• Title/Summary/Keyword: Treatment status

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Usage of informed consent form for Bee-venom pharmacopuncture Therapy at korean medicine hospitals and Proposal for development of a standard informed consent form. (한방병원의 봉약침 시술 동의서의 사용 현황과 표준 시술 동의서 개발에 대한 제안)

  • Kim, Minjeong
    • The Journal of Korean Medicine
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    • v.41 no.3
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    • pp.66-80
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    • 2020
  • Objectives: We investigated the current status of the consent form for bee-venom pharmacopuncture therapy, which is using in Korean medicine hospitals. We suggest the development of a standard informed consent form. Method: Through the questionnaire survey, status of using informed consent form was identified at 24 Korean medicine hospitals. We analyze different types of informed consent form, which was developed by each hospitals. We investigated the types of informed consent forms for various medical procedures through electronic searches. A standard informed consent form for bee-venom pharmacopuncture therapy was developed based on the medical law and the standard informed consent form for medical procedures developed by Korea Fair Trade Mediation Agency. Result: In our survey, 65% of the hospitals do not use consent well, only 35% of the hospitals use informed consent form, and the most hospitals use self-developed informed consent form. As a result of analyzing the contents of informed consent form used in each hospitals, the explanation of diagnosis, treatment precautions, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change was insufficient. 48% of hospitals manage consent in recording on a chart, 39% in scanned documents, and 13% in digital electronic consent form. Conclusion: A standard informed consent form for Bee-venom pharmacopuncture therapy include diagnosis, effectivness, necessity, indications, method, skin reaction test, hypersensitivity questionnaire, treatment precautions, possible hypersensitivity reactions and countermeasures, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change and the name of doctor.

The study of oral health perception, oral health behavioral and family smoking status according to smoking experience in a part of high school students (일부 고등학생의 흡연경험 여부에 따른 주관적 구강건강인지, 구강보건행동 및 가족흡연행태에 관한 연구)

  • Kim, Hye-Jin;Shin, Sun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.695-706
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    • 2011
  • Objectives : The purpose of this study is to assess oral health perception, oral health behavioral and family smoking status according to smoking experience in a part of high school students. Methods : A survey is conducted with a total of 648 first grader at high school in Dae-Gu city from 1st to 30th September, 2009. The results are as follows. Results : 1. 95.5% of respondents are 'smoking is very harmful for health' and the majority of smoking-related disease are lung cancer, oral disease, and oral cancer. 2. 127 respondents have experience in smoking and 62 respondents are smoking at that time. 59.7% respondents have 1 year smoking history and the majority of respondent are 5 cigarettes/day. 67.8% respondents are under 5 cigarettes/day. 3. In oral health behavioral by smoking, the majority of smokers' teeth brushing are 3 times, 47.2% and 2 times, 27.6%. The majority of nonsmoker's teeth brushing are 3 times, 47.0% and 2 times 26.5%. The results of teeth brushing time are significantly different between smokers and non-smokers(p<.001). The majority of smokers and non-smokers have not experienced about scaling. It is significantly different between 2 groups(p<.05). 4. The smoking rate of father and grandfather in smokers is higher than non-smokers. It is significantly different between 2 groups(p<.005). 5. The need for oral management in oral health education is gum treatment and dental caries treatment. 22.8% smokers and 25.7% non-smokers require to get gum treatment. 18.1% smokers and 20.2% non-smokers required to get dental caries treatment. Conclusions : Also Future longitudinal research is required to develop oral health promotion program contents according smoking-oral health.

Structural Equation Modeling of Advance Directive Intent among a Korean Group in their Middle-Age (한국 중년층의 사전연명의료의향 의도 구조모형)

  • Jung, Young-Mi
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.1
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    • pp.55-72
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    • 2021
  • Objectives: The aim of this study was to construct and verify a structural equation model of advance directive intent among a Korean group in their middle-age. Methods: Data were collected between May 1 and 30, 2017, from 398 people. The endogenous and exogenous variables of the hypothetical model consisted of elderly parents' care burden, health status, attitude towards withdrawal of life sustaining treatment, advance directive efficacy, and advance directive intent. The collected data were analyzed using the SPSS/WIN 24.0 and Mplus 7.4. Results: The hypothetical model demonstrated a good fit: χ2=223.79(df=109, p<.001), CMIN/df=2.05 CFI=.96, TLI=.96, RMSEA=.05, SRMR=.06. Elderly parents' care burden and health status showed statistically significant direct effects with attitude toward withdrawal of life sustaining treatment(β=.17, p=.001; β=.21, p<.001) and advance directive efficacy(β=.11, p=.040; β=.19, p=.002), respectively. Attitude toward withdrawal of life sustaining treatment and advance directive efficacy showed statistically significant direct effects on advance directive intent(β=.15, p=.007; β=.48, p<.001). Elderly parents' care burden and health status had a significant indirect effect on advance directive intent through attitude toward withdrawal of life sustaining treatment(β=.01, p=.041; β=.05, p=.036) and advance directive efficacy(β=.06, p=.049; β=.16, p=.006), respectively. The variables accounted for 26.1% of advance directive intent of the Korean group in their middle-age. Conclusion: It is necessary to develop an advance directive education program based on variables affecting advance directive intent for individuals in their middle-age.

A Case Report of Complex Korean Medicine Treatments of Decreased Mental Status in a Progressive Supranuclear Palsy Patient with a Cerebrovascular Accident (뇌혈관질환을 동반한 진행성 핵상마비 환자의 의식수준저하에 대한 한방복합치료 증례보고 1례)

  • Kang, Ji-hyeon;Kim, Seo-hyun;Kim, Jun-seok;Jang, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.881-890
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    • 2022
  • Objectives: This study investigated the effect of complex Korean medicine treatment on decreased mental status in a progressive supranuclear palsy patient with a cerebrovascular accident. Case presentation: The patient was treated with Korean medicine composed of herbal medicine (modified Guibi-tang), acupuncture, moxibustion, and cupping combined with Western medicine (a dopamine precursor and an anticholinergic) and physical therapy. The Glasgow Coma Scale, Mini-Mental State Examination, and Hoehn and Yahr Scale were used to evaluate the effects of the treatments. After treatment, Glasgow Coma Scores increased from 9-10 to 12-13, and Mini-Mental State Examination for dementia screen scores increased from 1 to 2. The Hoehn and Yahr score remained at 5. There were no side effects of the treatment. Conclusion: This study suggests that complex Korean medicine treatments may be effective for the decreased mental status of a progressive supranuclear palsy patient with a cerebrovascular accident, but further studies are needed.

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

  • Jina Son;Ha I Kang;Eun young Jung;Hae won Ryu;Kyung-Ha Lee
    • Clinical Nutrition Research
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    • v.12 no.2
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    • pp.99-115
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    • 2023
  • Patients with colorectal cancer may experience symptoms such as diarrhea, nausea, and anorexia, during surgery and chemotherapy, which can increase the risk of malnutrition. In addition, dietary habits play a key role in the onset of colorectal cancer; therefore, it is necessary to improve dietary habits to prevent recurrence during treatment after diagnosis. In this study, a clinical nutritionist conducted 4 interviews for patients diagnosed with colorectal cancer and scheduled for colectomy: before surgery, after surgery, 1st chemotherapy, and 2nd chemotherapy, and provided nutrition care for each treatment course to determine its effects on nutrition status and disease prognosis. Significant weight loss but no decrease in muscle mass was observed during treatment. Body fat mass, although not statistically significant, showed a decreasing tendency. The percentage of people who responded 'yes' to the below items increased after compared to before receiving nutrition education: 'I eat meat or eggs more than 5 times a week,' 'I eat seafood at least three times a week,' 'I eat vegetables at every meal,' 'I eat fruits every day,' and 'I eat milk or dairy products every day.' These results indicate that the patients changed their dietary habit from a monotonous eating pattern to a pattern of consuming various food groups after receiving nutrition education. These results suggest that continuous nutrition care by clinical dietitians, according to the patient's treatment process, can help improve the patient's nutritional status and establish healthy eating habits.

A Study on the Quality and Change of the Effective Demand for Dental Treatment of the Outpatients of the Wonkwang Dental Clinic (III) (원광대학교 부속치과의원 외래환자 유효치과의료수요의 특성과 변화에 관한 조사 연구(III))

  • Sin, Hyung-Shik
    • The Journal of the Korean dental association
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    • v.21 no.12 s.175
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    • pp.997-1003
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    • 1983
  • The author studied the quality and change of the effective demand for dental treatment of the cutpatients of the Wonkwang dental clinic from the March of 1982 to the August of 1983. The results were compared with the previous reports to find any changes that might come from the effect of dental insurance system. After discussing the results, the author concluded as follows: 1. The twenties were the most in the age groups, but it is desirable that age groups of mixed dentition be the most to enhance the dental health status of community. 2. The effective demand for dental treatment increased especially in the areas such as intraoral radiograph taking, amalgam filling, temporary filling, endodontic treatments, and drug application on the soft tissue, but decreased in the areas such as prosthodontic treatments, and there were no demand for the orthodontic treatment. 3. As compared with the absolute needs, the effective demand was relatively high for teeth extraction and amalgam filling, but it was generally very low. 4. So, the present extent of dental insurance system should be expanded, and the dental care delivery system should be established within the community. Finally, the economic and social status of Iri community should be enhance by political and educational plannings.

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