• 제목/요약/키워드: Urinary Disturbance

검색결과 58건 처리시간 0.02초

보중익기탕가미방(補中益氣湯加味方)으로 호전된 만성 방광염 환자 처험1례 -IPSS 변화를 중심으로- (A Case Report of Chronic Cystitis Treated with Bojoongikkitang-gamibang -Evaluated by the International Prostate Symptom Score-)

  • 박송기;송광규;전귀옥;조동희;신현철;강석봉;권은희
    • 대한한방내과학회지
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    • 제26권2호
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    • pp.475-481
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    • 2005
  • Objectives: This study was designed to evaluate the effects of an oriental medicine therapy, namely Bojoongikkitang-gamibang, on a chronic cystitis patient. Methods: The clinical data was analyzed on a patient with chronic cystitis due to Bigiheoyak(脾氣虛弱) and Junggihaham(中氣下陷) whose main symptoms were urinary disturbances, such as urgency, weak stream, hesitancy and nocturia, etc. The patient visited twice at the internal medicine department of Dae-Gu Hanny University Dae-Gu Oriental Medicine Hospital on May 20, and on June 3, 2004 and was only treated with herbal medicine(Bojoongikkitang-gamibang). Results: After treatment, improvement was seen in the subsection of the International Prostate Symptom Score(IPSS). Conclusions: This study suggests that Bojoongikkitang-gamibang is significantly effective in treatment of a chronic cystitis.

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혈액투석 환자들이 경험한 건강문제 분석 (An Analysis of Health Problems Experienced by the Clients Receiving Hemodialysis)

  • 신미자
    • 대한간호학회지
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    • 제26권4호
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    • pp.903-916
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    • 1996
  • The purpose of this study was to discover practical health problems which hemodialysis clients experienced so as to present basic data for development of a health assessment tool. The research subjects were 70 clients receiving hemodialysis in Seoul and Inchon from Mar. 1996 to Sep. 1996. Data were collected by researcher's informal indepth interview and nurses' open ended question. Content analysis was applied to collect similar contents and common experiences in order to derivate concepts and categories for better understanding of hemodialysis clients' experiences. As a result, 9 categories derivated to identify the health problems of clients receiving hemodialysis were as follows : 1) They experienced 'the decreased digestive function' which contained the changed appetite, nausea, vomiting, constipation and diarrhea. 2) They experienced 'the decreased respiratory and circulatory function' which contained dyspnea, changed blood pressure, tingling sensation and the fear of aggrevated vascular condition. 3) They experienced 'the aggrevated oral condition' which contained dry mouth and destruction of teeth and their soft tissue. 4) They experienced 'the decreased sensory function' which contained visual disturbances, sensation difficulty, and hearing loss. 5) They experienced 'the aggrevated skin condition' which contained dark brown skin color, dry skin (and hyperpigmentatic freckle, seborrheric keratosis, scale), itching sense, and alopethia. 6) They experienced 'the decreased urinary reproductive function' which contained anuria or oliguria, dysmenorrhea, sterility and decreased libido. 7) They experienced 'the restricted activity' which contained decreased activity, muscle cramp and stiffness of joint. 8) They experienced 'the changed mental status' which contained memory disturbance, decreased cognition, disorientation, neurosis and psychosis. 9) They experienced 'the aggrevated general condition' which contained kyphosis, weight loss, fatigue, sleep disturbance, bleeding tendency, inflammation, generalized edema and foul oder of uremia.

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일부지역 노인의 영양 및 건강상태에 관한 연구 II. 체위, 혈압, 혈액성상, 질병보유상태 및 비만도 (The Nutrition and Health Survey of Aged People in a Rural Area II. Anthropometry, Blood Pressure, Blood Constituents, Diseases and Obesity Rate)

  • 조영숙
    • Journal of Nutrition and Health
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    • 제19권6호
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    • pp.382-391
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    • 1986
  • This survey was carried out to study the relationship between observable factor such as anthropometry, blood pressure, food habit, the score of THI and diseases of 459 persons (male: 188, female: 271) aged 60 and over in the rural area of Kurye - Gun Chonnam from April 28 to May 1, 1986. The results obtained were as follo\ulcornerws 1) Body weight and height was below Korean average. The mean obesity rate in male and female showed -2.3% and 3.4%, respectively, and BMI showed 25.8 and 26.0 respectively. 2) The systolic and diastolic blood pressure was normal in both sexes. The pro opotion of hypertension by WHO level showed 19.6% and 20.3% in male and fem\ulcornerale, respectively_ The proportion of anemia showed 57.9% and 41.7% in male and female, respectively. The concentration of total protein, albumin, cholesterol and gl\ulcornerucose and white blood cell number showed normal range in both sexes. 3) The proportion of the disease showed 68% of male and 83% of female and among them 50% of male and 43% of female suffered from one kind of disease and there are more female who suffered from many kinds of diseases than male. The most common disease is neuralgia and nexts are digestive diseases, diabetes melli\ulcornertus, urinary disturbance, motion disturbance, arthritis, respiratory diseases, tubecu\ulcornerlosis and hepatitis. 4) There was a significant correlation between body height and weight and the score of food habit. 5) There was a considerable relation between the score of each item of TIll and the status of diseases. 6) There appeared profound relation between obesity rate and the data of anth\ulcornerropometry, but weak relation between that and blood constituents, and no relation between that and the score of food habit.

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특발정상압수두증 환자의 보행 패턴과 대뇌피질의 구조적인 특징의 상관관계 분석 (Correlation Analysis Between Gait Pattern and Structural Features of Cerebral Cortex in Patients with Idiopathic Normal Pressure Hydrocephalus)

  • 윤은경;강경훈;윤의철
    • 대한의용생체공학회:의공학회지
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    • 제42권6호
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    • pp.295-303
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    • 2021
  • Idiopathic normal-pressure hydrocephalus (INPH) is considered a potentially treatable neurological disorder by shunt surgery and characterized by a triad of symptoms including gait disturbance, cognitive impairment and urinary dysfunction. Although disorders of white matter are generally viewed as the principal pathological features of INPH, analysis of cortical features are important since the destruction of neural tracts could be associated with cortical structural changing. The aim of the study was to determine whether there was any relationship between gait parameter and structural features of cerebral cortex in INPH patients. Gait parameters were measured as follows: step width, toe in/out angle, coefficient of variation (CV) value of stride length, CV value of stride time. After obtaining individual brain MRI of patients with INPH and hemispheric cortical surfaces were automatically extracted from each MR volume, which reconstructed the inner and outer cortical surface. Then, cortical thickness, surface area, and volume were calculated from the cortical surface. As a result, step width was positively correlated with bilateral postcentral gyrus and left precentral gyrus, and toe in/out was positively correlated with left posterior parietal cortex and left insula. Also, the CV value of stride length showed positive correlation in the right superior frontal sulcus, left insula, and the CV value of stride time showed positive correlation in the right superior frontal sulcus. Unique parameter of cerebral cortical changes, as measured using MRI, might underline impairments in distinct gait parameters in patients with INPH.

간호진단의 임상적용 활성화를 위한 기초조사 연구 (A Survey Study of Nursing Diagnosis Use in Clinical Practice)

  • 최영희;이향련;김혜숙;김소선;박광옥
    • 대한간호학회지
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    • 제26권4호
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    • pp.930-945
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    • 1996
  • The purpose of this study was to identify the degree to which nursing diagnoses accepted by NANDA are used and to identify problems in application of nursing diagnoses in clinical practice. With the expanding potential for computerization of nursing diagnosis, the survey also included data on the present status of hospital computerization and willingness to use computerized nursing diagnoses. The data collection was done from July 1 to August 3, 1996 using structured questionnaires. The questionnaires were mailed to 1,126 head nurses working in 44 hospitals with on occupacy of over 500 beds located in Korea, of these, 883 were returned from 40 hospitals. Among the 883 questionnaires, 867 were used for the analysis. The results of the analysis are as follows 1. Among 109 nursing diagnoses, pain, constipation, diarrhea, hyperthermia, high risk for infection, sleep pattern disturbance, and anxiety, chronic pain, altered urinary elimination, and altered nutrition : less than body requirements were the ten most frequently used diagnoses. 2. The primary problem in the use of nursing diagnoses was lack of time and personnel. Others were lack of knowledge and motivation, absence of protocols and absence of the appropriate methods to apply nursing diagnoses. 3. Among the 40 hospitals, 27 hospitals used a computerized system and expressed willingness to utilize the computerized system of nursing diagnoses that is planned for the future.

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만성 재발성 방광염에 대한 한의학적 변증 치료 1례 (Clinical Report of Chronic Relapsing Cystitis Treated with Oriental Medicine)

  • 박송기;이연경;신현철;강석봉;권은희
    • 동의생리병리학회지
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    • 제20권5호
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    • pp.1346-1349
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    • 2006
  • Cystitis is a inflammation that forms at the cystic mucosa those main symptom is urinary disturbance based on the bladder stimulated. It is liable to be chronicity and difficult to give medical treatment. Especially, Chronic Relapsing Cystitis(CRC) is the continuing and repeating cystitis without abnormality of urinalysis. This study was peformed on a 46-year-old female patient with CRC who was diagnosed as Norim(勞淋) due to Bisinyangheo(脾腎陽虛) and Hansan(寒疝) due to Hanchekanmaek(寒滯肝脈). The patient was treated with mainly Cheongsanboki-tang(淸疝補氣湯). Clinical symptoms and general conditions are improved after treatment and more extensive researches are needed.

A rare case of sacral epidural arteriovenous fistula with concomitant occult multiple lumbar epidural arteriovenous fistulas

  • Katsuya Saito;Takakazu Ushioda;Takahiro Miyata;Keita Mayanagi;Koki Kato;Joji Inamasu;Masashi Nakatsukasa
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제25권3호
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    • pp.322-332
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    • 2023
  • We describe a rare case of sacral epidural arteriovenous fistulas (edAVFs) with atypical clinical course of treatment. A 78-year-old man with a history of spinal surgery presented progressive gait disturbance and urinary incontinence. Spinal angiography demonstrated a sacral spinal AVF fed by bilateral lateral sacral arteries, draining to the venous pouch with subdural drainage. The first treatment by direct interruption of a subdural drainer was incompletely finished. Postoperative reassessment by 3D imaging analysis led to the diagnosis of sacral edAVF and 3D understanding of its angioarchitecture. The second treatment by transarterial embolization (TAE) resulted in complete occlusion of a sacral edAVF. However, spinal venous congestion didn't improve, because the recruitment of occult edAVFs at the multiple lumbar levels and complex-shaped sacral ventral epidural venous plexus (VEP) were involved in the remnant of prior subdural drainage. The third treatment was performed by TAE for three occult edAVFs and the VEP compartment connecting between a patent edAVF and subdural drainage, which resulted in complete disappearance of spinal cord edema. Endovascular embolization of VEP compartment connecting to subdural drainage in addition to fistulous occlusion may be one of the treatment options for several edAVFs at the multiple spinal levels.

간호업무 전산화를 위한 표준화된 간호계획의 개발에 관한 연구 (A Study on the Development of Standardized Nursing Care Plans for Computerized Nursing Service)

  • 김조자;전춘영;임영신;박지원
    • 대한간호학회지
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    • 제20권3호
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    • pp.368-380
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    • 1990
  • A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.

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조각자가 만성 비세균성 전립선염 Rat 모델에서 혈액 및 세포조직의 변화에 미치는 영향 (The Effects of GLS(Gleditsiae spina) Treatment on Hematological and Cytopathological Alterations in Non-Bacterial Prostatitis Rat Model)

  • 정기훈;장선규;최정식;조충식;김철중
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.779-790
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    • 2007
  • Objective : Although chronic non-bacterial prostatitis is a common disease, it is very difficult to treat effectively. GLS (Gleditsiae Spina) has traditionally been used in treatment of urinary tract inflammation and voiding disturbance. In this study, we investigated the therapeutic effects and action mechanism of GLS in the rat model of non-bacterial prostatitis induced by castration and testosterone treatment. Method : We observed four experimental objects of normal group, control group, testosterone group, and GLS group. Rats were treated with 17$\beta$-estradiol after castration for induction of experimental non-bacteral prostatitis, which is similar to human chronic prostatitis in histophatological profiles. GLS and testosterone were administered as an experimental specimen and a positive control, respectively. The prostates were evaluated by histopahological parameters including the epithelial score and epithelio-stromal ratio for glandular damage. Also, the prostates were observed by hematological alterations of WBC, RBC, hemoglobin, hematocrit and platelet. Results : While prostates of control rats revealed severe acinar gland atrophy and stromal proliferation, the rats treated with GLS showed a diminished range of tissue damage. Epithelial score was improved in GLS over that of the control. The epithelial-stromal ratio was lower in GLS when compared to that of the control. Conclusion : These findings suggest that GLS may protect the glandular epithelial cells. We concluded that GLS could be a useful remedy agent for treating chronic non-bacterial prostatitis.

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S-1과 티아지드 상승효과에 의한 항이뇨호르몬과다분비증후군 1예 (SIADH Caused by the Synergistic Effect of S-1 and Thiazide)

  • 하태경;권성준
    • Journal of Gastric Cancer
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    • 제6권3호
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    • pp.198-201
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    • 2006
  • 저나트륨혈증은 항암화학요법 중에 발생하는 전해질 장애 중의 하나이며, 조기에 발견하여 치료하지 않을 경우 급사할 수 있다. 저나트륨혈증을 유발하는 여러 원인중에 항이뇨호르몬과다분비증후군(syndrome of inappropriate antidiuretic hormone, SIADH)이 항암화학요법을 시행받은 환자들에게서 발생하였다고 보고되고 있다. SIADH를 유발하는 항암제는 아직까지 몇 가지 외에는 많이 알려져 있지 않다. 본 예는 위암으로 위전절제술, 비장절제술, 횡행결장구역절제술을 시행 받은 55세 여자로 수술 후 복막전이가 발견되어 S-1 ($80\;mg/m^{2}$)과 cisplatin ($60\;mg/m^{2}$)을 이용한 항암화학요법 중 SIADH가 발생하였다. 환자는 3% 생리식염수를 투여한 후 저나트륨혈증이 정상화되어 퇴원하였다.

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