• 제목/요약/키워드: Patient Prescription

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Physical Therapy for Post-Myocardial Infarction (심근경색후 물리치료)

  • Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.1 no.1
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    • pp.83-87
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    • 1994
  • The purpose of this paper is to provide an overview of the clinical physical therapy program used at the University of Yonsei Rehabilitation Hospital, for the practicing university trained physical therapists who may be unfamiliar with patients who have suffered a myocardial infarction. The four primary phases of the cardiac physical therapy graded exercise program are: 1) coronary care unit program (phase I), 2) general ward program (phase II), 3) convalescence program (phase III), 4) maintenance program (phase IV). The exercise prescription defines the exercise intensity, duration, frequency, and mode of exercise a after pre- discharge low level graded exercise test(LL-GXT) or symptom limited maximum graded exercise test. A typical exercise routine consists of preparation warm-up exercise, therapeutic exercise, cool-down exercise. Physical therapy is involved in the acute care and rehabilitation of the patient after a myocardial infarction. Therefore, the physical therapist must throughly comprehened the cardiac anatomy, cycle, performance, conduction system, pathogenesis, risk factors, and exercise benefits.

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Three Cases of Seborrheic Dermatitis Treated by Hwangryunhaedok-tang gagambang (황련해독탕가감방(黃連解毒湯加減方)으로 치료한 지루성 피부염 치험 3례)

  • Kim, Min-Gun;Hwang, Moon-Je
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.1
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    • pp.140-148
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Hwangryuhaedok-tang gagambang on seborrheic dermatitis. Methods : The clinical study was done on 3 cases of seborrheic dermatitis patients with symptoms of flare, scales, pricking and itching. An author prescribed Hwangryuhaedok-tang gagambang for these patients and checked VAS(Visual Analogue Scale) scores depending on the patient's evaluation. Photographies were taken before and after the treatment. Results : VAS scores of all patients decreased from 10 to 1,2. Judging by photographies, patients noticeably improved in facial skin. As a result of examining VAS scores and photographies, Hwangryuhaedok-tang gagambang was effective on seborrheic dermatitis. Conclusions : From these results, Hwangryuhaedok-tang gagambang may be considered as a basic prescription for seborrheic dermatitis. And an author consider that continuous clinical study will be needed in Korean medical dermatology.

Influence of Maekmoondong-Tang on the respiratory aspect of the allergic asthma

  • Park, Dong-Il;Seo, Chang-Hoon
    • Journal of Life Science
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    • v.10 no.2
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    • pp.33-38
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    • 2000
  • Maekmoondong-Tang is prescription recorded on Zang‘s ${ulcorner}$Synopsis of the Golden Chamber${\lrcorner}$ for the first time. It can be used in abnormal rising of qi, asthma, swelling throat ect. So it is observed influence of Maekmoondong-Tang on respiratory aspect of allergic asthma patient, we have significant result and report it. We used egg-white and ovalbmuin (OVA) to induce asthma in experimental animals for observe what maekmoondong-Tang have an effect on asthma. And it is observed respiratory aspect and obtained next conclusions. 1. Number of total respiration in group that is prescribed Maekmoondong-Tang slightly increased than in control group. 2. Number of abnormal respiration in group that is prescribed Maekmoondong-Tang decreased than in control group significantly.

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Design of Convolution Neural Network (CNN) Based Medicine Classifier for Nursing Robots (간병 로봇을 위한 합성곱 신경망 (CNN) 기반 의약품 인식기 설계)

  • Kim, Hyun-Don;Kim, Dong Hyeon;Seo, Pil Won;Bae, Jongseok
    • IEMEK Journal of Embedded Systems and Applications
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    • v.16 no.5
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    • pp.187-193
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    • 2021
  • Our final goal is to implement nursing robots that can recognize patient's faces and their medicine on prescription. They can help patients to take medicine on time and prevent its abuse for recovering their health soon. As the first step, we proposed a medicine classifier with a low computational network that is able to run on embedded PCs without GPU in order to be applied to universal nursing robots. We confirm that our proposed model called MedicineNet achieves an 99.99% accuracy performance for classifying 15 kinds of medicines and background images. Moreover, we realize that the calculation time of our MedicineNet is about 8 times faster than EfficientNet-B0 which is well known as ImageNet classification with the high performance and the best computational efficiency.

Trends in the use of antibiotics among Korean children

  • Choe, Young June;Shin, Ju-Young
    • Clinical and Experimental Pediatrics
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    • v.62 no.4
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    • pp.113-118
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    • 2019
  • Inappropriate antibiotic use is the most important factor causing increased bacterial resistance to antibiotics, thus affecting patient outcomes. Multidrug-resistant bacteria have become a serious public health threat, causing significant morbidity and mortality worldwide. In Korea, the burden of antibiotic-resistant bacteria has become an important public health issue. There is increasing evidence of overuse and misuse of antibiotics in Korea, as observed in cohorts with large sample sizes. Antibiotic use among children should receive particular attention because of the frequency of community-associated infections among this population and the elevated risk of transmission. Recent studies from Korea have demonstrated that the use of broad-spectrum antibiotics, either for inpatient or outpatient treatment, has increased among many age groups, especially children. In this review, we aim to describe the patterns of antibiotic prescription and evaluate recent trends in antibiotic use among children. Coordinated efforts toward communication and education in order to address misunderstandings regarding antibiotic use, involving interprofessional antimicrobial stewardship programs, are required in the near future.

Sodium-Glucose Cotransporter 2 Inhibitors for Chronic Kidney Disease: A Comprehensive Review (SGLT2 억제제와 만성 콩팥병)

  • Su Hyun Song;Eun Hui Bae
    • The Korean Journal of Medicine
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    • v.99 no.2
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    • pp.61-68
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    • 2024
  • Chronic Kidney Disease (CKD) is a major global health burden. Sodium-glucose cotransporter-2 (SGLT2) inhibitors have demonstrated potential in slowing CKD progression. We evaluated the expanding role of SGLT2 inhibitors, emphasizing their renoprotective benefits in diabetic and non-diabetic CKD patients. We also investigated the underlying mechanisms, including the reduction of glomerular hypertension via modulation of tubuloglomerular feedback. Our study critically analyzed current indications for SGLT2 inhibitor therapy based on recent clinical trial data. To optimize patient outcomes, we present a comprehensive analysis of practical considerations for the prescription of SGLT2 inhibitors, including the potential initial decline in the estimated glomerular filtration rate and a review of adverse events.

A Web-based Survey on Korean Medical Doctor's Prescription Status of Jaungo (자운고의 한의사 처방 현황에 대한 웹기반 설문조사)

  • Kang, Min-Seo;Kim, Min-Hee;Jang, Bo-Hyoung;Choi, In Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.2
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    • pp.24-39
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    • 2018
  • Objectives : The purpose of this survey is to examine Korean medical doctor's prescription status of Jaungo. Methods : The questionnaire was distributed via e-mail to Korean medical doctors who were registered in the association of Korean medicine from December 26th 2017 to February 5th 2018. We screened out respondents who didn't meet screening criteria. Results : Total 325 respondents completed answers, and the computerized data were analyzed. 74.7% of respondents were provided Jaungo from outside (extramural herbal dispensaries, pharmaceutical company). Almost all of the respondents (98.2%) were prescribing Jaungo in the form of ointment, and the cream container was the most commonly used container. In chief Indications of Jaungo were skin dryness (83.1%), pruritus (67.7%), burns (64.0%), and atopic dermatitis (60.9%). More than 60% of the respondents were prescribing Jaungo without additional herbs or additives. Most of patients were educated to apply Jaungo thinly to the affected area once or twice a day or frequently. Reason for dissatisfaction about Jaungo of patient were due to staining clothes (59.1%), offensive smell (44.0%), and poor texture (26.5%). Conclusions : Jaungo is a topical herbal agent frequently used in the Korean medicine. This is the first survey figure out current status of topical herbal agent in Korean medical doctors. The result of this study would contribute to progressing treatment method using topical herbal agent.

Analysis of Factors Related to the Prescription of Antibiotics for the Acute Upper Respiratory Infection (급성상기도감염 환자의 항생제 처방에 영향을 주는 요인)

  • Choi, Won Jung;Yim, Eunshil;Kim, Tae Hyun;Suh, Hae Sun;Choi, Ki Chun;Chung, Woojin
    • Health Policy and Management
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    • v.25 no.4
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    • pp.256-263
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    • 2015
  • Background: Initial treatment of acute upper respiratory infection (AURI) should not include antibiotics because most AURIs are caused by virus. However, the prescription rate of antibiotics in Korea is higher than in any other countries. Inappropriate use of antibiotics in Korea accelerated the emergence of antibiotics resistance and increased the social and economic burden. The objective of this study was to investigate the factors related to antibiotics use for the AURI among children-adolescents and adults. Methods: This study analyzed the Health Insurance Review and Assessment Service-National Patient Sample data which was nationally representative sampling stratified by sex and age. Results: The influencing factors of antibiotics use for AURI are gender, age, types of medical security, primary disease, existence of concomitant disease, treatment seasons, first visit or revisit, indicated specialty, types of medical institution, and location of medical institution. Conclusion: The results showed health policy makers are required to place more efforts to resolve inappropriate antibiotics use. Especially they need to establish a health policy to reduce the gap between areas and specialties and recommend standardized clinical guidelines according to the subgroup code of AURI and the age group of patients.

Computerized Order Communication System for Out-patient's Clinic Using Personal Computer and Local Area Network (PC 및 LAN을 이용한 외래처방 전달 시스템)

  • 김남현;김원기
    • Journal of Biomedical Engineering Research
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    • v.14 no.4
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    • pp.321-326
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    • 1993
  • Recently, microcomputer technology has been developed rapidly and it provides not only graphic user interface that can be fraendly accessable but also large storage capacity to han- dle much hospital information. Almost all the order communication system for hospital has been developed under the concept of host and terminal environment since last 20 years. However, host-terminal system has not been successful in korea simply because most of physicians prescibe for rrlany patients a day(sometimes more than 150 patients a day). Also, under the host-terminal environment, programs are not friendly implemented for users. Since March 1991, we had developed order communication system for out-patients(named YONSEI-PC) using personal computer(PC) and local area network(LAN) . Since September 1992, we has applied succesfully in the Yonsei Cardiovascular Center, Sevrance Hospital, Yonsei University College of Medicine. This system consisted with Server and Clients which is communicated through LAN(Ethernet). The system also use the Host computer(IBM 9221 170) as a data bank and communicates to the Server with emulation card(3270 emulator, Interlink Inc., Korea) . After introducing this system, it enables patients to receive drugs witllin 20 minutes after prescription of 300-400 patients per day and it seemed to be effective system not to reduce waiting time for the patients but also to remove charge-troubling(due to His-entry of prescription) . This system also seems to be effective in terms of office automatism for hospital management. However users, usually physitions, required more friendly and easy system to operate and we thought that the most important one to successfully introduce order communication computer system in the hospital is user interface.

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Analysis of Korean Herbal Medicine Used in Case Studies of Treating Urticaria (두드러기 증례 연구에서 사용된 한약 처방 분석)

  • Park, Jung-Gun;Kang, Se-Hyun;Kang, Dong-Won;Kim, Kyu-Seok;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.3
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    • pp.12-25
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    • 2018
  • Objectives : The purpose of this study is to analyze the use of herbal medicine for the treatment of urticaria in case studies and to find the general tendency of herbal medicine treatment and to establish the primary treatment direction of urticaria. Methods : In the domestic databases, Oriental medicine Advanced Searching Integrated System (OASIS), Korean Traditional Knowledge Portal (KTKP), National Discovery for Science Leader (NDSL), Research Information Sharing Service (RISS), we selected among the case study papers published in the last 20 years using search terms related to "urticaria". Reports related to Sasang Constitutional medicine were excluded and total of 15 papers were finally selected. Results : 23 prescriptions were retrieved from 15 papers. The most commonly used prescription was Seungmagalgeun-tang (升麻葛根湯), and Bangpoongtongsung-san (防風通聖散) and Pyeongwi-san (平胃散) were presented twice. Commonly used herbs are Glycyrrhizae Radix et Rhizoma (甘草), Zingiberis Rhizoma Recens (生薑), and Scutellariae Radix (黃芩). 18 out of 78 herbs are belonging to heat-clearing medicinal (淸熱藥) and 16 out of 78 herbs are belonging to exterior-releasing medicinal (解表藥). Concurrent therapies such as acupuncture, pharmacoacupuncture, moxibustion, cupping therapy, ice pack applying therapy were performed and several evaluation methods were used, patient's subjective remission rate was the most used. Conclusions : Through this study, we were able to discover the tendency of herbal medicine prescription for the treatment of urticaria.