• Title/Summary/Keyword: empirical medicine

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Analysis of Medication Compliance and Polypharmacy for the Old Diabetic Patients (노인 당뇨환자의 복약 및 다제병용실태 분석)

  • 이의경;최영옥
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.81-93
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    • 2000
  • This study is intended to investigate medication compliance and polypharmacy of the diabetic patients by age group in order to determine the major factors that influence their compliance. 198 ambulatory diabetic patients were interviewed, and the sample was divided into three groups based on the age: Young age group under 55, Borderline age group between 55 - 65, Old age group over 65. According to the study results, medication compliance for the old age group was 72.6% whereas 85.1% for the young age group. Medication compliance significantly decreased as the age of the patients increased. Also the degree of polypharmacy, the rate which patients take more than 6 prescription drugs, was 45.9% for the old group, whereas 31.2% for the young group. As the most important factor of polypharmacy, the number of doctors was statistically significant. With regard to prescription factors related to medication compliance, the amount of prescribed medication is statistically significant between the compliance group and non-compliance group. In addition, the amount of information provided to patients by pharmacists was determined to be a very significant factor. Also the level of ease in understanding the medication instructions varied significantly between the compliance group and the non-compliance group. In light of the empirical data and results for the diabetic patients, it is necessary to develop and implement various programs to improve medication compliance and to decrease the level of polypharmacy among the elderly, or "old", diabetic patients. patients.

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A Clinical Study on the Correlation between Spine Deformity and Foot Abnormality (척추변형과 족부병변의 임상적 상관관계)

  • Choi, Hyun-Im;Park, Hung-Ki;Ju, Mu-Yeol
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.10 no.1
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    • pp.117-128
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    • 2004
  • I have processed all the data by using SPSS PC+. And my research process was investigated for 34 students on the Forward Bending Test, Foot Printer Test, Feedoscope Test, X-ray Test and so on. The object of this thesis is to study the correlation between spine deformity and foot abnormality in a theoretical and empirical method. The main results of this study were as follows: 1. There was statistical significance on the correlation between foot length and spine length. 2. Spinal curve is the smallest on the pes plannus group and the biggest on the pes cavus group without statistical significance. 3. Left lumbar curve is the smallest, and right thoracic spine curve is the biggest on the left foot pattern group with statistical significance. 4. On the foot weight bearing groups, there was statistical significance both of between left and right foot groups. 5. There was no statistical significance on the t-test analysis between left and right foot area according to spinal curve typology. But there was tendency that thoracic spine curve is bigger in the same side of the foot area and lumbar spine curve is bigger in the opposite side of foot area.

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Characteristics of Suicide Attempters Visiting Emergency Department (일 종합병원 응급실에 내원한 자살시도자의 특성)

  • Lee, Yun-Jeong;Moon, Seongmi;Nam, Kyoung A
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.1
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    • pp.55-63
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    • 2016
  • Purpose: The purpose of this study was to examine the characteristics of suicide attempters visiting emergency department in a general hospital located at local city. Methods: To investigate the characteristics of suicide attempters, the medical records of 201 suicide attempters were reviewed with a structured analytic sheet. Data were analyzed using ${\chi}^2$ test, two sample t-test, and oneway ANOVA. Results: Among total of 201 suicide attempters, 114 (56.7%) lived in rural areas. 114 (56.7%) were men and most of them (71, 35.3%) lived in rural areas. 155 (77.5%) was the first trier and the most frequently used method was taking pesticides. There were gender and regional differences in the suicide-related characteristics of suicide attempters. Conclusion: The results provide empirical evidences to design and implement strategies at both macro and micro levels to prevent suicide.

Dogma of Extraesophaghgeal Reflux (식도 외 역류의 도그마)

  • Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.78-83
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    • 2016
  • Laryngopharyngeal reflux (LPR) disease is an extraoesophageal variant of gastro-esophageal reflux disease that can affect the larynx and pharynx. LPR is associated with symptoms of laryngeal irritation such as throat clearing, coughing, and hoarseness. The main diagnostic methods currently used are laryngoscopy and pH monitoring. The most common laryngoscopic signs are redness and swelling of the throat. However, these findings are not specific of LPR and may be related to other causes or can even be found in healthy individuals. Furthermore, the role of pH monitoring in the diagnosis of LPR is controversial. A therapeutic trial with proton pump inhibitors (PPIs) has been suggested to be cost-effective and useful for the diagnosis of LPR. However, the recommendations of PPI therapy for patients with a suspicion of LPR are based on the results of uncontrolled studies, and high placebo response rates suggest a much more complex and multifactorial pathophysiology of LPR than simple acid reflux. Laryngoscopy and pH monitoring have failed as reliable tests for the diagnosis of LPR. Empirical therapy with PPIs is widely accepted as a diagnostic test and for the treatment of LPR. However, further research is needed to develop a definitive diagnostic test for LPR.

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The Effect of Three Different Generation Types on Prosocial Consumption Behavior

  • Oh, Min-Jung;Hwnag, Yoon-Yong;Quan, Zhi Xuan;Jung, Jin-Chul
    • Journal of Distribution Science
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    • v.12 no.3
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    • pp.55-63
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    • 2014
  • Purpose - This study aims to examine differences in donation behavior as surrogates of prosocial consumption behavior among three generation types. Further, it attempts to examine the moderator roles that affect donation behavior influenced by the difference in generations. Research design, data, and methodology - This study used the statistical ANOVA technique to examine generational difference. Surveys were structured differently by ages, as 20th, 30th, 40th, 50th, 60th, and 70th to classify generations into each group. A survey to measure the psychological distance was performed to identify whether the respondents intended to donate to a domestic or overseas target. Results - First, subjective judgment of psychological distance has no effect on objective donation behavior. Second, though the result of the relationship with moral identity is not statistically significant, it provides evidence that a higher moral identity level possesses more donation behavior. Further, groups with higher symbolization tend to donate more than the others. This was especially evident among the young and baby boomer generation. Conclusion - This empirical study suggests that marketers need to differentiate the market segment of the baby-boomer generation with high purchasing power of prosocial consumption.

Fever and rash (발열과 발진)

  • Kang, Jin Han
    • Clinical and Experimental Pediatrics
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    • v.50 no.2
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    • pp.132-137
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    • 2007
  • Patients with febrile illness and skin rashes need full and immediate attention. In general, these diseases show mild manifestations and good prognosis. However, causalities of some diseases with fever and rash may be life threatening or trivial. So, the differential diagnosis for those patients is extensive. A through history, a careful physical examination and close observation of clinical progress are very helpful and essential to confirming the diagnosis. Histories of recent travel, drug or specific food ingestion, exposure to human or an animal source of infection may be useful to discover the cause. Although laboratory tests can be useful in making the diagnosis, laboratory results usually are not available immediately. Knowledge and experiences of such diseases may be helpful to reduce the differential diagnosis to a few major possibilities. Rashes can be categorized as petechial, maculopapular, vesicular, urticarial and erythematous. Potential causes include infectious pathogens such as virus, bacteria, rickettsiae, spirohetes, connective tissue diseases, allergic diseases and heamto-oncologic diseases. Because the severity of these diseases can vary mild to life threatening, physicians must perform prompt management decisions regarding empirical therapies. In this article, the differential etiological diagnosis of each type rash is reviewed and discussed, and with emphasis on intensive care of life threatening febrile diseases with rashes that are seen in our country.

An empirical study on relationship between symptoms of musculoskeletal disorders and amount of smartphone usage (스마트폰 사용량과 근골격계질환 관련 자각증상과의 관련성에 관한 연구)

  • Eom, Su-Hyun;Choi, Seo-Yeon;Park, Dong-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.113-120
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    • 2013
  • This study was conducted to investigate the characteristics of smartphone usage and posture of users during using smartphone. A survey was conducted for 983 smartphone users to understand the association between smartphone usage and including subjective symptoms associated with musculoskeletal disorders. Main results from the survey were as follows; 1) 18.8% of the subjects experienced musculoskeletal symptoms at least at one of body parts. Specifically, 8.1%, 5.6%, 4.1%, and 11.3% of the subjects experienced musculoskeletal symptoms at neck, shoulder, elbow, and hand respectively, 2) The symptoms of musculoskeletal disorders were also associated with amount of text message and time for daily usage of smartphone. Specifically, relative risks of musculoskeletal disorders at hand/wrist/fingers in terms of "amount of text message" and "time for daily usage" for experienced user were 1.425 and 1.368 respectively to inexperienced user. This study identified 'amount of text message' and 'time for daily usage' as the major risk factors of smartphone usage in terms of musculoskeletal symptoms. The results of the study provided a good basis in order to remove or reduce the risks associated with musculoskeletal symptoms due to smartphone usage.

Estimation of the Demand Function of the Information and Communication Construction Business

  • Kwak, Jeong Ho;Lee, Jemin Justin;Lee, Han-Joo;Lee, Bong Gyou
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.8
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    • pp.3249-3257
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    • 2015
  • The smart convergence environment, in which all industries are converged around ICT infrastructure -- with the eventual inclusion of both industry and culture -- looms. With the emergence of new convergence industries such as smart medicine, smart cities, and smart automobiles, the ICT infrastructure is recognized as the foundation of the overall economy. As such, the importance of the next generation of information and communication construction businesses, which constructs the ICT infrastructure, is highlighted under the smart convergence paradigm environment; various multilateral policies to foster the information and communication construction business -- led by the Ministry of Science, ICT, and Future Planning -- are being implemented. Like other infrastructure industries, however, the estimation of the demand function of the information and communication construction business overall is essential for effectively establishing promotional policies for information and communication construction businesses. However, there has been no study which theoretically estimates the market demand function in the information and communication construction business thus far. The pursuit of a creative economy is a national agenda, as the significance of accelerating the ICT infrastructure is emphasized. Therefore, this paper seeks to estimate quantitatively the demand function in the information and communication construction business using empirical data and a statistical model and then to present policy implications which will aid the development of the information and communication construction business.

Convergence of Consumer Hygiene Awareness on Coffee Smell, Price, and Shops, Customer Satisfaction, and Repurchases

  • Kwon, Woo-Taek;Kim, Yeong-Seon;Kwon, Lee-Seung
    • Journal of Distribution Science
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    • v.13 no.12
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    • pp.23-31
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    • 2015
  • Purpose - The purpose of this study is to determine consumers' awareness of hygiene and the perceived risks in the service areas of coffee shops and diners, or simply coffee shops. Research design, data, and methodology - A literature review was conducted on related publications, essays, and periodicals to find correlations among the variables. We developed a research model and hypothesis, and conducted empirical research for statistical data analysis. Results - The results satisfied adequacy standards, with GFI=0.926, AGFI=0.901, RMR=0.020, NFI=0.941, X2=403.197, and p-value=0.120. The results also displayed satisfied adequacy standards for the moderating effects of shop types, with GFI=0.998 (≥0.9 desirable), AGFI=0.998 (≥0.9 desirable), RMR=0.004 (≤0.05 desirable), NFI=0.999 (≥0.9 desirable), X2=1.572, and p-value=0.814 (≥0.05 desirable). Conclusions - A higher consumer hygienic awareness results in a better brand image. Moreover, greater perceived risk results in a worse brand image. Perceived risk is a vital determinant of brand image and it deeply influences customers' decisions to visit. Therefore, perceived risk is a vital determinant of forming a brand image and must be incorporated when devising strategies.

Impact of Informational Justice on Pharmaceutical Enterprises

  • LEE, Changjoon;HA, Byoung-Chun;LIM, So-Youn
    • Journal of Distribution Science
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    • v.18 no.8
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    • pp.55-64
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    • 2020
  • Purpose: This paper addresses issues that concern business-to-business marketing, namely informational justice in the supply chain or organizations. As previously reported by other studies, there is information asymmetry in organizations. The present study explores and addresses this in the medical industry, aiming to investigate how informational justice relates to information quality or logistics performance in the medical industry. This study also suggests a method for development of informational justice in medicine-related fields. Design, methodology, approach: The hypothesis and model were developed through a review of the literature. To this end, we surveyed 293 valid survey samples collected from occupational pharmacists and used structural equation modelling for analysis. Findings: The results of the empirical analysis of the hypotheses showed that symmetric sharing of information between pharmacists and employees of pharmaceutical companies has a positive effect on the perceived quality. Moreover, the results showed that quality information has a positive impact on logistics performance, whereas informational justice does not. Conclusions, implications: If information and explanations are exchanged fairly, information and logistics performance-as well as operational expenses-will be enhanced. Furthermore, our study has immense implications outside of academic applications since it suggests practical solutions to government and medical industry employees.