• 제목/요약/키워드: korean internal medicine

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Clinical practice guidelines for percutaneous endoscopic gastrostomy

  • Chung Hyun Tae;Ju Yup Lee;Moon Kyung Joo;Chan Hyuk Park;Eun Jeong Gong;Cheol Min Shin;Hyun Lim;Hyuk Soon Choi;Miyoung Choi;Sang Hoon Kim;Chul-Hyun Lim;Jeong-Sik Byeon;Ki-Nam Shim;Geun Am Song;Moon Sung Lee;Jong-Jae Park;Oh Young Lee
    • Clinical Endoscopy
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    • 제56권4호
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    • pp.391-408
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    • 2023
  • With an aging population, the number of patients with difficulty in swallowing due to medical conditions is gradually increasing. In such cases, enteral nutrition is administered through a temporary nasogastric tube. However, the long-term use of a nasogastric tube leads to various complications and a decreased quality of life. Percutaneous endoscopic gastrostomy (PEG) is the percutaneous placement of a tube into the stomach that is aided endoscopically and may be an alternative to a nasogastric tube when enteral nutritional is required for four weeks or more. This paper is the first Korean clinical guideline for PEG developed jointly by the Korean College of Helicobacter and Upper Gastrointestinal Research and led by the Korean Society of Gastrointestinal Endoscopy. These guidelines aimed to provide physicians, including endoscopists, with the indications, use of prophylactic antibiotics, timing of enteric nutrition, tube placement methods, complications, replacement, and tube removal for PEG based on the currently available clinical evidence.

두통(중추성뇌졸중후통증 의증)을 호소하는 뇌경색 과거력이 있는 한방병원 입원 환자에 대한 한방 치료 1례 (Case Report on Headache (Suspected CPSP) Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction)

  • 박진훈;공건식;송진영;김소원;왕연민;김상윤;강만호;박성환;엄국현;이형철;이지영
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.893-903
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    • 2021
  • Objectives: This study investigated the efficacy of Korean medical treatment for a headache (suspected CPSP) patient with a history of cerebral infarction. Methods: We treated the patient using Korean medical treatments (herbal medicines-Kamiseokyong-tang, acupuncture, pharmacopuncture, and chuna). The treatments were measured using the Numerical Rating Scale (NRS) and the Neck Disability Index (NDI) for headache and post neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) Scale. Results: We observed improvements in the NRS, NDI, and EQ-5d scores after the treatments. Conclusions: This study suggests that Korean medicine may effectively treat headaches (suspected CPSP) with accompanying cerebral infarction.

해마경화증 환자의 어지럼증 치험 1례 (Case report: Dizziness due to Hippocampal Sclerosis)

  • 이강욱;유주영;이혜윤;조현경;유호룡;설인찬;김윤식
    • 대한한방내과학회지
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    • 제38권6호
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    • pp.1049-1059
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    • 2017
  • Objectives: The aim of this study was to evaluate the effect of Korean medicine on a patient with dizziness due to hippocampal sclerosis. Methods: A 51-year-old woman with dizziness, diagnosed with hippocampal sclerosis, was treated with herbal medication, acupuncture, and moxibustion. Her improvement was evaluated by a balance test, NRS, and the percentage of dizziness severity compared to that on her admission day. Results: Improvement in the balance test result and NRS, and a decrease of percentage of dizziness severity, were observed after treatment with Korean medicine. Conclusions: This study suggests that treatment with Korean medicine may be an effective therapy for dizziness due to hippocampal sclerosis.

말초성 안면마비 환자의 한방치료 치험례 (A Case Study of Oriental Medicine Treatment on Peripheral Facial Palsy)

  • 정유진;최아련;한동근;강아현;서혜진;성재연;송우섭;이형철;엄국현;김수연
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.769-777
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    • 2017
  • Objective: Facial nerve palsy is caused by damage to the 7th cranial nerve. It is the main symptom of facial muscle paralysis on the affected side. Usually, recovery from this disease begins 2-3 weeks after onset and most patients recover in 4-8 weeks. If the patients cannot receive proper treatment, severe permanent impairments, both physical and mental, may remain, so this disease should be treated appropriately. In this study, a patient with facial nerve palsy was admitted to the Korean medicine hospital for treatment. We report on the patient's progress and the effects of treatment. Methods: We cured the patient with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. We used a numerical rating scale, the House Brackmann grading system, and a weighted regional grading system to assess symptom changes. Result: The patient with facial nerve palsy was hospitalized for 23 days and recovered from symptoms without significant problems on the face or in motor function.

Relapsed lymphoma presenting neurological sings in 4 dogs

  • Kim, Mi-In;Seo, Kyoung-Won;Hong, Su-Ji;Pyoun, Han-Na;Kim, Ji-Hyun;Shin, Na-Young;Kang, Il-Woong;Hwang, Cheol-Yong;Youn, Hwa-Young
    • 한국임상수의학회:학술대회논문집
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    • 한국임상수의학회 2008년도 춘계학술대회
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    • pp.82-82
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    • 2008
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Multiple Hypercoagulability Disorders at Presentation of Non-Small-Cell Lung Cancer

  • Lee, Jeong Min;Lim, Jun Hyeok;Kim, Jung-Soo;Park, Ji Sun;Memon, Azra;Lee, Seul-Ki;Nam, Hae-Seong;Cho, Jae-Hwa;Kwak, Seung-Min;Lee, Hong Lyeol;Kim, Hyun-Jung;Hong, Geun-Jeong;Ryu, Jeong-Seon
    • Tuberculosis and Respiratory Diseases
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    • 제77권1호
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    • pp.34-37
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    • 2014
  • Hypercoagulability disorders are commonly encountered in clinical situations in patients with a variety of cancers. However, several hypercoagulability disorders presenting as first symptoms or signs in cancer patients have rarely been reported. We herein described a case of a woman with adenocarcinoma of the lung presenting with deep vein thrombosis, nonbacterial thrombotic endocarditis, recurrent cerebral embolic infarction, and heart failure.

파라콰트 중독 8일 후 내원한 환자 1례 (A Case of the patient who was admitted to hospital the 8th day of Paraquat Poisoning)

  • 허금정;김동조;박병욱;구창모;남창규
    • 대한한방내과학회지
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    • 제24권2_4호
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    • pp.1087-1092
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    • 2003
  • Paraquat is a non-selective contact herbicide. When it is consumed, it may cause fatal disorders such as acute renal failure, hepatic dysfunction, and progressive respiratory failure. In spite of many efforts to cure patients poisoned with paraquat, the mortality rate still remain high. In this case, after using Gamdutanghaphwangryunhaedoktang-gamibang and Cheongsangboha-tang we got positive result in hepato-renal function, but progressive respiratory failure was unstoppable.

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교통사고로 유발된 수면장애 환자에 대한 양심탕가미방(養心湯加味方) 치료 1례 (Yangshimtang-gamibang Therapy for Sleep Disorder Caused by a Traffic Accident: A Case Report)

  • 송진영;공건식;김소원;박진훈;왕연민;김상윤;박성환;강만호;엄국현;이형철
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.1020-1026
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    • 2021
  • This report describes the efficacy of using Yangshimtang-gamibang for a sleep disorder caused by a traffic accident. We treated a patient with Yangshimtang-gamibang for 12 days for sleep disorder caused by a traffic accident. To evaluate the results, we used the Korean Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ) to measure sleep disorder. The degree of sleep disorder was also evaluated using the Numerical Rating Scale (NRS). The generic health status was evaluated using the European Quality of Life-5 Dimensions (EQ-5D) scale. Improvements in the NRS and EQ-5D scale scores were observed after the treatments. The change in the KMLSEQ score indicates that the patient's sleep disorder was relieved. The results of this case study suggest that Yangshimtang-gamibang may be an effective treatment for sleep disorders caused by traffic accident.