• Title/Summary/Keyword: Clinical Records

Search Result 2,228, Processing Time 0.024 seconds

A Study of Queen Inhyun's death through the Clinical Records in Seungjeongwon Ilgi (인현왕후의 발병에서 사망까지 "승정원일기"의 기록 연구)

  • Pahng, Sung-Hye;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
    • /
    • v.18 no.1
    • /
    • pp.1-11
    • /
    • 2012
  • The objective of this article is to investigate from what kind of disease Queen Inhyun(仁顯王后) died through the clinical records written in Seungjeongwon Ilgi("承政院日記"). The method to do this study was to search the records of Seungjeongwon Ilgi("承政院日記") from Sukjong 26th year to 27th year on the website databased and serviced by National Institute of Korean History. The results was as follows. According to the website search, Queen Inhyun(仁顯王后) suffered from purulent coxarthritis for one and a half year. As time passed by, the lesion of disease spread to her abdomen and heart. Finally, she died of difficulty in breathing.

A Study on the Educational Meaning of Medical Records written in Shanghanjiushilun (『상한구십론(傷寒九十論)』에 기재된 의안(醫案)의 교육적 의의 고찰)

  • Ahn, Jin-hee
    • Journal of Korean Medical classics
    • /
    • v.31 no.1
    • /
    • pp.113-125
    • /
    • 2018
  • Objectives : The purpose of this paper is to investigate the educational meaning of Shanghanjiushilun in Shanghanlun education. Methods : The formal characteristics in medical records were compared between Shanghanjiushilun and the other 5 kinds of medical record books and the educational meaning was drawn by analysing medical records of Shanghanjiushilun a little more deeply. Resultss & Conclusions : 1. In a formal aspect, although Shanghanjiushilun is inferior to Liuduzhou's Clinical Medical Records Selection, it has merits in that it explains through quoting medical literature. 2. Xushuwei explained treatment based on syndrome differentiation in the new point of view in Shanghanjiushilun. 3. Through Shanghanjiushilun medical records Xushuwei's work to explain treatment based on syndrome differentiation in Shanghanlun in the new perspective is an effort to read medical classics to keep up with the times and has sufficient educational significance.

The PHR Pilot Service for Specific Cancer Patients (특정 암 환자를 PHR 파일롯 서비스)

  • Hwang, Ein Jeong;Kim, So Hyun;Oh, Do Hoon
    • Journal of the Institute of Electronics and Information Engineers
    • /
    • v.51 no.6
    • /
    • pp.162-168
    • /
    • 2014
  • 'Personal Healthcare Records' (PHR) is a service for providing individual clinical data to patients. PHR service should be useful for the patient and healthcare service providers. This study has aimed at not only providing patients' clinical data but also developing optimized healthcare service for every patients. The research has been conducted as 3 phases: formal case analysis, caregivers interviews and patients interviews. The patients interviews were limited to cancer patients. As results, 3 key functions have been developed. First, it offers patient's clinical pathway as a personalized medical treatment scheduler. Second, it supplies Question & Answer board on online. Last, it supports patients to input their healthcare record. This Myongji PHR service has 3 months of pilot test on web and mobile application(android version). For further commercialized PHR service, the standardization for clinical pathway registration and user convenience need to be considered.

Nursing Professor's inspection and Status of Patient's Records and Informed Consent for Clinical Practice of Nursing Student in Korea and Japan (한·일 간호대학생의 임상실습 시 환자의 설명동의 및 기록관리와 지도실태)

  • Cho, Yooh-Yang;Kim, In-Hong;Yamamoto, Fujie;Yamasaki, Fujiko
    • Journal of agricultural medicine and community health
    • /
    • v.31 no.1
    • /
    • pp.35-46
    • /
    • 2006
  • Objectives: In recently. the management and protection on individual information in patient's medical & nursing records have been very important, and that need a guideline. The purpose of this study was to investigate the status of using the patient's nursing records of nursing students in clinical practice, to find and discuss the patient's informed consent, and status of education and management concerned to patient's nursing records. Methods: This study used a mailing survey. data collected from September 24th to October 31th in 2002. The subject were 333 professors who are major in adult nursing, pediatric nursing, psychological nursing of 111 university of nursing department and nursing college. And then we received the survey mail from 103 professors that respondent rate was 30.9%. Results: The characteristics of study subjects showed 49.0% of university. 51.0% of college of nursing. 50.0% of the subjects practiced point the patient by oral approval in clinical practice. But when the decision of the patient was very difficult, 21.6% of the subjects take to informed consent from his or her families. During the clinical practice, 49.0% of the subjects were explain to patient about clinical practice and contents of the nursing student, only 7.8% of the subjects were explain to patient with nursing records. 52.0% of the subjects were took out records from the hospital, only 17.6% of the subjects had standard of the patient's informed consent and standard of handling practice records. 17.6%-92.2% of the subjects that educate and manage concern to patient's nursing records.

  • PDF

A Study on the Relationship between Professional Self-concept, Interpersonal Relationship, Coping, Clinical Practice Satisfaction of Nursing College Students (간호대학생의 대인관계, 대처 및 임상실습만족도가 전문직 자아개념에 미치는 영향)

  • Yoo, Jang-Hak;Choi, Hee-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.20 no.3
    • /
    • pp.553-561
    • /
    • 2019
  • This study examined the relationship between professional self-concept, interpersonal relationship, coping, and clinical practice satisfaction of nursing college students. This was a descriptive study. The survey participants were 355 students in M city and I city. The data were collected from May 29 to June 16, 2017 and self-report questionnaires, including the Professional Self-concept Scale, Interpersonal Relationship Scale, Coping Scale, and Clinical Practice Satisfaction Scale. The data were analyzed by descriptive statistics, independent-samples t-test, ANOVA, and stepwise multiple regression. Professional self-concept showed significant differences according to religion, income, and school records. Interpersonal relationships showed significant differences according to gender, income, and school records. Coping showed significant differences according to the school records. Professional self-concept had a statistically positive correlation with interpersonal relationship, clinical practice satisfaction, and approach coping. Stepwise multiple regression analysis showed that the predictor of professional self-concept was interpersonal relationships, approach coping, religion, school records, and avoidant coping, which accounted for 45.2% of the variance. These results highlight the need for enhancement programs of nursing college students' professional self-concept that consider their interpersonal relationships, coping, religion, and school records.

A study on middle 10 medical records in "Chimgudaeseong(鍼灸大成)" ("침구대성(鍼灸大成)" 의안(醫案) 중 이질(痢疾), 간질(癎疾) 등 10안(案)에 대한 연구(硏究))

  • Kwon, Oh-Hyeok;Jo, Hak-Jun;Lee, Jae-Hyok
    • Journal of Korean Medical classics
    • /
    • v.21 no.4
    • /
    • pp.13-28
    • /
    • 2008
  • We have known that "Chimgudaeseong(鍼灸大成)" had been written by Yanggyeju(楊繼洲) in Ming(明) dynasty. And it had been the only text book of acupuncture & moxibustion for 300 years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of author. The reading medical records is one of the best way to develop one's abilities of curing a disease without clinical practice. so we can't help dealing with medical records, because it is one of important method of understanding Oriental Medicine. On this study, we investigate a objective method on understanding medical records in "Chimgudaeseong(鍼灸大成)".

  • PDF

The Effect of the Immediate Postoperative Nutritional Status in Liver Transplant Recipients in SICU on Clinical Outcome (간이식 환자의 수술 후 영양상태가 건강상태에 미치는 영향)

  • Ha, Ji Su;Choi-Kwon, Smi
    • Journal of Korean Biological Nursing Science
    • /
    • v.15 no.4
    • /
    • pp.193-201
    • /
    • 2013
  • Purpose: The purpose of the study was to evaluate the effect of the immediate postoperative nutritional status and calorie adequacy on clinical outcomes in liver transplant recipients. Methods: A total number of 99 patients who received liver transplants were recruited from a tertiary university hospital. Demography, subjective global assessment, clinical outcomes and calorie adequacy were evaluated through personal interviews, electronic medical records and dietary records. Anthropometric measures, body mass index and percent of ideal body weight were also obtained. Results: At admission to the Surgical Intensive Care Unit (SICU), the triceps skinfold thickness and mid-arm muscle circumference were significantly lower in the malnourished group than in the well-nourished group (p<.05, respectively). In the clinical outcomes, transfusion of red blood cells, mechanically ventilated hours, length of stay in the Intensive Care Unit (ICU), length of stay in the hospital, and prothrombin time were significantly higher in the malnourished group than in the well-nourished group (p<.05, respectively). The mechanically ventilated hour was significantly higher in the group with less than 50% of their required energy intake (p<.05). Conclusion: Therefore, it is important to assess the nutritional status of immediate postoperative patients. Furthermore, studies on nutritional interventions are urgently needed to provide adequate nutritional care for patients in ICUs.

A Survey on Ancient Literature Records on Woohwangchungsim-won and its potential clincial application (우황청심원의 고문헌기록 및 실험적 연구결과 분석을 통한 임상응용 확대의 필요성 고찰)

  • Oh, Young-Taeck;Oh, Hyeon-Muk;Kim, Seo-Woo;Kim, Won-Yong;Son, Chang-Gue;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
    • /
    • v.26 no.1
    • /
    • pp.1-10
    • /
    • 2017
  • Objectives: The aim of this study is (1) to investigate the historic changes and pharmacological efficacies of Woohwangchungsim-won and (2) to discuss the necessities for Woohwangchungsim-won's clinical applications. Methods: This study was performed through (1) investigating the ancient literature records related with Woohwangchungsim-won and analyzing Woohwangchungsim-won's composition, dosage and indications, (2) searching articles about Woohwangchungsim-won on 10 major Korean web and 3 major foreign web article search engines and analyzing Woohwangchungsim-won's pharmacological efficacies and indications. Results: Woohwangchungsim-wom has been used for cerebrovascular diseases such as stroke and palpitation. Also, there are some ancient literature records of Woohwangchungsim-won's clinical applications in neuropsychiatric disorders such as depression and bipolar disorder. In addition, there have been a number of experimental studies which demonstrate Woohwangchungsim-won's neuroprotective effect on cerebral cortex and hippocampus injury. So, it is possible to infer that Woohwangchungsim-won can be used for the treatments of neuropsychiatric disorders associated with neuronal cell death in cerebral cortex and hippocampus. But there have been no or less experimental studies which demonstrate the pharmacological efficacy of Woohwangchungsim-won on such disease. Conclusion: It is necessary that further experimental studies which demonstrate Woohwangchungsim-won's pharmacological efficacy on neuropsychiatric disorders should be done and Woohwangchungsim-won's clinical applications should be expanded on the basis of those related experimental results.

  • PDF

A Study on the Clinical Utilization of Personal Health Records of Stool and Urine in Korean Medicine (대소변 개인건강기록의 임상연계 활용 연구)

  • Kim, Anna;Kim, Sanghyun;Lee, Seungho;Kim, Young-eun;Jang, Hyunchul
    • Journal of Korean Medical classics
    • /
    • v.32 no.1
    • /
    • pp.133-143
    • /
    • 2019
  • Objectives : In this study, we analyze the medical significance of feces symptoms so that the daily records of the feces of individuals can be not only used as a measure of individual health monitoring in daily life, but also more actively connected to the medical treatment of the Korean Medicine (KM). Methods : Categories and clinically significant attributes for symptoms of Urination and defecation in the KM ontology DB are determined, and connected to KM related dialectical indicators by experts' common criteria including Viscera and Bowels [臟腑], eight principles [八綱], Qi Blood fluid and humor phlegm-retained fluid static blood [氣血津液痰飮瘀血], six excesses [六淫]. Results : The analysis of the symptoms of feces in the Korea Medicine ontology shows that the symptoms of stool in categories of 'stool stiffness', 'blood swelling', 'discomfort' are highly ranked among the overall clinical symptom categories. In the case of urine symptoms, symptoms corresponding to 'urine color,' 'urine discomfort,' and 'urine volume' are the top rankers among other total clinical symptoms. In the case of stool, the relationship between the symptom of stool and the categories of spleen, stomach, and colon is increased as the weighted symptom is considered. The relationship between the symptom of urine and the categories of the small intestine and the bladder is increased in the same way. Conclusions : This study could help better utilize the personal generated health records of feces in clinical practice of Korean Medicine.

Study of Gyeongbosinpyeon, a Late Joseon Medical Records (조선 후기 의안(醫案) 『경보신편(輕寶新編)』 연구)

  • Jeon, Jongwook
    • Journal of Korean Medical classics
    • /
    • v.30 no.1
    • /
    • pp.185-209
    • /
    • 2017
  • Objectives : The objective of this paper is to review the healing processes employed in the traditional age and discover the unique features found in the Korean Medicine through categorizing and analyzing the distribution of patients, and the aspects and results of treatments as recorded in Gyeongbosinpyeon, a historical text thought to have been authored by a regional doctor active in Joseon during the mid- to late-19th century. Methods : A table is created to view all of the total of 141 medical records introduced in the Gyeongbosinpyeon, and 7 categories were created to each contain 2 to 3 medical records that have special images. The paper provides their translation texts along with the original texts, and analyzed their medical and social significances by comparing each medical record. Results : The clinical competence displayed by the doctor who had worked in Joseon during the 19th century was surprisingly high, and it seems its values are worthy of dissemination when compared with Yeogsimanpil that has been introduced to the world. There is a great significance in how the principle of holistic treatments, the fundamental aspect of Joseon's medical study, was adhered. Additionally, the parts that show the historical text's author's medical activities and their unique characteristics are also worthy of attention. Conclusions : Korean medicine possesses a remarkable text called Donguibogam, but clinical behaviors' successes are not guaranteed solely with textual knowledge. It can be witnessed that such texts of authority and such medical records that have recorded actual activities complement each other in order to improve the quality of Joseon's study of medicine.