• 제목/요약/키워드: internal medicine

검색결과 15,436건 처리시간 0.038초

중추성 어지러움을 호소하는 외측 연수경색 환자의 한방치험 증례보고 (Treatment of a Patient with Central Dizziness Diagnosed as a Lateral Medullary Infarction: A Case Report)

  • 박송원;김영지;김학겸;송주연;홍승철;안립;최동준
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.912-919
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    • 2019
  • Objective: The aim of this case report was to describe the effects of traditional Korean medicine on a patient suffering from central dizziness caused by a lateral medullary infarction Methods: The patient was given a series of Korean medicine therapy treatments, including Jeseubsungi-tang, acupuncture, and cupping, for 37 days. We measured the progress of this case using a numerical rating scale (NRS). Results: After the treatment, the NRS score for dizziness decreased, and the headache almost completely subsided. Conclusions: This clinical case study indicated that Jeseubsungi-tang could be effective in relieving central dizziness and headache caused by lateral medullary infarction.

Primary copper-associated chronic hepatitis without copper metabolism domain containing 1 mutation in a Dalmatian: a case report

  • Sumin Yun;Dohee Lee;Jimin Oh;Yeon Chae;Taesik Yun;Yoonhoi Koo;Mhan-Pyo Yang;Byeong-Teck Kang;Hakhyun Kim
    • 대한수의학회지
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    • 제62권4호
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    • pp.31.1-31.5
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    • 2022
  • A 12-year-old intact male Dalmatian dog presented hyporexia and vomiting for 1 week. Blood analysis revealed increased liver enzyme activity. Histopathological examination of the liver confirmed chronic hepatitis with fibrosis and necrosis. Copper staining revealed marked copper accumulation (2,770 ppm; normal range, 200 to 400 ppm), prominent in the centrilobular region, and compatible with copper-associated chronic hepatitis. However, copper metabolism domain containing 1 (COMMD1) mutation predisposing to copper accumulation in the liver tissue was not identified. The dog received medications but died 1 month after first visit. This is the first case of primary copper-associated hepatitis without COMMD1 mutation in a Dalmatian dog in South Korea.

A Multicenter Study to Identify the Respiratory Pathogens Associated with Exacerbation of Chronic Obstructive Pulmonary Disease in Korea

  • Lee, Hyun Woo;Sim, Yun Su;Jung, Ji Ye;Seo, Hyewon;Park, Jeong-Woong;Min, Kyung Hoon;Lee, Jae Ha;Kim, Byung-Keun;Lee, Myung Goo;Oh, Yeon-Mok;Ra, Seung Won;Kim, Tae-Hyung;Hwang, Yong Il;Rhee, Chin Kook;Joo, Hyonsoo;Lee, Eung Gu;Lee, Jin Hwa;Park, Hye Yun;Kim, Woo Jin;Um, Soo-Jung;Choi, Joon Young;Lee, Chang-Hoon;An, Tai Joon;Park, Yeonhee;Yoon, Young-Soon;Park, Joo Hun;Yoo, Kwang Ha;Kim, Deog Kyeom
    • Tuberculosis and Respiratory Diseases
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    • 제85권1호
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    • pp.37-46
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    • 2022
  • Background: Although respiratory tract infection is one of the most important factors triggering acute exacerbation of chronic obstructive pulmonary disease (AE-COPD), limited data are available to suggest an epidemiologic pattern of microbiology in South Korea. Methods: A multicenter observational study was conducted between January 2015 and December 2018 across 28 hospitals in South Korea. Adult patients with moderate-to-severe acute exacerbations of COPD were eligible to participate in the present study. The participants underwent all conventional tests to identify etiology of microbial pathogenesis. The primary outcome was the percentage of different microbiological pathogens causing AE-COPD. A comparative microbiological analysis of the patients with overlapping asthma-COPD (ACO) and pure COPD was performed. Results: We included 1,186 patients with AE-COPD. Patients with pure COPD constituted 87.9% and those with ACO accounted for 12.1%. Nearly half of the patients used an inhaled corticosteroid-containing regimen and one-fifth used systemic corticosteroids. Respiratory pathogens were found in 55.3% of all such patients. Bacteria and viruses were detected in 33% and 33.2%, respectively. Bacterial and viral coinfections were found in 10.9%. The most frequently detected bacteria were Pseudomonas aeruginosa (9.8%), and the most frequently detected virus was influenza A (10.4%). Multiple bacterial infections were more likely to appear in ACO than in pure COPD (8.3% vs. 3.6%, p=0.016). Conclusion: Distinct microbiological patterns were identified in patients with moderate-to-severe AE-COPD in South Korea. These findings may improve evidence-based management of patients with AE-COPD and represent the basis for further studies investigating infectious pathogens in patients with COPD.

안면신경마비 환자에 대한 한방 치험 1례 (A Case Report of Facial Nerve Palsy Treated with Korean Medicine Treatment)

  • 한동근;강아현;서혜진;성재연;오주현;이유라;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.277-285
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    • 2018
  • Objective: This study is designed to evaluate the effects of Korean medicine treatment for facial nerve palsy. Method: The patient was administered Korean medicine treatment, including acupuncture, pharmacopuncture, and herbal medicine. We used the House-Brackmann Grading System and Yanagihara's Unweighted Grading System to assess the symptoms of facial nerve palsy. Results: The patient's House-Brackmann grade was reduced from grade IV to grade II, and Yanagihara's grade was increased from 19 to 32. The patient's symptoms, which were facial pain, facial asymmetry, reduced wrinkling forehead, incomplete closing eye, epiphora, and tinnitus, improved during the hospitalization. Conclusion: This study shows that Korean medicine treatment may be an effective treatment for facial nerve palsy.

전신통 및 수면, 소화 장애를 동반한 섬유근육통 환자의 한방 치험 1례 (A Case of Traditional Korean Medicine for a Patient with Fibromyalgia Experiencing Whole Body Pain and Sleep and Digestive Disorders)

  • 최아련;정유진;강아현;한동근;성재연;서혜진;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.797-805
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    • 2017
  • Objectives: The purpose of this clinical case is to evaluate the efficacy of traditional Korean medicine as a treatment for fibromyalgia. Methods: The patient was treated with Korean medicine therapy (herbal medicine, acupuncture, pharmacopuncture, and Chu-na therapy). We measured the status and progress of this patient using a numerical rating scale (NRS), EuroQol-5D, range of movement (ROM), and a special test. Results: After the treatments, the patient's pain was controlled and the NRS score decreased. The overall symptoms of the patient and the EQ-5D score were both improved. The ROM and special test score were also improved. Conclusions: Traditional Korean medicine may have positive effects as a treatment for fibromyalgia.

Middle East respiratory syndrome clinical practice guideline for hemodialysis facilities

  • Park, Hayne Cho;Lee, Young-Ki;Lee, Sang-Ho;Yoo, Kyung Don;Jeon, Hee Jung;Ryu, Dong-Ryeol;Kim, Seong Nam;Sohn, Seung Hwan;Chun, Rho Won;Choi, Kyu Bok;The Korean Society of Nephrology MERS-CoV Task Force Team
    • Kidney Research and Clinical Practice
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    • 제36권2호
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    • pp.111-116
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    • 2017
  • The Korean Society of Nephrology participated in the task force team consisting of government authorities and civilian experts to prevent and control the spread of Middle East respiratory syndrome (MERS) in 2015. The Korean Society of Nephrology MERS Task Force Team took an immediate action and drafted 'the clinical recommendation for hemodialysis facilities' to follow when the first and the only confirmed case was reported in the hemodialysis unit. Owing to the dedicated support from medical doctors, dialysis nurses, and related medical companies, we could prevent further transmission of MERS infection successfully in hemodialysis units. This special report describes the experience of infection control during MERS outbreak in 2015 and summarizes the contents of 'the clinical practice guideline for hemodialysis facilities dealing with MERS patients' built upon our previous experience.

요추 추간판탈출증을 동반한 당뇨병 환자에 대한 한방 치험 1례 (A Case Report of Diabetes Mellitus with Herniated Intervertebral Lumbar Discs Improved by Korean Medicine Treatment)

  • 한동근;최아련;정유진;강아현;서혜진;성재연;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.828-833
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    • 2017
  • Objective: The aim of this study was to evaluate the effects of traditional Korean medicine as a treatment for diabetes mellitus with herniated intervertebral lumbar discs. Method: The patients were treated with the herbal medicine Jungso-tang to reduce serum glucose (FBS/PP2hrs) and HbA1c to improve diabetes mellitus in parallel with lumbar herniated intervertebral disc treatment. Results: The treatment with Jungso-tang decreased the serum glucose (FBS/PP2hrs) and HbA1c levels. Conclusion: Korean medicine may be an effective treatment for diabetes mellitus with lumbar herniated intervertebral disc.

반코마이신 내성 장알균(Vancomycin Resistant Enterococci)이 검출된 뇌졸중 환자의 집락 해제에 대한 한방치료 1례 : 증례보고 (Effect of Korean Medicine Treatment on Vancomycin-resistant Enterococci Colonization in a Stroke Patient: A Case Report)

  • 서형범;이찬;조임학;허기윤;강희경;한창우;김소연;최준용;박성하;윤영주;홍진우;권정남;이인
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1191-1199
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    • 2020
  • We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms.

귀비탕(歸脾湯)으로 호전된 뇌경색을 동반한 하지정맥류 환자 치험 1례 (A Case of Varicose Veins of the Lower Limbs with Cerebral infarction Treated with Guibi-tang)

  • 이해연;조현석;김정철;이재은;이재준;배동주;공경환;백태현;박정한
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.633-639
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    • 2004
  • A varicose vein of the lower limbs is dilated, tortuous and elongated vein. Western medical treatment involves conservative management, sclerotherapy, and surgery. Currently, internal medicinal treatment is inadequate. Recently a patient was diagnosed with varicose veins of the lower limbs based on clinical symptoms. In this case, Guibi-tang was administered and clinical symptoms improved. This report suggests that oriental medicinal treatment is efficacious in treating varicose veins of the lower limbs. We think that further oriental medical studies on various surgical diseases are needed.

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조영 심초음파를 통하여 진단된 심첨성 비후성 심근병증에 발생한 혈전을 동반한 심실류 1예 (Apical Hypertrophic Cardiomyopathy with Apical Aneurysm and Thrombus Diagnosed by Contrast Echocardiography)

  • 박규환;홍그루;남종호;강민규;김수미;정성윤;나지훈
    • Journal of Yeungnam Medical Science
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    • 제27권2호
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    • pp.133-138
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    • 2010
  • Apical hypertrophic cardiomyopathy is rare disease and a variant of hypertrophic cardiomyopathy with prevalence of 1 in 500 in the general population. Apical hypertrophic cardiomyopathy with apical aneurysm and intramural thrombus is extremely rare. We report a case of apical hypertrophic cardiomyopathy progressing to left ventricular apical aneurysm with intramural thrombus diagnosed by contrast echocardiography.

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