• 한방안이비인후피부과학회지
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• 제36권4호
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• pp.19-29
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• 2023

Objectives : The purpose of this study is to retrospectively analyze 3 years of inpatient ophthalmology consultation to Korean medicine ophthalmology, otolaryngology & dermatology department in Korean medicine hospital. Methods : We classified ophthalmological inpatient consultations between September 1st, 2019 and August 31st, 2022, based on electronic medical record by gender, age, hospitalized department, categories of diseases. Results : Total number of consultations were 111, and the average of age was 63.6. The proportion of female and male were 2.5:1. Among the 136 cases of eye disease referred, lacriminal production and discharge diseases accounted for the most at 54 cases(39.7%), of which 44 cases were dry eyes syndrome. Excluding dry eye syndrome, conjunctival disease occurred the most with 24 cases(17.6%). Consultations from department of Korean rehabilitation medicine, and Korean internal medicine were most common, because they have a comparatively large number of inpatients and long hospitalization period. Conclusions : This study identified the frequency of consultation and the disease group with many requests for each department. When inpatients complain of eye disease, consultation to Korean medicine ophthalmology, otolaryngology & dermatology department should be encouraged as accurate diagnosis and treatment using specialized equipment is possible and can be used for the purpose of progress observation and examination.

• 한국융합학회논문지
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• 제10권4호
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• pp.91-97
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• 2019

본 연구의 목적은 입원한 알코올 중독환자에게 실시한 구강보건교육의 효과가 인구 사회학적 특징과 구강건강 관련 특징들에 따라 어떻게 나타나는지를 알아보는 것이었다. 연구대상은 알코올 전문병원에 입원한 62명의 남자로, 32명을 교육군에 30명을 대조군에 무작위로 배정하였다. 인구 사회학적 특징과 구강건강 관련 특징들을 조사하기 위하여, 자기 기입식으로 구조화된 설문지를 이용하였고, 조사는 교육 전과 후 두 번 실시하였다. 구강보건교육은 한국구강건강협회에서 제시한 성인용 구강보건교육 이론과 칫솔질 실기교육으로 일주일에 한번 40-50분, 4주 동안 실시하였다. 연구결과, 구강보건교육은 인구 사회학적 특징이나 구강건강 관련 특징들이 다르다 하더라고, 알코올 중독환자들의 구강건강행동에 큰 개선효과를 나타내었다. 이와 같은 결과들은 구강보건교육 프로그램이 알코올 상담센터나 알코올 전문병원에서 체계적으로 운영된다면 구강환경이 열악하고 구강건강 관리능력이 부족한 사람들에게 확실한 구강건강 향상이 가능할 것이라는 것을 보여준다.

• Journal of Korean Dental Science
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• 제16권1호
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• pp.63-73
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• 2023

Purpose: Hyperdontia is a developmental disorder of the oral cavity. Mesiodens refers to the hyperdontia located between the maxillary central incisors. During the surgical procedure, the anesthetic method for pain control should be considered along with factors related to the surgery itself. The purpose of this study was to evaluate the effect of the impacted position of the mesiodens on the selection of sedation method and to suggest incisive foramen as a brief reference. Materials and Methods: This study included 126 patients who were scheduled for extraction of mesiodens. The selection criteria included patients with one palatally impacted inverted mesiodens accessible from the palatal gingival margin, and those with good cooperation potential in order to control for clinical information. Using cone beam computed tomography, vertical, horizontal, and palatal positional factors were measured, and the anesthetic method was determined by two examiners. The patients were grouped into vertical and horizontal groups based on the position of the incisive foramen. Data were statistically analyzed using the Mann-Whitney test, the chi-square test, and logistic regression analysis. Result: All positional factors differed between the outpatient and inpatient anesthetic groups. The vertical minimum distance from the alveolar ridge to the mesiodens (Va) and the minimum distance from the palatal surface to the crown tip of the mesiodens (Tc) were factors affecting the choice of anesthetic method. The distribution of the vertical and horizontal positional groups differed between the outpatient and inpatient anesthetic groups. Conclusion: The incisive foramen can be used as a brief reference to determine the appropriate anesthetic method. Referral for inpatient anesthesia may be a priority if they are in the V₂H₂ group with Va ≥5 mm, and Tc ≥6 mm, and outpatient sedation may be considered if they are in the V₁H₁ group with Va ≤1.5 mm, and Tc ≤2.5 mm.

• 대한한방내과학회지
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• 제26권2호
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• pp.360-368
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• 2005

Background & Object: The aim of this study was to investigate the effects of Traditional Korean medical therapy on gastric myoelectrical activity in patients with functional dyspepsia. Methods: 29 patients(male 10, female 19) were divided into two groups; Inpatient group(N=10, male 1, female 9) and outpatient group(N=19, male 9, female 10). 10 healthy people participated in this study as normal controls. Gastric motility was recorded and analyzed by electrogastrography(EGG) during fasting and postprandial periods. Hospital treatment included electroacupuncture on ST36, acupuncture, and herbal medicine. Outpatients were treated with herbal medicine and acupuncture. Inpatients underwent hospital treatment for two weeks, and after discharge they were treated as outpatients for six weeks. In inpatient group, EGG was recorded before and after hospital treatment and it was recorded at six weeks after discharge. In outpatient group, EGG was recorded before starting treatment and it was recorded once a every six weeks for twelve weeks. Results: There was no significant difference in EGG parameters between before and after therapy in outpatient group. In inpatient group, postprandial normal slow wave increased after hospital treatment(from $33.94{\pm}14.13$ to $62.63{\pm}20.18$, p<0.05) and postprandial tachygastria decreased(from $43.53{\pm}13.99$ to $28.30{\pm}16.63$, p<0.05) and arrhythmia decreased(from $20.35{\pm}15.91$ to $5.67{\pm}6.80$, p<0.05). Conclusions: Results suggest that hospital treatment through electroacupuncture on ST36, acupuncture, and herbal medicine is useful to improve gastric myoelectrical activity in Patients with Functional Dyspepsia.

• Journal of Acupuncture Research
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• 제34권4호
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• pp.190-196
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• 2017

Background: The purpose of this study was to investigate the efficacy of muscle energy techniques (MET) of upper trapezius and sternocleidomastoid muscles on Bell's palsy. Methods: In this retrospective study, we screened the medical records of patients with Bell's palsy who had received inpatient and outpatient treatment at the Department of Acupuncture & Moxibustion, Korean Medicine Hospital Dong-Eui University between November 28, 2016 and April 30, 2017. A total of 34 out of 93 Bell's palsy patients met the inclusion criteria. The 34 patients were divided into two groups: Group A patients had undergone Korean-Western combination treatment and MET of upper trapezius and sternocleidomastoid muscles; Group B patients had undergone Korean-Western combination treatment only. MET of upper trapezius and sternocleidomastoid muscles had been performed three times a week during the inpatient period, and two to three times a week during the outpatient period. Yanagihara scores had been assessed at the first visit, and 1, 2, 3, and 4 weeks after the first visit. Results: Group A Yanagihara scores were significantly improved during each interval from the first visit to 4 weeks later. Group B Yanagihara scores were also significantly improved except during the first week. During every period, the improvements observed in Yanagihara score were significantly higher in Group A than in Group B. Conclusion: These results suggest that MET of upper trapezius and sternocleidomastoid muscles may be effective treatment for Bell's palsy.

• 한국의료질향상학회지
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• 제7권1호
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• pp.18-31
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• 2000

Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

• Pediatric Infection and Vaccine
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• 제2권2호
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• pp.180-185
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• 1995

1. Purpose The accurate diagnosis and proper treatment of group A streptococcus should be emphasized concerning about possible development of late sequelae, such as acute rheumatic fever and acute glomerulonephritis. We would like to know the recover rate of beta-hemolytic streptococci by throat swab culture at the in-patient 2. Methods The throat swab cultures and filled up flow-sheets were undertaken on 619 children who had admitted to hospital, KyungHee university hospital from may 1994 to april 1995 prospectively. At the same time on admission, throat culture was performed. 3. Results The highest recover rate of BHS(Beta-Hemolytic Streptococci)and GAS(Group A Streptococci) were seen in above 10 years old, as 9.1% and 1.9%. BHS were obtained in 39 cases(6.3%) among 619 children while GAS was obtained in 3 cases (0.4%). Among 39 specimens of BHS, 33 specimens were classified as non-grouping streptococcus. 4. Conclusion The poor recovery rate of GAS inpatient compared with normal carrier rate is likely due to possible antibiotic abuse, errors in processing samples, and epidemiologic factors such as seasons and geographic areas. It is necessary to evaluate the clinical significance of non-A,B,C,G streptococcal infections and carriers.

• 기본간호학회지
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• 제13권2호
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• pp.200-207
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• 2006

Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and $X^2-test$ were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.

• 간호행정학회지
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• 제14권1호
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• pp.45-50
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• 2008

Purpose: This study was intended to determine how an in-patient guide movie enhanced the understanding of hospital life. Method: A non-equivalent control group post-test design was used for the study. The experimental group was allowed to watch the in-patient guide movie. The in-patient guide booklets were given to the control group for reading. The understanding and satisfaction of the respective programs were surveyed with questionnaires. The data was analyzed using SPSS. Result: The movie watching experimental group had better understanding on the hospital life than the booklet reading control group. The movie watching group had more satisfaction with the guide program than the booklet reading group. The understanding of the hospital life and satisfaction with the program had relevance. Conclusion: This study suggests that the in-patient guide movie would help the would-be in-patients understand and adapt to the hospital life better. Therefore, the in-patient guide movie is considered to be a useful medium to educate in-patients for their hospital life.

• 척추신경추나의학회지
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• 제3권2호
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• pp.53-60
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• 2008

Objectives : The aim of this study is to compare the improvement of Low back pain (LBP) depending on female inpatient's Bone mineral density (BMD) after menopause. Method : We evaluated 10 cases of normal and 25 cases of osteopenia and osteoporosis based on Bone mineral density test among the female inpatients with LBP who were after menopause, admitted at Jaseng Hospital of Oriental Medicine from January 2008 to August 2008. Result : Depending on the analysis of pathogenic cause, most were without specific reason and except that, overwork and lifting heavy weight were the most common reason. Using improvement-analysis based on treating period, the normal group showed higher decrease of Numerical Rating Scale (NRS) than osteopenia and osteoporosis group. Conclusion : Statically, among the female inpatients with LBP, who were after menopause, had no significant differences between the normal group and osteopenia and osteoporosis group's improvement rate, depending on treating period.