• Journal of Korean Biological Nursing Science
• /
• v.18 no.2
• /
• pp.78-86
• /
• 2016

Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.8 no.2
• /
• pp.226-232
• /
• 2005

Peptic ulcer disease complicated with gastric outlet obstruction is rare in children. Even though NSAIDs have been reported to cause various adverse events, they are still regarded as safe and, therefore, widely utilized in children. In the past, pediatric patients who were at risk of seizure due to high fever, were treated with dipyrone (Metamizole sodium) injection which inhibits cyclooxygenase-1 and inhibit prostaglandin, to weaken the gastro-duodenal defensive mechanism. A case of an infant with multiple esophagogatroduodenal ulcers and bleeding caused by NSAID complicated with gastric outlet obstruction is reported in this paper.

• Journal of Pharmacopuncture
• /
• v.6 no.1
• /
• pp.37-37
• /
• 2003

약침은 경혈에 약물을 주입하는 방법이다. 이 방법은 아래의 인자 (즉 약물의 효과와 침의 효과, 주입하는 용액이 침자리에 미치는 효과들) 덕택에 효과를 증강시키는 방법이다. 1970년대와 1980년대 초기에 베트남 전통의들에 의해 적용되어 좋은 효과를 얻었다. 적응증으로는 만성 관절염, 신경성 감각 이상증, 위통, 고혈압, 천식, 좌골신경통, 요통 들이다. 주로 쓰인 침자리는 배수혈과 복모혈, 원혈과 아시혈이다. 약물은 vitamin B1, B6, B12, novocain 2%, 염화나트륨 용액 0.9%에 한 침자리에 0.2 to 2.0ml씩을 주입한다. 때때로 진통제인 voltarene 이나 pervincamine, cerebrolysin을 쓰기도 한다. 치료 기간은 하루에 한 번씩 2주 이하로 하고 적어도 5일은 휴식을 한다. 약침의 위십이지장증의 진통효과에 미치는 영향을 검증하기 위한 예비실험 결과를 요약하면 아래와 같다. 베트남에서 약 전체 인구의 5.63%가 위산과다에 따른 궤양성 통증을 가지고 있는데, 이 예비 연구는 이들에 약침의 진통효과를 검증하고자 한다. 관찰 대상이 된 남자 41명, 여자 15명(나이 20-69세 사이) 이 모두 경증에서 중증도의 위통을 3-15년 동안 앓았는데 이들 모두 엑스 선 촬영과 위내시경으로 확증을 받았다. 관찰기간 동안 부작용은 없었는데 약침군은 26 환자로 Vit B1, B2, B6, novocain 2%, 하루에 한 번씩, 15일 동안 개별적 진단에 따른 침자리에 치료받았고, 대조군은 30 명으로 atropin 농도 0.25 mg/injection 도 근육주사를 하루에 한 번씩 같은 기간동안 받았다. 결과는 약침군에서 Good: 7.7%, Rather good: 88.5%, no response: 3.8%. (편역자 주: 발표 초록에서 대조군에 대한 결과가 빠져 있음). 결론적으로 약침과 아트로핀 주사가 모두 궤양성 통증을 완화시키는데 그 진통정도는 동등하다고 판단하였다. 약침의 진통효과가 오래 지속되었고 환자들은 부작용을 호소하지 않았다.

• The Journal of Korean Physical Therapy
• /
• v.11 no.3
• /
• pp.151-158
• /
• 1999

Neuropathy is a common and often debilitating complication of diabetes, Diabetic peripheral neuropathy(DN) includes a variety of different disorders that affect the peripheral nervous system. The most common type of DN is the predominantly sensory distal polyneuropathy. Typically, symptoms begin in the foot and proximally during the course of the discease, reflecting the fact that longer fibres are involved earlier that shorter ones. Reviewed the pathogenesis, the diagnosis of DN, the gait pattern and the excercise, the treatment of pain in DN patient.

• The Journal of Dong Guk Oriental Medicine
• /
• v.8 no.1
• /
• pp.191-204
• /
• 1999

A literature study was progressed for Introduction of the conception of oriental medical diagnosis and treatment and establishment of studious foundation of current and oriental medical cooperation for Beçet's disease to be known chronic and repetitional disease. In current medicine, valid medicine for Beçet's disease, from Beçet's, a turkish doctor, announced it the very first, was not made and objective diagnostic method not existed. Through clinical cases in oriental medical treatment, it was known that, except herbal medication, acupuncture, medicine of external application and beam-therapy were applied.

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1995.04a
• /
• pp.93.2-93
• /
• 1995

후두 및 기관지 협착증은 대개가 기도확보를 목적으로 후두 및 기관내에 삽관을 시행하였을 때 삽관튜브에 부착된 cuff내에 압력이 높게 되면 점막에 혈류장애가 초래되고 궤양등의 점막손상이 뒤따르며 여기에 2차감염이 초래되어 육아종과 반흔이 생기면서 결국은 협착이 초래되는 것으로 알려져 있다. 이와 같이 손상된 후두및 기관의 점막에 산도가 강하고 소화효소가 함유된 위액이 역류되어 접촉될 경우 협착이 더욱 조장되리라고 가정할 수 있다. 따라서 위액이 과연 후두 및 기관지 협착증에 관여 한 것인지를 실험적으로 규명해 보고자 하였다. 실험동물은 가토를 대상으로 하여 Urethan마취를 시행하고, 삽관한 다음 합성위액 pH 1.5, 3, 5 짜리 용액을 기관 내에 1시간정도 관류시킨 다음 후두 및 기관을 적출하여 점막상태의 변화를 현미경으로 관찰하였다. 그 결과 산도가 강하고 펩신이 첨가된 합성위액으로 관류한 군에서는 성모의 파괴점막의 궤양, 부종과 염증소견 등이 심하게 관찰되었다. 그러나 산도가 약할수록, 그리고 펩신이 첨가되지 않은 합성위액으로 관류한 군에서는 섬모 및 점막의 손상이나 염증 및 부종등의 소견이 경미하게 관찰되었다. 이러한 결과로 미루어 강한 산도의 위액이 후두 및 기관으로 역류될 경우 협착증의 발생에 깊이 관여하리라고 추측되었다.

• Journal of muscle and joint health
• /
• v.28 no.3
• /
• pp.223-233
• /
• 2021

Purpose: This study aimed to systematically review the contents and effectiveness of education programs for preventing diabetic foot ulcer among patients with type 2 diabetes mellitus in Korea. Methods: Six electronic databases were searched using search terms, and 748 articles were identified. Ten articles were eligible based on inclusion and exclusion criteria. Article quality was evaluated using a critical evaluation checklist for manuscripts before performing the systematic review. Results: Although education programs for preventing diabetic foot ulcers have been continuously studied for 20 years, the number of studies is small, and to our knowledge, there have been no studies reporting on the subsequent prevalence of foot ulcers or amputations. While the effect of these education programs on knowledge (ES=1.23) and self-management behavior (ES=.96) was shown to be statistically significant, it was not shown to be significant in preventing diabetic foot ulcers (ES=.03). Conclusion: The actual preventive effect on the prevalence of foot ulcers, through education programs for preventing diabetic foot ulcer could not be determined. Our findings highlight a potential need for studies aimed at developing effective programs to improve education on preventing diabetic foot ulcers.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.18 no.2
• /
• pp.92-98
• /
• 2023

Purpose: This study describes a case report of wound care performed by a community health practitioner for a rural older adult with diabetic ulcers. Methods: Data were collected from a rural older adult who had a diabetic lower extremity ulcer, and wound dressing was applied over 20 weeks after the skin graft operation. Results: The patient visited a primary healthcare post for regular ulcer care, and a community health practitioner applied appropriate wound dressings and managed the patient's diabetic condition. Conclusion: In rural areas, where healthcare resources are scarce compared with urban areas, rural nurses, such as community health practitioners, are primarily required to manage rural residents' health problems. Advanced nursing practices such as complicated wound care should also be appropriately provided to patients by enhancing rural nurses' competencies in the changing health care environment.

• The Journal of Korean Society for Radiation Therapy
• /
• v.21 no.1
• /
• pp.25-31
• /
• 2009

Purpose: Evaluate the mold we have made to improve the reproducibility of the patient position and make homogeneous dose distribution to the treatment volume effectively when treating the patient who has hypervascular ulcer on her tongue caused by paraneoplastic autoimmune multiorgan syndrome by mold brachytherapy. Materials and Methods: The mold is consisted of upper and lower parts. We inserted 2 mm of lead sheet on the gums toward the oral cavity to protect them from unnecessary irradiation during the treatment. We had planned on orthogonal images obtained the patient. 200 cGy was delivered in every fraction with a total dose of 3000 cGy. To evaluate the effect of the lead sheet, we made a measurement with a phantom that has gums and tongue made of tissue with an equivalent material (bolus). Five of TLDs were placed on the interesting points of gums to measure the dose during irradiation with lead sheet and without lead sheet for three times respectively. Results: The result of the measurement without lead sheet are A: 33.9 cGy, B: 30.1 cGy, C: 31.8 cGy, D: 23.3 cGy, E: 24.1 cGy. The results of measurement with lead sheet are A: 20.6 cGy, B: 18.8 cGy, C: 19.6 cGy, D: 14.7 cGy, E: 15.1 cGy. Conclusion: Since we are using the mold made in our department during the treatment of the patient with hypervascular ulcer on tongue, we could deliver a proper dose to the treatment volume. In addition, the mold provided highly accurate and reproducible treatment and reduced the dose to the gums and teeth. Therefore, the possibility of side effects could be decreased significantly.

• Research in Plant Disease
• /
• v.8 no.3
• /
• pp.179-183
• /
• 2002

to investigate occurrence of kiwifruit bacterial canker disease,172 kiwifmit orchards in Jeonnam and Gyeong-nam provinces were surveyed from March to April in 1999. In the south coast region of Korea, such as Haenam, Wando, Jindo, Jangheung, and Bosuns, red-rusty brown bacterial oozes were observed in 17 kiwifvuit orchards. Disease incidences varied from 2.2% to 100% depending on various regions. Total 22.8 ha of kiwifruit orchards were destroyed by occurrence backerial canker at 1999 in Korea. Orchard in Wando, Jindo, and Goheng were severely damaged in 1999. The seasonal variation of bacterial canker incidence was also investigated from 1996 to 1997 on leaves, vines and twigs of kiwifruit. Red-rusty brown bacterial ooze was exuded from mid February or early March to late April in creaked site of vine and twig. The seasonal incidence of bacterial canker on leaves appeared from late April to late June, and rapidly increased during May, Optimum growth temperature of Pseudomonas sytingae pv. actinidiae was at $25^{\circ}C$ on King's B medium and did not grow at 33$^{\circ}C$. We suggest that spreading of bacterial canker was suppressed under the plastic flim and windbreak net house.