• 융합정보논문지
• /
• 제9권9호
• /
• pp.195-200
• /
• 2019

국민건강보험 청구자료는 급여 지급을 위한 자료로 질환에 대한 유병 및 발생자료는 아니므로 보건학적 연구 자료로 활용하기 위해서는 진료에피소드개념을 적용하여 재가공이 필요하다. 따라서 건강보험 청구자료의 보건학적 연구 자료로 활용하기 위한 시범적 진료에피소드 자료를 구축하는 것이 목적이다. 본 연구에서는 무진료기간을 퇴원한 당일 입원한 경우 월 단위 분리청구를 보정하기 위해 0으로 정의하였다. 서울지역에 한하여 호흡기계 질환(ICD10: J00-J99)및 심혈관계 질환(ICD10: I00-I99) 발생의 진료개시일부터 입원 이후 재입원까지 경향을 확인하였다. 무진료기간이 0일 일 때 자료 감소율은 건강보험청구자료의 월 단위 분리청구건으로 인한 것으로 판단된다. 또한 의료기간 종별에 따라 월 단위 분리청구 경향 차이가 있는 것으로 확인 하였다. 본 연구를 통해 구축된 시범적 진료에피소드자료는 기초적 역학정보를 산출하는 자료처리 기법으로 이용될 수 있을 것이다.

• 대한한방소아과학회지
• /
• 제37권1호
• /
• pp.58-72
• /
• 2023

Objectives The purpose of this study is to analyze the latest clinical trends in peripheral facial nerve palsy pediatric and adolescent patients who treated in Korean medicine hospital. Methods The study was conducted based on 185 cases of pediatric and adolescent patients with peripheral facial nerve paralysis who visited Korean medicine hospital from January 2017 to June 2022. Results The mean age of onset of facial nerve paralysis in children and adolescents was 11.7 years, and the incidence rate was higher in boys than in girls. The seasonal distribution was the most common in autumn, and 91.4% were diagnosed with Bell's palsy. The recurrence rate was 7.6%. The severity was evaluated on the House-Brackmann Grading System (HBGS) scale, and the most common was Grade III. It took an average of 6.5 days from the date of onset to visit the hospital, and 75.7% visited the hospital within a week from the date of onset. Hospitalized treatment was 69.2%. The higher the HBGS grade, the more hospitalized treatment was, and the total number of treatments and the duration of treatment tended to increase. The average treatment period from the first visit date was 119.6 days. 17.8% received only Korean medicine treatment, and 69.2% took Western medicine with herbal medicine. Conclusions In this study, there was a difference in the average treatment period from previous studies according to the study period setting. Long-term studies on the recovery rate and prognosis of pediatric facial paralysis are needed.

• 한국임상수의학회지
• /
• 제41권1호
• /
• pp.8-17
• /
• 2024

This study was conducted to explore the efficacy of bee venom as a treatment for mastitis and to determine the optimal dosage and treatment period. When 6 mg or 12 mg of bee venom was administered to each experimental quarter of mastitis in dairy cow, the clinical symptoms in the 12 mg quarter were noticeably improved compared to those in the 6 mg quarter. There was no significant difference in the somatic cell count (SCC) in the milk between normal and mastitis quarters between the 6 and 12 mg doses, but there was a steady decrease in the 12 mg-treated quarter (p = 0.34). To determine the treatment period, bee venom was administered for 2, 4, and 7 days. After administering 12 mg of bee venom for 7 days, the SCC in the milk was compared before 6 days and after 7 days, and the SCC was significantly decreased to less than 100,000 SC/mL after 7 days (p = 0.01). In addition, to investigate the efficacy of bee venom, the minimum inhibitory concentration for S. aureus, E. coli, and coagulase negative staphylococci was measured, and the results showed that Gram-positive bacteria were more sensitive to bee venom than Gram-negative bacteria, and treatment for Gram-negative bacteria was limited. As a result of this study, it was confirmed that a dose of 12 mg of bee venom and a treatment period of more than 7 days were required to treat mastitis, and that treatment with bee venom alone against Gram-negative bacteria was negative.

• 성인간호학회지
• /
• 제13권3호
• /
• pp.420-430
• /
• 2001

This study was designed to verify the effect of aromatherapy on menstrual cramps and dysmenorrhea by a quasi experiment (nonequivalent control group pretest-posttest design), from March to October, 2000. The subjects of this experiment consisted of 45 college women with menstrual cramps and dysmenorrhea. They were randomized by 25 for the experimental group and 20 for the control group. Their mean age was 20.6 years, mean menstrual period 28.7 days, mean menstrual cramps(VAS) 7.25, mean dysmenorrhea (Dysmenorrhea Scale) was 27.34. As treatment, aromatherapy was to give effleurrage of the abdomen with lavender, clary sage and rose as aroma oil, almond oil as carrier oil. For the control group, abdominal massage was given with only almond oil. Data collection included menstrual cramps, dysmenorrhea, the change of symptoms(low abdominal pain, lumbago, headache, nausea, fatigue, edema). Menstrual cramps, dysmenorrhea and general, menstrual characteristics of subjects were measured the first day of the pre menstrual period before treatment (pre-test), menstrual cramps, dysmenorrhea, the change of symptoms were measured the first and second day of post menstrual period after treatment (posttest). Data were analyzed by t-test, $\chi^2$- test, repeated measures ANOVA, Cronbach's ${\alpha}$ with SAS Program. The results of this study was as follows; 1. Menstrual cramps was significantly lower in the experimental group(p = .001). 2. Dysmenorrhea was significantly lower in the experimental group(p = .027). 3. Less women in the experimental group complained about the six symptoms than women in the control group after treatment on the first day of the menstrual period(p < 0.05, p < 0.01) In conclusion, these findings indicate that aromatherapy with lavender, clary sage, and rose could be effective to decrease menstrual cramps, and dysmenorrhea. So, aromatherapy could be applied to women suffering with menstrual cramps, dysmenorrhea periodically as an nursing intervention.

• 대한한방부인과학회지
• /
• 제15권4호
• /
• pp.228-237
• /
• 2002

Purpose This study was designed to know how Hyunburikyungtang-gagam effects on dysmenorrhea Method 47 patients visited Oriental Gynecology in Conmaul Oriental Hospital from Jan, 2001 to Jan. 2002 because of their dysmenorrhea were randomly assigned. Hyunbruikyungtang-gagam were prescribed to the patients. Primary and secondary dysmenorrhea change were studied by VASS, MVRS. Written down by the patients before and after the treatment. Results Their ages were $28.62{\pm}4.9$, 18 patients were married and the others were not married. prescription period were $20.59{\pm}0.97$ days, After the treatment, numerical index for the pain was obviously reduced in both primary and secondary dysmenorrhea. Numerical index reduced $5.43{\pm}1.63$(VASS), $3.04{\pm}1.58$(MVRS) in primary dysmenorrhea, and $5.43{\pm}1.63$(VASS), $3.04{\pm}1.58$(MVRS) in secondary dysmenorrhea and there is no difference in effect between primary and secondary dysmenorrhea. But prescribed period was not correration with treatment effects and Pain-reduced period. Conclusion Hyunburikyungtang-gagam has good efficacy on primary and secondary dysmenorrhea, but some more studies are needed on the relationship between treatment effects and Pain-reduced period.

• 농업과학연구
• /
• 제44권3호
• /
• pp.332-338
• /
• 2017

This study was conducted to investigate the effect of 1-methylcyclopropene (1-MCP), a known ethylene action inhibitor, on fruit quality and incidence of physiological disorders during a simulated marketing period in new mid-season Asian pear (Pyrus pyrifolia Nakai) 'Changjo'. Flesh firmness of untreated control fruits was maintained with a hardness of 20.2 N until day 14 of simulated marketing but decreased rapidly to 6.2 N at day 21 of simulated marketing; losing its commercial quality. However, the firmness of 1-MCP treated fruits remained high (> 20.7 N) during the same period. Quality indices such as soluble solids content and titratable acidity in 'Changjo' pear did not show any significant differences during simulated marketing period regardless of 1-MCP treatment. For the difference in skin color, redness ($a^*$) tended to increase as simulated marketing period became longer, and 1-MCP treatment delayed this change by 7 days compared to the untreated fruits. No decrease occurred in ethylene production level with 1-MCP treatment in 'Changjo' pear. Meanwhile, 1-MCP treated pears showed a significantly lower respiration rate compared to the untreated fruits. Also, 1-MCP treatment effectively reduced the incidence of physiological disorders including internal flesh browning and mealiness symptoms during simulated marketing periods of 21 and 14 days, respectively. Therefore, we conclude that the use of 1-MCP is recommended for quality maintenance and for prevention of physiological disorders during simulated marketing periods of ${\geq}7days$ for mid-season Asian pear 'Changjo'.

• Journal of Acupuncture Research
• /
• 제22권6호
• /
• pp.75-84
• /
• 2005

Objectives : Research on the effect and satisfaction between Acupuncture Treatment, Physical Treatment and contemporary Treatments of Acupuncture and Physical of lumbago patients Methods : We separated lumbago patients into three groups. A group with only Acupuncture Treatment and a group with only Physical Treatment and a group with contemporary treatments of Acupuncture and Physical. Questionnaire survey and score of Visual Analog Scale(VAS) and Oswestry Disability Index(ODI) were examined for comparison. Results & Conclusion : 1. Of the 54 patients Acupuncture Teatment group had 17 patients with similar ratio of gender and the average age was 39.5 years old. For the Physical Treatment group the ratio of male was 75% of the 8 patients and had the youngest average age which was 29.1 years old and the group with contemporary Treatments the ratio of female was 62% of 29 patients and had the oldest average age which was 46.7 years old. 2. The Acupuncture Treatment group had the shortest treatment period because of many acute stage caused by lumber sprain and the improvement score was the best. The group of contemporary treatments had the longest history day and treatment period by serious disease like HIVD and spinal stenosis but the improvement score of VAS and ODI was good similar to the Acupuncture Treatment group. For the Physical Treatment group there was many patients with degenerative change but not severe pain. The VAS, ODI and the improvement score was the lowest before and after the treatment.

• 대한정형외과스포츠의학회지
• /
• 제3권1호
• /
• pp.36-41
• /
• 2004

The purpose of this study is to describe the common injuries in soccer players in terms of the orthopaedic operative treatment. We classified foot pain to in forefoot , midfoot, plantar aspect and mentioned the cause, incidence and treatment methods. Ankle pain was classified to anterior, lateral, medial and posterir aspect of the ankle. In all injuries in soccer players, conservative treatment is primary treatment method and we treated operatively in no respond case inspite of the physical therapy and rehabilitation program for sufficient period. The anatomical repair was preferred and minimal invasive surgery was recommended if possible and then focus of treatment is to early return to previous full activities through the rehabilitation program for sufficient period. As a conclusion, it is necessory to understand the mechanism and cause of the common injuries in soccer players and to select the proper treatment method to the degree of the injuries.

• KSBB Journal
• /
• 제28권2호
• /
• pp.80-85
• /
• 2013

The bacterial community structure in a biological reactor fed influent from a wastewater treatment system was investigated by denaturing gradient gel electrophoresis (DGGE) and in situ hybridization. Sludges were collected from three biological reactors (aerobic, oxic, and anoxic tanks) at the M wastewater treatment facility (WTF). The influent of the MWTF consisted of mixed tannery wastewater (40~65%) and seafood wastewater (35~60%). The treatment processes resulted in a removal efficiency for BOD (biochemical oxygen demand) and COD (chemical oxygen demand) of 83.6~98.2% and 72.8~84.6%, respectively for tannery wastewater than for seafood wastewater resulted in greater survival of biomass in the biological reactors and a higher removal of BOD, COD, and T-N of about 8~18%. In contrast, addition of greater amounts of seafood wastewater decreased the amount of biomass in the bioreactors due to the increasing concentration of chromium from that wastewater and it also. The dominant bacterial species during the high seafood wastewater input period were Burkholderia cepacia (JX901049) and an uncultured bacterium (JF247555), while Pseudomonas geniculata (HQ256559) was dominant during the high tannery wastewater input period. Flavobacteriumsp. BF.107 (FM173271) and Hyphomicrobium zavarzinii (Y14306) were dominant under anoxic conditions.

• Journal of Veterinary Science
• /
• 제23권2호
• /
• pp.23.1-23.15
• /
• 2022

Background: Antibacterial agents play important roles in the treatment of bacterial infections. However, the development of antimicrobial resistance (AMR) and carry-over of substances into the environment are several problems arising during oral treatment of bacterial infections. We assessed AMR development in commensal Escherichia coli (E. coli) in enrofloxacin treated and untreated animals. In addition, we examined fluoroquinolone in the plasma and urine of treated and untreated animals, and in sedimentation dust and aerosol. Methods: In each trial, six pigs were treated with enrofloxacin via powder, granulate or pellet forms in two time periods (days 1-5 and 22-26). Four pigs served as untreated controls. The minimum inhibitory concentration (MIC) was determined to evaluate AMR development. Analysis of enro- and ciprofloxacin was performed with high performance liquid chromatography. Results: Non-wildtype E. coli (MIC > 0.125 ㎍/mL) was detected in the pellet treated group after the first treatment period, whereas in the other groups, non-wildtype isolates were found after the second treatment period. E. coli with MIC > 4 ㎍/mL was found in only the pellet trial. Untreated animals showed similar susceptibility shifts several days later. Bioavailability differed among the treatment forms (granulate > pellet > powder). Enro- and ciprofloxacin were detected in aerosols and sedimentation dust (granulate, powder > pellet). Conclusions: This study indicates that the kind of the oral dosage form of antibiotics affects environmental contamination and AMR development in commensal E. coli in treated and untreated pigs.