• Title/Summary/Keyword: Patient Prescription

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A Literatural Study on the YukMiGiHwangTang (육미지황탕(六味地黃湯)에 대한 문헌적(文獻的) 고찰(考察))

  • Lee, Won-Suk;Park, Sun Dong
    • The Journal of Dong Guk Oriental Medicine
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    • v.5
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    • pp.149-166
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    • 1996
  • This study was done in order to investigate historical origins, similar prescriptions and mixing types of yukmigihwangtang from various literature. The results were as follows : 1. Fundamental ingredients of prescriptions did not greatly change, but the applications of these ingredients have increased. 2. Traditional purpose of prescription is basically the same. However, treatment methodology varies with the patient's state of illness. 3. Checks and balances of the misusage, overusage and side effects of this prescription must be studied further.

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Community Pharmacists' Perception of Barriers to Pharmacy Work (약국업무시 고충에 관한 개국약국 약사의 인식에 관한 연구)

  • Kim, Hyun-Ah
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.1
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    • pp.37-42
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    • 2009
  • The purpose of this study was to evaluate barriers to pharmacists' routine work in community setting. A survey was given to 281 pharmacists who enrolled in 16-week clinical pharmacy educating program in continuous education center for advanced pharmacy at Seoul National University. Three main questions that pharmacists were asked to answer were: (1) difficulties on dispensing prescription, (2) difficulties on communicating with doctors, (3) most difficult disease on patients counseling. The response rates for the survey were more than 60 % for each three questions (62.63 %, 63.7 %, and 64.41 %, respectively). The top three barriers to dispensing prescription were lack of professional knowledge about medications, prescription error and its solving ability and patient counseling. The top three barriers to communicating with doctors were lacking of opportunity to discuss about patients' medication due to unavailability of doctors, doctors' attitude using authoritative manner, and a pharmacist's lack of knowledge. The top 4 most difficult diseases on patients counseling were cardiovascular disorders, dermatologic disorders, endocrinologic disorders, and psychiatric disorders.

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System of Exercise Rehabilitation Underwear for Chronic Obstructive Pulmonary Disease Patient (COPD 환자를 위한 운동재활 언더웨어 시스템)

  • Ahn, Hyeongi;Jang, Jiyoung;Choi, Hyunhee;Park, Byungjoo
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.297-298
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    • 2021
  • 본 논문은 만성폐쇄성 폐 질환이 흡연, 대기오염으로 많은 질환자가 발생하여 재활운동을 필요로 하는 추세이다. 현재 측정 도구와 재활운동 도구가 분리되어 질환 진단은 한정된 시설을 이용해야만 하고 재활운동 또한 상시 진행할 수 없어 질환을 확인하기 어려운 실정이다. 이에 평상시 착용하는 이너형태에 재활운동 의류를 개발하여 올바른 호흡을 돕는 근육군이 동원하여 복식호흡을 유도하고 흉식호흡 시 웨어러블기기를 통해 인지하게 돕는다. 이 결과 일상 속 지속 가능한 재활운동을 바탕으로 가슴 벽의 호흡근육 활동을 감소시키고 복부 근육군을 개선하는 것으로 폐 기능을 증진시킬수 있는 언더웨어 개발을 제안하고자 한다.

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The Research on the Clinical Use of Cheonggang Kim Yeoung-hun's Geoseohwajung-tang - Focusing on Kim Yeoung-hun's Medical Records (1915~1924) - (청강 김영훈의 거서화중탕 임상 활용에 대한 연구 - 1915~1924 김영훈 진료기록을 중심으로 -)

  • Kim, Dongryul;Jung, Ji-Hun;Cha, Wung-Seok
    • The Journal of Korean Medical History
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    • v.28 no.1
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    • pp.143-158
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    • 2015
  • The purpose of this study is to examine the prescription of Geoseohwajung-tang which often appears in Kim Yeoung-hun's medical records and how he employed this prescription. Geoseohwajung-tang is a prescription that can be found in no books of medicine in East Asia other than Kim Yeoung-hun's medical records, his posthumous work, Cheongganguigam, and Seungjeongwon Ilki, the diaries of royal secretariat of the Joseon dynasty. It was mostly used for digestive problems resulted from eating wrong food in summer and diversely applied by changing the composition of the medicinal ingredients according to the patient's symptoms. To see how Geoseohwajung-tang was used clinically, the researcher analyzed Kim Yeoung-hun's medical records written in 1915~1924. Among his total 21,369 medical records, 549 ones included Geoseohwajung-tang, and all of them were in July to September, so we can see that it was a prescription for the summer season. The use of the prescription was not highly related with the patient's gender, occupation, or age. The names of the diseases are mostly diarrhea, dysentery, acute vomiting with diarrhea, and all of them are highly related with diarrhea. The causes of them are mostly summer-heat, dampness, and food poison.

A Survey of Public Preferences on Repeat Dispensing (장기처방약의 조제방식에 대한 일반인의 선호도 조사: 분할조제 관점에서)

  • Young Mi Lee;Daejin Kim;Eunjoo Lee;Hyun Soon Sohn
    • Korean Journal of Clinical Pharmacy
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    • v.34 no.1
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    • pp.30-38
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    • 2024
  • Background: This study examined the public's perceptions of repeat dispensing as one of the measures to reduce the harmful effects of long-term prescriptions in Korea. Methods: From January 11 to 25, 2021, an online survey was conducted for adults using convenience sampling. A self-developed questionnaire was used. Results: There were 310 respondents, of which 228 (73.5%) preferred repeat dispensing. When considering the additional fee payment, 188 (60.6%) preferred repeat dispensing, and 54 (67.5%) out of a total of 80 chronic disease patients preferred it. It was confirmed that there was a difference in the willingness to repeat dispensing considering the additional cost depending on whether the patient had a chronic disease and the distance from home to the nearest pharmacy. As a result of subgroup analysis for patients with chronic diseases, frequency of outpatient visit, number of prescription days, method of packaging pharmaceuticals, and distance from home to the nearest pharmacy were identified as variables that could well predict the willingness to repeat dispensing considering paying additional fees. The preference for repeat dispensing may vary depending on conditions such as additional cost range, frequency and period of prescription use, disease and patient characteristics, so a careful approach is necessary. Conclusion: It is necessary for the government to consider the introduction of repeat dispensing with interest in the public demand.

A Study on the Secure Prescription Transmission System based on the XML (XML기반의 안전한 처방전 전송 시스템에 관한 연구)

  • Lee Sang-Beom;Lee Seong-Joo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.8
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    • pp.1777-1782
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    • 2004
  • I propose a prescription transmission system based on XML in this paper, and it is not to attach a former signature to only a XML document for encoding of XML/EDI, and it is construction, one with the prescription transmission system which is safer with what use a way to attach a digital signature to DTD. I defined sub element to manage information prescription DTD defined prescription information, patient information, medical care organ information, prescription details information, compounding of medicines details information element according to for each a component of a prescription I went along, and to have looked up, and to have obeyed information transmission at he low rank. I read a DTD file for safe prescription transmission, and I do element or property, the entity which I do it, and is extracted here, and Pasing is saved in a table while being a field. If Pasing is finished, I read and lift a hash table and carry out message a digest. I compose it with an early private key and create a digital signature.

Outpatient Prescription Pattern of Anti-inflammatory Drugs by Pediatricians and ENT Physicians in Ulsan City (울산 지역 소아청소년과 및 이비인후과에서의 항염증제 처방 형태 분석)

  • Kim, Sung-Chull;Kim, Young-Rok;Hwang, Jae-Yoon;Chang, Hyeun-Wook;Nam, Doo-Hyun
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.205-212
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    • 2010
  • The prescription sheets for outpatients from July 2008 to June 2009 from 7 community pharmacies in Ulsan City were surveyed for the anti-inflammatory drug (AID) prescription pattern. The AID prescription rate of pediatricians and ENT physicians were 30.0% and 34.8%, respectively. The oral steroidal anti-inflammatory drugs (SAIDs) were prescribed as much as 3.9% by pediatricians and 10.3% by ENT physicians. The chiefly prescribed oral SAID was prednisolone in pediatric clinics and methylprednisolone in ENT clinics. Meanwhile the prescription rate of oral non-steroidal anti-inflammatory drug (NSAID) was 22.5% by pediatricians and 21.4% in ENT physicians. The most favorable NSAIDs were propionate derivatives in both clinics. In case of externally-applied SAIDs, the prescription rate of pediatricians was 3.6% and that of ENT physicians was 2.8%. Among them, nasal spray, inhalant and gargle formulations for upper respiratory infection (URI) treatment occupied 35.8% of externally-applied SAIDs in pediatric clinics and 59.7% in ENT clinics. Further, it was observed that ENT physicians favored much stronger SAIDs in Group III of ATC classification (75.4% of externally-applied SAIDs) than pediatricians (49.2%). In the survey of AID combination rate, pediatric clinics showed much lower rate (1.4% of total AID prescriptions) than ENT clinics (7.5%). Among them, the combination rate of oral SAID and oral NSAID by ENT physicians (52.2% of total AID combinations) was much higher than pediatricians (36.6%), which might be over-prescription of AID agents. In conclusion, the AID prescription rate as well as AID combination rate, especially in SAID prescriptions, was much higher in ENT than pediatric clinics, which implies the higher confidency on AID drugs of ENT physicians even though the severity of patient's symptom could be considered.

A Study on the Secure Prescription Transmission System using XML/DTD digital signature (XML/DTD 전자서명을 이용한 안전한 처방전 전송 시스템에 관한 연구)

  • Kim, Hyeong-Gyun;Bae, Yong-Guen
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.11 no.4
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    • pp.722-727
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    • 2007
  • We propose a prescription transmission system based on XML in his paper, and it is not to attach a former signature to only a XML document for encoding of XML/EDI, and it is construction, one with the prescription transmission system which is safer with what use a way to attach a digital signature to DTD. I defined sub element to manage information prescription DTD defined prescription information, patient information, medical care organ information, prescription details information, compounding of medicines details information element according to for each a component of a prescription I went along, and to have looked up, and to have obeyed information transmission at he low rank. I read a DTD file for safe prescription transmission, and I do element or property, the entity which I do it, and is extracted here, and Pasing is saved in a table while being a field. If Pasing is finished, I read and lift a hash table and carry out message a digest. I compose it with an early private key and create a digital signature.

A Study on the Prescription Patterns of Gastrointestinal Protective Agent with Non-Steroidal Anti-Inflammatory Drugs in Korean Elderly Patients with Osteoarthritis (골관절염을 진단받고 비스테로이드성 항염제 복용 중인 65세 이상 환자의 위장관보호제 처방양상 연구)

  • Chun, Seongmin;Choi, Yoonhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.79-92
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    • 2020
  • Purpose : The purpose of this study was to evaluate the prescription pattern of NSAIDs and GPAs in the arthritis patients over 65 years old to prevent the GI adverse events. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly used agents to treat arthritis, can cause gastrointestinal (GI) adverse effects. Recent guidelines recommend that moderate risk patients who have one or two risk factors, should be prescribed either combination of non-selective NSAID (nsNSAIDs) and gastroprotective agent (GPAs) or selective NSAID alone. Methods : Study population was National Patient Sample of 2011. Number of drugs used were 138 for NSAIDs and 21 for GPAs. Chi-square test was used to compare prescribing patterns. Results : The appropriate prescription rate follows the guideline was 11.2%: co-prescription with nsNSAID and proton pump inhibitor (PPI) or misoprostol was 1.6% and selective NSAID alone was 9.6%. Inappropriate prescription rates were as follows: co-prescription with nsNSAID and Histamine-2 receptor antagonist (H2RA) or antiacid was 53.8% and nsNSAID alone was 35.0%. The appropriate prescription rate among the types of medical institute was 54.4% in tertiary hospital, 31.2% in secondary hospital, and 6.0% in primary hospital. The appropriate prescription rate among the regions was 19.4%, highest in Seoul and 4.2%, lowest in Jeju. The appropriate prescription rate among the medical departments was as follow: 12.2% in orthopaedic surgery, 11.0% in internal medicine, and 7.7% in other departments. Conclusion : This finding suggests the needs to revise the national medical insurance imbursement policy, provide continuing medical education about the guideline of medical doctors.

Feasibility Study of Mobius3D for Patient-Specific Quality Assurance in the Volumetric Modulated Arc Therapy

  • Lee, Chang Yeol;Kim, Woo Chul;Kim, Hun Jeong;Lee, Jeongshim;Huh, Hyun Do
    • Progress in Medical Physics
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    • v.30 no.4
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    • pp.120-127
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    • 2019
  • Purpose: This study was designed to evaluate the dosimetric performance of Mobius3D by comparison with an aSi-based electronic portal imaging device (EPID) and Octavius 4D, which are conventionally used for patient-specific prescription dose verification. Methods: The study was conducted using nine patients who were treated by volumetric modulated arc therapy. To evaluate the feasibility of Mobius3D for prescription dose verification, we compared the QA results of Mobius3D to an aSi-based EPID and the Octavius 4D dose verification methods. The first was the comparison of the Mobius3D verification phantom dose, and the second was to gamma index analysis. Results: The percentage differences between the calculated point dose and measurements from a PTW31010 ion chamber were 1.6%±1.3%, 2.0%±0.8%, and 1.2%±1.2%, using collapsed cone convolution, an analytical anisotropic algorithm, and the AcurosXB algorithm respectively. The average difference was found to be 1.6%±0.3%. Additionally, in the case of using the PTW31014 ion chamber, the corresponding results were 2.0%±1.4%, 2.4%±2.1%, and 1.6%±2.5%, showing an average agreement within 2.0%±0.3%. Considering all the criteria, the Mobius3D result showed that the percentage dose difference from the EPID was within 0.46%±0.34% on average, and the percentage dose difference from Octavius 4D was within 3.14%±2.85% on average. Conclusions: We conclude that Mobius3D can be used interchangeably with phantom-based dosimetry systems, which are commonly used as patient-specific prescription dose verification tools, especially under the conditions of 3%/3 mm and 95% pass rate.