• Title/Summary/Keyword: oriental medical approach in children

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A literature study of Infectious Mononucleosis in Traditional Chinese Medicine (전염성 단핵구증의 중의학(中醫學) 연구(硏究)에 대한 고찰(考察))

  • Chang, Gyu-Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.233-249
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    • 2004
  • Objectives : Infectious mononucleosis is a clinical syndrome caused by Epstein-Barr virus that is particularly common in adolescents and children. This study was progressed for current oriental medical treatment of infectious mononucleosis in china. The purpose of this study is the opening oriental medical approach to infectious mononucleosis in Korea Methods : Authors conducted a literature search in data of Traditional Chinese Medical Journal. The data were extracted in a standardized, predefined manner and accessed critically. Results : The study for infectious mononucleosis consists of basic, clinical, experimental study. Basic study consists of etiology & pathogenesis and the rule of treatment. Clinical study consists of symptoms-based treatment and adequate prescription treatment. Experimental study consists of effective herbs and new traditional chinese medical injection. Conclusion : Traditional chinese medical approach using herbs works in children with infectious mononucleosis in Korea.

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Compliance of Herbal Medicine in Children and the Factors Associated with Compliance (소아(小兒)의 한약 복용 순응도와 영향 요인)

  • Lee, Sun-Haeng;Chang, Gyu-Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.16-25
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    • 2010
  • Objectives: Compliance of herbal medicine is extremely important in Korean oriental medicine, since herbal medicine is main approach to the most of outpatients in Korean pediatrics. The more compliant to the medication, the more effective care is given to children. Thus, we conducted this research to evaluate the compliance of herbal medicine, and factors associated with compliance in children. Methods: 61 children (men 28, women 33) were participated who visited the Korean Oriental Medicine Department in university hospital for two weeks. We used Morisky's self-reported questionnaire which is consisted of four questions. Also, we checked medical records and researched respondent to acquire more factors. We defined as a "full compliant" if answers were 'No' to all of the questions. We analyzed the compliance and associated factors with Pearson's $x^2$-test and Fisher's exact test, and Spearman correlation coefficient. Compliance and associated factors were analyzed with linear regression. Results: Compliance of herbal medicine was not related to respondent, and 34 children (55.7%) were non-compliant. The best compliant type of herbal medicine was granule medication (p=0.046). However, there was no relationship between compliance and age, sex, sibling, purpose of medication, period of disease, frequency of medication, and medication duration. The age, frequency of medication, medication duration, and purpose of medications(period of disease) had correlation(p<0.01). Also, older children tended to forget to take herbal medicine(p=0.004). Conclusions: Over an half of the total subjects (55.7%) were non-compliant, so we should improve compliance of herbal medicine. Since granule form of medication was shown to have the best compliance, we should try to use granule form of medication instead of liquid medications. Also, we can also improve compliance with giving attention to the patients, especially older children in order to improve their compliance.

Current oriental medical treatment of Anorexia for children (식욕부진(食慾不振)을 나타내는 소아(小兒)의 한의학적(韓醫學的) 치료(治療)에 관한 최근(最近) 경향(傾向))

  • Chang, Gyu-Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.1
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    • pp.181-202
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    • 2002
  • Anorexia is one of the most common childhood-onset symptom and is Icing-term progress. Public interest in anorexia has increased along with debate concerning painless treatment. This study was progressed for oriental medical treatment for anorexia in china. The purpose of this study is current oriental medical approach to anorexia. Anorexia was named 'yanshizheng(厭食症)' in chinese medicine. The study for anorexia in china consist of basic, clinical, experimental study. In the oriental medicine, the reason of anorexia is weekness of the spleen and the stomach(脾胃虛弱), indigestion for milk and food(乳食停滯). The method of treatment is strengthening the spleen and pacification the stomach(健脾和胃). It should help primary care providers in their assessment of common child health problem.

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A literature study of pediatric pneumonia in traditional chinese medicine (소아폐렴(小兒肺炎)의 한의학적(韓醫學的) 연구(硏究)에 대한 고찰(考察) -중의학(中醫學) 문헌(文獻)을 중심(中心)으로-)

  • Kim, Jang-Hyun;Kwon, Hyuk-Ran
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.1
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    • pp.99-115
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    • 2003
  • Pneumonia is an acute or recurrent infection of the parenchyma of the lung causing cough, fever, and respiratory distress. Pneumonia was named 'Feiyanchuansou(肺炎喘嗽)' in chinese medicine. This study was progressed for oriental medical treatment for pediatric pneumonia in china. The purpose of this study is current oriental medical approach to pediatric pneumonia In this study, the authors tried to figure out the cause of the pediatric pneumonia and its treatment and came to the conclusion as follows: 1. The study for pediatric pneumonia consists of basic, clinical and experimental study. 2. Basic study consists of etiology and pathogenesis(病因病耭), the rule of treatment(治療原則) and method of treatment(治法). 3. Clinical study consists of symptoms-based treatment(辨證論治), adequate prescription treatment(專病專方), acupuncture(鍼灸治療), and western diagnosis based treatment. 4. The majority of experimental study was pharmacology that consists of antiviral and antibacterial effect, removing heat(淸熱), releasing pulmonary qi(宣肺), dissipating phlegm(化痰).

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History taking in enuretic children (야뇨의 병력청취 연구)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Oh, Ju-Young
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.77-91
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    • 2004
  • Objectives : In evaluating a child with enuresis, an organized approach to the history leads to a working diagnosis and an appropriate treatment plan. but, there's no study about history taking in enuretic children. This article was undertaken to evaluate the enuretic child exactly and to study nocturnal enuresis systematically. Methods : It was conducted a computerized literature search in following database: Medline (via Pubmed), NDSL, EBSCO. Korean articles via oriental pediatric association homepage, KISS. Key words to search were 'nocturnal enuresis', 'bedwetting', 'enuresis', 'incontinence', 'management', 'evaluation', 'assessment', 'questionnaire', 'guideline', 'voiding dysfunction'. Results : Questions are grouped in eight categories: primary history(sex, age, height, weight), family history, enuresis history(primary/secondary, frequency, time of enuresis, nocturia), voiding history(average number, frequency, pattern, volume, posture, daytime enuresis), medical history, constipation/encopresis, sleep(OSA). Conclusion : A careful, complete history taking will help to plan treatment properly and to study.

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A literature study on Hand-Foot-Mouth disease (수족구병에 대한 문헌적(文獻的) 고찰(考察) - 중의학(中警學) 문헌(文獻)을 중심으로 -)

  • Chang, Gyu-Tae;Kang, Mi-Sun
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.2
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    • pp.225-232
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    • 2004
  • Objectives : Hand-Foot-Mouth disease is a highly contagious disease most often seen in children. It is caused most commonly by the coxsackievirus A16 and clinically characterized by vesicles appearing on the hands, feet and in the mouth. The purpose of this study is a approach to the oriental medical treatment of Hand-Foot-Mouth disease. Method : We studied the clinical literatures of traditional chinese medicine about Hand-Foot-Mouth disease after the year 2000. Result : Hand-Foot-Mouth disease are similar to epidemic febrile disease(溫病) dampwarm syndrome(濕溫), and epidemic disease(時疫) in Oriental Medicine. Conclusion : In oriental medical treatment is classified into the treatment of internal use, external use, and combination treatment of chinese and western medicine.

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A Study on Concepts of Health in Older Korean Women - Q Methodological Approach - (한국 여성노인의 건강개념에 관한 탐색)

  • Shim, Hyung-Wha
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.6-15
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    • 2010
  • Purpose: This paper is a basic study done to establish a theory of health according to Korean culture. The focus is on identifying perceived concepts of health in older Korean women. Method: The Q-method, which is effective in measuring individual subjectivity, was used in this study. Results: Perception of the concept of health was found to have 4 independent types, as follows. 1. Type I : natural & couple-oriented type. Women with this type not only have a naturalistic view of health but also put weight on being couple-centered. 2. Type II: oriental & children-oriented type. These women have traditional oriental views of the world, and are strongly dependent on their children. 3. Type III: western & altruistic type. These women do not agree with oriental concepts of health. They are positive altruists, pursuing the meaning of life. 4. Type IV: modern & self-oriented type. Women with this type not only interpret the concepts of health within western medicine, but also positively accept oriental views of the world. Conclusions: Health concepts of older Korean women are complicated, not only with western-medical concepts of health, but also more strongly complicated with concepts from oriental medicine.

A Study on the Development and Application of Korean Medical Critical Pathway of Childhood Anorexia (소아 식욕부진의 한의표준임상경로 개발 및 시범 적용 연구)

  • Choi Seo Yeon;Jeong Yoon Kyoung;Bang Miran;Chang Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.37 no.3
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    • pp.1-16
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    • 2023
  • Objectives We aimed to investigate the effectiveness of the Korean medical critical pathway (CP) in treating childhood anorexia. Methods In total, 21 patients who met the criteria and agreed to provide information were assigned to the CP group, while 24 patients who met the criteria, agreed to provide information, but disagreed with CP application were assigned to the non-CP group. Demographic, clinical, and economic indices were compared between the two groups. Clinical indices before and after treatment were also compared between the two groups. Results In the CP group, height, weight, body mass index (BMI), BMI percentile, and food approach (FAP) increased significantly after treatment, and numeric rating scale (NRS) and food avoidance (FAV) scores decreased significantly. In the non-CP group, height, weight, weight percentile, BMI, BMI percentile, and FAP increased significantly, whereas NRS and FAV decreased significantly after treatment. Compared to the non-CP group, CP application increased FAP and decreased FAV, medical expenses per consultation, and the total treatment period. Conclusions The application of the Korean medical critical pathway for childhood anorexia is an effective cure system that decreases overall medical expenses with good-quality treatment by means of the standardization of medical practices.