• Title/Summary/Keyword: medical usage

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A Study on the Meaning of 'Yi(噫)' in 『Huangdineijing』 (『황제내경(黃帝內經)』의 희(噫)에 대한 고찰)

  • Yun, Ki-ryoung;Baik, You sang;Jang, Woo-chang;Jeong, Chang-hyun
    • Journal of Korean Medical classics
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    • v.33 no.2
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    • pp.77-90
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    • 2020
  • Objectives : To determine the meaning of 'yi(噫)' from verses containing the character in 『Huangdineijing』. Methods : First, examples of the usage of 'yi(噫)' in Huangdineijing were collected and analyzed, followed by examples from the other books of the time when 『Huangdineijing』 was written. Finally the term 'ai' which surfaced in a later period than Huangdineijing to refer to eructation was examined. Results & Conclusions : Based on analysis of the usage of 'yi(噫)' in the 『Huangdineijing』, out of a total of 20 cases, 14 cases could be categorized as referring to eructation, 4 cases were difficult to categorize as eructation, and 2 cases were indeterminable. At the time of publication of 『Huangdineijing』, the character 'yi(噫)' was generally used to refer to eructation when used in a medical context, while in non-medical contexts it referred to sigh, or groan. The appearance of 'ai(噯)' is predicted to be during the Song period, but its appearance did not take away the meaning of eructation from 'yi(噫)' and both were used. Based on the change of meaning of 'yi(噫)', we can determine the approximate time when certain contents of the 『Huangdineijing』 were constructed. In the case of '心爲噫[Heart makes 'yi(噫)']', we can understand it as the pectoral qi leaking through the throat manifesting as a sigh in order to relieve stagnation of the excessiveness of the Heart. In cases of deficiency, when the Stomach function is weak, the body is likely to let out a sigh. The term meaning sighing which is 'taixi(大息)' was understood as symptomatic of problems of the Gallbladder as well as the Heart.

A Study on the origin and the literature of eyelid-acupuncture therapy as a folk remedy in Korea and its clinical Usage (한국 눈침요법의 문헌 근거와 전승 현황 연구)

  • Jeon, Jong-Wook;Ha, Seung-Rok;Lee, Jeong-Hwa;Lim, Bo-Kyung;Choi, Sun-Mi
    • The Journal of Korean Medical History
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    • v.24 no.2
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    • pp.69-76
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    • 2011
  • This study focuses on the origin and the literature of eyelid-acupuncture, nunchim therapy in Korea and its present clinical usage in modern Korea. The therapy is called nunchim at local area of Korea and has been transmitted as folk remedy because its real practice has been fallen into oblivion in the regular medical institution in modern Korea. On the contrast, some old women called nunchim-halmae, still know its practice and give medical therapy in a certain irregular way. While many kinds of eye clinics are prevalent in Korea, some patients with chronic eye diseases still go to get the nunchim therapy from nunchim-halmae. Moreover some oriental medical doctors have learned the therapy from nunchim-halmae and performed that medical service in their clinics in spite of absence of medical insurance coverage. Nunchim has unique historic origin and transmission linage in Korea, which was shed light on by this research. We present concise structure of the essence of nunchim therapy and 80 year old woman case of dramatic eye curing with the therapy.

Study on the Usage of Acne Patches in Patients with Acne (여드름 환자에서 여드름 패치 사용에 관한 연구)

  • Jung, Hye Jung;Jang, Dong Hyuk;Lee, Jae In;Bae, Joo Youn;Ahn, Ji Young;Park, Mi Youn
    • Korean journal of dermatology
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    • v.56 no.9
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    • pp.539-542
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    • 2018
  • Background: Patients with acne are at risk of using various over-the-counter drugs (OTCs). In addition, several OTCs are introduced in pharmacies in Korea. However, only few drugs are supported by well-established data. Among the treatments, acne patches are easy to purchase and use. Thus, they are widely used by patients. Objective: This study aimed to investigate the patient's perception and usage of acne patches. Methods: A questionnaire survey was conducted on 80 patients with acne who visited the outpatient department of the National Medical Center for 2 months. Results: A total of 42 (52.5%) patients answered that they had used acne patches, and 38 (47.5%) patients stated that they had never used patches. Moreover, 27 (64.29%) patients responded that they used the patches on inflammatory lesions. Moreover, several patients were using acne patches after pricking themselves. There was only one response to confirm the ingredient when purchasing acne patch. Moreover, 14 (33.33%) participants responded that they noted side effects after using acne patches. Overall, the satisfaction score for the use of acne patches was 5.05. Conclusion: Patients often use acne patches because they can be easily purchased and used. However, they do not know how to properly choose and use the product that fits their skin. Therefore, doctors must educate patients on how to properly select and use the products.

Comparison of Service Usage of Outpatients at Korean Medical Clinics by Regions and Gender (한방의료기관을 이용하는 외래환자의 지역 및 남녀별 치료질병의 우선순위 비교)

  • Lee, Woo-Chun;Choi, Sung-Yong;Lee, Sundong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.41-55
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    • 2014
  • This research has academic significance in that it uses the data from "Research on Usage of Korean Medicine Service and Medicine" to analyze the differences in usage of Korean medicine service by regions and genders on a national scale. The items analyzed were the sociodemographic characteristics, preferences of forms of Korean medicine service by gender and province. The results showed that there were statistically significant differences by marital status, education, occupation, and income (p<.01). Men used service for back pains (23.0%), muscle injuries (20.7%), back sprain (16.5%), ankle sprain (11.2%), and arthritis (10.5%). Women used service for back pains (26.5%), arthritis (18.7%), muscle injuries (12.9%), back sprain (12.1%), and indigestion problems (10.1%). There were statistically significant differences among men and women (p<.01). In the comparison analysis by cities, back pain was the biggest reason (p<.01), but there were differences from city to city; In Gwangju, back sprains (24.4%) and ankle sprains (16.1%) were first and second reasons, while In Ulsan, back sprains were the first reason (29.8%). By province level, back pains were the biggest reason for men, but there were differences by provinces (p<.05); In Chungbuk and Jeonnam, muscle injuries were first (23.7% and 23.9%, respectively). In conclusion, there were differences by cities and provinces in usage of Korean medical service, as well as by gender.

A Case Study on the MRI Profitability of a General Hospital (한 종합병원의 MRI 채산성 사례 연구)

  • Kang, Chang-Yeol;Song, Sung-Ho;Lim, Kyeong-Tae
    • The Korean Journal of Health Service Management
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    • v.4 no.1
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    • pp.145-156
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    • 2010
  • The purpose of this study is one of high price medical equipment wished to grasp propriety factor about the MRI introduction, analyzing payability through cost accounting into compensation. It was investigated from January 1 to December 31, 2007 about the MRI of a General Hospital. Expectation availability was 23.2 cases, but actual availability did achievement more than 196.1% with 45.5 items. It is estimated that there are a lot of occurrence cases because great reasons that actual availability increases more than expectation availability is excellent resolving power than a CT, and is device that prefer to reason back that radiation damage is less in person body. The followings show the main results of this study. 1. The MRI was construed in order of cost accounting, wave and personnel expenses 45.4%, administrative expenses 53.0%, and material costs 1.6%. 2. According to CVP (Cost-volume-profit) analysis, BEP (Break Even Point) profit is 173,931,428 won for 11 months, and break even usage number of items are 37.5 cases, and separation usage number of items were confirmed by 1.4 cases. Therefore, was construed that can achieve BEP within 11 months though usage number of items keeps 1.4 items day to create the MRI's hospital operation profit. 3. Estimated limit profitability appears high by 96.7%, exceed fixed charges even if when is non-benefit and when it is benefit consider variable, is judged that the MRI's addition induction helps in hospital management enhancing earning rates.

Patterns of Antibiotic Usage in Clinics and Pharmacy after Separation of Dispensary from Medical Practice (의약분업 이후 의원 및 약국에서의 항생제 사용 실태)

  • Song, Yun-Kyoung;Lee, Hyun-Kyung;Ji, Eun-Hee;Oh, Jung-Mi
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.332-338
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    • 2011
  • This study aimed to investigate the prescription of antibiotics in clinics, and evaluate their usage appropriateness after the 2000 Korean separation of dispensary from medical practice. A retrospective study was performed on the antibiotic use for 4 years from August 2000 to July 2004 in three clinics (general, internal medicine and ear-nose-and-throat (ENT) clinics). Moreover, prescription of antibiotics for acute upper respiratory infection (AURI), concomitant drugs, duplicate antibiotics and patient adherence were assessed for 260 patients experienced AURI in a pharmacy. The prescription rates of antibiotics amongst the whole prescription decreased annually during the study period, but those in ENT clinic still constituted more than 90%. The usage of penicillins declined, but that of broad spectrum antibiotics such as amoxicillin/clavulanic acid and 1st/2nd generation cephalosporins increased. Moreover, the categories of antibiotics for the same indication were different among the clinics. For patients with AURI, the more antibiotics were prescribed as its missing days and days under its therapeutic dose increased. The drug interactions with concomitant drugs decreased annually, but the use of duplicate antibiotics was similar across the period. Potential inappropriate antibiotic use was common after the Korean policy, so the observation of pharmacists needs in addition to the patients and practitioners' attention.

The Effectiveness of Quality Control of 119 Emergency Medical Services on Survival Rate of Cardiac Arrest Patients (119구급서비스 품질관리가 병원 전 심정지 환자의 생존율에 미치는 영향)

  • Jung, Eun-Kyung;Yun, Hyeong-Wan
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.21-34
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    • 2013
  • Hospitals in Korea are enforcing a quality control over 119Emergency Medical Services to increase the survival rate of Out of Hospital Cardiac arrest patients. This study is to analyze the factors that effect the survival rate of Out of hospital Cardiac arrest patients by comparing the results of before and after the quality control enforcement. Cardiac arrest patients can be assorted into pre-decision group and decision group. The study analyzed the survival factors which was based on the adequate use of 119 BLS and ACLS usage rates, response time of 119EMS, qualification of ambulance worker, number of EMS team members, and adequate use of AED according to ECG diagnosis. The analyzation was done over total 1,233 of Cardiac arrest patients from January 1, 2010 to December 31, 2011 After the enforcement of the quality control, the usage of Vital sign check and BLS showed a big difference. Especially, as the usage of ECG showed a significant difference, Shockable rhythm, which is the most important to Cardiac arrest patients, also showed a significant difference. After the enforcement of quality control, the performance of ACLS showed a significant difference in IV. The study showed 119 ambulance workers provided better service in Vital sign and BLS and ACLS after the enforcement of quality control. It is considered a 119 ambulance service effects the survival rate of Cardiac arrest patients. Therefore, it can increase the survival rate and it is necessary to continue a quality control.

Study on Current Usage Status of Pharmacopuncture for Insomnia among Korean Medicine Doctors (불면증에 대한 약침 치료 현황 조사 연구)

  • Choi, Sung-Youl;Cho, Jun-Hee;Lim, Jung-Hwa;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.32 no.3
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    • pp.141-154
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    • 2021
  • Objectives: Pharmacopuncture is a Korean medicine treatment that combines acupuncture and herbal medicines. The aim of this study was to investigate the current usage status of pharmacopuncture for insomnia among Korean medicine doctors (KMDs). Methods: We conducted a self-reporting online survey targeting KMDs from February 23 to March 15, 2021 with cooperation of the Association of Korean Medicine. Responses of 957 KMDs were analyzed. Results: Types of pharmacopuncture mainly used in treatment for insomnia were placenta pharmacopuncture and Hwangryunhaedok-tang pharmacopuncture. Cephalic and facial region were preferred as the treatment site. For one treatment, total usage of pharmacopuncture was more than 0.5 cc but less than 1 cc. Among respondents, the largest number of respondents thought that clinical experience and patient symptoms were important as selection criteria of acupoints using Pharmacopuncture for insomnia. Average treatment duration of using Pharmacopuncture for insmonia was more than 4 weeks. Most KMDs preferred treatment for one to four times a week regarding the treatment cycle. The use of Pharmacopuncture for insomnia was recognized as having a good effect, although other KMDs were concerned about the insufficient evidence and the high cost due to non-reimbursement of pharmacopuncture therapy. Conclusions: In order to activate pharmacopuncture treatment for insomnia, it is necessary to secure effectiveness and safety through basic research, create evidence through clinical research, and reduce costs for patients.