• Title/Summary/Keyword: History taking

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A retrospective study of mothers who received herbal medicine treatment using the Jeollabuk-do postpartum health support project at one korean medicine hospital (일개한방병원에서 전라북도산후건강지원사업을 이용해 한약치료를 받은 산모에 대한 후향적 연구)

  • Jeong, Seo-Yoon;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.3
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    • pp.49-64
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    • 2021
  • Objectives: This study analyzed medical records and online survey of mothers who received herbal medicine treatment using the Jeollabuk-do Postpartum Health Support Project. Through this, we would like to discuss the proposal of a postpartum questionnaire of korean medicine for the initial examination, and the project direction. Methods: This study investigated the medical records of 46 mothers who received herbal medicine treatment using the Jeollabuk-do Postpartum Health Support Program at one korean medical hospital. The mother's general characteristics, past history, symptoms, and herbal medicine prescription were analyzed. In addition, through the 33 mothers who responded to the online survey questionnaire, 13 items including medication satisfaction, lactation, and side effects were investigated. Results: The average age of the subjects was 34.46±4.27 years. Musculo-skeletal pain was the most common in both medical records and online surveys. The date of visit from the date of delivery was 47.56±57.15 days. Boheo-tang was prescribed the most, and 84.8% of mothers answered positively about their health after taking herbal medicine. Conclusions: The satisfaction of mothers who received herbal medicine treatment through this project was very high. There were no significant side effects on the mother and the breastfeeding baby who took herbal medicine. In the future, support projects for postpartum korean medical treatment at the national or local level will be necessary.

The Terminology of Silks in Texts of the Roman Empire: Qualities, Origins, Products, and Uses

  • HILDEBRANDT, Berit
    • Acta Via Serica
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    • v.6 no.2
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    • pp.117-140
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    • 2021
  • At the beginning of the Roman imperial period, moralizing authors criticized a material from the East that quickly gained popularity among the elites: silk. During Late Antiquity, the trade, production, and use of purple-dyed silks increasingly became the privilege of the emperors. While literature, court poetry, and laws give insights into the discourses surrounding silk, they are rather unspecific concerning silk qualities. This contribution analyzes the scattered descriptions of silks in Greek and Latin texts in a diachronic perspective, with a focus on the 1st cent. BCE to the 4th cent. CE, paying particular attention to the terminology, products, origins, and qualities of silk. The aim is to build a framework for comparisons with archaeological silk finds and other textile terminologies along the Silk Roads. Here, the silk finds from the oasis city of Palmyra/Tadmor in modern-day Syria, dating from the 1st cent. BCE to the 2nd cent. CE, will be used as a case study for the early imperial period. Taking these silk finds as a comparison, it will be shown that Greek and Latin terminology does not match the variety of silks known in the Mediterranean. Rather, linguistic differentiations focus on the forms in which silk reached the Mediterranean, as skeins, yarns, and fabrics, as well as on the different kinds of silks that were produced in the West, namely pure silk and half-silken fabrics, checkered "scutlata" damasks, purple-dyed, and gold-embellished silks. In contrast, silks from the East were subsumed under the term for "silks from the silk people" or simply "silks". Moreover, ancient authors do not use the terms in the same way. These findings show the limitations of Western silk terminology and the importance of combining archaeological and written sources.

Revision after Instability Surgery (수술 후 재발한 견관절 불안정증의 치료)

  • Kim, Paul Shinil;Jo, Chris Hyunchul
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.374-382
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    • 2020
  • Recurrence is the most common complication after shoulder instability surgery, and the main causes of the postoperative recurrence of instability are trauma, misdiagnosis, and technical errors. The risk factors of recurrence may be classified as patient related, anatomical or technical. Causes of failure should be thoroughly evaluated by meticulous history taking, physical examination, and imaging studies, and followed by proper treatment of pathologic lesions. Nonoperative treatment should be considered initially in cases of recurred instability after shoulder instability surgery, but if this fails, repeated recurrence is prevented by performing appropriate anatomical reconstruction of ruptured Bankart lesions, capsular laxities, glenoid deficiencies and humeral head bone defects.

Prevalence and factors associated with hyponatremia in older adults who visited emergency department (응급실을 방문한 노인 환자의 저나트륨혈증 유병률 및 위험인자 분석)

  • Kim, Geonnyeon;Shin, Sangmi;Suh, Yewon;Namgung, Hyungwook;Lee, Jeonghwa;Lee, Euni;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.67-73
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    • 2022
  • Objectives: Hyponatremia is prevalent electrolyte disorder and can be fatal in older adults. Evaluative studies on hyponatremia among older adults are scarce, especially targeting for those who visited emergency department (ED). We aimed to estimate the prevalence and to identify risk factors of hyponatremia among elderly patients visiting the ED. Methods: A retrospective chart review was completed including 65 or older patients who visited ED at Seoul National University Bundang Hospital from September to December 2019. Patients with the serum sodium concentration of less than 130mEq/L was defined as a hyponatremia group. Logistic regression analysis was conducted to assess predictive factors for hyponatremia. Results: Of the total 2,445 patients, 155 (6.3%) were confirmed to have hyponatremia at the time of ED visits. Risk factors for hyponatremia identified in logistic regression analysis were thiazides (aOR=2.64, 95% CI 1.66-4.21), opioids (exclude tramadol) (aOR=3.45, 95% CI 1.72-6.94), and desmopressin (aOR=6.98, 95% CI 2.45-19.84). Compared to the use of thiazides alone, it was confirmed that the possibility of hyponatremia was more than quadrupled when proton pump inhibitor (PPI) was used together (aOR=4.08, 95% CI 1.74-9.55). Conclusions: About 6.3% of older adults visiting the ED had hyponatremia. Age, number of medications taken, previous history of hyponatremia, heart failure, cirrhosis, pneumonia, sepsis, prescribed drugs including thiazides, opioids (exclude tramadol), or desmopressin or taking PPI together with thiazides was confirmed to correlate with the risk of hyponatremia.

Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry (한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구)

  • Heeyoung Moon;Minsoo Kim;Su Hyun Lim;Younbyoung Chae;In-Seon Lee
    • Korean Journal of Acupuncture
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    • v.40 no.2
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

Development of antibiotic prescription guidelines for antibiotic prescription quality management (항생제 처방 질 관리를 위한 항생제 처방 지침의 개발)

  • Kim, Hyesung;Oh, Jeongkyu
    • Journal of Korean Academy of Dental Administration
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    • v.5 no.1
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    • pp.45-54
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    • 2017
  • The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

Cyclic loading test for concrete-filled hollow PC column produced using various inner molds

  • Chae-Rim Im;Sanghee Kim;Keun-Hyeok Yang;Ju-Hyun Mun;Jong Hwan Oh;Jae-Il Sim
    • Steel and Composite Structures
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    • v.46 no.6
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    • pp.793-804
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    • 2023
  • In this study, cyclic loading tests were conducted to assess the seismic performance of cast-in-place (CIP) concrete-filled hollow core precast concrete columns (HPCC) constructed using steel ducts and rubber tubes. The outer shells of HPCC, with a hollow ratio of 47%, were fabricated using steel ducts and rubber tubes, respectively. Two combinations of shear studs & long threaded bars or cross-deformed bars & V-ties were employed to ensure the structural integrity of the old concrete (outer shell) and new CIP concrete. Up to a drift ratio of 3.8%, the hysteresis loop, yielding stiffness, dissipated energy, and equivalent damping ratio of the HPCC specimens were largely comparable to those of the solid columns. Besides the similarities in cyclic load-displacement responses, the strain history of the longitudinal bars and the transverse confinement of the three specimens also exhibited similar patterns. The measured maximum moment exceeded the predicted moment according to ACI 318 by more than 1.03 times. However, the load reduction of the HPCC specimen after reaching peak strength was marginally greater than that of the solid specimen. The energy dissipation and equivalent damping ratios of the HPCC specimens were 20% and 25% lower than those of the solid specimen, respectively. Taking into account the overall results, the structural behavior of HPCC specimens fabricated using steel ducts and rubber tubes is deemed comparable to that of solid columns. Furthermore, it was confirmed that the two combinations for securing structural integrity functioned as expected, and that rubber air-tubes can be effectively used to create well-shaped hollow sections.

Blockchain-Based Shared Electric Kickboard User Management Model (블록체인 기반 공유 전동킥보드 이용자 관리 모델)

  • Soojin Lee;Min-Jeong Park;Na-Hee Kim;Seung-Hyun Seo
    • KIPS Transactions on Computer and Communication Systems
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    • v.12 no.7
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    • pp.217-226
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    • 2023
  • As the use of shared electric kickboards is rapidly increasing, there are many cases of illegal parking of shared mobility. In order to solve this problem, local governments are taking measures such as towing illegally parked shared electric kickboards, but user management is not considered and the methods are inefficient. Accordingly, in this paper, we propose a blockchain-based shared electric kickboard user management model. The shared electric kickboard is equipped with a camera sensor and GPS that can check the parking status, and when the user ends the use of the shared electric kickboard, information on the parking status is collected through the installed sensors and the shared electric kickboard company You can check if the user has parked correctly. In addition, trust points are given according to the user's parking history and incentives are provided according to the trust points, inducing users to return the shared evangelism kickboard correctly. The information is shared through the consortium blockchain in which shared electric kickboard companies participate, enabling integrated user management of shared electric kickboard companies.

Comparison of Dietary Behavior between Atopic Dermatitis Patients and Controls in Elementary School Students Living in the Sung-nam Area (성남시 소재 초등학교 저학년에서 아토피 피부염 환자군과 대조군의 식생활 비교)

  • Shin, You-Kyung;Kim, Myung-Hee;Chung, Ja-Yong
    • Journal of the Korean Society of Food Culture
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    • v.23 no.5
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    • pp.655-661
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    • 2008
  • The prevalence of atopic dermatitis (AD) in children has increased dramatically in recent years. Although AD has genetic determinants, this rapid increase is most likely due to changes in environmental influences--for example, dietary changes. The purpose of this case-control study was to assess the relationship between the risk of developing AD and dietary factors, including eating habits, food intake, and the consumption of various functional foods in children at ages of 7 or 8 years. 143 AD patients and 335 healthy children participated in this study. A mini-dietary assessment was utilized to evaluate the food intake and dietary patterns of the children, and other information, including demographic and socioeconomic characteristics, eating habits, and the frequency of functional food use was collected using a questionnaire. The results demonstrated that, among the demographic and socioeconomic factors assessed in this study, female gender, mother's employment, and the family history of AD significantly increased the risk of AD. However, no differences in dietary habits and specific food intake between AD patients and healthy controls were identified. On the other hand, the frequencies of taking multivitamin supplements, Spirulina, or gamma-linoleic acid were significantly higher in AD patients than in the controls. These data indicate that alterations in eating habits and the intake of certain foods may not be a critical cause associated with the risk of AD in school-age children, and caution should be taken in recommending food elimination diets for the purpose of preventing AD. Further studies are required in order to determine whether the intake of specific nutrients could contribute to the increase or prevention of the development of AD in school-age children.

Surgical Correction of Bilateral Gastrocnemius Muscle Rupture and Its Prognosis in a Korean Native Calf

  • Gyuho Jeong;Younghye Ro;Kyunghyun Min;Woojae Choi;Ilsu Yoon;Hyoeun Noh;Danil Kim
    • Journal of Veterinary Clinics
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    • v.40 no.3
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    • pp.215-220
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    • 2023
  • A 3-month-old Korean native cattle (Hanwoo) calf with difficulty taking normal posture and an inability to rise was referred for a definite diagnosis and active treatment, including surgery. The calf had a history of an accident in which both hind limbs were trapped in a barn structure. After admission, a "rabbit leg" posture was observed, a typical sign of gastrocnemius muscle rupture, and both digits were knuckled downward like they were trying to grip the ground. This was considered to be a result of the superficial digital flexor not rupturing but only the gastrocnemius muscle rupturing. Physical examination revealed laceration of the metatarsus and firmness behind both stifle joints which were presumed to be the sites of gastrocnemius muscle rupture. Skeletal abnormalities, including fractures, were ruled out by radiography. Based on these findings, the patient was diagnosed with bilateral gastrocnemius muscle rupture, and surgery was performed to reconnect the head of the ruptured muscle. Because the rupture occurred perpendicular to the muscle direction, the locking loop technique, a method of suturing severed tendons, was used to reduce the tension. After surgery, the cast was used to prevent further injuries and promote voluntary rehabilitation. Follow-up was completed, with the calf showing normal posture and gait 112 days after surgery. This is the first case report in the Republic of Korea describing the successful diagnosis and treatment of bilateral gastrocnemius muscle rupture in a calf.