• Herbal Formula Science
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• v.15 no.1
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• pp.49-105
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• 2007

Objectives : Select and analyze the case record of dyspnea and wheezing asthma recorded in Xu Ming Yi Lei An that is the most abundant and wide in contents in existing case records that are systematic, comprehending relatively modern Traditional Chinese Medicine to secure more deep and objective basis of Traditional Chinese Medicine approach for dyspnea and wheezing asthma to analyze and review possibility for clinical application in this study. Methods: The study was conducted with the case records of dyspnea and wheezing asthma in whole Xu Ming Yi Lei An. Pattern identify and classify selected case records and again classified with deficiency syndrome and excess syndrome. Also analyzed prescriptions and herbs used in the case records. Nature of herbs and properties and flavors that were used in the case records were classified and frequency of each nature of herbs were analyzed. Applicable case records were interpreted and suggested prescriptions, pulse feelings, pattern classification were analyzed and described. Results : Among the 5254 case records stated on the complete collection, it is researched that there are 63 case records for the symptom complex of dyspnea as 1.2% of the whole case records, and the case records on the symptom complex of wheezing asthma are 14 as the 0.27% of the total examples. 63 case record examples related with symptom complex of dyspnea were pattern identified and classified. As a result, deficiency syndrome of the Kidney(33 %), deficiency syndrome of the Spleen(26.0%), Wind-Cold(12.3%), phlegm turbidity(12.3%), Heat in the Lung(8.2%), asthenia of the Lung(8.2%) were investigated as above order. 14 case record examples related with wheezing asthma were pattern identified and classified. As a result, phlegm-Heat(26.3%), upper excess and lower deficiency(26.3%), external affections Wind-Cold(15.8%), Dampness-phlegm(10.5%), Lung asthenia(10.5%), Cold phlegm(5.3%), mutual deficiency and detriment of Heart and Kidneys(5.3%) were investigated as above order. Symptom complex of dyspnea has 67.1% of deficiency syndrome, 32.9% of excess syndrome resulting more deficiency syndrome than excess syndrome. Symptom complex of wheezing asthma has 42.1 % of deficiency syndrome and 57.9% of excess syndrome resulting more excess syndrome than deficiency syndrome. In case of symptom complex of dyspnea prescription used in the case record, the order of frequency is as following. Palmijihwang-tang, Bojung-ikgitang, Yungmijihwang-tang, Ijintang, Sojaganggitang, Igongsan. In case of symptom complex of wheezing asthma prescription in the case record, Yungmijihwang-tang, Ohotang, Dodamtang were mostly used. Herbs used in case records of symptom complex of dyspnea are Ginseng Radix, Poria, Glycyrrhizae Radix, Aconiti Iateralis Preparata Radix, Atractylodis Macrocephalae Rhizoma, Dioscoreae Rhizoma, Angelicae Gigantis Radix, Rehmanniae Radix Preparat, Pinelliae Rhizoma, Zingiberis Rhizoma Recens are mostly used. Nature of herb properties used for symptom complex of dyspnea and symptom complex of wheezing asthma are herbs that are warm properties. When the symptom complex of dyspnea and the symptom complex of wheezing asthma were treated. if the patient felt tenderness at Pyesu, doctors conducted pricking blood around the opposite Pyesu or Sipseon acupoint. when the patient didn't have tenderness at Pyesu by soft press, pricking blood was performed both sidees, right and left Pyesu. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, when they got treatment, when the symptom complex of disease is severe, a doctor cauterized the opposite Pyesu while the other Pyesu felt tenderness, and decided how the above treatment is performed whether the degree of the symptom compolex of disease is severe or not. In case of the treatment of symptom complex of dyspnea and symptom complex of wheezing asthma, if the person felt tenderness at Pyesu and is caught by the Wind-Cold pathogen, slight acupuncture is treated at relevant Pyesu with Fire needling. When patient with symptom complex of dyspnea and symptom complex of wheezing asthma cannot hawk sputum up from the oral and laryngopharynx, suction method is treated. Conclusion : With this study, actual traditional and clinical pattern identification form and characteristics of symptom complex of dyspnea and symptom complex of wheezing asthma were recognized. Modern case report utilizing in clinical application need to be secured and an incurable disease asthma need to be diagnosed and improvement for treatments have to be searched through other case records.

• Journal of the Korea Convergence Society
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• v.9 no.4
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• pp.111-118
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• 2018

This study is a qualitative analysis that conducted a focus group interview to analyze the experiences of daily life of the elderly living alone and their chronic diseases management, and to explore the meaning, nature, and difficulties associated with. The subjects of this study were elder who lives alone without cognitive impairment and over 65-year-old. There were total 31 people and divided into 5 groups and they had 60 minutes interview. By this study, there were four themes of 'difficulties of daily life', 'suffering from chronic diseases', 'fear of the future', 'acceptance of life'. In conclusion, the elderly living alone felt difficulty in daily life due to physical aging and chronic illnesses, and they felt that they were accepting life at the same time while feeling the fear of the future situation. Therefore, in order to improve the life satisfaction and life quality of elderly people living alone, it is necessary to provide institutional devices that enable daily life such as meals and laundry to be maintained and to develop of an intervention program in order to maintain physical health. In addition, an intervention program should be developed to reduce the fear of future uncertainty and positively accommodate the life.

• Journal of the Korea Convergence Society
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• v.12 no.11
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• pp.359-369
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• 2021

In this study, a complex sample logistic regression analysis was performed to identify the factors affecting the activity restriction of 2,701 normal elderly and chronically ill elderly aged 65 and over using raw data from the 8th period of the National Health and Nutrition Examination Survey. It was found that the elderly with chronic disease felt more restricted in their activities than the normal elderly. Activity limiting factors in stroke and hypertension patients are subjective health status, economic level, stress perception, and moderate-intensity work and leisure. The factors limiting activity in patients with heart disease were subjective health status and economic level, and factors limiting activity in patients with joint disease were subjective health status and high-intensity work and leisure. Activity limiting factors for lung disease patients are education level, high intensity work and leisure, and endocrine system activity limiting factors include subjective health status, stress perception, high intensity work and leisure, and activity limiting factors for cancer patients. is subjective health status, stress perception, moderate-intensity work and high-intensity leisure. Rehabilitation programs and policy support are needed for the continuous participation of the elderly with chronic diseases.

• The Journal of Internal Korean Medicine
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• v.28 no.1
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• pp.47-67
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• 2007

Objectives : This study was aimed to investigated the warning signs and its relationship with the other characteristics in acute stroke patients. Methods : 225 acute stroke patients were recruited at the Department of Cardiovascular and Neurologic Diseases (Stroke Center) of Kyung Hee University Oriental Hospital from October 2005 to September 2006. We evaluated their stroke type with brain MRI, their warning signs, and general characteristics such as age, sex, past history, risk factors, etc. Results : 225 subjects were included in the final analysis. In the subjects' general characteristics, the most common etiology of stroke was small vessel occlusion. In the assessment of the subjects' warning signs, the frequency of tension felt at the cervical area was highest followed by blepharospasm, sensory dysfunction (one side of numbness, tingling sensation, dead sensation), one side paralysis or weakness, etc. After analyzing etiology, cerebral hemorrhage had more facial spasm sign and hypertension than cerebral infarction. On the other hand, cerebral infarction had more diabetes and sensory dysfunction (one side of numbness, tingling sensation, dead sensation) than cerebral hemorrhage. Among stroke locations, subjects with their brain lesion in the cortex had more warning sings of motor dysfunction such as one side paralysis, or weakness. Multiple lesions showed a close relationship with smoking habit and were more common in males than in females. The under 65 years old group were more commonly associated with alcohol consumption, accidental mental stress and blepharospam than the over 65 years old group. In the group of under 65 years old, males more commonly had lesions in occipital lobe, alcohol consumption and smoking habit than females. Otherwise, females more commonly had vision dysfunction and blepharospasm than males. In the group of over 65 years old, males more commonly had cortex lesion than females. On the other hand, Females more commonly had accidental mental stress than males. Conclusions : We observed various warning signs and their distribution in acute stroke patients. The subjects' brainlesions and their etiology seemed to affect the features of the warning signs. Hypertension, diabetes and hyperlipidemia were also related to etiology of stroke and some habitual problems such as smoking and drinking seemed to reduce the age of stroke ictus. Although a concrete conclusion can hardly be drawn from this study, it reminds physicians of the importance of warning signs which appear among their patients.

• Journal of the Korean Dietetic Association
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• v.23 no.2
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• pp.202-213
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• 2017

The purpose of this study was to provide basic data for the development of medicinal herbs, which are useful for the treatment of chronic diseases and physical characteristics of the elderly. A total of 151 adult women aged 65 years or older currently living in Daejeon were enrolled. The contents of this study were parents' health status, recognition of the necessity for a dietary therapy, awareness of medicinal herbs, requirements for medicinal herbs, physician of medicinal herbs and obstacles to medicinal herbs. Based on these results, the differences in the perception of medicinal herbs according to the dietary needs group as well as differences in the perception of medicinal herbs according to medicinal herbicidal groups were analyzed. Of the 151 subjects, 90.7% were married, and 44.4% of them were aged between 40 and 49. Most of the patients were aged in their 70s (68.9%), and 79.5% of had chronic illnesses such as high blood pressure, hyperlipidemia, arteriosclerosis, and heart disease. It is recognized that dietary therapy is necessary for the treatment of diseases, and awareness of medicinal herbs is low but necessary. As for the requirements for medicinal herbs, the most favored was 'porridge for the prevention and treatment of diseases', and 72.2% of medicinal herbs were physicians. However, problems cited were availabitity of ingredients, cooking technique, price of ingredients, and others. In addition, both groups requiring dietary therapy and having high awareness of medicinal herbs felt that medicinal herbs would be helpful in treating diseases. Therefore, it is necessary to provide a simple medicinal herb recipe for each disease and to develop anti cooked medicinal herbs.

• Journal of Preventive Medicine and Public Health
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• v.47 no.4
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• pp.236-243
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• 2014

Objectives: Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants' compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

• Journal of Korean Academy of Nursing
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• v.27 no.3
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• pp.683-693
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• 1997

Urinary incontinence is defined as the involuntary and inappropriate loss of urine to failure to emit normal responses as the bladder fills, or inability to reach the bathroom in sufficient time. This study was undertaken to estimate the incidence of urinary incontinence and to determine the correlates of urinary incontinence among women. Subjects of this survey consisted of 408 women, 26 to 83 years old in Incheon. The results of this study are as follows. 1. Of the subjects 50.7% reported urine loss once or twice per year and 28.5% reported incontinence on a regular basis at least once per month. 2. 40.5% of women reported small volume accidents of only 1 to 2 drops, 31.4% ; 1 t-spoon, 16.9% : 1 T-spoon, while 10.1% of women couldn't estimate the volume of urine loss. 3. The volume of urine loss was great enough to require a change of garment (undergarments or outer garments) in 73%. But only 3.8% of those used some type of pads. 4. 56.5% of incontinent women didn't talk about their urinary incontinence with other persons because they felt that urinary incontinence was shameful(38.4%), was not a disease(31.6%), was incurable in spite of treatment(27.4%) and was fearful of being uncured (2.6%). 5. Only 15.5% of urinary incontinent women had sought treatment. 6. The incidence of urinary incontinence was significantly higher in women who had more pariety and uterine-ovarian disease, older age, worrying about where toilets were when they visited new places or voiding anxiety, nocturia and frequency, but was significantly lower in women who had coffee intake. The incidence of urinary incontinence was not related to smoking and enuresis. The results indicate that urinary incontinence is common among young and middle-aged women. That few seek treatment for urinary incontinence suggests a need for more information about women's attitudes toward urinary incontinence and more attention to this problem by health care providers.

• Proceedings of the Korea Contents Association Conference
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• 2017.05a
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• pp.103-104
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• 2017

Objectives: The manufacturing industry was the one with the most repeated occurrence industrial disasters, and it is important to study the safety environment known by workers in the industry in order to prevent industrial accidents. Methods: Research objects were 1,123 male among members of employees who responded to 2015 PSWCI panel report. Research objects underwent affected subjective health and then categorized subjects into some groups according to changes in employment condition during one year. Statistical analyses were performed using the SAS version 9.4 (SAS Institute Inc., Cary, NC, USA). Results: According to results of analysis, manufacturing industry had differences in economic activity and health conditions based on employees conditions. Dynamic change aspects of manufacturing industry condition had differences between sex and cases where going back and forth between temporary condition and unemployment status had higher percentage in male. Conclusions: The results of this study may serve as the refer to taking a bill to improve the level of safety of the work environment felt by employees in the manufacturing industry.

• Journal of Oriental Neuropsychiatry
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• v.24 no.4
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• pp.373-384
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• 2013

Objectives: The purpose of this study is to understand the cognition of the initiation of diseases of North Korean refugees in South Korea. Methods: 9 North Korean refugees hospitalized in Oriental Neuropsychiatry of National Medical Center participated in the interview. The statements were analyzed by using the phenomenological research methodology and Giorgi's analytical method, in particular, was applied. Results: A total of 4 categories and 15 sub categories were derived from the participants' descriptions. North Korean refugees who thought their diseases have begun while living in North Korea coming to South Korea, have fire disease because of the strict social system, limitations imposed on their actions, and the violence of their husbands. And who thought during escaping from North Korea, have anxiety about being killed, found and transferred to North Korea. They also suffered from a sense of guilt towards their family who were left behind as well as from depression. Consequently, they thought their skeletal diseases have begun during this period. Who thought during their period in Korea, their diseases like fire disease and depression have been worsen because of unfamiliar circumstances and doctors who said their problems had been caused by psychiatric disorder. Nevertheless, they did their jobs, felt happy and had a will to be cured thingking possibilities of overcoming diseases. Conclusions: These results suggest that various factors during different periods in the life of North Korean refugees could have an effect on their present diseases.

• Journal of Korean society of Dental Hygiene
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• v.7 no.3
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• pp.273-284
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• 2007

Oral health in youth is very important because this period influences life for adult remarkably. Therefore, more effective oral health education and recognition of early treatment for oral disease are required sincerely. For more effectual education for high-school students, it is necessary to consider their circumstance like obesity and smoking. This study will analyze the correlation oral health behavior with obesity and subjective oral health concerns. In addition to, the actual condition of smoking for high-school girls and oral health condition will be verified. A survey was progressed for high-school girls in Busan city and BMI(body mass index) was used for classification of weight. The statistical significance was analyzed using SPSS 13.3 for Windows. Results of this study is following. 1. The frequence of daily toothbrushing was significantly different with obesity although difference of oral health knowledge was not significant. The frequency of toothbrushing of overweight students were lesser than the others. This results may be caused by low-level for oral health concerns and by passive life style of fat person. This habit has possibility of causing serious periodontal disease like periodontitis and tooth caries. 2. The correlation of obesity and time of brush change, using for supplement, and recent dental institution was insignificant. However, concerns of oral health were showed significantly according to obesity. Under-weight and standard-weight students were more concerned about oral health than over-weight. This results can be related to frequence of toothbrushing for fat subject. This relevance of two factors was confirmed by logistic regression analysis. 3. Approximately 70% students have smoking experience responded to uncomfortableness of periodontal conditions. On the other hand, non-smoking students felt uncomfortable in 50%. This results indicated that smoking have an effect on oral health condition. Further study which identify periodontal conditions practically has to go on for verification of direct correlation smoking and oral health.