• Title/Summary/Keyword: Degree of clinical satisfaction

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The Implications of X-ray Use in Chuna Manual Therapy from the Viewpoint of Korean Medicine Doctors

  • Kim, Tae Gyu;Gi, Yumi;Yang, Kyu Jin;Lee, Ki-Beom;Jo, Hooin;Choi, Jongho;Lee, Yoon Jae;Lee, Sanghun;Ha, In-Hyuk
    • Journal of Acupuncture Research
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    • v.35 no.3
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    • pp.108-114
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    • 2018
  • Background: The purpose of this survey study was to understand how utilization of X-rays as an adjunct to Chuna manual therapy (CT) supports treatment, as assessed by Korean medicine doctors (KMDs). Methods: A survey was emailed to all 18,289 members of the Association of Korean Oriental Medicine (AKOM)to determine the implications of X-ray use in CT. Surveys were collected from September 22, 2017 to October 15, 2017. Results: Of the 18,289 KMDs 562 completed the survey. The implications of a radiological diagnosis (X-ray) with CT was assessed using 5 items in a questionnaire: time to diagnosis, accuracy of treatment, patient comprehension and satisfaction, CT effect, and safety of CT. Survey participants identified improvement in patient comprehension and satisfaction as the most important factor for X-ray use with CT, followed by increased safety of CT. From the determinant factors for selection of CT intensity and specific techniques, severity of clinical symptoms was shown to be the most influential factor. Degenerative changes of the spine and degree of spinal malposition were also reported to be highly influential. Conclusion: The KMDs' that participated in this study indicated that utilization of X-rays in conjunction with CT administration improved patient comprehension and satisfaction, and CT safety. Installation of radiological equipment in Korean medicine clinics where CT is provided may increase safety and patients' satisfaction.

A Study on the Perception of Nutritional Education by Students in Elementary School and Their Parents in the Chungnam Area (충남 일부 지역 초등학생과 학부모의 학교를 통한 영양교육에 대한 인식도 조사)

  • Choi, Mi-Kyeong;Bae, Yun-Jung;Kim, Myung-Hee;Lee, Oh-Sun
    • Journal of the Korean Dietetic Association
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    • v.16 no.1
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    • pp.39-48
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    • 2010
  • This study was conducted to assess the perception of nutritional education by students in elementary school and their parents in terms of the degree of satisfaction with school foodservices. The survey was conducted on 322 parents and 322 students using a questionnaire. Most of the students and parents were satisfied with the school foodservices, the most satisfactory component of school foodservice was the "balanced nutrition intake". The students and parents acquired nutritional information from the "school letter" and "Mass media". They trusted professional dietitians, the school and the nutritional information acquired from accredited mass media. In regards to the type of nutritional education, 28.9% of parents preferred "clinical nutrition information on disease" and 26.9% of parents preferred "nutrition information of food". In contrast, 33.7% of the students preferred the "clinical nutrition information on disease" and 25.4% of the students preferred "right eating habit (unbalanced eating, skipping meal)". The top three reasons for wanting to provide offspring with nutritional information was "right eating habit" (48.9%), "correction of unbalanced diet" (19.8%) and "healthy physical strength" (12.1%). The dietitians need professionalism to deliver accurate information and knowledge relating to the subjects that the users demand and the development of teaching media should be conducted to effectively deliver this knowledge.

A Clinical Report on The Atrophic Acne Scar with Subcision (코라테라피(절개침)을 이용한 위축성 여드름 흉터의 치험례)

  • Baek, Sang-Chul;Hong, Mu-Suk;JeGal, Hun;Jin, Yong-Hee;Joo, Tae-Min;Lee, Sang-Jun;Jo, Eun-Hee;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.4
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    • pp.80-88
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    • 2012
  • Background and Objective : Atrophic scars are the most common complication of acne. Many modalities are proposed but each does not yield satisfactory clinical outcomes. Among therapeutic modalities of acne scars, subcision is a simple, safe procedure with a different and basic mechanism for correcting atrophic and depressed scars. However, there are few reports about such procedure. This study performed to evaluate the effect of subcision treatment on atrophic acne scar. Methods : Five patients with atrophic acne scars of various types(rolling, superficial and deep boxcar, pitted and icepick) were treated by superficial dermal undermining with 25~27 gauge needles. We used GASC(Global Acne Scarring Classification). Satisfaction degree was asked from the patients. Results and Conclusions : After observing patients satisfaction, comparing case photos and GASC, it can be considered that subcision treatment brings great results when performed on atrophic post acne scars.

A Clinical Study on Case 4, Hospitalized after Total Hysterectomy (자궁적출술 후 입원 관리를 한 환자 치험 4례)

  • Kim, Mi-Rim;Lim, Eun-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.4
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    • pp.109-120
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    • 2014
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatments on Postoperative symptoms. Methods: The patient was treated with herbal medicine, acupuncture and electronic moxibustion. The efficacy of treatment was evaluated with visual analogue scale (VAS), the degree of symptom relief and presence or absence of symptoms. Results: After hospital care with korean medicine treatments, symptoms such as fatigue, lower abdominal pain, thirst, hot flush, cold hypersensitivity of hands and feet and tinnitus were disappeared. Conclusions: To promote physical strength and reduction of fatigue, intensive hospital care with korean medicine treatment seems to be effective. After discharge, continued outpatient treatment for complications of surgery and menopausal disorder seems to contribute to quality of life and satisfaction for patient who undergoing hysterectomy.

Case Report of 7 Herniated Lumbar Disc Patients Treated by Decompression Therapy and Chuna Treatment (추나치료와 감압치료를 병행한 요추 추간판 탈출증 환자 7례에 대한 임상보고)

  • Kim, Esther;Jun, Kyu-Sang;Song, Yong-Sun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.95-102
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    • 2010
  • Objectives: This study aims to investigate the sense of improvement and satisfaction from 7 cases of herniated lumbar disc patients which was treated with spine decompression&chuna. Methods: Each patient has been treated with spine decompression and chuna treatment. The degree of improvement has been evaluated by VAS(Visual Analogue Scale) and ODI(Oswestry Disability Index) score starting from the day of admission, after 1week, and 2weeks. Results and Conclusions: Through the result, spine decompression and chuna treatment proved to have valid effect for Herniated Lumbar Disc. and there needs more clinical studies into synergy between spine decompression and Chuna treatment.

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Outcomes of Mitral Valve Repair: Quadrangular Resection versus Chordal Replacement

  • Park, Kwon-Jae;Woo, Jong Soo;Yi, Jung Hoon;Park, Jong Yoon
    • Journal of Chest Surgery
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    • v.46 no.2
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    • pp.124-129
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    • 2013
  • Background: Mitral valve repair for posterior mitral leaflet (PML) prolapse has been considered to be a standard treatment because of its high success rate and high level of patient satisfaction. The aim of this study was to evaluate the clinical results of two different techniques of PML prolapse, quadrangular resection (QR) and chordal replacement (CR). Materials and Methods: The subjects consisted of 56 patients who had undergone mitral valve repair for PML prolapse between November 1997 and December 2010. The patients were divided into two groups according to surgical technique. Among them, 31 patients underwent QR (group QR) and 25 patients had CR (group CR). We reviewed the medical records of the patients retrospectively to compare the clinical outcomes of both groups. Results: After mitral valve repair, the degree of mitral regurgitation (MR) in both groups decreased to the to a mild degree or less and the amount of remnant MR was slightly higher in the CR group but it was not statistically different. Three patients received mitral valve-related reoperation (2 in the QR group and 1 in the CR group). Freedom from mitral valve-related reoperation at 7 years was 93% for the QR group and 96% for the CR group and was not significantly different between the two groups. Conclusion: Both QR and CR showed excellent long-term results and were considered equally effective methods for PML prolapse.

Recognition by Occupational Therapists in Korea of the Model of Human Occupation (MOHO) and Its Necessity (인간작업모델(MOHO)에 대한 국내 작업치료사의 인식도와 필요성에 대한 연구)

  • Jong-Min Lee;Ji-Hoon Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.2
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    • pp.77-87
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    • 2024
  • Purpose : The study aim was to determine the present state of occupational therapists in Korea in terms of the Model of Human Occupation (MOHO). We collected basic data for future research by investigating recognition by occupational therapists for applications of the MOHO and the necessity thereof. Specifically, we explored ways to effectively apply the MOHO in occupational therapy. Methods : We conducted a study from December 3, 2023, to January 18, 2024. A survey was administered to 163 occupational therapists. The general characteristics, recognition, and necessity of the MOHO were examined using a frequency analysis and descriptive statistics. Results : The most responses to "degree of ease of access to the MOHO information" were for "disagree" 56 people(34 %). Regarding "degree of satisfaction with information about [the] MOHO," 53 people (33 %) responded with "disagree" (the highest response rate). Only 22 % had applied the MOHO previously. Second, occupational therapists thought that the MOHO should be applied in occupational therapy clinical practice; they also believed that related education was needed for occupational therapy university/college students and occupational therapists. In response to the question, "What channels do you think MOHO education will be helpful for?", 118 people (32 %) answered "continuing education at the association level," and 86 people (23 %) answered "educational institutions aimed at MOHO." Conclusion : Based on these results, I recommend the following. For application of the MOHO in occupational therapy clinical practice, an occupation-based concept must first be established. In addition, related knowledge must be acquired through the expansion of education regarding the MOHO. The efficient application of the MOHO will ultimately lead to improvement in the health of clients.

A clinical report on the acne treatment with AMTS (자동 미세침(AMTS)을 이용한 여드름 치험례)

  • Seong, Eun-Jin;Jo, Eun-Hee;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.3
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    • pp.236-246
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    • 2010
  • Background & Objective : Microneedle therapy system(MTS) is popular these days. However, there are few reports about it in oriental medicine academia. This study is performed to evaluate the effect of MTS on acne patients. Methods : This study was conducted to evaluate the effect of MTS. Seven patients were treated for 7 weeks. Follow-up was performed after the treatment with Janus facial analysis system, skindex-29 and Digital Infrared Thermographic Imaging machine. Satisfaction degree and inconvenience were asked from the patients. Results and Conclusions : Microneedle therapy system(MTS) was good for acne like pore, wrinkle, spot(polarised), sebum, porphyrin and skin tone. Especially it had excellent effects on sebum and porphyrin.

A Study on Operational Status and Management Satisfaction of Dental Laboratories (치과기공소 운영실태 및 경영만족도 조사)

  • park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.38 no.1
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    • pp.23-36
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    • 2016
  • Purpose: The purpose of this study is to suggest direction for dental technicians and management of dental laboratories to contribute to the improvement of oral health of citizens with high-quality dental prosthesis by researching operational status and management satisfaction of dental laboratories. Methods: In order to investigate operational status and management satisfaction of dental laboratories, this study conducted a questionnaire survey by mailing questionnaires to heads of dental laboratories designated as clinical training workshops of Department of Dental Technology of G University and a total of 158 questionnaires were used for analysis. Results: As for gender, males were 142 persons (89.9%) and females were 16 persons (10.1%). For location of the laboratories, number of laboratories in metropolitan cities was 94 (59.5%) while small and that in mid-sized cities was 64 (40.5%). As for the satisfaction with job, those who have managed dental laboratories for 23-30 years ($1.92{\pm}77$), transact with 7-12 dental clinics ($1.70{\pm}75$), had monthly income of 4-8 million won ($1.74{\pm}.80$) and had 8-10 employees ($2.33{\pm}.68$) were the highest in their satisfaction. As for satisfaction with management, those who have managed their business for 15-20 years ($2.86{\pm}.52$), transact with more than 20 dental clinics ($2.00{\pm}.04$), had monthly income of less than 4 million won ($2.00{\pm}.85$) and had less than 3 employees ($2.00{\pm}.62$) were the highest in their satisfaction. As for monthly income, those with less than 2 million won were 24 persons (15.2%), 2-4 million were 64 persons (40.5%), 4-6 million were 40 (25.3%), 6-8 million were 14 (8.9%) and over 8 million won were 16 persons (10.2%). As for number of employees, those with less than 3 employees were 32perosns (20.3%), 4-7 were 82 (51.9%), 8-10 were 26 (16.5%) and more than 11 were 10 persons (6.3%). As for severance payment, 84 persons practiced it according to Labor Standard Act (53.2%) and 34 practice it to a proper degree (21.5%) while 20 did not practice it at all (12.7%) and 20 persons did not respond to the question (12.7%). Conclusion: Although dental laboratories have rapidly expanded in number from 473 in 1986 to 2,400 in 2015, dental technician circles are facing difficulty in their management due to fierce competition and low profitability. Therefore, in order to improve this problem, it is necessary to readjust prices for dental prosthesis to realistic ones.

Treatment of Large and Massive Rotator Cuff Tears: Does Infraspinatus Muscle Tear Affect Repair Integrity?

  • Choi, Sungwook;Yang, Hyunchul;Kang, Hyunseong;Kim, Gyeong Min
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.203-209
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    • 2019
  • Background: Clinical outcomes and prognosis of large and massive rotator cuff tears are known to be unpredictable not only in degeneration of the rotator cuff, but also due to a high rate of retear. Methods: Totally, 81 patients who had undergone arthroscopic rotator cuff repair from May 2008 to February 2016 were evaluated in our study. Clinical and functional evaluations were performed with the Constant score and the University of California, Los Angeles (UCLA) score, as well as full physical examination of the shoulder. All patients were confirmed to have magnetic resonance imaging (MRI) of tendon healing at least 1 year postoperatively. Results: The average age at the time of surgery was 65 years (range, 47-78 years). The average duration of postoperative time in which a follow-up MRI was performed was 36.1 months (range, 12-110 months). Large tears were present in 48 cases (59.3%) and massive tears in 33 cases (40.7%). Overall, there were 33 retear cases (40.7%). All the average clinical outcome scores were significantly improved at the last follow-up (p<0.001), although repair integrity was not maintained. Compared to type A, types C, and D of the Collin's classification showed significantly higher retear rates (p=0.036). Conclusions: Arthroscopic rotator cuff repair yields improved clinical outcomes and a relatively high degree of patient satisfaction, despite the repair integrity not being maintained. Involvement of the subscapularis muscle or infraspinatus muscle had no effect on the retear rate.