• Title/Summary/Keyword: clinic characteristics

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Clinical Analysis of 292 Cases of Tic Disorder in Oriental Medicine Clinic (한의원에 내원한 틱장애 환자 292례 증례분석)

  • Chun, Young-Ho;Kim, Won-Ill;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.1
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    • pp.119-146
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    • 2009
  • Objectives : In this study, patients with tic disorders who visited an Oriental medicine clinic were examined for their demographic characteristics, characteristics of symptoms, relation to Attention-deficit Hyperactivity Disorder(ADHD) and peculiarity according to various variables such as motor and vocal tics. Methods : After surveying 292 patients who visited an Oriental medicine clinic with tic symptoms as main complaints for 17 months, SAS 9.1, a statistical program was used for statistical analysis. Results : 1. The BMI of male tic patients was significantly higher than female ones and it was similar to or higher than the normal group. 2. Patients who are eldest children were 1.7 times higher than those who are not eldest ones. 3. The most usual case of motor tics was the eye blink and the most one of vocal tics was a dry cough. 4. There was no significant difference between male and female patients for all symptoms of motor and vocal tics, but male patients had significantly more obsessions related to tics than female ones. 5. There was no significant difference in the age of initial occurrence of Transient tic disorder(TTD), Chronic tic disoder(CTD) and Tourette's disorder(TD). 6. For the general disorder of a tic and Conners' ADHD rating scale, there was no significance in TTD, CTD and TD. 7. 66% out of the total subjects of 197 cases were found to score more than 65 points in more than 1 items among 8 items such as the time, hearing, wrong alarm, mean response time and standard deviation in the response time, etc. of the ADHD diagnosis system(ADS). 8. The eye blink among motor tics was shown mainly by patients under 10 years old and the frown, movement of the head, shrug and movement of the arms were shown mainly by 11-19 years old patients. Conclusions : For the number, frequency, seriousness and inconvenience in life of tics, TD showed a significantly higher result than TTD and CTD.

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A Study on Identity Elements Expressed in the Inner Spaces of Dental Clinics - Focused on dental clinics in areas of Seoul and Busan - (치과의원의 실내 공간에 나타난 아이덴티티 요소에 관한 연구 - 서울과 부산지역의 치과의원 중심으로 -)

  • Choi, Sea-Young;Lee, Chang-No
    • Korean Institute of Interior Design Journal
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    • v.19 no.1
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    • pp.217-225
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    • 2010
  • As life quality have grown today, People have been greatly interested in health. Moreover, new knowledge and concepts are being applied in the medical facility field and that makes the field expand constantly. Hereby, this research is a study on design elements of dental clinics and the research goals are to understand interior design of current dental clinics by investigation and analysis on furniture, closing materials, colors and so on, and to investigate esthetic and functional environments for dental clinics through analyzing upcoming trends of inner spaces of dental clinics. The investigation was conducted by visits to four clinics per each research area, where are in Busan area and opened after year 2000 and are located in Seoul and Busan. Though the spaces of dental clinics vary according to the characteristics of each clinic, it generally has a consultation room, a waiting room and an X-ray room. The closing materials that make patients feel at ease are used in the waiting room, and ones that make patients feel tidy and fresh are used in consultation spaces, spare spaces, and management spaces. In Seoul area, antique and harmonic colors are used, and modernistic colors are used in Busan area. Reception desks, chair units, sofas and sink storage shelfs are the common furniture in the clinic. We have learned what are mentioned above by research and investigation on the component characteristics of dental clinic spaces. Based on these, more systematical and in-depth research should be continued.

ICSI significantly improved the pregnancy rate of patients with a high sperm DNA fragmentation index

  • Chi, Hee-Jun;Kim, Seok-Gi;Kim, Youn-Young;Park, Ji-Young;Yoo, Chang-Seok;Park, Il-Hae;Sun, Hong-Gil;Kim, Jae-Won;Lee, Kyeong-Ho;Park, Hum-Dai
    • Clinical and Experimental Reproductive Medicine
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    • v.44 no.3
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    • pp.132-140
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    • 2017
  • Objective: Correlations between semen parameters and sperm DNA fragmentation index (DFI) were investigated to identify characteristics of sperm without DNA damage that could be used in selecting sperm for intracytoplasmic sperm injection (ICSI). Pregnancy outcomes were compared to determine whether in vitro fertilization (IVF) or ICSI is a better choice for patients who have sperm with a high-DFI. Methods: Semen analysis was carried out in 388 patients who visited our IVF center for the first time to investigate correlations between sperm DFI and semen parameters. In addition, 1,102 IVF cycles in 867 patients were carried out in the present study; 921 cycles in the low-DFI group (DFI < 30%) and 181 cycles in the high-DFI group ($DFI{\geq}30%$). Both the low- and high-DFI groups were subdivided into IVF and ICSI cycle groups. Results: Sperm DFI showed significant inverse correlations with sperm motility (r = -0.435, p< 0.001) and morphology (r = -0.153, p< 0.05). Sperm DFI also showed significant correlations with rapid motility (r = -0.436, p< 0.001), and the kinetic parameters of average-path velocity (r = -0.403) and linearity (r = -0.412). Although there was no significant difference in the pregnancy rates between IVF (48.6%) and ICSI (44.8%) in the low-DFI group, the pregnancy rate of ICSI cycles (44.8%, p< 0.05) was significantly higher than IVF cycles (25.0%) in the high-DFI group. No significant difference was observed in the abortion rates between the low-DFI (52 of 921, 5.6%) and high-DFI groups (7 of 181, 3.8%). Conclusion: ICSI is a better choice than IVF for improving the pregnancy outcomes of patients who have sperm with a high DFI.

Clinical Symptoms and Personality Characteristics on MMPI of Patients in Hwa-Byung Clinic (홧병클리닉을 방문한 환자들의 임상 증상과 MMPI 상의 성격 특징에 대한 연구)

  • Lee, Yu-Jin;Baek, Kyung-Won;Kim, Ha-Kyung;Yun, Kyu-Wol;Lim, Weon-Jeong
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.120-124
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    • 2008
  • Objectives : The current study aimed at assessing clinical symptoms and personality characteristics on MMPI of patients in Hwa-Byung clinic. Methods : Thirty-one female patients($45.4{\pm}8.4$ years old) who visited to the Hwa-Byung Clinic in Ewha womans Dongdaemoon hospital were recruited. Semistructured interviews and laboratory tests for symptoms were performed for the patients group. Patients group and control group($42.9{\pm}8.0$ years old) completed MMPI. Results : All patients had symptoms of chest tightness or chest pain. 19(61.3%) out of 31 patients had gastrointestinal complaints. There were respiratory symptoms in 13(41.9%) patients. 12 patients(38.7%) suffered from difficulties in their sleep. 12 patients(38.7%) had psychiatric symptoms including anxiety or depressed mood. 8 patients(27.6%) were diagnosed as gastrointestinal diseases by the laboratory test. After controlling age and education, scores of Hs, D, Hy, Pt on MMPI in patients group were significantly higher than control group (p=0.001, p=0.049, p=0.000, and p=0.029, ANCOVA, respectively). Conclusion : In the current study, patients who have visited Hwa-Byung clinic showed various somatic symptoms including chest tightness, gastrointestinal symptoms, complaints in respiratory system and psychiatric symptoms. Based on laboratory tests, considerable proportion of patients was diagnosed as physical illnesses. Additionally, patients in Hwa-Byung clinic have a tendency to be more hypochondriatic, depressed, hysteric and anxious.

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Analysis of the Characteristics of Tinnitus Patients who Visited the Korean Medicine Clinic According to the Presence of Headache: A Retrospective Chart Review (한의원에 내원한 이명 환자의 두통 동반 여부에 따른 특성 분석: 후향적 차트 리뷰)

  • Lee, Keun-Hee;Lee, Sae-Byeol;Lee, Ga-Young;Lee, Ju-Hyun;Ryu, Won-Jin;Nam, Hae-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.1
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    • pp.38-47
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    • 2022
  • Objectives : The purpose of this study is to analyze the characteristics of tinnitus patients according to the presence of headache. Methods : The medical records of 110 tinnitus patients who visited oo Korean Medicine Clinic from June 2019 to June 2021 were retrospectively reviewed. Clinical characteristics including gender, age, onset, cause, tinnitus site, severity of tinnitus and accompanied symptoms were analyzed. Results : Among all patients, 40s and 50s and chronic tinnitus over 1 year was the most frequent group. After an average of 2 months of treatment, 61 patients(55.5%) showed improvement, and there were prescribed more frequently 50s and 60s and with tinnitus grade mild to moderate group. The proportions of female(65%, p=0.012) and herbal dialectics which 'tonify and replenish' and 'tranquilize'(32.5%, p=0.043) were prescribed more frequently in patients with headache than those without headache. Dizziness, ear pain, heart symptoms, fatigue, and neck stiffness were more frequent in patients with headache(p<0.05). In patients with improvement in tinnitus, tinnitus grade improved significantly in patients with improvement in headache compared to those with no improvement in headache(1.83±0.79 vs 0.80±0.84, p=0.018). Conclusions : In tinnitus patients treated with Korean medicine, there was no significant difference in the improvement of tinnitus according to the presence or improvement of headache, but the patients with improvement of both tinnitus and headache showed significantly more degree of improvement in tinnitus severity than patients with only tinnitus improved. Based on these findings, further study is needed regarding the correlation headache and tinnitus in clinical setting.

A Study on Awareness and Performance of Infection Control of Local Clinic Radiological Technologist (의원방사선사의 병원감염 인지도 및 수행도에 관한 연구)

  • Jeong, Bong-Jae;Kim, Hyeon-Jin
    • Journal of the Korean Society of Radiology
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    • v.13 no.5
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    • pp.739-747
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    • 2019
  • As the research for analyzing the awareness and the performance level for infection control of radiological technologists working at the clinic located in Gyoungsangnam province, this study was conducted to provide the basic education data of infection control for radiological technologist who works in the clinic. During July 14, 2014 to March 31, 2015, after we sent out a total of 150 questionnaires for the survey to radiological technologists working at the clinic located in Gyoungsangnam province, 131 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the infection control factors, a total of 60 items about the awareness and the performance level for infection control (12 items for infection control characteristics included) were analyzed. Descriptive statistics, t-test, ANOVA, correlation, and regression analysis were performed based on the general characteristics of the study subjects. Regarding the awareness factor for infection control, the total awareness level was high as $4.15{\pm}.05$ and the total performance level was also high as $4.05{\pm}.05$. Through these results, although the performance level was slightly lower than awareness level, the level of infection control of the radiological technologists working at the clinics located in Gyeongnam was analyzed to be relatively high. The infection control of the clinic's radiological technologist should be carried out through the continuous infection education and prevention activities of the hospital staff, and radiological technologist working in clinics should also be positioned as specialists in infection control.

Characteristics of Noise Radiated at Dental Clinic (치과병원에서 치료시 발생하는 소음특성)

  • Ji, Dong-Ha;Choi, Mi-Suk
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.12
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    • pp.1123-1128
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    • 2009
  • Noise radiated from medical treatment at dental clinic will affect the patients. On such point of view, We investigated the noise characteristics in case of medical treatment (scaling, tooth eliminating) and non-medical examination (idling) and also evaluated the degree of indoor noise using the evaluation index such as PSIL, NRN and made up a questionnaire about the reactions to noise. As a result of noise evaluation, it shows that the range of noise level is 67.7~78.3 dB(A) and frequency is very high (above 4 k Hz) and respondents are affected by noise (unpleasantness, hesitation to visit dental clinic, shivering with noise, being astonishment). Analysis by PSIL showed that it was no problem to conversation between worker and patient. But it exceeded the noise permit level in working space by NR-curve. To relieve a fear of noise in patients, they are considered to offer the ear protection, choose the low noisevibration equipment and use the masking effect. They are of great advantage to dental clinics to i prove dental service and competitiveness.

Survey on the Actual Conditions of Patients in Semyung University Attached Oriental Medical Hospital Night Clinic. (세명대학교 부속한방병원 야간 진료실 내원환자의 실태분석)

  • 민웅기;남창규
    • The Journal of Korean Medicine
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    • v.20 no.4
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    • pp.50-61
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    • 2000
  • This study on the visits of the oriental medical night clinic of patients, was made to be used as reference data by examining and analyzing statistically the many actual conditions of patients who had been visited in Semyung University Attached Oriental Medical Hospital during the period from April, 1998 to March, 1999. The purpose of this survey was to understand the characteristics of patients, to evaluate the roles of Night Clinic of oriental medical hospital, and contribute to the systemic and efficient management of night clinic service. The results obtained were as follows: I. Distribution of sex: male 53% (421 cases), female 47% (379 cases) 2. The age distribution of patients showed the highest in under ten, followed by the thirties and fifties, forties and twenties in order. 3. The monthly distribution of patients showed the highest in October 1998, followed by May 1998 and February 1999 in order. 4. The daily distribution of patients showed the highest in Sunday, followed by Saturday, Monday, Friday and Tuesday in order. 5. The regional distribution revealed the highest in Jecheon with 76% of all patients, followed by Danyang in order. 6. The distribution of arrival time showed the highest in 7:00 pm~0:00 am (27%), followed by 5:30 pm~7:00 pm (23%) in order. 7. The admission rate in patients was 17%. Among them direct visiting rate was 85%. Circulatory systemic disease was the highest. 8. The highest incidences by disease were of motor system with 48% (394cases), followed by diseases in circulatory system with 19% (l48cases). The majority of the patients 67% was connected with two diseases. 9. The chief complaint of pediatric diseases was febrile seizure with 64% (32cases), digestive disease was abdominal pain with 44% (90cases), circulatory diseases was motor disturbance with 43% (83cases), motor system disease was leg pain with 37% (l19cases), respiratory disease was fever with 46% ( 41 cases). 10. In the treatment method, a major portion of treatment methods was acupuncture treatment with 32% (373cases), followed by acupuncture & herbal medicine treatment with 23% (275cases). The most commonly used herbal medicines were Hangsapyunguisan(l6%) and Ojeoksan(l4%).

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The Study on the Model Development and Analysis of 'Child Growth and Developmental Clinic' - Focusing on the public health center - (영유아 성장발달 크리닉 운영모형개발 및 시범사업 결과 분석 -서울시 일개 보건소를 중심으로-)

  • Han, Kyung-Ja;Bang, Kyung-Sook;Yun, Soon-Nyoung
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.49-59
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    • 2001
  • Purpose: This study was intended to develop the framework of public health center based 'Child growth and developmental clinic' and analyze the efficiency of services. This was the part of Mother-Child Health Guidance Project by the Public Health Center in Seoul. The purposes of this project were to improve children's health and development with early detection of developmental delay by screening test, and to assist and guide the parent for child care and rearing, so that children can reach their maximum potential. Method: Framework and standards for operation of 'Child growth and development clinic' were developed. We selected screening tool. developed parent education materials, and educated the personnel of public health center. Result: 243 children were enrolled for developmental screening, and we detect the children with developmental delay and referred them for further evaluation. The proportion of developmental delayed children was approximately 2% of the enrolled children. Also, we analyzed the characteristics of enrolled children, and their parental needs and attitude on child rearing. Some problems in operation of developmental clinic were discussed. Conclusion: Though we can found some limitations, we are confident that pubic health center can be charge of important role for improving child development for the majority. This study will be the basis of children's developmental clinic running by public health center.

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