• Title/Summary/Keyword: Oriental medical evaluation

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한의 임상 지식 및 중재법 활용현황 조사 (A Survey of medical contents in Korean Medical Textbooks and Intervention Usage)

  • 손미주;정의민;한창현;권오민
    • 혜화의학회지
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    • 제23권1호
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    • pp.79-92
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    • 2014
  • Objectives : This study aimed to investigate the medical contents of Korean medical textbooks and intervention usage in clinical practice. Method : We conducted an email survey of Doctors of Korean Medicine(DKMs) registered with the Association of Korean Medicine and analyzed the 259 responses that we received. Results : 1, The study showed that most DKMs used western medical knowledge concerning "history taking and diagnosis"(96.5%), "management and prevention"(95.8%), "causes and overview"(91.9%), and "prognosis"(90.3%). DKMs did not usually use western medical knowledge with regard to "diagnosis and treatment evaluation tools"(40.9%) or "western medical treatments"(25.1%) in their clinical practice. 2. Of the DKMs surveyed, 39.0% usually used traditional and western medical terms at similar levels of frequency in explaining their patients' conditions, while 35.9% used western medical terms more often and 20.8% used Korean traditional medical terms more often. 3. Most DKMs usually used acupuncture, herbal medicine, cupping therapy, Moxibustion in their practice and used herbal prescriptions presented in Dongeuibogam(57.1%), Bangyakhappyeon(52.9%), and Sa-Sang Constitutional Medicine(36.7%), although 27.8% used their own herbal prescriptions in creating for patients. In practice, DKMs usually used meridian acupuncture(64.1%), needling myofascial trigger points(54.8%), sa-am acupuncture(42.1%), dong-shi acupuncture therapy(24.7%), and constitutional acupuncture therapy(8.5%). Conclusions : We found that most DKMs use western medical contents as well as Korean medical contents in clinical practice. New Korean medical contents should be establish based on these results.

한국 치매 환자의 건강보험 의·한의 진료 비용에 관한 연구 (A Study on Medical Expenses of Modern and Korean Medicine for Dementia Patients Under National Health Care)

  • 이정배;강형원;김재욱;김가혜;김남권
    • 동의신경정신과학회지
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    • 제30권1호
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    • pp.31-38
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    • 2019
  • Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were compared and analyzed with respect to Western and Korean medical care. Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia patients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive impairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diagnosis of both Korean and Western medical care. The results of this study are expected to be used as basic research data for investigating cost effectiveness of developing early diagnosis of dementia.

족관절 염좌의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로- (Review on the Study of Ankle Sprain Published in Korea)

  • 이충희;김빛나라;정훈;이규원;양동민;오민석
    • 한방재활의학과학회지
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    • 제25권1호
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    • pp.71-76
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    • 2015
  • Objectives The aim of this review is to analyze the study tendency in papers related with ankle sprain which are published in Korea. Methods I searched the OASIS and checked relevant Korean journals. I classified the papers by field of study, publish date, main treatment, evaluation methods and analysed the study tendency. Results 1. There are 9 case studies, 4 comparative effectiveness studies, 11 controlled studies. 2. The paper was published almost every year for more than one. 3. Treatment tool such as acupuncture, pharmacopuncture, acupotomy, heating-conduction acupuncture, etc. was used. 4. The most commonly used evaluation method is VAS (Visual Analog Scale) and AHS (Ankle-Hindfoot scale). Conclusions These results suggest that Korean medical treatment on the ankle sprain can be useful as cure medicine, but there are not sufficient evidence based papers, so there should be further studies.

한의(韓醫) 방제명(方劑名)의 영역(英譯) 표준화(標準化)에 대한 연구(硏究) (Research on Standardization of TKM Formulae English Translation)

  • 안상영;권오민;한창현;박상영;안상우
    • 대한한의학회지
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    • 제31권1호
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    • pp.57-68
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    • 2010
  • Objectives: Standard is a unified criterion for some repeated things or concepts in a certain scope. It is fundamental to implement standardization in English translation of traditional Korean medicine (TKM) formulae to promote progress in the evaluation of TKM and also to serve in enhancing the efficiency in studies of medical formulae. Methods: We undertook literature research on current Korean and Chinese medicinal formulae in English translation, analyzing 485 Korean formulae and 464 Chinese. We also undertook a comparative study of 102 common English translation of both Korean and Chinese, proposing a constant and effective methods for English translation of medical formulae. Results: To have a precise English translation we classified medical formulae nomenclature in advance. We found that formulae naming can be fundamentally classified into 6 forms which are (a) Materia Medica + Preparation Form, (b) Materia Medica + Indication + Preparation Form, (c) Materia Medica Numbers + Preparation Form, (d) Indication + Preparation Form, (e) Concept + Preparation Form, and (f) Miscellaneous. Based on these findings we could determine that these 6 types ((a)-(f)) can all be translated into English by (1) Materia Medica + Preparation Form and (2) Indication + Preparation Form + of (with) + Materia Medica schemes. In regard to translation of Indication it can follow Noun+~ing participle form. Conclusion: This research provides a common method of TKM medicinal formulae English translation for better understanding, education, training, practice and research in TKM. Consequently, English translation using these methods can serve as the initial study for standardization of TKM medicinal formulae.

아토피 피부염 영유아 이유식에 대한 인식조사 및 관련 웹 사이트 현황 평가 (Care Giver's Perceptions and Systematic Evaluation of Korean Websites about Baby Food for Atopic Dermatitis Infants)

  • 민성희
    • 한국식생활문화학회지
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    • 제25권4호
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    • pp.357-365
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    • 2010
  • The study surveyed care giver's perceptions of baby food and evaluated the quantitative and qualitative aspects of Korean websites related to the baby food for atopic dermatitis infants. Sources of care giver information about baby food were the internet (93%), clinics (57%), television (52%), oriental clinics (37%), and neighbors (6%). The five most commonly-used internet search engines (Daum, Google, Nate, Naver and Yahoo) were searched using the terms "atopic dermatitis", "weaning food" and "baby food". The searched websites included oriental medical clinics (38.8%), online merchant companies (13.4%), corporations (13.4%), medical clinics (11.9%), related associations (11.9%), public health centers (4.4%) and personal sites (4.4%). Website food and nutrition information included medical information about baby food for atopic dermatitis (92.6%), baby food for atopic dermatitis (67.6%), related community (58.8%), product information (32.4%) and baby food preparation for atopic dermatitis (23.5%). Qualitative evaluation was conducted based on the American Library Association website checklist; Website operator and information sources were provided for 62.7% and 38.8% of the websites, respectively. The purpose of a website was more explicitly stated in medical clinic sites than nonmedical sites. Only 24.2% of websites had a title that appropriately reflected the site's purpose. The majority (92.5%) of the sites were easy to read and understand. Information was judged to be sufficient in 65% of the medical sites and 74.1% of non-medical sites. A feedback menu and search function were enabled in 85.1% and 28.4% of the sites, respectively. The mean score for quality grade was 14.64 (range 9-19). In conclusion, in order to improve the information of baby food for atopic dermatitis infants in websites, accurate information by experts and continuing monitoring are highly required.

요추 추간판탈출증 환자의 보존적 치료에 대한 통계적 연구 (Statistical Study of Conservative Treated Herniated Intervertebral Lumbar Disc)

  • 김수장;김용;김성용;이정훈
    • 대한추나의학회지
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    • 제3권1호
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    • pp.43-53
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    • 2002
  • Objectives : The object is to study a clinical effect regarding the conservative treatment of the patient who was diagnosed as the herniated Intervertebral lumbar disc(HIVD) and hospitalized in the oriental medical hospital and clinical study about the type of the HIVD. Methods. The clinical studies were done on 65 cases (hospitalized in Dept. of Oriental Rehabilitation Medicine, jaseng on oriental medical hospital from June 2001 to May 2002) who complained of low back pain or sciatica and diagnosed as HIVD on CT(computerized tomography) or MRI(magnetic resonance imaging). They were given both oriental conservative treatment and exercise during the hospitalization period. We investigated and observed 20 items about sex, age, weight, height, occupation, smoking. obesity, duration of disease, clinical symptom and treatment duration in basis of medical recording which was drawn up at patient hospitalization. We classified HIVD with 4 types(Bulging. Protruded. Extruded, Sequestered) and decided the case which simultaneously had 2 overs with Mixed type. The treatment evaluation standard was classified with 4 branches; Excellent. Good, Fair and Poor. Results & Conclusions : The treatment result of over 'fair' is bulging type 85%, protruded type 92.7%, extruded type 100% and the mixed type was 85.1 %. The effect was good in order of bulging, mixed, protruded and extruded type. It appeared most plentifully with 30 people in L4-5 and L5-S 1 disc herniation type.

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이후통(耳後痛)을 호소하는 초기 안면신경바비 환자에 대한 일반치료와 봉약침(蜂藥鍼) 병행치료의 비교연구 (Comparative Study of General Oriental Medical Treatment and Bee Venom Pharmacopuncture on Acute Peripheral Facial Paralysis Patient with Postauricular Pain)

  • 최주영;이현;강재희;김영일;김정호;이성환;김나연;임윤경
    • Journal of Acupuncture Research
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    • 제26권5호
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    • pp.95-103
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    • 2009
  • Objectives : This study was designed to evaluate the effect of treatment Acute peripheral facial paralysis patient with postauricular pain by Bee Venom Pharmacopuncture Methods : This report have been observed among thirty patients with peripheral facial paralysis patient with postauricular pain who admitted to oriental medicine hospital with Daejeon university During 11-01-2008 to 08-31-2009. These patients were diveided into two groups; One was control group that was treated general oriental medical treatment(Group I) and The other was treated Bee Venom Pharmacopuncture in the posterior ear with general oriental medical treatment. (Group II) Results : 1. Group II was more effective than Group I in the VAS score after 1st, 2nd, 3rd Bee Venom Pharmacopuncture treatmenton posterior ear about postauricular pain. 2. In Group II compared with Group I, postauricular pain duration was reduced. 3. As a result of evaluation by using Yanagihara score, they were not significant score within two groups after final treament. Conclusions : Bee Venom Phannacopuncture on peripheral facial paralysis patient with postauricular pain in the posterior ear was more effective in reducing the pain.

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견관절 동통을 호소하는 중풍편마비 환자에 대한 체침, 봉독침 및 봉약침 치료효능의 비교연구 (Comparative study of Acupuncture, Bee Venom Acupuncture and Bee Venom Herbal Acupuncture on the treatment of Post-stroke Hemiplegic Shoulder Pain)

  • 엄재용;원승환;권기록;이향숙
    • 대한약침학회지
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    • 제9권1호
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    • pp.139-154
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    • 2006
  • Objective : This experiment was conducted to evaluate the effectiveness of Acupuncture, Bee Venom Acupuncture (BVA) and Bee Venom Herbal Acupuncture (BVHA) on post-stroke hemiplegic shoulder pain. Methods : 30 patients were randomly allocated into Acupuncture group, BVA group and BVHA group and was monitored weekly for 4 weeks; initial($T_0$), 1 week($T_1$), 2 weeks($T_2$), 3 weeks($T_3$) and 4 weeks($T_4$). Results : Visual analogue scale of shoulder pain showed significant decrease in BVA and BVHA groups compared to the Acupuncture group at T4 evaluation. Painless passive ROM of shoulder external rotation and Fugl-Meyer Motor Assessment of Upper Limb motor function showed significant increase in all groups. Modified Ashworth scale of the spasticity of upper limb showed no differences between the three groups. Conclusion : BVA & BVHA appears to be an effective in treating post-stroke hemiplegic shoulder pain. Further clinical studies must be done to obtain more concrete findings.

안면신경마비 환자의 예후 평가 도구로서의 적외선 체열 촬영(DITI - Digital Infrared Thermographic Imaging) 가능성에 대한 연구 (Study on the possibility of Digital Infrared Thermographic Imaging as a prognosis evaluation tool for patients with facial palsy)

  • 배효빈;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제30권3호
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    • pp.62-75
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    • 2017
  • Objectives : The aim of this study is to evaluate possibility of DITI as prognosis evaluation tool of facial palsy. Methods : We investigate prognosis of facial palsy through EMR(Electronic Medical Record) of inpatient from December 2016 to June 2017. We evaluated the sex, age distribution, length of hospital stay, paralysis site, number of treatment after discharge, change of H-B Grade at entrance and exit, temperature difference of both sides of DITI, and Nerve Conduction Study(NCS) with reference to EMR recorded symptom change. Results : 1. Significant correlations were not found between DITI and House-Brackmann Grade change, NCS(%), the date of admission. 2. There was a negative correlation between NCS(%) and hospitalization period in patients with facial palsy. The higher the NCS, the faster the recovery rate of facial palsy. 3. In patients with facial palsy, the temperature difference between the two sides after the DITI image shows that the affected side tends to be lower than the normal side. Conclusions : In this study, only DITI temperature difference between both sides of face is not significant in determining the prognosis of facial palsy. Further research is needed to conduct DITI at the same time and to improve accuracy through a sufficient assessment of the degree of facial palsy.