• 농촌의학ㆍ지역보건
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• 제37권2호
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• pp.84-95
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• 2012

이 연구는 2008년 6월 1일부터 2008년 8월 31일까지 광주 전남지역에 소재하고 있는 20개 의료기관(병원 3, 의원 17)에서 신경학적 증상이 없는 단순 경 요추부 염좌 진단을 받고 입원 및 외래치료를 받은 환자 449명(입원=384명, 외래=85명)을 대상으로 민영의료보험 가입이 입원에 미치는 영향을 규명하기 위해 시행되었다. 구조화된 설문지를 이용하여 조사한 응답 결과에 대해 단일변량분석을 시행하고 입원여부와 유의한 관련성이 있는 변수를 독립변수로 하여 다단계 로지스틱회귀분석을 실시한 결과와 그 함의는 다음과 같았다. 관련된 요인을 통제한 후에도 민영의료보험 가입여부의 입원에 대한 비차비는 3.31(95%CI 1.41-9.58)로서 민영의료보험 가입은 입원여부에 독립적으로 유의한 영향을 미치는 요인임이 확인되었다. 그 밖에 조사대상 환자군의 입원에 영향을 미치는 요인들을 변수군별로 보면 환자의 사회인구학적요인 변수군의 결정계수($R^2$)가 0.226로 가장 컸고 다음으로 의료기관 및 의료인 특성 변수군의 $R^2$=0.122, 질병 특성 변수군의 $R^2$=0.108 등이었으며 민영의료보험의 가입여부의 $R^2$=0.013으로 결정계수 값이 크지는 않았다. 이 연구는 경증질환 진단을 받은 환자를 대상으로 현재 중소규모 의료기관에서 진료중인 환자를 대상으로 민영의료보험 가입여부와 입원여부의 관련성을 구명한 국내 최초의 실증연구로서 민영의료보험의 가입이 초래하는 도덕적 해이의 존재와 정도를 일정부분 규명하였다는 점에서 그 의의를 찾아 볼 수 있다. 전 국민 의료보험제도 하에서 이는 민영의료보험 자체 뿐 아니라 건강보험에 대한 외부효과도 존재할 수 있음을 시사하는 결과로서 이를 내부화하기 위한 적절한 조치의 마련이 필요할 것으로 판단된다.

• 대한물리치료과학회지
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• 제6권4호
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• pp.145-151
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• 1999

Pain is the most common symptom that brings a patient to the hospital. Repetitious stress and sprain injury result in various pains, and so we tried to improve cervical movement and release from pain by using taping technique of actual agonists and postural muscles in addition to psychological relaxation. The 4 patient with neck problems were applied Arikawa taping approaches. The flexor or extensor patterns were determined by Arikawa method at first. if the symptoms and patterns were similar, the taping was attached same point. After taping on major muscles of causing neck pain levator scapula, scalenus medius, sternocleidomastoid, splenius capitis, semispinalis capitis. - we found neck pain released and cervical ROM increased. In conclusion, we determined cervical movement related to rotation of splenius capitis, extention of semispinalis capitis, levator scapula, flexion and rotation of scalenus medius.

• Journal of Acupuncture Research
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• 제23권2호
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• pp.159-164
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• 2006

Objectives : This study was conducted for objective verification of effects of spiral taping therapy for the patients with motor disturbance. Methods : To verify whether spiral taping therapy is effective for treating motor disturbance from cervical sprain, 28 patients were randomly allocated into the control and experiment groups. Then 23 subjects who fulfilled the experiment requirements were measured for lateral rotation angle using the goniometer. Changes in rotation were observed and compared. Control group received acupuncture and herbal acupuncture treatment, whileas the experiment group received spiral taping therapy in addition. Results : Differences in age and the degree of motor disturbance were disregarded in comparison of the groups prior to rendering treatments. For the control group, significant changes were observed after the second treatment until the termination of treatment. For the experiment group, significant changes were observed after the first treatment until the termination of treatment. Difference between the groups was insignificant but experiment group with spiral taping therapy showed better results. Conclusion : Spiral taping therapy can be an effective complementary treatment method for treating neck motor disturbance. Further studies in the subject should be conducted to yield more concrete verification.

• 동의신경정신과학회지
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• 제31권3호
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• pp.187-195
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• 2020

Objectives: The purpose of this case report was to evaluate the effectiveness of Hwangryunhaedok-tang pharmacupuncture on three patients diagnosed as cervical vertigo. Methods: Three patients were diagnosed as cervical vertigo with cervical sprain, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. Hwangryunhaedok-tang pharmacoacupuncture was injected in the patients once daily for 10 days. The symptom change of dizziness was checked daily before and after treatment by the Visual Analogue Scale (VAS) score. The cervical pain and patient satisfaction were checked by the NRS (Numerical Rating Scale), NDI (Neck Disability Index), and the EQ-5D (EuroQol-Five Dimensions). Results: After the treatment, there was significant decrease in the value of the VAS score, measurement of dizziness, as well as the value of the NRS, NDI, a measure of pain. Also, the life quality measured by the EQ-5D improved. Conclusions: The results indicated that the Hwangryunhaedok-tang pharmacupuncture may have an effect on cervical vertigo with cervical pain.

• 한방재활의학과학회지
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• 제15권2호
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• pp.77-89
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• 2005

Objectives : This study was designed to find out the characteristic of patients who had admitted due to traffic accident and to promote the superiority of oriental medical treatment on the sequelae of traffic accident. Methods : We analyzed 332 traffic accident patients statistically according to medical charts, who had been hospitalized from January 1,20000 to October 30, 2004. Results and Conclusions : The analysis showed that there was no significant difference in sex(p<0.05), but the older group and the shorter group of interval time from onset to addmission had the better remedial result(p<0.05). The most common diagnosis that had the better remedial result was lumbar sprain, followed by multiple contusion, cervical sprain, herniated lumbar disc, herniated cervical disc(p<0.05), and the most effective oriental medical treatment was moxibusition, followed by blood cupping therapy, taping therapy, chuna therapy except acupuncture, herbal medication, oriental physical therapy(p<0.05). In using of TENS, ICT, U/S, complex therapy had better remedial result than single therapy(p<0.05). The longer period of treatment group had better remedial result generally(p<0.05).

• Journal of Acupuncture Research
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• 제38권2호
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• pp.146-158
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• 2021

Background: This study was designed to statistically analyze the year, gender, age, insurance type, and condition/disease of patients who were admitted to the Department of Acupuncture and Moxibustion Medicine at DaeJeon Korean Medicine Hospital over a 5-year period (2015-2020). Methods: Patients who visited the Department of Acupuncture and Moxibustion Medicine at DaeJeon Korean Medicine Hospital were classified according to year, gender, age, insurance type, and condition/disease. The statistical analysis was performed using IBM SPSS 23.0. Results: There is an increasing number of patients attending the Department of Acupuncture and Moxibustion Medicine year-on-year over the 5-year period, with a higher frequency of females than males each year. The largest age groups represented in these patients were those aged in their 50s, followed by those aged in their 40s, and 60s. Furthermore, the number of patients using health insurance was greater than those using automobile insurance each year. Of the 5,061 patients, the most common group was the patients (n = 991) who reported sprain and strain of cervical spine, followed by lumbar spine, lumbar herniation of the intervertebral disc, and facial paralysis. Conclusion: The number of patients seeking traditional Korean medicine treatment continues to increase, particularly in the 40s to 60s age group, with a larger proportion using health insurance and sprain or strain of the cervical spine. The results of this study may be used as a local (Daejeon) reference to develop Korean medicine policies, such as setting up medical benefits for patients using Korean medicine hospitals.

• Journal of Acupuncture Research
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• 제21권2호
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• pp.301-314
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• 2004

Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.

• 대한한방체열의학회지
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• 제4권1호
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• pp.61-69
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• 2005

Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.

• 한방재활의학과학회지
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• 제26권2호
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• pp.133-144
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• 2016

Objectives This study was designed to find out influential factors associated with Hospitalization of the patients from traffic accident by Groups. Methods Based on the medical charts, we analyzed statistical study of 486 patients putting them into two groups to identify the factors associated with the duration of hospitalization involving age, sex, elapse day (Interval between time of injury and visit to hospital), and the types of accident. Patients in group A were diagnosed with a mere 'sprain', and patients in Group B had other symptoms accompanied by 'sprain'. Results 1. In group A, cervical sprain was the most and male patients with the symptom outnumbered female patients. In group B, headache was most where female patients had the symptom 1.7 times more than male patients. 2. Female patients in group B were found to stay for a longer period of time in the hospital than the male counterparts (p<0.05). 3. Both group A and B have positive correlation between length of hospital stay and age though group B exhibited stronger correlation. 4. Patients who had accident while riding bus in group A and those who were pedestrians in group B were found to stay in the hospital for a significantly longer period of time than those who had any other types of accident (p<0.05). Conclusions We noticed that hospital stay lengthened when the patients were older and when they had accidents while riding bus in Group A whereas in Group B, patients stayed longer when they were females and older as well as when they were pedestrians in accidents.

• 척추신경추나의학회지
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• 제4권2호
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• pp.75-83
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• 2009

Objectives : By recording basic data of musculoskeletal patients visiting the emergency room of an oriental medicine hospital. we can understand their characteristics and gain better insight about them. Method : We performed a retrospective study of 551 patients who visited the emergency room of an oriental medicine hospital, from November 1,2008 to October 31, 2009. Result : 1. Of 551 total patients, the male to female ratio was almost same and the 3rd decade of life was the peak age group. 2. The majority of patients visited emergency room between 10:00 and 24:00(midnight). 3. Most patients visited on a Saturday or Sunday. 4. By monthly distribution, the patients increased slightly during January, May and October. 5. The majority of patients visited the emergency room within 24 hours of onset. 6. The patients were categorized as follows : lumbar sprain 66.06%, cervical sprain 16.25%, ankle sprain 9.04%. 7. Admission rate was 21.96%. Conclusion : Assuming that this research will continue adding patient's data continuously, this work will help up to understand the features of musculoskeletal patients who visiting the emergency room of the oriental medicine hospital.