• Title/Summary/Keyword: Patient Prescription

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A Case Report of Acne Vulgaris Patient Treated with Cheongsangbangpung-tang (청상방풍탕(淸上防風湯)으로 호전된 성인 여드름 환자 치험 1례)

  • Kim, Ji-Hyun;Yoo, Dong-Youl
    • Journal of Haehwa Medicine
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    • v.22 no.1
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    • pp.185-191
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    • 2013
  • Purpose: This study aims to explain the effect of Chungsangbangpoong-Tang(as followed CBT) on an adulthoods' acne vulgaris. Methods: This is a case report on a female patient who has been suffering from acne vulgaris since she was 19 years old. To make her acne condition better, we designed to provide a specific combined treatment, mainly drinking CBT 2 or 3 times per a day with taking a herbal, acupuncture therapy and acupuncture once per every week through whole session. Results: After a series of we prescribed CBT treatments, we could find that CBT treatments are effective and available to ameliorate for her symptoms of acne vulgaris within its period. Conclusion: This clinical case study shows us that CBT might have not only a potentiality as a new acne treatment but also an effect as a new available prescription for adulthoods' acne. Hence more specific studies about CBT should be demanded in a treatment fields of adulthoods' acne vulgaris as soon as possible.

Nutritional Support, Gastric Residual Volume and Nutritional Status during Enteral Nutrition in Intensive Care Unit Patients (중환자실 경장영양 환자의 영양지원, 위 잔여량 및 영양상태)

  • Lee, Minju;Kang, Jiyeon
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.621-629
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    • 2014
  • Purpose: The purpose of this study was to investigate the nutritional support, gastric residual volume, and nutritional status of the intensive care unit (ICU) patients on enteral feeding. Methods: A descriptive longitudinal design was used to collect 5 day data on enteral nutrition of 52 ICU patients in an university hospital. Nutritional support was calculated with actual caloric intake compared to individual caloric requirement. Residual volumes were measured prior to routine feedings, and the serum albumin levels and the total lymphocyte counts were checked to evaluate nutritional status. The data were analyzed using one group repeated measures ANOVA, paired t-test, and Spearman's bivariate correlation analysis. Results: The subjects received their first enteral feeding on the $5.75^{th}$ day of ICU admission. The mean nutritional support rate was 49.1% of the requirement, however prescription rate and support rate were increased as time goes by. Gastric residual volumes were less than 10 cc in 95% cases. A significant negative correlation was found between nutritional support and nutritional status. Conclusion: The nutritional support for ICU patient was low compared to the requirement, and their nutritional status was worse than at the time of ICU admission. Further studies are necessary to develop nursing interventions for improving nutritional support for ICU patients.

A Case of Nummular Eczema Treated with Bokryeongkamcho-tang and Yeongkyechulkam-tang (복령감초탕(茯苓甘草湯)과 영계출감탕(苓桂朮甘湯)으로 치료한 화폐상습진 환자 치험 1례)

  • Jeong, Jong-Kil;Lee, Soong-In
    • Herbal Formula Science
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    • v.21 no.1
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    • pp.200-205
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    • 2013
  • Objectives : The purpose of this study is to report the clinical effectiveness of herbal remedies (Bokryeongkamcho -tang. Yeongkyechulkam-tang.) on nummular eczema. Methods : The 49 year-old male patient has been suffered from nummular eczema for 8 months. At first, he was treated with Bokryeongkamcho-tang for 56 days. And then he was treated with Yeongkyechulkam-tang for last 40 days. During the treatment we checked pruritis degree changes and extent changes by asking. And we checked how prulent exudates, crusts, scratch marks are changes by taking photos. First evaluation was performed before treatment, second evaluation was performed after taking Bokryeongkamcho-tang 56 days, third evaluation was performed after taking Yeongkyechulkam-tang 40 days. Results : After taking Bokryeongkamcho-tang 56 days, pruritus was decreased and prulent exudents were stopped, and crusts were disappeared. Nummular eczema on trunk, arm, thigh was disappeared. But light pruritis was still going on, and small circle-shaped vesicles groups were lagged on forearm and shin, ankle. So we found other symptoms from the patient, and administered Yeongkyechulkam-tang. After taking Yeongkyechulkam-tang 40 days, pruritus was almost decreased and nummular eczema on fore arm, shin was disappeared. Conclusions : This clinical case indicates that herbal remedies(Bokryeongkamcho-tang. Yeongkyechulkam-tang.) are effective on nummular eczema.

A Case of Advanced Metastatic Gallbladder Cancer Patients Treated with Oriental Medicine for Four Months (4개월간 한방치료를 받은 전이성 담낭암 환자 증례)

  • Jeon, Hyung-Joon;Cho, Chong-Kwan;Lee, Yeon-Weol;Yoo, Hwa-Seung
    • The Journal of Internal Korean Medicine
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    • v.33 no.3
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    • pp.338-346
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    • 2012
  • Objectives : To observe the therapeutic effects of Oriental herbal prescriptions on an advanced metastatic gallbladder cancer patient. Methods : Hang-Am-Plus (HAP), Gun-Chil-Gye-Bok-Jung (GGJ) and Se-Gan-San (SGS) were prescribed three times a day. To observe the therapeutic effects of oriental medical prescriptions, computed tomography (CT) and magnetic resonance imaging (MRI) images, tumor markers and laboratory tests were carried out regularly. Results : The levels of AST, ALT, ALP, ${\gamma}$-GTP, TB, DB, CA19-9, and CEA decreased significantly from November 29th 2011 to March 14th 2012. There was no interval change on CT images taken between November 15th 2011 and January 3rd 2012. Conclusions : In this case, it could be concluded that Oriental medicinal treatment might be considered as a palliative alternative therapy for the advanced metastatic gallbladder patient.

Massive pneumothorax resulting from paragonimiasis (폐흡충증으로 인한 대량 기흉)

  • Lim, Woo Hee;Kim, Su Wan
    • Journal of Medicine and Life Science
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    • v.17 no.1
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    • pp.25-28
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    • 2020
  • The prevalence of pulmonary pargonimiasis in Korea has been steadily decreasing due to develop of the public health, and there have been few clinical cases of paragonimiasis infections, especially in pneumothorax. A 22-year-old man referred to emergency department for dyspnea and chest pain. The right lung was totally collapsed on a chest X-ray. We emergently performed a closed thoracostomy with a 28-Fr chest tube. However, the air leak from the chest tube persisted for three days after the closed thoracostomy. A chest computed tomography showed multiple subpleural consolidative nodular lesions and mixed ground-glass attenuation nodules. We potentially suspected a secondary pneumothorax resulting from pulmonary paragonimiasis infection because the patient was a Chinese man who was working at a Korean restaurant. We decided to perform a medical treatment instead of pulmonary wedge resections. The air leak was discontinued three days after the prescription of praziquantel. The patient was discharged nine days after the admission. We suggest that anti-parasitic drugs are very effective in the secondary pneumothorax resulting from paragonimiasis.

A Literature Review of (浸淫瘡에 關한 文獻的 考察)

  • Cho, Yong-Ju;Chae, Byung-Yoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.9 no.1
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    • pp.114-128
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    • 1996
  • "Chimumchang" seems to be a kind eczema. The cause and symptom of eczema is similar to that of chimumchang. so, I investigated the literatures of oriental medicin and recent medicine. The results are summarized as follows. 1. Chimumchang seems to be a kind of eczema. Allergic contact dermatitis, atopic dermatitis, seborrheic dermatits, neurodermatitis, nummular dermatitis, xerotic eczema and so on are similar to chimumchang on cause & symptom. 2. The cause of chimumchang are summer vital energy excess(夏脈太過), sehwa excess(歲火太過), herat meridian wind-heat(心經風熱), heart fire(心火), wind taken spleen dampnees(脾濕受風), and so on. The cause of eczema are contact of external agent, immunological problem, heridity, infection, abnormalities of sebaceous glands, neurologic dysfuction, and so on. 3. The symptoms of chimumchang have been described to the three pattern on literature of oriental medicine until now. 1) scratching slightly, It has exudation, and combination. 2) Vital energy on skin is irritable by psychological problem. At the acute stage the patient is complain of itching & pain, and gradually the exudation expands in whole body. 3) early peorid it's size is very small, and at first the patient is complain of itching, later complain of pain. The exudation change to ulcer and expands in the whole body. 4. In the investigation of prescription(Total: 34, Oral medicine: 4, Ointment: 30), the most frequently used oral medicine is sungmatang(4 times), and the most frequently used ointment are kohosan, korvunsan and kegwanhyuldobang.

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The study about Sasang Constitution diagnosis and research trends in the case reports (증례논문에 나타난 사상체질진단의 특징 및 연구동향에 대한 연구)

  • Ban, Duk-Jin;Lee, Seung-Yun;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.107-114
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    • 2009
  • 1. Objectives : We analyzed the case reports published by the journal of Sasang Constitutional Medicine, to study Sasang Constitution diagnosis and characteristic of clinical practice. 2. Methods : It has been examined 138 case reports of Sasang Constitution society published from 1994 to 2008. We analyzed. patient's number, publication year, distribution of Sasang Constitution, title's characteristics and bases of constitution diagnosis. 3. Results and conclusions : 1) In the analysis of patient's number, 1 case report was almost part of the case reports, and the case reports ware many published after 2001. 2) In the analysis distribution of Sasang Constitution, Soyangin was the most Sasang Constitution, and Tae-umin was the next one and Soeumin, Taeyangin followed them. 3) In the analysis of the journal's title, Sasang Constitution, disease and symptom of Sasang Constitution were more important than prescription recently. 4) In the analysis of the journal's purpose, unique disease and response of treatment were almost part of the case reports. 5) In the analysis of diagnosis bases, subjective bases were more important than objective bases and Sasang Constitutional drug response. therefore we should do researches in objective bases and drug response in the future.

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A Case Study of a Serious Antibiotics-associated diarrhea Patient Treated with Modified Hyangsayukgunja-tang (중증 항생제 유발 설사 환자에 대한 향사육군자탕(香砂六君子湯) 가감방(加減方) 투여 1예)

  • Park, Soim;Kang, Da-Hyun;Seo, Ho-Seok;Kim, Jin-Won
    • Herbal Formula Science
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    • v.22 no.2
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    • pp.121-131
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    • 2014
  • Objectives : The purpose of this study is to report a therapeutic effects of a Korean herbal prescription for antibiotics-associated diarrhea. Methods : Modified Hyangsayukgunja-tang was prescribed once or twice a day to a antibiotics-associated diarrhea patient. To observe the therapeutic effects, the frequency of defecation was counted and Bristol Stool Form Index was used. Laboratory tests were conducted periodically. Results : The frequency of defecation was decreased from 9 times a day to once a day. According to Bristol Stool Form Index, stool form was improved from Type 7 to Type 5. The level of red blood cell, hemoglobin and albumin increased slightly from the day of admission to discharge. Conclusions : Hyangsayukgunja-tang can be a choosable treatment option for a serious antibiotics-associated diarrhea.

The Effects of Stretching and Isometric Exercise for Chronic Neck Pain Patient in Strength and Pain (스트레칭과 등척성 운동이 만성 경부통증환자의 근력과 통증에 미치는 영향)

  • Lee, Han-Suk;Yoo, Ji-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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    • pp.329-337
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    • 2012
  • Purpose : The purpose of this study was to assess more effective exercise prescription for the people with chronic neck pain by comparing stretching exercise and isometric exercise about strength and pain. Method : The research design of the study was that 20 young adults with mild neck disability (5-14 out of 50 in Neck Disability Index) were randomized into 2 groups and underwent stretching exercise(10 peoples) and isometric exercise(10 peoples) at 3 times a week for 5weeks. Measures of pain scale (Visual Analog Scale) and Muscle strength of deep neck flexor (Pressure Biofeedback) were assessed before and after intervention. The pre and post exercise results were compared using paired t-test and the effectiveness of intervention of two groups were compared using Independent t test. Results : The results of this study were that pain reduction was seen after stretching and isometric exercise and significantly difference. There was significantly improvement of cervical flexor strength after stretching and isometric exercise. But, there was no significant difference between stretching and isometric exercise groups. Conclusion : The stretching and isometric exercise for chronic neck pain patients may use according to preference of patient because the effects of treatment was same. Further studies are needed to analyzed psycho social factors, cost effects, group approach.

Comparison and Verification of Deep Learning Models for Automatic Recognition of Pills (알약 자동 인식을 위한 딥러닝 모델간 비교 및 검증)

  • Yi, GyeongYun;Kim, YoungJae;Kim, SeongTae;Kim, HyoEun;Kim, KwangGi
    • Journal of Korea Multimedia Society
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    • v.22 no.3
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    • pp.349-356
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    • 2019
  • When a prescription change occurs in the hospital depending on a patient's improvement status, pharmacists directly classify manually returned pills which are not taken by a patient. There are hundreds of kinds of pills to classify. Because it is manual, mistakes can occur and which can lead to medical accidents. In this study, we have compared YOLO, Faster R-CNN and RetinaNet to classify and detect pills. The data consisted of 10 classes and used 100 images per class. To evaluate the performance of each model, we used cross-validation. As a result, the YOLO Model had sensitivity of 91.05%, FPs/image of 0.0507. The Faster R-CNN's sensitivity was 99.6% and FPs/image was 0.0089. The RetinaNet showed sensitivity of 98.31% and FPs/image of 0.0119. Faster RCNN showed the best performance among these three models tested. Thus, the most appropriate model for classifying pills among the three models is the Faster R-CNN with the most accurate detection and classification results and a low FP/image.