• 제목/요약/키워드: Very old people

검색결과 219건 처리시간 0.025초

조영제로 유발된 약진(藥疹)환자 치험 1례 (A Clinical Case Report of Contrast-induced drug eruption patient Treated with Traditional Oriental Medicine)

  • 정의민;정종수;윤성우;박재우
    • 대한암한의학회지
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    • 제12권1호
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    • pp.75-82
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    • 2007
  • Drug eruption is a cutaneous reaction caused by various drugs. It is a very common drug induced adverse reaction. Contrast media induced drug eruption is rare. But approximately 10% of people injected with contrast media experience adverse reaction, and drug eruption accounts for more than 40% of all adverse reactions. We report a case of mild drug eruption and its treatment process based on korean traditional medicine. The patient is a 50 years old female diagnosed with functional dyspepsia. The patient had gastric discomfort and alternation between diarrhea and constipation. All symptoms showed nearly complete remission with continued korean traditional medical treatment. The patient had been injected with contrast media for Computed tomography(CT) evaluation of her breast cancer history. Rashes appeared on back and abdomen, and urticaria and pruritus appeared on the patient's finger 1 day after injection. We prescribed Goreisan(TSUMURA CO &, TJ-17) and acupuncture on Quchi(LI11), Zusanli(ST36), Yangxi(LI5), Yanggu(SI5). Consequently, the drug eruption showed remarkable improvement. So the author reports korean traditional medicine is effective complementary treatment for drug eruption.

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조선시대(朝鮮時代) 현종(顯宗), 숙종(肅宗), 경종(景宗), 영조(英祖)의 질병(疾病)과 치료(治療) (About the Diseases and Medical Treatments of King Hyeonjong, Sukjong, Gyeongjong, Yeongjo in the Joseon Dynasty)

  • 이해웅;김훈
    • 대한한의학원전학회지
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    • 제19권3호
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    • pp.228-254
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    • 2006
  • 1. King Hyeonjong(1641-1674) mainly suffered from eye disease and abscess. He specially took a hot spring bath for cure of eye and skin problems. He probably died of septicemia and the following gastro-intestinal infection at the age of 34, quite early for his age. 2. King Sukjong(1661-1720) was not very well all through his life, but lived quite longer than other Kings in the Joseon Dynasty. He suffered from various diseases like heart-based heat, abscess, edema, upper respiratory infections, etc. He frequently took the treatments of acupuncture and moxibustion. He presumably died of dysfunction of liver and kidney at the age of 60. 3. King Gyeongjong(1688-1724) suffered from political problems from birth to death, so he may have had excessive mental stress for his poor health. He mainly suffered from heart-based heat and abscess. It is quite not sure why he died in only one month from the onset of his symptoms, so many people thought that he was poisoned to death. He probably died of septicemia and the following gastro-intestinal infection at the age of 37. 4. King Yeongjo(1694-1776) lived for 83 years, which is the longest of all the Kings in the Joseon Dynasty. He mainly suffered from hypofunction of gastro-intestinal system with cold symptoms, coughs, uneasiness. He took various kinds of herbal medicine, of which he took ginseng the most. He is supposed to be dead due to his old age at 83.

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슬관절(膝關節)의 퇴행성 관절염에 대한 고찰 (A Study on Osteoarthritis of the Knee)

  • 장준혁;김경호
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.493-509
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    • 1998
  • Osteoarthritis(degenerative joint disease), the most common arthropathy affecting the aged people, is characterized by degeneration of articular cartilage with proliferation and remodeling of subchondral bone. Osteoarthritis of the knee, which probably has greater social cost and more associated disability than osteoarthritis of any other joint, prevalence is known to increase with age, and females have higher rates than males; radiographic abnormalities are present in more than 30% of persons more than 65 years old, with approximately 40% of these persons symptomatic. Though the etiology of osteoarthritis is not entirely understood, much information is available regarding risk factors for the development of knee osteoarthritis that permit some reasonable guideline for preventive strategies. Traumatic damage or occupational or recreational overuse of knee joint may result in osteoarthritis, and obesity also is related to osteoarthritis of the knee. A variety of other possible risk factors for the development of knee osteoarthritis have been proposed, including increased bone mass, smoking, diseases such as diabetes or elevated serum uric acid, and some metabolic factors, but the contribustions of these and other factors such as smoking or race and diseases such as diabetes are as yet undetermined. The usual clinical manifestations include pain, stiffnesss, crepitus and loss of function. In oriental medicine, osteoarthritis of the knee is very similar to diseases such as Bijung(痺症), Haksulpung(鶴膝風), Youkjeolpung(歷節風) in symptoms. The diseases such as Bijung(痺症), Haksuipung(鶴膝風), Youkjeolpung(歷節風) is related to the of function liver(肝) and kidney(腎) and risk factors are regarded as Pung(風), Han(寒), sub(濕). The diagnosis of osteoarthritis of the knee has often been based on radiographic appearance and clinical manifestations. The acupuncture therapy of osteoarthritis of the knee has often been based on Stomach meridian(ST), Spleen meridian(SP), Kidney meridian(KI), Liver meridian(LR).

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관상동맥질환자의 질병관련 지식, 자기효능감, 사회적 지지가 환자역할행위에 미치는 영향 (Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease)

  • 김순희;이선희
    • 한국보건간호학회지
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    • 제28권2호
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    • pp.228-240
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    • 2014
  • Purpose: This study was conducted in order to determine the influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Methods: The participants were 192 patients with coronary artery disease in D city. Data were collected from January 1, 2014 to April 30, 2014 using a questionnaire. Data analysis was performed using SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors having an influence on sick role behavior were age (70 years old ${\beta}$=.275, p<.001), occupation (Office job ${\beta}$=-.230, p<.001), knowledge (${\beta}$=.204, p<.001), self-efficacy (${\beta}$=.188, p<.001), underlying disease (stroke ${\beta}$=.142, p=.008), and family type (live with their children ${\beta}$=-.128, p=.038). These factors explained 56% of the variance in sick role behavior. Conclusions: More positive knowledge and self-efficacy are needed for the sick role behavior. In addition, results of the study indicated that age, occupation, underlying disease, and family type were very important in predicting health behaviors of patients with coronary artery disease. Thus, it would be necessary to include patients' characteristics in designing an education program for people with coronary artery disease.

보행 방향 전환 시 입각기 하지 및 체간의 운동형상학적 분석 (A Study on Kinematic Analysis of Trunk and Lower Extremities in Stance Phase of Walking according to Turning Direction)

  • 오태영
    • The Journal of Korean Physical Therapy
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    • 제25권2호
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    • pp.88-95
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    • 2013
  • Purpose: The purpose of this study was to conduct an analysis of kinematics of lower extremities and trunk in stance phase of walking according to turning direction. Methods: Ten university students (five male, five female) who were in their 20s (mean age was 20.6 years old) participated in this study. Participants did not have participants did not have any problem with skeletal muscular system. We used the "Qualisys motion capture system" for analysis of trunk and lower extremity movement in stance phase of walking according to turning direction. We collected data while subjects walked a distance of 10 m, and at the 6 m line, subjects were required to turn to the left side and the right leg was positioned in stance phase and the left leg was positioned in swing. For data analysis, the SPSS for Windows ver. 20.0 statistics program was used in performance of one way analysis of variance according to turning direction. Results: Significant difference of trunk and lower extremities was observed for turning direction according to walking cycle (p<0.05). Upper trunk movement showed a greater increase at three dimensions than lower trunk, and in heel off phase, pelvic movement showed a greater increase than lower trunk (p<0.05). In 45 degree and 90 degrees of turning direction, all movements of trunk and lower extremities were significantly different among three events of stance phase (p<0.05). Conclusion: We suggest that three-dimensional movement analysis of trunk and lower extremities during turning movement was very important in order to indicate increasing balance or walking ability for people with impaired movement or walking.

전천 후 생활 지원 시스템을 위한 경량 인증 프로토콜 (A Lightweight Authentication Protocol for Ambient Assisted Living Systems)

  • 이명규;황보택근
    • 한국인터넷방송통신학회논문지
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    • 제17권5호
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    • pp.9-16
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    • 2017
  • 향상된 의료 기술과 건강관리 기술의 최근 발전으로 인해 지난 수십 년 동안 기대 수명이 꾸준히 늘게 되었다. 그 결과 세계 인구는 빠르게 고령화되고 있다. 고령자의 복지를 향상시키고 일상생활에서 독립성을 제공하는 해결책을 기반으로 하는 정보통신기술 지원에 대한 다양한 연구가 진행되고 있다. 전천후 보조 생활은 개인의 일상생활 및 근무 환경에서 정보 통신 기술을 사용하여 더 오래 활동성을 유지하고 사회활동을 할 수 있도록 하여 노년기에 독립적으로 살아갈 수 있도록 하는 것으로 정의된다. 전천후 생활 보조 시스템에서 전송되는 정보는 매우 민감한 정보이므로, 이러한 데이터의 보안 및 개인 정보는 중요한 문제로 대두되고 있다. 본 논문에서는 전천후 보조 생활 시스템을 위한 새로운 경량 인증 프로토콜을 제안한다. 제안된 인증 프로토콜은 전천후 생활 지원 시스템에 필요한 몇 가지 중요한 보안 요구 사항을 지원할 뿐만 아니라 다양한 유형의 공격으로부터 안전하다. 또한 보안 분석 결과를 통해 제안된 인증 프로토콜이 기존 프로토콜보다 더 효율적이고 안전하다는 것을 보여준다.

정신분열증 청년의 자기표현과 상호작용의 효과에 관한 미술치료 사례연구 I (A Case Study on the Effect of the Art Therapy through the Self Expression and the Interpersonal Relations by a Schizophrenic Adolescent I)

  • 박수정
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.229-242
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    • 2009
  • Objectives : This article aims to find how effective the art therapy is on the improvement of the self expression and the interpersonal relations with others, as medium for verbal communication of schizophrenic patients. Methods : The subject of this study was one schizophrenic patient who had been treated with drugs for five years in W university hospital, as well as counseled by an art therapy oo counsel office in J city. The art therapy had been performed the total 25 sessions, fifty minute per session, one session per week, from November 28 in 2008 to April 27 in 2009. The test was by HTP. Results : The results of this study are as follows: First, in the pretest of HTP, the subject showed a little lethargy, painting very simple house-shaped figures and too simple rectangular figures corresponding to those painted by 4 or 5-year-old children. In the post-test, however, the structures of houses were described concretely and three-dimensionally, and the descriptions of people were changed into concrete figure, by which we could see the improvement effect on the self expression and the interpersonal relations. Second, in the earlier stage, there was little verbal self expression, and little self respect, staring into space and showing passive attitude without positive assertion and expression. In the later stage, however, there were positive assertion and expression, even showing sense of humor. Lastly, in the earlier stage, there were few interpersonal relations. In the later stage, however, eye contacts and the interpersonal relations were increased during conversation and in the art work process, respectively. Conclusions : These results suggest that the art therapy can be effective on improvement of the self expression and the interpersonal relations with others, as medium for verbal communication of schizophrenic patients.

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상복부 통증을 奔豚(奔豚)으로 진단하고 양지장(良枳場)을 투여하여 호전된 1례 (A Case Report of Bun-Ton Disease Treated by Yang-Ji-Tang)

  • 석선희;박세환;김근우;구병수
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.265-278
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    • 2008
  • Stress reaction can be shown widely in the systems of psychology, endocrinology, immunology and so on. Stress promotes catecholamine from the autonomic nerve system, and this activates the sympathetic nerve system. As the sympathetic nerve system is activated, high blood pressure, tachycardia, vertigo, anxiety, diaphoresis, myotonic reaction and others can happen. Autonomic imbalance is the syndrome that people suffer from various symptoms accompanying no organic lesions and no psychological disorders by losing the hormonies between the sympathetic and parasympathetic nerve system. We experienced a 55 year-old female who complained of sudden abdominal pain after being frightened at trouble with her husband. Her abdominal pain was very characteristic, "Something is like rising in my abdomen.", that occurred several times a day. We diagnosed 'Bun-Ton Disease' from her abdominal sign. Several oriental medicine books recorded aspects of Bun-Ton disease and treatments, we had given herbal medicine and treated acupuncture be based on those. Results from studies to date suggest the Bun-Ton Disease's main cause is fright or shock, and they stimulate releasing epinephrine or norepinephrine, that result in various symptoms. In this case report, we will present this patient's case and review the Bun-Ton Disease.

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소아의 결장에서 발생한 원발성 선암종 1예 (A Case of Mucinous Adenocarcinoma of the Sigmoid Colon in a Child)

  • 정재열;서유경;김애숙;이선주;조성민;이동석;김두권;최성민;김동훈
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제10권1호
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    • pp.81-85
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    • 2007
  • 소아와 청소년기에 발생하는 대장의 악성 종양은 매우 드물고 예후가 불량하다. 저자들은 내원 3개월 전부터의 식욕 부진, 체중 증가 지연과 내원 6일 전부터의 설사, 복통, 복부 종괴 촉지를 주소로 내원한 12세 남아에서 복부 초음파 촬영, 복부 전산화 단층 촬영, 바륨대장 조영술, 대장 내시경 검사 및 조직 검사 소견으로 진단된 S상 결장에 발생한 점액 선암종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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등에 발생한 에크린한공암종의 치험례 (A Case of Eccrine Porocarcinoma on Back)

  • 최석민;김철환;강상규;탁민성;박상모;진소영
    • Archives of Plastic Surgery
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    • 제35권1호
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    • pp.100-103
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    • 2008
  • Purpose: Eccrine porocarcinoma is a very rare, potentially fatal tumor which arises from the intraepidermal portion of the eccrine sweat ductal apparatus. It does not have a characteristic clinical feature but does have a high incidence of metastasis. It may be developed de novo or in a preexisting benign eccrine poroma. It usually affects older people and is located most commonly on lower extremities. We report a rare case of eccrine porocarcinoma which developed on the back without metastasis. Methods: The patient was a 94-year-old woman who showed a painful, ulcerated, dark brown colored polypoid $3.5{\times}3.0cm$ sized mass on the back for 3 years. We totally excised the lesion including normal tissue. Results: After wide excision of the lesion, pathologist reported an eccrine porocarcinoma. Histopathologic findings reveal that the classic type of eccrine gland carcinoma, eccrine porocarcinoma. Immunocytochemical studies showed a positive reactivity to anti-EMA antibody and anti-CEA antibody. Conclusion: Authors experienced a rare case of primary eccrine porocarcinoma on the back. Because of the propensity to develop local recurrence, wide excision of the primary tumor with histologic confirmation of negative margins represents the only curative treatment regimen for eccrine porocarcinoma.