• Title/Summary/Keyword: Prescription analysis

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Validation of the Korean Version of the End-Stage Renal Disease Adherence Questionnaire (한국어판 말기신부전 환자의 치료순응도 측정 도구의 타당도와 신뢰도 검증)

  • Kim, Youngmee;Park, Young Mi
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.307-316
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    • 2012
  • Purpose: The purpose of this study was to develop and test psychometric properties the Korean version of the End-Stage Renal Disease Adherence Questionnaire (KESRD-AQ). The ESRD-AQ, a 46-item, multidimensional, self-administrated questionnaire which was developed to assess treatment adherence to hemodialysis (HD) attendance, medications, fluid restrictions, and diet prescription among patients on maintenance hemodialysis, has been validated. Methods: The KESRD-AQ was developed by performing both translation and backtranslation. The content validity and test- retest reliability of the KESRD-AQ were evaluated by establishing item-level content validity index (I-CVI) and intra-class correlation coefficients (ICC), respectively. Construct validity was assessed by adopting a known-group analysis comparing adheres and non-adherers using Mann-Whitney U Test. Results: 41 Korean-American patients with ESRD on HD from 3 outpatient dialysis centers in California participated in the study. The KESRD-AQ showed excellent content validity (average I-CVI=.96) and test-retest reliability (ICC=.917, p=.004). The construct validity indicated that the KESRD-AQ distinguished adheres and non-adheres (p=.02~.047). Conclusion: The KESRD-AQ is a valid and reliable instrument to measure treatment adherence.

Effects of Increase in Physical Activity Using Mobile Health Care on the Body Composition and Metabolic Syndrome Risk Factors in 30-40's Male Office Workers.

  • Lee, Jin-Wook;Park, Sung-Soo
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.10
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    • pp.119-125
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    • 2018
  • The purpose of this study was to investigate the effect of health care on the body composition and metabolic Syndrome risk factors in male office workers. The subjects of this study were 30~40's male office workers and their physical activities were increased by mobile healthcare. The date analysis in this study was carried out paired t­test using SPSS 20.0 version(${\alpha}=.05$). The result of study were as follow: First. body composition kg(p<.015), BMI(p<.041), WC(p<.026) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, although these did not reach statistical significance, SMM(p<.123), BF(p<.059) was slightly increased and decreased trend. Second, SBP(p<.300), DBP(p<.384) was slightly decreased trend and BS(p<.034) were significantly decreased after Increase in Physical Activity Using Mobile Health Care, Third, plasma TC(p<.015), TG(p<.003), LDL-C)(p<.000) were significantly decreased after Increase in Physical Activity Using Mobile Health Care and plasma HDL-C (p<.003) were significantly increased. These results suggest that increased physical activity using mobile health care has a positive effect on the body composition and metabolic syndrome index in male office workers. Sedentary lifestyles could be changed by Continuous feedback using mobile healthcare.

Nutritional Status and Indicators of Intensive Care Unit Patients on Enteral Feeding (경장 영양 제공 중환자의 영양 상태와 영양 지표)

  • Kim, Hwa-Soon;Choi, Seo-Hee;Ham, Young-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.21-29
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    • 2009
  • Purpose: The purpose of this study was to identify the nutritional status and to compare nutritional indicators by caloric intake for intensive care unit patients, Methods: The participants for this descriptive investigation were 62 patients who were admitted to medical and surgical ICUs and started on enteral feeding. Data were collected in a tertiary hospital and the patients were followed for 7 days after enteral feeding was initiated. For analysis, patients who received 80% less calories than their required level were categorized as the underfed group and patients who received more than 80% to their required level, as the adequately fed group. Results: Compared to daily requirements, the prescribed calories and protein for patients overall were 77.39% and 64.75% respectively. The level of calories and protein given was less than their prescription. However, a comparison of the underfed group and the adequately fed group, showed that there was no significantly difference in albumin, prealbumin and transferrin. Only body weight was significantly different between the groups. C-reactive protein had a significant correlation with prealbumin and transferrin. Conclusion: Underfeeding is a common phenomenon among ICU patients. Nutritional indicators such as prealbumin, albumin and transferrin may not sensitive indicators to assess nutritional status of ICU patients.

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Research about The Discourse on The Discourse on The Medications and Prescriptions on The ShinChukBon DongyiSuseBowon (신축본(辛丑本) "동의수세보원(東醫壽世保元)" 처방(處方)에 관한 연구(硏究))

  • Park, Seong-Sik;Han, Kyung-Suk
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.3
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    • pp.52-73
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    • 2002
  • 1. Purpose We can find the Newly created prescriptions of ShinChukBon DongyiSuseBowon which is not described at the Discourse on the Constitutional Symptoms and Diseases and still more not exist symptom in charge. And some of prescriptions of Discourse on the Constitutional Symptoms and Diseases is not described the composition. So how can we understand that prescriptions is the purpose of research. 2. Methods All the prescription of ShinChukBon DongyiSuseBowon is analyzed by many directions and compared with early books which is DongyiSuseBowonSasangChoBonKywun, GaBoBon DongyiSuseBowon etc. 3. Result and Conclusion We can find the analysis of prescriptions of ShinChukBon DongyiSuseBowon as follows. All prescriptions can't be make clear the base of the Discourse on the Constitutional Symptoms and Diseases as only ShinChukBon DongyiSuseBowon. And that is made at the different period More research is need that how can we understand the Newly created prescriptions which is not described at the Discourse on the Constitutional Symptoms and prescriptions of Discourse on the Constitutional Symptoms and Diseases which is not described the composition. So we must expain again in view of the varies period.

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The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution (사상체질 전문가의 체질진단 일치도 및 타당도 평가)

  • Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.3
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    • pp.295-303
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    • 2014
  • Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

An Investigative Study of the Origin of Sasang constitutional medicine's formula through checking the 10-13th Century Chinese medical text database - focused on Soum type's formula (데이터베이스를 이용한 소음인 처방과 금원 시기 처방 비교)

  • Kim, SeongHo;Lee, ByungWook;Kim, KiWook
    • The Journal of Korean Medical History
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    • v.34 no.2
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    • pp.65-77
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    • 2021
  • Lee Jema said in his book, Dongui Susebowon, that the prescriptions for Soum constitutional type were already developed by doctors during the Song Jin Yuan China around 10th-13th century. Those prescriptions were common techniques that were used throughout the East Asian region. Among them, Lee Jema specially selected some candidate formulas and modified them according to his constitutional theory. This study investigated how similar his modified prescriptions to original formulas through database[ancient formula database] analysis. 24 out of 24 Soum prescriptions selected meaningful ingredient herbs from the original formula. A 50% or higher concordance rate compared to the original formulas. There are only 9 treatment prescriptions that cannot be checked in the ancient formula database. A future task will be to reveal the practical meanings of the ingredients Lee Jema adjusted for the Soum constitutional type patients.

Giant Prostatic Urethral Calculus in a Maltese Dog: a Case Report

  • Noh, Da-ji;Jung, Dong-uk;Choi, Soo-young;Lee, Ki-ja
    • Journal of Veterinary Clinics
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    • v.36 no.3
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    • pp.176-179
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    • 2019
  • A giant prostatic urethral calculus has not been previously reported in dogs and should be distinguished from prostatic calculus. A 7-year-old castrated male Maltese dog with a 2-month history of relapsing hematuria and urinary incontinence with slowly progressing paraphimosis was referred. On abdominal radiography and ultrasonography, there was a giant calculus in the region of prostate or urethra, one left ureteral calculus, one urinary bladder calculus, and two penile urethral calculi. On computed tomography for evaluating the accurate location and planning the surgical approach, the giant calculus was located at the prostatic urethra. The calculi in urinary bladder, prostatic and penile urethra were surgically removed. These calculi were mixed-type of calcium oxalate monohydrate, struvite and calcium phosphate carbonate. On the basis of the urolith analysis and urine bacterial culture results, antibiotics and prescription diet were adjusted. At the 3-month follow-up, there were no clinical sings but paraphimosis was still remained, and ultrasonography revealed newly-formed, small urethral calculi at the prostatic urethra. This is the first report to describe the case of a canine giant prostatic urethral calculus and its clinical signs, diagnostic imaging findings, treatment, and outcome. CT may be useful to assess the accurate location and surgical approach for such calculi.

Imperceptible On-Skin Sensor Devices for Musculoskeletal Monitoring and Rehabilitation (상시 근골격 모니터링과 재활을 위한 온스킨 센서 디바이스 기술)

  • Park, C.W.;Koo, J.B.;Jin, H.;Kim, Y.;Lim, C.;Hong, C.H.;Kim, H.J.
    • Electronics and Telecommunications Trends
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    • v.37 no.2
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    • pp.30-41
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    • 2022
  • As the society is superaging, the number of patients with movement disabilities due to musculoskeletal or nervous system illness is rapidly increasing. To improve public health and reduce medical expenses, it is essential to develop rehabilitation systems that allow patients to resume their daily-life activities. However, the existing musculoskeletal illness diagnosis and rehabilitation method is limited in terms of precision and efficiency because it is based on an empirical diagnosis and prescription without regard for individual characteristics. To overcome these limits, it is critical to design a novel concept of routine rehabilitation therapy device that is capable of inducing musculoskeletal balance by the precise analysis of musculoskeletal usage patterns via the motion and the muscle activity tracking of linked muscles. This study introduces the trend of on-skin sensor device technology for routine musculoskeletal monitoring and therapy. For on-skin rehabilitation systems, skin-adhesive and stretchable motion/posture, electromyography, pressure sensors, small-size and low-power wireless sensor interfaces, and user-friendly rehabilitation contents based on new algorithms are combined.

Effect of Nokyongdaebo-tang on chronic anemia in Taeumin wiwansuhan-pyohan disease (胃脘受寒表寒病) patient: a case report

  • Ha, Su-Jeong;Jung, Hee Tae;Song, Si Yeon;Ko, Myung-Hyun;Park, Ji-Hye;Yoo, Hwa-Seung;Park, So-Jung
    • The Journal of Korean Medicine
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    • v.41 no.4
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    • pp.112-119
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    • 2020
  • Objectives: The present study reports a case of chronic anemia patient who was significantly improved after taking Nokyongdaebo-tang (NYDBT) Methods: A 48-year-old male patient diagnosed with iron deficiency anemia (IDA) visited the Daejeon Korean medicine Hospital of Daejeon University on June 2018. The patient was treated with Korean medicine for 23 months including acupuncture, herbal medicine and Sasang constitutional medicine prescription. Improvement of anemia was assessed by changes of Hemoglobin value. Laboratory analysis was used to evaluate the safety of treatment. Results: Chronic anemia has significantly improved since taking NYDBT on 9 days (2019.12.09-2019.12.17). The Hb value has been maintained in the normal range since it first entered the normal range on January 18, 2020. The patient had become transfusion-free and this condition persisted for 6 months after stopping the transfusion. Conclusion: This case demonstrates the therapeutic potential of Sasang constitutional medicine for chronic anemia as a personalized medicine.

Comparison between Isokinetic Peak Torque and Isotonic 1RM on the Knee Joint

  • Jaehyun Yoo
    • Physical Therapy Rehabilitation Science
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    • v.12 no.2
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    • pp.201-205
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    • 2023
  • Objective: Resistance exercise is a necessary element to improve quality of life, and measurement and evaluation of muscle strength provide important information for prescription and management of rehabilitation and exercise programs. This study analyzed the correlation between direct and indirect 1RM for isokinetic maximum torque of the knee joint in order to provide useful information in the field of exercise programs. In addition, the flexion-extension ratio and the difference in left-right deviation were verified. Design: A cross-sectional study Methods: The subjects of this study were 33 healthy adult men and women without medical problems who participated in the health exercise class program at S University in Seoul. The correlation between isokinetic maximum torque and direct and indirect 1RM was analyzed, and a dependent t-test was performed to analyze the flexion-extension ratio and left-right deviation. Results: There was a high correlation between the isokinetic maximum torque and direct and indirect 1RM, and no statistically significant difference was shown between the test methods in the analysis of the flexion-extension ratio and left-right deviation. Conclusions: Isokinetic muscle function measuring equipment is expensive, so it is difficult to use it in local exercise rehabilitation and training sites. Through this study, it was found that direct and indirect 1RM isokinetic maximum torque showed a high correlation, and there was no difference in evaluating muscle function such as flexion-extension ratio and left-right deviation. Therefore, it is considered that the muscle function evaluation using 1RM in general field can be usefully utilized.