• Quality Improvement in Health Care
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• v.14 no.2
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• pp.125-132
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• 2008

Background : The number of outpatient injected anticancer drug is increasing. and the pathway of prescribing, compounding, and injecting anticancer drug is processed very rapidly in out-patient department. Moreover, Dose of anticancer drug is often changed depending on side effect of patients. So we need more effective inspection of anticancer drug prescriptions. The purpose of this study was to analyze the prescription errors for anticancer drugs in Out-Patient Department and to suggest system to prevent them. Method : The study took place at Asan Medical Center from July to September 2007. The pharmacists performed inspection of anticancer drug prescriptions before compounding and injecting. We used protocol-based anticancer drug order program and Electronic Medical Record (EMR). Result : During the study period, we analyzed 4683 prescriptions for out-patient. And we detected 55 medication errors (1.2%). Most common errors included dosage above or below the correct ones (56.3%), followed by incorrect treatment duration. Because most of dosing errors were in the range of usual dosage, it was hard to detect them. So when inspecting the prescription, we considered the medical records of individual patients. As a result, we could raise the efficiency of intervention. Therefore inspection using EMR could possibly reduce the number of anticancer drug errors. Conclusion : we are preventing the medication errors on stability and dosage above or below the maximum therapeutic dose according to the previous inspection system. However most of dosing errors were in the range of usual dosage according to the result of this study. Because of there was interpatient variability of dosage depending adverse effect. For improvement of quality assurance, we suggest inspection system based on patient's medical history.

• The Journal of the Korea Contents Association
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• v.11 no.12
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• pp.112-121
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• 2011

It has become general common sense through numerous researches that exercise provides positive impacts on physical and mental health. And it has been reported that regular exercise adjusts obesity by reducing body fat and lipid levels found in the blood and ultimately, it improves human quality of life. In this study, indices for managing swimming exercise therapy were induced through prior researches and weighted value was measured by modelling correlations between indices by using fuzzy ANP (Analytic Network Process) technique. With the determined results, users can be provided with real-time individualized exercise prescription without space constraint. And patient management system was intended to be realized so that tailor-made management per patient can be established on real-time through mobile equipments such as portable phone, smart phone, notebook and etc.

• Journal of Korea Multimedia Society
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• v.20 no.8
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• pp.1439-1446
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• 2017

Steady exercise or walking exercise is helpful for the treatment of chronic diseases or cancers. In this paper, I presented a smart poster to enable the patients to exercise while moving between the smart posters, dynamically, in order to provide better exercise effect to them. It can be a new form of exercise prescription that combines exercise with walking using smart posters. The personalized exercise prescription is downloaded from the management server in real time when the patient approaches, and induces the patient's exercise and walking. In addition, the smart poster helps patient to move to other posters in order to induce more walking exercise. To achieve this, I proposed a transfer protocol that autonomously exchanges session information between smart posters in this paper. Moreover, the smart poster based on Raspberry was implemented to verify validity of this protocol, and an experiment was conducted to measure the request and response time between smart posters in the implemented environment. In the experiment, when the other poster sent the message requesting the exercise session 100 times and received the response message, the 95 percentage of received messages had the response time within 0.05 seconds.

• CELLMED
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• v.12 no.4
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• pp.18.1-18.2
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• 2022

In Korea, liver cancer is the sixth most prevalent malignancy and the second leading cause of cancer-related mortality. The peak incidence of liver cancer deaths occurs between the ages of 40 and 59. (e.g. Yoon et al. 2021) The patient is a 69-year-old female with bronchiectasis as an underlying condition. She underwent left lower lobe resection for the disease, and in 2009 she was diagnosed with liver cancer and experienced a recurrence after a full recovery. In the case of such patients, the most effective OCNT prescription is recommended.

• Korean Journal of Clinical Pharmacy
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• v.26 no.2
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• pp.107-114
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• 2016

Background: Depression is the leading cause of lowering the quality of life of cancer patients and lung cancer is the most likely to cause depression. It is necessary to find out depression-related factors in lung cancer patients. Methods: The study was a retrospective cohort study using medical records, and was a non-equivalent comparison group design. It involved patients diagnosed of lung cancer at the Konkuk University Medical Center from January to December 2012. Between antidepressants prescription group and non prescription group, socio-demographic factors, clinical factors, treatment-related factors and other factors were analyzed statistically. Results: Antidepressant prescription group consisted of 23 people and non-prescription group of 206 people. Prescription rate of quetiapine was the highest 47.8% (11/23), followed by escitalopram (43.5%, 10/23), amitryptyline and trazodone (30.4%, 7/23). The prescription group was prescribed with an average of 1.9 antidepressants. Antidepressants were prescribed after average of 248 days from lung cancer diagnosis and prescription period per patient was average 177.5 days. According to the result of univariate logistic regression analysis between 2 groups, factors such as number of outpatient visit, number of admission, days of hospitalization, sleep disorder, and comorbidity were found to be statistically significant (p < 0.05). However, According multivariate logistic regression analysis showed that number of admission, days of hospitalization and sleep disorder were statistically significant (p < 0.05) excluding comorbidity. Conclusion: About 10% of lung cancer patients had received a prescription for antidepressants after lung cancer diagnosis. A sleep disorder, number of hospitalization and length of stay were identified as factors influencing the prescribing antidepressants.

• Journal of Oriental Neuropsychiatry
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• v.14 no.1
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• pp.149-154
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• 2003

This is a case report about Dizziness patient classified into 'Yeolhoon(熱暈)' with 'Hyunghwangtang(荊黃湯)' prescription. Donguibogam(東醫寶鑑) says that taking a 'Hyunghwangtang' until one diarrhea, cures ‘Yeolhoon’ with flame and heat attacks a body, get thirsty. 'Hyunghwangtang' resulted from ‘Jangjahwabang(張子和方)’ is prescription that is based on ‘If disease is on the upper half of the body, treatment is done on the lower half of the body.’ We think that study and clinical examination about yeolhoon is considered, in the future.

• Journal of Sasang Constitutional Medicine
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• v.23 no.4
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• pp.548-556
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• 2011

1. Objective To review the effectiveness affecting to acne patients by Yeoldahanso-tang(熱多寒少湯) and Hyangsayangyi-tang(香砂養胃湯) who were constitutionally typed as Taeeumin and Soeumin 2. Methods The patient's subjective and objective symptoms were observed. After treatment's we compared the photos before and after, and estimated by Korean Acne Grading System(KAGS-2) 3. Results After we treated two cases of acne patient with constitutional prescription, their symptoms and result of KAGS-2 improved 4. Conclusions This case study showed an effectiveness of using Sasang Constitutional prescription in Taeeumin and Soeumin to Acne.

• The Journal of Korean Medicine
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• v.32 no.6
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• pp.117-121
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• 2011

Objectives: We report one patient with pleural effusion and effusion-related symptoms in small cell lung cancer (SCLC) successfully treated with Gunreyngtang-gagambang. Methods: Gunreyngtang-gagambang was administered at 30 minutes after mealtime, three times a day, for two months. Except for herbal medicine, the patient did not take any treatment including pharmaceutical or non pharmaceutical for effusion. Result: Two months later, the symptoms and the pleural effusion had disappeared from chest X-ray. Conclusion: Gunreyngtang-gagambang was effective for treatment of malignant pleural effusion due to small cell lung cancer.

• Health Policy and Management
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• v.24 no.2
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• pp.120-127
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• 2014

Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

• Journal of Preventive Medicine and Public Health
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• v.38 no.1
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• pp.1-8
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• 2005

Objectives : To explore the factors influencing antibiotics prescription by primary health physicians for acute upper respiratory infections(URI). Methods : We performed a survey of 370 primary health physicians randomly sampled in April, 2003. The questionnaire consisted of a prescription on the scenario of acute bronchitis case, along with opinions and reasons for prescribing antibiotics on URI. Results : We found that 54.7% of the physicians prescribed antibiotics on the example case of acute bronchitis which is known as not needing antibiotics. Female physicians and ENT physicians had a greater tendency to prescribe antibiotics. The factors influencing antibiotics prescription on URI were the belief about the effectiveness of antibiotics, preference for their own experiences rather than clinical guidelines, perception of patients' expectations, and perception of competitive environment. The prescription of antibiotics in the example case was affected by how much they usually prescribe antibiotics (OR=2.400, 95% CI=1.470-3.917) and the physicians who thought that antibiotics were helpful for their income prescribed antibiotics more than others (OR=6.773, 95% CI=1.816-25.254). Conclusion : These findings demonstrated that the false belief on the effectiveness of antibiotics, patient's expectation of medication and fast relief of symptoms, and perception of competitive environment all affected the physicians prescription of antibiotics on URI. It may help to find barriers to accommodate scientific evidence and clinical guidelines among physicians and to specify subgroups for education about appropriate prescription behaviors.