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An Analysis of Clinical Prognosis Factors of Bell's Palsy (Bell's Palsy의 경과에 대한 예후인자 분석)

  • Min, Young-Kwang;An, Chang-Beohm;Jang, Kyung-Jun;Yoon, Hyun-Min;Kim, Cheol-Hong;Song, Choon-Ho;Kim, Soo-Min;Kim, Jeong-Eun;Park, Jae-Heung
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.163-177
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    • 2008
  • Objectives : This study was designed to evaluate clinical prognosis factors of Bell's palsy patients. Methods : The 100 subjects were chosen from 262 patients over 20years old who was diagnosised Bell's palsy through Acupuncture & Moxibustion and ENT medical specialist after visiting the hospital within 8days of onset of peripheral facial palsy and after Oriental-Western Medicine Treatment, recovered completely or had over three months cares because of incomplete recovery Oriental-Western Medicine Treatment included Acupuncture Treatment, Herb med treatment, medicines treatment, Physical therapy and Electrodiagnostic Test was operated after 7 to 10days after outbreaks of the disease. Clinical prognosis factors were analyzed using House-Brackmann grading system(HBGS) as a measurement of the degree of Facial Palsy. Collected data were analyzed as Chi-Square test, ANOVA test, Independent-Samples t-test regression analysis using SPSS 12.0 WIN Program. Results : 1. There was a significant difference in the results of treatment according to site of palsy, degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset as clinical prognosis factors of Bell's Palsy, However, a statistically significant difference was not shown in the results of treatment according to gender, age, existence of Post Auricular Pain, Hypertension, Diabetes and existence of relapse. 2. As a result of overall treatment, 85% of patients were recovered almost entirely and 15% were not recovered completely. 3. There was a significant difference in the onset of Post Auricular Pain and duration of Post Auricular Pain according to the degree of Post Auricular Pain. 4. There was a significant difference in the degree of initial palsy and degree of palsy after 3weeks from onset according to the existence of Post Auricular Pain. However, a statistically significant difference was not shown in the period of time until initial treatment, The time of initial recovery, (H-B), The period from onset to recovey, ENoG value. Conclusions : Based on the above results, prognosis of Bell's palsy was affected by degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset.

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The Clinical study of Su-Gi therapy's Effects on Bell's palsy by observing of Y-system (Y-system으로 관찰한 Bell's palsy에 미치는 수기요법의 영향에 관한 임상적 연구)

  • Lee, Jae Heung;Ahn, Hun Mo;Hong, Seung Cheol;Lee, Eun Mi
    • Journal of Korean Medical Ki-Gong Academy
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    • v.15 no.1
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    • pp.109-136
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    • 2015
  • Objects : The purpose of this study is to investigate the effect of Su-Gi therapy for Bell's palsy by using Y-system(Yanagihara's unweighted grading system). Methods : We investigated 25 patients with Bell's palsy who had visited in the M, H Korean medicine hospital in Gyeonggi Province from December 27th, 2010 to April 8th, 2015. The Su-Gi therapy was done by 1 times daily. And each patients had been treated more than 25 days. We evaluated the change of them by using Y-system. Results : 1. We investigated 25 patients with Bell's palsy. 80% of the patients were females(20 patients), 20% of the patients were male(5 patients). The average age of patients was 47±15.15. The average period of Adm. treatment was 64% of the patients(16 patients) have left facial palsy, 36% of the patients(9 patients) have right facial palsy. 2. The mean Y-system score before treatment was 17.80±6.2, and the mean score after 25th days treatment was 33.68±4.0. Changes in the mean Y-system Score for each case according to the treatment days was increased significantly. 3. The mean Y-system score after 4th days treatment had increased by an 1.24±2.7 as compared to before treatment, the score after 10th days treatment was 8.7±4.7, the score after 14th days treatment was 11.84±5.8, the score after 20th days treatment is 14.72±6.7, and the score after 25th days treatment was 15.88±6.9. Every score was significantly increased. Conclusions: 1. Su-Gi therapy can be defined that is mainly using the hands to touch or movement of the human body skin, meridians and acupuncture points, muscles, joints and so on. And that is the treatment to communicate and harmonize to the meridians and acupuncture points, and to prevent of diseases, and to keep health. 2. All names of An-Gyo, An-Ma, Jum-Hyul, Chu-Na, massage, and so on should be referred to as Su-Gi therapy. And that individual names are to be classified and separated as the type or method of Su-Gi therapy. 3. The results of the treatment of Hwidam's Su-Gi therapy for Bell's palsy by using Y-system were significant.

Effect of emergency bell on door to ECG time in walk-in patients presented to emergency department with chest pain (흉통을 주소로 응급실에 내원한 환자에서 심전도 촬영 소요 시간에 대한 응급벨 제도의 효과)

  • Kim, Min-Woo;Oh, Sang-Hoon;Park, Kyu-Nam;Lee, Jung-Min;Lee, Young-Mee;Kim, Han-Joon;Kim, Soo-Hyun;Kang, Dong-Jae
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.12-24
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    • 2014
  • Objectives: The aim of this study was to explore whether emergency bell could shorten door to electrocardiograms (ECG) time in chest pain patients presenting to emergency department (ED) by self-transport. Methods: This was a planned 6-month before-and-after interventional study design. We set up the emergency bell in walk-in patients' waiting room. Prior to the change, patients were triaged before an ECG was obtained. In new process, as soon as patient with chest pain push the emergency bell, emergency physicians examined patient and prioritized performing ECG. We analyzed door to electrocardiograms (DTE) times for patients with chest pain and ST segment elevation myocardial infarction (STEMI) patients between two periods. Results: During the enrollment period, a total of 63 patients called emergency bell. The median DTE time was 6 min (interquartile range: 3.0 - 9.0) and 82.5% received an ECG within 10 minutes, and only three patients were STEMI. DTE time in patient with chest pain was not different between two periods (p=0.980). Before intervention period, 15 walk-in patients admitted in ED for STEMI and 53.8% of STEMI patients received an ECG within 10 minutes. After intervention period, total 19 walk-in patients admitted in ED for STEMI. Of these, 89.5% met the time requirement. Conclusion: Because a small portion of patients with chest pain activated the emergency bell, new strategy for promotion of emergency bell must be needed.

The clinical study of Digital Infrared Thermographic Imaging on Depressed patients (전신체열촬영(全身體熱撮影)에 의한 우울증(憂鬱症)과 안면마비(顔面麻痺)의 객관적(客觀的) 진단방법(診斷方法) 모색(摸索))

  • Kim Tae-Heon;Lee Yong-Keun;Lyu Yeong-Su
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.2
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    • pp.87-102
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    • 2000
  • Depression is a psychiatric syndrom consisting of dejected mood, psychomotor retardation, insomnia and weight loss. sometimes associated with irrational quilt feeling. And it is also similiar to Hwa-byung(火病) symptom in oriental medicine. But it is difficult to diagnose with objective method. Digital Infrared Thermographic Imaging(D.I.T.I.) is one of diagnotic method that measure the changes of skin temperature in body.Specially we checked the skin temperature on depressed patients by using D.I.T.I. and compared with Bell's palsy patients and normal persons group.The results are as follows:Average body temperature of the depressed patient group is 36.62${\cdot}$0.58$^{\circ}C$ , Bell's palsy patients group is 36.59${\cdot}$0.34$^{\circ}C$ and that of the control group is 36.71${\cdot}$0.43$^{\circ}C$ . So there is no meaningful difference. The depressed patient group has higher temperature than the Bell's palsy patients group and control group by $\delta$T〉1.0$^{\circ}C$ at the following acupuncture points in these body parts - upper and lower, left and right, anterior and posterior. When acupuncture points temperature was compared superior and inferior part of the body, depressed patient group have meaningful difference at the GV-4 (Myung-moon) and also in the Bell's palsy patients group and control group.When acupuncture points temperature was compared left and right part of the body. ddpressed patient group have no meaningful difference and also in the Bell's palsy patients group and control group.When acupuncture points temperature was compared in the anterior and posterior part of the body, depressed patient group have meaningful difference at the Gv-4(Myung-moon) and also in the bell's palsy patients group and control group.From this study. we think that D.I.T.I. could be used to diagnose objectively on the depressed patients and useful to another psychoneurogenic diagnosis in oriental medicine.

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Incidence, clinical features and prognosis of Bell's palsy in children (소아에서 벨 마비의 발생빈도, 임상적 특징 및 예후에 대한 연구)

  • Won, Yoo Jong;Moon, Kyung Hee;Lee, Wan Soo;Keum, Seung Woon;Yu, Seung Taek;Oh, Gyung Jae;Lee, Chang Woo
    • Clinical and Experimental Pediatrics
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    • v.50 no.3
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    • pp.272-276
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    • 2007
  • Purpose : Bell's palsy is defined as an idiopathic facial nerve paralysis of sudden onset. In spite of intensive clinical and experimental investigation, there is still uncertainty in the incidence, etiology, and preferred mode of treatment in children. The objective of this study was to analyze clinical outcome and prognosis of children with Bell' palsy. Methods : We analyzed 61 cases of Bell's palsy diagnosed at the Department of Wonkwang University Hospital from January 1998 to July 2006. The inclusion criteria were any children with acute isolated unilateral lower motor neuron type of facial nerve palsy. The clinical findings and investigations were reviewed including age, sex, affected site, seasonal incidence and result of steroid treatment. Chi-square and Fisher's exact test was used to compare clinical outcome between duration of complete recovery and age. Results : There was no difference in incidence according to sex or age. Incidence was higher in summer and winter. There was no difference in complete recovery rate and duration between steroid treated group and control group. In the group of children younger than 6 years, duration of complete recovery was shorter than older children. Conclusion : We found increasing the incidence of Bell's palsy in summer and winter. Children younger than 6 years had shorter duration in complete recovery.

Significance of Three-Dimensional Digital Documentation and Establishment of Monitoring Basic Data for the Sacred Bell of Great King Seongdeok (성덕대왕신종의 3차원 디지털 기록화 의미와 모니터링 기초자료 구축)

  • Jo, Younghoon;Song, Hyeongrok;Lee, Sungeun
    • Conservation Science in Museum
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    • v.24
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    • pp.55-74
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    • 2020
  • The Sacred Bell of Great King Seongdeok is required digital precision recording of conservation conditions because of corrosion and partial abrasion of its patterns and inscriptions. Therefore, this study performed digital documentation of the bell using four types of scanning and unmanned aerial vehicle (UAV) photogrammetry technologies, and performed the various shape analyses through image processing. The modeling results of terrestrial laser scanning and UAV photogrammetry were merged and utilized as basic material for monitoring earthquake-induced structural deformation because these techniques can construct mutual spatial relationships between the bell and its tower. Additionally, precision scanning at a resolution four to nine times higher than that of the previous study provided highly valuable information, making it possible to visualize the patterns and inscriptions of the bell. Moreover, they are well-suited as basic data for identifying surface conservation conditions. To actively apply three-dimensional scanning results to the conservation of the original bell, the time and position of any changes in shape need to be established by further scans in the short-term. If no change in shape is detected by short-term monitoring, the monitoring should continue in medium- and long-term intervals.

Comparison studies on 20 cases of Bell's palsy patients by acupunture and Rainbow therapy & acupunture (특발성 안면신경 마비 환자 20례에 대한 체침과 체침및 Rainbow therapy병행치료의 비교연구)

  • Hwang, Yeong-Jin;Lee, Byun;Heo, Yoon-Kyoung;Song, Hyong-Gun;Ahn, Taek-Won;Hwang, Jae-Ok
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.87-95
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    • 2006
  • Objective : We suggested the clinical effect of Rainbow therapy on Bell's palsy. Methods : 20 Bell's palsy patients were divided into two groups. One group(A group) was treated by acupunture and the other group(B group) was treated by acupunture and Rainbow therapy. The effect of these treatments was evaluated by Yanagihara's unweighted grading system and House-Brackmann grading system. Results and Conclusions : In Yanagihara's unweighted grading system After 1 week and 2weeks treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 3 weeks treatment, group B marked more higher than group A in treatment outcome but it is not significant differences between two groups. In House-Brackmann's facial nerve grading system, After 1 week treatment, group B marked more higher than group A in treatment outcome. We discovered that it is significant differences between two groups. After 2 weeks and 3 weeks treatment, group A marked more higher than group A in treatment outcome but it is not significant differences between two groups.

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Modal Analysis of the Bell Type Shell with Thickness and Asymmetric Effects (鐘形셀의 두께變化 및 非對稱效果에 따른 振動모우드 解析에 관한 硏究)

  • 정석주;공창덕;염영하
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.10 no.3
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    • pp.383-391
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    • 1986
  • Mode shapes and natural frequencies of the bell type shell are analyzed numerically by the finite element method. The impulse hammer method and the Fast Fourier Transform analyzer are used for the experimental test. All types of mode shapes are expressed by the computer graphics. Numerical solutions are good agreement with the experimental results. The sustaining sound of the typical bell-type shell depend upon the first flexural mode (0-2 mode) and the second flexural mode (0-3 mode), and their mode shapes are independent upon thickness Dangjwas, holes, and added mass effects. Asymmetric effects by Dangjwas, holes and added mass give rise to beat frequencies, and the added mass is found to be most effective.

Clinical comparison studies on 30 cases of Bell's palsy patient with postauricular pain by Anti-inflammatory pharmacopuncture & Acupuncture and Herbal therapy (소염약침이 이후통을 동반한 구안와사 환자에 미치는 영향)

  • Choi, Byoung-Chol;Ahn, Taek-Won;Han, Kyung-Su
    • Journal of Haehwa Medicine
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    • v.18 no.2
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    • pp.89-94
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    • 2009
  • Objective : This study was designed to evaluate the effect of treatment of Bell's palsy patients with postauricural pain by Anti-inflammatory pharmacopuncture Methods : The clinical comparison studies were carried out 30 cases of Bell's palsy patient with postauricular pain. Anti-inflammatory pharmacopuncture. We divided into two groups. One was control group that was treated only Acupuncture and Herbal therapy and The other was a Anti-inflammatory pharmacopuncture group and the conclusions for treatment are as follows. Results : 1. Regarding alleviation of pain by VAS, Anti-inflammatory pharmacopuncture Group II showed significant decrease of VAS in the 5days treatment. 2. They were not significant score within two groups after 5th days treatment. 3. As a result of evaluation by using Yanagihara score, they were not significant score within two groups after final treament.

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