• Title/Summary/Keyword: Patient Prescription

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A Meta-Analysis of Korean Diabetes Patient Studies from 1977 to 2008 (메타분석을 이용한 당뇨중재의 효과분석)

  • Chin, Young-Ran;So, Eun-Sun;Lee, Hyo-Young
    • Journal of Korean Public Health Nursing
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    • v.25 no.1
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    • pp.5-16
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    • 2011
  • Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.

The Study of Vertical Fixation Disparity by Fixation Disparity Card (주시시차 카드를 이용한 수직주시시차 연구)

  • Park, Hyun-Ju;Yoon, Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.1
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    • pp.61-66
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    • 2010
  • Purpose: This study was performed to determine vertical fixation disparity by Fixation Disparity Card. The purpose of this study was to investigate distribution of the curve types obtained with Wesson card. Methods: Fixation disparity curves were measured on 52 subjects with the Wesson fixation disparity card. A fixation disparity curve was an x, y coordinate plot of the angular amount of fixation disparity as a function of the power of prisms through which the patient views. The fixation disparity curve variables that were used to aid in the diagnosis and management of binocular vision disorders included the x-intercept, y-intercept, curve slope and curve type. Results: Vertical fixation disparity curves by Wesson Fixation Disparity Card were very various. Conclusions: Vertiical fixation disparity curves could be used to aid in the diagnosis and prescription.

Unexpected Isolation of Leclercia Adecarboxylata in Dermatitis of a Dog

  • Jung, Hansol;Cho, Hyunkee;Lee, June Bong;Yoon, Jang Won;Chung, Jin-Young
    • Journal of Veterinary Clinics
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    • v.34 no.5
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    • pp.381-383
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    • 2017
  • A two-year-old intact male Labrador retriever was presented with generalized erythema, pustule and pruritus. A skin screening test revealed that there were no fleas but bacteria and dermatophytes were present. Blood testing revealed no remarkable findings. The patient was prescribed systemic medication of enrofloxacin 30 mg/kg once a day and itraconazole 10 mg/kg once a day and topical medication of 2% chlorhexidine shampoo twice a week for 2 weeks. Two weeks after the prescription, aerobic culture confirmed that the bacteria were Leclercia Adecarboxylata and Pseudomonas putida was sensitive to enrofloxacin. Therefore, more medicine was prescribed for 4 weeks to alleviate clinical signs. After six weeks of medication, clinical signs were alleviated and skin screening test revealed no remarkable findings. Bacterial and fungal skin infections are common in dogs. However, there are no reports of Leclercia Adecarboxylata infection even in gastrointestinal tract in veterinary medicine. This is the first report of Leclercia Adecarboxylata infection in dogs. This report proved that Leclercia Adecarboxylata can cause skin problem in dogs.

Implementation of Evidence Based Nursing Education into Nursing Management Clinical Practicum: Outcome Evaluation and Diffusion Strategies (간호관리학 실습에서의 근거기반간호 교육 적용: 결과평가와 확산 전략)

  • Park, Myonghwa
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.39-47
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    • 2013
  • Purpose: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. Methods: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. Results: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. Conclusion: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.

A Study of Prescriptions of Fire Part in DongEuiBoGam (병증에 따른 동의보감(東醫寶鑑) 잡병편(雜病篇) 화문(火門) 처방의 분류와 분석)

  • Kwon, Hyun-Bum;Park, Sun-Dong
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.71-90
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    • 2008
  • 東醫寶鑑(DongEuiBoGam) is considered as one of the most valuable medical books for Korean traditional medicine. Since 許浚(Heo Jun), the best physician on his day, wrote 東醫寶鑑(DongEuiBoGam), it has been not only a guidebook for basic medical studies, but also a field manual for clinicians. 東醫寶鑑(DongEuiBoGam) is a medical encyclopedia which integrated more than 81 medial classics. And its contents is well organized according to the symptoms of each disease. So today most clinics refer to 東醫寶鑑(DongEuiBoGam). But if we just read 東醫寶鑑(DongEuiBoGam) and use the prescriptions without understanding, the effect of medicine will be reduced by half. We should totally understand recipes in 東醫寶鑑(DongEuiBoGam) and be able to change the recipes according to the symptoms of each patient's disease. So finding the common traits of the recipes in 東醫寶鑑(DongEuiBoGam) is very important. In this research, the recipes of the fire part(火門) of Various Disease vol. Ⅲ(雜病篇 卷之三) are analyzed according to the traits of each herb in the recipes. And new classification of prescriptions according to the community of their traits is also suggested.

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Clinical Case Report of PPI-refractory Gastro-Esophageal Reflux Disease (GERD) with Korean Medicine Treatment - A Focus on Evaluation of the Abdominal Examination (한의 복합치료로 호전된 불응성 위식도역류질환 (PPI-refractory GERD) 환자 1례 - 복진소견 평가를 중심으로 -)

  • Lee, Jae-hong;Cho, Soo-ho;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.727-735
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    • 2017
  • This case report describes a 60-year-old man who had reflux symptoms despite treatment with proton pump inhibitors (PPIs). Korean traditional medicine, including a herbal prescription, acupuncture, and moxibustion was administered to the patient during his 19 days of hospitalization. The visual analogue scale (VAS), gastrointestinal scale (GIS), and gastrointestinal symptom rating scale (GSRS) scores were assessed on the dates of admission and discharge. An abdominal examination, which is one of the Korean medicine diagnostic tools, was performed every day to evaluate the treatment progress. During the treatment, the improvement of symptoms was clinically correlated with abdominal examination outcomes. We suggest that administration of traditional Korean Medicine on PPI-refractory GERD patients could be effective and we recommend utilization of the abdominal examination as an assessment tool for Korean Medicine treatment.

이제마(李濟馬)가 제시한 체질별(體質別) 약물분류(藥物分類) 원칙(原則)에 대한 연구(硏究)

  • Im Jin-Seok
    • Journal of Korean Medical classics
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    • v.13 no.1
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    • pp.345-360
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    • 2000
  • I In the rearch of the principle of herb classification based on constitution I have recognised Lee Jae Ma(李濟馬)'s medical thought on the herb. He had believed that herb must be used when needed, also had opposed taking overdose of medicine. And he had prescribed to a patient based on constitution. The results were summerized as follow; 1. In the classification of herb according to constitution, Although Gimilon(氣味論) that empasized in the herbal medicine have had reference value but cannot be absolute classific standard. The medicinal portion of herb was not significant. And through research the past prescription that were qouted by Lee Jae Ma cannot find a meaningful result. 2. Lee Jae Ma denied the tradtional GuiKyung(歸經) theory, and classified into Iung(肺), spleen(脾), liver(肝), kidney(腎). And when he gave medical teatment, he has used the methods of the supplement to weakned organ. 3. On the principle of herb classification based on constitution, Lee Jae Ma had presented general rule that are fragrance(馨), odor(臭), liquid(液), taste(味). Although it had suitable tendency but cannot complitely coinside with the actual. Therefore I interpreted fragrance(馨), odor(臭), liquid(液), taste(味) into the symbol that represent the chief effect. On these conception it's necessary more study.

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A Case Report of Conversion Disorder with Climacteric Symptoms (갱년기 증후군을 나타낸 전환장애 환자 치험 1례)

  • Kim, Ji-Eun;Yang, Seung-Jeong;Cho, Seong-Hee;Yeo, Eun-Ju;Park, Kyung-Mi;Kim, Kyung-Ok
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.144-153
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    • 2012
  • Objectives: This case is that of a woman in her late forties who was diagnosed as conversion disorder. She suffered the climacteric while being treated with conversion disorder and the respective symptoms got worse. We investigated whether Korean traditional treatment is effective in patient with conversion disorder and menopausal symptoms. Methods: The prescription of Banhabaekchulchunma-tang, Gamisoyo-san, Bunsimgieum, acupuncture therapy and moxibustion therapy were used for the treatment. Results: After treatment, the chief complaint and accompanying symptoms were reduced to 40% compared with first visit day. Conclusions: We may conclude that Korean traditional treatment is effective in patients with conversion disorder and menopausal symptoms.

High dose vitamin D injection induced severe hypercalcemia (비타민 D 고용량 주사로 인한 심한 고칼슘혈증 발생 1예)

  • Lee, Sang Ah;Moon, Jae Cheol
    • Journal of Medicine and Life Science
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    • v.16 no.1
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    • pp.31-33
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    • 2019
  • Hypercalcemia is often seen in patients, but most of them showed mild to moderate hypercalcemia. The severe hypercalcemia with a blood calcium level of 14.0 mg/dL or more is known to be associated mainly with malignant tumors. Because this is emergency status, most clinicians tried to decrease serum calcium level to near normal range to improve symptoms related to hypercalcemia. A 71-year-old female patient visited the emergency room with dizziness and general weakness. Her serum calcium level was very high (15.6 mg/dL), but serum PTH, 25-OH vitamin D, and PTH related peptide were normal. We can exclude hyperparathyroidism, familial hypocalciuric hypercalcemia, other connective tissue diseases, and hypercalcemia due to malignant tumors as a cause of severe hypercalcemia. Conclusively, we diagnosed as severe hypercalcemia due to high-dose vitamin D injections treated one week ago. High dose vitamin D injections have recently been shown to increase the frequency of prescription as the various causes and the clinicians needed to carefully monitor the serum calcium levels in the patients after treating with high dose vitamin D.

Epidemiology of trigeminal neuralgia: an electronic population health data study in Korea

  • Lee, Cheol-Hyeong;Jang, Ho-Yeon;Won, Hyung-Sun;Kim, Ja-Sook;Kim, Yeon-Dong
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.332-338
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    • 2021
  • Background: Trigeminal neuralgia (TN) is one of the most painful disorder in the orofacial region, and many patients have suffered from this disease. For the effective management of TN, fundamental epidemiologic data related to the target population group are essential. Thus, this study was performed to clarify the epidemiological characteristics of TN in the Korean population. This is the first national study to investigate the prevalence of TN in Korean patients. Methods: From 2014 to 2018, population-based medical data for 51,276,314 subscribers to the National Health Insurance Service of Korea were used for this study. Results: The incidence of TN was 100.21 per 100,000 person-years in the year of 2018 in Korea, and the male to female ratio was 1:2.14. The age group of 51-59 years had the highest prevalence of TN. Constant increases in medical cost, regional imbalance, and differences in prescription patterns by the medical specialties were showed in the management of TN. Conclusions: The results in this study will not only help to study the characteristics of TN, but also serve as an important basis for the effective management of TN in Korea.