• Title/Summary/Keyword: 위증

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Operation of Abomasal Displacement and Foreign Body Removal in the Rumen through the Right Flank Celiotomy (우측 겸부를 통한 제4위전위증 교정 수술과 제1위 절개 수술의 병행)

  • Cho, Jin-Haeng;Kim, Myung-Cheol;Jeong, Seong-Mok;Lee, Jae-Yeon;Shin, Beom-Jun
    • Journal of Veterinary Clinics
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    • v.30 no.1
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    • pp.80-85
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    • 2013
  • Twenty one cows in Goyang and Paju cities were referred due to displacement of the abomasum and foreign body in the rumen. Omentopexy and rumenotomy through a right flank celiotomy were performed for treatment of abomasal displacement and the foreign body removal in the rumen. The right paralumbar fossa is clipped and prepared surgically. Local anesthesia is instituted by performing inverted L block. The abdomen was entered through 25 to 30 cm vertical incision in the right paralumbar fossa starting 4 to 5 cm ventral to the transverse processes of the lumbar vertebrae. A 14-gauge needle with rubber tubing attached is inserted to relieve the gaseous pressure and to facilitate further exploration and manipulation. The rumen was gently pulled out of the abdominal cavity and incision was made at the omentum. Rumenotomy was done and retrieved the foreign body. After the rumen was rinsed with sterile saline, the rumen wall was closed by a Lembert suture technique. The omentum was closed by a simple continuous suture. Right flank omentopexy was performed for the surgical correction of abomasal displacement. Recovery results among 21 cows included 9 excellent, 5 good, 2 fair and 5 bad. It was considered that operation of abomasal displacement and foreign body removal in the rumen through right flank celiotomy was a good surgical technique to reduce expenses, surgical pain, and surgery time.

The Clinical Study of Electroacupuncture Treatment at Hua-Tuo-Jia-Ji-Xue on Spondylolisthesis (협척혈(夾脊穴)에 전침(電鍼)을 이용한 척추전방전위증 환자에 대한 임상적 고찰)

  • Jung, Young-Pyo;Jung, Hyo-Keun;Chiang, Suo-Yue;Wi, Jun;Yoon, Yeo-Choong;Chae, Woo-Seok;Wei, Tung-Shuen
    • Journal of Acupuncture Research
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    • v.25 no.1
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    • pp.221-232
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    • 2008
  • Objectives : The study was performed to evaluate the effect of treatment for spondylolisthesis by using electroacupuncture at Hua-Tuo-Jia-Ji-Xue is located about 0.5Cun(寸) at both sides of spinous process of each vertebra. Methods : This clinical study was carried out 5 case with spondylolisthesis, who had bean treated from December, 2006 to November, 2007, in the department of acupuncture and moxibustion, Dongshin University Oriental Medical Hospital. We treated the patient who was diagnosed as spondylolisthesis by simple X-ray or MRI. Results : 1. Degenerative type is 3 cases, and isthmic type is 2 cases. 2. In the distribution of injured level was between 4-5th lumbar vertebra the most(3 cases). 3. The improvement index showed 0.29, 0.56, 0.43 points in degerative type, and 0.39, 0.36 points in isthmic type. 4. Therapeutic efforts above "good" by Kim's criteria was 4 cases. 5. Good improvement was showed in VAS about average 3.4. Conclusions : There was reports about Hua-Tuo-Jia-Ji-Xue electronic acupuncture treatment of patients with spondylolisthesis. It is very effective to improve condition of patients with spondylolisthesis.

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A Clinical Report of Muscular Flaccidity from Damp-Heat Treated with Cheongjo-tang (청조탕(淸燥湯)을 투여(投與)한 습열위증(濕熱威證) 환자(患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察))

  • Seo, Cheol-Hun;Kim, Seong-Jin;Lee, Kyung-Hwan;Kim, Bang-Oul;Choi, Chang-Won;Lee, Young-Soo;Kim, Jong-Seok;Kim, Hee-Chul;Ryu, Hyung-Cheon
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.582-589
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    • 2004
  • This is a study of an admissional patient whose chief complaints were weakness and numbness in both legs, and lumbago. Diagnosis and treatment was based on overall analysis of symptoms from the point of view of muscular flaccidity due to damp-heat from an Oriental Medical point of view. 淸燥湯(Cheong Jo Tang) was administered against heat and dampness. Improvement was observed. For lack of objective criteria to evaluate improvement of these symptoms more case studies of this kind, done with screening tests and proper treatment through clinical application of the thinking of Oriental Medicine, will be needed.

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Acupuncture & Moxibustion Bibliographic Studies on the Wei symptom for Clinical Treatment (위증(痿證)의 침구 치료에 대한 문헌 고찰)

  • Park, Man Young;Won, Jin Hee;Kim, Sung Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.6
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    • pp.842-848
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    • 2012
  • This study was performed to investigate the acupuncture & moxibustion therapy of the Wei symptom(痿證) in order to find out the clinical possibility. We investigated the acupuncture & moxibustion therapy of Wei symptom through six books published after 1993, searched sites as like 'Oasis', 'Pubmed', 'RISS', 'KISS', 'NDSL' and 'Google scholar'. Acupuncture & moxibustion prescriptions recorded in the orietal medicine literatures that were published before and after 1993 had a similar basis. Since 2000, in the clinical papers on the wei symptom searched from domestic journal, sa-am and dong's acupuncture therapy were mainly applied, but papers were confined in a case study. Since the mid-2000s, the clinical effectiveness of bee venom and electroacupuncture therapy on the wei symptom were uncovered, but the researches about the chracteristics in accordance with acupoints are more required. Since 2010, the mechanism of the bee venom and electroacupuncture on the wei symptom was revealed in animal experiments. On this basis, the systematic clinical studies beyond case paer or pilot study is(are) needed. The development of various treatment implements as like electroacupuncture, pharmacopuncture was required to access the incurable disease like wei syptom, and the efforts of providing evidence through systemic clinical trials are needed.

The Renewal of Cognizance Criteria for Work Compensated Disease in Spondylolisthesis (척추전방전위증의 업무상질병 인정기준 개선)

  • Cho, Joon;Yoon, Do Heum;Park, Young Gou
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1600-1605
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    • 2000
  • Objective : World Health Organization and International Labour Organization, in June 8, 1999, requested that working conditions should be reformed ethically right and economically solid for 2.7 billion world labour force. The purpose of this study is to request compensable surgical therapeutic options and to suggest the renewal in cognizance criteria for worker's compensation, especially in spondylolisthesis. Methods : Regarding spondylolisthesis, we obtained data from Korea Labor Welfare Corporation(KLWC). Spinal disease occurrence incidences and medical fees of National Federation of Medical Insurance(NFMI) were analysed. The compensated 122 spinal instrumented cases included 117 male and 5 female patients, aged from 23 to 72 years old(mean : $45{\pm}9.85$). We compared Korean and Foreign Workers Compensation Law. Results : Numbers of herniated nucleus pulpus(78 cases), spinal fractures(34 cases) and dislocations(4 cases) were claimed after spinal interbody fusion operation and were compensated. These compensated degenerative diseases, work related illness, occurred in the course of work. A case of 52-year old spondylolisthesis patient with Disability Grade 8 was compensated by KLWC, according to its occurrence at work by accident. With exception of trauma at work by accident, current cognizance criteria were too narrow to be compensable, especially in surgical therapeutic option, for worker's spondylolisthesis. Conclusion : Considering both worker's compensation law and clinical pathologic progress, we believe that spondylolisthesis should be regarded as a compensable occupation related disease if and when aggravates rapidly in the course of work. We suggest a new cognizance standard to KLWC for labour welfare and proper worker's compensation.

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Magnetic Resonance Imaging Analysis of Intervertebral Disc Change of Several Spondylolisthesis Patients in Fifties : Comparison Lytic and Degenerative Spondylolisthesis (일부 50대 척추전방전위증 환자의 유형별 자기공명영상상 추간판 변형 형태 고찰)

  • Kim, Seok;Bahn, Hyo-Jung;Yoon, Hyun-Seok;Han, Kyung-Wan;Woo, Jae-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.13-22
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    • 2011
  • Objectives : The purpose of this study is to find out the characteristics of intervertebral disc changes and relative factors of the spondylolisthesis patients in fifties by type of spondylolisthesis. Methods : We investigated 69 cases of patients who visited one Korean traditional medicine hospital and were diagnosed as spondylolisthesis on L-spine X-ray and L-spine magnetic resonance imaging(MRI). We selected 37 lytic spondylolisthesis patients and 32 degenerative spondylolisthesis patients. We analysed the relativity between the numbers of changed discs, types of changed disc, locations of nerve compression and types of spondylolisthesis. Results : 1. The number of changed discs increase in lytic type, but there is no statistically significant difference. 2. Bulging disc is the dominant type of disc change. There is no significant difference between two types. 3. Both foraminal type was shown dominantly in lytic spondylolisthesis, diffuse type in degenerative spondylolisthesis by the analysis of the location of the nerve compression. But the symptoms of patients and dermatome did not match in most of the cases. Conculsions : The direction of nerve compression is different while the disc changing aspects are similar in both types. In several spondylolisthesis patients in fifties, symptoms of patient are related to degeneration of vertebrae, not to the type of spondylolisthesis.

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Clinical Studies on Abomasal Displacement of Dairy Cows (유우제사위전위증에 관한 임상적 조사연구)

  • Cheong Chang-Kook;Jo Choong-Ho;Sung Jai-ki;Choi Hee-In;Hwang Woo-Suk;Nam Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.1 no.1
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    • pp.11-23
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    • 1984
  • Epizootiolosical factors of 166 cows with abomasal displacement were studied and in 21 out of 166 cows, the functions of liver and kidney were also tested. 1. Incidence of abomasal displacement was perdominant in small sized dairy herd less than 15 cows, using area of paddock below 165㎡. 2. Out of 166 cows with abomasal displacement, 116 cows (70%) were found left sided displacement and 50 cows (30%) were right. 3. Generally, one to two weeks were taken before treatment of veterinarian following onset of sign of the diseases. Therefore many cases were found to be severe in their illness. 4, Incidence rate of abomasal displacement was predominant in summer season (June, July and Au-gust). However, occurence of the disease was continuous throughout the year. About 80 percent of abomasal displacement was distributed from first to third purturition. 5. High milk production and feeding with high concentrates and low roughage showed a tendendy to occurs the disease. 6. Approximately 75% of abomasal displacement was distributed within 1 month pre and post partum. 7. Cows with abomasal displacement consumed little concetrates and 75% of cows with abomasal displacement passed abnormal fecal material. 8. Sixty six out of 166 cows with abomsal displacement were coincident with diseases such as retained placenta, metritis, traumatic reticulo-peritonitis and mastitis. 9. In many cass of abomasal displacement, abomasum was extended with gas. 10. Activities of AST ana LDH showed the trends to reduce after surgical intervention comparing with pre-surgery. Bilirubin concentration markedly decreased after surgical treatment comparing with pre-surgery. 11. The concentration of BUN and creatinine moderatly decreased after surgery compared with pre-surgery.

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Clinical Study on 1 Case of Patient with the Lower Limb Flaccidity-syndrome Diagnosed as the Peripheral Neuropathy (말초신경병증으로 진단된 하지위증환자의 치험 1례)

  • Rhim Eun-Kyung;Cho Young-Kee;Moon Mi-Hyun;Lee Jung-Sub;Choi Sung-Yong;Gug Yun-Jai;Kang Sung-Wook;Lee Eon-Jeong;Lee Seong-Kyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1689-1693
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    • 2005
  • In this case, it is considered that the cause of the lower limb Flaccidity-syndrome is the peripheral neuropathy accompanied with inflammation and in oriental medicine, it is understood that the factors such as lung fluid consumption caused by heat-evil, wetness-heat evil cause the lower limb Flaccidity-syndrome. Because the peripheral neuropathy is regarded as a neuropathy with a series of inflammation reaction producing inflammatory neuropeptides such as substance P, prostaglandin ect., in western medicine, nonsteroidal antiinflammation drug;NASID, lidocaine, capsaicine are prescribed to control this neuropathy. In the view of treatment of the lower limb weakness, Wooseul-tangkami is used to remove the wetness-heat evil and we had a electronic acupuncture on the Yangmyung channel(陽明經) selected in The Yellow Emperor's of internal Medicine and also on Panggwang channel(膀胱經) considered as painful lesion. We experineced a case of the lower limb Flaccidity-syndrome diagnosed as the peripheral neuropathy the patient was treated by wooseul-tangkami, a acupuncture on Yangmyung channel and also Panggwang channel and had a significant improvement in gait ability and the range of motion.

Survey on fertility of retained placenta and abomasal displacement cows after single or twin births in dairy cows in Korea (국내 유우 (Holstein)의 단태 또는 쌍태분만 후 태반정체와 제4위전위증 발생우의 수태 관련성에 대한 조사)

  • Cho, Jin-Haeng;Kim, Myung-Cheol;Jeong, Seong-Mok;Lee, Jae-Yeon;Shin, Beom-Jun
    • Korean Journal of Veterinary Research
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    • v.52 no.2
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    • pp.141-146
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    • 2012
  • Calving records of Holstein dairy cows from 2005 to 2010 comprising Goyang and Paju cities herd with 2,362 calving events representing 240 twin births were used to evaluate the effect of abomasal displacement and retained placenta after single or twin births on fertility. In retained placenta cows, the period of twin pregnancy (mean 270.5 days) was shorter than that of single pregnancy (mean 274.8 days), however first artificial insemination period (twin: mean 107.4 days, single: mean 92.0 days), non-pregnant period (twin: 154.8 days, single: 132.2 days), and number of insemination (twin: mean 2.00 times, single: mean 1.87 times) of twin pregnancy were increased as compared with single pregnancy. In abomasal displacement cows, first artificial insemination period (twin: mean 122.9 days, single: mean 106.0 days), non-pregnant period (twin: 172.4 days, single: 152.0 days), and number of insemination (twin: mean 2.16 times, single: mean 1.89 times) of twin pregnancy were increased as compared with single pregnancy. The prevalence of complication such as retained placenta, abomasal displacement with single or twin births increased first artificial insemination period, non-pregnant period, and number of insemination period.

The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Sponylolisthesis; A Retrospective Study (요추 주변 근육 단면적과 척추전방전위증의 상관성에 대한 후향적 연구)

  • Park, Hye-Sung;Kim, Je-In;Kim, Koh-Woon;Cho, Jae-Heung;Song, Mi-Yeon
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.1
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    • pp.95-102
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    • 2016
  • Objectives To investigate correlation between slip percentage (SP) of spondylolisthesis and cross-sectional area (CSA) of lumbar paraspinal muscles; psoas major (PM), multifidus (MU) and erector spinae (ES). Methods A retrospective study was carried out in 120 spondylolisthesis patients who had visited the Spine center of Kyung Hee University Hospital at Gangdong and had taken lumbar MRI. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of vertebral body to avoid weight's influence. SP was also measured from sagittal MRI. Results SP increase has significant correlation with decreased CSA-MU (r=0.37, p<0.01) and increased CSA-ES (r=0.19, p<0.05). There was no significant correlation between SP and CSA-PM. Conclusions MU atrophy and ES hypertrophy have significant correlation with SP of spondylolisthesis. CSA of lumbar paraspinal muscles can be a risk factor of progression of spondylolisthesis and compensation for the instability.