• Title/Summary/Keyword: History taking

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Histological classification of canine ovarian cyst types with reference to medical history

  • Knauf, Yvonne;Kohler, Kernt;Knauf, Sascha;Wehrend, Axel
    • Journal of Veterinary Science
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    • v.19 no.6
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    • pp.725-734
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    • 2018
  • Ovaries of 21 bitches presented with gynecopathies were surgically removed and histologically examined. Standard histological, as well as immunohistochemical, classification of 193 cystic structures resulted in the classification of 72 cysts of subsurface epithelial structures (SES), 61 follicular cysts (FCs), 38 cystic rete ovarii (CRO), 13 lutein cysts (LCs), and 9 non-classifiable cysts (NCCs). In addition to the histological classification, results were interpreted according to subject medical history, clinical examination outcome, and macroscopic observations during ovariohysterectomy. Dogs with ovarian cysts (OCs) and associated reproductive perturbations were mostly nulliparous, of large breed, and had an average of $9.5{\pm}3$ years. Prolonged or shortened inter-estrus intervals of past heats, however, seemed to be relatively low-risk factors for the development of OCs in dogs. Furthermore, we provide histological observations of a rarely seen canine LC including a degenerated oocyte in the central cavity.

Comparative analyses of a shield building subjected to a large commercial aircraft impact between decoupling method and coupling method

  • Han, Pengfei;Liu, Jingbo;Fei, Bigang
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.326-342
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    • 2022
  • Comparative analyses of a shield building subjected to a large commercial aircraft impact between decoupling method and coupling method are performed in this paper. The decoupling method is applying impact force time-history curves on impact area of the shield building to study impact damage effects on structure. The coupling method is using a model including aircraft and shield building to perform simulation of the entire impact process. Impact force time-history curves of the fuselage, wing and engine and their total impact force time-history curve are obtained by the entire aircraft normally impacting the rigid wall. Taking aircraft structure and impact progress into account some loading areas are determined to perform some comparative analyses between decoupling method and coupling method, the calculation results including displacement, plastic strain of concrete and stress of steel plate in impact area are given. If the loading area is determined unreasonably, it will be difficult to assess impact damage of impact area even though the accurate impact force of each part of aircraft obtained already. The coupling method presented at last in this paper can more reasonably evaluate the dynamic response of the shield building than the decoupling methods used in the current nuclear engineering design.

A Study of Methods to Foster Manhole Cover Design -Focused on manhole cover designs in 'Streets of History and Culture'-

  • Lee Cho-Rog;Yoon Jong-Young
    • Archives of design research
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    • v.19 no.3 s.65
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    • pp.167-182
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    • 2006
  • From 1998 Seoul city is being rebuilt for 'the city which people want to go around on foot'. Many streets only for cars have been transformed for pedestrians. In addition to that streets are built not only just to pass by, but also enjoy themselves, so 8 Streets in Seoul have been redecorated as 'Streets of History and Culture'. These Streets are chosen because they have their own unique history or culture, so they are remodeled with lightings, exhibition pavilions or sign postings etc except manhole covers. Even these 8 streets have manhole covers; they are not particular, just same as like other streets. For most streets manhole cover is an essential component of them, but it is mostly omitted to be designed in particular. For the most time some of the standard manhole covers are installed in a street. Taking a look at manholes in Minneapolis city, they inform visitors what the landmark, landscape, symbol, representative flower or tree of the city is. Sometimes they are designed by famous artists and become art which all pedestrian can enjoy. If manhole covers in 'the streets of history and culture' are designed to represent its history or culture, visitors will get information about there easily and enjoy their design. To foster manhole cover designs, the government office should co-work with professional designers or design societies and encourage people to spend a certain amount of the construction cost to design manhole covers. At school designing manhole cover can be handled in an art class and besides can have a class in the field, streets to observe manhole cover designs. Getting more concern of manhole cover design, competitions and exhibitions are able to be held.

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Incidence of Osteoporosis and Falls and Predictors of Fracture Risk in Postmenopausal Women (폐경 후 여성 골다공증과 낙상의 실태 및 골절 위험 예측요인)

  • Ahn, Sukhee;Kim, Yunmi;Chun, Nami;Lee, Sook-Hee
    • Women's Health Nursing
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    • v.18 no.4
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    • pp.237-247
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    • 2012
  • Purpose: The purpose of this study was to investigate the incidence of osteoporosis and falls and their consequences, and to identify predictors of fracture risk in the postmenopausal women. Methods: A total of 687 postmenopausal women were recruited through a stratified convenience sampling. A structured questionnaire was used to obtain osteoporosis and fall history and details of their most recent fall. To predict fracture risk factors, we collected demographic and physical health variables related osteoporosis and fall. Fracture risk was measured by FRAX$^{(R)}$ to calculate 10-year probability of major osteoporotic and hip fracture. Results: The prevalence of osteoporosis was 22.1%, and 66.4% of them had treatments for osteoporosis. The incidence of falls during the past year was 19.2% and 38.6% of those who fell suffered consequent fractures. Women with history of osteoporosis and falls were significant predictors of 10-year probability of major osteoporotic and hip fracture. Other significant predictors were history of fracture, chronic disease, surgical menopause, lower BMI, poorer perceived health and no job. Conclusion: It appears that history of osteoporosis and falls are main predictors of fracture risk. Nursing assessment should be performed by detail history taking for osteoporosis, fall, chronic disease, and fracture to screen fracture risk group among postmenopausal women.

Characteristics and Treatment of Temporomandibular Disorder in Children and Adolescents: An Analytic Review

  • Park, Hyung-Seok;Ahn, Yong-Woo;Jeong, Sung-Hee;Jeon, Hye-Mi;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.42 no.4
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    • pp.89-101
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    • 2017
  • Purpose: The purpose of this study is to investigate the prevalence of temporomandibular disorders (TMDs) in children and adolescents, their characteristic contributing factors, the characteristic features of symptoms and symptoms, and the response to treatment. Methods: We studied the researches, that were the results of the searches for words such as temporomandibular disorder, TMD, children, adolescents, and juvenile through PubMed and DBpia. Results: According to a study conducted in Busan, the ratio of adolescents increased from 18.3% to 21% in 2008 compared to 2000, and the proportion of boys increased from 38.58% to 45.38%. One of the characteristic contributing factors for adolescents is the macrotrauma such as jaw trauma, vehicle accidents, sports, physical abuse, forceful intubation, and third molar extraction. The second is a microtrauma from parafunctional habit such as bruxism, clenching, hyperextension, wind instrument, and fingernail biting that can cause joint overload, cartilage breakdown, synovial fluid alterations, and other changes within the joint. The diagnosis of TMDs in juvenile adolescents is not significantly different from that of adults. Medical history, clinical examination and radiological examinations are required. Conclusions: In the temporomandibular joint history and assessment, all comprehensive dental history examination is required, including head and neck pain, mandibular dysfunction, previous orofacial trauma, history of present illness with an account of current symptoms. For the treatment and management of temporomandibular arthritis in juvenile adolescents, understanding the characteristics of TMDs in juvenile adolescents and thoroughly analyzing appropriate diagnosis and possible contributing factors through comprehensive history taking & examination, conservative treatment, including fast and active cautions education, will be essential.

A Historical Study on Treatment Records of Queen Jangyeol's Convulsion - Focusing on Cases Recorded in "The Daily Records of Royal Secretariat of Joseon Dynasty 『承政院日記 (Seungjeongwonilgi)』" - (조선 장렬왕후의 경련에 대한 치병기록 연구 - 『승정원일기』의 의안을 중심으로 -)

  • Park, Joo-Young;Cha, Wung-Seok;Kim, Namil
    • The Journal of Korean Medical History
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    • v.29 no.1
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    • pp.79-87
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    • 2016
  • Queen Jangyeol was proclaimed as the second wife of King Injo at the age of 15 in 1638. This study was carried out in order to confirm if Queen Jangyeol actually came down with epilepsy or if she pretended to do. The keywords, "Jungjeon" and "Junggungjeon" were searched among the articles from "Seungjeongwonilgi" in the 16th reign to the 27th reign of King Injo. After that, articles only related to convulsion were selected. The symptom of convulsion and the therapy were analyzed. King Injo gave an order, and royal doctors diagnosed the queen's illness as epilepsy in August in the 23th reign. The Queen was confined in Gyeongdeok in November, and took herbal drugs for treating the epilepsy. After the death of King Injo, she stopped taking the drugs. As the Queen's epilepsy took place consistently more than 1~2 times in a month, it is the generalized tonic-clonic seizure. Also, it is the epilepsy overlapping reiteration with the brain function disorder because the convulsion lasted throughout 1 hour. However, after King Injo died, she lived for long without the brain function disorder. So it is difficult to judge she actually came down with the epilepsy.

From Classical Texts in the Past to Practices in the Present : An Anthropological Exploration of 『Somun Daeyo』, Somun Hakhoe, and the Transmission of East Asian Medical Tradition (과거의 의서에서부터 당대의 실천까지 : 『소문대요』, 소문학회, 그리고 동아시아 의학전통의 전승을 바라보는 의료인류학적 시선)

  • Kim, Taewoo
    • The Journal of Korean Medical History
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    • v.26 no.1
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    • pp.9-18
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    • 2013
  • This study examines the meaning of classical texts in contemporary society. Drawing on an anthropological investigation of Somun Hakhoe, an association of Korean medicine doctors in South Korea, and its foundational text "Somun Daeyo", the present study explores the interconnectedness of medical texts and medico-social practices in bringing medical tradition into the contemporary era. The themes that author Lee Kyu-joon emphasizes in "Somun Daeyo" are thoroughly embodied in Somun Hakhoe's medico-social practices, such as the study activities based on "Somun Daeyo"(in particular, on Somun Buseol, the five articles written by the author, attached to "Somun Daeyo"), the focus on Buyang theory(扶陽論), and the distinctive feature of composing formula. The ethnographic data collected about the group activities of Somun Hakhoe also demonstrate that the social relationship of the teacher and disciples plays an important role in bringing East Asian medicine into the present. This study articulates the significance of the interaction between the classical text and the medico-social practices around it. The dynamism taking place in the interaction points to the "living tradition" actively flowing rather than being static in the past. This study illustrates the close relationship between medical history and medical anthropology and encourages more studies of classical texts based on the intimate relationship between the two disciplines.

Determinants of Adherence to Diabetes Screening in Iranian Adults With a Positive Family History of Diabetes

  • Malih, Narges;Sohrabi, Mohammad-Reza;Abadi, Alireza;Arshi, Shahnam
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.190-198
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    • 2021
  • Objectives: Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes. Methods: This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study. Results: Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members' advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55). Conclusions: Knowledge of the adverse effects of diabetes, physicians' and healthcare providers' advice about the benefits of early disease detection, and family members' advice were independent predictors of screening adherence.

How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study

  • Eli D. Medvescek;Sorana Raiciulescu;Andrew S. Thagard;Katerina Shvartsman
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.190-195
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    • 2023
  • Objectives: Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology. Methods: We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate. Results: In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively). Conclusions: Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.

Two cases of secondary amenorrhoea treated by Hyunburikyungtang gamibang (현부리경탕가미방(玄附理經湯加味方)을 병행한 무월경 환자 치험2례(例))

  • Koo, Jin Suk;Seo, Bu Il
    • The Korea Journal of Herbology
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    • v.31 no.2
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    • pp.7-12
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    • 2016
  • Objectives : Secondary amenorrhoea is the absence of menses for three months in a woman with previously normal menstruation or nine months for women with a history of oligomenorrhoea. It can be caused by stress, extreme weight loss, and excessive exercise. The purpose of this study was to report the clinical effects of herbal medicine on secondary amenorrhoea.Methods : We employed oriental medical treatments; herbal - medication (Hyunburikyungtang gamibang), acupuncture and moxibustion. We treated the patients one or two times a month with oriental therapy method. They took medicine three times a day after a meal. During taking medicine, we let the patients avoid fatty food, flour based food and alcohol. We evaluated the status of the patient, on the basis of the state of menstration and F2 level of Yangdorak. Because we diagnosed the condition of patients with the pattern of liver depression and qi stagnation, so F2 level of Yangdorak was an important point of the diagnosis. Yangdorak machine was Tormeter Iw - zen at Towatech Co.,Ltd.Results : After taking treatment - several times acupuncture and moxibustion during some period and taking herbal-medicine, they had menstrain naturally without taking any hormone drug. Also the amount of menstration has gradually increased. The F2 level of Yangdorak returned to normal range. The feeling of cold on hands, feet and lower abdomen was much improved.Conclusions : Herbal medicine (Hyunburikyungtang gamibang) with oriental medical treatments, acupuncture and moxibustion was effective in the treatment of secondary amenorrhoea.