• 제목/요약/키워드: 병원학교

검색결과 910건 처리시간 0.032초

Pembrolizumab 면역치료를 시행 중인 비소세포성 폐암환자의 한방치료 증례보고 (Traditional Korean Medicine for Non-Small Cell Lung Cancer Patient Undergoing Pembrolizumab Immunotherapy: A Case Report)

  • 심소현;서희정;서형범;조임학;이찬;김소연;한창우;박성하;윤영주;이인;권정남;홍진우;최준용
    • 대한한방내과학회지
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    • 제40권4호
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    • pp.709-722
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    • 2019
  • Objective: The purpose of this study was to report the effect of traditional Korean medicine (TKM) in alleviating the side effects of lung cancer patient undergoing immunotherapy. Method: A 43-year-old man, who was diagnosed with non-small cell lung cancer, received pembrolizumab treatments. The patient was treated with acupuncture and herbal medicine (Geoeoyangpye-tang) to control various uncomfortable symptoms. The degree of pain was measured by the numeric rating scale (NRS). The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30 (EORTC QLQ-C30) and the EORTC 13-item lung cancer-specific module (EORTC LC-13 questionnaire) were used to assess the change in the quality of life. Results: After the TKM treatment, the flank pain and arthralgia based on the NRS were significantly improved. Various uncomfortable symptoms such as fatigue, dyspnea, insomnia, and loss of appetite were also significantly improved, based on the EORTC QLQ-C30 and EORTC QLQ-LC13. The size of the primary tumor was decreased during treatment. The disease status was stable radiologically after two months from discharge.

일개 도 지역 자살 시도 환자에 대한 병원전 단계 분석 (The pre-hospital analysis of patients with suicide attempts in Gangwon-do)

  • 김기환;조준휘;문중범;박찬우;신명철;김가을;이준석;박윤수;옥택근
    • 대한응급의학회지
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    • 제29권6호
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    • pp.687-698
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    • 2018
  • Objective: This study examined the characteristics of suicidal attempters, including pre-hospital patients and those who visited the emergency department. Methods: Suicidal attempters who had been reported to the 119 call center were selected between July 2015 and June 2016. Sex, age, place, methods of suicidal attempt, season, time, and suicide success rate were reviewed in the fire center records. Results: A total 961 suicide attempters were enrolled. Among them, 53.6% were males who had an approximately 2.6 times higher mortality than that of females (9.2%). The most preferred place to commit suicide was the home in both sexes (68.0% in male, 82.8% in female) and the most preferred methods was drug intoxication, particularly pesticide. The method with the highest mortality was hanging and the lowest was self-harm. The season of the highest mortality was spring. The success of suicide and the time variation were similar. Most of the un-transferred patients also selected fatal suicide attempts compared to transfer patients. Conclusion: Unlike previous studies, this study includes information on un-transferred patients. Overall, the probability of death was highest as more than 50 years men chose hanging as a method, which had an influence on the un-transferred patients group.

비가역적 전기 천공술을 시행한 국소 진행형 췌장암 환자 2례 (Irreversible Electroporation in Patients with Pancreatic Cancer :Angel and Devil)

  • 금지영;이희승;강화평;조중현;정문재;박정엽;박승우;송시영;방승민
    • Journal of Digestive Cancer Reports
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    • 제7권1호
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    • pp.26-30
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    • 2019
  • Pancreatic cancer has a very poor prognosis. Complete surgical resection remains the only current curative treatment. Locally advanced pancreatic cancer (LAPC) is considered as unresectable because of involvement of celiac and/or mesenteric vessels. The treatment of LAPC is a challenge. Current guidelines suggest systemic therapy. However, the majority of patients will never experience conversion to surgical resection. Thus, in these patients, ablation is an alternative therapy for local control, which causes local destruction while ideally avoiding injury to surrounding healthy tissue. Irreversible electroporation (IRE) is an energy delivery system, effective in ablating tumors by inducing irreversible membrane destruction of cells. IRE demonstrated to be safe in previous studies. However, it is not free from complications, even serious. Here, we reported two cases of the IRE in LAPC patients.

우측 상지 소력감을 주소로 하는 특발성 다발신경병증 남환 치험 1례 (A Case of Idiopathic Polyneuropathy with Right Upper Limb Weakness)

  • 이상화;신희연;이형민;정혜선;조승연;박성욱;박정미;고창남;양승보
    • 대한중풍순환신경학회지
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    • 제19권1호
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    • pp.55-62
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    • 2018
  • A patient with right upper limb weakness was diagnosed with idiopathic polyneuropathy and received a series of Korean Medicine including acupuncture, electroacupuncture, bee venom acupuncture, and administration of herbal medicine BacJung-hwan for 17 days of hospitalization period. The progression of the weakness was measured by Hand grip tester, neuralgia and numbness were measured by the NRS(Numerical Rating Scale) scores. After treatment, the right grip strength improved from 12kg to 35kg and the right upper limb neuralgia of the NRS5 was improved to NRS2. The present case study suggests that the potential effects of Korean Medicine treatment for idiopathic polyneuropathy.

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한의 복합 치료가 어깨 관절경 수술 후 급성 통증에 미치는 영향: 후향적 관찰연구 (Effect of Integrative Korean Medicine on Acute Postoperative Pain after Arthroscopic Shoulder Surgery: A Retrospective Observational Study)

  • 안종현;고준혁;김형석;이성민;이승훈;김고운;정원석;송미연;정석희;이종수;김성수;조재흥
    • 한방재활의학과학회지
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    • 제31권2호
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    • pp.69-79
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    • 2021
  • Objectives The purpose of this study was to verify the effect of integrative Korean medicine on acute postoperative pain after arthroscopic shoulder surgery. Methods This study was conducted in a retrospective observational way. Patients who met the inclusion criteria were divided into integrative Korean medicine-treated group (IKM group) and no integrative Korean medicine treated-group (No IKM group). The primary outcome was the difference in the amount of change in pain intensity. The secondary outcome was the difference in pain intensity, opioid consumption over time, and the number of adverse events after surgery. Results The change of numerical rating scale for pain intensity from baseline to IKM group was 3.09±2.12, while 2.64±1.80 in no IKM group, and the difference of change between two groups was statistically significant (p<0.05). Difference in the use of opioid between two groups over time after surgery was also statistically significant (p=0.000). Conclusions The results of this study suggest that integrative Korean medicine can be effective for acute postoperative pain after arthroscopic shoulder surgery.

뇌경색과 뇌출혈의 초기 혈액학적 소견 비교 연구 (The Hematologic Study on acute stage of Cerebral Infarction Patients and Cerebral Hemorrhage Patients)

  • 김종원;심재철;김정근;김정현;백경민;이현의;오병열;조현경;유호룡;김윤식;설인찬
    • 대한중풍순환신경학회지
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    • 제6권1호
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    • pp.17-23
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    • 2005
  • 1. Purpose : The purpose of this study was done to compare the sex, past history, hematologic relationship between the Cerebral infarction patients and the Cerebral hemorrhage patients. 2. Methods : We selected the two study groups. The one is 20 Cerebral infarction patients and the other 20 Cerebral hemorrhage patients with confirmed by Brain CT or MRI. We made an investigation into past history. We examined and made a comparative study of CBC, LFT, Na, K, Cl in the both group. 3. Result & Conclusion : In the Cerebral hemorrhage group, there were many patients with Hypertension and Diabetes mellitus than the Cerebral infarction group. In the Cerebral infarction group, there were many patients with abnormal RBC count with no significant. Also, ESR is higher than the other group. Between the Cerebral infarction and the other group, we discovered significant cases with abnormal triglyceride, ALP in the Cerebral infarction group(p<0.05). Abnormal triglyceride is known one of important risk factor of Cerebral infarction, but this study was significant in the Cerebral hemorrhage group. Also, ALP was significant in the Cerebral hemorrhage group. Therefore more extensive research is needed.

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식적으로 진단된 기능성소화불량 환자의 임상적 특성 (Clinical Characteristics of Patients with Functional Dyspepsia Diagnosed as Food Retention)

  • 정해인;이하늘;이현진;조윤재;한아람;금창열;하나연;김진성
    • 대한한방내과학회지
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    • 제42권6호
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    • pp.1173-1183
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    • 2021
  • Objectives: This study investigated the clinical characteristics of functional dyspepsia (FD) patients with food retention (FR) in regard to the parameters of cutaneous electrogastrography (EGG), Ryodoraku, and heart rate variability (HRV). Methods: This study reviewed the clinical records of 33 FD patients with FR who filled out the FR Questionnaire for FD (FRQ-FD) and underwent EGG for six months from March 1st, 2021. We summarized the clinical characteristics of FD patients with FR and analyzed the correlation between FRQ-FD score and parameters of EGG, Ryodoraku, and HRV. Results: FRQ-FD scores had a positive correlation with percentage of postprandial bradygastria and negative correlation with power ratio, detected on Channel 2, 3 of EGG. The total average (TA) Ryodoraku score was lower, and the high frequency density (HF) of HRV was higher than the normal value. Conclusions: The results of this study suggest that clinicians can use EGG, Ryodoraku, and HRV to increase the accuracy of diagnosing FR in FD patients.

안전백호탕 가미방으로 호전된 상열감 및 안면홍조를 호소하는 환자 1례 (A Case Report of Hot Flushing Treated with Gami Ahnjeonbaekho-tang)

  • 김연진;양승보;이보윤;이동혁;조승연;박성욱;고창남;박정미
    • 대한중풍순환신경학회지
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    • 제16권1호
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    • pp.41-48
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    • 2015
  • ■ Objectives This clinical study is to report the effect of Korean medicine on patient with hot flushing ■ Methods A patient who suffered from hot flushing was treated with herbal medicine 'Gami Ahnjeonbaekho-tang', acupuncture, moxibustion and pharmaco-acupuncture. Degree and frequency of flushing were measured. Digital Infrared Thermal Imaging (DITI) was used to estimate the temperature of skin surface for the outcome assessment ■ Results After taking Gami Ahnjeonbaekho-tang, degree and frequency of hot flushing reduced and skin temperature of patient was reduced on DITI. ■ Conclusion This clinical case study showed the effect of Korean medicine on hot flushing

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요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여 (Analysis of Lumbar Herniated Intervertebral Disc Patients' Healthcare Utilization of Western-Korean Collaborative Treatment: Using Health Insurance Review & Assessment Service's Patients Sample Data)

  • 고준혁;유지웅;서상우;서준원;강준혁;김태오;조휘성;서연호;안종현;이우주;김보형;최만규;김승범;김형석;김고운;조재흥;송미연;정원석
    • 한방재활의학과학회지
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    • 제31권4호
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    • pp.105-116
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    • 2021
  • Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service's Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of 'episode of care' and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future.