• Title/Summary/Keyword: Diagnosis and prescription

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Diagnostic evaluation and educational intervention for learning disabilities (학습장애의 진단 평가와 교육학적 개입)

  • Hong, Hyeonmi
    • Journal of Medicine and Life Science
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    • v.19 no.1
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    • pp.1-7
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    • 2022
  • Learning disabilities (LD), also known as learning disorders, refers to cases in which an individual experiences lower academic ability as compared to the normal range of intelligence, visual or hearing impairment, or an inability to peform learning. Children and adolescents with learning disabilities often have emotional or behavioral problems or co-existing conditions, including depression, anxiety disorders, difficulties with peer relationships, family conflicts, and low self-esteem. In most cases, attention deficit and hyperactivity disorder coexists. As learning disabilities have the characteristics of a difficult heterogeneous disease group that cannot be attributed to a single root cause, they are diagnosed based on an interdisciplinary approach through medicine and education, such as mental health medicine, education, psychology, special education, and neurology. In addition, for the accurate diagnosis and treatment of learning disabilities, the diagnosis, prescription, treatment, and educational intervention should be conducted in cooperation with doctors, teachers, and psychologists. The treatment of learning disabilities requires a multimodal approach, including medical and educational intervention. It is suggested that educational interventions such as the Individualized Education Plan (IEP) and the Response to Invention (RTI) should be implemented.

The comparison and consideration of indications of herbal medicine through analysis about insured herbal extracts and clinical prescriptions - Focusing on Bojungikgi-tang - (보험처방과 실제 임상처방의 분석을 통한 한약제제 적응증 비교 고찰 - 보중익기탕을 중심으로 -)

  • Park, Jae-Min;Shin, Byung-Chul;Heo, Gwang-Ho;Lee, Byung-Wook
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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    • pp.129-138
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    • 2013
  • Objectives : The discussion of enlargement of Korean Medical insurance has been existed since 1987. But it had less effects. For better discussion, we compared insured herbal extracts and clinical prescriptions. Methods : The database of insured herbal extracts and clinical prescriptions bas set up to compare the ratios of herbal weight and analyze indications of insured herbal extracts and diagnosis and chief complain of clinical prescriptions. Results & Conclusions : The most frequent insured herbal extract is Bojungiki-tang. Analysis about indications of insured herbal extracts and diagnosis and chief complain of clinical prescriptions is that Bojungiki-tang is used frequently for gastrointestinal diseases, pulmonary diseases, and not for diseases. Bojungikgi-tang is also used for muscloskeletal dieases, hemorrhage, and ischemia.

Differential diagnosis of peripheral vertigo (말초성 현기증의 감별진단)

  • Bae, Chang Hoon
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.1-8
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    • 2014
  • Dizziness can be classified mainly into 4 types: vertigo, disequilibrium, presyncope, and lightheadedness. Among these types, vertigo is a sensation of movement or motion due to various causes. The main causes of peripheral vertigo are benign paroxysmal positional vertigo (BPPV), acute vestibular neuritis (AVN), and Meniere's disease. BPPV is one of the most common causes of peripheral vertigo. It is characterized by brief episodes of mild to intense vertigo, which are triggered by specific changes in the position of the head. BPPV is diagnosed from the characteristic symptoms and by observing the nystagmus such as in the Dix-Hallpike test. BPPV is treated with several canalith repositioning procedures. AVN is the second most common cause of peripheral vertigo. Its key symptom is the acute onset of sustained rotatory vertigo without hearing loss. It is treated with symptomatic therapy with antihistamines, anticholinergic agents, anti-dopaminergic agents, and gamma-aminobutyric acid-enhancing agents that are used for symptoms of acute vertigo. Meniere's disease is characterized by episodic vertigo, fluctuating hearing loss, and tinnitus. It is traditionally relieved with life-style modification, a low-salt diet, and prescription of diuretics. However, diagnosis and treatment of the peripheral vertigo can be difficult without knowledge of BPPV, AVN, and Meniere's disease. This article provides information on the differential diagnosis of peripheral vertigo in BPPV, AVN, and Meniere's disease.

Comparative literature study between Ovietal and Western medicine on the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma. (수천(水喘), 화천(火喘) 및 심장성천식(心臟性喘息)의 치법(治法), 처방(處方)에 관(關)한 동서의학적(東西醫學的) 문헌고찰(文獻考察))

  • Kim, Young-Tae;Kwon, Hyuk-Sung;Jung, Sung-Ki;Rhee, Hyung-Koo
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.172-183
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    • 1995
  • According to the literature surrey, we summarized the treatment and prescription for Su-Cheon(水喘), Hwa-Cheon(火喘) and Cardiac Asthma as follows. 1. The aim of treatment for Su-cheam(水喘) is I-Su-Hwa-Daw(利水火痰), Pynng-Cheon-Ick-Qi(平喘益氣) and Mokbangki-tang(木防己湯), Jungryuk daejosapye-tang(亭曆大棗瀉肺湯) Socheong ryong-tang(小靑龍湯), Gagamshinki-hwan(加減腎氣丸) and Shinbi-tang(神秘湯) are often used. 2. The sim of treatment for Hwa-Chean(火喘) is Cheong-Kuem-Kwang-Hwa(淸金降火祛痰) and Backho-tang(白虎湯) and Dodamtang-gamibang(導痰湯加味方) are useful. 3. In Oriental medicine, Sangmak-Sun(生脈散) and Sambutang-gamibang(參附湯加味方) for Ink-Qi-Ryum-Eum(益氣斂陰) and On-Yang-I-Su-Qi(溫湯利水化氣) are often used for cardiac asthma. 4. As the treatment for Su-Cheon(水喘), Hwa-Cheon(火喘), and cardiac asthma are Similar to, it is supposed to be need of careful differential diagnosis and treatment.

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The Research of Wang HaoGu's Eum Syndrom Theory (왕호고(王好古)의 음증학설(陰證學說)에 대한 연구(硏究))

  • Cho, Byung-Il;Kim, Yong-Jin
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.125-135
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    • 2007
  • Eum Syndrom include symptoms which is because by the cold thingsand by the infection of SamEum of TaeEum, SoEum, GualEum in Treatise On Exogenous Febrile Diseases(傷寒論). After Wang HoGo, many medical people had proceed the research of Eum Syndrom, but recently, we have almost never or no nothing research about that. So, I want to make modern base of Eum syndrom, and researched mainly for the "YinZhengLueLi". That can be summarized like below. Eum Syndrom shows firstly red face, tremor, waist-and-leg heaviness, lastly body heaviness, fatigue, narcolepsy, congestion of the pupils because of from exogenous attack of wind-cold, impairment of spleen due to Cold things, and dew and mist and rain and damp's invation by mouth and nose, greedy of sexual desire, So, in the diagnosis of Eum Syndrom, we have to look over precisely the color and pulse, especially, by pulse. We can know that, he used the prescription which are have heating kidney function, Byuklyuksan, Jungyangsan, Huahamsan, Huiyangdan, Baneumdan etc, and the prescription which are have strengthening spleen and kidney, Bujasan, Yukgyesan, Bakchulsan etc. So, we can know that he was very interested in deficiency and cold of kidney's function. While, he newly made the prescriptions of Sinchultang, Bakchultang, Huanggitang, Jujunghuan, and he used various prescriptions.

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A Study of Diagnosis and Prescription of Errors of Fractional Multiplication and Division (분수의 곱셈과 나눗셈 오류 유형 진단 및 지도방안 연구)

  • An, So Hyun;Choi, Chang Woo
    • Journal of Elementary Mathematics Education in Korea
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    • v.20 no.3
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    • pp.457-477
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    • 2016
  • The purpose of this study is to analyze and diagnose the type of errors indicated by the students in the process of calculation of the fractional multiplication and division, and to propose teaching methods, to effectively correct errors. The results obtained through this study are as follows. First, based on the results of the preliminary examination, 6 types of errors of the fractional multiplication and division has been organized. In particular, the most frequent types of errors are algorithm errors. Therefore, a teacher should explain the meaning and concept of fractional multiplication and division. Second, 4 prescription methods are proposed for understanding fractional multiplication and division. Third, according to the results of this study, it was effective to diagnose underachievers' error types and give corrective lesson according to the cause of the error types. Throughout the study, it's concluded that it is necessary to analyze and diagnose the error types of fractional multiplication and division, and then a teacher can correct error types by 4 proposed prescription methods. Also, 5 students showed interest while learning, and participated actively.

A Study on the Correlation between Pulse Energy and Sasang Constitutional Syndromes (맥 Energy와 사상체질병증의 연계 연구)

  • Kim, Dal-Rae;Kim, Sun-Hyung
    • The Journal of Korean Medicine
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    • v.30 no.1
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    • pp.26-39
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    • 2009
  • Objectives: Pulse energy values recorded with an add-pres sure-type pulse apparatus were correlated with Sasang constitutional syndromes in order to match pulse energy values with Sasang prescriptions. Methods: The pulse energy values were measured with Daeyo Pulse Apparatus at the Gwan pulse point of both wrists. Prescriptions were divided into two major categories of interior syndromes or exterior syndromes, and categorized according to major component herbs specific to each of the four Sasang constitutions, and the relationship between the pulse energy and each groups divided by their prescription was studied. Results: About 10% of all people had nonmal pulse energy values. 10% had values over normal range, and $70\sim80%$ had lower values than normal. The normal range of pulse energy was regarded as being between 450 and 700. Conclusions: 1. For patients of the Soeum constitution, prescriptions without Panax ginseng is suitable for patients with high pulse energy, and prescriptions containing Panax ginseng are suitable for patients who have lower pulse energy. 2. All prescriptions for the Soyang constitution containing Rehmannia radix preparata or Comus officinalis are suitable for patients who have lower pulse energy, and prescriptions containing Rehmannia radix or Gypsum fibrosum are applicable to patients with pulse energy values higher than normal. 3. Most prescriptions for the Taeum constitution containing Semen coicis or Semen castaneae are suitable for patients with lower pulse energy, and prescriptions containing Radix puerariae or Radix et rhizoma rhei can be prescribed for patients who have lower pulse energy levels. 4. The Taeyang constitutional prescription Ogapijangcuck-tang is suitable for patients who have higher pulse energy levels and Mihudeungsikjang-tang is better for patients with lower than normal pulse values. As described above, the pulse energy level of each patient can be matched with a specific Sasang constitutional prescription. If this relationship is taken into consideration with other conventional symptoms, it can be helpful in diagnosis, improving efficacy of treatment, and be used as objective evidence.

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Literature Study on Bojoongikgitang and Clinical Application (동의보감(東醫寶鑑) 중 보중익기탕(補中益氣湯)의 임상응용(臨床應用) 연구(硏究) - 문헌고찰 및 활용성을 중심으로 -)

  • You, Seung-Yeol;Lim, Young-Hwan;Kook, Yoon-Bum
    • Herbal Formula Science
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    • v.17 no.1
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    • pp.45-59
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    • 2009
  • To beef up natural immunity, we have used Bojoongikgitang which has been known to treat enervation in the oriental medicine. This study is analyzed out structure material and the chief virtue of a prescription through Literature Study on Bojoongikgitang and Clinical Application. And this study is investigated to make sure of the necessity and additional symptoms in using Bojoongikgitang. The results are as follows : 1. It is regarded that the structure materials of Bojoongikgitang consist of Astragali Radix one jeon(錢) five poon(分), Ginseng Radix, Atractylodis Macrocephalae Rhizoma, Glycyrrhizae Radix one jeon for each, Citri Pericarpium, Angelicae Gigantis Radix five poon for each, Cimicifugae Rhizoma, Bupleuri Radix three poon for each. 2. The necessity symptoms in using Bojoongikgitang are a pale complexion, drowsy eyes(目無精光), vigorless, lethargy, sluggish talk. 3. The fittest prescriptions prior to the necessity symptoms in using Bojoongikgitang are Bojoongikgitang added Paeoniae Radix Alba, Scutellariae Radix in fever, exterior heat, mild fever, Bojoongikgitang added Ephedrae Radix, Tritici Fructus Levis, Aconiti Iateralis Preparata Radix in spontaneous sweating, spontaneous sweating by yang deficiency, Bojoongikgitang added Paeoniae Radix Alba, Scutellariae Radix in feeling the pulse like a flood, largeness and weakness, scatter and largeness, flood and largeness for diagnosis respectively. Bojoongikgitang Entering the heart channel by culturing the blood prescription in vexation, vexation and anxiety, Soongihwajoongtang in headache, DossiBojoongikgitang in rigor, Bojoongikgitang annexed Saengmaecsan in thirst, Daninsamtang or Jojoongikgitang in asthma, asthma by congestion of the upwardness, Eeegongsan in light eating, eschewing food, losing one's appetite, Ikweeseungyangtang in deficiency failing to control blood and blood collapsey. 4. To treat a functional disease is superior to organic one in using Bojoongikgitang.

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Development of a Mini-OCS System for Voluntary Medical Services in the Challenged Regions

  • Park, Junghun;Oh, Dongik;Shin, Wonhan
    • Journal of Internet Computing and Services
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    • v.19 no.5
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    • pp.97-105
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    • 2018
  • In this paper, we present our recent effort on the development of a portable OCS system (SCH-mOCS), which provides minimal but essential functionalities of conventional OCS systems. SCH-mOCS is targeted for the environment where Internet connection is not available and fast processing of essential patient information is needed. The main usage could be found at the outdoor environment, such as voluntary medical services at challenged regions. The target of the first usage of the system is in the rural area of Cambodia where medical service and ICT infrastructure is poor. We have been conducting voluntary medical services for 15 years in Cambodia, where the services usually run for 3 days and include outpatient diagnosis/consultation, medication, and simple surgeries. This medical service started in 2002, where about 20 SoonChunHyang University Bucheon Hospital staffs (doctors, nurses, and pharmacists) participated. We realized that a system like SCH-mOCS is needed: we have to consult many patients in a short period, so that a prompt response and prescription to the patients are very important. However, the conventional OCS system is not suitable, because the service is usually conducted outdoor environment where Internet connected computers cannot be installed. Moreover, since the service needs only a subset of the conventional hospital information system and fast system response, application of a full OCS is not practical. The adequate system is a bare minimal OCS system, with very simple and quickly manageable patient admission, consultation, and prescription functionalities. In this paper, we describe hardware as well as the software aspect of a mini-OCS we have developed for the purpose. We named the system SCH-mOCS (SoonChunHyang mini-OCS). We also describe the usage scenario of SCH-mOCS in order to demonstrate that the system is general enough to apply for other similarly challenged regions.

Potentially Unnecessary Gastrointestinal Drug Use in Patients with Acute Cystitis (외래 급성 방광염 환자에서 잠재적으로 불필요한 위장약 사용)

  • Taeyeon Kim;Song Hyeon Jeon;Nam Kyung Je
    • Korean Journal of Clinical Pharmacy
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    • v.33 no.1
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    • pp.8-21
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    • 2023
  • Background: Gastrointestinal (GI) drugs are often co-prescribed with other medications to prevent GI complications. This study aimed to evaluate the prescribing pattern of potentially unnecessary GI drugs in patients with acute cystitis who were prescribed oral antibiotics and investigate the influencing factors affecting this. Methods: We identified female patients ≥20 years with acute cystitis who visited the outpatient clinic and were prescribed oral antibiotics between July and December by analyzing Health Insurance Review and Assessment Service (HIRA)-National Patients Sample (NPS)-2019 data. Patients with no prior history of GI disorders within 180 days prior to acute cystitis, excluding or including the date of diagnosis of acute cystitis, were selected (Group A and B). Multiple logistic regression analysis was performed to estimate the factors affecting the prescription of potentially unnecessary GI drugs. Results: A total of 1,544 in Group A and 552 patients in Group B were included for the final analysis. Potentially unnecessary GI drugs were prescribed in 1,176 patients in Group A (76.2%) and 231 patients in Group B (41.8%). Third generation cephalosporines and sulfonamides showed the lower odds ratio for prescribing GI drugs than penicillins. Prescribers from Urology clinics showed more than twice odds ratio for the prescription of GI drugs compared to prescribers from internal medicine clinics. Conclusion: The results of this study showed that potentially unnecessary GI drug prescriptions for patients with acute cystitis were high in South Korea. The positive risk factors affecting the prescription of unnecessary GIs were not patient-related factor but healthcare facility and prescriber-related factors.