• Title/Summary/Keyword: Patient evaluation

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A Case Report of Suspected Essential Tremor Treated by Chuna Manual Therapy (본태성 수전증으로 의심되는 환자에 대한 추나요법 병행치료 증례보고)

  • Kwon, Min-Goo;Lee, Eun-Ji;Kim, Seong-Tae;Lee, Gun-Young;Na, Eun-Ji;Kim, Shin-Ae;Kim, Min-Sung;Hwang, Chun-Ho;Park, Jin-Woo;Sung, In-Young;Sul, Jae-Uk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.85-95
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    • 2016
  • Objectives : The purpose of the this study is to report the improvement after Chuna manual therapy about patient with essential tremor. Methods : The patient of essential tremor was treated by Myofascial Release Technique(MRT) and Chuna manual therapy with acupuncture, cupping, Transcutaneous electrical nerve stimulation(TENS), herbal medicine therapy. Results : According to evaluation of Handwriting test and VAS, The patient has shown improvement aftert Chuna Manual Therapy. Conclusions : This study suggest that Chuna manual therapy with other treatment would be effective for patient of essential tremor.

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The Case Report of Conservative Treatment on the Herniation of Intervertebral Disc Patient After the Fusion Surgery of a Lumbar Segment (요추부 한 분절 유합술 이후 발생한 추간판 탈출증환자에 대한 보존적 치료 치험 1례)

  • Kang, Myung-Jin;Kong, Duck-Hyun;Kim, Wu-Young;Cho, Tae-Young;Nam, Hang-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.127-134
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    • 2010
  • Objectives: The purpose of this study is the evaluation of conservative medical treatment on the herniation of intervertebral disc(HIVD) patient after the fusion surgery of a lumbar segment. Methods: We used acupuncture, herbal medication, and manipulation for this patient. And we measured of VNRS score and SLR test result to evaluate effect of conservative medical treatment. Results & Conclusions: Patient's low back and left leg pain VNRS is decreased, and the SLR test result is improved.

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A Case of Idiopathic Peripheral Neuropathy Improved by Combined with Electroacupuncture and Bee Venom Acupuncture (전침 및 봉약침 치료로 호전된 특발성 말초신경병증의 증례보고)

  • An, SunJoo;Choi, Seonghwan;Kang, Shinwoo;Park, Seohyun;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.173-181
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    • 2020
  • The purpose of this study is to report the effects of electroacupuncture and bee venom (BV) acupuncture for a patient suffering with idiopathic peripheral neuropathy. There was a one patient who was diagnosed as idiopathic peroneal neuropathy and tibial neuropathy received electroacupuncture and BV acupuncture at acupoints on peroneal and tibial nerve pathway. The evaluation of clinical outcome was done by range of motion (ROM), manual muscle test (MMT), perimeter of lower leg, neuropathy pain scale (NPS). After treatment, the patient showed improvement in ROM and MMT. The patient's perimeter of lower leg was increased, NPS was decreased. This study suggests that the treatment of acupoints on the damaged nerve pathways could be an effective treatment for peripheral neuropathy, although further studies will be needed.

A CASE OF CORONOID PROCESS MALFORMATION MIMICKING CONDYLAR HEAD (관절과두를 닮은 오훼돌기 변형증의 일 증례)

  • Kim, Jong-Ryoul;Lee, Seong-Geun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.157-161
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    • 1994
  • A 14-year-old male patient was referred to us for evaluation of Right TMJ clicking sound and mandibular deviation during mouth opening. On examinaaation, protrusion and lateral excursion was also restricted. Radiographs showed hook-like curved elongation of Right coronoid process with limitation o right condylar translation. His past medical and dental history was noncontributory. This patient underwent an extraoral coronoidectomy and the specimen revealed coronoid process malformation mimicking condylar head. Microcoically, the specimen discloses mature bony trabeculae. At postoperative 5 days, physical therapy was instituted. At present, this patient could open his mouth well with any clicking sound and mandibular deviation. The asymmetric face of this patient is expectated to be corrected by periodic observation and remained growth porential. If not to be corrected, orthognathic surgery will be done.

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A Case of Wegener's Granulomatosis (Wegener씨 육아종증 1례)

  • 박성준;권평중;김중환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.13.5-14
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    • 1981
  • Wegener's granulomatosis is characterized by 3 criteria: 1. Necrotizing granulomas with vasculitis of upper and lower respiratory tracts 2. A systemic vasculitis 3. Focal necrotizing glomerulitis. This disease is one of the nonhealing disease in the otolaryngologic and ophthalmologic fields. A 48years old Korean male patient was seen with the complaints of nasal discharge, foul odor and frequent nasal bleeding. The patient was admitted after biopsy of the nasal cavity which diagnosed tuberculous granuloma, for biopsy of the maxillary sinus. After biopsy by Caldwell-Luc's approach this patient was complained with severe headache, visual impairment and cough. And so this patient was readmitted for further evaluation. Generally, the diagnosis was made after autopsy sometimes several years later after reevaluation of the case. Tuberculous granuloma was the pathological diagnosis on the basis of resected material in various cases. The correct diagnosis was made at autopsy occasionally. It is our intention to present this case with. literature review.

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A Textile Surface Design for Dementia Patient Hospital Clothing Applying Social Care Symbol (치매환자복을 위한 직물 디자인 개발 및 제작 -사회적 보호를 위한 심볼 활용을 중심으로-)

  • Park, Hye-Won;Bae, Hyun-Sook;Ryou, Eun-Jeong;Kwon, Jay-Cheol
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.7
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    • pp.1097-1106
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    • 2007
  • The purpose of this study is for development textile design and making fabric actually for dementia patients hospital clothing using symbol which has social care meaning. For achievement the aim, process and research methods were as follows. First the symbol design was developed. Second the symbol was applied as textile design for dementia patients hospital clothing. Symbol design was under processed with a letter 'Alzheimer' and meanings as like 'love', 'happiness' 'care' 'hope' and 12 design samples were developed by CAD and photoshop. Total 15 evaluation members chose 2 design samples. The 2 design sample were practically arrangement 7 textile design pattern with ground different colors. And finally 3 design pattern and 3 colorway were selected and add white ground. Totally 7 textile design was printed on 100% cotton, 20 yarn count, 1/2 twill. Therefore this new textile design for dementia patient's hospital clothing can be used in medical clinically and the symbol can be use for daily care item for the patients more comfort and high quality in their lives in hospital.

Classic Peripheral Signs of Subacute Bacterial Endocarditis

  • Chong, Yooyoung;Han, Sung Joon;Rhee, Youn Ju;Kang, Shin Kwang;Yu, Jae Hyeon;Na, Myung Hoon
    • Journal of Chest Surgery
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    • v.49 no.5
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    • pp.408-412
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    • 2016
  • A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.

Development of the Patient-Centered Nursing Culture Scale for Hospitals (병원 조직의 환자중심간호문화 측정도구 개발)

  • Shin, Esther;Yoon, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.49 no.5
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    • pp.613-630
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    • 2019
  • Purpose: This study aimed to develop a scale measuring the Patient-Centered Nursing Culture (PCNC) and provide a basic tool to improve PCNC in Korea. Methods: A conceptual framework and construct factors were extracted through extensive literature review and in-depth interviews with nursing professionals. In total, 59 items were derived based on the pilot survey. Data were collected from 357 nurses working at general hospitals and analyzed for verifying the reliability and validity of the scale. Results: Nine factors containing 54 items were extracted from the exploratory factor analysis to verify the construct validity. The nine factors were top management leadership, policy and procedure, education and training, middle management leadership, supportive teamwork, nursing workplace environment, professional competence, patient-centered nursing activity, and nurses' values. These items were verified by convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach's ${\alpha}=.96$). Conclusion: The developed PCNC scale is expected to be used as the tool for the development of theory and improvement of PCNC, the empirical testing for cause and effect of PCNC, the development of interventions, education and training programs for improving PCNC, and indicators for evaluation or accreditation of hospital service quality.

A Case Report of One Non-specific Polyneuritis Patient Treated with Korean & Western Medical Methods - Including Joint Mobilization Chuna Technique (한방 및 양방 복합치료를 병행한 비특이성 다발성 신경염 치험 증례보고 1례)

  • Lee, Soo-Hwan;Kim, Soon-Joong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.1
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    • pp.61-76
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    • 2019
  • Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including acupuncture, moxibustion, infrared therapy, herbal medication, Western medication, Chuna manual therapy, and physical therapy. We evaluated the results using the numeric rating scale (NRS), manual muscle test (MMT), active range of motion (ROM), modified barthel index (MBI). Other evaluation scale included Deep tendon reflex and thickness of muscle especially forearm and lower leg. Results : Following treatment using a combination of the above methods, the general overall condition of the patients was significantly improved. Furthermore, the NRS, MMT, MBI, and the active ROM scores were numerically improved. Conclusions : In this case, a single patient with polyneuritis was treated using a combination of Korean and Western medical methods. Although this study provides useful insight into treatment methods, further studies are required to determine the treatment effects of Korean medicine, specifically Chuna manual therapy, in patients with polyneuritis.

Extracorporeal repairs of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in patients with small bowel perforations after blunt trauma (소장천공을 동반한 외상환자에서 단일공을 통한 진단적 복강경 후 최소절개를 통한 체외 소장복구: 증례 보고)

  • Yang, Youngro;Kim, Kwang Sig
    • Journal of Medicine and Life Science
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    • v.16 no.1
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    • pp.13-16
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    • 2019
  • In a patient with blunt abdominal trauma with small bowel injury, early diagnosis is clinically challenging due to unclear clinical symptoms and signs in the early stage of an injury. On the other hand, a delay of diagnosis of bowel disruption may lead to increased complication and mortality. The diagnostic laparoscopy is very useful for the evaluation of the small bowel injury. Laparoscopy can reduce unnecessary open surgery in a patient with blunt abdominal trauma with subtle symptoms and imprecise findings on abdominal computed tomography. Also it can prevent delay of treatment and be converted immediately to open surgery as soon as bowel damage is revealed. Furthermore, extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with traumatic small bowel perforation was a feasible and safe alternative to conventional laparoscopy. We are pleased to introduce successfully treated cases by extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with small bowel perforation after blunt trauma.