• Title/Summary/Keyword: History taking

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Health Behaviors Associated with Obesity Among Elementary School Students in Seoul (서울지역 초등학생의 비만도와 관련된 건강행태 특성)

  • Song, Hye-Young;Park, Kyoung-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.89-102
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    • 2010
  • Objectives: This study was conducted to compare health behavior between obese children and those with standard body weight, analyzing the correlation in their health behavior, and further making it useful data for the development of programs for a better education on health. Methods: To achieve the goal of this survey as mentioned, we have carried out a research targeting on a total of 636 elementary school students, 505 children of standard body weight and 131 children of obesity, all of whom belong to elementary school students in Seoul, the capital city of Korea. And we have itemized the research into 'eating habits', 'physical activity, 'dieting experience in the past', and 'stress and release management' in order to spot the specific health behavior leading to obesity. Results: 1. Factors for diseases mainly from obesity were statistically significantly differentdepending on degree of the subjects' self-respect and a history of obesity in their families, father($x^2$=7.172, p=.007), mother($x^2$=9.011, p=.003), and siblings($x^2$=12.431, p=.000). 2. Regarding the subjects' eating habits, some items were statistically significantly different: taking algae($x^2$=3.324, p=.043), eating breakfast($x^2$=6.070, p=.010), and eating fast($x^2$=8.551, p=.002). 3. There were some statistically significant differences in the subjects' dieting experience. For the latest 1 year, they made some attempts for that: fasting($x^2$=4.229, p=.040), reduction of eating($x^2$=25.377, p=.000), eating one meal a day($x^2$=5.582, p=.018) 4. OR(Odd Ratio)of Percieued obesity was 0.15 in the subjects' under weight than normal weight. And there was OR(Odd Ratio) 11.72 in the subjects' over weight. We can witness obese children think that they are over weight(p=.000).

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Thalamic Pain Misdiagnosed as Cervical Disc Herniation

  • Lim, Tae Ha;Choi, Soo Il;Yoo, Jee In;Choi, Young Soon;Lim, Young Su;Sang, Bo Hyun;Bang, Yun Sic;Kim, Young Uk
    • The Korean Journal of Pain
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    • v.29 no.2
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    • pp.119-122
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    • 2016
  • Thalamic pain is a primary cause of central post-stroke pain (CPSP). Clinical symptoms vary depending on the location of the infarction and frequently accompany several pain symptoms. Therefore, correct diagnosis and proper examination are not easy. We report a case of CPSP due to a left acute thalamic infarction with central disc protrusion at C5-6. A 45-year-old-male patient experiencing a tingling sensation in his right arm was referred to our pain clinic under the diagnosis of cervical disc herniation. This patient also complained of right cramp-like abdominal pain. After further evaluations, he was diagnosed with an acute thalamic infarction. Therefore detailed history taking should be performed and examiners should always be aware of other symptoms that could suggest a more dangerous disease.

A study on the job analysis of dental hygienist in Gwangju (광주광역시 치과위생사의 직무분석에 관한 조사 연구)

  • Ha, Myung-Ok;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.5
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    • pp.807-817
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    • 2010
  • Objectives : The purpose of this study was to analyzes the job implementation of dental hygienist at dental hospital(university), dental clinic and general hospital in the city of Gwangju. Methods : The subjects in this study were dental hygienists who worked at dental hospital(university), dental clinic and general hospital in the city of Gwangju. A survey was conducted by post from June 10 to August 10. Out of the collected data, 204 answer sheets were analyzed. Results : 1. 'Medical & Dental history taking', 'Extra & Intra oral examination' and 'Dental hygiene care plane' in dental clinic were significantly higher than dental hospital(university) and general hospital(p<0.001). 'Remove of extrinsic stain' and 'Treatment of hypersensitivity tooth' in dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.001). 'Preventive dental caries treatment' and 'Diet control' were shown the low frequency of job implementation. 2. Almost task elements of dental assistance duty shown that dental hygienists under the 24 years old were significantly higher dental hygienists over the 30 years old(p<0.05) and dental clinic and general hospital were significantly higher than dental hospital(university)(p<0.05) in frequency of job implementation. 3. 'Dental staff supervision', 'Patient management' and 'Dental chart arrangement' shown that dental hygienists over the 30 years old were significantly higher than dental hygienists under the 24 years old in frequency of job implementation(p<0.05). 'Infection control' of dental hygienists over 30 years old was significantly lower than dental hygienists under the 24 years old(p<0.001). Conclusions : The results of this study indicate that a scope of dental hygienists' job need to extend also in order to accomplish a job efficiently, is suggested that the effort is necessary to improve a quality of dental hygienist and to change of recognition of the dentist about dental hygienists' job.

Dental Hygienists' Perception of the Usefulness of Clinic Practice Training (임상실습 내용 및 활동의 유용성에 대한 치과위생사의 인식)

  • Jang, Gye-Won;Kang, Yong-Ju;Won, Boak-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.3
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    • pp.203-218
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    • 2006
  • The purpose of this study was to measure dental hygienists' perception of the usefulness of clinical practice training. A total of 195 dental hygienists participated in the study. The findings of the study were analyzed according to age, the type of hospitals where respondents were working, experience in clinical practices and educational level as follows: 1. There were statistically significant differences in perception of the usefulness of the practice of amalgam filling preparation performed for dental operation among subjects at different ages (p<.01). 2. There were statistically significant differences in perception of the usefulness of the practice of paralleling technique(p<.001), the practice of amalgam filling preparation(p<.01) and the practice of trauma treatment preparation(p<.05) among subjects working at different clinics 3. Significant differences were observed in perception of the usefulness of the practice of sterilization(p<.05), the practice of suction(p<.05), the practice of history taking preparation (p<.01) and the practice of halitosis patient management preparation(p<.05) among subjects with different years of experience in clinical practices. 4. Significant differences were found in perception of the usefulness of the practice of paralleling technique among subjects with different education levels. The findings of the study suggest the need for strengthening education programs for clinical training content and practices which subjects considered important for their job. At the same time, the study emphasizes the need for developing training programs designed to produce dental hygiene preceptor who can provide dental hygienists with practical clinical training in cooperation with college and dental clinics.

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Problems of Insufficient Detailed Inspection and Precision Safety Diagnosis and the Improving Direction for the Evaluation System (부실 정밀점검 및 정밀안전진단의 문제점과 평가제도의 개선방향)

  • Ha, Myung Ho;Park, Jong Sup
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.5
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    • pp.160-168
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    • 2011
  • As importance of the field of maintenance and management come to the fore because of collapses of the Seongsu bridge and the Sampoong department store, "Special Act for the Safety Control of Public Structures" was established in 1995 and the major maintenance and management system began taking effect "Detailed inspection and Precision safety diagnosis". However, a technical standard of "Detailed inspection and Precision safety diagnosis" was low because its history was not long, and also the results of research were not enough so anxiety for "Insufficient Detailed inspection and Precision safety diagnosis" was continuously left. While its evaluation system introduced in 2002, the ratio of "Insufficient Detailed inspection and Precision safety diagnosis" has been getting lower. However, according to the evaluation result after carrying out "Detailed inspection and Precision safety diagnosis" recently, it seems difficult to become lower for the ratio of "Insufficient Detailed inspection and Precision safety diagnosis" in future. Therefore, it is considered of questionary survey of the concerned organization and the mechanism side in connection with "Insufficient Detailed inspection and Precision safety diagnosis". So it is arranged the fundamental problems caused by an "Insufficient Detailed inspection and Precision safety diagnosis" that is to show the improving direction of the existing evaluation system in a based on this.

A Case of Ischemic Colitis Presenting as Bloody Diarrhea after Glycerin Enema in a Patient on Modified Fasting Therapy (절식요법 중 글리세린 관장 직후 혈성 설사로 발현한 허혈성 대장염 1예)

  • Choi, Hyo-Jeong;Park, Hyun-Gun;Maeng, Tae-Ho;Yoo, Duk-Joo;Kim, Sung-Soo;Chung, Won-Suk
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.2
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    • pp.185-191
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    • 2013
  • Case of ischemic colitis after enema for bowel cleansing have been rarely reported, but there has been no case report of a patient on modiefied fasting therapy. A 26-year old male patient with obesity admitted Korean medical hospital of Kyung Hee university for losing weight. He is on a special diet called modiefied fasting therapy, only took the fermented herbal drink. At 2nd day, he received an enema for bowel cleansing. A few hours after enema, he had a bloody diarrhea with lower abdominal pain. His colonoscopic and histologic findings presented ischemic colitis. He was advised to fast for two days and couldn't complete his diet program. We suggest 4 possible reasons : Increased intraluminal pressure by enema, vascular spasm caused by room-temperature glycerin solution colder than intraluminal temperature, predisposition to bleeding disturbances by taking selective serotonin reuptake inhibitor(SSRI) for depression history and mucosal injury by osmotic effect of glycerin solution itself. For reducing the risk of bowel cleansing, glycerin enema should be carefully prescribed and practiced concerning the condition of each patient.

A Case of Bilateral Gynecomastia Associated with Isoniazid (Isoniazid를 포함한 항결핵약제 투여 후 발생한 여성형 유방 증례 1예)

  • Heo, Eun Young;Jeong, Ina;Lee, Jae Seok;Lee, Chang Hoon;Chung, Hee Soon;Kim, Deog Kyeom
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.4
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    • pp.308-312
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    • 2008
  • Gynecomastia is a benign enlargement of the male breast attributable to proliferation of the ductal elements. Gynecomastia has been rarely reported as an adverse effect of isoniazid therapy. We report the case of a 35-year-old man who was prescribed with isoniazid, rifampicin, ethambutol and pyrazinamide to treat pulmonary and lymphatic tuberculosis. After five months of treatment, the patient complained of painful engorgement in the bilateral breasts and the presence of male gynecomastia was confirmed with a physical examination and radiographical methods. The serum level of estradiol was also increased. Common causes of male gynecomastia were excluded through history taking and the laboratory findings. The anti-TB drugs were changed to a second line regimen due to radiographical progression and the intolerance of the patient to gynecomastia. Gynecomastia was relieved very slowly and a tender subareolar palpable mass decreased in size and consistency over five-month period after stopping the probable causative drug, isoniazid. From a review of the literature, gynecomastia has been shown to be a side effect of treatment with first line anti-tuberculosis drugs, and especially with isoniazid. We report the rare case.

Recurrent Desquamative Interstitial Pneumonia with Fibrotic Lung Disease (폐섬유화를 동반한 재발성 박리성 간질성 폐렴)

  • Kim, Won Jin;Choi, Jeong Hee;Park, Yong Bum;Cho, Sung Woo;Nam, Eun Sook;Mo, Eun Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.4
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    • pp.328-333
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    • 2008
  • Desquamative interstitial pneumonia is an uncommon form of interstitial lung diseases and it has a good prognosis compared with other types of idiopathic interstitial pneumonia. A 69-year old man was admitted to our hospital because of a 3-month history of dyspnea. The patient presented with hypoxemia. High-resolution computerized tomography of the patient showed ground glass opacity and traction bronchiectasis with subpleural early honeycombing on the both lung fields. The pathologic findings of the video-assisted thoracoscopy lung biopsy were compatible with desquamative interstitial pneumonia, and irregularly distributed interstitial fibrosis and inflammation were observed at the peripheral parenchyme. Oral predinsolone was started; his symptoms and chest x-ray were improved, and so he stopped taking the prednisolone. Ten months later, the desquamative interstitial pneumonia recurred. We report here on a case of recurrent desquamative interstitial pneumonia with fibrotic lung disease.

Contemporary fashion design using Chinese ink technique based on Chi-Yun-Sheng-Tung (기운생동(氣韻生動)의 개념을 통해 본 수묵 기법의 패션 디자인)

  • Kim, Ji Young
    • The Research Journal of the Costume Culture
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    • v.24 no.4
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    • pp.441-456
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    • 2016
  • This study considers the modern expression of oriental esthetics by analyzing the fashion design with the Chinese ink technique based on the concept of Chi-Yun-Sheng-Tung, which was regarded as the best rule of art creation in oriental history. This study was performed by conducting a literature review of related books and advanced studies, and then, collection analysis was done with photos derived from fashion websites (seoulfashionweek.org, chinafashionweek.org, vogue.com, firstview. com) from 2010 S/S to 2016 S/S. A total of 317 fashion photos of designs created using the Chinese ink technique by Korean designers at Seoul Fashion Week and Chinese designers at China Fashion Week were analyzed. The contemporary fashions created with the Chinese ink technique were characterized by, first, the bold brush strokes and natural spreading effects of Chinese ink, second, the emphasis of empty space by taking essential elements, and third, the coexistence of deep Chinese ink colors with modern primary colors. The formativeness of the contemporary fashions created with Chinese ink technique based on Chi-Yun-Sheng-Tung were as follows: first, temperance, pursuing spiritual and minimal expression, second, empty space, making design elements interact and pursue harmony, third, changeable rhythm, symbolizing the growth and variation revealing the power of life, and fourth, vitality, represented in the rhythmical movement of the brush. This study was based on the oriental esthetics inherent in Chi-Yun-Sheng-Tung, and it attempted to analyze contemporary fashion design. The aim was to show the possibility of modern applications to traditional values, and it can be a meaningful case in design planning based on culture.

Building the Database with Herbal Formulas Based on the Korean Medical Classics (기존한약서 수재 처방 Database 구축 연구)

  • Kim, Ji-Hoon;Lee, Dae-Jung;Yun, Sung-Joong;Ahn, Sang-Woo;Kim, Yun-Kyung
    • Herbal Formula Science
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    • v.23 no.2
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    • pp.209-224
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    • 2015
  • Objective : The main purpose of this study is to find a reasonable solutions for utilization of herbal formulas based on the medical classics. Methods : We used official Ten 'Selected Korean Medical Classics(SKMC)'. For input of formulas from SKMC, we had to select proper editions of them. After consultations with experts of 'The Korean Medicine Society for the Herbal Formula Study' and 'Korean Society of Medical History', we chose the proper editions of SKMC, and according to those books, we built formulas database using microsoft office excel sheets, respectively. Results : After whole input procedures, we requested several experts to inspect the results and also, to correct errors in them. Input categories were name of formula, name of classic, classification, original source, composition herb, weight, unit of weight, weight conversion index, converted weight, basic formula, indications, reason for modification, preparing method, taking method and contraindications. Final number of whole formulas in DB was 32,882. Conclusions : We used SKMC and built database using excel program. Through this procedure, we can provide a developmental ways to make a foundation for herbal formulas from the medical classics, so that we can make herbal formulas be standardized or industrialized more efficiently.