• Title/Summary/Keyword: History taking

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Diagnosis and Management of Low Back Pain (요통의 진단과 치료)

  • Jang, Jae Hong;Kim, Byung-Jo
    • Annals of Clinical Neurophysiology
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    • v.14 no.1
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    • pp.1-6
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    • 2012
  • Low back pain is a common clinical condition with heterogeneous causes and challenges to manage. High prevalence and numerous assessments result in an enormous socioeconomic burden. Clinician must conduct efficient and stepwise evaluation process to rule out serious spinal pathology, neurologic involvement, and identify risk factors for chronicity. The process can be achieved through the focused history taking and physical examination. Certain factors related to serious spinal pathology include age (>50 years), trauma, unexplained fever, recent urinary or skin infection, unrelenting night or rest pain, unexplained weight loss, osteoporosis, immunosuppression, steroid use, and widespread neurological symptoms. In non-specific low back pain, diagnostic imaging and laboratory studies are often unnecessary and can disturb an appropriate management. For the management of acute low back pain, patient education and medication such as acetaminophen, non-steroidal anti-inflammatory drugs, and muscle relaxants are recommended. For chronic low back pain, behavior therapy, back exercise, and spinal manipulation are beneficial. The evidence based approach could improve success rate of management, result in prevention of acute low back pain from being chronic intractable pain.

Conservative treatment modalities for patients with temporomandibular joint(TMJ) disorders (임상가를 위한 특집 1 - 턱관절장애의 보존적 치료)

  • Kim, Cheul
    • The Journal of the Korean dental association
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    • v.51 no.2
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    • pp.74-83
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    • 2013
  • In the management of temporomandibular joint(TMJ) disorders, dental practioner should conduct the reversible, conservative, and inexpensive treatment modalities prior to the irreversible and invasive treatment. That is to say, behavioral, pharmacologic, and physical therapy should be conducted firstly, and then the occlusal appliance therapy could be considered. If patients do not react to these conservative treatments, we have to consider surgical treatments. If the accurate diagnosis is confirmed by intimate history taking, clinical and imaging examinations, we can rehabilitate the normal TMJ function and relieve the clinical symptoms with only conservative treatments in most TMJ disorder cases.

The Keyword Search Using Thesaurus Concept in Geographic Information Systems

  • Yamauchi, Takashi;Kang, Dongshik;Miyagi, Hayao
    • Proceedings of the IEEK Conference
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    • 2002.07a
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    • pp.575-578
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    • 2002
  • In this study, it enabled to perform keyword search on Geographic Information Systems (GIS) more flexibly by taking in the concept of geographic thesaurus in order to make the keyword search that was more efficiently. The search procedure depends on the history when user information is included. This study provides a system for keyword searching as well as check the validity of the system. Furthermore, by establishing this reference method, the search that took in the query of a user flexibly is attained rather than a chosen type reference system.

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Lamivudine- and Adefovir-Induced Tinnitus in a Patient with Hepatitis B: A Case Report (B형 간염 환자에서 Lamivudine과 Adefovir 병용처방으로 유발된 이명의 증례보고)

  • Jung, Eun-Hee;Bang, Joon Seok;Lee, Yu Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.2
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    • pp.175-177
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    • 2013
  • Lamivudine and adefovir are medications used to treat hepatitis B. We observed the occurrence of tinnitus after administering lamivudine and adefovir to a 49-year-old hepatitis B patient for two months. The patient had no comorbidities and no history of ear diseases, including tinnitus, and was not taking any other medications. In general, neither lamivudine nor adefovir are known to induce tinnitus as an adverse reaction. A literature search revealed that this is the first case in which tinnitus occurred after lamivudine and adefovir were administered to a hepatitis B patient. Therefore, we believe that this case is clinically valuable and decided to report it.

How to approach feeding difficulties in young children

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.60 no.12
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    • pp.379-384
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    • 2017
  • Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

Banhasasim-tang Administration for Treatment of Functional Gastrointestinal Disorders after Motor Vehicle Accidents: Case Series (교통사고 이후 발생한 기능성 위장관장애에 대한 반하사심탕 투여 : 연속증례)

  • Kim, Bo-min;Jo, Hee-geun
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.794-801
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    • 2018
  • Objectives: These cases report the benefits of administration of Banhasasim-tang extracts or decoctions to patients with functional gastrointestinal disorders after motor vehicle accidents. Methods: The patients were treated with Banhasasim-tang extract or decoction three times daily. History-taking and imaging tests were used to differentiate other diseases. We evaluated the patients using the Gastrointestinal Symptom Rating Scale (GSRS), which is used to assess overall gastrointestinal symptoms. Results: Treatment with herbal medicine resulted in a decrease in the patients' complaints of symptoms. The GSRS scale showed improvement in all four cases. Conclusions: Banhasasim-tang, regardless of its form, has beneficial effects in patients with functional gastrointestinal disorders after motor vehicle accidents.

Diagnosis and Treatment of Benign Prostate Hyperplasia in a Shih-tzu dog (Shih-tzu견에서 발생한 전립선 비대증 진단 및 치료 1례)

  • 김방실;황순신;박철호;오기석;손창호
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.200-204
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    • 2004
  • A 3-year-old, male Shih-tzu dog with clinical signs of dysuria and hematuria was brought to the Veterinary Teaching Hospital. Chonnam National University. The patient was suspected urolithiasis by history taking and clinical signs but urinary and urethra calculus was not found in the radiographic examination. Enlarged prostatic gland (29.0$\times$28.0 mm) and severe finding of cystitis was observed from the ultrasonographic examination. The dog was finally diagnosed as the secondary urethral obstruction by benign prostatic hyperplasia. Castration was performed to treatment of acute hyperplasia of prostatic gland and prostatic cysts. After 26 days of operation, the prostate was defined small, hypoechoic, symmetric and decreased size (18.5$\times$18.0mm) by ultrasonography and dysuria cured completely.

Clinical Usefulness of Somatosensory Evoked Potentials (SSEP) in Dogs with Intervertebral Disc Diseases (추간판질환 개에 Somatosensory Evoked Potential(SSEP)의 임상활용)

  • Jeong, Seong-Mok;Hong, Yeon-Jung;Seo, Kang-Moon;Nam, Tchi-Chou
    • Korean Journal of Veterinary Research
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    • v.42 no.3
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    • pp.397-402
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    • 2002
  • Clinical usefulness of somatosensory evoked potentials (SSEP) as a prognostic tool was evaluated with three dogs showing clinical signs associated with intervertebral disc diseases. Prior to measure SSEP, history taking, physical examination, radiological study and neurological examination were performed. In case 1, poor prognosis was predicted because deep pain was not observed and loss of sensory function was observed in SSEP. And the clinical signs persisted with the conservative treatment. However, in cases 2 and 3, good prognoses were predicted by normal conduction velocity in SSEP that meant the presence of sensory function. The clinical signs of cases 2 and 3 disappeared at days 18 and 13 after treatment, respectively. These results suggest SSEP be used clinically as a prognostic tool in dogs with intervertebral disc diseases.

Fecal Retention in Overactive Bladder (OAB) in Children: Perspective of a Pediatric Gastroenterologist

  • Jeong, Su Jin
    • Childhood Kidney Diseases
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    • v.19 no.1
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    • pp.1-7
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    • 2015
  • Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

The contact fatigue life estimation between Rough surfaces by using mesoscopic fatigue criterion (Mesoscopic 피로이론을 이용한 거친 표면의 접촉피로 수명예측)

  • Chu Hyojun;Kim Taewan;Lee Sangdon;Cho Youngjoo
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2004.11a
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    • pp.53-59
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    • 2004
  • Rough surfaces are taking into account to estimate the contact fatigue life. A computational methodology and the theoretical basis in this case is presented in this paper. Displacement solution technique by Cho and Love is applied to calculate the stress history beneath the surface subjected to loading. Mesoscopic multiaxial fatigue criterion is then applied to predict fatigue life. This fatigue criterion yields satisfactory results for non-proportional loading and can satisfactorily describe the physical mechanisms of crack initiation as well. As a result of analysis the relation between the life and the roughness as well as the most probable depth of the crack nucleation is discussed.

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