• 제목/요약/키워드: clinical case

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A Human Case of Hymenolepis diminuta in a Child from Eastern Sicily

  • Patamia, Ildebrando;Cappello, Elisa;Castellano-Chiodo, Donato;Greco, Filippo;Nigro, Luciano;Cacopardo, Bruno
    • Parasites, Hosts and Diseases
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    • 제48권2호
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    • pp.167-169
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    • 2010
  • We report a case of Hymenolepis diminuta infection in a 2-year-old child living in a suburban area of Catania, Italy. This case was initially referred to us as Dipylidium caninum infection, which was not cured after being treated twice with mebendazole. However, by analyzing the clinical presentation and stool samples we arrived to the diagnosis of H. diminuta infection. The case presented with atypical allergic manifestations which had never been reported as clinical features of symptomatic H. diminuta infection; remittent fever with abdominal pain, diffuse cutaneous itching, transient thoracic rash, and arthromyalgias. The patient was treated with a 7-day cycle of oral niclosamide, which proved to be safe and effective. This case report emphasizes that a correct parasitological diagnosis requires adequate district laboratories and trained personnel. In addition, we recommend the importance of reporting all H. diminuta infection cases, in order to improve knowledge on epidemiology, clinical presentation, and treatment protocols.

학부 성형외과학 과목평가를 위한 짧은 사례문항의 개발과 시행: 3년간의 경험 (Development and Enforcement of Short Case Test Items for Evaluation in Undergraduate Course of Plastic Surgery: 3 Years Experience)

  • 황건;박준호;이세일
    • Archives of Plastic Surgery
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    • 제33권2호
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    • pp.225-232
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    • 2006
  • The aim of this study is to evaluate the clinical competence of medical student using short case test items. Development of short case test items with definition of an assessment of subject, choice of clinical stations sampling, identification of components of clinical competence to be evaluated, and assessment of practicability and results exploitation. For the last three years 28, 48 and 30 topics were developed annually. Among them 20, 23 and 23 topics were selected. About 50 students were examined annually. The mean score was 72.7, 57.1, 64.3 respectively. The mean preparation time of the students for the examination was 9.8 hours. About 60% of the students prepared the test in small group activity. Our experience suggests that short case test items be feasible for evaluation of student learning in Plastic Surgery. This method should be considered as a useful tool to assess medical student's competence or even an examination for board certification.

오령산에 대한 임상연구 분석 (An analysis of Clinical Studies on Oryeong-San)

  • 석은주;전수연;김원배;김도현;이숭인
    • 대한한의학방제학회지
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    • 제26권4호
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    • pp.341-362
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    • 2018
  • Objective : This study's purpose was to review the clinical studies of Oryeong-San. Method : We searched papers about Oryeong-San using KISS, KTKP, PUBMED, Embase, Science Direct, and the key words "Goreisan", "Goreito", "Wu Ling San", "Oryeongsan", "Poria Five Powder" were used. Papers not matched with inclusion criteria were excluded. Results : Until today, there have been 133 studies on the effects of head diseases, urinary system diseases, edema, and other various effects of Oryeong-San. Of these, 23 studies were classified as clinical research papers. There were 8 cases of head diseases, 5 cases of urinary system diseases, 3 cases of edema, 2 cases of adjuvant, 1 case of Dysmenorrhea, 1 case of Primary Hypertension, 1 case of Primary Insomnia, 1 case of hydrocele, 1 case of side effects causing TINU syndrome. Conclusion : It can be seen that Oryeong-San has established the basis for application to the purpose of head disease(chronic subdural hematoma, hydrocephalus, hearing loss), urinary system disease(stone, urinary tract infection), edema, adjuvant, other hypertension and insomnia. On the other hand, considering one case that causes side effect of TINU syndrome, caution should be exercised when observing the progress of the patient taking the Oryeong-San.

반하백출천마탕을 사용한 국내 임상연구 분석 (Usage of Korean Herbal Medicine Banhabaekchulcheonmatang-Analysis of Korean Clinical Studies)

  • 김녹원;배민정;윤영주
    • 대한예방한의학회지
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    • 제28권1호
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    • pp.89-107
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    • 2024
  • Objectives : To investigate the clinical usage of Banhabaekchulcheonmatang (BBCT), this study reviewed clinical studies conducted in Korea. Method : Literature search was performed on four Korean database; OASIS, RISS, KTKP and NDSL. Studies published before July 2023 were categorized and analyzed according to the target disease. Results : Fifty-four studies including 36 single case reports and 18 case series were included in this review and the total number of case patients was 79. There were 24 patients with peripheral vertigo such as benign paraoxysmal positional vertigo and Meniere's disease, 17 with central vertigo such as cerebellar infarction, 15 with vertigo accompanied by digestive symptoms, 13 with headache, and 10 with other diseases. Vertigo treatment accounted for more than 70% of the total case and there was no cases of hypertension and dementia. The BBCT formulation used was decoction in 69 patients (87.3%), powder in 7 patients (8.9%), and combination of decoction and powder in 3 patients (3.8%). Conclusion : Clinical research should be accumulated to expand the use of BBCT in the treatment of hypertension and dementia. In order to increase the use of insurance-covered extract preparation, it is necessary to make an effort to include the various diseases actually treated with BBCT in the indications.

만성 경막하 혈종(Chronic subdural hematoma, CSDH)에 대한 오령산 증례보고 2례 (Two Case Studies of the Use of Oreong-san for a Chronic Subdural Hematoma)

  • 정윤경;김수빈;양정윤;문상관;정우상;권승원;조기호
    • 대한한방내과학회지
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    • 제38권2호
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    • pp.259-263
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    • 2017
  • We describe the cases of two patients with chronic subdural hematomas who were treated with Oreong-san. The patients' symptoms improved, as verified by brain computed tomography imaging. Oreong-san may control membrane permeability by inhibiting the aquaporin channel of the outer membrane of a hematoma. We speculate that hydrostatic modulation is a key mechanism underlying the effectiveness of Oreong-san in the treatment of subdural hematomas.

한양방치료를 병행한 안성 대상포진 환자 치험 1례 (A Case Study of a Herpes Zoster Ophthalmicus Patient Treated by Korean-Western Cooperative Treatment)

  • 박민정;양정윤;김수현;조기호;문상관;권승원;정우상
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.159-164
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    • 2018
  • A case of a 72-year-old Korean male with herpes zoster ophthalmicus revealed. He was treated with Korean-Western cooperative treatment. We used the Numeric Rating Scale (NRS) to evaluate forehead and eye pain. Pain was improved after the administration of Korean medical treatments and disappeared after eight days. Korean-Western cooperative treatment may be effective in treating acute herpes zoster ophthalmicus.

육군자탕을 이용한 뇌졸중 후 침상안정 상태의 변비 환자 치험 3례 (Case series of Post Stroke Bed-ridden Patients with Constipation Using Yukganja-tang)

  • 정민호;김경묵;손정화;문상관;정우상;권승원;조기호
    • 대한중풍순환신경학회지
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    • 제18권1호
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    • pp.31-35
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    • 2017
  • Case series of 3 post stroke bed-ridden patients with constipation is presented. They were treated with dietary herbal medicine - 六君子湯(Yukgunja-tang, Liujunzi-tang, Rikkunshi-to) After Yukgunja-tang treatment, there was notable improvement in constipation. Yukgunja-tang treatment may be effective in treating post stroke bed-ridden patients with constipation.

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만성 재발성 방광염 환자의 한방 치험 1례 (A Case of Chronic Relapsing Cystitis)

  • 임규정;유동렬
    • 혜화의학회지
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    • 제21권1호
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    • pp.103-107
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    • 2012
  • Purpose : The purpose of this report is to record the effects of acupuncture and moxibustion treatment on Chronic Relapsing Cystitis. Methods : This is a case report of female patient suffering from urinary disturbance based on the bladder stimulated. 28 years old woman diagnosed with chronic relapsing cystitis was enrolled in this study. She was treated with acupunctures at CV6(Qihai, 氣海), CV4(Guanyuan, 關元) and CV2(Qugu, 曲骨) for two weeks, seven times. During the treatments, we checked changes of symptoms. Results : After acupuncture treatments, clinical symptoms of chronic relapsing cystitis and general conditions were improved. Conclusion : This clinical case shows that acupuncture is effective in treatment of the chronic relapsing cystitis. More clinical data and studies are required for the treatment of chronic relapsing cystitis.

황기(黃耆)제 투여로 득효한 아토피피부염 환자 1례 보고 (A Clinical Report of Atopic Dermatitis)

  • 전상규;이남정;공준호
    • 대한상한금궤의학회지
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    • 제4권1호
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    • pp.75-82
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    • 2012
  • Objective : We considered Astragali Radix(黃耆) can be used to cure serious atopic dermatitis. so we treated this patient with prescriptions contained Astragali Radix(黃耆). By this case, we got effective results and report this case and index of choice Astragali Radix(黃耆) Method : After treatment with prescription contained Astragali Radix(黃耆), we observe the changes and analyze results. Results : 1. Atopic dermatitis can be cured with Astragali Radix's efficiency on Sanghanron(傷寒論) 2. We considered Astragali Radix(黃耆) can be used when Chronic damage to the nasal mucosa is appeared by rhinoscopy and Sneezing, runny nose that lasts all year round is shown Conclusion : Gaeji-Ka-Hwangki-Tang(桂枝加黃耆湯) has most effect on this case. So, We need to study combination Astragali Radix(黃耆) with Glycyrrhizae Radix(甘草) and the efficacy of herbs belonged to leguminosae.

Supravalvular Pulmonic Stenosis with Pulmonary Hypertension in a Bedlington Terrier Dog

  • Park, Kuk-Te;Hyun, Changbaig
    • 한국임상수의학회지
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    • 제34권4호
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    • pp.268-271
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    • 2017
  • A 1.3 year-old Castrated male Bedlington terrier (10.0 kg of body weight) was presented with heart murmur and occasional coughing. Diagnostic imaging studies revealed supravalvular pulmonic stenosis (maximal velocity 2.91 m/s) from abnormal membranous structure (aperture) distal to the pulmonary valve in the main pulmonary artery. Further study also revealed pulmonic regurgitant (1.82 m/s of peak velocity, 13.2 mmHg of pressure gradient) jets started from the abnormal membranous structure. Since the dog had no obvious clinical signs related to heart failure, no interventional therapy including balloon dilation was considered in this case. Instead, medical treatment for preventing further deterioration of clinical signs related to PS was done with enalapril. This case report described a rare case of type III supravalvular PS in a dog, which has never been reported. Further deterioration of clinical signs has yet been recognized after medical treatment.