• 임상간호연구
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• 제14권1호
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• pp.61-70
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• 2008

Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.531-534
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• 2011

Purpose: The rectus abdominis myocutaneous flap is currently the most commonly used donor site of immediate and delayed breast reconstruction surgery, for its versatility and ease of handling, as well as sufficient blood supply. Despite many advantages of rectus abdominis flap, morbidity of donor site is considered as inevitable shortcoming. The authors recently faced a devastating complication, small bowel obstruction that led to strangulation, after delayed breast reconstruction with free transverses rectus abdominis myocutaneous (TRAM) flap. And we would like to report it, because abdominal pain after TRAM flap is a common symptom and can be overlooked easily. Methods: A 56-year-old female patient who had history of receiving total abdominal hysterectomy 20 years ago underwent delayed breast reconstruction with TRAM flap transfer. She complained abdominal discomfort and pain from third postoperative day, postoperative small bowel obstruction that arose from strangulated bowel and prompt emergency operation was done. Results: After resection of the strangulated bowel and reanastomosis, quickly her symptoms were relieved, and there were no further problems during her hospital stay. 7 days after her emergency operation she was discharged. Conclusion: In patients with previous abdominal surgical history, prolonged ileus can lead to bowel strangulation, so surgeons should always consider the possibility, and must be aware of abdominal symptoms in patients who receive free TRAM flap operations.

• 대한한방내과학회지
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• 제41권6호
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• pp.1274-1281
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• 2020

Objective: This case report shows symptom improvements in stage IV metastatic colorectal cancer treated with a Korean medicine-based integrative cancer treatment (ICT). Methods: A 61-year-old male patient diagnosed with colorectal cancer in November 2017 and metastasis to the lung, peritoneum, and liver in September 2020 was treated with Integrative Cancer Treatment (ICT) for abdominal pain, abdominal discomfort, and anorexia for 1 month. Clinical outcomes were measured with the National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), a numeral rating (NRS), the Eastern Cooperative Oncology Group (ECOG), and the Functional Assessment of Cancer Therapy-General (FACT-G) scales. Results: After treatment, the patient's abdominal pain was improved from NRS 8 to 1, and the ECOG score of the patient was improved from grade 3 to 2. Integrative Cancer Treatment. Also the score improved on the FACT-G test, and there were no serious side effects of grade 3 or higher according to the NCI-CTCAE. Conclusion: This case study suggests that Korean medicine-based ICT may help to improve abdominal pain and quality of life in patients with metastatic colorectal cancer.

• 한국방사선학회논문지
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• 제12권4호
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• pp.475-480
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• 2018

하복부 MRI 검사에서 환자는 body array coil과 물리적으로 접촉하여 검사를 받는다. 이 연구에서는 아크릴 보조장치(ACR)를 설계하여 코일과 환자의 비접촉식 스캔을 가능하게하고, ACR을 이용해서 획득 한 영상을 ACR 없이 얻은 영상와 비교하여 실현 가능성을 평가하였다. Ingenia 3.0TTM MR 시스템과 dStreamTM torso coil (Philips Healthcare, Netherlands)을 사용하여 10건(F : 5, m : 5)을 테스트하였다. 대표적인 두가지 pulse sequence(T1 AXE TSE, eTHRIVE (GRE))를 사용하여, 스캔 한 영상을 정량적, 정성적으로 비교 분석 하였다. 정성적으로 보면, TSE는 ACR의 유무에 관계없이 4.44와 4.56의 평균값을, GRE에서는 각각 4.34와 4.28을 보여준다. 정량적으로, TSE는 ACR 유무에 관계없이 12.15 CNR, 17.95 SNR 및 12.71 CNR, 18.96 SNR을 보였으며, GRE는 ACR이 있는 경우와 없는 경우 각각 17.72 CNR, 22.59 SNR 및 18.26 CNR, 24.47 SNR을 보여주었다. 즉, ACR의 사용이 환자를 편안하게 하지만, 화질에는 큰 영향이 없음을 확인하였다. 우리는 하복부 환자의 MRI 검사용 아크릴 보조 장치를 설계하고 적용해보았다. 우리의 결과는 환자와의 물리적 접촉없이 현재의 복부 MRI 스캔과 유사한 이미지 품질을 얻을 수 있음을 보여주었다.

• 한국학교보건학회지
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• 제24권1호
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• pp.99-109
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• 2011

Purpose: The purpose of this study was to investigate factors influencing dysmenorrhea in middle school girls and to analyze the differences in dysmenorrhea according to personal factors of the subjects. Methods: This study was conducted from March 22 to April 2, 2010. The subjects of the study were 572 girls who attended three middle schools in Seoul and experienced dysmenorrheal. All were surveyed using the same questionnaire. Data were analyzed by the SPSS/WIN 12.0 program and included descriptive statistics, ANOVA and multiple regression analysis. Results: 1) The mean age of the subjects was 13.53 years, and the mean age of first menstruation (menarche) was 11.94 years. The number of days between the onset of menstrual cycles was 30.01 days. Most of the respondents had irregular menstrual cycles and menstrual periods lasting 3 to 7 days long. 2) Chief menstrual pains were lower abdominal and back pain. Subjects reported experiencing severe lower abdominal and/or back pain, most commonly on the second day of menstruation. The average score of menstrual discomfort was over 60 points (63%). The average score per 6 points of dysmenorrhea was as follows: fatigue (3.48), sensitivity (3.27), disability of movement (3.27), napping or lying down (2.98), mood swings (2.95), interference with studies (2.87). 3) Individual subject characteristics influencing the onset of dysmenorrhea were as follows: high stress levels, being in poor health, having an irregular diet, being younger and having longer menstrual periods than most other subjects. Conclusion: During puberty, girls with earlier menarche complained of physical and emotional discomfort, and irregular menstrual periods. Therefore, we need to explain overall menstrual characteristics and individual differences in the occurrence of dysmenorrhea, in health education programs.

• 사상체질의학회지
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• 제23권4호
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• pp.533-540
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• 2011

In this case, we report a case of Soeumin rectal cancer patient who was mistreated with herb medication. This patient was 72 years old female diagnosed rectal cancer stage IV with multiple liver, lung, and LN metastases. She administered our cancer center in Sep. 2011 for cancer treatment, we diagnosed this patient as Taeyangin at first, and treated with Mihuedungsikjang-tang. After 1 week, she complained upper abdominal discomfort, severe abdominal pain, nausea and sweating. Considering several symptoms and conditions, the change of symptoms seemed to a adverse events caused by mistreatment. We re-diagnosed this patient as Soeumin, and treated with Soeumin herbal medication, Baekhaoleejung-tang(白何烏理中湯) and Hyangsayangyi-tang(香砂養胃湯). Several symptoms including abdominal pain were improved 2 weeks later. Therefore, we report this case as a reference that Soeumin misdiagnosed as Taeyangin and the improvement of adverse symptoms.

• 대한한방내과학회지
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• 제43권3호
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• pp.485-492
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• 2022

Objective: The aim of this case report is to report the effect of Korean medicine treatment, including Shihogayonggolmoryo-tang, on anxiety and abdominal pulsation in a patient diagnosed with functional dyspepsia. Method: The patient was treated with Shihogayonggolmoryo-tang, including acupuncture, moxibustion, and cupping therapy. Changes in symptoms were evaluated using a self-reported numerical rating scale (NRS) score every morning. The gastrointestinal symptom score (GIS) was checked on admission and discharge day. Results: After 6 days, the NRS scores for anxiety, abdominal pulsation, abdomen discomfort, and GIS all decreased. Conclusion: The results suggest that Shihogayonggolmoryo-tang with Korean medicine could be effective for treating anxiety, abdominal pulsation, and accompanying abdomen symptoms. However, further evaluation is needed to clarify the relationship between the treatment's effect and Shihogayonggolmoryo-tang.

• Journal of Chest Surgery
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• 제38권10호
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• pp.721-724
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• 2005

대동맥-대정맥 누공은 복부 대동맥류의 $1\%$ 이하에서 발생하는 희귀한 합병증 중 하나이다. 오랜 기간 동안 고혈압과 복부 대동맥류 병력을 가진 64세 남자 환자가 흉통, 호흡곤란, 상복부 불쾌감 그리고 박동성 복부 종괴를 주소로 내원하였다. 이학적 검사상 수축기 혈압이 70mmHg로 저혈압을 보였고, 복부에서는 박동성 종괴가 촉지되었고, 지속성 기계 잡음이 청진되었다. 검사실 소견으로는 혈색소(11.0 g/dL), BUN (5 mg/dL), creatine $(2.6\;mg\%)$이었고, 복부 전산화 혈관 촬영 결과, 10cm 크기의 신장하복부대동맥류와 복부 대동맥류와 대정맥을 연결하는 대동맥-대정맥 누공이 형성되어 확장된 대정맥 소견을 보여 응급 수술을 계획하였다. 대동맥류를 절개하고 혈전 제거 후, 1cm크기의 대동맥-대정맥 누공이 발견되었다. 대동맥-대정맥 누공은 도뇨관 풍선 확장술을 이용하여 지혈하였고, 대동맥류 밖에서 누공은 단순 지속 문합으로 봉합하였다. 대동맥-양측 장골동맥 이식편을 이용하여 대동맥류에 대한 수술을 마무리하였다. 환자는 수술 후 특별한 문제없이 퇴원하였다.

• 성인간호학회지
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• 제20권4호
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• pp.588-599
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• 2008

Purpose: This study was intended for the enhancement of the elderly's quality of life helping them overcome their physiological changes about aging and reinforcing their vitality. Methods: An nonequivalent control group post-test design was used for the study. The methods to perform the abdominal respiration exercise and to blow the pan-flute were demonstrated to 31 experimental subjects and 36 control subjects. The eight-week 30 minute daily home respiration exercise recipes were prescribed to the subjects. Mobile spirometers were used to measure FVC, $FEV_1$, $FFV_1$ / FVC, $SaO_2$, breathing discomfort. Daily life satisfaction scores were recorded. Music therapy accompanied the eight-week respiration program. A post-test was performed in the same manner as the pre-test. The gathered data were analysed by SPSS/WIN program. Results: 1) The pulmonary function and daily life satisfaction were significantly improved in the experimental group. 2) Both the experimental and control groups did not show significant differences in $SaO_2$. 3) The breathing discomfort was significantly reduced in the experimental group. Conclusion: The respiration exercise program for the elderly through the pan-flute improves the respiration activity of the elderly and enhances their daily life satisfaction scores. Therefore, this program produces effects in enhancing the quality of life for the elderly.

• 사상체질의학회지
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• 제13권1호
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• pp.104-108
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• 2001

The tremor which has been showed most frequently in the clinic has various reasons, which is common in the dyskinesias and has rhythmic vibration involuntarily. The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the constitutional medicine for the patient who has suffered from tremor which is accompanied with diarrhea in the lacunar infarction. The subject is a 70-year-old woman who has had the symptoms caused by lacunar infarction, which are tremor, right side weakness, right facial palsy, dizziness, chest discomfort, and chronic diarrhea, dipsia, abdominal discomfort, andominal pain and so forth. We have diagnosed her as Shaoyangin(少陽人) Mangyin(亡陰證) and have prescribed Huashi Kushen Tang(滑石苦蔘湯) in accordance with the principle of Pyoeumganggi(表陰降氣). The consequence is that the accompanied tremor and diarrhea and general depressed condition have improved.