• Title/Summary/Keyword: 국립의료원

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Report of the Qualitative Research Related to Postpartum Depression (산후우울증과 관련된 질적 연구에 대한 보고 분석)

  • Park, Han-song;Lee, Do-Eun;Youn, In-Ae;Suh, Hyo-Weon;Seo, Joo-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.15-33
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    • 2021
  • Objectives: The purpose of this paper is to help the development of qualitative research in the field of Korean medicine and policy support for postpartum depression. Methods: Qualitative studies related to postpartum depression retrieved from five databases were evaluated independently by two researchers using the integrated criterion, Consolidated criteria for reporting qualitative research (COREQ). In addition, each subject of study was qualitatively synthesized. Results: A total of 1,374 papers were searched and 13 papers were finally selected. The results of the study using COREQ lacked information about the researchers. The results of the study were integrated into three themes: "Feeling Failure", "Struggling for self-identity and role of mother" and "Seeing Help and Recovery". Conclusions: Postpartum depression can be accessed through various methods such as Korean medicine counseling, acupuncture and herbal medicine, and further research and manual preparation is required.

The Tendency of Elderly Patients Who Transferred from Long-term Care Hospital to Emergency Room, 2014-2019 (요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019)

  • Ko, Sung-keun;Kim, Seonji;Lee, Tae Young;Lee, Jin-Hee
    • Health Policy and Management
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    • v.32 no.2
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    • pp.173-179
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    • 2022
  • Background: This study aimed to identify patterns of elderly patients who transferred from long-term care hospitals to emergency rooms and provide the evidence of emergency medical systems to prepare for a super-aged society. Methods: The data source was the National Emergency Department Information System database from January 2014 to December 2019 in Korea. We performed a cross-sectional study among elderly patients (≥65 years) who transferred from a long-term care hospital to an emergency room. Trend analysis was conducted by year. Results: We identified 225,765 elderly patients who were transferred from long-term care hospitals to emergency rooms between January 1, 2014 and December 31, 2019. The proportion of the study population and their mean age were recently increased (p<0.001, respectively). The proportion of elderly patients being re-transferred (p=0.049) and the patients re-transferred to long-term care hospitals is significantly increased (p=0.005). Conclusion: The establishment of efficient emergency medical services for an aging society is important. It is necessary to develop a healthcare network with the government, long-term care hospitals, and medical institutions in the community suitable for preventing disease deterioration.

Similarities and Differences in Patients under Aged 18 with Respiratory Disease on Emergency Departments: Before and after COVID-19 Outbreak (코로나19 전·후 응급실로 내원한 소아청소년 호흡기계 환자의 유사점과 차이점)

  • Huh, Young-Jin;Pak, Yun-Suk;Kim, Eun-Ah;Oh, Mi-Ra
    • Health Policy and Management
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    • v.32 no.2
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    • pp.164-172
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    • 2022
  • Background: The purpose of this study was to the impact of the coronavirus disease 2019 (COVID-19) outbreak on emergency departments (EDs) in patients under the age of 18 years with respiratory disease. Also, we analyzed similarities and differences in patients including revisit before and after the COVID-19 outbreak. Methods: This study population was respiratory patients under the age of 18 years who visited all 403 EDs in Korea between January 1st, 2019 and December 31st, 2020, using the National Emergency Department Information System Database. The primary outcome was the number of respiratory patients according to age, sex, the type of EDs, season, Korean Triage and Acuity Scale (KTAS) levels, the result of ED, and length of stay. The secondary outcome was the number of revisit respiratory patients within 72 hours. We calculated the risk-adjusted revisit rates according to the KTAS level using a multiple logistic regression model. Results: The number of ED visits decreased from 274,526 in 2019 to 79,007 in 2020; this number was 71.2% lower than that before COVID-19. In spring 2020, this number was 90.1% lower than during the same period in 2019. For the revisit rate in the study population, the adjusted odds ratio (95% confidence interval) was 1.22 (1.05-1.41) in 2019 and 1.39 (1.07-1.81) in 2020. Conclusion: Implementing appropriate emergency care policies in severe respiratory patients would have contributed to improving the safety of reducing in revisit rate.

A Retrospective Analysis of the Effectiveness of Taking Gambi-tang in Overweight and Obese Adults (과체중 및 비만 성인 대상 감비탕 복용 효과에 대한 후향적 분석)

  • Park, Han-song;Yoo, Hee-jung;Ha, Ji-su;Park, Hyun-seo;Seo, Ho-seok;Kim, Jin-won
    • The Journal of Internal Korean Medicine
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    • v.43 no.3
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    • pp.413-422
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    • 2022
  • Objectives: To investigate the weight loss effect of Gambi-tang in obese and overweight adults. Methods: From September 1, 2016 to December 31, 2021, a retrospective chart analysis was conducted on adult men and women who were prescribed Gambi-tang to address obesity and overweight in the National Medical Center (NMC). Partial analysis by age, obesity (Body Mass Index, BMI), duration of dose, and cumulative dose was also conducted. Results: The weight and BMI of the study subjects showed a significant decrease of more than 5% on average before and after treatment. In an analysis of age, significant differences by age could not be confirmed. In the analysis by obesity level, the effect of reducing weight, body fat, and abdominal fat rates in the obese and highly obese groups was greater than in the normal and overweight groups. There was no significant difference by group in the analysis by dosage period. In the analysis by cumulative dose, the greater the cumulative dose up to 1,800 g, the greater the decrease in weight and body fat. The side effect that patients appealed to the most was misjudgment, but not to a serious extent. Conclusions: Gambi-tang has been shown to be effective in weight and body fat loss for both obese and overweight adult men and women.