• Title/Summary/Keyword: Clinic day

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The Effect of Acupuncture-like TENS on Finger Control Gate -Patients with cervical sprain and postoperative pain of laminectomy- (전기수지자극의 통증관리효과 -척추후궁절제술 환자의 수술 후 통증과 경추부 염좌환자에 대한 통증관리효과-)

  • Lee, Sang-Hun;Kim, Seong-Kon;Woo, Nam-Sik;Lee, Ye-Chul;Chang, Sang-Keun;Kim, Sun-Bok
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.140-144
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    • 1996
  • Electrical stimulation is a common method for successful pain management for both acute and a some cases of chronic pain. The incidence of cervical sprain is very high with automobile accidents. Treatment of cervical sprain is consists of analgesic drugs and physical therapy. Lower back pain is a common problem in pain clinics. back pain management are complex, so we have difficulty to choose best treatment modality. The prevalence of herniated lumbar disc(HLD) is 1~3% of lower back pain. The cases of laminectomy varies between 10~20% and postoperative pain is prolonged for several day. We applied Acupuncture like TENS (ALTENS) on the digit for cervical sprain patients and post laminectomy pain patient for three days. The result was very satisfactory. And we found that total hospital days in ALTEND groups are shorter than control group in both disease entities. In conclusion, acupuncture like TENS on finger control gate is an effective method of the pain management.

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A case of canine patent ductus arteriosus showed favorable therapeutic response by surgery combined with needle-acupuncture therapy

  • Kim, Kwang-Shik;Kim, Byung-Young;Kim, Tae-Hwa;Kim, Won-Bae;Liu, Jianzhu;Lee, Jung-Yeon;Kim, Duck-Hwan;Rogers, Philip A.M.
    • Korean Journal of Veterinary Research
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    • v.45 no.4
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    • pp.575-579
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    • 2005
  • A 6-month-old male Poodle was referred with chief complaint of dysponea and cough. Cyanosis was not detected. This dog was diagnosed as a case of canine patent ductus arteriosus (PDA) by X-ray and ultrasonography. Diuretics and bronchodialators were administered for 4 weeks. Clinical symptoms were not improved. Thoracotomy was done at right recumbent position. The length of ductus arteriosus was 8 mm and the diameter was 6 mm, respectively. Double ligation was performed in surgery. Continuous cardiac murmur, cough and strong femoral pulsation were disappeared after surgery. The diameters of the pulmonary artery and vein found to normal by X-ray on 10 days after operation. The diameter of the aorta measured to be larger than that of the main pulmonary artery by ultrasonography. The fractional shortening (FS) on 10 days after surgery was 17.32% by ultrasonography. The needle-acupuncture therapy was used in acupoints BL-15 as local point plus PC-6, HT-7 and HT-5 as distant points for 3 days (15 min/once/a day). The FSs were increased to 21.31% and 29.44% at 1 and on 3 days after acupuncture, respectively. The present patient was a case of typical canine PDA that showed favorable therapeutic responses by surgery combined with needle-acupuncture treatment.

The Efficacy of Stellate Ganglion Block in the Treatment of Idiopathic Sudden Sensorineural Hearing Loss (돌발성 난청에 있어서 성상신경절차단의 치료효과)

  • Chung, So-Young;Yoon, Duck-Mi;Lee, Myung-Hee;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.65-73
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    • 1995
  • Idiopathic sudden sensorineural hearing loss(SNHL) is defined as a sensorineural hearing loss which develops over a period of hours or few days without a definitive causes. The etiology, prognosis, and treatment of SNHL are uncertain. We reviewed records of 76 patients to investigate the efficacy of the stellate ganglion block(SGB)in SNHL. The control group(40 patients) was managed with the medication such as hypaque, heparin, steroid, nicotinic acid, and vitamine. The SGB group(27 patients) was managed with the same medication and SGB (1~2 times/day). The efficacy of treatment was evaluated by mean dB of 500, 1000, 2000 Hz on follow up pure tone audiogram. Recovery rate above 15dB was not different between SGB and the control group (52.4 v.s. 52.0%), though SGB group has much poor prognostic factors. Recovery rate was higher in a case that was treated early. Especially, the recovery rate was 100% when SGB begins within 2 weeks from the onset. Headache and profound type of audiogram were poor prognostic factors. In conclusion, SGB within 2 weeks from the onset is recommanded to improve the recovery rate.

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The knowledge and attitude toward radiation safety management in dental clinic worker (치과의료기관종사자의 방사선안전관리에 대한 지식 및 태도 조사)

  • Han, Ok-Sung;Woo, Seung-Hee;Kim, Seo-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.849-857
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    • 2014
  • Objectives: The aim of the study was to investigate the knowledge and attitude toward radiation safety management in dental clinic worker. Methods: A self-reported questionnaire was filled out by 294 dental clinic workers in dental hospitals and clinics in Gwangju and Jeonnam from February 17 to March 30, 2014. The questionnaire consisted of general characteristics of radiation safety(8 questions), knowledge of radiation safety(15 questions), and attitudes of radiation safety(16 questions). The survey was done by Likert 5 scale method. Results: In completion of the radiodontia courses, 84.0% of the learners were female workers. 88.0% of the learners took the theoretical and practical courses. Those who work in the university dental hospital accounted for 87.1% and those in dental clinics accounted for 83.2%. Majority of the workers took on Leaden protective clothing in order to protect the thyroid gland. Male workers had more knowledge toward the radiation safety management than the female workers. The attitude toward the radiation safety management revealed the significant differences between age, gender, academic careers, license, clinical careers and the mean number of patients per day(p<0.05). Conclusions: The radiation safety management is very important in dental clinical workers and it is necessary to enhance the attitude toward the radiation safety through continuous education.

The Factors Influencing on success of Quitting Smoking in new enrollees and re-enrollees in Smoking Cessation Clinics (보건소 금연클리닉 신규등록자와 재등록자의 금연 성공요인 분석)

  • Song, Tae-Min;Lee, Ju-Yul;Cho, Kyung-Sook
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.19-30
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    • 2008
  • This study has comparatively analyzed the primary success factors in smoking cessation among new enrollees and re-enrollees of a smoking cessation clinic in order to find out how to efficiently operate smoking cessation clinics at public health centers. The study was conducted with 262,837 smokers aged 19 or over who were provided with smoking cessation services for more than 6 months after being registered with the smoking cessation clinic at public health centers(250 clinics nationwide) from July 16, 2006 to July 15, 2007. After dividing smokers into re-enrollees and new enrollees of the smoking cessation clinic, the success rate of and success factors for smoking cessation over 6 months have been investigated. The success factors in smoking cessation have been compared between new enrollees and re-enrollees of smoking cessation clinics. The results can be summarized as follows: First, the success rate of smoking cessation for 6 months at smoking cessation clinics of public health centers was higher in new enrollees (46.3%) than in re-enrollees (41.1%). Second, the common factors that had an influence on the success of smoking cessation of both new enrollees and re-enrollees of the smoking cessation clinic included age, social security, service, frequency of counseling, number of cigarettes per day, and alcoholic problems. Third, compared to new enrollees, re-enrollees had a higher success rate of smoking cessation as they got older. In terms of the success rate of health insurance, on the contrary, new enrollees were better than re-enrollees. Fourth, the study showed a higher success rate in smoking cessation in both new and re-enrollees if they had no alcoholic problems. In particular, a higher success rate was observed in re-enrollees when there were no alcoholic problems. To efficiently operate smoking cessation clinics at public health centers, this study confirmed that counseling should be tailored depending on the types of enrollees in the program.

Injection-Acupuncture with Dexamethasone and Modified Moxibustion Treatment of a Downer Cow (기립 불능 우에 있어서 덱사메타손 수침 및 간이 뜸 치료)

  • Kim Duck-Hwan;Liu Jian-Zhu;MacManus Philip;Jennings Padraic;Darcy Karl;Burke Fiona;Slattery Gerry;Rogers Phil A.M.
    • Journal of Veterinary Clinics
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    • v.23 no.1
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    • pp.69-71
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    • 2006
  • An 11-year-old, Shorthorn cow, reared near Gort Co. Galway, Ireland, needed assistance to calve. The cow became a downer on that day postpartum (pp). Injection-acupuncture with dexamethasone was used at lumbo-sacral space, GB30, ST36, GB31, BL40, ST40 and ST41. In addition, modified moxibustion was received at session 1. At session 2, the cow could not stand. At session 3, the cow tried to stand twice by herself but fell down again each time. However, she stood up with slight help on 10 days pp. The present patient was a case with downer cow syndrome which showed improvement of clinical symptoms by injection-acupuncture with dexamethasone plus modified moxibustion.

Effects of Dietary Therapy with Korean Herbal Medicine and Cultivated Wild Ginseng Pharmacopuncture on Change of Body Composition: A Retrospective Study (산삼복합약침과 한약을 병행한 식이요법이 체성분 변화에 미치는 영향: 후향적 연구)

  • Lee, Jin-Hyuck;Kim, Seon-Jong;Lim, Jung-A;Shin, Jung-Min
    • Journal of Korean Medicine for Obesity Research
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    • v.22 no.1
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    • pp.86-92
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    • 2022
  • The purpose of this study was to investigate the effects of dietary therapy with Korean herbal medicine and cultivated wild ginseng pharmacopuncture on change of body composition retrospectively. We analyzed the medical records of 26 patients, who carried out dietary therapy with Korean herbal medicine and cultivated wild ginseng pharmacopuncture at Moemfit Clinic, Charmjin Oriental Medicine for 8-12 weeks. And exercise and nutrition were recommended self-developed food, Moemfit Shake, Moemfit Hankki and walking exercise for one hour a day. The body composition values (body weight, body mass index, body fat mass, skeletal muscle mass, waist-hip ratio, visceral fat area, percent body fat) decreased after dietary therapy with Korean herbal medicine and cultivated wild ginseng pharmacopuncture significantly. But, percent skeletal muscle increased significantly. Results from this investigation showed that dietary therapy Korean with herbal medicine and cultivated wild ginseng pharmacopuncture has positive effects on changes of body compositions.

A Study on the Oral Health Awareness and Behavior in the Higher Grades of Elementary School (초등학교 고학년 학생의 구강보건에 관한 인식 및 행동)

  • Kim, Young-Kyung;Moon, Hyock-Soo;Jung, Jae-Yeon;Han, Su-Jin;Lee, Byoung-Jin;Kim, Eun-Kyeong;Jung, Hye-Ryun
    • Journal of the Korean Society of School Health
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    • v.14 no.1
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    • pp.73-81
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    • 2001
  • The purpose of this study was to collect basic data for the development of effective oral health education program in elementary school. The subjects in this study Were 604 fourth-year, fifth-year and sixth-year students of an elementary school in Seoul, Oral health awareness and behaviors were surveyed and analyzed. The findings of this study were as follows: 1. The most common time for toothbrushing was after dinner(62.0%) and before bedtime(62.3%). By school year, the largest number who brushed their teeth after dinner were fourth and fifth graders while the greatest number who did so after breakfast were sixth graders. Seventy-four percent of respondents brushed the teeth twice or more a day. By school year, the fifth-year students brushed their teeth the least while girls outperformed the boys in daily toothbrushing frequency(p<0.05). Regarding the intake of cariogenic food, 62.1% took that kind of food once or more a day. By school year, the fifth graders took the most (p<0.05), and girls took more cariogenic food than the boys(p<0.05). 2. Ninety percent of the respondents had visited a dental clinic. By grade, the sixth-year students had visited a dental clinic more frequently and girls more frequently than boys. Eighty percent of the respondents visited a dental clinic to receive treatment but just 12.3% visited a dental clinic to prevent oral diseases. Concerning the fear of dental treatment, only 14.4% expressed fear. School year made no difference, yet the percentage of girls who experienced fear was higher than that of boys(p<0.05). Regarding preventive treatment, 39.7% experienced pit and fissure sealing and 24.2% experienced the application of fluorides. All the students hadn't much experience in preventive treatment regardless of school year -- gender didn't make a difference. 3. Fourty-six percent of respondents had a preference for the fluoride mouth rinsing program; 38.4% wanted that program to continue. As to the reason for preference, 38.2% preferred it because of the prevention of dental caries, 43.0%, the largest percentage, didn't favor it because they found it too much trouble to do(some of the respondents gave two different answers). 4. Despite an increase in the frequency of toothbrushing at the right time, they still took cariogenic food frequently. Their visit to a dental clinics also aimed at treatment more than at prevention, and they had very narrow experience of preventive treatment Furthermore, the fluoride mouth rinsing program failed to draw their interest Therefore, it is recommended that a successful oral health education program should be developed.

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Clinical outcomes of three- or five-day treatment with clomiphene citrate combined with gonadotropins and a timed intercourse cycle in polycystic ovary syndrome patients

  • Bae, Sung-Ah;Joo, Jong-Kil;Choi, Jong-Ryeol;Kim, Sun-Suk;Lee, Kyu-Sup
    • Clinical and Experimental Reproductive Medicine
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    • v.42 no.3
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    • pp.106-110
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    • 2015
  • Objective: This study aimed to investigate the effect of a new clomiphene citrate (CC) regimen on preventing thin endometrial lining in polycystic ovary syndrome (PCOS) patients receiving CC plus gonadotropin treatment with a timed intercourse cycle. Methods: A total of 114 women with PCOS were included in this trial. Patients were divided into two groups and treated in accordance with the controlled ovarian stimulation (COS) protocol. In group A, 104 COS cycles in 67 patients were included, and in each cycle 150 mg CC was given for three days, starting from day 3. In group B, 69 COS cycles in 47 patients were included, in which 100 mg CC was given for five days, starting from day 3. The thickness of the endometrium was measured on the day of human chorionic gonadotropin (hCG) injection. Timed intercourse was recommended at 24 and 48 hours after the hCG injection. Results: Additional doses of human menopausal gonadotropin and the number of days of hCG administration were not significantly different between the two groups. Endometrial thickness on the day of hCG administration was significantly larger in group A than group B (4$9.4{\pm}2.1mm$ vs. $8.5{\pm}1.7mm$, p=0.004). The pregnancy rate was significantly higher in group A than in group B (38.4% vs. 21.7%, p=0.030). Conclusion: Three-day CC treatment resulted in a significantly higher pregnancy rate than the standard five-day CC treatment in a timed intercourse cycle in PCOS patients. Facilitating adequate endometrial growth via the early discontinuation of CC might be a crucial factor in achieving a higher pregnancy rate.

The efficacy of intrauterine instillation of granulocyte colony-stimulating factor in infertile women with a thin endometrium: A pilot study

  • Lee, Dayong;Jo, Jae Dong;Kim, Seul Ki;Jee, Byung Chul;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.43 no.4
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    • pp.240-246
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    • 2016
  • Objective: The study aimed to investigate the efficacy of intrauterine instillation of granulocyte colony-stimulating factor (G-CSF) on the day of ovulation triggering or oocyte retrieval in infertile women with a thin endometrium. Methods: Fifty women whose endometrial thickness (EMT) was ${\leq}8mm$ at the time of triggering during at least one previous in vitro fertilization (IVF) cycle and an index IVF cycle were selected. On the day of triggering (n = 12) or oocyte retrieval (n = 38), $300{\mu}g$ of G-CSF was instilled into the uterine cavity. Results: In the 50 index IVF cycles, the mean EMT was $7.2{\pm}0.6mm$ on the triggering day and increased to $8.5{\pm}1.5mm$ on the embryo transfer day (p< 0.001). The overall clinical pregnancy rate was 22.0%, the implantation rate was 15.9%, and the ongoing pregnancy rate was 20%. The clinical pregnancy rate (41.7% vs. 15.8%), the implantation rate (26.7% vs. 11.7%), and the ongoing pregnancy rate (41.7% vs. 13.2%) were higher when G-CSF was instilled on the triggering day than when it was instilled on the retrieval day, although this tendency was likewise not statistically significant. Aspects of the stimulation process and mean changes in EMT were similar in women who became pregnant and women who did not. Conclusion: Intrauterine instillation of G-CSF enhanced endometrial development and resulted in an acceptable pregnancy rate. Instillation of G-CSF on the triggering day showed better outcomes. G-CSF instillation should be considered as a strategy for inducing endometrial growth and good pregnancy results in infertile women with a thin endometrium.