• Title/Summary/Keyword: History taking

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Pharmacological Treatments of Headache (두통의 약물학적 치료)

  • Na, Eun-Jin;Park, Jong-Il;Yang, Jong-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.20-27
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    • 2016
  • Headache is one of the most common physical symptoms which almost everyone experience at least once during a life. Headache is often associated with disability, but rarely with secondary headache which could result in a serious life-threatening illness, i.e. brain tumor. However, in most cases, headache is a benign illness which comprises a primary headache, i.e. migraine or tension-type headache. The accurate diagnosis of headache is critical for clinicians and it begins with history taking and physical examination since there are no diagnostic tests for primary headaches. Nowadays, there are a wide variety of pharmacological treatments according to each headache disorder. The specific purposes of this review are introducing history of classification of headache disorder and presenting diagnostic process of headache disorder. Then, we discuss the effective pharmacological treatment strategies of each headache disorder.

Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

  • Kim, Dong Hyun;Min, Seunggi;Lee, Hyun Joo;Kim, Hee-June;Lee, Hoseok;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.46-49
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    • 2019
  • A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

Revisiting Logic and Intuition in Teaching Geometry: Comparing Euclid's Elements and Clairaut's Elements (Euclid 원론과 Clairaut 원론의 비교를 통한 기하 교육에서 논리와 직관의 고찰)

  • Chang, Hyewon
    • Journal for History of Mathematics
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    • v.34 no.1
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    • pp.1-20
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    • 2021
  • Logic and intuition are considered as the opposite extremes of teaching geometry, and any teaching method of geometry is to be placed between these extremes. The purpose of this study is to identify the characteristics of logical and intuitive approaches for teaching geometry and to derive didactical implications by taking Euclid's Elements and Clairaut's Elements respectively representing the extremes. To this end, comparing the composition and contents of each book, we analyze which propositions Clairaut chose from Euclid's Elements, how their approaches differ in definitions, proofs, and geometrical constructions, and what unique approaches Clairaut took. The results reveal that Clairaut mainly chose propositions from Euclid's books 1, 3, 6, 11, and 12 to provide the contexts that show why such ideas were needed, rather than the sudden appearance of abstract and formal propositions, and omitted or modified the process of justification according to learners' levels. These propose a variety of intuitive strategies in line with trends of teaching geometry towards emphasis on conceptual understanding and different levels of justification. Specifically, such as the general principle of similarity and the infinite geometric approach shown in Clairaut's Elements, we could confirm that intuition-based geometry does not necessarily aim for tasks with low cognitive demand, but must be taught in a way that learners can understand.

Priorities And Problems In The Development Of Modern Information Technologies In Education

  • Prykhodkina, Nataliia;Tymoshko, Hanna;Zuieva, Alona;Sholokh, Olena;Noskova, Margaryta;Lebid, Yuliia
    • International Journal of Computer Science & Network Security
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    • v.21 no.6
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    • pp.231-236
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    • 2021
  • The article assesses the functioning of the DE system or a separate educational institution, where it can be carried out on the basis of developed criteria or on a regulatory basis. The assessment was carried out on the basis of a qualitative and quantitative nature by comparing the actual state of affairs with a certain "ideal" (educational standard), which must be defined and used as a kind of benchmark against which the assessment is made. Conducted an assessment based on a regulatory framework that represents an alternative approach. It has been emphasized that the exceptional difficulty in determining the ideal indicators (norms) of the activities of universities, it has been found that the normative approach, in which the activities of traditional and open universities are compared, taking into account the differences in social, cultural and economic conditions, is the most acceptable.

A Study on the Modernization of the Heating Method of Apartment Houses in the 1950s and 1960s Korea - Focusing on Haengchon, Jongam, Mapo Apartments - (1950~60년대 한국 아파트의 난방 방식 근대화에 관한 연구 - 행촌, 종암, 마포아파트를 중심으로 -)

  • Lee, Byoung-Heon;Kim, Hyon-Sob
    • Journal of architectural history
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    • v.30 no.6
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    • pp.33-44
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    • 2021
  • The traditional Korean heating system ondol, one of the most important characteristics of Korean architecture, still remains as hydronic floor heating. Various studies have been conducted on the modernization of ondol, but the process of introducing the hydronic floor heating has not been seriously studied so far. Therefore, this paper aims to demonstrate how the hydronic floor heating had been introduced to Korea, taking the 1950s and 1960s Haengchon, Jongam, and Mapo Apartments for example - these three are regarded as the first Korean apartment houses after the Korean War. While Western advanced construction technology was imported for these apartments, various methods of modernizing ondol were also considered. What was remarkable in these attempts is that hydronic floor heating first appeared in Mapo 1st Apartment in 1962, because this is the universal heating method in the present Korea. This fact signifies that the traditional principle of floor heating has been maintained, and it would also be meaningful in terms of architectural exchanges between East and West, if considered along with Wright's application of the Korean heating principle to his houses since 1930s.

Hints for possible low redshift oscillation around the best-fitting ΛCDM model in the expansion history of the Universe

  • L Kazantzidis;H Koo;S Nesseris;L Perivolaropoulos;A Shafieloo
    • Monthly Notices of the Royal Astronomical Society
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    • v.501 no.3
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    • pp.3421-3426
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    • 2021
  • We search for possible deviations from the expectations of the concordance ΛCDM model in the expansion history of the Universe by analysing the Pantheon Type Ia Supernovae (SnIa) compilation along with its Monte Carlo simulations using redshift binning. We demonstrate that the redshift binned best-fitting ΛCDM matter density parameter Ω0m and the best-fitting effective absolute magnitude 𝓜 oscillate about their full data set best-fitting values with considerably large amplitudes. Using the full covariance matrix of the data taking into account systematic and statistical errors, we show that at the redshifts below z ≈ 0.5 such oscillations can only occur in 4 to 5 per cent of the Monte Carlo simulations. While statistical fluctuations can be responsible for this apparent oscillation, we might have observed a hint for some behaviour beyond the expectations of the concordance model or a possible additional systematic in the data. If this apparent oscillation is not due to statistical or systematic effects, it could be due to either the presence of coherent inhomogeneities at low z or due to oscillations of a quintessence scalar field.

The Changes of The Eye and a Correlation Depending on Watching a Smartphone and taking in Alcohol (스마트폰 시청과 알코올 섭취에 따른 눈의 변화와 상관관계)

  • Lee, Jeong-Yun;Yun, Eon-Jeong;Kim, Sung-Min;Hwang, Hye-Kyung;Park, Gyeung-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.473-479
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    • 2013
  • Purpose: This article tried to find the changes of the eye and a correlation depending on watching a smartphone and taking in alcohol. Methods: This paper conducted the refraction inspection, the radius of corneal curvature, tonometry and the corneal thickness measurement and analysis for 31 persons (18 males and 13 females) who have healthy drinking habit, not having the medical history of taking medicine related with disorders of the eye, a mental disease, systemic disease and alcohol metabolism. Results: Of respirations depending on watching a smartphone, the alcohol concentration was significantly decreased in 15 minutes, 30 minutes, 45 minutes, 60 minutes and the convalescent stage. (p<0.01, p<0.001) As the result of comparing the refraction inspection after and before watching a smartphone when drinking alcohol, there was a significant difference in the cylindrical power and the axis. (p=0.005, p=0.001) The change of intraocular pressure depending on watching a smartphone after drinking alcohol was decreased significantly from 30 minutes (p<0.001), and watching a smartphone didn't have any significant effect on the corneal thickness depending on the elapsed time from when drinking alcohol. Conclusions: Watching a smartphone and taking in alcohol had a significant effect on the cylindrical power and the axis. Watching a smartphone and taking in alcohol which may cause the visual function-strain are the factors that need to consider before the refraction inspection.

The Current State of Wife Abuse and Related Variables in Seosan City, Chungnam Province (아내폭력의 실태와 관련변인들 - 충남 서산 지역의 사례를 중심으로 -)

  • Lee, Jong-Won;Ok, Sun-Wha;Nam, Young-Joo
    • Journal of the Korean Home Economics Association
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    • v.43 no.8 s.210
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    • pp.141-159
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    • 2005
  • The aim of this study was to investigate the current state of wife abuse in Seosan and the relationships between wife abuse and the related variables. A total of 132 couples took part in this study. All couples live in Seosan city, range in age from their 20s to 50s and each couple has at least one child. Stratification sampling method was used to select the couples. They were asked to complete self-report questionnaires. Subjects completed a Korean version of the self- esteem scale, marital conflict scale, communication style scale, family history of violence scale, alcohol dringking, and wife abuse scale. In order to examine the current state of wife abuse, such as, frequency, mean, standard deviation and paired t-test, t-test were calculated and analyzed. Next, to identify differences in wife abuse between the upper group and the lower group, t-test was peformed. Finally, to investigate the relative influences of independent variables upon wife-abuse, multiple regression analysis was peformed. All these analyses were conducted using SPSS 10.0 program. The results were as follows; 1) In terms of the current state of wife abuse, there are three main observations. First, $23\%$ of respondents answered that they had beat their spouse or been beaten by their spouse before and after their marriage. Second, compared with physical violence($2{\~}16\%$), other types of violence such as verbal($7{\~}4\%$), emotional($41{\~}64\%$), economical($3{\~}29\%$) and sexual violence($4{\~}38\%$) were reported to occur more often in these relationships. Third, following the abuse most wives tend to tolerate the situation instead of taking an active action like reporting the abuse to police. 2) As for the husbands, subjects that drank a high level of alcohol, blaming and super-reasonable communication style, and family history of violence reported more frequent cases of wife abuse. As for the wives, subjects with high levels of self-esteem, irrelevant communication style, marital conflict, and family history of violence reported having more cases of that abuse. 3) In the case of husbands, alcohol, communication style and family history of violence explained $40\%$ of wife abuse. In the case of wives, marital conflict and family history of violence explained $77\%$ of their experiences with abuse. This study makes the contribution to aims to develop education programs and family therapy relevant to prevent wife abuse and to reconsider the existing laws governing domestic violence in Korea.

A study of the application of Hwangchil Tree (黃漆樹 Dendropanax morbiferus H.Lév.) in East Asia (동아시아에서 황칠수(黃漆樹)의 활용에 대한 연구(硏究))

  • Ahn, Young-su;Lyu, Jeong-ah
    • The Journal of Korean Medical History
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    • v.33 no.1
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    • pp.43-57
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    • 2020
  • Essence of the Hwangchil tree (黃漆樹 Dendropanax morbiferus H.Lév.) has been used for various purposes, like waxing emperor's armors, covering an astrology board, or, during the Silla Dynasty, burying it to block something bad in the soil symbolically. Essence of the Hwangchil tree was known to have remarkable preservation effects such as waterproofing, damp-proofing, rust-proofing, and moth-proofing as well as not being easily peeled off from even soft surfaces like paper. There is a record in Prescriptions for Epidemic diseases of Cows, Horses, Sheep, and Pigs (牛馬羊猪染疫病治療方), published in 1541, of Hwangchil that is local to Jeju Island being used instead of benzoin (安息香), of burning Hwangchil, and of making cows inhale its smoke to prevent plague among them. Along the same lines, there are records in the Local Chronicle of Tamra (耽羅志) and the Book of Earth Geography (輿地圖書) that identify Hwangchil with benzoin. In Seonghosaseol (星湖僿說), a book written by Lee Yik in around 1760, it is acknowledged that Hwangchil could be medicinal herb. In 2000, Ahn Duk-Kyun registered the roots and branches of Hwangchil tree as 'Boncho' (本草 herbal medicine) in the Pictorial Book of Korean Medicinals (韓國本草圖鑑) and presented the method of taking it for medical purpose. Researchers have suggested that Hwangchil essence as well as diverse parts of the plant such as its roots, branches, leaves, flowers, fruits, and gum have various meaningful medicinal properties. Regarding the history and recent researches of using Hwangchil tree, it has various medicinal probabilities such as, 'dispersing miasma' (辟邪), 'opening holes' (開竅), 'waking the heart' (醒心), 'smoothing spirits' (安神), 'piercing the block' (疎泄), 'removing the old and welcoming the new' (去故生新). This paper contributes ideas about how to expand the uses of Hwangchil Tree.

Multicentre Hospital-based Case-control Study of Diffuse Large B-cell Lymphoma in Shanghai, China

  • Fan, Rong;Zhang, Lu-Yao;Wang, Hong;Yang, Bo;Han, Tao;Zhao, Xiao-Li;Wang, Wei;Wang, Xiao-Qin;Lin, Guo-Wei
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3329-3334
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    • 2012
  • Background: Several potential risk factors have been identified for diffuse large B-cell lymphoma (DLBCL); however, epidemiological studies investigating the association between these risk factors and DLBCL have yielded inconsistent results. Objectives: To investigate potential medical, lifestyle, and environmental risk factors of DLBCL in Shanghai, China through a hospital-based case-control study. Method: One-hundred-and-forty-seven newly diagnosed DLBCL patients and 294 sex- and age-matched controls were recruited from 11 hospitals in Shanghai between 2003 and 2007. A standardized structured questionnaire was used to obtain patient data on demographics, medical history, family history, lifestyle, and environmental exposures. Conditional logistic regression models were used to estimate odds ratios (ORs), with 95% confidence intervals (CIs), for risk associated with each data category. Results: History of tuberculosis (TB) infection and "living on a farm" were positively associated with DLBCL (TB: OR=3.05, 95% CI: 1.19-7.80; farm: OR=1.82, 95% CI: 1.21-2.73). In contrast, taking traditional Chinese medicine was negatively associated with DLBCL (OR=0.36, 95% CI: 0.14-0.89). No significant correlation with DLBCL risk was found for any of the other potential risk factors (p>0.05), including but not limited to hair dyes, alcohol drinking, smoking, and home/workplace renovation within one year. Conclusions: Consistent with results from previous studies in other DLBCL case populations, traditional Chinese medicine appeared to have a direct or indirect protective effect against DLBCL. However, this study also identified a possible predisposition for DLBCL in TB sufferers and farmers.