• Title/Summary/Keyword: Clinical report

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Oxaliplatin Induced Angioedema in a Rectal Cancer Patient: A Clinical Case Report (직장암 환자에서 Oxaliplatin 투여로 인한 혈관부종 발생 증례 보고)

  • Noh, Mi-Hee;Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.390-393
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    • 2011
  • We report an unusual case of angioedema induced by intravenous oxaliplatin in a patient with rectal cancer. Intravenous oxaliplatin was administered to the patient according to FOLFOX regimen (oxaliplatin/leucovorin/5-fluorouracil) for the management of his colorectal carcinoma. The patient had been on FOLFOX regimen for several months without reporting any adverse effects, but he experienced angioedema suddenly during his $9^{th}$ cycle of chemotherapy. Angioedema was observed about 2 hours after the initiation of oxaliplatin infusion. Oxaliplatin was stopped then the patient became stable. This case report demonstrates that intravenous oxaliplatin may induce angioedema several hours after the initiation of oxaliplatin infusion in later cycles of chemotherapy.

Treatment including orthognathic surgery of a patient with Hypohidrotic ectodermal dysplasia with cleft palate: A Clinical report (구개열을동반한저한성외배엽형성이상환자의 악교정수술을포함한치료: A Clinical report)

  • Kim, Jwa-Young;Park, In-Young;Song, Yun-Jung
    • The Journal of the Korean dental association
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    • v.57 no.2
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    • pp.93-99
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    • 2019
  • Ectodermal dysplasia is a genetic disorder in which various clinical manifestations involve two or more of the differentiated tissues of the ectoderm. Facial deformity, which is frequently associated with ectodermal dysplasia, appears in the form of cleft lip or cleft palate, especially in the middle facial area.Cleft and tooth defects result in decreased alveolar bone development.This leads to severe skeletal incongruity. Facial features include frontal protrusion, malar bone hypoplasia, flat nose, mandibular prominence and long lower facial height. This clinical report presents treatment including orthognathic surgery of a patient with Hypohidrotic Ectodermal dysplasia with cleft palate.

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Fenestrated popliteal vein pierced by a branch of the tibial nerve

  • Edward C. Muo;Joe Iwanaga;Juan J. Cardona;Lukasz Olewnik;Aaron S. Dumont;R. Shane Tubbs
    • Anatomy and Cell Biology
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    • v.56 no.4
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    • pp.566-569
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    • 2023
  • Knowledge of anatomical variations is important so as to avoid potential iatrogenic injury or misdiagnosis on imaging. Here we report an unusual finding and relationship between the tibial nerve and popliteal vein. During the routine dissection of an adult cadaver, it was noted that a branch of the tibial nerve in the popliteal fossa pierced the most distal part of the popliteal vein. This unusual finding is described and relevant reports in the literature discussed. Our hopes are that such a report might help surgeons avoid injury to such a fenestrated popliteal vein and the tibial nerve branch traveling through it therefore decreasing patient morbidity.

Assessment of the Quality of Case Reports in the Journal of Acupuncture Research Using the CARE and STRICTA Guidelines

  • Nam, Eun-Young;Hwang, Ji Hye
    • Journal of Acupuncture Research
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    • v.37 no.4
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    • pp.224-232
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    • 2020
  • The purpose of this study was to assess the quality of the case reports in the Journal of Acupuncture Research (JAR). All case reports were retrieved from November 2017 to June 2020. There were 19 case reports included in this assessment based on the case report (CARE) guidelines and case report and standards for reporting interventions in clinical trials of acupuncture (STRICTA) guidelines. The overall quality of reporting was relatively high (83.08% on Case Report guidelines and 77.78% on Standards for Reporting Interventions in Clinical Trials of Acupuncture guidelines), but several crucial items remained substantially underreported, such as identifying as a case report (keywords), patient information and perspective, clinical findings, diagnostic assessment, and intervention information. In 18 out of 19 included case reports of acupuncture-related interventions, several items remained considerably underreported such as acupuncture regimen variation, depth of needle insertion, response sought, and experience of acupuncturists. In the classification by disease, condition, or syndrome, 13 out of 19 included case reports were for musculoskeletal disorders (68.4%), which is the main clinical medical field of Korean medicine services. The results of this study may help develop more appropriate reporting guidelines for case reports published in JAR.

Factors Influencing Clinical Nurses' Intention to Report Medication Administration Errors (임상간호사의 투약오류보고 의도에 영향을 미치는 요인)

  • Lee, Seul Hee;Seo, Eun Ji
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.62-72
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    • 2021
  • Purpose : This study aimed to identify factors influencing clinical nurses' intention to report medication administration errors. Methods : This cross-sectional study collected data from 121 nurses in charge of administering medication at a university hospital in Korea using structured questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results : Participants' mean age was 26.90±3.99 years, and 89.3% were women. Their mean clinical career duration was 3.88±4.26 years. The average levels of patient safety culture, attitude toward reporting medication administration errors, and intention to report medication administration errors were 7.51 out of 10, 3.36 out of 5, and 4.85 out of 6, respectively. The multiple regression analysis results indicated that the statistically significant influencing factors were patient safety culture (𝛽=.21, p =.018) and attitude toward reporting medication administration errors (𝛽=.22, p =.015). Conclusion : To improve the intention to report medication administration errors among clinical nurses, a patient safety culture must be established, along with an education provision for improving their attitudes toward reporting such administration errors.

A Improved Case Report of Ruptured Ovarian Cyst Treated by Korean Medicine Treatment (한의 복합 치료로 호전된 난소 낭종 파열 1례 : 증례 보고)

  • Lee, Hee-Yoon;Hwang, Su-In;Yoon, Young-Jin;Park, Jang-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.4
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    • pp.175-184
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    • 2021
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine treatment on ruptured ovarian cyst. Methods: The patient diagnosed with ruptured ovarian cyst was treated with Korean medicine treatment during 10 days of hospitalization. The patient received Korean medicine treatment including herbal medicine, acupuncture and moxibustion. The effect of treatment on ruptured ovarian cyst was evaluated through the Numeric Rating Scale (NRS) and Ultrasound. Result: After the treatment, the clinical symptoms of abdominal pain and fatigue were improved. Also, on transvaginal ultrasound, bleeding was almost absorbed. Conclusions: This case report proved that the Korean medicine treatment may be effective for improving clinical symptoms after ovarian cyst ruptured. However, further clinical study is needed in the furture to prove the effectiveness of Korean medicine treatment for ruptured ovarian cyst.

An Improved Case Report of Interstitial Cystitis/Bladder Pain Syndrome Treated by Korean Medicine Treatment (한의 복합 치료로 호전된 간질성 방광염/방광통증증후군 1례 : 증례보고)

  • Hwang, Su-In;Yoon, Young-Jin;Park, Jang-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.1
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    • pp.82-92
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    • 2021
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine treatment on interstitial cystitis. Methods: The patient diagnosed with Interstitial cystitis/Bladder pain syndrome (IC/BPS) was treated with Korean medicine treatment during 22 days of hospitalization. The patient received Korean medicine treatment including herbal medicine, acupuncture, pharmacopuncture, moxibustion, cupping and extracorporeal magnetic stimulation therapy. The effect of treatment on IC/BPS was evaluated through the Numeric Rating Scale (NRS), voiding diary, and Interstitial Cystitis Symptom Index/Problem Index (ICSI/ICPI). Results: After the treatment, the clinical symptoms of IC/BPS such as pelvic pain, pelvic pressure, frequent urination and urinary urgency were improved. Also, the patient had better scores in ICSI/ICPI. Conclusions: This case report proved that the Korean medicine treatment may be effective for improving clinical symptoms of IC/BPS. However, a large-scale clinical study is needed in the future to prove the effectiveness of Korean medicine treatment for IC/BPS.

Congenital Absence of a Cervical Spine Pedicle : Report of Two Cases and Review of the Literature

  • Oh, Young-Min;Eun, Jong-Pil
    • Journal of Korean Neurosurgical Society
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    • v.44 no.6
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    • pp.389-391
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    • 2008
  • Congenital absence of a cervical spine pedicle is a rare clinical entity, and it is usually found incidentally on radiological studies performed after trauma in patients with cervical pain. We report two cases of congenital absence of a cervical spine pedicle and present a review of the literature.

Good Clinical Practice in Neonatal Clinical Research (신생아 임상연구에서의 Good Clinical Practice)

  • Park, Min-Soo
    • Neonatal Medicine
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    • v.15 no.2
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    • pp.119-122
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    • 2008
  • Clinical research is a necessity, not an option, for developing better and new medicines and therapeutic modalities. But in the course of clinical research, there are rules and guidelines that should be followed to ensure the due respect for persons, beneficence, and justice for persons who voluntarily participate in the research as described in the Belmont Report. Good Clinical Practice (GCP) is an "international scientific and ethical quality standard for designing, conducting, recording, and reporting" clinical trials. The main purposes of GCP would be to protect rights, safety, and well-being of trial subjects, in compliance with the principles of Declaration of Helsinki, and to assure that the data obtained from clinical trials are credible. In order to achieve these, investigators must be fully aware of the meanings as well as actual procedures involved in the research and should make the best effort to comply with GCP. For those individuals who belong to vulnerable populations, such as neonates, in addition to the general principles of GCP, further measures to ensure added protection should be implemented. It is our duty to develop and provide better care through clinical research even for neonates. But in doing so, we have to make sure that the importance of protecting the rights, safety, and well-being of the subjects supersede the interests of science and society.

Korean Medicine Treatment with Guibi-tang-gamibang for Abnormal Uterine Bleeding in Perimenopausal Women: 2 Cases Report (폐경 이행기 여성의 비정상 자궁출혈에 대한 귀비탕 가미방을 포함한 한의치료 2례)

  • So-Mi Jeong;Deok-Sang Hwang;Jin-Moo Lee;Chang-Hoon Lee;Jun-Bock Jang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.2
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    • pp.114-129
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    • 2023
  • Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on abnormal uterine bleeding. Methods: The patients who diagnosed with abnormal uterine bleeding complained of menometrorrhagia, dizziness, lower abdomen pain and general weakness. They received combination treatment of Korean medicine during hospitalization. The treatments included Guibi-tang-gamibang, acupuncture, moxibustion and pharmaco-acupuncture. Results: After the treatment, abnormal uterine bleeding stopped and the clinical symptoms such as dizziness, lower abdomen pain and general weakness were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Guibi-tang-gamibang may be effective for treating abnormal uterine bleeding.