• 제목/요약/키워드: past medicine history

검색결과 516건 처리시간 0.025초

흉곽출구증후군으로 손 저림을 호소하는 환자들에 대한 Sweet BV의 아시혈적 치료 효능 관찰 (Clinical Analysis about Treatment of Myofascial Pain Syndrome(MPS) with Sweet Bee Venom on Hand Paresthesia based on Thoracic Outlet Syndrome)

  • 오성원;김병우;안중철;윤휘철;박재석;권기록
    • 대한약침학회지
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    • 제13권2호
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    • pp.85-92
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    • 2010
  • Objectives: The objective of this study was to compare the effects of Sweet Bee Venom(Sweet BV) Therapy between the hand paresthesia patients with Osteoporosis and without Osteoporosis. Methods: This study was carried out to established the clinical criteria of hand parethesia. The patients who had past history of diabeics, neuropathy induced by alcohol or drug and was positive on Myofacial Pain Syndrome Theory were excluded. 32 patients who had hand paresthesia related with unknown-reason was selected by the interview process. And the effects of treatment were analyzed using VAS score before treatment, after treatment, after 1 month and after 3 months. Results and conclusion: After treatment, While Osteoporosis group decrease from $64.81{\pm}7.81$ to $27.21{\pm}7.32$, Non-Osteoporosis group decrease from $58.76{\pm}1.43$ to $24.74{\pm}3.81$ by VAS scores. and After 3 months, While Osteoporosis group increase from $27.21{\pm}7.32$ to $54.96{\pm}9.40$, Non Osteoporosis group increase from $24.74{\pm}3.81$ to $32.43{\pm}5.57$. Non-Osteoporosis group was accordingly more effective than Osteoporosis group after 3 months. So Sweet BV therapy for hand numbness patients without Osteoporosis was e effective than patients with Osteoporosis.

스마트폰을 이용한 무릎관절 고유수용성 감각 측정의 타당도와 신뢰도 검증 (Validity and Reliability of the Knee Joint Proprioceptive Sensory Measurements using a Smartphone)

  • 김명철;김남재;이민수;문소라
    • 대한물리의학회지
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    • 제10권4호
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    • pp.15-23
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    • 2015
  • PURPOSE: We aims to promote the development of proprioception measurement using smartphones, goniometers, and laser pointers as compared to the conventional use of electrogoniometer measurement. METHODS: Measurements using an electrogoniometer were previously proved to be reliabile and valid. Among E-university students, 20 who had no fracture, operation history, or inflammatory arthritis were examined. These subjects had not performed regular exercise in the past 3 months. Proprioception measurements were performed using four different measurement tools, three times per day, for test-retest analysis. RESULTS: No notable test-retest differences were noted for any of the measurement methods (P>0.05). With regard to the test-retest reliability for each measurement method, we observed that the readings from both the electrogoniometer and smartphone have high reliability (ICC>0.80), whereas the readings from the laser pointer have moderate reliability (ICC>0.60). When assessing the concurrent validity between electrogoniometers with individual measurements, we did not observe any notable difference between the smartphone and electrogoniometer (P>0.05) and these tools in fact showed high correlation (r>0.60, P<0.05) and a moderate reliability (ICC>0.60). Moreover, there was no notable difference in between electrogoniometers and laser pointers (P<0.05). CONCLUSION: CONCLUSION: The findings of this suggested that proprioception can be measured by using smart-phones, and proved that this method has sufficient credibility. Moreover, we noted that the concurrent validity with smartphones was high in comparison with the conventional electrogoniometer, which also indicates the validity and credibility. Based on these findings, we conclude that the measurement of proprioception by using a smartphone can be widely adopted.

8주간의 진동 운동 프로그램이 남·녀 대학생의 하지 최대 근력과 균형 능력에 미치는 영향 (Effects of an 8-week Vibration Exercise Program on Quadriceps and Hamstring Maximum Strength and Balance in Male and Female College Students)

  • 하경진;이상열;최승준
    • 대한물리의학회지
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    • 제10권4호
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    • pp.101-106
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    • 2015
  • PURPOSE: Application of an oscillating program for the lower extremities is an effective training method for increasing muscle strength. However, no oscillatory program has yet been identified to confirm the effectiveness of oscillation for balance ability and maximum muscle strength. We investigated the effects of an 8-week vibration exercise program on the maximum muscle strength and balance of the lower extremities. METHODS: Research subjects participating in the study were 22 male and female college students with no past history of diseases of the nervous or musculoskeletal systems. All subjects were randomly divided into two groups and performed their assigned experimental treatment 3 times a week over a period of 20 min for 8 weeks. Maximum strength of the quadriceps extension, flexion, and balance ability were measured using Biodex System 4 and Biodex balance systems. RESULTS: The 8-week oscillation program resulted in a significant increase in quadriceps extension and flexion strength in both male and female participants (p<.05). The balance ability also showed a significant improvement after the oscillation program (p<.05). The balance value was higher for male 17% than for female 21% (p<.05) participants. CONCLUSION: An 8-week oscillation program led to an increase in the strength of knee flexion and extension. The balance ability also improved significantly. This positive effect on balance ability was higher in female than in male subjects.

체외수정시술을 위한 성선자극호르몬 과배란유도에 Poor Response를 나타낸 환자에서 GnRH Analogue의 사용 (GnRH Analogue in Controlled Ovarian Hyperstimulation for Gonadotropin Poor Responder)

  • 김선행;이희경;구병삼
    • Clinical and Experimental Reproductive Medicine
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    • 제20권1호
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    • pp.37-43
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    • 1993
  • In 27 patients with the past history of poor response to the gonadotropin superovulation induction due to poor follicular growth or permature surge of endogenous luteinizing hormone, the effectiveness of pituitary supperssion with the gonadotropin releasing hormone agonist(GnRH-a) in in vitro fertilization(IVF) program was evaluated in 43 cycles using a combination regimen of D-Trp-6 LHRH(Decapeptyl, Ferring)and FSH/hMG from June, 1989 to August, 1990 at Korea University Hospital IVF Clinic. At midluteal phase of menstrual cycle, Decapeptyl-CR was administered by long-term protocol to minimize initial agonistic effect of endogenous gonadotropins. After the confirmation of pituitary suppression, about 2-3 weeks after GNRH-a administration, ovarian follicle growth was stimulated with FSH/hMG and followed by transvaginal ultrasonic measurement of follicle size and by monitoring of serm E2 and LH if necessary. When compared with the control group stimulated with gonadotropin regimen only, the cancellation rate and occurrence rate of premature LH surge during gonadotropin treatment were significantly lower in study group(11.6% and 2.4%, respectively). There is no significant differences in the mean number of aspirated oocytes, fertilization/cleavage rate, embryo transfer(ET) rate, and mean number of embryos transferred between the two groups. The pregnancy rate per treatment cycle, 16.3%, and per ET cycle, 23.3%, were significantly higher in the study group compared with those of control group. These data suggest that GnRH-a therapy is effective for previous poor responder In gonadotropin superovulation induction for IVF.

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기관기관지골형성증 1예 (A Case of Tracheobronchopathia Osteoplastica)

  • 염호기;전우기;김동순
    • Tuberculosis and Respiratory Diseases
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    • 제40권6호
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    • pp.714-718
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    • 1993
  • 기관기관지골형성증(Tracheobronchopathia Osteoplastica, TPO)는 기관 및 기관지의 점막하부에서 연골성 혹은 골성 돌출 병변의 형태를 나타내는 결절이 기관 후벽의 막성부위를 제외한 기관지 전부위에서 발생 되는 특징을 가진 질환으로 매우 드물게 보고되고 있다. 그 원인은 아직 밝혀지지 않았으나 만성 기관지 염증성 자극과 결체조직의 화생화 및 기관지 연골의 외연골증과 외골증에 의한다고 하는 등의 가설이 있다. 기관지내시경상 매우 특징적인 염주 혹은 자갈모양의 다발성 결절을 관찰할 수 있으며 대증적인 치료외에 특별한 치료가 없다. 기관지폐쇄가 있을 경우 내시경적 제거를 시도 해 볼 수 있으나 기도 폐쇄가 심할수록 예후가 좋지않다. 저자등은 늑막삼출을 동반한 44세된 남자환자에서 기관지내시경과 전산화 단층촬영과 기관지 내시경 조직검사로 확진된 기관기관지골형성증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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Archaeoparasitological Analysis of Samples from the Cultural Layer of Nadym Gorodok dated Back to the 14th-Late 18th Centuries

  • Slepchenko, Sergey Mikhailovich;Kardash, Oleg Viktorovich;Slavinsky, Vyacheslav Sergeyevich;Ivanov, Sergey Nikolaevich;Sergeyevna, Rakultseva Daria;Tsybankov, Alexander Alekseevich;Shin, Dong Hoon
    • Parasites, Hosts and Diseases
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    • 제57권6호
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    • pp.567-573
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    • 2019
  • An archaeoparasitological analysis of the soil samples from Nadym Gorodok site of Western Siberia has been carried out in this study. The archaeological site was dated as the 13 to 18th century, being characterized as permafrost region ensuring good preservation of ancient parasite eggs. Parasite eggs as Opisthorchis felineus, Alaria alata, and Diphyllobothrium sp. were found in the archaeological soil samples, which made clear about the detailed aspects of Nadym Gorodok people's life. We found the Diphyllobothrium sp. eggs throughout the 14 to 18th century specimens, allowing us to presume that raw or undercooked fish might have been commonly used for the foods of Nadym Gorodok inhabitants and their dogs for at least the past 400 years. Our study on Nadym Gorodok specimens also demonstrate that there might have been migratory interactions and strong economic ties between the people and society in Western Siberia, based on archaeoparasitological results of Opisthorchis felineus in Western Siberia.

Inequality in Private Health Care Expenditures: A 36-Year Trend Study of Iranian Households

  • Aghapour, Ehsan;Basakha, Mehdi;Kamal, Seyed Hossein Mohaqeqi;Pourreza, Abolghasem
    • Journal of Preventive Medicine and Public Health
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    • 제55권4호
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    • pp.379-388
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    • 2022
  • Objectives: Throughout history, societies have been impacted by inequality. Many studies have been conducted on the topic more broadly, but only a few have investigated inequalities in out-of-pocket health payments (OHP). This study measures OHP inequality trends among the Iranian households. Methods: This study used data from the Iranian Statistics Center on Iranian household income and expenditures. The analysis included a total of 995 300 households during the 36 years from 1984 to 2019. The Gini coefficient, Atkinson index, and Theil index were calculated for Iranian OHP. Results: Average Iranian household OHP increased from 33 US dollar (USD) in 1984 to 47 USD in 2019. During this 36-year span, the average±standard deviation Gini coefficient for OHP was 0.73±0.04, and the Atkinson and Theil indexes were 0.68±0.05 and 1.14±0.29, respectively. The Gini coefficients for the subcategories of OHP of outpatient diagnostic services, medical assistant accessories, hospital inpatient services, and addiction cessation were 0.70, 0.61, 0.84, and 0.64, respectively. Conclusions: In this study, we scrutinized trends of inequality in the OHP of Iranian households. Inequality in OHP decreased slightly over the past four decades. An analysis of trends among different subgroups revealed that affluent households, such as households with insurance coverage and households in higher income deciles, experienced higher inequality. Therefore, lower inequality in health care expenditures may be related to restricted access to health care services in Iran.

Effects of Both Abdominal Drawing-In Maneuver and Co-Contraction of Hip Adductor Muscle while Bridge Exercise on Abdominal Muscle

  • Gyeong-Hui, Park;Jin-Hwa, Lee;You-Mi, Jung;Dongyeop, Lee;Ji-Heon, Hong;Jae-Ho, Yu;Jin-Seop, Kim;Seong-Gil, Kim
    • 대한물리의학회지
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    • 제17권4호
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    • pp.15-25
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    • 2022
  • PURPOSE: This study examined the effect of bridge exercise-abdominal draw-in maneuver (ADIM) with hip adductor co-contraction on the TrA thickness and whether it is effective as a core stability exercise. METHODS: The subjects of this study, 33 men with no history in the past and who provided prior consent, were selected through interviews with male students of S University. The subjects performed five movements, including bridge exercise and ADIM, and performed two demonstrations and two exercises in advance. The abdominal muscles were measured using ultrasonography once in each movement, and the abdominal muscle tone was measured using a soft tissue tone measurement. RESULTS: There was a significant difference in the thickness between the TrA and Internal Oblique Muscles at various bridge positions (p < .05), and no significant difference with the External Oblique Muscle (p < .05). There was no significant difference in muscle tone in the Rectus abdominis part (p > .05), but a significant difference in the Oblique Muscle part (p < .05). The muscle tone of the Oblique Muscles by position showed a significant difference in Bridge, BHa, and BA compared to the rest position (p < .05), but no significant difference with BHaA (p > .05). CONCLUSION: The thickness of TrA could be increased through bridge exercise, and TrA could be activated properly using ADIM and may be an effective exercise for core stabilization.

국가필수예방접종 보장범위 확대 시범사업에 따른 의사의 예방접종 관리행태 및 만족도 비교 (A Comparative Study of the Administrative Behavior of Vaccination and Satisfaction of Physicians according to the National Expanded Programme on Immunization in Korea)

  • 김춘배;이석구;이중정;전소연;현숙정;이연경;고운영;국가필수예방접종 보장범위 확대사업 연구단
    • 보건행정학회지
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    • 제19권3호
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    • pp.71-91
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    • 2009
  • To assess comparatively the administrative behavior of vaccination and satisfaction of physicians by the provision method according to the National Expanded Programme on Immunization (NEPI) between 2005 and 2006 Demonstration Project in Korea. A questionnaire was performed at 582 and 64 physicians in Daegu metropolitan city and Gunpo city on 2005 (a response rate of 39.3%, 45.3%, respectively). Also, we sampled 31, 56, and 28 physicians in Gangneung city, Yangsan city, and Yeongi county on 2006 (a response rate of 35.5%, 98.2%, and 60.7%, respectively). We analyzed these data set using descriptive analysis and $\chi^2$-test through SPSS for Windows (12.0). Most question categories in Daegu metropolitan city and Gunpo city on 2005 were higher than those in the 2006 Demonstration Project regions. These were 'preparing and signing informed consent to vaccination', 'doing physical examination before periodic immunization', 'searching past shot history and inputting the current shot record through the immunization registry management program by physician', 'filing a medical record', 'satisfying the impact of 2005 and 2006 Demonstration Project and achieving the expectation of this Project', and 'improving the immunization coverage rate', et al. In conclusion, we show that the attitudes and practices of physician should be more sensitive to free vaccination services by private clinics and hospitals than public health centers. In the near future, the government must consider the opinion of physicians in implementing the NEPI by the affordable method of the public-private dynamics.

치매 환자(患者) 84례(例)에 대한 유형별(類型別) 임상고찰(臨床考察) (The Clinical Analysis on 84 Cases of Dementia)

  • 전상윤;강화정;김윤완;홍석
    • 대한한방내과학회지
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    • 제21권2호
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    • pp.193-201
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    • 2000
  • Objective : In western medicine, many medication therapies and non-medication therapies have been treated for dementia. But these methods did no more than symptomatic therapies, not basic treatment, which just can better subordinate symptoms. In fact, care or control became the very point of treatment of dementia. So, to try to find oriental medical treatments for Dementia, a clinical analysis was carried out for 84 patients who were diagnosed as Dementia through MMSE-K and treated in Dong-shin Oriental Medicine Kwangju Hospital and Karitaas Sanatorium from 10. Jan. 1998 to 20. May. 2000. Methods : Regardless of patterns of Dementia, the basic treatment(本治) is to supplement encephalon deficiency(腦髓不足). And the external treatment(標治) must be accompanied by through diagnosis according to symptoms(辨證). All patients were given Yukmi-jihwanghwan gami and acupuncture treatment. Results : Dementia of cerebral vascular type shows a high distribution(51 patients, 60.7%). Women also are distributed more widely(62명, 73.8%). In Age distribition, 70-79 years-32 patients(38.1%), over 80 years-21 patients(25%), 60-69 years-17 patients(20.2%), 50-59 years-13 patients(15.5%) and under 49 years-1 patient(1.2%). From this, Dementia occurs well over 60 years and the rate of occurrence of Dementia is high as people grow older. In past history of people with Dementia, hypertension is associated much(50 patients, 64.1%). Distribution of mental state by MMSE-K examination declined in orientaion, mathmatical faculty, memory faculty and composition faculty. In therapeutic effect by treatment duration, 14 patients(93.3%) out of 15 in sanatorium show a significant effect. And 52 patients(75.4%) out of 69 in the hospital show the same result. Especially, 11 patients with Alzheimer type in sanatorium showed an good effect when treated over 4 months. 40 patients(83.3%) with cerebral vascular type out of 48 in the hospital showed the stage of betterment. Conclusions : The basic treatment(本治) for Dementia is to supplement encephalon deficiency(腦髓不足). For promoting encephalon through supplementing kindney(補腎健腦), All patients were given Yukmi-jihwanghwan gami. And the external treatment(標治) through diagnosis according to symptoms(辨證) were be accompanied by. The result is quite effective. We consider there must be more research based on this study.

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