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A Clinical Study of the Pediatric Patients Who Had Visited the Emergency Room (ER) at the Oriental Medical Hospital (한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰)

  • Kim, Ji Eun;Baek, Jung Han
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.4
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    • pp.30-44
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    • 2014
  • Objectives By analyzing data of the pediatric patients who had visited the emergency room of the oriental medical hospital, we can understand their characteristics and diseases. The purpose of this study was to introduce the excellence of the Oriental medicine, to develop various treatments, and to revitalize pediatric emergency care at the oriental medical hospital. Methods The study was composed of 334 pediatric patients who had visited the emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital from January 2011 to December 2013. Results 1. It has showed that between 7 to 12 years old patients (27.8%) were the most common age populations. 2. The number of pediatric patients was increased during February. According to the weekly distribution data, the number of pediatric patients who had visited on Sunday was the highest (28.7%). Also, the number of pediatric patients who had visited the ER between 21 to 24 hours (29.0%) was the highest. 3. The two major reasons for inpatient hospitalization were digestive and nerve-related symptoms. Nerve-related symptoms were the most common in infants while digestive symptoms were the most common in other child development stages. 4. The duration of time interval from the onset of symptoms to the ER visit was most commonly within 6 hours (50.3%). An acupuncture and herbal medication treatment (70.1%) were the most common medical treatments. The majority of the pediatric patients (95.5%) were discharged after their medical treatments. Conclusions A serious acute illness was not the most common reason for the ER visit among the pediatric patients. The most common disease states that have preferred to be treated with the oriental medicine were dyspepsia, crying, facial palsy, and ankle sprain. We have to introduce the excellence of the oriental medicine. We also need to try developing other treatments such as magnetic acupuncture, aromatherapy, and revitalizing pediatric emergency care at the oriental medical hospital.

Factors Associated with Removal of Impactted Fishbone in Children, Suspected Ingestion

  • Lim, Chun Woo;Park, Min Hwan;Do, Hyun Jeong;Yeom, Jung-Sook;Park, Ji Sook;Park, Eun Sil;Seo, Ji Hyun;Park, Jung Je;Lim, Jae Young;Park, Chan Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.3
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    • pp.168-174
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    • 2016
  • Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body. Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications. Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p<0.001). No complication due to ingested fishbone or procedure occurred. Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.

Analysis of Factors Related to Length of Stay Time in Patients with Back Pain at Emergency Department

  • Choi, Kwang Yong;So, Byung Hak;Kim, Hyung Min;Cha, Kyung Man;Jeong, Won Jung
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.173-178
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    • 2017
  • Purpose: Most patients with acute low back pain visit emergency room (ER). They mostly need beds, and if their length of stay is longer, it can become difficult to accommodate new patients at the ER. We analyzed the treatment process of patients with back pain and tried to find method for shortening of the length of stay at the ER. Methods: We retrospectively analyzed the medical records of patients with back pain who visited at our ER for one year. Patients were divided into two groups according to their length of stay at ER and were compared the charateristcs of between two groups. Results: A total of 274 patients were included in the study. Eigthy-nine patients (32.5%) were in the group with less than 3 hours and 185 patients (67.5%) were in the other group. In the comparison of the two groups according to the medical departments, the number of patients who were in group with more than 3 hours were 25 (14.0%) in the emergency department, 94 (50.5%) in neurosurgery, 66 (35.5%) in orthopedic surgery. Length of stay was significantly increased in orthopedic surgery and neurosurgery (p=0.014). In addition, the length of stay was longer when computed tomography and magnetic resonance imaging examinations were performed (p=0.000). Regardless of the type of analgesic agent, the median time to the analgesic treatment was shorter in the group with less than 3 hours (p=0.034). Conclusions: In patients with back pain who visit the ER, the emergency medicine doctor will early control the pain and do not unnecessary image examination to reduce a length of stay at the ER.

Mortality Reduction in Major Trauma Patients after Establishment of a Level I Trauma Center in Korea: A Single-Center Experience

  • Roh, Young Il;Kim, Hyung Il;Cha, Yong Sung;Cha, Kyoung-Chul;Kim, Hyun;Lee, Kang Hyun;Hwang, Sung Oh;Kim, Oh Hyun
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.131-139
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    • 2017
  • Purpose: Trauma systems have been shown to decrease injury-related mortality. The present study aimed to compare the mortality rates of patients with major trauma (injury severity score >15) treated before and after the establishment of a level I trauma center. Methods: During this 20-month study, participants were divided into pre-trauma center and trauma center groups, and trauma and injury severity score (TRISS) method was used to compare mortality rates during 10-month periods before and after the establishment of the trauma center (October 2013 to July 2014 vs. October 2014 to July 2015). Results: Of the 541 total participants, 278 (51.5%) visited after the establishment of the trauma center. The Z and W statistics indicated better outcomes in the trauma center group than in the pre-trauma center group (Z statistic, 2.635 vs. -0.700; W statistic, 4.640). The trauma center group also exhibited meaningful reductions in the time interval from the emergency department (ED) visit to emergency surgery (118.0 minutes vs. 142.5 minutes, p=0.020) and the interval from the ED visit to intensive care unit admission (202.0 minutes vs. 259.0 minutes, p=0.035) relative to the pre-trauma center group. Conclusions: The TRISS and multivariate analysis revealed significant improvements in survival rates in the trauma center group, compared to the pre-trauma center group.

A Study on Satisfaction, Revisit Intention, and Recommendation Intention Regarding Local Food Restaurants Based on Visitors' Motivation for a Local Festival (지역축제의 방문동기에 따른 향토음식점 만족도와 재방문 의도, 추천 의도에 관한 연구)

  • Min, Kye-Hong
    • Culinary science and hospitality research
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    • v.20 no.4
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    • pp.210-223
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    • 2014
  • This study aims at analyzing influential relations among satisfaction, revisit intention, and recommendation intention regarding local food restaurants, based on the motivation to visit the Gimje local festival, a representative festival in Korea. It also offers useful basic materials for related organizations. From October 2 to October 6, 2013, a survey was conducted and a statistic processing was performed with 283 copies of questionnaire for credibility analysis, factor analysis, and regression analysis. The results are as follows. First, three motives for visit were drawn as cultural experience factor, deviation factor, and friendliness factor. Second, for hypothesis 1, the motivation for visiting the festival had a positive (+) significant influence on satisfaction with the local food restaurants. Third, for hypothesis 2, satisfaction with the local food restaurants had a positive (+) significant influence on revisit intention to the local food restaurants. Fourth, for hypothesis 3, satisfaction with the local food restaurants had a positive (+) significant influence on recommendation intention to the local food restaurants. Consequently, for the purpose of activating festivals, it is necessary to offer a variety of food, to manage the programs satisfying visitors' needs, and to give services continuously.

A Case Study on Living Lifestyle Shop Brands focusing on Store Experiential Factors and an Empirical Study on Store Usage Behavior, Product Purchase Motives, Store Attitudes of Living Lifestyle Shop Consumers (리빙 라이프 스타일 숍 브랜드의 매장 체험요소 사례분석과 소비자들의 매장이용행태, 제품구매동기, 매장태도에 대한 실증적 연구)

  • Seo, Gowoomi;Oh, Kyung Wha
    • Fashion & Textile Research Journal
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    • v.19 no.4
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    • pp.448-467
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    • 2017
  • Attention to living lifestyle shops covering with the wide product range including household items, interior decoration, and bedding have recently increased since consumers have been improving their standard of living and income levels and they are getting more interested in up-to-date trends of global living lifestyles. The purpose of this study is first, to analyze the market situation of living lifestyle shops using the case study method and second, to investigate consumer's store usage behavior, product purchase motives, and attitudes to the living lifestyle shops using the empirical study method. For an empirical study, the survey was conducted with 20s to 50s female respondents who have visited living lifestyle shops and a total of 227 responses were analyzed using SPSS 18.0. The results of this study were as follows. The most frequently visit store was MUJI and most of respondents tended to visit the store once a month and their interest and purchase items were household items. Only impulsive purchase motives among other motives of living lifestyle shops, such as others-oriented, situational, and reasonable motives, significantly had a positive effect on store attitudes toward living lifestyle shops. There were differences in purchasing items at living lifestyle shops depending on marriage status and occupation. Purchase motives of living lifestyle products were statistically influenced by demographic factors such as age, marriage status and income level, however store attitudes were not. The managerial implications for living lifestyle shops are discussed limitations and areas for future research as well.

Research About Necessity of Visiting Home Physical Therapy (방문물리치료 필요성에 관한 연구)

  • Son, Kyung-Hyun;Kim, Eun-Kyung;Kim, Sun-Min
    • Journal of Korean Physical Therapy Science
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    • v.19 no.1
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    • pp.27-38
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    • 2012
  • Background : In-home physical therapy program as a result of a study of the need for in-home physical therapy, most patients were needed. This study of patients who received physical therapy were surveyed, and patients need physical therapy for what I have found that factors. The purpose of this study is the in-home physical therapy program for patients to determine that how much needs were investigated. Methods : In this study, 469 people were involved with the patients who received physiotherapy. Surveys were returned to the questionnaire. The collected data was analyzed by Chi-square and one-way ANOVA. Results : The need for in-home physical therapy to 31 to 60 years suggests that the highest. In this paper, the female respondents was higher, the damaged parts Many times patients with musculoskeletal injuries, duration of treatment was 3-1 months there. 469 people need physical therapy visits of respondents that respondents were 423 people. qualification standards of physical therapy visits and asked questions of the state or local government public agencies or public health wad the highest with 40.3%, eligibility criteria for physical therapy visits a physical therapist trained in the regular 43.3%, per visit, treatment 10,000won 43.5% less than the cost of investigation into the health insurance coverage and should apply to questions about whether the response was 50.1%. Conclusion : Further, the study of in-home physical therapy services were the patient's perspective. This information, visit the home physical therapy program will contribute to the legalization.

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The oral health care research according to the rank of soldiers and officers (군인들의 계급에 따른 구강건강관리 실태조사)

  • Yoo, Ja-Hea;Kim, Jung-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.105-113
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    • 2013
  • Objectives : The purpose of this study was to perform researches and analysis on the use of dental institutions, oral health behavior, the actual conditions of oral health care, and the oral health knowledge according to the rank of soldiers and officers and then to provide the basic data for the contents development of an oral health education to the military. Methods : The subjects in this study were 380 soldiers serving in Gyeonggi, Gangwon and Chungchong provinces. Results : In terms of the use of dental institutions, the soldiers visit the dental clinics most(56.5%), and the officers visit the military dental clinics most(52.7%)(p<0.05). In the oral health behavior, the most of the soldiers(46.7%) and the officers(58.1%) answer that they thought to be in good oral health. Regarding the actual conditions of oral health care, it is investigated that the most of the soldiers brush their teeth twice a day(46.7%) and the officers three times a day(58.1%). With the oral health knowledge, the officers get a point of $2.89{\pm}1.36$, which is higher than the soldiers'($2.47{\pm}1.27$), and the person who have an experience to take an oral health education, getting a point of $2.83{\pm}1.22$, have higher level of the knowledge than the unexperienced with $2.48{\pm}1.31$(p<0.5). Conclusions : It is thought to be necessary to provide the military camps with an oral health education and to develop the contents of an oral health education customized to them.

Influence of social network service(SNS) information on intention to dental office use (SNS 정보 활용이 치과의료기관 이용의사에 미치는 영향)

  • Park, Sun-Young;Cho, Young-Sik
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.121-127
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    • 2016
  • Objectives: The purpose of the study is to investigate the effect of social network service(SNS) information on intention to dental office use. Methods: A self-reported questionnaire was completed by 410 users of social network service between twenty and thirty years old in Seoul and Gyeonggido after receiving informed consent from July 1 to August 3, 2015. The questionnaire consisted of general profiles of the subjects(6 items), use of dental office(3 items), use of SNS(3 items), use of dental SNS(4 items), use of general SNS(6 items), application of dental SNS(6 items), and intention to dental office use(2 items). Except 8 incomplete answers, 402 data were analyzed using SPSS 18.0 program. Results: The first choice of dental office was recommendation by the acquaintances. There were close correlations between the use of SNS information and the use of general SNS information according to sex(p=0.016) and the frequency of SNS(p=0.012). The use of SNS for dental information showed a meaningful correlation with sex(p=0.003). The intention to use was influenced by sex(p=0.016) and the use of SNS for dental information(p<0.001). Conclusions: The important factor of visit intention to dental service was recommendation by the acquaintances through SNS. The appropriate advertisement of visit intention is very important to improve dental health care.

Selection attributes importance and satisfaction for research on the development of the Baekdudaegan (백두대간권 개발을 위한 여행지 선택속성 중요도와 만족도에 관한 연구)

  • Kim, Tae-Dong;Koo, Jee-Hyun;Lee, Seok-Jun;Choi, A-Reum
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.19-30
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    • 2016
  • Domestic and foreign tourists to visit the Baekdudaegan are increasing every year. The purpose of this study is to promote regional development in the Baekdudaegan and to improve the satisfaction of the people who visit the Baekdudaegan area recognized in underdeveloped area. It surveyed the age of 19 years old. Analysis of the factors of selection attributes importance and satisfaction, and the group was separated through cluster analysis. It analyzed a significant difference in the degree of revisit intention and intention of recommendation by cluster groups. They were divided into four groups, according to the selection attributes importance and satisfaction. Groups showed significant differences in the degree of revisit intention and intention of recommendation. The environment elements importance and satisfaction have affected revisit intention and intention of recommendation. It has found out that environment elements have an important factor in selecting the destination and these selection attributes satisfactions have a positive influence on future behavior intention.