• Title/Summary/Keyword: 위축성

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Stellate Ganglion Blocks in Atrophic Rhinitis (위축성 비염 환자에서 성상신경절 블록의 치료효과 -증례 보고-)

  • Kim, Seung-Jun;Lee, Woo-Chang;Chang, Won-Sok;Yoon, Duck-Mi
    • The Korean Journal of Pain
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    • v.14 no.2
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    • pp.231-233
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    • 2001
  • Atrophic rhinitis is characterized by mucosal atrophy, bony absorption, persistent fetid odor and resistance to medical and surgical treatment. Stellate ganglion block (SGB) can be used as a therapeutic modality by improving the regional blood flow through sympathetic blockade. We present a case of a 57 year-old male patient who had been treated unsuccessully for atrophic rhinitis for several years by surgical and conservative measures. The patient presented at our pain clinic with shoulder pain and received stellate ganglion block once or twice a week. He received more than 75 SGBs in addition to the routine conservative treatment for atrophic rhinitis. As the number of blocks performed increased, the patient demonstrated subjective symptom relief. We measured regional mucosal blood flow using a laser doppler flowmeter after the 28th, 63rd and 75th blocks. Nasal mucosal blood flow was improved by 4.9%, 28.8% and 36.3% respectively. We also were able to observe the recovery of mucosal atrophy to an almost normal level by nasal endoscopy. The patient is currently free of symptoms and is being followed up on an outpatient bases.

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Implant Supported Overdenture using Locator$^{(R)}$ System on Mandibular Edentulous Patient (하악 무치악 환자에서 Locator$^{(R)}$를 이용한 임플란트 피개의치 수복 증례)

  • Yu, Jung-Hyun;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.397-406
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    • 2012
  • Loss of tooth results in remodeling and resorption of surrounding alveolar bone which causes atrophic edentulous ridge and gradually decreasing gingival attachment. As a result, edentulous patients face difficulty in using dentures due to pain, decrease of support, decline of masticatory efficiency of complete denture. To improve this, overdenture with implant in the mandible and attachment are considered as a treatment of choice as a favorable treatment. In this case, a patient with edentulous ridge for long period is rehabilitated by complete denture in maxilla and implant overdenture using Locator$^{(R)}$ attachment in mandible.

Clinical Reports on Atrophic Acne Scar Treatment with Sae-ssack Therapy (새싹테라피 3단계를 이용한 위축성 여드름 흉터 치료 20례)

  • Go, Nam-Gyeong;Ha, Jin-Hee;Lee, Yong-Ho;Choi, Hye-Mee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.1
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    • pp.126-135
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    • 2017
  • Objectives : The purpose of this study was to evaluate the therapeutic efficacy of Sae-ssack(sprout) therapy on atrophic acne scars. Methods : Twenty patients had atrophic acne scars on the face were treated with Sae-ssack therapy. Sae-ssack therapy consists of a total of three treatments, a first-stage Sae-ssack acupuncture, a second-stage texture treatment, and a third-stage anti-pigmentation therapy. The evaluation of the treatment effect was made by the Korean medical doctor who did not participate in the procedure, and the PGA(Physician's Global Assessment), QGASC(Qualitative Global Acne Scarring Grade System) and patient satisfaction were used as the evaluation index. Results and Conclusions : According to the above indicates, the Sae-ssack therapy was evaluated to be effective in the repair of atrophic acne scars. There were no visible or consistent side effects and patient satisfaction was also very high.

Case Study of Atrophic Acne Scar Treatment with Re-cell Therapy (리셀테라피를 이용한 위축성 여드름 흉터 치료 11례)

  • Oh, Chul;Huh, Geum-jung;Lee, Won-haeng;Yang, Jin-ah;Kim, Ki-tae
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.283-292
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    • 2016
  • Objective: Acne scarring is the most common sequela after dermal inflammation caused by acne. Many methods are currently used to treat acne scarring; doctors using traditional Korean medicine have also attempted to treat acne scarring in a new way that was developed from traditional methods. This study examines the effectiveness of re-cell therapy.Method: Eleven patients with various types of acne scars were treated by re-cell therapy. We used the global acne scarring classification (GASC) and ECCA (from the French “echelle d’evaluation clinique des cicatrices d’acne”), both of which are generally used to measure and grade the degree of acne scarring.Results: As a result of the treatment, the conditions of all patients were conspicuously improved in both scales. The GASC scores of the patients changed from grade 19.6±10.4 to grade 4.9±3.3 (p=0.001), and the ECCA scores changed from grade 120.9±28.7 to grade 41.8±18.3.Conclusion: Re-cell therapy showed effectiveness in treating acne scarring and could be applied in clinical cases.

Application of Traditional East Asian Herbal Medicine for Atrophic Vaginitis: A Systematic Review of Randomized Controlled Trials (위축성 질염에 대한 한약 투약의 효과 : 체계적 문헌 고찰)

  • Park, Eo-Jin;Jo, Hee-Geun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.227-244
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    • 2019
  • Objectives: To evaluate the effectiveness and safety of application of Traditional East Asian Herbal Medicine (TEAM) in the treatment of Atrophic Vaginitis (AV). Methods: Randomized Controlled Trials (RCTs) were obtained from PubMed, Cochrane Library, Embase, CNKI, RISS, NDSL, and KISS. The risk of bias was assessed by using Cochrane's risk of bias tool, and RevMan 5.3 software was used. Results: 26 RCTs with 3,162 patients were identified and reviewed. Among them, 21 RCTs observe the effect of integrated traditional Chinese and Western medicine. 23 RCTs reported treatment groups was statistically effective than control groups in the study. Also, the recurrence rate was estimated in 10 RCTs and was lower than control groups. 12 studies observed adverse events (AEs) and severe AEs were not reported. Conclusions: This review suggested that TEAM was safe and effective in the treatment of AV. TEAM may also decrease the recurrence rate. However, this could not be proven conclusively. To ensure evidence-based clinical practice, well-designed trials with larger sample sizes are needed.

Review on Clinical Studies of Traditional Korean Medicine Treatment for Atrophic Vaginitis (위축성 질염의 한약 치료 임상 연구에 관한 체계적 문헌 고찰)

  • Nam, Eun-Young
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.245-262
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    • 2019
  • Objectives: The purpose of this study is to review clinical studies of traditional Korean medicine treatment (herb medicine) on vaginal atrophy. Methods: Key words "Vaginal atrophy", "Vulvovaginal atrophy", "Vaginal dryness", "Atrophic vaginitis", "Herb medicine", "Acupuncture", "Moxibustion", "Catgut embedding" were searched on 11 database systems (PMC, CENTRAL, EMBASE, CNKI, KTKP, KISS, NDSL, OASIS, DBpia, KMBASE, RISS) on May 31th 2019. In all searches, limits were set for MeSH (human) and language (English, Chinese or Korean). Results: 18 controlled clinical trials were collected in accordance with the selection and exclusion criteria. The types of intervention were herbal medicine, and types of herbal medicine were decoction, cream, suppository, oil, ect. The study results and methods of intervention were analyzed. Conclusions: Among the 18 trials, 5 studies showed that herbal medicine with hormone or antiprotozoal therapy was more effective than hormone or antiprotozoal therapy alone. And 2 studies showed that herbal medicine treatment was more effective than oil treatment of topical use. There was no abnormal vaginal bleeding, breast swelling and pain in TCM group.

A Case of Amyotrophic Lateral Sclerosis (근 위축성 측삭 경화증 환자 1례 보고)

  • Kim, Tae-jung;Moon, A-ji;Lee, Seoung-geun;Lee, Key-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.77-85
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    • 2012
  • Amyotrophic lateral sclerosis(ALS) is a progressive disorder that causes degeneration of motor neurons of the brain and spinal cord. It is characterized by loss of motor neurons leading to muscle weakness, and sensation and mental function stay intact during the course of the disease. Diagnostic tests include magnetic response imaging(MRI), electromyogram(EMG), muscle biopsy, and blood tests. In order to a definitive diagnosis of ALS, damage must be evident in both upper and lower motor neurons. When three limbs are sufficiently affected, the diagnosis is ALS. There is no cure for ALS. We experienced one case of ALS, the patients was diagnosed as ALS by EMG and symptoms. We diagnosed her as ShinEumHur(SEH) and treated by Choakwiyeum(左歸飮). We report the change of her symptoms through oriental medical treatment.

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일본에서의 조례위헌소송과 합헌적 한정해석의 법리

  • HwangBo, Wan
    • Korean Journal of Legislative Studies
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    • v.17 no.3
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    • pp.171-195
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    • 2011
  • 2007년 일본최고 재판소는 히로시마시 폭주족 추방조례사건에 대하여 헌법판단 회피의 이론에 입각한 합헌적 한정해석론에 따라 합헌결정 판결을 내렸다. 이는 기존의 판결내용을 답습한 것에 불과 하였지만 합헌적 한정해석이라는 헌법해석의 방법론에 관한 의미를 한번 되새기는 계기가 된 사건이다. 이 법리에 의한 것으로는 1980년대의 청소년보호조례사건이 유명하다. 이 두 사건은 하나는 공안사건이고 다른 하나는 풍속에 관한 사건이라는 점에서 차이가 있다. 폭주족 추방조례사건은 합헌적 한정해석의 법리가 적용될 여지가 있다고 보이지만 청소년보호조례사건과 같은 풍속에 관한 사건에서는 이 법리를 적용하는 것은 무리라고 생각된다. 왜냐하면 청소년보호조례사건에서는 음행, 난잡한 성행위라는 너무나 막연하고 애매한 개념을 사용하고 있어 형사절차에서의 대 원칙인 죄형법정주의에 위배될 소지가 있으며 성적 자기결정의 자유를 규제할 때에는 이에 따른 필연적인 이유가 존재해야 함에도 그렇지 못하다는 문제점과 일반국민에게 지나친 심리적 위축을 초래할 수 있다는 점에서 위헌논란이 제기되었다. 그럼에도 일본 최고재판소는 이를 합헌적 한정해석의 법리를 원용하여 위헌선언하기를 꺼려온 바 이는 헌법판단회피를 의도적으로 하는 것으로 지나친 사법소극주의적 태도라고 하지 않을 수 없다. 법원은 사건의 중대성이나 위헌상태의 정도 그 파급효과의 범위, 구체적 사건에서 문제가 되고 있는 권리의 성질등을 종합적으로 고려해서 충분히 이유가 있다고 판단되는 경우에는 헌법판단회피의 준칙에 따르지 않아야 하며 헌법판단을 적극적으로 할 수 있다고 해석하는 것이 타당하다고 생각된다.

MRI Follow-up Study After Arthroscopic Repair of Multiple Rotator Cuff Tendons (다발성 회전근 개 파열에서 시행한 관절경적 회전근 개 복원술 후 MRI 추적 검사)

  • Tae, Suk-Kee;Kim, Jin-Young;Park, Jae-Sik
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.96-103
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    • 2008
  • Purpose: This study investigated the rate of retear and related factors after arthroscopic repair of rotator cuff tears involving more than one tendon. Materials & Methods: Arthroscopic repair of 22 rotator cuff tears (average size 3.2cm: average age 58 years old) involving the supraspinatus and part or all of the infraspinatus were investigated using MRI on average 10 months after repair. The status of the repaired cuff was investigated using Sugaya's classification, and the change in muscle was evaluated with Goutallier's classification. Results: Retear (Sugaya grade IV, V) was found in 7cases(32%). Tears larger than 3cm had a higher retear rate(67%) than smaller tears(8%). Retear cases had Goutallier grade II or higher muscle changes preoperatively and showed aggravation of muscle atrophy postoperatively. Even without retear, reversal of muscle change was not seen Conclusion: Rotator cuff tears not confined to the supraspinatus had a 32% retear rate after arthroscopic repair. The size of the tear was the most crucial factor influencing retear. Retear was frequent in tear over 3cm. Atrophy of the cuff muscle worsened when the repair failed but did not improve even without retear.

Anatrophic Nephrolithotomy; Experience in 55 Cases (비위축성 신절석술 55례)

  • Kim, Tae-Jin;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.149-155
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    • 1992
  • 55 consecutive anatrophic nephrolithotomies on 53 patients performed between July, 1983 and June, 1990 were reviewed. The patients(36 male and 19 female) ranged in age from 3 to 72years. The operation time averaged 219.8 minutes with a range of 120-330 minutes, and the ischemic time ranged between 20 and 90 minutes, with a mean of 43.5 minutes. Postoperative complications developed in 18 patients, which were such as persistent urinary tract infection in 5cases(9.4%), atelectasis in 4(7.5%), transient urine leak in 2(3.8%), delayed bleeding in 2(3.8%) and urinary retention in 2(3.8%), Postoperative residual stones were identified in 15(27.3%), but in 8 of these 15patients stones were delivered spontaneously and thus 48 of 55 cases(87.3%) became stone free, The recurrence of stone was noted in 2 out of 48 patients during the short followup period. Anatrophic nephrolithotomy seems to be an effective method compared to other procedure because of decreasing recurrence of stone by complete stone removal and reconstruction of abnormal collecting system.

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