• Title/Summary/Keyword: 예방의학

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Mind-body Intervention for Treating Atopic Dermatitis (아토피 피부염 치료를 위한 심신의학적 접근)

  • Cho, Il-Young;Park, Soon-Kwon
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.242-250
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    • 2008
  • Patients with atopic dermatitis, an intractable disease, suffer uncontrollable psychological distress as well as various symptoms in their skin. Recent findings showed that mental factors such as stress may play a role in the disease and that some techniques for alleviating psychological problems were efficacious in the atopic dermatitis. Therefore, we proposed the mind-body medicine that has been used to decrease the negative influences of stress and to cure psychosomatic disorders as an additional remedy for the atopic dermatitis. A model on the therapeutic effect of mind-body medicine and some qualities of practician also were discussed.

Migrated Pancreaticojejunal Stent Forming a Stent-Stone Complex in the Jejunum with Resultant Small Bowel Obstruction: A Case Report (췌공장 스텐트의 공장으로의 이동으로 발생한 스텐트-돌 복합체 형성과 이로 인한 소장폐색: 증례 보고)

  • Jiwon Kim;Young Han Kim;Byung-Hee Lee
    • Journal of the Korean Society of Radiology
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    • v.84 no.2
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    • pp.512-517
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    • 2023
  • Transanastomotic pancreatic duct stent placement during reconstruction following pancreaticoduodenectomy is widely performed to prevent postoperative pancreatic fistulas and duct stenosis. However, stent-related complications, such as stent occlusion and migration, may occur. Here, we report a rare case of a migrated pancreatic duct plastic stent. After pylorus-preserving pancreaticoduodenectomy, the stent migrated to the jejunum and served as a nidus of the stent-stone complex, which developed jejunal obstruction. The stent-stone complex was removed by explorative laparotomy.

Status of Influenza Vaccination for Residents in some Rural Communities (일부 농촌지역 주민들의 인플루엔자 예방접종 실태)

  • Lim, Hyun-Sul;Min, Young-Sun;Bae, Geun-Ryang;Kim, Young-Take;Lee, Yeon-Kyeng
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.121-131
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    • 2004
  • Objectives: This study was conducted to understand the status of influenza vaccination in some rural communities and to apply the results to formulate a counterplan for influenza prevention. Methods: The authors conducted a questionnaire survey from May 26 to May 29, 2003 among the residents in two rural communities: 602 people at the village Gigye-myeon and 965 at the village Cheongsong-gun. For statistical analysis the chi-square test and chi-square for trend method were used. Significance was set a p<0.05. Results: The study group contained 722 (46.1%) males and 845 (53.9%) females. In response to the question 'Influenza vaccination must be taken every year', 845 people (86.0%) replied 'Yes'. In response to the question 'Influenza vaccination can prevent cold', 224 people (20.8%) replied 'No'. The rate of influenza vaccination increased every year from 2000 to 2002 (p<0.05) and was lower for those under sixty-four than for those over sixty-five. In response to the question 'Plan to receive influenza vaccination in 2003', 531 people (52.8%) responded they will have influenza vaccination. Conclusions: Many people had a wrong perception about influenza vaccination. Therefore, their wrong perception must be corrected by a publicity campaign. The rate of influenza vaccination for those from over fifty to under sixty-four should be increased by public policy because they are as susceptible to influenza as those over sixty-five. This study produced meaningful results from the investigation into the status of influenza vaccination for the residents in rural communities and these findings can be utilized in the formulation of future influenza vaccination policy.

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Liver Abscess Caused by Klebsiella oxytoca with Hepatic Artery Pseudoaneurysm: A Case Report (Klebsiella oxytoca에 의한 간농양 내 거짓동맥류: 증례 보고)

  • Jae Young Lee;Hyoung Nam Lee;Woong Hee Lee;Hyeong Cheol Shin;Seung Soo Kim;Jeong Ah Hwang
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1448-1452
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    • 2020
  • Hepatic artery pseudoaneurysm is a rare but potentially life-threatening condition that usually occurs after trauma. Early recognition and prompt management are essential for preventing catastrophic consequences, such as hemoperitoneum. We report a rare case of liver abscess caused by Klebsiella oxytoca resulting in hepatic artery pseudoaneurysm without iatrogenic injury. The unique feature of the present case is that the abscess cavity itself became a pseudoaneurysm as a result of fistula formation with the hepatic artery. Vascular complications should be considered in patients with unfavorable clinical course even in the absence of iatrogenic injury. Endovascular treatment is safe and effective.

Methods of medical treatment in 『Euibangyoochui』 (『의방유취(醫方類聚)』치법편의 구성과 특징 -식치(食治)·금기(禁忌)·침구(鍼灸)·도인편(導引篇)을 중심으로-)

  • Ahn, Sang woo;Choi, Whan soo
    • The Journal of Korean Medical History
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    • v.14 no.1
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    • pp.109-124
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    • 2001
  • "Euibangyoochui" is a great medical encyclopedia composed of 91 symptoms and signs of diseases which classified 150 kinds of reference books. It consisted mainly of fifty thousands of herbal prescriptions and therapeutics but it deals with other treatments like diet therapy, precautions, acupuncture and moxibustion, physical and breathing exercises as well. Unlike other medical references, this book made up these treatments as independent chapters. We tried to catch the meanings and characteristics of each chapters.

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Bacteriological Research for the Contamination of Equipment in Chest Radiography (영상의학과 흉부 엑스선 촬영 기기의 세균 오염도)

  • Choi, Seung Gu;Song, Woon Heung;Kweon, Dae Cheol
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.395-401
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    • 2015
  • The purpose is to determine the degree of contamination of the equipment for infection control in chest radiography of the radiology department. We confirmed by chemical and bacterial identification of bacteria of the equipment and established a preventive maintenance plan. Chest X-ray radiography contact area on the instrument patients shoulder, hand, chin, chest lateral radiography patient contact areas with a 70% isopropyl alcohol cotton swab were compared to identify the bacteria before and after sterilization on the patient contact area in the chest radiography equipment of the department. The gram positive Staphylococcus was isolated from side shoots handle before disinfection in the chest radiography equipment. For the final identification of antibiotic tested that it was determined by performing the nobobiocin to the sensitive Staphylococcus epidermidis. Chest radiography equipment before disinfecting the handle side of Staphylococcus epidermidis bacteria were detected using a disinfectant should be to prevent hospital infections.

The Present Conditions and Future Development of Traditional Chinese Medicine Pediatrics (중의아과학현장여전망(中醫兒科學現狀與展望))

  • Wang Shouchuan
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.1
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    • pp.229-234
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    • 2001
  • This article summarizes the present developing conditions and achievements in pediatrics of traditional Chinese medicine (TCM) at basic medicine, clinical medicine and preventive medicine in recent fifty years. The author thinks that the strategy goal of the development of TCM pediatrics is modernization. In the future certain years, culturing persons of ability in all kinds of administrative levels and using modern science and techniques are very necessary. In the aspect of the background of TCM pediatrics, childrens physiology and pathology characteristic, pharmacodynamics, making the four diagnostic methods objective, combining macro differentiation with micro differentiation, reforming the preparation form should be intensively researched. In the aspect of clinic, in order to improve curative effect, accumulate materials, we should go deep into the research on virus diseases, immunity diseases, nutritional diseases and neonatal diseases by taking advantage of the superiority of TCM.

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Three Case Reports on Patients with Facial Asymmetry Treated Using Korean Medicine Mainly Using Cervical Chuna Manipulation Treatment and Functional Cerebrospinal Technique (경추 추나 및 기능적 뇌척주요법(FCST) 등의 한의학적 치료로 개선된 안면비대칭 환자 3례 증례보고)

  • Jumi Lee;Eunwoo Kim;Yunhyung Jo;Jeongmin Shin;Hye In Jeong;Kyeong Han Kim
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.81-89
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    • 2022
  • Objectives This report aimed to investigate the possibility of correcting facial asymmetry using cervical Chuna manipulation treatment and functional cerebrospinal technique and introduce meaningful additional improvement of systemic symptoms of non-surgical Korean medicine treatments through three case studies. Methods Three patients with facial asymmetry were treated using Korean medicine treatments. The effects of the treatments were all measured using photographs, lateral cephalograms, and whole-body radiogram and Likert scale. Results After Korean medicine treatment, there were significant correction effects of asymmetry in photography, cephalography, and whole-body radiogram and meaningful score of Likert scale. Conclusions This study suggested that Korean medicine treatments may be effective in facial asymmetry. Improving muscular asymmetry, including soft tissue asymmetry and functional asymmetry, has meaningful effects on maintaining an overall balance of the body. Facial asymmetry should be treated by making an alignment of the whole body and there should be further well-designed, randomized, and placebo-controlled trials to verify these results.

Comparison of medical use and medical expenses between participants and non-participants in the home-based care pilot project for rehabilitation patients (재활환자 재택의료 시범사업 참여자와 미참여자의 의료이용 및 진료비 비교)

  • Ji Man Kim;Sang Gyu Lee;Young Geon Ji
    • Korea Journal of Hospital Management
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    • v.29 no.3
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    • pp.1-10
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    • 2024
  • Purposes: When rehabilitation services are provided remotely using information and communication technologies to patients living at home, there is an advantage in providing rehabilitation services to individuals in their everyday social and physical environment, which can improve functional outcomes and satisfaction. The purpose of this study was to analyze the effectiveness of the pilot project by analyzing the outpatient and inpatient medical use and expenses of patients who participated in the rehabilitation patient home-based care pilot project. Methodology: To analyze the effectiveness of the home-based care pilot project for rehabilitation patients, health insurance claims data from the Health Insurance Review and Assessment Service was used. The subjects of analysis were patients who had undergone major lower extremity joint replacement surgery, including hip, knee, and ankle joint replacement surgery, and patients who had lower extremity fracture surgery, which were the targets of the rehabilitation patient home-based care pilot project. To compare medical use and expenses between patients participating in the rehabilitation patient home-based care pilot project and those not participating, chi-square test, t-test, and multiple regression analysis were performed. Findings: As a result of analyzing the number of medical use cases and expenses of patients who participated and those who did not participate in the rehabilitation patient home-based care pilot project, the average outpatient medical use and outpatient medical expenses per person for participating patients were lower than those for patients who did not participate. The average hospitalization cost per person and the average length of stay per person were also lower than those of patients who did not participate. Practical Implications: Home-based care for rehabilitation patients continues to provide medical services at home, not at medical institutions, and can be expected to reduce readmissions and complications by resolving patients' emergency situations at home or on their own, thereby reducing medical use.

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Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis (건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.167-178
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    • 2011
  • Purpose: This study was done to identify the effects of a health diary program on fall related outcomes the low-income elderly women. Methods: The study was carried out with a nonequivalent control group with pretest-posttest design. The study was composed of two groups, each made up of 24 subjects: experimental group and control group. The subjects were low-income women aged over 65 years with osteoarthritis and both the experimental and control groups were made up of subjects with the same age profiles. The independent variable was the health diary program, and the dependent variables were fall related outcomes (fear of falling, fall-efficacy, knowledge of fall) difficulty of performing activity, and mood state. The health diary program was performed for 50 minutes each session and twice a week for 8 weeks. Data were collected before the health diary program 10 weeks after the beginning of the program. Results: The experimental group showed significant differences in knowledge of fall, fear of falling, and mood state compared to the control group. However there was no significant differences in difficulty of performing activity and fall efficacy. Conclusion: The results of this study may be used as part of an education to prevent falls for low-income elderly women with osteoarthritis.