• 제목/요약/키워드: night clinic

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

  • 민웅기;남창규
    • 대한한의학회지
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    • 제20권4호
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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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암생존자를 대상으로 한 사상체질에 따른 건강수준 평가기준 개발 연구 (A Study on the Development of Criteria for the Assessment of the Sasang Constitutional Health Level of Cancer Survivors)

  • 권진혁;박성운;박병주;홍승민;김아리;오현주;이준희
    • 사상체질의학회지
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    • 제35권4호
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    • pp.23-41
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    • 2023
  • Objectives This study is aimed to develop criteria for assessing the health level of cancer survivors through patient reported outcome based on sasang constitutional symtomology. Methods As a result of the researchers' meetings and the first round of expert group consultation, the constitutional health level assessment items that would be common to all Sasang constitutions were extracted, and constitutional health level assessment items for cancer survivors were selected. A second round of expert group consultation was conducted to determine the importance and weighting of these items for each constitution. Results & Conclusions For soeumin, the importance ranking and calculated weight were as follows: 'I had sweats even when I was not hot or exercising.(1st, 4.09)', 'I had night sweats while sleeping(2nd, 3.94)', 'I lost weight.(3rd, 3. 75)', etc. For soyangin, as follows: 'I had night sweats while sleeping.(1st, 3.08)', 'I had vomiting.(2nd, 3.02)', 'I felt hot flashes in the afternoon or at night. (3rd, 2.73)', etc. For taeumin, as follows: 'I was out of breath.(1st, 3.48)', 'My heart was pounding for no reason.(2nd, 3.45)', 'My body was swollen.(3rd, 3.22)', etc. For taeyangins, as follows: 'I couldn't urinate well.(1st, 4.49)', 'I vomited(2nd, 4.44).', 'My upper abdomen were hard.(3rd, 3. 14)', etc. Based on the results, we developed a draft of a questionnaire to assess the Sasang constitutional health level of cancer survivors, weighted for each item.

한약 단독 치료로 호전된 소양인 환자의 도한 : 후향적 증례보고 6례 (Herbal Medicine Treatment for Persistent Night Sweats in Soyangin Patients: A Retrospective Case Series)

  • 이민정;이지연;황민우
    • 사상체질의학회지
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    • 제33권3호
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    • pp.146-160
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    • 2021
  • Introduction This study is the first to report a significant improvement of Soyangin patients with persistent night sweats through herbal medicine treatment. Methods We reviewed the total of 6 Soyangin patients with moderate to severe persistent night sweats who visited the outpatient clinic. The patients received herbal medicine treatment alone for 4 to 9 weeks. We evaluated the treatment outcome using Night Sweats Degree criteria, developed by Lea and Aber(1985), every other 2 to 4 weeks. In addition, we recorded the treatment period from the first visit to symptom alleviation. Results Persistent night sweats improved significantly in all 6 Soyangin patients, and 4 out of 6 patients had better sleep quality after the treatment. It took 1 to 3 weeks until the symptom alleviated from moderate or severe to mild, and 3 to 7 weeks until the patients have no sign of night sweating. The progression of persistent night sweats and treatment period until no sign of symptom varied according to the Soyangin External and Internal disease diagnosis. Discussion The Soyangin patients having persistent night sweats treated with herbal medicines showed a significant improvement in their symptoms. This result proposes the possibility of using herbal medicine in primary care patients experiencing persistent night sweats.

하루 중 시간변화(時間變化)에 따른 한출(汗出)의 기전(機轉)에 대한 연구(硏究) (A Study on Perspirations(汗出) in Daily Time Cycle)

  • 유정아;정창현
    • 대한한의학원전학회지
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    • 제22권3호
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    • pp.271-289
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    • 2009
  • This thesis intend to help the eastern medical doctor to understand body condition from interpretation of perspirations(汗出) in daily time cycle. The conclusion is followed. 1. In most Eastern Medical classic and clinic literatures, the time of fever and perspirations are described as a result of disease's position at human body. Following this description, in daytime the perspirations must come from the Gi phase and night time the perspirations must come from the blood phase. Because in daytime the skin pores are opening and the defensive Gi is going out to the superficial portion of the body. In night time the skin pores are shutting and the defensive Gi is going in to the five solid organs. So a sweat in daytime comes out from the Gi phase and superficial portion of the body. And in night time comes out from the blood phase and five solid organs. But in recent real clinic cases, in daytime, there are so many perspirations from the five solid organs. Comparatively, the perspirations from the superficial portion of body are very little. And in same daytime perspirations, when the heat pathogens mixed with moist, the symptom revelation time delay to the afternoon. Therefore it can be concluded that the time of perspirations are combination of disease's Gi or blood phase and characteristics of pathogens. The position of disease at human body cannot simply judge the symptom revelation time. 2. The exchange of climate following time cycle of a day effect to the condition of human body. At same time it activates or not activates the pathogens in human body. So we can consider the kinds and characteristics of pathogens by distinguishing the symptom revelation time. In general differentiation of syndromes[辨證] pathogen's kinds and location are generally judged. By understanding the characteristics of pathogen, doctor can devise more correct and delicate prescription.

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대청룡탕(大靑龍湯)의 투여로 고열이 호전된 소아 만성 상기도감염증 환자 6례(例)에 대한 증례 보고 (The 6 case reports of chronic upper respiratory infections with high fever in children, treated with Daqinglong-tang)

  • 박영환
    • 한국의사학회지
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    • 제26권1호
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    • pp.19-26
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    • 2013
  • 1. $38^{\circ}C{\sim}40^{\circ}C$의 고열을 동반한 상기도감염증은 편도선염이 주원인이며 계절마다 반복되는 특징이 있는데 도한(盜汗), 탁성(濁聲), 기침, 식욕부진의 증상을 동시에 호소하는 경우 대청룡탕(大靑龍湯)을 투여하였더니 반복적으로 발생하는 고열의 치료 및 상당기간 재발 방지에 효과가 있었다. 2. 소아가 평소 도한증(盜汗證)을 호소할 경우 만성적인 상기도감염증이 있는지 우선 확인할 필요도 있을 것이다. 3. 고열을 동반한 상기도감염증을 반복해서 앓는 소아의 경우 우선 대청룡탕(大靑龍湯)으로 고열을 안정시킨 후 나머지 여증(餘症)을 상한치법(傷寒治法)에 따라 변증(辨證)하여 치료하면 좋을 것이다.

백호가인삼탕(白虎加人蔘湯)으로 호전된 브레인 포그(Brain fog) 1례 임상보고 (Case Report : Brain Fog Treated by Bekhogainsam-tang)

  • 조성환
    • 대한상한금궤의학회지
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    • 제12권1호
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    • pp.101-112
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    • 2020
  • Objective: This study aimed to report the effect of Baekhogainsam-tang on brain fog. Methods: A 59-year-old female patient complained of brain fog and waking up frequently during the night. Based on the Shanghanlun disease pattern identification diagnostic system, the patient was treated with Baekhogainsam-tang. The result was evaluated using the score. Results: After administration of Baekhogainsam-tang for 45 days, the MFI score decreased from 89 to 40. The average number of instances of waking up during the night decreased from 3 to 1.5. Conclusions: Some cases of brain fog can be treated by Baekhogainsam-tang.

환자의 치과병·의원 선택동기 (Choice motivation of dental clinics by patients)

  • 이향님;심형순
    • 한국치위생학회지
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    • 제15권5호
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    • pp.759-765
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    • 2015
  • Objectives: The purpose of the study was to investigate the choice motivation of dental clinics by patients. Methods: A self-reported questionnaire was completed by 577 patients visiting the dental clinics from October 6 to 25, 2014 in G city after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and choice motivation of dental clinics using Likert 5 point scale. Results: 1. The traffic convenience was the highest in those who were the 30s (3.37) and unmarried person (3.30). Those having moderate oral health condition showed 3.23. The regular checkup group had 3.33. The physical environment was the highest in the 20s (3.37) and the unmarried persons (3.33). Those having master's degree showed 3.86. The reputation of the dental clinic image was the highest in those having master's degree (3.63). Those having moderate oral health condition had 3.28. The main reason for dental clinic visit was tooth extraction (3.79, p<0.05). 2. The top priority choice for the dental clinic was the access to the dental clinic and the next reason was reputation for the dentist. The other choice factors included trust for the dentist, recommendation, and night treatment. Conclusions: The important choice for the dental clinic included the access to the dental clinic and reputation for the dentist.

조현병 외래 환자에서 야간식이증후군의 유병률과 관련요인 (Prevalence and Its Correlates of Night Eating Syndrome in Schizophrenic Outpatients)

  • 남석현;윤보현;시영화;송제헌;박수희;박형종;이지선
    • 정신신체의학
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    • 제22권2호
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    • pp.93-103
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    • 2014
  • 연구목적 본 연구의 목적은 조현병 외래 환자를 대상으로 야간식이증후군(night eating syndrome : NES)의 유병률과 이와 관련된 임상적 요인들에 대해 살펴보는 것이다. 방 법 정신건강의학과 외래를 방문한 201명의 조현병 환자들을 14 문항의 자기보고 형식인 야간식이증후군 설문지(Night Eating Questionnaire : NEQ)로 평가하였다. 인구학적, 임상적 특징과 체 질량 지수(BMI)을 조사하였고, 주관적인 기분과 수면, 폭식과 체중 관련 삶의 질에 대해서는 각각 Beck's Depression Inventory(BDI), Pittsburgh Sleep Quality Index(PSQI), Binge Eating Scale(BES)와 Korean version of Obesity-Related Quality of Life Scale(KOQoL)를 이용하여 평가하였다. 결 과 조현병 외래 환자에서 야간 식이 증후군의 유병률은 10.4%(201명 중 21명)이었다. NES 군과 non-NES 군간에 나이를 제외하면 인구사회학적 및 임상적 특성, BMI에서는 유의한 차이를 보이지 않았다. NES 군이 Non-NES 군에 비해 보다 우울했고, 수면과 폭식 양상, 체중 관련 삶의 질에 있어서 의미 있는 장애를 나타냈다. '아침 식욕부진'과 '지연된 아침식사'(NEQ에서 NES 핵심 항목 5개 중 2개)는 두 군간에 차이가 없었으나, '야간 섭식', '야간 식욕항진' 그리고 '기분/수면'은 NES 군에서 더 손상되어 있는 것으로 나타났다. 결 론 본 연구는 조현병 외래 환자를 대상으로 NES의 유병률과 관련 요인에 대해 기술한 최초의시도이다. 비록 NES와 비만과의 연관성은 밝히지 못했지만, 본 연구의 결과는 NES가 정신 건강에 부정적 영향을 준다는 사실을 보여주었다. 향후 이러한 결과를 뒷받침할 수 있는 추가 연구가 필요할 것이다.

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야간 발열을 동반하는 전신형(Systemic type) 소아기 류마티스 관절염(Juvenile Idiopathic Arthritis; JIA) 환아 증례보고 (A Case Report of Systemic Type Juvenile Idiopathic Arthritis with Night Fever)

  • 유창길;이윤주
    • 대한한방소아과학회지
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    • 제24권3호
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    • pp.68-75
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    • 2010
  • Objectives: This study is to report a case that has an effective result to systemic type juvenile idiopathic arthritis patient with an oriental medicine treatment. Methods: We treated the patient with an oriental medicine and tapered down with the western medicine. We followed up the laboratory blood tests every two or three months and through telephone at least six days in a week. Results: The symptoms of systemic type juvenile idiopathic arthritis were vanished and the patient maintains his condition with oriental medicine treatment after discontinued all Disease-Modifying Antirheumatic Drugs(DMARDs). His ESR, CRP levels and other blood test results were back to normal range. Now he is in clinical remission status. Conclusions: According to the result, the oriental medicine treatment is considered to be effective on the systemic juvenile idiopathic arthritis and further studies will be needed with more cases.

수유양상과 중이염 발생과의 관계 (A Study on Relation Ship Between the Mode of Feeding and the Occurrence of Otitis Media)

  • 백예영;김일옥
    • 부모자녀건강학회지
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    • 제6권1호
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    • pp.70-81
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    • 2003
  • The otitis media has the highest rate of occurrence in 6-36 month after birth, and relatively high rate of occurrence to six years old. It is one of major cause for hearing loss problem because of its high rate of recurrence. The researcher observed at bed that feeding posture and feeding habit at night have some relationship with occurrence of otitis media. I found that medical research in this area was very weak, and it caused her to concentrate her research on the topic. This paper was undertook a retrospective case-control study to find out the relationship between the mode of feeding and the occurrence of otitis media among the otitis media patients and the healthy persons. As the controling groups, the researcher chose fifty eight mothers whose children received the treatment of otitis media(6-36 months after birth) from the pediatrics clinic of two general hospitals in Seoul, as the patient group, and forty five mothers who consulted with their child to well baby clinic at the general hospital and kindergarten in Seoul as the control group. The results of the survey can be summarized as followed : 1. "Otitis media patient group may have more lying posture mothers while feeding than the healthy control group". The first hypothesis is supported by the fact that the children who have lying posture feeding habit mothers are more easily exposed to otitis media than those who have sitting posture feeding habit mothers as the analysis show : $X^2=8.142$, p = .017 2. "Otitis media patient group may have higher rate of sleeping habit with milk bottle on the month at night than the healthy control group does". The second hypothesis was supported by the fact that the patients group has higher rate of expected sleeping habit than the healthy group dose as the analysis show : $X^2=4.35$, p = .037 3. "Otitis media can be found more in the artificial feeding group than in the healthy children group". The hypothesis is rejected by the analysis, $X^2=1.550$, p = .416. Though the hypothesis is not supported by this research, we need to encourage mothers to feed mother's breast milk on the ground that healthy group has mother's milk feeding tendency, and the best food for infants is their mother's milk, and psychological-sociological effects of breast feeding os quite good for children. It will improve the health of infants. It can be summarized as follows : Otitis media is more concerned with posture of feeding and night feeding habits than feeding modes. On the basis of this survey, feeding education problem for mothers of infants need to be developed. In the education, sitting-embracing posture of feeding, mother's breast feeding, and prohibition of children's lying posture feeding at night need to be emphasized.

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