• Title/Summary/Keyword: OPD

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A Clinical Study for The Influence of Dong-Shi Acupuncture on Neck Pain (동씨침(董氏鍼)의 경항통(頸項痛) 치료(治療)에 관한 임상적(臨床的) 고찰(考察))

  • Lee, Chae-woo;Cho, Tai-Sung;Park, In-beohm;Kim, Sang-woo;Ahn, Chang-beohm;Song, Choon-ho;Youn, Hyoun-min;Jang, Kyung-jeon
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.50-67
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    • 2003
  • Objective : The purpose of this study was to evidence the effect of Dong-Shi Acupuncture by improving degree of forty four patients who have received a Dong-Shi Acupuncture therapy at Dong Eui oriental hospital OPD and chiefly complained for neck pain and related symptoms. Materials and Methods: Forty four patients were diagnosed with physical inspection and radiography, and investigated into the effect of treatment sharing before treatment and after 2 weeks and 4 weeks treatment by Dr. Kim's method. Results and Conclusions: The conclusion of this study was that improving degree of forty four patients who have received a Dong-Shi acupuncture therapy for all items and excellence of the Dong-Shi Acupuncture was evidenced.

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Genetic Variability between Ark Shell (Scapharca subcrenata, Lischke) Populations from Daecheon and Wonsan

  • Kim, Sun-Young;Kim, Jong-Yeon;Yoon, Jong-Man
    • The Korean Journal of Malacology
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    • v.25 no.1
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    • pp.5-13
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    • 2009
  • Genomic DNA isolated from two geographical ark shell (Scapharca subcrenata) populations was amplified several times by PCR reactions. The ark shell population from Daecheon (ASPD) and from Wonsan (ASPW) in the West Sea and the East Sea of Korean Peninsula, respectively, obtained. The seven arbitrarily selected primers OPA-05, OPA-11, OPB-09, OPB-11, OPB-14, OPC-18 and OPD-07 were shown to generate the loci observed per primer, shared loci by each population, specific loci, unique shared loci to each population and shared loci by the two populations which could be clearly scored. Here, 862 loci were identified in the ASPD population, and 1,191 in the ASPW population: 137 specific loci (15.9%) in the Daecheon population and 84 (7.1%) in the Wonsan population. 407 shared loci by each population, with an average of 58.1 per primer, were observed in the ASPD population. 473 shared loci by each population, with an average of 67.6 per primer, were identified in the ASPW population. The numbers of specific loci in the ASPD and ASPW population were 137 and 84, respectively. Consequently, the average bandsharing value of individuals within the ASPW population was much higher than in the ASPD population. The bandsharing value between individuals' no. 08 and no. 13 was 0.628, which was the highest measured between the two geographical populations. The dendrogram obtained by the seven primers indicated three genetic clusters: cluster 1 (DAECHEON 01-DAECHEON 11), cluster 2 (WONSAN 12 and 14) and cluster 3 (WON SAN 13, 15, 16, 17, 18, 19, 20, 21 and 22). The genetic distance between the two geographical populations ranged from 0.043 to 0.499. Especially, individual no. 10 of Daecheon population was most distantly related to no. 14 of Wonsan population (genetic distance = 0.499).

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Effect of Dietary Therapy on Blood Lipid in Outpatients with Hypercholesterolemia (고콜레스테롤혈증 환자에서 식사요법이 혈청 지질농도에 미치는 영향)

  • Im, Hyeon-Suk;Sin, Min-Jeong;Jeong, Nam-Sik;Jo, Seung-Yeon;Kim, Seong-Sun
    • Journal of the Korean Dietetic Association
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    • v.7 no.4
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    • pp.313-319
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    • 2001
  • High serum cholesterol level is a major risk factor for coronary heart disease(CHD). Nutrition therapy of hypocholesterolemic diets with increased physical activity is the essential step in the treatment of the hypercholesterolemic patients. The purpose of this study was to evaluate the short-term effect of intensive dietary therapy combined with regular exercise in lowering serum cholesterol level. Seventy three hypercholesterolemic outpatients(mean: 268.0$\pm$24.7mg/dL), aged 34 to 73(mean: 56$\pm$9.8yrs), who visited cardiology OPD of Yonsei Cardiovascular Center from April through October, 1998 were studied. Anthropometric measurements, usual nutrient intake survey using semiquantitative food frequency questionnaire, and daily nutrient intake analysis were performed. The nutrition counseling for the hypocholesterolemic diet and exercise therapy was performed individually. After a 4 week intensive dietary therapy, comparisons of body weight, nutrient intakes, and blood lipid concentrations were evaluated for the hypocholesterolemic effect of intensive diet therapy. After 4 weeks of intensive diet therapy, significant reductions in percent ideal body weight(p<0.01), saturated fat intake(p<0.01), and cholesterol intake(p<0.01) were observed. There were significant reductions in serum total cholesterol and LDL-cholesterol levels after 4 weeks of therapy by 8.1%(p<0.01) and 9.7%(p<0.01), respectively. Our results showed that intensive dietary therapy was effective in reductions of serum total and LDL-cholesterol levels. The goal for this dietary modification should not be temporary but rather be permanent in eating behavior accompanied by appropriately increased physical activity.

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An Exploratory Study of Nursing Problems in Adolescents with Nephrotic Syndrome (신증후군 청소년의 간호문제에 관한 탐색적 연구)

  • 강창희
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.604-619
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    • 1992
  • This study was designed to investigate the problems facecl by adolescents who have nephrotic syndrome and who have struggled with their disease over a long time. Information obtained from this study can be utilized as basic data in planning nursing care for these adolescents. The subjects in this study were 13 adolescents who were being treated in the pediatric OPD of one general hospital in Seoul. The treatment period ranged from 2 to 15 years. The tool for this study was constructed after asking patients with nephrotic syndrome about their problems using anunstructured questionalire. Problem items which were observed during nursing cared in the pediatric unit. were also inclucled. Ten problem items were constructed on the basis of Moonlcy's problem check list and two additional items related to diet and physical activity were added to the list. The results of this study can be summerized as follows : adolescents with Nephrotic Syndrome. 1) have a vague knowledge about their illness and have distorted concepts. 2) feel social isolation within their peer group because of their changed appearance, limited physical activity and special diet regimen. 3) have problesm in heterosexual relationship because of short height in boys and changes in body propotions in girls. 4) think that their personality has changed due to illness. In most cases(8) changes were in a negative direct ion but in two cases they were positive. 5) have problems with scholastic achievement due to physical weakness and school absence. 6) who are in late adolescentce are more realistic and plan for their future taking into consideration their prognosis much more so than do patients who are in early adolescence. 7) have problems in their peer relationships. 8) have limitation their enjoy ment of leisure time. 9) have some conflict with their siblings. 10) think religion is significant and it has and influence on their life.

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The Clinical Study on 121 Traffic Accident Child Patients (교통사고 소아환자 121례를 통한 임상적 고찰)

  • Jo, Min-Seo;Han, Jae-Kyung;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.26 no.2
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    • pp.35-46
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    • 2012
  • Objectives The purpose of this study was to find out the characteristics of children patients who had been treated in the Oriental Medical Hospital due to traffic accidents. Methods The study was carried out with 121 children patients who visited the Oriental Medical Hospital from April 2011 to March 2012 and was analyzed by reviewing the patients' charts. Results In the distribution of sex the ratio between boys and girls were similar, but regarding the age, 0~6 year-old group was more than that of 7~15 year-old group. In the traffic accident patterns, 87.6% of the entire children patients were injured by car crash. The highest type in the collision between cars was rear-ending impact. The most patients (48.8%) visited our hospital for oriental medical treatment in less than 3 days after the traffic accident. The number of the first visitors in the Oriental Medical Hospital were 77 (63.6%) and those who visited other western hospitals before and were 44 (36.4%). The most frequent duration of admission and treatment in OPD was less than 7 days. Sleeping disorders (37.1%) were diagnosed the highest in 0~6 year-old group and C-spine sprain (49.0%) was diagnosed the highest at 0~7 years-old group. Herb medications were prescribed to relieve anxiety for 0~6 year-old group and for 7~15 year-old group, those were prescribed to activate blood eliminating phlegm and to normalize Qi flow. The highest effective treatment period was less than 7 days. Conclusions This data suggested that the oriental medical care could be more effective in treating children victims of traffic accidents by confirming many different symptoms depending on the age.

Health Status and Medical Care Utilization Patterns of Rural Aged (일부 농촌지역 노인들의 만성질환 유병상태와 의료이용 양상)

  • Oh, Jang-Kyun
    • Journal of Preventive Medicine and Public Health
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    • v.24 no.3 s.35
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    • pp.328-338
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    • 1991
  • To find out the state of illness, patterns of medical care utilization, and factors which determine medical care utilization for aged we surveyed 679 rural old persons who live in the Chungnam province from Jan. 10 1991 to Jan. 19. The major findings of this study were as follows : 1. The morbidity rate of chronic illness during last 3 months was 56.4% for all surveyed old persons ; 58.7% for female and 52.8% for male. 2. As expected, 80 years old or above group showed the highest morbidity rate, 60.2% and the 65-69 years age group was the lowest, 50.5%. 3. Old persons who are householder, whose family income is less than 290,000 won per month, and who receive benifits from the public medical assistance program had relative higher morbidity rate than other groups and the difference was statistically significant (p<0.05). 4. The most frequent chronic illness was musculoskeletal disease, 49.6% ; the disease from which the aged had suffered for the longest period was gastrointestinal, 11.6yrs : the cerebrovascular was the disease which inflicts the lowest level of physical ability. 5. 67.1% of 383 persons who were suffering from chronic illness were in need of medical care but unmet ; among the remaining 32.9% who utilized medical care, 19.2% utilized it in local clinics or hospital OPD and 15% in th health centers or subcenters. 6. Old person who are married, whose sons are householder and whose family income is 500,000 won or above per month showed relative higher utilization rate than other groups and the difference was statistically significant (p<0.05). 7. The most common reason why the aged did not utilize, in spite of, need medical care was economic problem, 35.4%. For the aged whose family income per month is 500,000 won or above, however the most common reason was tolerable symptom, 46.9% while persons who answered economic problem were 6.1% of them, the lowest frequency.

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Biological Control of Plant Diseases and Biodegradation of Pesticides by Gliocladium virens (Gliocladium virens를 이용한 식물병의 생물적 방제 및 유기합성농약의 분해)

  • 박용하;이용세
    • Korean Journal Plant Pathology
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    • v.12 no.2
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    • pp.255-265
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    • 1996
  • 토양에 존재하는 진균인 Gliocladium virens는 식물병을 감소 또는 방제할 수 있는 생물학적인 특성에 의하여 G. virens는 지난 수십년간 실용가능성이 큰 생물학적 방제균(또는 길항균)으로 집중적으로 연구되었다. 이 균이 식물병의 발생을 감소시키는 생물적 방제효과는 항생작용, 중복기생, 근권에서의 생존과 집단번식, 뿌리표면에서의 정착 등에 의한 것으로 분류되고 있다. 특히, 항생물질인 gliotoxin, gliovirin, viridin 등은 Rhizoctonia solani 및/또는 Pythium spp. 등에 항생효과가 뚜렷하고, 식물병의 발생과 직접적인 상관관계를 나타내고 있어 G. virens의 식물병의 방제에 관련된 중요한 작용기작으로 제시되어 있다. 또한, 근권에서 이균의 생존과 집단증식 및 뿌리표면에서의 정착은 식물병의 방제와 상관관계를 나타낼 수 있는 중요한 작용기작으로 제시되고 있다. 그러나 이균이 R. solani 등에 기생하는 현상은 식물병의 생물적 방제의 직접적인 연관관계를 나타내고 있지 않다. G. virens을 이용의 생물적 방제효과를 증진시키기 위한 방법으로 다음과 같은 두 가지 방법을 들 수 있다. 첫째, 길항효과가 높은 G. virens 균주를 선발하기 위하여 여러 종류의 토양에서 길항력이 높은 G. virens의 선발이 지난 수십년간 진행되고 있다. 또한, 특정 길항효과를 발현하는 유전자를 G. virens의 염색체에 도입하고 이를 발현시킴으로써 생물적 방제효과를 증진시키는 것으로 이러한 방법은 1980년 후반부터 진행되고 있다. 둘째, G. virens의 길항효과가 최대의 효율로 발현될 수 있도록 최적의 미세환경을 갖추고 있으며 농민이 편리하게 사용할 수 있는 G. virens의 운송매체의 개발이 중요하다. 운송매체의 개발에 의한 'Glioguard'는 G. virens의 포자를 alginate 입자에 제형화한 것으로서 미국에서 시판되고 있다. Aldicarb, metalaxyl, atrazine 등의 농약을 분해할 수 있는 능력은 G. virens의 다른 생물적 특성중의 하나이다. 특히, parathion을 분해할 수 있는 Flavobacterium sp.의 유전자(opd)가 G. virens의 염색체에 도입되여 발현될 수 있는 방법이 제시되었으며, 이는 G. virens을 이용한 토양에서의 특정한 농약의 분해효율을 증진시킬수 있는 가능성을 제시한 것이다. 그러나, G. virens를 이용한 농약의 생물적 분해에 관한 연구는 기초단계로 평가되고 있으며, 포장에서 이를 실용화하기 위해서는 향후 지속적인 연구가 필요하다.

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Clinicostatical & Bacteriological Studies of Otofuruncle (이절 (Otofuruncle)의 임상통계학적 및 세균학적 고찰)

  • 차인숙;이계실;김정중;김광수
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.14.1-14
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    • 1982
  • The Clinicostatical and Bacteriological studies on the otofuruncles were carried out on 297 pts who had visited OPD of ENT depart of St. Benedict Hospital during the 2 years from Jan. 1980, Until Dee, 1981. The results obtained were as follows; 1) The otofuruncle ratio to the whole ENT visiting cases was 27,149:991. (3.6%) 2) The age distribution showed the highest incidence in 0-10 years. (63%) 3) The ratio, male vs female was 180:133 (1.3:1). 4) The seasonal incidence showed the highest incidence in July and August. 5) The side of otofuruncle was left side (56.7%). 6) The site of otofuruncle was posterior (21%), anterior (19%), multiple (13%). 7) Average duration of illness on first visiting was 4.7 days. 8) The numbers of cases who performed I&D was 103 pts. (35%). 9) The most common causative organism was Staph. aureus (88%). 10) Average duration of treatment was 5.3 days.

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Surgical Treatment of Funnel Chest (누두흉에 대한 외과적 치험)

  • 이종호;정승혁;김병열
    • Journal of Chest Surgery
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    • v.32 no.4
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    • pp.399-403
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    • 1999
  • Background: Funnel chest is one of the most common anomaly of chest wall, which is manifested by depression of sternum and costal cartilage. Popular operative methods were Ravitch operation and Wada operation. Material and Method: From 1983 to 1996, 21 cases of funnel chest were corrected surgically in the department of thoracic surgery, National Medical Center. Investigated age and sex distribution, combined anomaly,clinical symptom, degree of correction and complication, postoperative satisfaction. We used 2 different surgical methods, one was Wada & its variants(17 cases), the other was Ravitch and it variants(4 cases). Most of operative indications were cosmetic problems. Result: The pre-operative Welch index was 4.188, but this index decreased to 3.46 after the operations.(p=0.046) The degree of correction was higher in Wada & it variant operation than the modified Ravitch operation.(p=0.54) Their results were satisfactory in 20 patients, while unsatisfactory in 1 patient because of a k-wire fracture. There was no recurrence of chest wall depression or postoperative death during the OPD follow up period. Conclusion: We recommend Wada operation in symmetric and small degree of depressive chest wall deformity in preand post school age.

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Correlation Analysis between Space Integration and Natural Light in K Senior Hospitals (K 노인전문병원의 공간 통합도와 자연광의 상관관계 분석)

  • Moon, Sun-Young;Lee, Hyun-Soo
    • Korean Institute of Interior Design Journal
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    • v.24 no.2
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    • pp.189-196
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    • 2015
  • In case of Senior Hospitals, meticulous care is required in both amount and quality of natural lighting because of the semi-long term residence of patients. Natural lighting has a huge impact on the physical and psychological part for the seniors. Likewise, natural lighting is an important factor considered for hospital design because it can also effect hospitalization period of patients. Research subject was K Senior Hospital which was determined as the courtyard-type building made to provide healing environment through natural lighting. Analysis was performed by dividing the space of K Senior Hospital into Central Treatment Department directly used by patients, Outpatient Department(OPD), Ward Department, Common Use Department. Research was carried out in two ways of integration value analysis using SPACE SYNTAX and illumination intensity analysis using ECOTECT. K Senior Hospital intended to actively let in natural light through courtyard and to make patients exposed to natural light when they walk along the circuit corridor built around the courtyard. This environmental consideration affected the utilization rate of Common Use Department and residence time of patients raising the average of Common Use Department on every floor. As a resuit of this study presenting type C and type D, part of four types of illumination intensity, takes higher percentage of almost every spaces compare to the others therefore K Senior Hospital was designed on the assumption of healing environment composition through natural light. The result of this research would be used meaningfully in the space programming phase of Senior Hospitals in the future. Utilization rate can be adjusted using illumination intensity value in the space that integration rate should be planed to be high. The use(purpose) of space and integration rate can be used as a guideline to set illumination intensity of natural.