• 대한한방내과학회지
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• 제39권1호
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• pp.76-83
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• 2018

Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with $Guillain-Barr{\acute{e}}$ Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).

• 동의신경정신과학회지
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• 제25권2호
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• pp.203-212
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• 2014

Objectives: The aim of this study is to bring new light on TalYeong-SilJeong (exhaustion of Yeonggi and loss of Essence) through the verification of both the original intention of Hwangjenaegyeong and the conceptual variation afterwards. Methods: Of various East Asian medical texts, those inferring to TalYeong-SilJeong includeing Hwangjenaegyeong itself were closely examined under the aspect of its conception. Results: TalYeong-SilJeong was suggested as the first representative tool and accurate diagnostic method of questioning in order to determine the mental state of a patient. However, medical scholars have suggested different levels of meaning. Some used the term for the broad coverage of mental illnesses, understanding Hwangjenaegyeong's discrimination as symbolic gesture, while others projected an unchallenged value on it and weaved it into the concrete set of a disease. Conclusions: The treatment of TalYeong-SilJeong is suggested according to the varying viewpoints of each medical text. By understanding multiple layers of the conception beyond, a clinician is expected to gain an exuberant image of conception on the one hand and an insight for more effective treatment on the other hand.

• Journal of Chest Surgery
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• 제17권1호
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• pp.150-156
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• 1984

Paraesophageal hiatus hernia represents a rare hiatal hernia that are treated surgically. The completely asymptomatic paraesophageal hernia often does not reach the clinician or surgeon. But the presence of a symptomatic paraesophageal hernia is sufficient indication for surgery. The paraesophageal hernia may be approached either transthoracically or transabdominally. The general technique is essentially the same, whichever route is used. From either transthoracic or transabdominal approach, following reduction of the viscus and elimination of the sac, the diaphragmatic opening is then closed with interrupted heavy dacron or silk sutures in paraesophageal hiatus hernia. But if the phrenoesophageal membrane often is destroyed when the esophagogastric junction and the distal esophagus have been mobilized, it becomes important to fix the esophagogastric junction below the diaphragm, so that it does not slide through the hiatus and produce a sliding-type hiatus hernia in future. We have experienced one case of paraesophageal hiatus hernia which was accompanied with severe anemia in child. We preferred to approach through left thoracotomy incision and then pushed down the stomach into the abdominal cavity with complete excision of the hernial sac. We employed Belsey Mark V procedure using of Teflon felt pledgets with the mattress sutures against development of sliding-type hiatus hernia in postoperative period. postoperative course has been uneventful and good for about 3 months to this time.

• 대한족부족관절학회지
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• 제24권2호
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• pp.48-54
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• 2020

Osteochondral lesion of the talus (OLT) is a broad term used to describe an injury or abnormality of the talar articular cartilage and adjacent bone. Various terms are used to describe this clinical entity, including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. Several treatment options are available; the choice of treatment is based on the type and size of the defect and the treating clinician's preference. Arthroscopic microfracture (a bone marrow stimulation technique) is a common and effective surgical strategy in patients with small lesions or in those in whom non-operative treatment has failed. This study had the following aims: 1) to review the historical background, etiology, and classification systems of OLT; 2) to describe a systematic approach to arthroscopic bone marrow stimulation for OLT; and 3) to determine the characteristics that are useful for assessing osteochondral lesions, including age, size, type (chondral, subchondral, cystic), stability, displacement, location, and containment of the lesion.

• 대한물리치료과학회지
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• 제8권2호
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• pp.935-944
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• 2001

The patellofemoral pint is formed by the articulation of the patella and femoral condyles in the trochlear groove. The complexity of the patellofemoral pint is magnified by the fact that the tibiofemoral pint works in conjunction with the patellofemoral pint. Additionally, other pints such as the subtalar pint., hip and sacroiliac pints indirectly contribute to the function of the patellofemoral pint. This pint has little bony stability, Soft tissue surrounds the pint to increase stability. The patellofemoral pint increases the mechanical advantage of the quadriceps muscles and resists mechanical loading. In patellofemoral dysfunction, patellofemoral contact pattern is disrupted. leading to excessive compression at the pint. When you treat the patellofemoral dysfunction, you should evaluate anatomic and biomechanic components and find factors of patellofemoral dysfunction. Hamstring tightness. weakness of VMO and tightness of lateral retinaculum lead to flexed knee and abnormal patella tracking and patellofemoral pint reaction force and patellofemoral dysfunction. A through understanding of the anatomy and biomechanics may assist the clinician in the recognition and treatment of patients with patellofemoral pain. Therefore physical therapists should apply modality as well as therapeutic exercise, stretching and strengthening. In this paper, I will discuss the germane anatomical structures and biomechanics of the patellofemoral pint.

• 대한두경부종양학회지
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• 제17권2호
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• pp.234-237
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• 2001

Pyriform sinus fistula is a rare anomaly arising from 3rd or 4th branchial apparatus and has been recognized as one cause of acute suppurative thyroiditis or acute deep neck infection. Pyriform sinus fistula must be considered when a clinician is encountered recurrent left lower neck abscess and a history of repeated incision and drainage. The confirmation of the diagnosis is made when the fistula tract is identified on a barium swallow study and when the internal orifice of the fistula is found at the apex of pyriform sinus on laryngoscopic examination. A complete excision of the fistula tract has been proposed as a treatment of choice. However, in some cases it is very difficult to resect the tract completely because of severe inflammation and repeated drainage procedure. We present three cases of pyriform sinus fistula which are successfully treated by laryngomicroscopic chemocauterization using synthetic fibrin and $AgNO_3$.

• Clinical and Experimental Pediatrics
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• 제54권2호
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• pp.86-89
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• 2011

Traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.

• 대한정형외과 초음파학회지
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• 제1권1호
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• pp.50-57
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• 2008

구조물에 대한 체계적 이해인 해부학과 그 역할에 대한 기능적 확인이라고 할 수 있는 신체 검진법은 슬관절을 진료하는 임상의로서 갖추어야 할 가장 기본적인 소양이라고 할 수 있다. 본문에서는 슬관절의 골성 구조, 반월상 연골, 전후방 십자 인대, 내외측 측부 인대, 근육, 내측 및 외측 삼층 구조 개념, 전후방 해부학, 슬관절 주위 점액낭에 대한 해부학 및 반월상 연골, 내외측 측부 인대, 전방 십자 인대, 후방 십자 인대 및 후측방 구조물에 대한 신체 검사에 대해 기술하였다. 해부학 및 신체 검진법에 대한 개념적이고 체계적인 이해는 슬관절을 치료하는 임상의에게 나침반과 등대와 같은 역할을 할 것이다.

• 여성건강간호학회지
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• 제17권3호
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• pp.205-214
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• 2011

Purpose: The purpose of this study was to examine womens' perceptions regarding influenza vaccination during pregnancy among Korean childbearing women. Methods: Data was collected using focus group interviews from June to September, 2010. Forty Korean women participated in 13 focus groups. After obtaining permission from participants, each session of the focus group was audio-taped and transcribed verbatim. The responses were analyzed utilizing qualitative content analysis. Results: Forty women ranging from 26 to 43 participated in the study. The major themes were safety concerns; effects of fetal protection and infection prevention; lack of perceived needs; and encouragement as well as concerns from others. Participants raised questions on whether the vaccine was safe and effective, and concerns about the potential harmful effect of influenza vaccine to their bodies and the fetus. The major reason for influenza vaccination during pregnancy was to protect self and fetus. Also, clinician's recommendation was the facilitating factors for influenza vaccination during pregnancy. Conclusion: The findings suggest that concerns associated with influenza vaccination should be considered when educating childbearing women about the influenza vaccine during pregnancy.

• Clinical and Experimental Pediatrics
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• 제49권10호
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• pp.1019-1025
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• 2006

Motor delay, when present, is usually the first concern brought by the parents of children with developmental delay. Cerebral palsy that is the most common motor delay, is a nonspecific, descriptive term pertaining to disordered motor function that is evident in early infancy and is characterized by changes in muscle tone, muscle weakness, involuntary movements, ataxia, or a combination of these abnormalities. A wide range of causative disorders and risk factors have been identified for cerebral palsy, and broadly classified into 5 groups; perinatal brain injury, brain injury related to prematurity, developmental abnormalities, prenatal risk factors, and postnatal brain injury. Delay in attaining developmental milestones is the most distinctive presenting complaint in children with cerebral palsy. A detailed history and thorough physical and neurologic examinations are crucial in the diagnostic process. The clinician should be cautious about diagnostic pronouncement unless the findings are unequivocal. Several serial examinations and history review are necessary. All children with cerebral palsy should undergo a neuroimaging study, preferably MRI, because an abnormality is documented on head MRI(89%) and CT(77%). The high incidence rates for mental retardation, epilepsy, ophthalmologic defects, speech and language disorders and hearing impairment make it imperative that all children with cerebral palsy be screened for mental retardation, ophthalmologic and hearing impairments, and speech and language disorders; nutrition, growth, and swallowing also should be closely monitored.