• Pediatric Infection and Vaccine
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• 제30권3호
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• pp.159-164
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• 2023

뇌농양은 생명을 위협할 수 있는 심각한 중추신경계 감염으로 특히 소아에서는 증상이 모호하여 시의적절한 진단이 이루어지지 않는 경우가 종종 발생한다. 저자들은 면역력이 정상인 소아에서 드문 병원체에 의한 중추신경계 감염을 진단 및 치료하여 보고하는 바이다. 7년 전 심방중격결손을 진단받았고, 1달 전부터 충치 치료를 받은 과거력이 있는 10세 여아가 10일 전 발생한 두통을 주소로 입원하였다. 뇌자기공명영상에서 4.2 cm 크기의 뇌농양이 오른쪽 두정엽에서 발견되어 두개골절개술과 농양 흡인을 시행하였다. 흡인된 농과 조직에서 Aggregatibacter aphrophilus가 배양되었고, 16S rRNA sequencing에서 Actinomyces georgiae가 확인되어 ampicillin-sulbactam을 8주간 투여하였다. 수술 및 항균요법으로 환자의 증상이 호전되었고, 추적한 뇌자기공명영상에서 농양과 부종도 호전되어 치료를 종료하였다.

• 대한한방내과학회지
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• 제23권2호
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• pp.286-291
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• 2002

Urinary tract infection(UTI) is one of the common complications in stroke patients. As it has negative effect on the recovery of stroke, it should be cured out immediately. But antibiotics might cause some adverse reactions such as diarrhea, eruption, anorexia, nausea and vomiting. so there have been several reports about treating urinary tract infection with Traditional Korean Medication. We treated a 54-year-old male patient with cerebral hemorrhage, who had had neurogenic bladder after stroke and had been urinated by intermittent catheterization. About 10 days later, he could void by himself without catheter, but showing the symptoms of UTI; Voiding pain, hematuria and yellowish pus. The pus culture grew Staphylococcus spp., which was resistant to most of antibiotics except vancomycin and teicoplanin. Based on accompanying symptoms of intermittent dizziness, headache, insomnia, nocturnal sweating, weak pulse, red tongue and urinary problem, we differentiated him as the deficiency of Yin of the Kidney[腎陰虛] and treated with Gagamyookmijihwang-tang (Jia-Jian-Liu-Wei-De- Huang-Tang), which improved his urinary symptoms and other general conditions without any side effect. In next follow-up culture, there was no pathogen. We conclude that Traditional Korean Medicine based on differentiation is useful in the treatment of urinary tract infection.

• The Korean Journal of Pain
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• 제9권1호
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• pp.172-177
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• 1996

We performed a study of epidural patient controlled analgesia of meperidine with or without 0.08% bupivacaine for 48 hours after Cesarean section. 51 parturients were randomly assigned to one of two treatment groups : 1) epidural 0.2% meperidine group(n:24) and 2) epidural combined group with 0.2% meperidine and 0.08% bupivacaine(n:27). All parturients used patient controlled analgesia with loading dose, 2 ml/hour continuous infusion, 1 ml bolus infusion and lockout time, 8 minutes. visual analog scales after loading doses were not significantly different in either groups. The total quantity of meperidine consumption and hourly consumption were significantly lower in the combined group than meperidine group(P<0.05). The cumulative amount of meperidine consumption were also significantly lower in the combined group than meperidine group at 6, 12, 24 and 48 hours. In combined group the hourly consumption of meperidien from 3 hours to 12 hours after loading dose was significantly lower than those of meperidine group. Above 90% of parturients were satisfied in both groups. Side effects were: numbness (2), thigh weakness (1), nausea (1), headache (1) and back pain (2) in epidural meperidine group. There were no case needed specific treatment in both groups. We conclude that analgesic effects were similar in both groups, however the amount of meperidine consumption was less for meperiding group than combined group.

• 대한한의학원전학회지
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• 제35권1호
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• pp.1-32
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• 2022

Objectives : This paper examines major symptoms representation in COVID-19 patients as groundwork for development of an effective clinical data collection format in Korean Medicine. Methods : Major symptoms representation in COVID-19 related papers published worldwide were collected. Corresponding symptoms in Korean Medicine were then examined, followed by discussion of symptomatic features that require further consideration in regards to a more systematic clinical data collection. Results : Of 256 papers, most papers listed fever and cough while symptoms such as difficulty breathing, diarrhea, muscle pain, headache, nausea, fatigue, chest pain, phlegm, nasal discharge were also mostly listed. Clinical representations could be categorized into general symptoms, throat symptoms, chest symptoms, head and facial symptoms, gastrointestinal symptoms, musculo-skeletal and cutaneous symptoms, psychiatric symptoms and sensory problems. Conclusions : Although each clinical representation could be likened to certain clinical representations of Korean Medicine, the variety of symptoms were too limiting and lacking in detail to be applied in the pattern identification[辨證] of Korean Medicine. For effective clinical data collection and analysis in the future, symptom change according to time, comparison between location, climate and ethnicity, existence of interior symptoms when diagnosing exterior symptoms, deficiency-excessiveness of blood patterns, consciousness levels, etc., need to be considered in establishing criteria for symptom evaluation.

• The Korean Journal of Pain
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• 제1권2호
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• pp.154-163
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• 1988

In 1983, Sten H$\ddot{a}$kanson first reported the clinical safety and efficacy of retrogasserian glycerol injection as a treatment of typical trigeminal neuralgia in 96 of 100 patients during a follow-up period of 1~6 years. Since September 1987, we have injected sterile pure glycerol into the trigeminal cistern using an anterior percutaneous approach via the foramen ovale (H$\ddot{a}$rtel route) for treatment of tic douloureux in 12 patients who were suffering from attacks pain of following discontinuation of carbamazepine. The results were as follows; 1) Eight patients were completely free from pain attacks with a single dose of glycerol (0.4 ml). The remaining four patients needed a second dose (0.4 ml) several days later following the single dose. The degree of patient's subjective satisfaction by those injections was very good in 11 and fair in one. 2) During the follow-up period (1~13 months), persistent sensory deficit as determined by the pin prick test, appeared to be mild in 10 and moderate in one patient. There was no sensory deficit in one patient. further attacks of pain from those injections were still noted. 3) As a transient complication, there was headache in all patient, facial hematoma in 4, nausea and vomiting in two each, and vertigo and herpes simplex in one each. In conclusion, we confirmed that the above glycerol injections into the trigeminal cistern were clinically very effective as a treatment of tic douloureux even though the follow-up period was short.

• 한국농촌간호학회지
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• 제4권2호
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• pp.103-109
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• 2009

Purpose: This study was conducted to test the effect of a 5 weeks health education program on stroke for rural elderly people. Methods: A total of 55 rural elders in Kok Sung County were participated in the health education on stroke program. Descriptive statistics, and paired t-test were used for statistical analysis with SPSS 12.0. Results: The results are summarized as follows : Mean age was 67.3 years and 88.2% of participants were female. The mean pre-test scores for knowledge of stroke were 0.35 and post-test, 0.85 (p< .001). Percentage of accurate response rates of warning signs of stroke were sudden dizziness pre-test 45.5% post-test 80.0%, sudden trouble speaking or understanding, pre-test 27.3% post-test 41.8%, sudden trouble walking, loss of balance or coordination, pre-test 32.7% post-test 70.9%, sudden numbness or weakness of the arm or leg, especially on one side of the body, pre-test 47.3% post-test 72.7%, sudden confusion, pre-test 27.3% post-test 81.8%, sudden numbness or weakness of the face especially on one side of the body, pre-test 40.0% post-test 76.4%, sudden severe headache with no known cause, pre-test 40.0% post-test 70.9%, Sudden trouble seeing in one or both eyes, pre-test 38.1% post-test 66.0%, nausea or vomiting pre-test 16.4% post-test 43.6%. The increases after the health education on stroke were statistically significant. Conclusions: Health education on stroke for rural elderly people are needed and should focus on community health care programs, especially for those who are older, had a low level of education, and low socio-economical status.

• Pediatric Infection and Vaccine
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• 제20권2호
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• pp.98-104
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• 2013

뎅기열은 아시아, 남태평양 지역, 아프리카, 아메리카 대륙의 열대지방에 걸쳐 널리 발생하며, 이러한 유행지역으로부터 돌아온 여행자들에게 중요한 감염 질환의 하나로 부각되고 있다. 풍토지역을 방문하는 여행자의 점차적인 증가로 뎅기 바이러스에 대한 노출의 위험도가 증가하고 있으며, 이로 인해 해외에서 유입되는 뎅기 감염 사례가 증가하고 있다. 뎅기열은 다양한 임상 양상을 나타내며, 종종 예측할 수 없는 임상 증상과 결과를 초래하기도 한다. 대부분의 감염자들은 저절로 회복되거나 경한 증상을 보이지만, 일부에서는 뎅기 출혈열이나 뎅기 쇼크와 같은 심각한 경과를 보이기도 한다. 따라서 뎅기열 유행지역 방문자가 발열을 보이는 경우 뎅기열을 의심하는 것은 중요하며, 일단 의심이 되면 신속한 진단과 적절한 치료를 통해 합병증을 예방하는 것이 중요하다. 저자들은 뎅기열 유행지역을 여행한 소아에서 발열, 두통, 구역, 발진 등이 발생하여 시행한 혈청검사에서 뎅기열로 진단된 2례를 경험하였기에 보고하는 바이다.

• 동의생리병리학회지
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• 제21권2호
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• pp.539-542
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• 2007

After analyzing the cases of treating female patients troubled with morbid leukorrhea, the writer drew the conclusions as follows. The shapes of patients with morbid leukorrhea show a large number of shapes of Gi type, Sin type or being inclined to be vigorous Gi, to have depressive syndrome due to disorder of Gi, to be Fire's nature flared upward, to become retention of phlegm and fluid, to become retention of Gi or to become retention of heat, or San syndromes. Accompanied syndromes of morbid leukorrhea appear over the body of upper, middle or lowe portion. In lower cho, the symptoms are menopathy, menstrual irregularities, menstrual irregularities, oligomenorrhea, itching of external genitals, San syndromes, infertility, lumbago which are connected with uterus. And in the middle cho, those are indigestion, nausea, distress in the stomach, vomiting, swallowing acid connected with digestive organs. And also in the upper cho, globus hystericus, chest distress, headache, dizziness, neck stiffness, heat in the upper, pimples connected with upper cho are appeared. Among the prescriptions of treatment for morbid leukorrhea, Ijintang was applied with the widest range of all. Besides that there were mainly prescribed for symptoms such as Gamisachil-tang, Haenggihyangso-san, Gamigwibi-tang, hyangsapyeongwi-san, Onkyung-tang, Banchong-san, Yongdamsagan-tang, Sogampaedok-san, Ojeok-etc.

• 한방비만학회지
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• 제16권1호
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• pp.70-77
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• 2016

고혈압으로 진단된 비만환자 6예에 10일간 감로수 절식요법을 시행한 결과 절식기 후 혈압은 평균 148/89 mmHg에서 119/79 mmHg로 수축기 혈압은 28.7 mmHg 감소(-19.39%) 하였고, 이완기 혈압은 10.3 mmHg 감소(-11.57%)하였다. 절식기 후 체중, 체질량지수, 체지방량, 체지방률은 각각 평균 -6.65%, -6.10%, -7.76%, -1.42% 감소하였다. 위의 증례결과로 보았을 때 감로수 절식요법은 비만, 고혈압환자에 적용하였을 때 체중감량과 더불어 혈압강하효과를 가져올 것으로 기대된다. 감로수는 절식요법을 진행할 때 생길 수 있는 문제점의 발생을 줄여 10일간 절식요법이 안정되게 진행할 수 있게 도움으로써 혈압강하효과를 증가시킨다.

• 대한핵의학회지
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• 제27권1호
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• pp.59-64
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• 1993

To evaluate the usefulness and differences in diagnosing coronary artery disease (CAD) between men and women of intravenous dipyridamole $^{99m}Tc$-MIBI myocardial SPECT, we obtained $^{99m}Tc$-MIBI myocardial SPECT and compared with the findings of coronary angiographies. Ninety eight male and 37 female patients who underwent dipyridamole $^{99m}Tc$-MIBI myocardial imaging within one month of cardiac catheterization were studied. Scans were considered abnormal if perfusion defect was detected and the defect size was more than 12% for left anterior descending artery (LAD) and circumflex (LCX) and 8% for right coronary artery (RCA) territories. Lesions${\geqq}$50% luminal diameter narrowing were considered significant CAD. Overall sensitivity for detection of CAD was 94.3% in men and 96.4% in women; specificity was 70% in men and 52.6% in women (P=not significant, ns). Vessel-matched sensitivity was 75.3% in men and 72.7% in women (P=ns): specificity was 84.6% in men and 67.9% in women (P < 0.025). For individual coronary artery, the sensitivity in men and women was 87.7%, 81.8% for LAD; 78%, 83.3% for RCA and 52.2%, 46.7% for LCX (P=ns): the specificity was 80%, 40% for LAD (P<0.01), 82.5%, 68.4% for RCA, 88.9%, 86.4% for LCX (P=ns). The hemodynamic parameter after intravenous dipyridamole in men and women were significantly changed; the heart rate was increased and systolic, diastolic blood pressure was decreased. Adverse effects were reported in 58.8% of men and 72.7% in women (P=ns). The incidence of chest pain and headache were higher in women. There was no significant difference in the incidences of nausea, abdominal pain, dizziness, facial flushing, dyspnea. In conclusion, dipyridamole $^{99m}Tc$-MIBI myocardial SPECT is a safe, noninvasive test for evaluation of CAD. There was no gender difference to detect CAD, but more false-positive rate in women especially in the territory of LAD.