• Title/Summary/Keyword: therapeutic case report

Search Result 461, Processing Time 0.024 seconds

Case of Effective Treatment using Glucagon-Like Peptide-1 Receptor Agonist in Patient with Obesity and Non-Alcoholic Fatty Liver Disease (비알코올지방간질환을 동반한 비만 환자에서 Glucagon-Like Peptide-1 수용체작용제를 이용한 효과적인 치료 증례)

  • Tae Sic Lee
    • Archives of Obesity and Metabolism
    • /
    • v.2 no.2
    • /
    • pp.71-75
    • /
    • 2023
  • Obesity is closely related to chronic diseases and cancer. The present case report aims to discuss the anti-obesity treatment strategy and the evaluation of the clinical progress in a patient with obesity and concurrent fatty liver disease. Following five months of treatment with liraglutide and rosuvastatin, the patient had a weight reduction of 3 kg (4.7%), a decrease in fasting blood sugar by 42 mg/dl (26.6%), a decrease in low-density lipoprotein cholesterol by 82 mg/dl (60.2%), and decrease in alanine transaminase. This case report documented the treatment of a patient with common chronic diseases encountered in the outpatient setting. Based on the therapeutic effects documented in clinical and laboratory indices, the anti-obesity treatment plan significantly aided in managing chronic diseases.

Medical treatment of dissecting aortic aneurysm: report of a case (박리성 대동맥류의 보존적 치료 1례 보)

  • 김병열
    • Journal of Chest Surgery
    • /
    • v.17 no.4
    • /
    • pp.687-690
    • /
    • 1984
  • Aortic dissection, a condition characterized by hemorrhage into the media and variable extension along the length of the aorta, has long been recognized as a catastrophic Cardiovascular event. Recent developments in diagnostic and therapeutic skills have improved the prognosis considerably, but there is still controversy as to how cases should be managed. We experienced a case of dissecting aortic aneurysm [DeBakey Type III ], which were managed using intensive medical treatment. The period of follow up was about 11 years. At last, patient was died by progression of dissection into proximal aorta and resulted in aortic insufficiency and congestive heart failure.

  • PDF

Diffuse Peritonitis with Ruptured Gallbladder in a Dog (담낭파열에 의한 복막염의 일례)

  • Cho Kil-Hyon
    • Journal of Veterinary Clinics
    • /
    • v.1 no.1
    • /
    • pp.63-66
    • /
    • 1984
  • A 6 yers old German Shepherd dog was diagnosed to a ruptured gallbladder subsquently causing a diffuse peritonitis with bile-contaminated ascites. Surgical exploration could not determine its causes of pathogenesis. A marked leukocytosis and increased alkaline phosphotase were the pronounced clinical pathologic features. Delayed surgical exploration was critical therapeutic failure of this particular case. An immediate surgical intervention could be a life saving therapy of choise. The author report an uncommon clinical case presentation of the ruptured gallbladder in a dog and an importance of immediate surgical correction.

  • PDF

Giant cell tumor arising from the rib - A case report- (늑골에서 발생한 골 거세포종 -1예 보고-)

  • Ju, Hong-Don;Park, Gyeong-Sin;Im, Seung-Pyeong
    • Journal of Chest Surgery
    • /
    • v.24 no.10
    • /
    • pp.1024-1027
    • /
    • 1991
  • We experienced a case of giant cell tumor arising from the right 2nd rib in the diagnostic and therapeutic thoracotomy at our department of Thoracic and Cardiovascular Surgery, Chungnam Univ. Hospital in May 3rd, 1991. The reports of this tumor are very rare and are known to have the incidence of 1 percent or less of all giant cell bone tumor. The tumor of the right 2nd rib, infant head-sized, covered with parietal pleura was invaded into the vertebra on operation finding. The tumor was resected partially[three fourths] and revealed to be the giant cell tumor on pathologic finding. At now, the patient is taking the radiotherapy to achieve the therapeutic goal to the remnant tumor.

  • PDF

Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion

  • Jin, Sung-Chul;Choi, Choong-Gon;Kwon, Do-Hoon
    • Journal of Korean Neurosurgical Society
    • /
    • v.45 no.4
    • /
    • pp.236-239
    • /
    • 2009
  • Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case of de novo aneurysm in a vessel that appeared to be normal on initial angiography. The patient developed an anterior communicating artery aneurysm and marked growth of a basilar bifurcation aneurysm 9 years after trapping of the left internal carotid artery for the treatment of a ruptured large saccular aneurysm involving ophthalmic and cavernous segments. We propose that patients who undergo therapeutic carotid occlusion should be periodically followed by magnetic resonance angiography or computed tomographic angiography to evaluate the possibility of de novo aneurysm formation; this advice is in line with previous reports.

Transdermal scopolamine for the treatment of recurrent parotid sialocele: a case report

  • Chi Hyun Lee;Changryul Claud Yi;Yong Chan Bae;Jae Woo Lee;Byung-Joo Lee;Joo Hyoung Kim
    • Archives of Craniofacial Surgery
    • /
    • v.25 no.1
    • /
    • pp.44-47
    • /
    • 2024
  • Recurrent parotid sialocele is rare and challenging to treat. Treatment options are limited for cases of parotid sialocele that recur despite ductal ligation. This case study presents a patient who underwent wide excision of the right buccal mucosa due to squamous cell carcinoma. During the wide excision, a segment of the parotid duct was excised, and ductal ligation was performed to prevent the occurrence of a sialocele, followed by reconstruction using a folded anterolateral thigh free flap. Twenty-two days after surgery, parotid sialocele occurred despite the initial ductal ligation and subsequent ductal ligation was performed; however, the sialocele recurred. As an alternative therapeutic option, a transdermal scopolamine patch was applied for 3 weeks, with one patch used every 3 days. The results were encouraging, with complete resolution of the sialocele. A transdermal scopolamine offers a noninvasive, convenient method of treating parotid sialocele with minimal side effects. The successful outcome of this case suggests that a transdermal scopolamine can be an effective therapeutic option for recurrent parotid sialocele in conjunction with surgical treatment.

Integrated Korean Medicine Treatments for Infrapatellar Bursitis: A Case Report

  • Myeong-Yeol Yang;Jae-Joon Ha;Ji-Sun Kim;Hong-Wook Choi;Gyu-Bin Lee;Dong-Ju Yoon;Dong-Jin Kim;Do-Young Kim
    • Journal of Acupuncture Research
    • /
    • v.40 no.4
    • /
    • pp.389-394
    • /
    • 2023
  • In infrapatellar bursitis, an acute or chronic inflammation of the infrapatellar bursa causes pain and swelling at the front of the knee. To date, only a few studies have reported cases of infrapatellar bursitis that are treated using Korean medicine. The aim of the present study is to report a case of a 27-year-old male with front knee pain caused by infrapatellar bursitis that was treated with integrated Korean medicine treatments (e.g., acupuncture, pharmacopuncture, herbal medicine). The patient-reported numeric rating scale confirmed that the patient's pain was relieved, while the physical function tests also indicated a significant improvement. Based on the findings of this study, it can be suggested that integrated Korean medicine treatments could be an effective therapeutic option for patients diagnosed with infrapatellar bursitis.

Evaluation of the Quality of Case Reports in Journal of Oriental Neuropsychiatry Using CARES Guideline (CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구)

  • Lee, Hwan Seong;Lee, Junyeop;Han, Ji Han;Chae, Han
    • Journal of Oriental Neuropsychiatry
    • /
    • v.30 no.2
    • /
    • pp.59-69
    • /
    • 2019
  • Objectives: Case report is a description of medical experience that contains a patient's information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case report can be used for medical, scientific, or educational purposes. The objective of this study was to evaluate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline. Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality assessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were assessed as 'Sufficient', 'Not sufficient', 'Not reported', 'Not applicable'. The outcome was analyzed using case reports and items. Results: 26 case reports were selected. For CARE guideline, 'Sufficient' percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items 'Timeline', 'Diagnostic assessment', 'Follow up and outcomes', 'Informed consent' were not reported in more than 50% of all case reports. Items 'Keywords', 'Abstract', 'Introduction', 'patient information', 'Diagnostic assessment', 'Therapeutic interventions', 'Follow up and outcomes' were not sufficiently reported in more than 50% of all case reports. For CARES guideline, 'Sufficient' percentage was min at 0%, max at 50% with a median of 0%. Sum of 'Sufficient', 'Not sufficient' percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription 'herb', 'decoction', 'use', items of acupuncture treatment 'materials', 'techniques', items of moxibustion treatment 'materials', 'techniques' were not sufficiently reported in more than 50% of all case reports. Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, particular items were not reported frequently. Therefore, there is a need to improve the quality of case reports in Journal of Oriental Neuropsychiatry.

A Case Report for Lung Cancer Patient Showing Remission Treated with Cultivated Wild Ginseng Pharmacopuncture (산양산삼 약침치료로 종양 퇴축을 보인 폐암환자에 대한 증례보고)

  • Kim, Koo;Choi, Yong-Seok;Joo, Jong-Cheon;Moon, Goo
    • Journal of Pharmacopuncture
    • /
    • v.14 no.4
    • /
    • pp.33-37
    • /
    • 2011
  • Objectives: To report the effect of cultivated wild ginseng pharmacopuncture on the lung cancer patient. Methods: Treatment of cultivated wild ginseng pharmacopuncture was conducted on the patient during 7 months. Pharmacopuncture therapy was done twice a week with a dosage of 2ml per each treatment. Computed Topography(CT) was performed to evaluate the therapeutic efficacy. Results: After the treatment of 7 months, chest CT revealed the mass size was decreased. Conclusions: This case provides us a possibility that cultivated wild ginseng pharmacopuncture offers potential benefits for lung cancer patient.

A Case Report of Sleep Disorder with Anxiety (불안을 동반한 수면 장애 환자 치험 1례)

  • Hong, Namjung;Kum, Changjun;Park, Hyunmin;Lee, Jekyun
    • Journal of the Korean Institute of Oriental Medical Informatics
    • /
    • v.19 no.2
    • /
    • pp.29-37
    • /
    • 2013
  • Objectives: This case report presents a 29-years-old male patient. His chief complaint was insomnia, anxiety and chest discomfort. We diagnosed him with sleep disorder. During the therapeutic period, he experienced temporary improvement. Methods: We treated him with emotional freedom techniques(EFT), giungoren-therapy. Also, acupuncture and chuna therapy were accessorily practiced. The effects of treatment were measured by Beck depression inventory(BDI), state-trait anxiety inventory(STAI), insomnia severity index(ISI). Results: After treatment, the chief complaint have been subsided and improved. But, BDI, STAI, ISI score were not remarkably decreased. Conclusions: This result suggests that EFT and giungoren-therapy might be effective for sleep disorder patient with anxiety.

  • PDF