Log transformed to lead to a sym metrical pattern of distribution in which statistical rules are known to be applied more exactly. Thereafter, the establishment of dicision standard of builds was undertaken by using the log of the ratio of weight-for-height as build index. Through all ages in male, the ratio of weight-for-height indicating the range of standard lives including slight overweighted and underweighted lives besides normal lives is 80-130%, and corresponds to $"M-2{\delta}"-"M+1.5{\delta}"$ and to $M{\pm}20%$ ; in female, 85-135%, and corresponds to $"M-2{\delta}"-"M+1.5{\delta}"$ and to $M{\pm}20%$. Through all ages in male, the ratio of weight-for-height indicating the initial level of super-overweighted and super-underweighted lives is 130-150% and 75-80%,and corresponds to $M+3{\delta}\;and\;M-3{\delta}$ and to M+40% and M-25% respectively;in female, 140-160% and 75-80%, and corresponds to $M+3{\delta}\;and\;M-3{\delta}$ and to M+40%-+50% and M-25% respectively. 3. Author's rating table model for builds(a table of weight per height) is proposed. On the table, the ratings for builds, i. e. standard, super-weighted and super-underweighted lives, are listed.

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A Comparison of Underwater Gait Training with Additional Weight Application and Over-ground Gait Training to Improve Balance and Lower Extremity Strength in Persons with Stroke

  • Park, Jae-Ho;Chung, Yijung
    • The Journal of Korean Physical Therapy
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    • v.29 no.2
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    • pp.101-107
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    • 2017
  • Purpose: This purpose of this study was to compare additionally applied weight underwater gait training and over-ground gait training to improve balance and lower extremity strength in stroke patients. Methods: Subjects were randomly allocated into two groups. Underwater gait training group (n=10) and Over-ground gait training group (n=9). The groups performed their respective programs as well as conventional physical therapy 3 times/week for 6 weeks. All subjects were assessed with the Berg balance scale test, the timed up and go test, and the medical research council test pre and post intervention. A paired t test was applied to compare the differences before and after the intervention, and an independent t test was used to compare the differences between the groups. The level of statistical significance was set at p<0.05. Results: The results showed that subjects in the underwater gait training group had a significantly increased Berg balance scale, timed up and go, and medical research council scores (p<0.05), and over-ground gait training group showed a significantly increased medical research council score (p<0.05) after intervention. The underwater gait training group showed a more significant improvement in medical research council, Berg balance scale and the timed up and go test scores compared to the over-ground gait training group (p<0.05). Conclusion: Findings of this study suggest that applying additional weight during underwater gait training improves lower extremity strength and balance in stroke patients. It' findings can contribute to the development of more efficient rehabilitation for stroke patients.

Bacteriological Studies on the Distribution of Pathogenic Enterobacteria in the Natural Environments in Seoul(1978) (서울 시내 자연환경내에 있어서의 병원성 장내세균 분포에 관한 연구)

  • Lee, Chong-Hoon;Ko, Kwang-Kjune;Lim, Byung-Uk;Moon, Ki-Sung
    • The Journal of the Korean Society for Microbiology
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    • v.14 no.1
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    • pp.1-9
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    • 1979
  • A bacteriological survey was carried out to get hold of the distribution of pathogenic enteric bacteria in Korea. The total number of 2,013 specimens were obtained from various sources; 1,407 specimens from marine products circulated in the markets, sewage, and 606 rectal swabs from persons. All the specimens were collected in Seoul, Chumunjin(Kangwondo), and Gwangcheon(Chungcheongnam-do) during 1978. The isolation and identification of enteric pathogens from the specimens were performed by means of bacteriological studies. 1. The isolation rates of the pathogenic enterobacteria among the total 2,013 specimens are as follows: Salmonella species 0.05%(1 strain), Shigella species 0.50%(10 strains), and Vibrio parahaemolyticus 0.35%(7 strains). 2. One salmonella strain was isolated from marine products circulated in the market in Seoul. Its serotype was identified as group $C_1$. 3. Ten shigella strains were isolated from various sources: 0.45% from natural environments and 0.05% from rectal swabs. The distribution of shigella serotype was identified as Sh. boydii 90%(9 strains), Sh. sonnei 10%(1 strain). 4. Seven strains of V. parahaemolyticus were isolated from natural environments. In addition, 40 strains of halophilic vibrios nontypable with anti-K antisera were also isolated. Of the 7 strains, the 2 strains were agglutinated with type K-32, each 1 strain of the others with K-17, K-19, K-36, K-39, K-56.

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The Linkage of Health Care and Social Services for the Elderly in Jeonnam Province and its Related Factors (전라남도 노인보건복지에 있어서 방문간호사와 사회복지전담공무원의 서비스 연계실태 및 관련요인)

  • Rhee, Jung-Ae;Chung, Eun-Kyung;Ham, Cheol-Ho;Lee, Young-Hun
    • Health Policy and Management
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    • v.16 no.1
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    • pp.41-53
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    • 2006
  • This study was carried out to investigate the linkage between health care and social services for the elderly in Jeonnam Province and its related factors. The subjects were 831 persons of visiting health service workers and social welfare workers in Jeonnam Province who responded the mail questionnaire (85.5% respondse rate). The data were collected from 15th May to 30th June, 2004 using the structured questionnaire. It was composed of the socio-demographic characteristics, the content and frequency of services referred between health care and social welfare workers, and interdisciplinary perception. Data was analysed by SPSS for Windows 12.0. 374(45.0%) reported having experience of service cooperation between health care and social welfare workers for the last three month. The most service that health care workers requested to social welfare workers was to get information for the client, on the other hand the most service that social welfare workers requested to health care workers was to visit and treat the elderly. These service providers in rural area and good attitude toward the cooperation between health care and social welfare service showed more linkage. The findings of this study could provide the basic data for the development of efficient coordinating program of health and welfare.

A Study on the Drunken Safe Accident Patterns and Behavior (일부지역 성인들의 음주 안전사고 유형 및 행태)

  • Park, Sang-Sub;Baek, Hong-Sok
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.2
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    • pp.67-86
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    • 2007
  • This study is about the drunken drivers' accident patterns and behavior and aims at providing basic data for developing measures to secure safety against accidents by drunken drivers and programs to cultivate good drinking habits. For this purpose, this study conducted a questionnaire of 800 persons over 20 years of age in the selected 20 companies with more than 30 employees in the 4 regions(Daegu, Masan, Changwon, and Jinhae) and analysed the 653 sheets except invalid ones among the returned 673 survey sheets in total(return rate 84.13%), and the researcher conducted a man-to-man interview with each subject from June 20th to July 31st 2006. The result are as the following. As the experience of causing an accident by drinking, the 79.1% of them had the experience, and in case of the subjects with excessive drinking over 4 times a year, the rate of the accident by drinking showed as high as 90.5%. As the patterns of accidents, in male subjects, violence(38.5%) and traffic accidents(37.1%) showed high, while in the female, hurts from falls and fall accidents(40.2%) were found be high. In case of the traffic accidents among the accidents by drinking, the rate of causing serious damage to the life was found to be 89.3%, so it showed that the traffic accidents caused by drinking were influencing on the life much. In conclusion, the drinking problem may be controlled by each individual's will, but without change of social environment and system around people, the problem can not be eradicated. Therefore there should be social infrastructure which can help people to actively live their life with exercises and hobbies, and in order to prevent the reoccurrence of a drink accident, and social structure in which there are education programs for drink accident causers and one can change the perception about drinking culture, should be formed.

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Factor Associated with Injury Related to Home Mechanical Ventilation in General Ward Patients: A Retrospective Study (가정용 인공호흡기 관련 안전사고 특성 및 손상 영향 요인 분석: 상급종합병원 일반병동 환자 중심으로)

  • Kim, Hyang Sook;Choi, Mona;Yang, Yong Sook
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.131-140
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    • 2020
  • Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

Green Synthesis to Develop Iron-Nano Formulations and Its Toxicity Assays

  • Kulkarni, Smital;Mohanty, Nimain;Kadam, Nitin N.;Swain, Niharika;Thakur, Mansee
    • Journal of Pharmacopuncture
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    • v.23 no.3
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    • pp.165-172
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    • 2020
  • Objectives: In the past few years, herbal medicines have gained popularity over synthetic drugs because of their natural source and minimal side effects which has led to a tremendous growth of phytopharmaceuticals usage. With the development of nanotechnology, it provides alternative approaches to overcome several limitations using nano-formulations. In spite of considerable quantity of antianemic preparations with different iron forms available, currently additives are used and represented in modern pharmaceutical market. Iron deficiency anemia is a major global public health problem which particularly affects pregnant women, children and elderly persons. The situation is complicated because of disadvantages and drug side effects from existing antianemic medicines. There is a great demand for the development of new antianemic preparations. Green synthesis of iron oxide nanoparticles, possess high potential in this field. Methods: Our study focuses on developing green synthesis of iron oxide nanoparticles (IONPs) of 10-50 nm with spherical shape where different dosages were used -1 mg/kg, 10 mg/kg and 100 mg/kg for exposure in Wistar albino female rats for 28 days. The toxicity was assessed using various parameters such as measurements of the rat body and organ mass, hematology, biochemical evaluation and histopathological examinations. Results: No significant differences were observed in body and organ weights. Hematological indices also indicated no significant differences whereas biochemical factors showed increase in levels of direct bilirubin and globulin of medium as well as high dose and SGPT levels were increased only in high dose. The major organs (heart, kidney and liver) showed histopathological alterations in 10 and 100 mg/kg whereas brain showed only in 100 mg/kg. Conclusion: The toxicity of IONPs was found to be more significant when the concentration was increased; however, low doses can be used for further investigation as an antianemic preparation.

Safety, efficacy, and onset of a novel botulinum toxin type A (Nabota) for the treatment of glabellar frown lines: a single-arm, prospective, phase 4 clinical study

  • Song, Sinyoung;Lee, Yeon Hoon;Hong, Joon Pio;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.19 no.3
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    • pp.168-174
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    • 2018
  • Background: Safety, efficacy, and time to onset of effect of botulinum toxin type A is of importance to persons who seek improvement in glabellar frown lines, but this has not been well studied. The aim of this study was to determine the safety, efficacy, and onset of action of a newly developed botulinum toxin type A (Nabota) for the treatment of glabellar frown lines. Methods: This was a single-arm, open-label, and phase 4 clinical study. Forty-two subjects with glabellar lines were treated with five times of intramuscular injection of 0.1 mL (4 U/0.1 mL) for a total of 20 U of Nabota. Efficacy and safety were assessed at 2, 3, 4, 5, and 14 days. Efficacy was assessed by the investigator and it was defined as a 1-point change on a 4-point scale. Results: Improvement in glabellar frown lines at maximum frown was observed in 85.4% of subjects 2 days after administration. Improvement in glabellar lines at rest was observed in 51.2% of subjects 2 days after administration, and the proportion of subjects showing improvement increased with time. No severe adverse events were recorded. Conclusion: Onset of action was observed in the majority of subjects by 2 days after administration of Nabota. In addition, Nabota was found to be safe and effective for the treatment of glabellar frown lines.

Comparing the accuracy of saddle position and traditional position in head-up cardiopulmonary resuscitation (Head-up CPR 시 처치자의 위치에 따른 심폐소생술 정확도 비교)

  • Yoon, Byoung-Gil;Park, Jung-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.2
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    • pp.99-107
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    • 2019
  • Purpose: This study aimed to identify the position for the most accurate head-up cardiopulmonary resuscitation (CPR) by comparing saddle position CPR (SPCPR) and traditional CPR (TCPR). Methods: Sixty certified persons who completed a basic life support provider course between May 1 and June 21, 2019 were enrolled in the study. The participants were asked to perform 2 minutes of CPR, and the depth of chest compression, rate, position, full release, and hands off time were assessed. Accuracy was evaluated based on data collected from a smart phone application connected to the manikin via bluetooth and analyzed using frequency, percentage, t-test, analysis of variance and ${\chi}^2$. Results: The accuracy of chest compression was statistically significantly higher for SPCPR, 63.03%[${\pm}8.75$] for SPCPR and 55.50%[${\pm}10.17$] for TCPR [t=3.074, p=.003]. The depth of chest compression was statistically significantly greater for SPCPR, 4.51cm[${\pm}0.45$] for SPCPR and 4.16cm[${\pm}0.61$] for TCPR [t=2.503, p=.015]. The rate of chest compression was statistically significantly higher for TCPR, 105/min[${\pm}10.79$] for SPCPR and 111/min[${\pm}11.57$] for TCPR [t=-2.008, p=.049]. Accuracy of position of chest compression was statistically significantly higher for SPCPR, 96.10%[${\pm}13.73$] for SPCPR and 79.93%[${\pm}30.34$] for TCPR [t=2.659, p=.011]. Accuracy of full release was higher with SPCPR, with 86.30%[${\pm}30.53$] for SPCPR and 71.10%[${\pm}36.05$] for TCPR, but the difference was not statistically significant [t=1.762, p=.083]. Conclusion: Saddle position CPR was found to be more accurate than TCPR in the performance of manual head-up CPR.