• 제목/요약/키워드: Medical complaint

검색결과 282건 처리시간 2.313초

Job Stress and Musculoskeletal Symptoms of Care Workers at Medical Welfare Facilities for Elders (노인의료복지시설 생활지도원의 직무스트레스와 근골격계 증상)

  • Lee, Young-Mi
    • Research in Community and Public Health Nursing
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    • 제18권3호
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    • pp.410-419
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    • 2007
  • Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

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Study on the Effects of Composition Consisting of GGT and JG D in the Treating and Preventing for Myoma of the Uterus (가미귀출리경탕과 좌궁단이 자궁근종에 미치는 영향에 대한 임상적인 연구)

  • Ryu Gyeong Ho;Kim Gyeong Cheol;Lee Yong Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • 제17권4호
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    • pp.923-929
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    • 2003
  • The purpose of this study is to examine various Oriental Medical approaches to uterine myoma treatments which have been previously proposed, and find out an appropriate method with the verification of its clinical acceptance. The treatment with GGT(Gami-gwichulikyeong-tang) and JGD (Jagungdan) has been applied to uterine myoma patients visiting Sangdang Oriental medical clinic. After the treatment, 81 cases showing significant results are selected and analyzed in terms of patients' age, social environment, previous history of treatment, condition of uterine myoma, chief complaint, and the comparison between menstrual phases before the treatment and those after it. As for the size change, no-change is dominant. For the change chief complaint take a favorable turn is better after the treatment. Color of menstruation, pathologic blood drainage, hypermenorrhea or menorrhagia. dysmentorrhea show high percentage of improvement. The results above show GGT and JGD are effective treatments for uterine myoma patients. These two are also similar to the typical prescription of Jingga, which is Gwichulpajing-tang. Thus GGT and JGD are effective to the treatment for Jingga and Jingga is one of the most valid Oriental Medical approaches to uterine myoma.

Characteristics of Children Complaint Failure to Thrive (성장장애를 주소로 내원한 소아의 특성 분석)

  • Kim, Hyun-Hee;Kim, Kyung-Yo;Yoo, Kwan-Suk;Joo, Jong-Cheon
    • Journal of Physiology & Pathology in Korean Medicine
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    • 제20권4호
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    • pp.1085-1088
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    • 2006
  • This research is purposed to find congenital and acquired factors affected percentile of height and weight. One hundred foriy two children visited to Hamsoa oriental medical clinic in Gwangju for about one year. The majority of them complaint failure to thrive and answered questionarre examined state of sleeping, living, health and diet. The mean age of them is $8.2{\pm}3.2$ years old. The mean percentile of height is $24.8{\pm}22.4$, that of male is $20.9{\pm}20.6$ and that of female is $28.7{\pm}23.5$. The highest correlation coefficient between percentile of height and congenital factors is height of mother, it is 0.289. By regression analysis, the significant congenital factors affected percentile of height are gestational age, height of fathe andr height of mother, that of weight are gestational age, height of father and height of mother. The significant correlation coefficient between percentile of height and weight and acquired factors is health and diet items.

A Case Report of Autonomic Seizure with Recurrent Vomiting, Abdominal pain and Headache (반부성(反復性) 구토(嘔吐) 및 복통(腹痛), 두통(頭痛)을 동반(同伴)한 소아(小兒) 자율신경발작(自律神經發作) 1예(例) 보고(報告))

  • Ku, Eun-Jeong;Lee, Jae-Won
    • The Journal of Korean Medicine
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    • 제17권2호
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    • pp.394-404
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    • 1996
  • Epilepsy is a chronic cerebral. disease resulting from a variety of factors, which is a syndrome with chief complaint of recurrent seizure caused by abnormal electrical discharge of cerebral nerve cell, while the clinical result showed that epilepsia occurs more frequently in pediatrics. A Child having the chief complaint of recerrent vomiting for 2 months undergone the brain and abdominal C.T, MRI, and gastric endoscopy, when the child was normal. While vomiting gas too serious to administer a medicine, a cyclic vomiting repeated with its discontinuation for 2-3 days after continuation for 10 days. As a result, the child visited the ambulatorium of our hospital and then was hospitalized and treated over two times, when there was a remarkably improvement. There was no any particular complaint for 1 year and 2 months, then, the child complained moderate headache. For thjs reason, we performed again electroencephalography, when there appeared in epilepsia opinion. Since then, we have experienced a case of autonomic nervous seizure which was significantly improved by anticonvulsant, and a therapy by using the phlegm resolvents and central stimulants for treating epilepsy(豁痰醒腦治癎法) as an oriental medicine. Therefore, it is to report both treatment view of oriental medicine and analysis on Oriental and Western medical literatures.

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The Analysis of the Current Status of Dental Popular Complaints (치과 의료 민원 현황에 관한 분석)

  • Kwon, Kyung-Min;Tea, Il-Ho;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • 제34권2호
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    • pp.143-151
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    • 2009
  • This research aims to propose a reference for prevention and education of medical dispute in dental clinic and to recognize anew about medical malpractice, by analyzing medical dispute. The results from data were based on questionnaires and replies about medical complaint, which were received the Busan Dental Association from November, 2000 to June, 2007, were as follows; 1. It were categorized 35 cases to 51 detail patterns. These cases were consists of complicated problem. 2. The cases, which were related to the treatment for prosthesis and orthodontics, became an issue. 3. In the case, which was related to the treatment for prosthesis and orthodontics, there were complaints in order of symptoms(occlusal discomfort, hypersensitivity, abnormal pain) and aesthetics after equipped prosthesis, and so on. 4. There was a tendency toward increasing complaints along with an increase of treatments (except conventional ways) for implant and so on.

Congenital Esophageal Atresia Associated with a Tracheobronchial Remnant

  • Wu, Yuhao;Wu, Chun
    • Journal of Chest Surgery
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    • 제52권3호
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    • pp.170-173
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    • 2019
  • A rare case of esophageal atresia/tracheo-esophageal fistula (EA-TEF) with an associated tracheobronchial remnant (TBR) is reported and discussed herein. A 13-month-old patient was seen with a complaint of vomiting of solid food 1 year after EA-TEF repair. An esophagogram showed a tapered narrowing in the lower segment of the esophagus. A re-operation was carried out and a pathologic examination of the resected stenotic segment revealed the presence of a TBR.

A Study on the Chief Complaints among Farmers in the Rural Community (농촌주민의 주소증에 대한 조사연구)

  • Kim Lak-Hyung;Kim Gil-Jung;An Chol-Ho
    • Journal of Society of Preventive Korean Medicine
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    • 제4권2호
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    • pp.142-151
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    • 2000
  • Objectives and Methods : This study was conducted to investigate chief complaints among famers. The subjects of this study were 640 famers who live in the rural area in Wanju-gun Jeonbuk province. They were received medical treatment by oriental doctors who visited each village from July 1996 to June 1999. The data of this study were collected from their medical charts . Results and Conclusions : The number of female patients was 449(70.16%) and the number of male patients was 191(29.84%). The group of patients above 70 years was 32.81%, 60-69 years 32.03%, 50-59 years 20.15%, 40-49 years 8.90%, and bellow 39 years 6.09%. The most frequent complaint in farmers was low back pain(27.16%) the second was knee joint pain(16.14%), the third was shoulder Pain(12.06%), and the fourth was headache-dizziness(9.59%). The frequency of musculoskeletal disease(64.48%) was most high, and cardiovascular disease(11.33%) was the second, gstrointestinal disease(10.73%) was the third, respiratory disease(3.42%) was the fourth. It is necessary to pay attention to musculoskeletal disease-especially low back pain and knee joint pain- in study and treatment of farmer's disease.

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An Observation of the Chief Complaints of Pediatric Outpatients (소아과(小兒科) 외래(外來) 환자(患者)의 주소증(主訴症)에 관(關)한 연구(硏究)(동국분당한방병원 : 1997년 1월 1일 ${\sim}$ 1997년 12월 31일))

  • Oh Ha-Seok;Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • 제12권1호
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    • pp.63-76
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    • 1998
  • BACKGROUND : The purpose of this study was to investigate the new effective oriental medical treatments in pediatric diseases and its clinical applicability. METHOD : The study was composed of 1725 new patients who had been treated at the pediatric unit in the Dongguk Bun-Dang Oriental Medicine Hospital for 1 year, from 1 January 1997 to 31 December 1997, and had ages between 0 and 18 years. The chief complaint was mainly categorized by oral examination on patients and their care-givers. RESULT 1. The ratio of male to female was 1.35:1 and the number of each age group and its percentage distribution was 228 patients (13.2%) for the age group between 0 and 1 year, 746 patients (43.2%) between 2 and 6 years, and 751 patients (43.6%) for the age group over 7 years. 2. The chief complaint of the new outpatients was weakness, asthma, common cold, sinustis, skeletal disease, atopic dermatitis, stomach-ache, short stature, diarrhea, nasal blooding, night terror, allergic rhinitis, gastric disorder, enuresis, dermatitis, strabismus in the order of majority.3. The number of patients and its percentage for the most three complaints was 494 patients (28.6%) for weakness, 647 patients (37.4%) for respiratory disease, 144 patients (8.3%) for digestive disease. 4. The digestive disease tended to increase in summer, and appeared mostly in the age group between 0 and 2 years. The respiratory disease increased In inter-season and winter, but decreased significantly in summer. The age group between 1 and 5 years was the largest group of respiratory disease. CONCLUSION 1. The chief complaint in pediatric diseases that needed an oriental medical treatment was mainly the disease that tends to take long time and the weakness, and appeared frequently in digestive and respiratory diseases. 2. The oriental medical treatment was still preferred as a way to improve the weakness by patients, rather than a way to overcome their disease. In particular, the study shows that the oriental medical treatment should be emphasized in terms of preventing the disease. 3. The new diseases, which were developed with the change of human life and environment, (atopic dermatitis, enuresis, short stature, obesity, dysthymic disorder, strabismus), should be investigated as a new field of oriental medical treatment.

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The Basic Design on Dispatch Life Support Pre-arrival Instruction Protocol (응급통신소생술 도착전지시 프로토콜 기본설계 방안)

  • Back, Hong-Sok;Kim, Jung-Hyun;Oh, Yong-Gyo;Cho, Hyun
    • The Korean Journal of Emergency Medical Services
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    • 제4권1호
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    • pp.17-29
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    • 2000
  • As technology advances rapidly, emergency medical dispatching systems must also advance. Optimal emergency medical dispatching requires the courage to practice medicine at dispatch. Modern emergency medical dispatch provides appropriate resource responses with the use of an (Advanced Medical priority Dispatch System(AMPDS) in U.S.A. The AMPDS is a systematic protocol for all aspects of the dispatch process. Based on the AMPDS chief complaint list, we initiated a basic design on pre-arrival instruction protocol and completed the scripted pre-arrival instruction protocol, using Cardiopulmonary resuscitation(CPR) protocol. Implementation of this study creates computerized emergency medical dispatching system for future enhancements, such as the AMPDS.

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Study on the complaint ratio of Respiratory sysmptomos of the Dental Laboratory Technicians in Seoul (서울 치과기공사의 호흡기장애 호소율에 대한 조사)

  • Son, Hyang-Ok
    • Journal of Technologic Dentistry
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    • 제11권1호
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    • pp.35-45
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    • 1989
  • This study was carried out from June, 20, to October 22, 1988, for the purpose of researching on the complaint ratio of Respiratory symptoms of the dental laboratory technicians in Seoul. In this study, aiming to find out complaint ratio of respiratory symptoms of the dental laboratory, SNU-81-AL were applied, at random, to 193 dental laboratory technicians at 39 dental laboratories, as the research group, and to 178 clinical laboratory technicians at 10 general hospitals, as the control group, and above two groups were compared with each other. The following results were obtained from this research. 1. The quantity of respirable dust under 5$\mu$m measured at the dental laborartories was, on an average as well, 5$mg/m^3$-minimum 1.56$mg/m^3$), and the density of CO was, on an average as well, 5.0ppm(Mx 7.0-Mn 3.0). 2. The complaint ratio of five main respiratory symptoms(cough, phlegm, wheezing, nasal catarrh & cold, breathlessness) was, on an average, 44.3% at the dental laboratory technicians, phlegm was the major symptom complained by the greatest number of the technicians. 22.4% of the clinical laboratory technicians complained above 5 main respiratory symptoms, nassal catarrh & cold was the mostly complained symptoms among them. There showed a consideraly significant difference at the complaint ratio between the above 2 occupations(P<0.005). 3. There showed no paticular significant difference between male and female, at the complaint ratio of the dental laboratory technicians. However, there showed a considerable significant difference according to their sexuality, in case of the clinical laboratory technicians. 4. Considered from th view point of age, the highest age group was 20-29 with its average 48.5%, in case of dental laboratory technicians. The highest age group among the clinical laboratory technicians was over 40 age with its 28.7%. There showed no particular significant differences between to tow occupations. 5. Considered from the view point of work period, the highest work period group was 0-3 years with average 47.8%, in case of dental laboratory The highest work period group among the clinical laboratory technicians was 16 years with its 25.2%. There showed no particuar significant differences between the two occupations. 6. Considered from the view point of smoking, phlegm was complained by much more smokers than non-smokers, in both occupations. In case of non-smokers, many complained about nassal catarrh & cold. There showed no particular significant differences between the smokers and the non-smokers.

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