• 대한임상검사과학회지
• /
• 제49권4호
• /
• pp.495-497
• /
• 2017

Thalassemia major is a genetic disorder with a defective synthesis of either the alpha or the beta chain of hemoglobin A. Blood transfusion is crucial for the survival in these patients. Unfortunately, endocrine dysfunction is a very common complication in these patients and is principally due to excessive iron overload as a result of frequent blood transfusions. Although regular blood transfusion may increase life expectancy, disturbances in growth and pubertal development, abnormal gonadal functions, impaired thyroid, parathyroid and adrenal functions, diabetes, and disorderly bone growth are common side effects. We hereby present a case of a 23-year-old, unmarried woman with beta thalassemia major presenting with primary amenorrhea, poor development of secondary sexual character, and short stature. Thorough history, clinical examination, and laboratory investigation, including dynamic function test (insulin tolerance test) were conducted. These tests confirmed that she had multiple endocrinopathies, including hypogonadotropic hypogonadism, growth hormone deficiency, and subclinical adrenal insufficiency, which were caused by iron overload. She required hormone replacement therapy. Early recognition of possible deficiencies in hypothalamo-pituitary-end organ hormones caused by iron overload in thalassemia patients that undergo frequent blood transfusion procedures is essential. Appropriate treatments, including transfusion regimen and chelation therapy, as well as specific treatment of each complication are the crucial for the successful management and improvement of quality of life these patients.

• Perspectives in Nursing Science
• /
• 제15권1호
• /
• pp.1-10
• /
• 2018

Purpose: The purpose of this study was to examine the usefulness of the Myers-Briggs Type Indicator (MBTI) through a character analysis of a novel and to improve the understanding of various types of people. This study aimed to increase nurses' understanding and empathy regarding the personality of various patients. Methods: This study categorized the characters in the novel Our Happy Time based on MBTI and analyzed their personality characteristics. Results: It is important for nurses to understand that the following types of patients can be identified using the MBTI: those with a concise explanation (ENTP), a modest attitude (ISFJ), an objective response (ENFJ), and a logical response (ENTJ). Conclusion: It is important for nurses to broaden their understanding of various personality types and backgrounds related to the formation of patients' personalities that they encounter in the clinical field via analyses using the MBTI personality types. Furthermore, understanding communication skills can be an important first step in resolving conflicts that occur during peer interactions.

• 동의신경정신과학회지
• /
• 제11권2호
• /
• pp.103-111
• /
• 2000

Objectives : We studied the aspects of headache in the patients with stroke. We compared character of headache on stroke with functional one. Methods : The subject of this study was based on 63 patients with headache who were admitted to the oriental hospital after stroke. We analyzed patients into sex & age, month, severity of headache on stroke type & lesion, site & character of headache. associated symptoms & signs on headache state.Results : The age of headache with stroke is higher than general headache. There was significant differences between general headache and headache with stroke. The cerebral hemorrhage is severer than cerebral infaction in th pain of headache. The most frequently appeared site of headache is temporal area and associated symptoms is vertigo & nausea.Conclusions : The headache of stroke patient is different form functional headache. because of cerebral vascular accident influence on inducing headache. Therefore we should study different methods between the headache of stroke patient and the others in medical treatment.

• 동의생리병리학회지
• /
• 제21권6호
• /
• pp.1586-1589
• /
• 2007

This study aims to construct Constitution Information Bank to objectification of Sasang Constitution Diagnosis and Treatment. 422 cases clinically confirmed their Constitution by experts are collected retrospectively and 219 cases for constitution-family study are also collected in Constitution Information Bank from Nov. 2006 to Sept. 2007. The information include their physique, appearance, character, temper, symptom and treatment records. Their DNA cell lines also included in Constitution Information Bank for constitution-genome study. Constitution Information Bank is composed of constitution-clinical information -physique, appearance, character, temper, symptom and treatment records- and biological information -DNA genotyping data-. Total of 550 cases are collected in Constitution Information Bank from Nov. 2006 to Sept. 2007. Among these, 219 cases are for constitution-family study, especially, 74 cases are collected from Han's large family.

• 대한한의학회지
• /
• 제39권2호
• /
• pp.64-79
• /
• 2018

Objectives: This study was aimed to research clinical characteristics of female patients with cold hypersensitivity on the hands and feet compared with non-cold hypersensitivity group. Methods: 134 women patients were collected from 6 Korean medicine hospitals, and divided into 2 groups(cold hypersensitivity group and non-cold hypersensitivity group). This survey was composed of 19 questions related to clinical symptoms of cold hypersensitivity. Results: We found out the differences between 2 groups in 10 questions among 19 questions in the survey results. (Body Type, Energy, Digestibility, Skin Type, Facial Complexion, Chill, Dry Mouth and Thirst, Preference between Coolness and Warmth, Thickness of Tongue Fur, Floating and Sinking of Pulse) Conclusions: From these results, Patients with cold hypersensitivity on hands and feet have relative clinical characteristics as follows. They are relatively weak and lethargic. They have dry skin and look more pale. They feel chill easily and have dry mouth and thirst. They prefer warmth and have indigestion more. They had more various infirm and ill clinical characteristics compared with the other group from the view of Korean medicine.

• Journal of Acupuncture Research
• /
• 제25권6호
• /
• pp.67-76
• /
• 2008

Objectives : The 7-zone-diagnostic system is a diagnostic device to predetermine bodily locations by measuring the energy of body. This study was to investigate the relation between the different patterns of Zone 1, 2, 3 of Factor AA in CP-6000A(VEGA, Germany), 7-zone-diagnostic system and clinical parameters. The purpose of this study was relation Korean traditional medicine and western medicine with the data from 7-zone-diagnostic system and the clinical parameters. Methods : This study was carried out with the data from some clinical parameters. We made three groups according to the Factor AA patterns of CP-6000A. The Factor AA pattern of Group A is that the red bar graph of zone 1, 2, 3 were higher than the normal range and the others were the normal range. The Factor AA pattern of Group B was that the red bar graph of zone 1, 2, 3 was the normal range and the others were the normal range. The Factor AA pattern of Group C was that the red bar graph of zone 1, 2, 3 was lower than the normal range and the others were the normal range. After the data from clinical parameters to correspond with conditions of each group were selected, the data from clinical parameters among each groups analyzed statistically. Results : The values of GOT, GPT, r-GPT, Triglyceride, BUN, Uric acid of group A was higher than group C. Gastroscope of group A and B was higher than group C. Conclusions : It is thought that the red bar graph of zone 1, 2, 3 is higher, the group has the higher energy and the energy has a character of fire(熱). Those patterns have a high risk of hyperlipermia and liver, stomach disease.

• 대한한방소아과학회지
• /
• 제19권2호
• /
• pp.31-40
• /
• 2005

Objectives: This study was performed to investigate the character of childhood common cold according to four seasons. Methods: We made an investigation into medical record of 432 children under fifteen years of age who visited pediatrics or emergency room suffering from common cold. We analyzed the principal and secondary symptoms of the children classifying four seasons by $SPSS^{\circledR}$ 12.0 for windows. Results: Male to female ratio were 1.42:1, the average of age was 3.86 years old. Distribution of principal symptoms was that nasal discharge was 231(56.1%), cough was 233(54.1%), nasal obstruction was 162(39.3%), secretion and sputum were 126(30.6%), fever was 121(29.4%), and headache was 13(3.2%). Out of these fever occurred in high frequency during spring and summer, nasal obstruction occurred in high frequency during spring and autumn. Distribution of secondary symptoms was that throat pain was 93(22.6%), otalgia was 39(9.5%), vomiting was 35(8.5%), abdominal pain was 30(7.3%), anorexia was 23(5.6%), sweating was 21(5.1%), diarrhea was 19(4.6%), and startle was 11(2.7%). Out of these otalgia occurred in high frequency during spring and summer, diarrhea occurred in high frequency during autumn and winter. Conclusions: A few symptoms can be the character according to four seasons.

• 대한한방소아과학회지
• /
• 제27권2호
• /
• pp.11-19
• /
• 2013

Objectives The purpose of this study was to identify the importance of goodness of fit in mother-child temperamental interaction (MCTI) and the child problem behaviors. Methods The behavior problem of 180 child outpatients from traditional Korean medical clinic was measured with Korean version of Child Behavior Checklists, and the temperament of child and their mother was measured with Junior Temperament and Character Inventory and Temperament and Character Inventory-Revised-Short. The MCTI was calculated as the difference of the temperament score between mother and child. The correlation and linear regression analysis was performed to examine the effects of temperament on Child Behavior Checklists. Results The MCTI on Harm-Avoidance was the significant factor for explaining the internalizing problem (B=-.154, t=-10.130, p<.001), externalizing problem (B=-.045, t=-3.340, p=.001) and total problem (B=-.298, t=-7.574, p<.001). We also confirmed that the temperament of mother and child significantly correlated with the child behavior problems as provided previously. Conclusions These results showed that the temperament interaction between mother and child is an important factor for predicting problem behaviors in child clinical sample. The goodness of fit in MCTI and problem behavior should be considered as pivotal element in traditional Korean pediatrics.

• 대한치과기공학회지
• /
• 제19권1호
• /
• pp.91-111
• /
• 1997

An aim of this study is to find out influenced factors of satisfaction degree on the clinical practice for the dental technology student and it can be provided the basic necessary data for the educational planning of the curriculum for the clinical practice. The target of study are selected form 7 junior health college students and colleges are located in around seoul form 14 junior health college throughout the nation. The questionnaries were distributed between 24th Feb to 30th July in 1997 to the 100 dental technicians who finished clinical practice and entered profession in 1997. All collected data were analysed by using SPSS/PC, Technical Statistic, One-Way ANOVA, Ttest, Person Correnlation Coefficient, Chrobach Alpha Coefficient and the result of the study is follow. 1) The satisfaction degree were classificated as 7 aspect and overall average score was 3.042. During that period satisfaction of personal relation aspect(M=3.737) shows highest level. Satsfiaction of clinical parctice(M=3.571) shows as second, Satisfiaction of environment(M=3.028), Satisfaction of guidance(M=2.915), satisfaction of subject are ordered of their scores. According to above study satisfaction's degree of subject show lowest level. 2) According to the result of verification of study. general character of student and satisfiaction degree has not much relation with sex, location of college, religion, period for enrolling college, teaching method of clinical practice. But the result show similar relation with following items. Satisfaction if subject and satisfaction of clinical practice(P=0.000), place of clinical practice and satisfaction of clinical practice(P=0.002), Academic record of college and satisfaction of clinical practice(P=0.000). 3) The relation of satisfaction(Subject, method of teaching, environment, period, rating, personal relation) of clinical practice and age of investigation's target Older student show higher satisfaction(P=0.040). Also method of teaching, environments, period, rating, personal relation has similarities with satisfaction. Therefore student who has higher satisfaction of clinical practice they also have higher rate for subject, environment, period, personal relation. 4) The result fo investigation, most interesting subject was crown & bridge and most difficult factor was too many simple-works to the student. One of ideal factor was discussing with counselor before they choose place for clinical practice. Third grade and first semester is most efficient time for clinical practice and 8 week is proper period for clinical practice. Clinical practice is absilutory mecessary and we find out most student rated positively. However we need more specific study about satisfcation of each subject. Because it shows lowest level and we need more pay attention for planning of clinical practice.

• 대한치과기공학회지
• /
• 제29권1호
• /
• pp.59-72
• /
• 2007

This study executed to offer the basis for dental technology student who chanced better clinical training. This investigation conducted on 267 of seniors who have been taken clinical training to self written a questionnaire. We used and dealt a spss 12.0 program. Study results below 1. In a question about relationship, one answered "Harmonious" took largest proportion by 40.9% during training, and about the degree of satisfaction of campus life who answered :normal: were the most with 50.0% 2. In a question about clinical training place, most(50.0%) choose place less than 10 for clinical training, and more than 10 for clinical training with 29.7%. Residue statues was most of them resided own home with 78.6%. About their commuting time from home to training place, 50.0% was under 30min, 34.1% took time 30$\sim$60min. 3. In a question about clinical trainer, most (34.4%) choose as dental lab president, as each part manager with 34.1%, a senior with 7.6% and not exist to clinical trainer with 7.6%. 4. A perfect score about teaching efficiency and satisfaction of clinical practice of dental technology students was 5. The average of score about satisfaction of clinical practice was 3.25 and circumstance of clinical training got 3.50 as a highest score. the lowest score was 2.87 that is about satisfaction of clinical training period. The average of score of teaching efficiency was 3.25. 'a Role model' got 3.55 as the highest score and 'utility for student' got 3.12 as the lowest 3.12. 5. The result of T-test to see of the satisfaction according to the general character and clinic training condition between teaching efficiency is that the degree of satisfaction of clinical training showed statistical significance only in the degree of satisfaction of college life(p<0.05), teaching efficiency has a statistical significance with age and satisfaction of college life(p<0.05). 6. The relation between of teaching efficiency of clinical training and satisfaction of clinical training of dental technologic student has a statistical relation r=0.551 and a statistical meaning in significance leveler 0.01.