• Title/Summary/Keyword: History taking

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The influence of hysterectomy on LBP investigated through Oriental Medicine theory : Clinical study. (자궁적출술이 요통에 미치는 영향에 관한 한의학적 연구)

  • Kang, In;Song, Joo-Hyun;Moon, Ja-Young;Lim, Myung-Jang;Cho, Jae-Hee;Lee, Hyo-Eun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.2
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    • pp.117-122
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    • 2007
  • Objectives : The purpose of this study is to investigate the influence of hysterectomy on Low Back Pain(LBP) and to describe it through Oriental Medicine theory. Methods : Research was conducted by history taking of 1849 female LBP patients who visited Jaseng Oriental Medicine Hospital. Investigation was focused on the number of patients who underwent hysterectomy, and the length of time developing LBP after the surgery. Results : 178 patients(9.6%) underwent hysterectomy among 1849 patients, and it was higher than general rate of hysterectomy. In Oriental medicine, this result can be explained that it is caused by the lack of water function of spleen(腎水) from the absence of uterus, consequently it makes muscle weak and does harm to Blood and Meridian. Conclusions : History of hysterectomy has a significant influence on the development of LBP.

1 Case of Iron Deficiency Anemia treated with Gwibitang(歸脾湯) plus(合) Samultang(四物湯) in the Patient of Cerebral Hemorrhage (뇌출혈(腦出血) 환자의 철결핍성(鐵缺乏性) 빈혈(貧血)을 귀비탕합사물탕(歸脾湯合四物湯)으로 치료한 임상(臨床) 1례(例))

  • Ko, Hyun;An, Hyo-Myug;Hwang, Kyu-Dong;Lee, Eun-Suk
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.877-881
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    • 2000
  • Anemia is present in adult if the hematocrit is less than 41%(hemoglobin <13.5g/dL) in males or 37%(hemoglobin <12g/dL) in females. In taking the history, congenital anemia may be suggested by the patient's personal and family history. Poor diet results in folic acid deficiency and may contribute to iron deficiency. Bleeding should always be considered in iron deficiency. Object : The symptoms of this patient are easy fatigability, dizziness, anorexia and paleness of the face. This women is the patient of iron deficiency anemia, cerebral hemorrhage and hypertension. Medication : Gwibitang(歸脾湯) plus(合) Samultang(四物湯) and feroba are dispensed for 30 days. Result : After 30 days, HCT Hb Iron of the laboratory findings are increased and TIBC of the laboratory findings is decreased.

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The History of Korean GMP (우리나라 GMP 변천사)

  • Paik, Woo-Hyun
    • YAKHAK HOEJI
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    • v.59 no.1
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    • pp.40-46
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    • 2015
  • The term "GMP" firstly came on the 1962 amendment of the Federal Food, Drug and Cosmetic (FD&C) Act and the US FDA established and officially announced the Good Manufacturing Practice Regulation for the first time in the world in 1963. In 1969, the World Health Organization published the GMP regulation and recommended that member states adopt the GMP regulation and implement the "GMP Certification Scheme" for international commerce of finished pharmaceutical products. As a result, GMP requirements have become important ones that have to be complied with in the manufacture of pharmaceutical products. The Korean GMP regulation was announced as the official notification by the Ministry of Health and Social Affairs in 1977. The KGMP regulation was voluntarily adopted by pharmaceutical companies at the early stage, but it had become mandatory. In addition, various kinds of GMP regulations have been established to cover active pharmaceutical ingredients, biological products and others, in addition to finished pharmaceutical products. Taking account of technological development and changes in the pharmaceutical environments, the KGMP regulation was fully amended and harmonized with GMP requirements of developed countries. In this way, the KGMP has developed to keep up with international trends and standards, leading to accession to the Pharmaceutical Inspection Cooperation Scheme (PIC/S).

The Contribution of The Research on "Somunchajujipso(素問次注集疏)" and "Somun(素問)" ($\ll$소문차주집소(素問次注集疏)$\gg$ 대(對) $\ll$소문(素問)$\gg$ 연구적공헌(硏究的貢獻))

  • Guo, Xiu-Mei
    • Journal of Korean Medical classics
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    • v.22 no.4
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    • pp.51-54
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    • 2009
  • While we study the book "Somun(素問)", we have to take Wangbing(王冰) Note as reference, which has to be understood by later generation on reading the book Sin-gyojeong(新校正) of Imeok(林億) from Song dynasty. At the final period of Edo in Japan, the famous Han medical expert, Yamada(山田) Gyoukou(業廣) sought a complete new way to compile a book named "Somunchajujipso(素問次注集疏)", a notes and commentaries work combined the original text of "Somun(素問)", Wangbing(王冰) Note and Sin-gyojeong(新校正) by taking the reference of generations medical books and notes both China and Japan. There have been many books to give notes on "Somun(素問)" in many generations, but less of them giving notes to the original text, but to Wangbing Note a little bit at most. In "Somunchajujipso", textual research and notes are given as a special example to the forward, original text and explanation part of "Somun", Song dynasty edition. Especially the detail explanation to the forward part of Imeok(林億), no one has done better than Gyoukou(業廣) until now. It sufficiently shows Gyoukou's(業廣) enriched knowledge accumulated by years hard research in Confucian classics, history and medical books, which enable it a worthy reference statement. The issued of the book "Somunchajujipso(素問次注集疏)" expands a new area for the research of "Somun" and present new research improvement of "Somun" in Japan.

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Acute Malocclusion and Temporomandibular Disorders (급성 부정교합과 턱관절장애)

  • Byun, Jin-Seok;Lee, Kyung-Eun;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.121-128
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    • 2007
  • If patients complain about sudden ill-fitting occlusal sensation(acute malocclusion), a dentist has to consider many possible causes about that. Acute malocclusion is characterized its sudden onset and mainly can be caused by teeth and its related structure problem. But we always keep on mind that acute malocclusion also can be caused by temporomandibular disorders In this 3 cases of acute malocclusion, evaluating by patient history, clinical and radiographic findings, we diagnosed them as 1. Lateral pterygoid muscle spasm, 2.. Retrodiscitis, 3. Osteoarthritis. Through this non-odontogenic acute malocclusion cases, we emphasize the key of diagnosis is on comprehensive and careful patient history taking and clinical examination.

Mathematical Structures of Polynomials in Jeong Yag-yong's Gugo Wonlyu (정약용(丁若鏞)의 산서(算書) 구고원류(勾股源流)의 다항식(多項式)의 수학적(數學的) 구조(構造))

  • Hong, Sung Sa;Hong, Young Hee;Lee, Seung On
    • Journal for History of Mathematics
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    • v.29 no.5
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    • pp.257-266
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    • 2016
  • This paper is a sequel to our paper [3]. Although polynomials in the tianyuanshu induce perfectly the algebraic structure of polynomials, the tianyuan(天元) is always chosen by a specific unknown in a given problem, it can't carry out the role of the indeterminate in ordinary polynomials. Further, taking the indeterminate as a variable, one can study mathematical structures of polynomials via those of polynomial functions. Thus the theory of polynomials in East Asian mathematics could not be completely materialized. In the previous paper [3], we show that Jeong Yag-yong disclosed in his Gugo Wonlyu(勾股源流) the mathematical structures of Pythagorean polynomials, namely polynomials p(a, b, c) where a, b, c are the three sides gou(勾), gu(股), xian(弦) of a right triangle, respectively. In this paper, we show that Jeong obtained his results through his recognizing Pythagorean polynomials as polynomial functions of three variables a, b, c.

The Architectural Type of 'Lu' in Choseon Dynasty (조선시대 루건축(樓建築)의 지역별 유형특성)

  • Choi, Mi-Kyung;Lee, Sang-Hae
    • Journal of architectural history
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    • v.19 no.4
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    • pp.7-19
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    • 2010
  • 'Lu' is one of the Korean traditional building structure. The architectural characteristics of the 'Lu' can be classified two types with its use. One is single building type and the other is a part of building type within building complex. This study is about the two-storied 'Lu' that was built on part of building complex. 'Lu' built in building complex such like Sa-chal, Hyang-gyo, Seo-won, Jae-sil, has the similar characters. 1. It is built by taking slope site. 2. Ii is one of four buildings that forms court yard. 3. It uses simple building structure on the purpose of openness 4. It can control view with using window. The column type of 'Lu' can be classified with 3 style. These are $5{\times}2$ Kan style, $3{\times}2$ Kan style and $5{\times}3$ Kan style. It would be assumed with the result of study that $5{\times}2$ Kan style has its origin in Hoe-Rang structure, $3{\times}2$ Kan style is originated from Joong-Moon(middle gate) structure, and $5{\times}3$ Kan is originated from Kang-Dang structure.

Optimal intensity measures for probabilistic seismic demand models of RC high-rise buildings

  • Pejovic, Jelena R.;Serdar, Nina N.;Pejovic, Radenko R.
    • Earthquakes and Structures
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    • v.13 no.3
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    • pp.221-230
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    • 2017
  • One of the important phases of probabilistic performance-based methodology is establishing appropriate probabilistic seismic demand models (PSDMs). These demand models relate ground motion intensity measures (IMs) to demand measures (DMs). The objective of this paper is selection of the optimal IMs in probabilistic seismic demand analysis (PSDA) of the RC high-rise buildings. In selection process features such as: efficiency, practically, proficiency and sufficiency are considered. RC high-rise buildings with core wall structural system are selected as a case study building class with the three characteristic heights: 20-storey, 30-storey and 40-storey. In order to determine the most optimal IMs, 720 nonlinear time-history analyses are conducted for 60 ground motion records with a wide range of magnitudes and distances to source, and for various soil types, thus taking into account uncertainties during ground motion selection. The non-linear 3D models of the case study buildings are constructed. A detailed regression analysis and statistical processing of results are performed and appropriate PSDMs for the RC high-rise building are derived. Analyzing a large number of results it are adopted conclusions on the optimality of individual ground motion IMs for the RC high-rise building.

Analysis of Medical Records and Development of Chest Pain Care Record in the Emergency Department (의무 기록 분석을 통한 응급실 흉통 간호 기록지 개발)

  • Choi, Gui Yun;Moon, Young Sook;Hong, Eun Seog
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.533-542
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    • 2006
  • Purpose: The purposes of this study were to investigate medical records and to develop care records for management of patients with chest pain in the emergency department. Method: Retrospective review of the 42 medical chart of patients presented to the emergency department with chest pain were used. The collected data were analyzed with a frequency of items in the medical records. Results: In a frequency analysis of recorded items for doctors' chest pain assessment during history taking, the history/risk factors was the highest rank. The following ranks were 'commenced with when/timing, extra symptoms, place, nature, stay/radiate, alleviate/aggravate, intensity' in sequence. In a frequency of recorded items in nurse's progress notes according to nursing actions, the 'checking/monitoring' was the highest rank. The following ranks were 'performing, administering/injecting, referring/arranging, testing, preparing/catheterizing, teaching/informing' in sequence. Chest pain care records for the emergency department was designed, based upon data analysis and literature review. Conclusion: The designed records can be a rapid and effective approach tool for assessment and recording of patients with chest pain. Further research is necessary for evaluating the designed chest pain care records.

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A Literature Study on interrogation (문진(問診)에 대한 서지학적 고찰)

  • Kim, Jin-Ho
    • Journal of Korean Medical classics
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    • v.28 no.1
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    • pp.21-34
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    • 2015
  • Objectives : The treatment starts with physical examination. The four examinations(四診) is a method to examine the disease. The books on history of diagnostics about it contained substantial contents about inspection(望診) and palpation including pulse taking(切診), while they contained little contents about auscultation(聞診) and interrogation or questioning(問診) relatively. For this reason, this study was conducted as on interrogation first of all. Methods : I looked into the contents related to interrogation that were scattered in plenty of books. There were chapters of specialty in interrogation since the Ming dynasty, so I looked into these chapters in chronological order. Results & Conclusions : The level of the contents of interrogation prior to the Ming dynasty were rudimentary and recapitulative. However, there was a turning point by three kinds of books appeared in the Ming dynasty. Yixuerumen Wenzheng dealt with detailed contents. Yixuezhunshengliuyao Wenbingbixiang extended the range of contents. Jingyuequanshu Shiwenpian systematized Eight Principle Pattern Identification(八綱辨證) with increase of contents. Since then, books of the Qing Dynasty were mostly based on three kinds of books ahead. Among these, Yimenfalu Yimingwenbingzhifa(醫門法律 一明問病之法) and Xingsewaizhenjianma wenfa(形色外診簡摩 問法) mentioned the importance of a succinct interrogation that hit the mark and Yibian Yiwenzheng dealt with another detailed contents unlike the previous books based on substantial contents.