• Title/Summary/Keyword: History taking

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Commercial Databases : The Keypoints and Practical Use (4) - Economics and Industry - (상용(商用) 데이터베이스 : 요점(要點)과 활용(活用) (4) - 경제(經濟).산업(産業) -)

  • Cho, Jae-Ho
    • Journal of Information Management
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    • v.25 no.1
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    • pp.63-79
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    • 1994
  • Analysis systems and databases covering economics and industrial areas in Japan have long history, but due to considerable depth in specialty those have been used only by limited, certain patrons. It means that there are still few of practical system services at full scale. This paper describes the representative system services. Taking an example of interest prediction the author explains now to utilize systems and some points to be reminded. He also describes how to confirm newspaper information, how to predict economics, how to use various kinds of models based on economic prediction, and industrial analysis. Researches and studies are very often proceeded on economic prediction, and industrial analysis. Researches and studies are very often proceeded through interaction among researchers. So that we should make efforts continuously such as to rountinely get familiar with systems, to exchange information among users, to utilize helpdesks every time we need.

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Treatment Experiences of Abdominal Cutaneous Nerve Entrapment Syndrome -A report of 3 cases- (복부 피신경 포착 증후군 환자의 치료경험 -증례보고-)

  • Rhee, Ho Dong;Park, Eun Young;Lee, Bahn;Kim, Won Oak;Yoon, Duck Mi;Yoon, Kyung Bong
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.292-295
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    • 2006
  • The diagnosis of chronic abdominal pain due to abdominal cutaneous nerve entrapment can be elusive. Tenderness in patients with abdominal pain is naturally assumed to be of either peritoneal or visceral origin. Studies have shown that some patients suffer from prolonged pain in the abdominal wall and are often misdiagnosed, even after unnecessary and expensive diagnostic tests, including potentially dangerous invasive procedures, and treated as having a visceral source for their complaints, even in the presence of negative X-ray findings and atypical symptoms. Abdominal cutaneous nerve entrapment syndrome is rarely diagnosed, which is possibly due to failure to recognize the condition rather than the lack of occurrence. The accepted treatment for abdominal cutaneous nerve entrapment syndrome is a local injection, with infiltration of anesthetic agents coupled with steroids. Careful history taking and physical examination, in conjunction with the use of trigger zone injections, can advocate the diagnosis of abdominal cutaneous nerve entrapment and preclude any unnecessary workup of these patients. Herein, 3 cases of abdominal cutaneous nerve entrapment syndrome, which were successfully treated with local anesthetics and steroid, are reported.

Malignant mesothelioma mistaken for tuberculous pleurisy (결핵성 흉막염으로 오인된 악성중피종)

  • Yang, Ji-Young;Song, Min-Joo;Park, So-Jung;Cheon, Jaekyung;Yoo, Jung-Wan;Choi, Chang-Min;Kim, Yong Hee
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.50-54
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    • 2015
  • Malignant mesothelioma is a common, primary tumor that can invade pleura, and is associated with previous exposure to asbestos. However, it poses considerable difficulties regarding its diagnosis and treatment, and thus, accurate history taking with respect to exposure to asbestos, and radiologic and pathologic examinations are essential. In addition, the involvement of a multidisciplinary team is recommended in order to ensure prompt and appropriate management using a framework based on radiotherapy, chemotherapy, surgery, and symptom palliation with end-of-life care. Because lymphocyte-dominant, exudative pleural effusion can occur in malignant mesothelioma, adenosine deaminase values may be elevated, which could be mistaken for tuberculous pleurisy, and lead to an incorrect diagnosis and suboptimal treatment. The authors describe a case of malignant mesothelioma initially misdiagnosed as tuberculous pleurisy. As evidenced by the described case, malignant mesothelioma should be considered during the differential diagnosis of patients with lymphocyte-dominant, exudative pleural effusion with a pleural lung lesion.

Exogenous Estrogen Toxicity in a Dog (개의 외인성 에스트로겐 중독 증례)

  • Han Jae-Ik;Kim Tae-Hun;Lee Sook-Jin;Kang Ji-Hoon;Cho Sang-Hee;Chang Dong-Woo;Yang Mhan-Pyo;Na Ki-Jeong
    • Journal of Veterinary Clinics
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    • v.23 no.2
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    • pp.197-201
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    • 2006
  • A 2-year-old female mongrel dog was referred to the Veterinary Medical Center of Chungbuk National University due to anorexia, depression and weight loss after the administration of exogenous estrogen for contraception in the local hospital. Although the dog was medicated with antibiotics and fluid for two weeks in the local hospital, there was a deterioration in the patient's general condition. Therefore the dog was referred to our Veterinary Medical Center. Hematological and biochemical analysis showed non-regenerative anemia, thrombocytopenia, severely immature leukocytosis, hyperbilirubinemia, hyperglycemia and elevated serum alkaline phosphatase, gamma-glutamyltransferase, and lactate dehydrogenase. Abdominal ultrasonography showed double line of gallbladder and irregular hypertrophic wall of uterus. On the basis of these examination's results and history taking, final diagnosis was exogenous estrogen-induced myelotoxicosis with cholecystitis and endometritis. The symptomatic therapy for estrogen toxicosis was performed for 26 days after the final diagnosis. However, the symptom had no response to therapy except endometritis and anemia. On day 135 after administration of estrogen, platelet and neutrophil count were normalized, but monocytic leukocytosis was occurred.

Effects of Kidney Function in Blood of Drug Users(Herbal and Western) in Koreans (한약과 양약 복용이 신장기능에 미치는 영향 -피부과치료 한약복용 환자를 중심으로-)

  • Shin Heon-Tae;Lee Sun-Dong
    • Journal of Society of Preventive Korean Medicine
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    • v.8 no.2
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    • pp.157-169
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    • 2004
  • We have conducted questionnaire and measured serum kidney function tests on 156 patients whom have received a treatment at a local Oriental medicine clinic in Seoul from Sept. 1, 2002 to Dec. 31, 2002. Patients were categorized into five groups. The groups are control(10 samples), herbal extract group(41 samples), herbal pills group(5samples), western medicines(45samples), and combination group(55 samples). This study was conducted to investigate how these treatment methods can affect the kidney functions. Following results were obtained : 1) Most of the research subjects were male(103 individuals) living in large urban area, with a drinking habit, highly educated, and with normal marriage. For the treatment history, 45 individuals received western medicine treatment(28.85%), 46 with Oriental medicine(29.49%), and 55patients (35.26%) experienced both forms of the treatment. 2) For measuring Mean(SD) of serum kidney functions for all the research subjects, Bun was 12.16(3.90)g/dl, 0.51(0.19) g/dl for Creatinine, and 4.64(1.49)g/dl for Uric acid. All the measurements were within the normal range. 3) Confounding variables which may affect the kidney functions such as age, smoking, drinking, occupation, and residency were eliminated in calculation and no significant differences were witnessed between the control and experiment groups. 4) In measuring affects of treatment duration on the kidney functions, no statistical significances were shown in multiple regression's ${\beta}(SE)$ values. 5) Correlations affecting the kidney functions are duration of drinking, drinking volume per round, drinking volume per week, smoking, gender, and age difference caused significant correlations. From the above results, we can deduce that taking herbal and western medicine didn't cause significant effects between the control and experiment groups in the kidney functions. Further research is needed in this field to verify this evidence by adding odds ratios and etc.

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A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients with Hwa-Byoung (표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구)

  • Kim, Kyeong-Ok;Kim, Hee-Kyung;An, Hyo-Ja;Shin, Heon-Tae
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.163-179
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    • 2013
  • Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

Antihypertensive Drug Medication Adherence of People with Disabilities and its Affecting Factors in Korea (고혈압약 투약을 시작한 장애인의 투약 순응도와 이에 영향을 미치는 요인)

  • Park, Jong-Hyock;Shin, Young-Soo;Lee, Sang-Yi;Park, Jae-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.3
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    • pp.249-258
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    • 2007
  • Objectives : The aims of this study were to estimate the antihypertensive medication adherence in people with a disability and a history of taking antihypertensive medication, and to identify the factors affecting medication adherence. Methods : The National Health Insurance claims data were linked with the National Disability Registry. People with a disability, who received a prescription of antihypertensives, were identified from a total of 85,098 cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80% was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factors affecting medication adherence. Results : The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence $(CMA{\geq}80%)$ rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients' residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment. Conclusions : The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.

Hypokalemia-induced Polyuria with Nocturia after Intravenous Methylprednisolone Pulse Therapy in a Henoch-Sch$\ddot{o}$nlein Purpura Nephritis Patient (Henoch-Sch$\ddot{o}$nlein Purpura 신염 환자에서 경정맥 고용량 스테로이드 충격요법 후 발생된 저칼륨혈증으로 인한 다뇨증과 야간뇨)

  • Kim, Geun-Jung;Lee, Jun-Ho
    • Childhood Kidney Diseases
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    • v.14 no.2
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    • pp.230-235
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    • 2010
  • Patients with moderate to severe degrees of Henoch-Sch$\ddot{o}$nlein purpura (HSP) nephritis receive high-dose intravenous methylprednisolone pulse therapy (IMPT). Although the regimen is generally safe and effective, various complications occasionally develop. administration of excessive corticosteroid can induce urinary potassium wasting leading to hypokalemia. Polyuria, one of the complications of hypokalemia, is related to both increased thirst and mild nephrogenic diabetes insipidus. And hypokalemia itself also impairs the maximal renal urinary concentration ability. Although polyuria or nocturia after IMPT is not common, it is correctable immediately by oral potassium supplementation. Therefore, during IMPT, careful history taking of nocturia as well as monitoring urine volume, serum and urine potassium level at regular follow-up are necessary because even mild hypokalemia can provoke urine concentrating ability defect. We experienced a case of 11 year-old boy with HSP nephritis who suffered from hypokalemia-induced polyuria with nocturia right after IMPT.

A History of Management of Technology in the United States: Implications in Korea (미국에서의 기술경영 논의의 진화: 한국에 대한 시사점을 중심으로)

  • Kim, Byoung-Yoon;Jeong, Chul-Woo;Kim, Kil-Sun
    • Journal of Technology Innovation
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    • v.19 no.2
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    • pp.129-152
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    • 2011
  • This paper investigates the identity of technology management by taking a look at the evolution of the field in the United States. The discipline was established since the World War II when the big research organization was firstly formed in the country. Its focus has varied according to the role of technology in a corporation and the relation of technology and society in general. We identify three distinct stages of the field: R&D management, or project management, theoretical understanding of innovation in the 70s and 80s, and the diffusion of technology management and its education. The recent discussion on a standard curriculum of technology management illustrates the lack of a coherent identity of the field, however this phenomenon should not be considered as pathological and it demonstrates the widened interfaces between technology and society. Furthermore, it implies the possibility and need of diverse approaches in technology management.

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Apocrine sweat gland adenocarcinoma in a cat (고양이의 땀샘 선암종 증례)

  • Park, Min-Hyeok;Jung, Ji-Youl;Jo, Suk-Hee;Kim, Jae-Hoon;Lee, Jin-Yong;Lee, Mi-Kyung;Kim, Jae-Hoon
    • Korean Journal of Veterinary Research
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    • v.49 no.2
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    • pp.157-161
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    • 2009
  • A 11-year-old female mixed cat with subcutaneous mass around the left 5th mammary glands was presented to local animal hospital. According to history taking, the mass recurred 2 times on the same site of abdomen. After surgical excision, subcutaneous mass was referred to Pathology Department of Veterinary Medicine in the Jeju National University. Grossly, round to oval, milky yellow or pale red nodules, measuring 0.1${\sim}$1 cm in diameter, were occupied in the subcutis. Microscopically, the most neoplastic sweat glands were proliferated in the dermis and subcutis. Most tubules were lined by round to oval shaped epithelium with eosinophilic cytoplasm, hyperchromatic nuclei with high mitotic figures and severe central necrosis. The neoplastic epithelium also had periodic acid-Schiff-positive diastase-resistant cytoplasmic granules, but was negative for Perl's iron stain. Based on the gross, histopathologic and special staining, this cat was diagnosed as apocrine sweat gland adenocarcinoma. In our best knowledge, this is the first report of apocrine sweat gland adenocarcinoma around abdominal mammary gland in a cat.